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Articles de revues sur le sujet « 1169 »

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Auteur : Grafiati
Publié le 14 mars 2023

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1

Chapman, Scott, Alicia Ronk, Eric Irwin, Patricia Reicks, Krishna Rangarajan et Harrison Tam. « 1169 ». Critical Care Medicine 43 (décembre 2015) : 294. http://dx.doi.org/10.1097/01.ccm.0000475000.08544.bb.

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Pathak, Vikas, et Robert Aris. « 1169 ». Critical Care Medicine 40 (décembre 2012) : 1–328. http://dx.doi.org/10.1097/01.ccm.0000425381.56910.94.

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Rubin, Chair : Aaron. « 1169 ». Medicine & ; Science in Sports & ; Exercise 41 (mai 2009) : 13. http://dx.doi.org/10.1249/01.mss.0000353903.64809.37.

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Spronk, Kimberly, et Anthony Olivero. « 1169 ». Critical Care Medicine 41 (décembre 2013) : A297. http://dx.doi.org/10.1097/01.ccm.0000440403.58412.34.

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Badheka, Aditya, Jacqueline Lee, Roy Cam Davis et Sameer Kamath. « 1169 ». Critical Care Medicine 42 (décembre 2014) : A1634. http://dx.doi.org/10.1097/01.ccm.0000458636.92133.7c.

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Briner, William. « 1169 ». Medicine & ; Science in Sports & ; Exercise 42 (mai 2010) : 181. http://dx.doi.org/10.1249/01.mss.0000384290.65405.ec.

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Deprest, J. « 1169 ». Ultrasound in Medicine & ; Biology 32, no 5 (mai 2006) : P52—P53. http://dx.doi.org/10.1016/j.ultrasmedbio.2006.02.175.

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Taweesedt, Pahnwat, Moses Bachan et Zinobia Khan. « 1169 ». Critical Care Medicine 47 (janvier 2019) : 561. http://dx.doi.org/10.1097/01.ccm.0000551914.28616.ce.

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Sachtleben, P. « Fall 1169 ». DMW - Deutsche Medizinische Wochenschrift 109, no 18 (6 août 2009) : e69-e70. http://dx.doi.org/10.1055/s-0029-1236487.

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Editor, El. « Monseñor Arturo Rivera Damas ». ECA : Estudios Centroamericanos 49, no 553-554 (31 décembre 1994) : 1161–69. http://dx.doi.org/10.51378/eca.v49i553-554.5961.

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Chowdhury, M. Kaium, M. A. Hasan, M. M. Bahadur, Md Rafiqul Islam, Md Abdul Hakim, Muhammad Aamir Iqbal, Talha Javed et al. « Evaluation of Drought Tolerance of Some Wheat (Triticum aestivum L.) Genotypes through Phenology, Growth, and Physiological Indices ». Agronomy 11, no 9 (7 septembre 2021) : 1792. http://dx.doi.org/10.3390/agronomy11091792.

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Increasing human population and changing climate, which have given rise to frequent drought spells, pose a serious threat to global food security, while identification of high yielding drought tolerant genotypes remains a proficient approach to cope with these challenges. To offer a methodology for the evaluation of the drought-tolerant wheat genotypes based on the pheno-physiological traits, a field experiment was executed, entailing four wheat genotypes viz. BARI Gom 26, BAW 1158, BAW 1167, and BAW 1169 and two water conditions viz. control treatment (three times irrigation at 20, 50, and 70 DAS, i.e., 100% field capacity) and stressed treatment (no irrigation during the entire growing season). The results revealed that drought stress drastically reduced the days to booting, heading, anthesis and physiological maturity, relative water content (RWC), chlorophyll content, canopy temperature depression (CTD), and photo-assimilates-spike dry matter (SDM), grains spike−1 and grain yield of all wheat genotypes. In addition, the genotypes BAW 1167 and BARI Gom 26 remained more prone to adverse effects of drought as compared to BAW 1169 and BAW 1158. Furthermore, DS induced biosynthesis of compatible solutes such as proline, especially in BAW 1169, which enabled plants to defend against oxidative stress. It was inferred that BAW 1169 remained superior by exhibiting the best adaptation as indicated by the maximum relative values of RWC, total chlorophyll, CTD, proline content, SDM, grains spike−1, and grain yield of wheat. Thus, based on our findings, BAW 1169 may be recommended for general adoption and utilization in future wheat breeding programs aimed at developing potent drought-tolerant wheat genotypes to ensure food security on a sustainable basis.
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 . « 1169 Infoset Dnb Vergunningverlening En Toezicht ». Zorg en Financiering 4, no 8 (août 2005) : 65. http://dx.doi.org/10.1007/bf03091288.

