Reliure de : Origenis Commentariorum in B. Joannis evangelium tomi novem et XXXIX quos eum scripsisse ait Hieronymus, Joachimo Perionio,... interprete...

Numérisation partielle de reliure

Le cancer du sein sans envahissement ganglionnaire. Au-delà des consensus internationaux: une approche pragmatique [Node negative breast cancer. Beyond international consensus: a pragmatic approach].

Apart from therapeutic advances related to new treatments, our practices in the management of early breast cancer have been modified by to key organizational settings (1) mass screening, substantially altering the presentation and epidemiology of breast cancer and (2) the development of guidelines to ensure that any patient management is in agreement with the demonstrated impact in the adjuvant treatment. In daily practice, the impact of screening and guidelines recommendations has put us now in a paradoxical situation: while the majority of non-metastatic breast cancers treated in the hexagon are node negative, most of the results of clinical studies on chemotherapy and targeted therapies today arise from populations predominantly node positive. Therefore, it seemed legitimate to convene a working group around a reflection on the directions of adjuvant chemotherapy in a growing node negative population in order to better respond to the questions of the field oncologists, trying to address the discrepancies between different existing guidelines.

Mesa de tensão com areia: procedimentos para montagem e validação

Este trabalho apresenta um método prático e fácil para construção de uma mesa de tensão com camadas de areia constituídas de quartzo moído, para ser utilizada na determinação da retenção de água no solo até 100 hPa. A avaliação da mesa de tensão construída por esse método foi feita com amostras de solo indeformadas, com conteúdo de argila variando de 105 a 316 g kg-1 e C orgânico de 19,8 a 39,0 g kg-1. Utilizou-se um minitensiômetro e câmara de pressão de Richard para testar a eficiência da mesa de areia na aplicação da tensão nas amostras. Os resultados mostraram que os dados obtidos na mesa de areia foram confiáveis para determinação da curva de retenção de água no solo até 100 hPa, independentemente do conteúdo de argila e dos teores de matéria orgânica.

Relocation Assistance and Advisory Services, November 4, 2010

This brochure provides general information about relocation assistance provided by the Iowa Department of Transportation (DOT) for those individuals who may be required to move as a result of a highway project. It is not intended to be a legal document that comprehensively explains every right or obligation you have as established by Chapter 316, Code of Iowa; Federal Public Laws 91-646 and 100-17; and 49 CFR. Your relocation advisor will provide the assistance you need to successfully relocate to a suitable replacement property. Your first contact with your relocation advisor will usually occur during the early stages of the appraisal process, and he or she will continue to work with you until you have moved and become established at a new location. Do not hesitate to ask questions so you are sure you understand the process, your rights and the benefits available to you. Please let your DOT relocation advisor know your needs and preferences. If your relocation advisor is unable to help you with a specific problem or concern, he or she may know of another person or an organization that can help you.

Policy Environment and Public Service Motivation

This article analyzes whether and to what extent the policy environment of civil servants has an impact on their level of Public Service Motivation (PSM). It hypothesizes that public employees working in different policy domains and stages of the policy cycle are diversely motivated by four PSM orientations (Compassion, Commitment to the public interest, Self-sacrifice and Attraction to politics). The empirical results are based on a survey of 6885 Swiss civil servants. They show that those in charge of Welfare State policies are inclined to have higher levels of 'Compassion', whereas those performing core state functions report lower levels. Furthermore, employees whose main tasks are related to policy formulation display high levels of the 'Attraction to politics' dimension of PSM. This study questions the generalization of previous findings on PSM that are based on heterogeneous survey populations.

[Illustrations de Le Diable boiteux.] / Dubercelle, grav. ; Alain-René Lesage, aut. du texte

Comprend : Tome 1. Frontispice copié d'après le frontispice réalisé par Magdeleine Horthemels de l'édition originale de 1707 :Le Diable boiteux.] El Diablo Coivelo. [Cote : microfilm R.61628] ; [Pl.] Tom.1 Pag. 25 : Dans quel endroit le Diable Boiteux transporta l'Ecolier et des premières choses qu'il lui fit voir. [Le Diable boiteux, en compagnie de l'Ecolier Zambullo, jette un sort sur la ville de Madrid et fait disparaître les toits d ; [Pl.] Tom.1 Pag. 52 : Histoire des amours du Comte de Belflor et de Léonor de Cespedes. [Cote : microfilm R.61628] ; [Pl.] Tom.1 Pag. 164 : Des Prisonniers. [Cote : microfilm R.61628] ; [Tome 1. Pl. en reg p. 244 :] Des foux enfermez. [Cote : microfilm R.61628] ; [Pl.] Tom.1 Pag. 311 : [Querelle de rue opposant des musiciens et quatre hommes armés.] [Cote : microfilm R.61628] ; [Pl.] Tom.1 Pag. 316 : De l'Incendie, et de ce que fit Asmodée en cette occasion par amitiépour Don Cléofas. [Cote : microfilm R.61628] ; [Pl.] Tom.2 Pag. 3 : Des Tombeaux, des Ombres et de la Mort. [Cote : microfilm R.61628] ; [Pl.] Tom.2 Pag. 29 : La force de l'amitié. [Cote : microfilm R.61628] ; [Pl.] Tom.2 Pag. 91 : Du Démêlé d'un Poëte Tragique avec un Auteur Comique. [Cote : microfilm R.61628] ; [Pl.] Tom.2 Pag. 181 : Des Songes. [Cote : microfilm R.61628] ; [Pl.] Tom.2 Pag. 220 : Ce que le Diable fit encore remarquer à Don Cléofas. [Cote : microfilm R.61628] ; [Pl.] Tom.2 Pag. 291 : De ce que fit Don Cléofas après que le Diable Boiteux se fut éloigné de lui; et de quelle façon l'Auteur de cet Ouvrage a jugé à propos de le finir. [Don Cléofas donne la main de sa fille Séraphine au cavalier Léandr

[Pierre de Tchihatcheff] / Disderi & Cie

Donateur : Reclus, Élisée (1830-1905)

A fast 3D approach for coronary MRA.

