996 resultados para Urho Kekkosen päiväkirjat. 4 : 1975-81
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no.4 (1975)
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"Approved Apr 4 1975."
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Includes index.
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Mode of access: Internet.
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Includes indexes.
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Includes index.
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Vols. 32-47 called also "2. serie," v. 1-16; v. 48-76 called also "3. serie," v. 1-29; v. 77-80 called also "4. serie," v. 1-4; v. 81- called also "5. serie," v. 1-
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Pt. 1. has special subtitle: Testimony and recommendations by the Social Security Administration.
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Adult patients with hematologic malignancies along with HIV infected patients were prospectively studied to determine the performance of urine D-arabinitol/L-arabinitol (DA/LA) ratio in diagnosing invasive candidiasis. Ten evaluable febrile neutropenic patients had proven invasive candidiasis and elevated DA/LA ratios were found in 5. Invasive candidiasis with normal DA/LA ratios was most frequently due to Candida krusei infection. This Candida species is a non-producer of arabinitol. Only 4 of 81 febrile neutropenic patients given either antifungal prophylaxis or empiric antifungal treatment had elevated DA/LA ratios. Only 1 of 15 HIV positive patients with either oropharyngeal or esophageal candidiasis had elevated DA/LA ratios. Widespread use of fluconazole prophylaxis in bone marrow transplantation patients at the study hospital has led to an increased prevalence of C. krusei infection. This is the likely reason for the low sensitivity of the test in proven and suspected invasive Candida infections reported here. (C) 2002 Elsevier Science Inc. All rights reserved.
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A pénzügyi központok jelentős mértékben hozzájárulhatnak a bankok nemzetköziesedéséhez. A világgazdaság története során már évszázadokkal ezelőtt létrejött a nemzetközi pénzügyi központok többsége, amelyek szerepe és súlya folytonosan változott. A vezető globális pénzügyi központokban általában mindenféle pénzügyi művelet végrehajtható, intenzíven egy helyre koncentrálódnak a pénzügyi-üzleti műveletek és tranzakciók. Az 1990-es évekre még jellemző globális triád – amit New York, London és Tokió alkotott – napjainkra már megszűnt. A globális pénzügyi központok szerepét a 2010-es években London és New York képes betölteni. Kérdéses azonban, hogy az ázsiai térségben globális pénzügyi központtá válhat-e Hong Kong, esetleg Szingapúr. _____ Financial centres significantly contribute to the internationalization of the banks. Most of the international financial centres were founded centuries ago, but their roles and magnitudes have always changed. All kinds of financial operations can be carried out in the leading global financial centres, and a wide scale of financial operations and transactions concentrate in these places. The dominance of the global triad of New York, London and Tokyo of the 1990s, has recently ended. Only two main financial centres, London and New York, can unambiguously fulfil the role of the global financial centres in the 2010s. However, it is questionable whether Hong Kong or Singapore can become global financial centres in the Asian region of the global economy.
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It is usually assumed that Heraclitus is, exclusively, the philosopher of flux, diversity and opposition while Parmenides puts the case for unity and changelessness. However, there is a significant common understanding of things (though in differing contexts), not simply an accidental similarity of understanding. Both philosophers, critically, distinguish two realms: on the one hand, there is the one, common realm, identical for all, which is grasped by the ‘logos that is common’(Heraclitus) or the steady nous (Parmenides) that follows a right method in order to interpret the real. On the other hand, the realm of multiplicity seen and heard by the senses, when interpreted by ‘barbarian souls’, is not understood in its common unity. Analogously, when grasped by the wandering weak nous it does not comprehend the real’s basic unity. In this paper I attempt to defend the thesis that both thinkers claim that the common logos (to put it in Heraclitean terms) or the steady intellect (to say it with Parmenides) grasp and affirm the unity of the real.
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BACKGROUND: Patients older than 65 years have traditionally not been considered candidates for heart transplantation. However, recent studies have shown similar survival. We evaluated immediate and medium-term results in patients older than 65 years compared with younger patients. METHODS: From November 2003 to December 2013, 258 patients underwent transplantation. Children and patients with other organ transplantations were excluded from this study. Recipients were divided into two groups: 45 patients (18%) aged 65 years and older (Group A) and 203 patients (81%) younger than 65 years (Group B). RESULTS: Patients differed in age (67.0 ± 2.2 vs. 51.5 ± 9.7 years), but gender (male 77.8 vs. 77.3%; p = 0.949) was similar. Patients in Group A had more cardiovascular risk factors and ischemic cardiomyopathy (60 vs. 33.5%; p < 0.001). Donors to Group A were older (38.5 ± 11.3 vs. 34.0 ± 11.0 years; p = 0.014). Hospital mortality was 0 vs. 5.9% (p = 0.095) and 1- and 5-year survival were 88.8 ± 4.7 versus 86.8 ± 2.4% and 81.5 ± 5.9 versus 77.2 ± 3.2%, respectively. Mean follow-up was 3.8 ± 2.7 versus 4.5 ± 3.1 years. Incidence of cellular/humoral rejection was similar, but incidence of cardiac allograft vasculopathy was higher (15.6 vs. 7.4%; p = 0.081). Incidence of diabetes de novo was similar (p = 0.632), but older patients had more serious infections in the 1st year (p = 0.018). CONCLUSION: Heart transplantation in selected older patients can be performed with survival similar to younger patients, hence should not be restricted arbitrarily. Incidence of infections, graft vascular disease, and malignancies can be reduced with a more personalized approach to immunosuppression. Allocation of donors to these patients does not appear to reduce the possibility of transplanting younger patients.