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 . « 1169 Centric : Belangenverstrengeling Bij Aanbesteding EKD ». Zorg en Financiering 6, no 9 (septembre 2007) : 106. http://dx.doi.org/10.1007/bf03094461.

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., Nursaadah, Dwi Andreas Santosa et Maggy T. Suhartono. « Characterization of Phenol Degrading Bacteria from Buntal Lake of Central Kalimantan ». Jurnal Ilmu Tanah dan Lingkungan 3, no 2 (1 octobre 2001) : 24–31. http://dx.doi.org/10.29244/jitl.3.2.24-31.

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Three bacterial isolates (ICBB 1168, ICBB 1169, ICBB 1170), being capable to utilizing phenol as sole carbon and energy source, were isolated from Buntal Lake of Central Kalimantan. Growth of all isolates were optimum at 37OC. Optimum pH for growth and phenol degradation of ICBB 1168, lCBB 1169, and ICBB 1170 were 7-8, 6, and 6-7, respectively. Among the isolates, ICBB 1170 showed best phenol degrading activity. ICBB 1170 able to degrade 16 mM phenol to 0.71 mM in 4days. Phenol degradation ability of ICBB 1170 could be increased by adding 0.01-0.1% yeast extract. Addition of 0.05-0.1% glucose in medium inhibited phenol degradation by ICBB 1170. Cell-free extracts of ICBB 1170 had specific activity 2.92 Ulmg. Degradation of benzoate by ICBB 1170 wasstudied. However, the ability to degrade phenol were higher than that of benzoate.
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Hartman, Herbert I., et Charles Nissim-Sabat. « Erratum : “On Mach’s critique of Newton and Copernicus” [Am. J. Phys. 71 (11), 1163–1169 (2003)] ». American Journal of Physics 72, no 11 (novembre 2004) : 1431. http://dx.doi.org/10.1119/1.1761066.

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Özer, Serkan. « HAÇLI-BİZANS MÜTTEFİK ORDUSUNUN DİMYÂT KUŞATMASI (1169) ». Journal of Turkish Research Institute, no 63 (1 janvier 2018) : 499–513. http://dx.doi.org/10.14222/turkiyat3984.

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Segev, Idan. « What do dendrites and their synapses tell the neuron ? » Journal of Neurophysiology 95, no 3 (mars 2006) : 1295–97. http://dx.doi.org/10.1152/classicessays.00039.2005.

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This essay looks at the historical significance of four APS classic papers that are freely available online: Rall W. Distinguishing theoretical synaptic potentials computed for different soma-dendritic distributions of synaptic input. J Neurophysiol 30: 1138–1168, 1967 ( http://jn.physiology.org/cgi/reprint/30/5/1138 ). Rall W, Burke RE, Smith TG, Nelson PG, and Frank K. Dendritic location of synapses and possible mechanisms for the monosynaptic EPSP in motoneurons. J Neurophysiol 30: 1169–1193, 1967 ( http://jn.physiology.org/cgi/reprint/30/5/1169 ). Rall W and Shepherd GM. Theoretical reconstruction of field potentials and dendrodendritic synaptic interactions in olfactory bulb. J Neurophysiol 31: 884–915, 1968 ( http://jn.physiology.org/cgi/reprint/31/6/884 ). Segev I and Rall W. Computational study of an excitable dendritic spine. J Neurophysiol 60: 499–523, 1988 ( http://jn.physiology.org/cgi/reprint/60/2/499 ).
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Sumaya, Ciro V., et Yasmin Ench. « 1169 INCREASED RISK OF INFECTIOUS MONONUCLEOSIS AMONG SIBLINGS ». Pediatric Research 19, no 4 (avril 1985) : 305A. http://dx.doi.org/10.1203/00006450-198504000-01199.

