480 research outputs found

    Matemática,1º ano, 5ª edição, 1934.

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    O livro possui dimensões 220 mm X 160 mm, 394 páginas. O exemplar pertence ao acervo do GHEMAT na cidade de Osasco- SP. Doado pela professora Circe Dynnikov.O livro destina-se ao uso de professores e traz considerações teóricas e práticas de abordagens de conteúdos de matemática para o ensino primário. São temas tratados: numeração, adição subtração, multiplicação, divisão, potencia de número, múltiplo e divisor, números primos, frações, álgebra etc

    Increased Risk of Hospitalization for Pancreatic Cancer in the First 8 Years after a Gestational Diabetes Mellitus regardless of Subsequent Type 2 Diabetes: A Nationwide Population-Based Study.

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    The aim of this large retrospective cohort study was to use a quasi-exhaustive national medico-administrative database of deliveries in France to determine the risk of developing pancreatic cancer (PC) in women with a history of gestational diabetes mellitus (GDM). This nationwide population-based study included women aged 14-55 who gave birth between 1st January 2008 and 31 December 2009. The women were followed-up epidemiologically for eight years. Survival analyses using Cox regression models, adjusted for age, subsequent type 2 diabetes, and tobacco consumption, were performed on the time to occurrence of hospitalization for PC. The onset of GDM, tobacco consumption and subsequent type 2 diabetes were considered as time-dependent variables. Among 1,352,560 women included, 95,314 had a history of GDM (7.05%) and 126 women were hospitalized for PC (0.01%). Over the eight years of follow-up, GDM was significantly associated with a higher risk of hospitalization with PC in the first Cox regression model adjusted for age and subsequent type 2 diabetes (HR = 1.81 95% CI [1.06-3.10]). The second Cox regression model adjusted for the same covariates, plus tobacco consumption, showed that GDM was still significantly associated with a higher risk of hospitalization for PC with nearly the same estimated risk (HR = 1.77 95% CI [1.03-3.03]). Gestational diabetes was significantly associated with a greater risk of hospital admission for pancreatic cancer within eight years, regardless of subsequent type 2 diabetes

    Suelos volcanicos endurecidos

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    In the sedimentary basin of Rieti (Central Italy) a Mollic Fragiudalf was studied in order to verify, through the analysis of differential dissolution kinetics of Si and Al, wether the presence of this two elements could be involved in determining the fragic characters of its deep horizons. The reuslts of the main physico-chemical analysis confirmed the fragic features of the deep horizons Bt3x and Ctgx which have been already observed in the field study. Differential dissolution of Si and Al was performed using 0,5 N NaOH at 25°C, and the values of silica and alumina obtained after each of ten consecutive extractions were cumulated to trace the cumulative curves of dissolution. Slope changes of the curves, which indicate changes in dissolution rate, allowed os to recognize three mineralogical phases with different degree of solubility. The total quantity of SiO2 and Al2O3 dissolved in all the extractions and relative to each of these three phases was estimated, by a graphic method, together with SiO2(Al2O3 molar ratio. This one was indicative of the mineralogical composition and behaviour of each horizon. This study showed an accumulation of free silica which could be present in the form of phytoliths or diatoms as well as a fine precipitate of opal-A and silica-gel in the whole soil, mainly in teh Ap and Ctgx horizons. Moreover neogenesis of clay was more evident in Bt3x horizon. The volcanic origin of the parent material, a trachytic ash fall, probably deposited in a lacustrine environment, could have favoured the availability of Si and the authigenic formation of halloysitic clay from the weathering of galss and feldspars. Our study therefore corroborates the findings of previous studies by Chadwick et al. (1987) and Karathanasis (1989) indicating the important role played by silica, probably as bonding agent, in contributing to produce characteristics of a fragipan. (Résumé d'auteur)

    Halloysite formation through in situ weathering of volcanic glass from trachytic pumices, Vico's volcano, Italy

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    L'étude minéralogique et pétrographique d'une ponce trachytique provenant des coulées pyroclastiques du volcan de Vico (Italie centrale) montre que l'altération des verres produit essentiellement une halloysite bien cristallisée avec conservation de leur texture. Les auteurs discutent les caractéristiques minéralogiques et structurales de cette argil

    "Aestimare" et "Aestimatio"

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    Model testing of radioactive contamination Cs-137 of soils and bottom sediments in the Romachka river (Tomsk region, Russia)

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    This paper presents results of testing models for the radioactive contamination of river water and bottom sediments by 137Cs. The scenario for the model testing is based on data from the Romashka River, which was contaminated as a result of accidents at the Siberian Chemical Combine (Russia, Region of Tomsk). The input data include the following: estimates of inventories of 137Cs in the floodplain of the downstream part of Romashka River; the estimated annual runoff of 137Cs from the downstream part of Romachka River; data on the precipitation, hydrological and hydrochemical characteristics of the river. The endpoints of the scenario are model predictions of the activity concentrations of 137Cs in water and bottom sediments along the Romachka River in 2012-2013. Calculations for the Romashka scenario were performed by the Institute of radioprotection and nuclear safety (model CASTEAUR and HAMSTER. As a whole, the radionuclide predictions for137Cs for all considered models. At the same time the CASTEAUR model estimate the activity concentrations of 137Cs and in water more precisely than in bottom sediments

    Medical record: systematic centralization versus secure on demand aggregation

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    <p>Abstract</p> <p>Background</p> <p>As patients often see the data of their medical histories scattered among various medical records hosted in several health-care establishments, the purpose of our multidisciplinary study was to define a pragmatic and secure on-demand based system able to gather this information, with no risk of breaching confidentiality, and to relay it to a medical professional who asked for the information via a specific search engine.</p> <p>Methods</p> <p>Scattered data are often heterogeneous, which makes the task of gathering information very hard. Two methods can be compared: trying to solve the problem by standardizing and centralizing all the information about every patient in a single Medical Record system or trying to use the data "as is" and find a way to obtain the most complete and the most accurate information. Given the failure of the first approach, due to the lack of standardization or privacy and security problems, for example, we propose an alternative that relies on the current state of affairs: an on-demand system, using a specific search engine that is able to retrieve information from the different medical records of a single patient.</p> <p>Results</p> <p>We describe the function of Medical Record Search Engines (MRSE), which are able to retrieve all the available information regarding a patient who has been hospitalized in different hospitals and to provide this information to health professionals upon request. MRSEs use pseudonymized patient identities and thus never have access to the patient's identity. However, though the system would be easy to implement as it by-passes many of the difficulties associated with a centralized architecture, the health professional would have to validate the information, i.e. read all of the information and create his own synthesis and possibly reject extra data, which could be a drawback. We thus propose various feasible improvements, based on the implementation of several tools in our on-demand based system.</p> <p>Conclusions</p> <p>A system that gathers all of the currently available information regarding a patient on the request of health-care professionals could be of great interest. This low-cost pragmatic alternative to centralized medical records could be developed quickly and easily. It could also be designed to include extra features and should thus be considered by health authorities.</p
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