1000 resultados para 1995_08090102 CTD-116 4902802


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L'organisation des manuscrits arthuriens du cycle du Graal de Jacques d'Armagnac (BNF fr. 117-120 qu'il a hérité de son arrière-grand-père le duc Jean de Berry et dont il a fait retoucher les peintures et BNF fr. 113-116 qu'il a fait exécuter entre 1470 et 1475), leur agencement, leur illustration et leurs subdivisions sont un indice précieux de la conception et de la réception de ces compilations. Ils soulignent l'effort de constitution d'un ensemble romanesque cohérent centré sur la figure de Lancelot.

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A clinical Klebsiella pneumoniae isolate carrying the extended-spectrum beta-lactamase gene variants bla(SHV-40), bla(TEM-116) and bla(GES-7) was recovered. Cefoxitin and ceftazidime activity was most affected by the presence of these genes and an additional resistance to trimethoprim-sulphamethoxazole was observed. The bla(GES-7) gene was found to be inserted into a class 1 integron. These results show the emergence of novel bla(TEM) and bla(SHV) genes in Brazil. Moreover, the presence of class 1 integrons suggests a great potential for dissemination of bla(GES) genes into diverse nosocomial pathogens. Indeed, the bla(GES-7) gene was originally discovered in Enterobacter cloacae in Greece and, to our knowledge, has not been reported elsewhere.

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The Miller Family Papers consist of notes on the Miller, Cathcart, and Roddey families, genealogical data on the Lindsay, Stewart, and McCaughrin families, and an American Civil War reminiscence of William Joseph Miller entitled, “My Experience as a Soldier in the Confederate Army. Written at the Request of Barnette, My Only Living Daughter.” Miller served in the 12th Regiment, South Carolina Volunteers of the Confederate Army.

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Should we celebrate Christmas during war times? Why not? Does it help the heartache to sit glumly in the corner and moan? Will this help one or will it help the boy or girl in the service of his or her country? In these war times with all their bad influences and horrible happenings we need to keep up at home every type of mellowing influence and to search out all the inspirational ideals available. It's fun to make gifts. Much of the joy of Christmas comes in the anticipation and preparation. The making of gifts adds personal touch for both the giver and the one who receives the remembrance. The suggestions given in this circular have been chosen for their timeliness of materials available and usefulness. This publication was donated in the memory of Patricia Clare Bennett Meyer by her children.

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A modified uvulopalatopharyngoplasty (UPPP) was carried out between January 1992 and December 2003 at the ENT Department of the Inselspital in Bern in 146 patients with habitual or complicated rhonchopathy. The operation consisted of a classical tonsillectomy or residual tonsil resection and additional shortening of the uvula. The natural mucosal fold between the uvula and the upper pole of the tonsils was carefully preserved. A wide opening to the rhinopharynx was created by asymmetric suturing of the glossopalantine and pharyngopalatine arches. A retrospective questionnaire with regard to rhonchopathy, phases of apnea, daytime drowsiness, obstruction of nasal breathing, long-term complications and patient satisfaction was used to evaluate the short-term and long-term effectiveness of the modified UPPP as well as the incidence of adverse side effects. Complete postoperative courses were evaluated in 116 patients. Surgical complications were restricted to one case with postoperative hemorrhage. A velum insufficiency or postoperative rhinopharyngeal stenosis did not occur. Eighty-three patients (72%) confirmed a persistent suppression or substantial improvement of the rhonchopathy. Disappearance or decrease of sleep apnea was confirmed in 12 (63%) out of 19 postoperative polysomnographic follow-up investigations. Long-term complications occurred in a total of 27 (23%) of 116 patients. They were confined to minor problems such as dryness of the mouth (n = 12), slight difficulty in swallowing (n = 7), discrete speech disturbances (n = 1), and slight pharyngeal dysesthesias (n = 7) with feeling of a lump in the throat and compulsive clearing of the throat. Eighty-five patients (73%) reported that they were satisfied with the postoperative result even several years after the operation. Looking back, 31 patients (27%) would no longer have the operation performed. The inadequate result of the rhonchopathy was specified as the reason by 21 patients. Ten patients had unpleasant memories of the operation because of intensive postoperative pain. Snoring and apneic phases are suppressed or improved by non-traumatic UPPP in the majority of patients. This effect persisted even years after the operation.