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Yamamoto, M., G. Iguchi, H. Fukuoka, K. Miyako et Y. Takahashi. « Growth Hormone Deficiency in 2 Siblings Associated with Combined GH1 Gene Polymorphisms ». Experimental and Clinical Endocrinology & ; Diabetes 120, no 05 (27 avril 2012) : 308–10. http://dx.doi.org/10.1055/s-0032-1309011.

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AbstractThis study was performed to clarify the pathophysiology of familial short stature with moderate GH deficiency.The siblings showed moderate GH deficiency with short stature. Pedigree analysis revealed an accumulation of the history of short stature in father’s relatives, although there was no consanguinity.We performed sequencing analysis of GH1 and GHSR gene in the siblings.We detected SNPs in the GH1 gene in the combination of the − 278G, − 57T, +1169T, and +2103C in one allele from the father and the − 278T, − 57G, +1169 A, and +2103T in the other allele from the mother in the siblings. In the previous report, the −278G and − 57T allele are associated with low serum IGF-I levels in patients with isolated GH deficiency and the haplotype of the − 278T, − 57G, +1169 A, and +2103T allele exhibited an impaired GH secretion in vitro.It is suggested that these haplotypes were responsible at least in part for the GH deficiency and short stature in these siblings.
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Sanui, H., T. M. Redmond, S. Kotake, B. Wiggert, L. H. Hu, H. Margalit, J. A. Berzofsky, G. J. Chader et I. Gery. « Identification of an immunodominant and highly immunopathogenic determinant in the retinal interphotoreceptor retinoid-binding protein (IRBP). » Journal of Experimental Medicine 169, no 6 (1 juin 1989) : 1947–60. http://dx.doi.org/10.1084/jem.169.6.1947.

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Interphotoreceptor retinoid-binding protein (IRBP), a glycoprotein specific for the retina and pineal gland, induces inflammatory changes in these two organs in immunized animals. We report here on the identification of an immunodominant determinant of bovine IRBP that is highly immunogenic and immunopathogenic in the Lewis rat. The peptide, which comprises the sequence 1169-1191 of bovine IRBP, was shown to be immunodominant by its capacity to stimulate lymphocytes sensitized against whole IRBP. A comparison was made between peptide 1169-1191 and another peptide, 1158-1180, which is nondominant but is immunogenic and immunopathogenic in the Lewis rat. Peptide 1169-1191 was found to be superior in its immunological capacities; the minimal dose of 1169-1191 needed to induce cellular immune response or disease in Lewis rats (0.02-0.1 nmol/rat) is congruent to 1,000 times smaller than that of 1158-1180. In addition, unlike the ocular disease induced by 1158-1180, the disease produced by 1169-1191 resembled that induced by whole IRBP in its kinetics and histopathological features. The immunological activity of 1169-1191 in the Lewis rat was localized to the 10 residues at the COOH terminus; no such activity was exhibited by the truncated peptide 1169-1188, which comprises the 20 residues at the NH2 terminus of the full peptide. The usefulness of this unique experimental system in analyzing the role of immunodominance in peptide immunogenicity and immunopathogenicity is underscored.
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Ono, Shigetoshi. « ICONE23-1169 ADVANCED CONDITION MONITORING PROGRAM FOR TURBINE SYSTEM ». Proceedings of the International Conference on Nuclear Engineering (ICONE) 2015.23 (2015) : _ICONE23–1—_ICONE23–1. http://dx.doi.org/10.1299/jsmeicone.2015.23._icone23-1_92.

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Weld, Kyle J., Jaime Landman, Caroline D. Ames, Kevin Morrissey, Greg Hruby, Mohamad E. Allaf et Sam B. Bhayani. « 1169 : Evaluation of Gas Embolization During Laparoscopic Partial Nephrectomy ». Journal of Urology 173, no 4S (avril 2005) : 317. http://dx.doi.org/10.1016/s0022-5347(18)35314-x.