Two-dimensional (2D)-breath-hold coronary magnetic resonance angiography (MRA) has been shown to be a fast and reliable method to depict the proximal coronary arteries. Recent developments, however, allow for free-breathing navigator gated and navigator corrected three-dimensional (3D) coronary MRA. These 3D approaches have potential for improved signal-to-noise ratio (SNR) and allow for the acquisition of adjacent thin slices without the misregistration problems known from 2D approaches. Still, a major impediment of a 3D acquisition is the increased scan time. The purpose of this study was the implementation of a free-breathing navigator gated and corrected ultra-fast 3D coronary MRA technique, which allows for scan times of less than 5 minutes. Twelve healthy adult subjects were examined in the supine position using a navigator gated and corrected ECG triggered ultra-fast 3D interleaved gradient echo planar imaging sequence (TFE-EPI). A 3D slab, consisting of 20 slices with a reconstructed slice thickness of 1.5 mm, was acquired with free-breathing. The diastolic TFE-EPI acquisition block was preceded by a T2prep pre-pulse, a diaphragmatic navigator pulse, and a fat suppression pre-pulse. With a TR of 19 ms and an effective TE of 5.4 ms, the duration of the data acquisition window duration was 38 ms. The in-plane spatial resolution was 1.0-1.3 mm*1.5-1.9 mm. In all cases, the entire left main (LM) and extensive portions of the left anterior descending (LAD) and right coronary artery (RCA) could be visualized with an average scan time for the entire 3D-volume data set of 2:57 +/- 0:51 minutes. Average contiguous vessel length visualized was 53 +/- 11 mm (range: 42 to 75 mm) for the LAD and 84 +/- 14 mm (range: 62 to 112 mm) for the RCA. Contrast-to-noise between coronary blood and myocardium was 5.0 +/- 2.3 for the LM/LAD and 8.0 +/- 2.9 for the RCA, resulting in an excellent suppression of myocardium. We present a new approach for free-breathing 3D coronary MRA, which allows for scan times superior to corresponding 2D coronary MRA approaches, and which takes advantage of the enhanced SNR of 3D acquisitions and the post-processing benefits of thin adjacent slices. The robust image quality and the short average scanning time suggest that this approach may be useful for screening the major coronary arteries or identification of anomalous coronary arteries. J. Magn. Reson. Imaging 1999;10:821-825.

Complicated intra-abdominal infections in Europe: preliminary data from the first three months of the CIAO Study.

The CIAO Study is a multicenter observational study currently underway in 66 European medical institutions over the course of a six-month study period (January-June 2012).This preliminary report overviews the findings of the first half of the study, which includes all data from the first three months of the six-month study period.Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.912 patients with a mean age of 54.4 years (range 4-98) were enrolled in the study during the first three-month period. 47.7% of the patients were women and 52.3% were men. Among these patients, 83.3% were affected by community-acquired IAIs while the remaining 16.7% presented with healthcare-associated infections. Intraperitoneal specimens were collected from 64.2% of the enrolled patients, and from these samples, 825 microorganisms were collectively identified.The overall mortality rate was 6.4% (58/912). According to univariate statistical analysis of the data, critical clinical condition of the patient upon hospital admission (defined by severe sepsis and septic shock) as well as healthcare-associated infections, non-appendicular origin, generalized peritonitis, and serious comorbidities such as malignancy and severe cardiovascular disease were all significant risk factors for patient mortality.White Blood Cell counts (WBCs) greater than 12,000 or less than 4,000 and core body temperatures exceeding 38°C or less than 36°C by the third post-operative day were statistically significant indicators of patient mortality.

Detection of new cross-reacting carcinoembryonic antigen(s) on cultured tumor cells by mixed hemadsorption assay.

Antisera highly specific for carcinoembryonic antigen (CEA) from New Zealand White rabbits and a goat reacted strongly in antibody binding tests with cultured tumor cell lines, irrespective of the ability of the cell lines to produce CEA. The most reactive were colon carcinoma and melanoma cell lines, the former known to produce CEA and the latter not associated with CEA production. The reactivity was not diminished by absorption with perchloric acid extracts of normal lung or spleen, whereas absoprtion with purified CEA preparations abolished the reactivity. Quantitative absorption studies indicated that reactivity against CEA-producing cell lines could be totally removed by absorption with other CEA-producing lines but not with melanoma cell lines. Reactivity against melanoma cell lines could be completely removed by colon carcinoma cells as well as by melanoma cells. Antisera raised against purified CEA, after absorption with extracts of normal lung, still contained two populations of antibodies, one that binds a newly described antigen cross-reacting with CEA which is present on melanoma cells.