128 research outputs found

    The Advice and Consent of the Congress: Toward a Supreme Court Appointment Process for Our Time

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    German influences in the work of Pencho Slaveikov

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    Thesis (D.P.)--Boston University, 194

    German influences in the work of Pencho Slaveikov

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    Thesis (D.P.)--Boston University, 194

    Oh Dem Golden Slippers / music by Nick Manoloff

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    Cover: drawing of an African American male singing and playing guitar; photo of the Prairie Ramblers, a Caucasian, male musical group; Publisher: Calumet Music Co. (Chicago)https://egrove.olemiss.edu/sharris_e/1035/thumbnail.jp

    The Bright Mohawk Valley.

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    Photo of cowgirl; Illustration of farm in backgroundhttps://scholarsjunction.msstate.edu/cht-sheet-music/10411/thumbnail.jp

    Red River Valley

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    No cover arthttps://scholarsjunction.msstate.edu/cht-sheet-music/10210/thumbnail.jp

    The Eastbound Train.

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    Photo of three women; Illustration of train in backgroundhttps://scholarsjunction.msstate.edu/cht-sheet-music/10434/thumbnail.jp

    Risk for Pneumocystis carinii Transmission among Patients with Pneumonia: a Molecular Epidemiology Study

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    We report a molecular typing and epidemiologic analysis of Pneumocystis carinii pneumonia (PCP) cases diagnosed in our geographic area from 1990 to 2000. Our analysis suggests that transmission from patients with active PCP to susceptible persons caused only a few, if any, PCP cases in our setting

    Autoimmune inflammatory disorders, systemic corticosteroids and pneumocystis pneumonia: A strategy for prevention

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    BACKGROUND: Pneumocystis pneumonia (PCP) is an increasing problem amongst patients on immunosuppression with autoimmune inflammatory disorders (AID). The disease presents acutely and its diagnosis requires bronchoalveolar lavage in most cases. Despite treatment with intravenous antibiotics, PCP carries a worse prognosis in AID patients than HIV positive patients. The overall incidence of PCP in patients with AID remains low, although patients with Wegener's granulomatosis are at particular risk. DISCUSSION: In adults with AID, the risk of PCP is related to treatment with systemic steroid, ill-defined individual variation in steroid sensitivity and CD4+ lymphocyte count. Rather than opting for PCP prophylaxis on the basis of disease or treatment with cyclophosphamide, we argue the case for carrying out CD4+ lymphocyte counts on selected patients as a means of identifying individuals who are most likely to benefit from PCP prophylaxis. SUMMARY: Corticosteroids, lymphopenia and a low CD4+ count in particular, have been identified as risk factors for the development of PCP in adults with AID. Trimethoprim-sulfamethoxazole (co-trimoxazole) is an effective prophylactic agent, but indications for its use remain ill-defined. Further prospective trials are required to validate our proposed prevention strategy
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