1000 resultados para Salem, George Joseph, 1883-


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Comprend : [pl.2 double après p.6 : cinq modèles de fenêtres. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.3 double après p.6 : six modèles de fenêtres. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.4 double après p.6 : six modèles de fenêtres. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.5 double dépl. après p.6 : trois modèles de portes ou portails. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.6 double dépl. après p.6 : plan d'une maison. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.7 double dépl. après p.10 : plan d'une maison. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.8 double dépl. après p.14 : plan d'une maison. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.9 double dépl. après p.16 : plan d'une maison. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.910double dépl. après p.18 : plan d'un monastère? Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.11 double dépl. après p.60 : coupe d'une fontaine-grotte rocaille. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.12 double dépl. après p.64 : dessin de la voûte d'une fontaine-grotte rocaille. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.13 double dépl. après p.68 : coupe et plan d'une fontaine-grotte rocaille avec vue du sytème hydraulique. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209] ; [pl.14 double dépl. après p.74 : plans du système hydraulique alimentant une fontaine. Principes d'architecture.] [Cote : V 4282/Microfilm R 122 209]

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[Vente. Art. 1860-03-20. Paris]

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BACKGROUND: Community-acquired respiratory viral infections (RVIs) are common in lung transplant patients and may be associated with acute rejection and bronchiolitis obliterans syndrome (BOS). The use of sensitive molecular methods that can simultaneously detect a large panel of respiratory viruses may help better define their effects. METHODS: Lung transplant recipients undergoing serial surveillance and diagnostic bronchoalveolar lavages (BALs) during a period of 3 years were enrolled. BAL samples underwent multiplex testing for a panel of 19 respiratory viral types/subtypes using the Luminex xTAG respiratory virus panel assay. RESULTS: Demographics, symptoms, and forced expiratory volume in 1 sec were prospectively collected for 93 lung transplant recipients enrolled. Mean number of BAL samples was 6.2+/-3.1 per patient. A respiratory virus was isolated in 48 of 93 (51.6%) patients on at least one BAL sample. Of 81 positive samples, the viruses isolated included rhinovirus (n=46), parainfluenza 1 to 4 (n=17), coronavirus (n=11), influenza (n=4), metapneumovirus (n=4), and respiratory syncytial virus (n=2). Biopsy-proven acute rejection (> or =grade 2) or decline in forced expiratory volume in 1 sec > or =20% occurred in 16 of 48 (33.3%) patients within 3 months of RVI when compared with 3 of 45 (6.7%) RVI-negative patients within a comparable time frame (P=0.001). No significant difference was seen in incidence of acute rejection between symptomatic and asymptomatic patients. Biopsy-proven obliterative bronchiolitis or BOS was diagnosed in 10 of 16 (62.5%) patients within 1 year of infection. CONCLUSION: Community-acquired RVIs are frequently detected in BAL samples from lung transplant patients. In a significant percentage of patients, symptomatic or asymptomatic viral infection is a trigger for acute rejection and obliterative bronchiolitis/BOS.