Direct support and general support maintenance manual : ballistic drive, M10 (1220-00-676-2184), M10A1 (1220-00-076-9765), M10A3 (1220-00-572-8735), M10A4 (1220-00-856-9453), M10A5 (1220-00-980-9297), M10A6 (1220-00-933-1203).

"June 1985."

Operator's manual for howitzer, medium, self-propelled : 155MM, M109 (2350-00-440-8811), 155MM, M109A1 (2350-00-485-9662) and 155MM, M109A3 (2350-01-031-8851).

Includes index.

Organizational maintenance manual for hull, powerplant, drive controls, tracks, suspension and associated hardware : Howitzer, medium, self-propelled, 155mm M109A2 (2350-01-031-0586) and Howitzer, medium, self-propelled, 155mm M109A3 (2350-01-031-8851).

Includes index.

Organizational maintenance manual for hull, powerplant, drive controls, tracks, suspension, and associated hardware : howitzer, medium, self-propelled, 155mm M109A2 (2350-01-031-0586) and howitzer, medium, self-propelled, 155mm M109A3 (2350-01-031-8851) and howitzer, medium, self-propelled, 155mm M109A4 (2350-01-277-5770).

Includes index.

Operator's and organizational maintenance manual : simulator, radar signal SM-674/UPM (NSN 6940-01-031-5887), and test adapter, radar signal MX-9848/APR-39(V) (NSN 5841-01-025-0379).

"16 June 1977."

Organizational, direct support, and general support maintenance repair parts and special tools lists for simulator, radar signal SM-674/UPM (NSN 6940-01-031-5887) and test adapter, radar set MX-9848/APR-39(V) 1 (NSN 5841-01-025-0379).

"May 1977."

Differences between younger and older adults in the structure of suicidal intent and its correlates

OBJECTIVE: To analyze differences in the variables associated with severity of suicidal intent and in the main factors associated with intent when comparing younger and older adults. DESIGN: Observational, descriptive cross-sectional study. SETTING: Four general hospitals in Madrid, Spain. PARTICIPANTS: Eight hundred seventy suicide attempts by 793 subjects split into two groups: 18-54 year olds and subjects older than 55 years. MEASUREMENTS: The authors tested the factorial latent structure of suicidal intent through multigroup confirmatory factor analysis for categorical outcomes and performed statistical tests of invariance across age groups using the DIFFTEST procedure. Then, they tested a multiple indicators-multiple causes (MIMIC) model including different covariates regressed on the latent factor "intent" and performed two separate MIMIC models for younger and older adults to test for differential patterns. RESULTS: Older adults had higher suicidal intent than younger adults (z = 2.63, p = 0.009). The final model for the whole sample showed a relationship of intent with previous attempts, support, mood disorder, personality disorder, substance-related disorder, and schizophrenia and other psychotic disorders. The model showed an adequate fit (chi²[12] = 22.23, p = 0.035; comparative fit index = 0.986; Tucker-Lewis index = 0.980; root mean square error of approximation = 0.031; weighted root mean square residual = 0.727). All covariates had significant weights in the younger group, but in the older group, only previous attempts and mood disorders were significantly related to intent severity. CONCLUSIONS: The pattern of variables associated with suicidal intent varies with age. Recognition, and treatment of geriatric depression may be the most effective measure to prevent suicidal behavior in older adults.

Luísa de Nazaré Ferreira, Mobilidade poética na Grécia antiga. Uma leitura da obra de Simónides. Coimbra: Imprensa da Universidade de Coimbra, 2013. Humanitas Supplementum, 469 pp. ISBN 978-98-9721-031-0

Resumo indisponível.

Resolución 031 del 20 de marzo de 2009: Por la cual se resuelve en el fondo una solicitud de devolución de impuesto de registro

Doctrina

Medicaid bulletin MB# 13-031

The South Carolina Department of Health and Human Services publishes Medicaid Bulletins to clarify existing policies or explain new policies of the Medicaid program.

Nat2, Xrcc1 And Hogg1 Polymorphisms, Cigarette Smoking, Alcohol Consumption And Risk Of Upper Aerodigestive Tract Cancer.

To evaluate associations between polymorphisms of the N-acetyltransferase 2 (NAT2), human 8-oxoguanine glycosylase 1 (hOGG1) and X-ray repair cross-complementing protein 1 (XRCC1) genes and risk of upper aerodigestive tract (UADT) cancer. A case-control study involving 117 cases and 224 controls was undertaken. The NAT2 gene polymorphisms were genotyped by automated sequencing and XRCC1 Arg399Gln and hOGG1 Ser326Cys polymorphisms were determined by Polymerase Chain Reaction followed by Restriction Fragment Length Polymorphism (PCR-RFLP) methods. Slow metabolization phenotype was significantly associated as a risk factor for the development of UADT cancer (p=0.038). Furthermore, haplotype of slow metabolization was also associated with UADT cancer (p=0.014). The hOGG1 Ser326Cys polymorphism (CG or GG vs. CC genotypes) was shown as a protective factor against UADT cancer in moderate smokers (p=0.031). The XRCC1 Arg399Gln polymorphism (GA or AA vs. GG genotypes), in turn, was a protective factor against UADT cancer only among never-drinkers (p=0.048). Interactions involving NAT2, XRCC1 Arg399Gln and hOGG1 Ser326Cys polymorphisms may modulate the risk of UADT cancer in this population.

The Consequences Of Refractory Epilepsy And Its Treatment.

Seizures in some 30% to 40% of patients with epilepsy fail to respond to antiepileptic drugs or other treatments. While much has been made of the risks of new drug therapies, not enough attention has been given to the risks of uncontrolled and progressive epilepsy. This critical review summarizes known risks associated with refractory epilepsy, provides practical clinical recommendations, and indicates areas for future research. Eight international epilepsy experts from Europe, the United States, and South America met on May 4, 2013, to present, review, and discuss relevant concepts, data, and literature on the consequences of refractory epilepsy. While patients with refractory epilepsy represent the minority of the population with epilepsy, they require the overwhelming majority of time, effort, and focus from treating physicians. They also represent the greatest economic and psychosocial burdens. Diagnostic procedures and medical/surgical treatments are not without risks. Overlooked, however, is that these risks are usually smaller than the risks of long-term, uncontrolled seizures. Refractory epilepsy may be progressive, carrying risks of structural damage to the brain and nervous system, comorbidities (osteoporosis, fractures), and increased mortality (from suicide, accidents, sudden unexpected death in epilepsy, pneumonia, vascular disease), as well as psychological (depression, anxiety), educational, social (stigma, driving), and vocational consequences. Adding to this burden is neuropsychiatric impairment caused by underlying epileptogenic processes (essential comorbidities), which appears to be independent of the effects of ongoing seizures themselves. Tolerating persistent seizures or chronic medicinal adverse effects has risks and consequences that often outweigh risks of seemingly more aggressive treatments. Future research should focus not only on controlling seizures but also on preventing these consequences.