“In the days of my life.” Elite activity and interactions in the Maya lowlands from Classic to Early Postclassic times (the long ninth century, AD 760-920) by Marie Charlotte Arnauld, Chloé Andrieu, Mélanie Forné

“…As work continues on the archaeological and paleoenvironmental evidence relating to the end of the Classic period in the Maya Lowlands (traditionally dated AD 950), it appears that this “end” lasted too long—from 760 to 950-1050—to qualify as a brutal collapse. Certainly punctuated here and there by radical crises and ruptures, the temporal “transition” from the Classic to the Postclassic periods must be studied as a long and thick, or complex sequence that linked up different processes in different regions with a different time sequence (Demarest et al. 2004b). …”
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« A peculiar poetical-like murmur » : répétition et poéticité dans The Mayor of Casterbridge by Annie Ramel

“…In The Mayor of Casterbridge, it is the signifier « ring » which commemorates the traumatic moment when Henchard sold his wife on a fair (when she flung her wedding-ring in his face), a punctum effect (in the acoustic field) whose recurrence punctuates the text and produces all sorts of reverberations—repeated letters, alliterations, acoustic debris and fragments—whereby something of the « voice qua object » is overheard. …”
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SLE and Non-Hodgkin’s Lymphoma: A Case Series and Review of the Literature by Prajwal Boddu, Abdul S. Mohammed, Chandrahasa Annem, Winston Sequeira

“…Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder punctuated by varied multiorgan complications all along the course of its natural history. …”
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Madame Bovary and Catastrophism: Revolving narratives by Ruth Morris

“…In catastrophism, the world is divided into very discrete time periods which are punctuated by vast catastrophes, or in Cuverian terminology ‘revolutions’ that have eradicated life and enabled the world to be repopulated afresh. …”
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Fluvial terrace formation in mountainous areas: (1) Influence of climate changes during the last glacial cycle in Albania by Guzmán, Oswaldo, Mugnier, Jean-Louis, Vassallo, Riccardo, Koçi, Rexhep, Carcaillet, Julien, Jouanne, François

“…This result suggests that these short climatic events strongly punctuate the geomorphologic dynamics of rivers in mountainous areas.…”
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Association between sleep deprivation and fertility - a literature review by Adriana Dukacz, Anna Konarska, Anna Machowiak, Barbara Ufnalska, Justyna Lisiecka, Mateusz Janik, Michał Nowak, Joanna Rychlewska-Duda, Wojciech Firlej, Artur Fabijański

“…This article presents a meticulously collected date which shows the connection between sleep and punctuate need for further research. …”
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Stability Analysis of the New Section in Raising the Existing Composite Wala Dam Using Finite Element Methods by Dima A. Husein Malkawi, Abdallah I. Husein Malkawi

“…Jordan is a country with a population that increases steadily but is punctuated by waves of refugees. Henceforth, Jordan will be destabilized with prolonged and potential water shortages. …”
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Capturing the moment: facilitating learning from the margins. A photographic essay by Kevin J. Brazant

“…The approach enables the author to punctuate critical moments of group facilitation with visual illustrations to aid analysis and reflection. …”
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YOUTH PARTICIPATION AND ELECTORAL DEMOCRACY IN KOGI STATE; ISSUES AND PROSPECTS by MICHAEL DANIEL, DUNCAN GANYU ADAMSON

“…The paper further explains youth participation in electoral democracy and they desire for equal representation and good governance. These desire were punctuated by money politics, electoral financing and electoral violence. …”
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Dysregulation of Vascular Endothelial Progenitor Cells Lung-Homing in Subjects with COPD by Brittany M. Salter, Fizza Manzoor, Suzanne Beaudin, Melanie Kjarsgaard, Parameswaran Nair, Gail M. Gauvreau, Roma Sehmi

“…Chronic obstructive pulmonary disease (COPD) is characterized by fixed airflow limitation and progressive decline of lung function and punctuated by occasional exacerbations. The disease pathogenesis may involve activation of the bone marrow stimulating mobilization and lung-homing of progenitor cells. …”
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Effect on Intraocular Pressure of Switching from Latanoprost and Travoprost Monotherapy to Timolol Fixed Combinations in Patients with Normal-Tension Glaucoma by Ryoko Igarashi, Tetsuya Togano, Yuta Sakaue, Takaiko Yoshino, Jun Ueda, Takeo Fukuchi