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 . « 1169 Beperkt Aantal Chronisch Zieken Heeft Problemen Met Zorgverzekeraar ». Zorg en Financiering 5, no 9 (septembre 2006) : 80. http://dx.doi.org/10.1007/bf03092993.

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Beglane, Fiona. « Forests and chases in medieval Ireland, 1169– c .1399 ». Journal of Historical Geography 59 (janvier 2018) : 90–99. http://dx.doi.org/10.1016/j.jhg.2017.11.002.

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Gupta, S., E. Golden, M. Howell et M. Irfan. « 1169 Innovative Exposure to Sleep Medicine for Medical Students ». Sleep 43, Supplement_1 (avril 2020) : A446—A447. http://dx.doi.org/10.1093/sleep/zsaa056.1163.

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Abstract Introduction Lack of exposure to the field of Sleep Medicine at the medical student level hinders sleep training. Instead of the traditional didactic style, there is a need for innovative collaborative measures to spark interest in the younger generation of learners. The goal of this educational endeavor was to introduce medical students to the field of Sleep Medicine through the platform of Student Interest Group in Neurology (SIGN). Methods An interactive session was conducted for SIGN at the University of Minnesota. 24 second-year medical students were divided into 6 groups. The session consisted of introduction, videos of common sleep disorders and interactive briefing afterward. 5-point Likert scale pre and post-session surveys were administered to measure the level of knowledge regarding sleep, familiarity with diagnostic tools, available education, pathways to Sleep Medicine, learner’s interest and impact of the session. Wilcoxon matched-pairs signed-rank test was performed to compare pre- and post-surveys. Results There was a significant improvement in measures of students’ knowledge about sleep diagnostic modalities (p =7.8*10-5), education received (p= 3.2*10-5) and pathways to sleep medicine (p=4.1*10-5). Survey also showed improvement in students’ interest in pursuing a Sleep Medicine career (p=0.07). There was no difference in knowledge about the importance of sleep for health (p=0.69). All of the students found the session to be informative. Conclusion Early exposure to sleep disorders in interactive format was well received by the medical students with significant improvement in scores regarding sleep education, awareness of diagnostic modalities, career pathway and interest in sleep medicine (p=0.07). Integration of exposure to Sleep Medicine within the medical curriculum in an innovative format should be done to instigate interest in this field. Further larger studies are warranted to evaluate the changes in the students’ interest in the subspecialty with an introduction in the early stages of their career. Support
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 . « 1169 VVT-Sector Bereidt Zich Volop Voor Op Grieppandemie ». Zorg en Financiering 8, no 8 (août 2009) : 87. http://dx.doi.org/10.1007/bf03098838.

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Navaei, A., S. Erdem, M. Desai, T. Nguyen, P. Srivaths et A. Arikan. « O051 / #1169 : VISCOELASTIC HEMOSTATIC ASSAYS IN PEDIATRIC EXTRACORPOREAL LIVER SUPPORT ». Pediatric Critical Care Medicine 22, Supplement 1 3S (mars 2021) : 31. http://dx.doi.org/10.1097/01.pcc.0000738308.04628.1f.

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Purcell, Emer. « The expulsion of the Ostmen, 1169–71 : the documentary evidence ». Peritia 17-18 (janvier 2003) : 276–94. http://dx.doi.org/10.1484/j.peri.3.537.

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Carville, Geraldine. « Gothic Art in Ireland, 1169-1550 : Euduring Vitality. Colum Hourihane ». Speculum 80, no 2 (avril 2005) : 592–94. http://dx.doi.org/10.1017/s0038713400000579.

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Bower, M., G. J. S. Rustin, R. H. J. Begent, K. D. Bagshawe et E. S. Newlands. « 1169 Placental site trophoblastic tumours at charing cross 1975–1995 ». European Journal of Cancer 31 (novembre 1995) : S244. http://dx.doi.org/10.1016/0959-8049(95)96415-a.

