1000 resultados para D AU COLLISIONS
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[Acte. 1778-09-02. Paris]
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[Acte. 1778-09-30. Paris]
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[Acte. 1778-08-24. Paris]
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Comprend : Dépêche de Lord Whitworth, ambassadeur d'Angleterre en France, au cabinet britannique (Lord Hawkesbury) ; Déclaration adressée au ministre des Etats-Unis, ainsi qu'aux autres ministres et agens de puissances neutres, près le Gouvernement britannique ; Décret de Berlin, en notre camp impérial de Berlin ; Ordre du Conseil britannique ; Ordre du Conseil britannique ; Décret de Milan, en notre palais royal de Milan ; Ordre du Conseil britannique ; Ordre du Conseil britannique ; Rapport adressé à l'Empereur Napoléon par son ministre des relations extérieures / et communiqué au Sénat françois, dans la séance du 10 mars 1812 ; Déclaration du Gouvernement britannique ; Extrait du Traité de navigation et de commerce ; Extrait du Traité maritime conclu entre la Russie et l'Angleterre ; Déclaration de S. M. l'Impératrice de toutes les Russies aux Cours de Londres, de Versailles, et de Madrid ; Extrait de la déclaration de S. M. l'Empereur de toutes les Russies, publiée à St. Petersbourg
[Lettre signée : Palloy, annonçant l'envoi d'un plan de la Bastille offert au département de Paris.]
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OBJECTIVE: The objective of this study was to analyse the long-term mortality and morbidity of a group of patients undergoing thrombolysis during the acute phase of myocardial infarction and to determine the factors influencing the prognosis. One hundred and seventy five patients (149 mean and 26 women, mean age: 54 years) were included in a randomized study, comparing the efficacy of 2 thrombolytic substances administered during the acute phase of myocardial infarction. A standard questionnaire was sent to the various attending physicians to follow-up of these 175 patients. RESULTS: The hospital mortality was 5% (9 patients) and 14 patients (9%) died after a mean follow-up of 4.3 +/- 2.1 years. The 5-year actuarial survival was 81%. Fourteen patients (8%) were lost to follow-up and 49 patients (32%) underwent surgical or percutaneous revascularization during follow-up. Revascularized patients had a significantly better survival than non-revascularized patients. The mean left ventricular ejection fraction of patients who died was lower (48% versus 71%) than that of survivors. Patients with an ejection fraction < 40% also had a significantly lower survival (p = 0.01). Patency of the vessel after thrombolysis was associated with a slightly better survival; this difference was not significant. The ejection fraction at 6 month was also significantly higher (60 +/- 10% versus 49 +/- 11%) for patients with a patent artery. Three risk factors for death or reinfarction were identified: age > 65 years at the time of infarction, disease in more than one coronary vessel and absence of angina pectoris before infarction. The probability of a coronary accident varied from 2 to 88% according to the number of risk factors present. At the time of follow-up, 60% of patients presented hypercholesterolaemia versus only 7% before infarction 73% of patients received anticoagulant or antiaggregant treatment and 81% of patients were asymptomatic. CONCLUSION: The mortality and the acute and long-term morbidity of myocardial infarction remain high, as only 34% of our patients did not develop any events during follow-up, despite serious medical management and follow-up. The ejection fraction has an important prognostic value. Patient management should take the abovementioned risk factors into account.