866 resultados para My Fresh Maine
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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OBJECTIVE: Routine prenatal screening for Down syndrome challenges professional non-directiveness and patient autonomy in daily clinical practices. This paper aims to describe how professionals negotiate their role when a pregnant woman asks them to become involved in the decision-making process implied by screening. METHODS: Forty-one semi-structured interviews were conducted with gynaecologists-obstetricians (n=26) and midwives (n=15) in a large Swiss city. RESULTS: Three professional profiles were constructed along a continuum that defines the relative distance or proximity towards patients' demands for professional involvement in the decision-making process. The first profile insists on enforcing patient responsibility, wherein the healthcare provider avoids any form of professional participation. A second profile defends the idea of a shared decision making between patients and professionals. The third highlights the intervening factors that justify professionals' involvement in decisions. CONCLUSIONS: These results illustrate various applications of the principle of autonomy and highlight the complexity of the doctor-patient relationship amidst medical decisions today.
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L'objectiu del projecte és dissenyar i desenvolupar un petit APP o aplicatiu per tal de trobar la ubicació del vehicle aparcat.
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Since the beginning of the 1990s, there has been a setady increase in childcare coverage for children aged 0-3 in Spain. The coverage has rised from 4 per cent in 1992 to 13.5 in 2004. Despite this positive trend, the supply of childcare services for under-3 is among the lowest in Western European countries.
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Skin exposures to chemicals may lead, through percutaneous permeation, to a significant increase in systemic circulation. Skin is the primary route of entry during some occupational activities, especially in agriculture. To reduce skin exposures, the use of personal protective equipment (PPE) is recommended. PPE efficiency is characterized as the time until products permeate through material (lag time, Tlag). Both skin and PPE permeations are assessed using similar in vitro methods; the diffusion cell system. Flow-through diffusion cells were used in this study to assess the permeation of two herbicides, bentazon and isoproturon, as well as four related commercial formulations (Basagran(®), Basamais(®), Arelon(®) and Matara(®)). Permeation was measured through fresh excised human skin, protective clothing suits (suits) (Microchem(®) 3000, AgriSafe Pro(®), Proshield(®) and Microgard(®) 2000 Plus Green), and a combination of skin and suits. Both herbicides, tested by itself or as an active ingredient in formulations, permeated readily through human skin and tested suits (Tlag < 2 h). High permeation coefficients were obtained regardless of formulations or tested membranes, except for Microchem(®) 3000. Short Tlag, were observed even when skin was covered with suits, except for Microchem(®) 3000. Kp values tended to decrease when suits covered the skin (except when Arelon(®) was applied to skin covered with AgriSafe Pro and Microgard(®) 2000), suggesting that Tlag alone is insufficient in characterizing suits. To better estimate human skin permeations, in vitro experiments should not only use human skin but also consider the intended use of the suit, i.e., the active ingredient concentrations and type of formulations, which significantly affect skin permeation.
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
Resumo:
Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship
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Newsletter produced by Iowa Department of Agriculture and Land Stewardship