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Ruiz Castellanos, Antonio. « Sueños religiosos en Lucrecio (DRN., V, 1161-1240) ». Auster, no 25 (17 décembre 2020) : e060. http://dx.doi.org/10.24215/23468890e060.

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Analizamos un texto controvertido del De rerum natura (DRN) de Lucrecio (V, 1161-1240). En él se pregunta cómo surgió la idea de dios entre los primitivos ofreciéndose dos etiologías: Una legítima (vv. 1169-1182), que afirma que fue a través de las apariciones religiosas en sueños. Y otra no legítima, la religiosidad astral (1183-1240); la descalificación de ésta la han generalizado muchos editores a todo el texto. No argumentaremos de forma esotérica, ni freudiana, ni filosófica, sólo registramos la autonomía de la primera etiología mediante la sintaxis del texto y la utilización de las fuentes epicúreas, incluidos los papiros de Herculano.
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Bradshaw, Brendan, et Art Cosgrove. « A New History of Ireland. Volume 2, Medieval Ireland, 1169-1534. » American Historical Review 96, no 1 (février 1991) : 150. http://dx.doi.org/10.2307/2164056.

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Friebe-Hoffmann, Ulrike, Andreas Hiltmann, Thomas Friedl, Krisztian Lato, Rüdiger Hammer, Wolfgang Janni et Peter Kozlowski. « Prenatally Diagnosed Single Umbilical Artery (SUA) – Retrospective Analysis of 1169 Fetuses ». Ultraschall in der Medizin - European Journal of Ultrasound 40, no 02 (28 mars 2018) : 221–29. http://dx.doi.org/10.1055/s-0043-123463.

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Abstract Purpose The incidence of a fetal single umbilical artery (SUA) is about 0.5 % and has been associated with an increased risk of congenital malformations, fetal aneuploidy and intrauterine growth restriction (IUGR). Materials and Methods A retrospective analysis of 1169 women with singleton pregnancies diagnosed with fetal SUA between 1997 and 2014 in a specialized practice for prenatal diagnostics has been performed. Data was obtained on maternal and fetal findings as well as pregnancy outcome. Results 989 (84.6 %) fetuses showed an isolated SUA (iSUA) while 180 (15.4 %) presented with SUA and additional structural and/or chromosomal abnormalities. Structural malformations were distributed as follows: 9.0 % cardiovascular, 3.5 % urogenital, 2.9 % musculoskeletal, 3.0 % gastrointestinal and 2.1 % cerebral. 2.1 % of the fetuses had chromosomal aberrations. 50.8 % (49.2 %) of the fetuses were female (male) and right vs. left SUA was found in 64.2 % (35.8 %) of the cases. Fetuses with SUA and additional abnormalities showed lower rates of live births (85.0 % vs. 98.5 %, p < 0.001), a lower median birth weight (2825 g vs. 3220 g, p < 0.001), higher rates of preterm delivery before week 34 + 0 (13.7 % vs. 3.8 %, p < 0.001) and weighed less than the 5th growth percentile in 21.6 % vs. 9.3 % (p < 0.001) of the fetuses with iSUA. In 5.1 % (60) of the children, chromosomal or structural abnormalities were detected post-partum. Conclusion Once fetal SUA is diagnosed, intense sonoanatomy of the fetus is required and, if associated malformations are found, genetic testing must be offered. In iSUA intermittent biometry is recommended for the early detection of IUGR but additional genetic testing is not necessarily recommended.
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Smedema, Jan-Peter, Gabriel Snoep, Marinus van Kroonenburgh et Anton Gorgels. « 1169-157 Cardiac magnetic resonance imaging in the diagnosis of sarcoidosis ». Journal of the American College of Cardiology 43, no 5 (mars 2004) : A366—A367. http://dx.doi.org/10.1016/s0735-1097(04)91551-3.

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Dunckley, Matthew, et Anies Mahomed. « Re : Choi et al. (2012) Ped Surg Int 28:1165–1169 : Outcomes following laparoscopic inguinal hernia repair in infants compared with older children ». Pediatric Surgery International 29, no 7 (29 mars 2013) : 761. http://dx.doi.org/10.1007/s00383-013-3300-1.