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Con el objetivo de estudió efecto de la inclusión de follaje fresco de Marango ( Moringa oleifera ) sobre la fermentación en estado sólido (FES) de la caña de azúcar ( Saccharum officinarum ) mejorando su valor nutricional (FES - Moringa), utilizando un diseño completamente al azar (DCA) con cuatro tratamientos y tres repeticiones. Los niveles de inclusión de follaje fresco de Moringa oleifera (FFMO) fueron: (T1) 10 %, (T2) 15%, (T3) 20%, (T4) 25 %. Las variables estudiadas fueron : indicadores fermentativos a nivel de campo y composición q uímica. Encontrando que la temperatura ambiental promedio durante las 36 h fue de 30.4 ± 0.81 0 C. L a temperatura promedio de fermentación para los tratamientos fueron 32.68 ± 0.63 0 C, 31.92 ± 0.56 0 C, 31.43 ± 0.61 0 C y 31.67 ± 0.66 0 C para FES - Moringa con 10, 15, 20 y 25%, respectivamente . E l pH del proceso de FES - Moringa se mantuvo entre 5.5 y 8.8 con un pH promedio de 6.8 ± 0.2, 6.74 ± 0.21, 6.79 ± 0.21 y 6.67 ± 0.19 para cada tratamiento, respectivamente. E l contenido de humedad del sustrato de fermentación estuvo entre 55.9 y 68.2% acorde con lo recomendado para la rep roducción de hongos y levaduras . El contenido de PB de l T1 difiere significativamente (P < 0.05 % ) del contenido de PB de los T2, T3, T4 . La FDN no mostró u na diferencia ( p > 0.05 % ) , entre los tratamientos, sin embargo se puede observar un a disminución significativa (p < 0.05%) en el contenido de FDN con relación a la caña de azúcar (CA) . N o hay diferencia (P > 0.05 % ) de la DIVMS entre los diferentes niveles de inclusión del FFMO . La adición de FFMO mejora la FES de la CA y valor nutricional , además de ser una alternativa económica al compararl o con alimentos convencionales
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BACKGROUND: Patients older than 65 years have traditionally not been considered candidates for heart transplantation. However, recent studies have shown similar survival. We evaluated immediate and medium-term results in patients older than 65 years compared with younger patients. METHODS: From November 2003 to December 2013, 258 patients underwent transplantation. Children and patients with other organ transplantations were excluded from this study. Recipients were divided into two groups: 45 patients (18%) aged 65 years and older (Group A) and 203 patients (81%) younger than 65 years (Group B). RESULTS: Patients differed in age (67.0 ± 2.2 vs. 51.5 ± 9.7 years), but gender (male 77.8 vs. 77.3%; p = 0.949) was similar. Patients in Group A had more cardiovascular risk factors and ischemic cardiomyopathy (60 vs. 33.5%; p < 0.001). Donors to Group A were older (38.5 ± 11.3 vs. 34.0 ± 11.0 years; p = 0.014). Hospital mortality was 0 vs. 5.9% (p = 0.095) and 1- and 5-year survival were 88.8 ± 4.7 versus 86.8 ± 2.4% and 81.5 ± 5.9 versus 77.2 ± 3.2%, respectively. Mean follow-up was 3.8 ± 2.7 versus 4.5 ± 3.1 years. Incidence of cellular/humoral rejection was similar, but incidence of cardiac allograft vasculopathy was higher (15.6 vs. 7.4%; p = 0.081). Incidence of diabetes de novo was similar (p = 0.632), but older patients had more serious infections in the 1st year (p = 0.018). CONCLUSION: Heart transplantation in selected older patients can be performed with survival similar to younger patients, hence should not be restricted arbitrarily. Incidence of infections, graft vascular disease, and malignancies can be reduced with a more personalized approach to immunosuppression. Allocation of donors to these patients does not appear to reduce the possibility of transplanting younger patients.