“…Methods. 27 NTG patients (54 eyes) were compared IOP, superficial punctuate keratitis (SPK) scores, and conjunctival injection scores in eyes treated with prostaglandin (PG) or PG analog/beta-blocker (PG/b) fixed-combination 6 months after the change in therapy. …”
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A Case Report Demonstrating How the Clinical Presentation of the Diffuse Sclerosing Variant of Papillary Thyroid Carcinoma Can Mimic Benign Riedel’s Thyroiditis by Jennifer Walsh, Tomas P. Griffin, Carmel B. Ryan, James Fitzgibbon, Patrick Sheahan, Matthew S. Murphy

“…This showed dense sclerotic fibrosis punctuated by nodular mononuclear inflammatory cells, which obscured follicular epithelial cells consistent with a fibrosing thyroiditis (Riedel’s thyroiditis). …”
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Paramacular Acute Middle Maculopathy Associated with Glyceryl Trinitrate by Tryfon Rotsos, Ioannis Giachos, Konstantinos Tyrlis, Chrysanthos Symeonidis, Ekaterini Mani, Ilias Georgalas

“…FA showed masking due to blot hemorrhages and early punctuate leakage in the inner retina. This entity was identified as nitroglycerin-induced PAMM. …”
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Unusual Presentation of Type 1 Idiopathic Macular Telangiectasia by Zaïnab Bentaleb Machkour, Philippe Denis, Laurent Kodjikian

“…Fluorescein angiography (FA) revealed early bilateral macular punctuated hyperfluorescence corresponding to the dilated capillaries in both cases. …”
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A case report of anaplastic thyroid carcinoma transformed from small papillary carcinoma successfully detected by ultrasonography in its early stage with review of literature by Hiroshi Arimitsu, Yui Nishijima, Naoyuki Higaki, Hitoshi Noguchi, Shinya Uchino, Tsukasa Murakami

“…At the initial ultrasound examination, papillary microcarcinoma was demonstrated as a hypoechoic solid nodule with an irregular shape. No punctuate microcalcifications were shown. After 23 months, the preexisting nodule had expanded toward the common carotid artery. …”
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Evaluation of X-Inactivation Status and Cytogenetic Stability of Human Dermal Fibroblasts after Long-Term Culture by Zhi-Gang Xue, Zhan-Ping Shi, Juan Dong, Ting-Ting Liao, Yan-Peng Wang, Xue-Ping Sun, Zheng-Jie Yan, Xiao-Qiao Qian, Yu-Gui Cui, Juan Chen, Jia-Yin Liu, Guoping Fan

“…However, four out of the eight HDF lines at high passage numbers (≥P10) exhibited duplicated hallmarks of inactive X chromosome including two punctuate signals of histone H3 lysine 27 trimethylation (H3K27me3) and X inactive-specific transcript (XIST) RNA signals in approximately 8.5–18.5% of the cells. …”
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Spatio-Temporal Characteristics of Climate Extremes in Sub-Saharan Africa and Potential Impact of Oceanic Teleconnections by Lormido Ernesto Zita, Flávio Justino, Carlos Gurjão, James Adamu, Manuel Talacuece

“…In recent decades, SSA has been punctuated by more intense climatic phenomena that severely affect its population. …”
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Géographie et hydrologie de la ville de Reims/Durocortorum et de ses environs by Alain Devos, Claire Pichard, Gilles Fronteau, Sébastien Laratte

“…The city is located within the breakthrough funnel of the Vesle, a small river native to the Champagne chalklands. This area, punctuated by mounds and foothills situated between two very different natural regions, provides Reims with a varied set of agricultural resources and diversified potential in terms of geomaterials. …”
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Improving influenza vaccine uptake in clinical risk groups: patient, provider and commissioner perspectives on the acceptability and feasibility of expanding delivery pathways in E... by Sandra Mounier-Jack, Rajeka Lazarus, Ben Kasstan, Ifra Ali

“…Healthcare providers were positive about the potential to offer vaccine recommendations and delivery, but questions remain around feasibility.Conclusion Patient pathways are punctuated with varying opportunities to discuss or deliver influenza vaccines during the winter season, though the commissioning and organisation of chronic disease management shapes how clinical risk groups interface with primary/secondary tiers of healthcare services. …”
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Giant Parotid Pleomorphic Adenoma with Atypical Histological Presentation and Long-Term Recurrence-Free Follow-Up after Surgery: A Case Report and Review of the Literature by Mohammed AlKindi, Sundar Ramalingam, Lujain Abdulmajeed Hakeem, Manal A. AlSheddi

“…Histological examination revealed epimyoepithelial proliferation punctuated by chondromyxoid areas, with extensive squamous metaplasia and keratin cysts. …”
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