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Langley, Dorothy, et Miki Ronen. « Designing a Self-Assessment Item Repository : An Authentic Project in Higher Education ». Interdisciplinary Journal of Information, Knowledge, and Management 5 (2010) : 261–75. http://dx.doi.org/10.28945/1169.

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Hempstead, Barbara L. « Neurotrophins novel mediators of angiogenesis ». Frontiers in Bioscience 8, no 6 (2003) : s1181–1186. http://dx.doi.org/10.2741/1169.

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Dudzik, Jarosław. « Reklama żywności w prawie Unii Europejskiej ». Barometr Regionalny. Analizy i Prognozy 16, no 5(S) (26 août 2019) : 85–92. http://dx.doi.org/10.56583/br.66.

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Reklama żywności stanowi od zawsze istotny element rynku rozwiniętego państwa. Wynika to zarówno z powszechności działań marketingowych, które dotyczą żywności, jak również ze znaczenia tej metody przekazywania informacji o towarach tego rodzaju. W ostatnich latach dokonała się istotna zmiana dotycząca prawnej regulacji reklamy żywności. Polega ona na przeniesieniu ciężaru regulacji prawnej tej problematyki z prawa krajowego na prawo Unii Europejskiej. Nastąpiło to wraz z wejściem w życie rozporządzenia nr 1169/11. Powołane rozporządzenie zastąpiło i tym samym ujednoliciło regulacje prawne państw członkowskim w obszarze szeroko rozumianego informowania o żywności. Zmiana ta wywołała pytania o relacje między rozporządzeniem nr 1169/11 oraz przepisami prawa krajowego dotyczącymi ogólnie reklamy. Niniejsza publikacja dotyczy przede wszystkim tej kwestii. W następstwie przeprowadzonej analizy należy postawić wniosek, iż wraz z wejściem w życie rozporządzenia nr 1169/11 nastąpiła pełna unifikacja regulacji prawnej reklamy żywności. Dotyczy to również prawa o zwalczaniu nieuczciwej konkurencji oraz prawa o nieuczciwych praktykach rynkowych.
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Bitel, Lisa M. « A New History of Ireland, 2 : Medieval Ireland, 1169-1534.Art Cosgrove ». Speculum 69, no 4 (octobre 1994) : 1147–49. http://dx.doi.org/10.2307/2865629.

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Cashman, Dennis W. « A New History of Ireland, 2 : Medieval Ireland, 1169-1534.Art Cosgrove ». Speculum 65, no 2 (avril 1990) : 384–87. http://dx.doi.org/10.2307/2864308.

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Potterton, Michael. « Book Review : Early Medieval Ireland, 431–1169 by Matthew Stout ». Irish Economic and Social History 48, no 1 (décembre 2021) : 170–72. http://dx.doi.org/10.1177/03324893211052455l.

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Dooly, C., A. Johnson, C. Dotson, P. Vaccaro et P. Soong. « 1169 PULMONARY VENTILATION AND VO2 DURING EXERCISE ARE DIMINISHED BY BREATHING APPARATUS ». Medicine & ; Science in Sports & ; Exercise 26, Supplement (mai 1994) : S208. http://dx.doi.org/10.1249/00005768-199405001-01171.

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Atala, Anthony, et Alan B. Retik. « 1169 : Neo-Urethral Coverage using an off the Shelf Acellular Collagen Matrix ». Journal of Urology 171, no 4S (avril 2004) : 308. http://dx.doi.org/10.1016/s0022-5347(18)38406-4.

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Meshram, Mukesh, Abhijit Kulkarni, V. K. Jayaraman, B. D. Kulkarni et S. S. Lele. « Optimal xylanase production using Penicilium janthinellum NCIM 1169 : A model based approach ». Biochemical Engineering Journal 40, no 2 (juin 2008) : 348–56. http://dx.doi.org/10.1016/j.bej.2008.01.003.

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SVENSSON, HANNA, et RAGNAR HANAS. « 1169-P : The Insulin Dosage Advisor Diassist Can Help Optimize Glucose Control ». Diabetes 68, Supplement 1 (juin 2019) : 1169—P. http://dx.doi.org/10.2337/db19-1169-p.

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Cerda, José Manuel. « The assemblies of Alfonso VIII of Castile : Burgos (1169) to Carrión (1188) ». Journal of Medieval Iberian Studies 3, no 1 (mars 2011) : 61–77. http://dx.doi.org/10.1080/17546559.2011.556703.

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Gottschlich, M., S. Hyman, D. Pisner, A. Singh, M. Millan, S. Knight, MA Grandner et WD Killgore. « 1169 POST-CONCUSSION SEVERITY IS ASSOCIATED WITH SLEEP PROBLEMS AND NEUROPSYCHOLOGICAL STATUS ». Sleep 40, suppl_1 (28 avril 2017) : A436. http://dx.doi.org/10.1093/sleepj/zsx050.1168.

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Jacob, Jerry, Ann Morace, Jisuk Park et Nina Renzi. « 1169. Preventing Central Line-Associated Bloodstream Infections in Long-Term Acute Care ». Open Forum Infectious Diseases 6, Supplement_2 (octobre 2019) : S418—S419. http://dx.doi.org/10.1093/ofid/ofz360.1032.

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Abstract Background Long-term acute care hospitals (LTACHs) care for chronically, critically ill patients with high utilization of central lines and high risk for morbidity from central line-associated bloodstream infections (CLABSIs). Our 38-bed LTACH noted a substantial increase in the incidence of CLABSIs (as defined by the National Healthcare Safety Network) between fiscal year (FY) 2016 and FY 2018 (Figure 1). Detailed case review identified a large number of CLABSIs which were clinically consistent with blood culture contaminants from central lines. Feedback from bedside staff also suggested gaps between practice and evidence-based measures for central line care. Methods A three-pronged CLABSI prevention project was implemented in July 2018 consisting of (1) staff education regarding daily chlorhexidine (CHG) bathing for all patients, combined with an electronic audit report to identify patients without active CHG orders; (2) change in practice to the use of venipuncture alone for blood culture collection, combined with an electronic audit report to identify blood cultures collected from central lines; and (3) a recurring 6-part educational series for nurses focused on central line care. The pre-intervention period was defined as the 12-month period between July 1, 2017 and June 30, 2018 (FY 2018). The primary outcome was the fiscal year CLABSI rate. A secondary outcome was the proportion of blood cultures drawn from central lines. Results After 9 months of the intervention, one CLABSI had been reported for FY 2019 year-to-date at a rate of 0.4 per 1,000 CL-days, representing an 86% decrease from the FY 2018 rate of 2.8 per 1,000 CL-days. The 12-month rolling CLABSI rate decreased to 1.6 per 1,000 CL-days (Figure 2). The proportion of blood cultures collected from central lines decreased from 10.5% (69/658) to 4.5% (15/334), representing a 57% reduction. The proportion of patients ordered and receiving CHG bathing in the intervention period was >95%. Conclusion A multidisciplinary effort focused on CHG bathing, central line care, and blood culture collection led to a substantial reduction in CLABSIs in our LTACH. The use of electronic audit reports was particularly useful in achieving high adherence to practice changes. Disclosures All authors: No reported disclosures.
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Bhadra, A., et S. C. Das. « Comment on “On Mach’s critique of Newton and Copernicus,” by Herbert I. Hartman and Charles Nissim-Sabat [Am. J. Phys. 71 (11), 1163–1169 (2003)] ». American Journal of Physics 75, no 9 (septembre 2007) : 850–54. http://dx.doi.org/10.1119/1.2716032.

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Murray, Alan V. « The Grand Designs of Gilbert of Assailly. The Order of the Hospital in the Projected Conquest of Egypt by King Amalric of Jerusalem (1168–1169) ». Ordines Militares. Colloquia Torunensia Historica 20 (10 mai 2016) : 7. http://dx.doi.org/10.12775/om.2015.001.

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