Carcinoma de tiroides una verdadera pandemia?

El diagnóstico de cáncer de tiroides se ha incrementado y las posibilidades de detección de una enfermedad subclínica son altas, toda vez que disponemos de herramientas de detección más sensibles y de fácil acceso. Por ende, el clínico requiere conocer la historia natural del nódulo tiroideo y del carcinoma papilar de tiroides de bajo riesgo para brindar a su paciente el mejor tratamiento basado en la evidencia clínica. El objetivo de esta revision es reconocer los elementos clínicos que han condicionado el aumento inusitado de casos de cáncer de tiroides. Conclusión: El sobrediagnóstico del cáncer de tiroides es una realidad, que se posibilita por el uso extendido de biopsia por aspiración con aguja fina ((BACAF)) después de la detección de un nódulo tiroideo, en gran parte de manera incidental, sin acarrear la mayoría de las veces un mejor pronóstico después de su tratamiento.

Experiência, filosofia e educação em John Dewey: as muralhas sociais e a unidade da experiência

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Lógica, investigação e democracia no discurso educacional de John Dewey

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O ceticismo em John Dewey: a busca da certeza

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O homem e o desenvolvimento humano nos discursos de Aristóteles e John Dewey

Pós-graduação em Educação Escolar - FCLAR

Shakers : compendium of the origin, history, princicples, rules and regulations, government, and doctrines of the United Society of Believers in Christ's Second Appearing : with biographies of Ann Lee, William Lee, Jas. Whittaker, J. Hocknell, J. Meacham, and Lucy Wright

by F. W. Evans

Annotated almanac, 1779

Almanac containing interleaved pages and sporadic annotations of household activities on the calendar pages by John Winthrop. The front inside cover has some accounting entries. The interleaved pages contain entries with almost daily notes of social engagements and travel for January through May 1, a list of the "Agents in Middlsesx 1779 & Comrs," and a list of citations made in January-April in Winthrop's capacity as a Judge of Probate. There is also a laid-in leaf with some accounting figures.

Annotated almanac, 1779

Almanac with one folded interleaved page and minimal annotations of household activities on the calendar pages in the hands of John and Hannah Winthrop. The interleaved leaf contains notes of burials and baptisms for Cambridge in 1777 in John Winthrop's hand, and some notes of household activities in Hannah Winthrop's hand. The laid-in page contains notes about hay and some calculation. The folded interleaved leaf contains entries about household activities in Hannah Winthrop's hand, notes of burials and baptisms for Cambridge in 1779 begun in John Winthrop's hand and finished by Hannah Winthrop. Hannah's entries include, "died May the 3 Honorable Dr Winthrop 6h 1/2 Languishment Buried the 8."

John Winthrop's proposal respecting electrical globes and jars, ca. 1758

In this proposal, John Winthrop explains the need to replace damaged "electric globes" used in the College's collection of scientific apparatus. He states that Benjamin Franklin, at the time residing in London, was willing to seek replacement globes for the College's collection. Winthrop then proceeds to assert that the College should acquire "square bottles, of a moderate size, fitted in a wooden box, like what they call case bottles for spirits" instead of the large jars included in the scientific apparatus, because those jars cracked frequently.

The summary of a course of experimental lectures in natural philosophy by Dr. John Winthrop (manuscript copy), 1772-1774

Notebook with a handwritten copy of lecture summaries for a physics course given by Harvard Professor John Winthrop. The notes were made by Timothy Foster in 1772 and 1773. The volume contains twenty-five lectures with some diagrams.

Letters from William Lee to William Tudor,

Five letters in which Lee relays his efforts to obtain a political appointment for Tudor from President James Monroe. He also reports on the activities of Tudor’s brother-in-law, Charles Stewart, and a meeting between John Quincy Adams and Tudor’s brother-in-law, Robert Hallowell Gardiner.

Letters from Benjamin Welles to John Henry Tudor, 1799-1801

Benjamin Welles wrote these six letters to his friend and classmate, John Henry Tudor, between 1799 and 1801. Four of the letters are dated, and the dates of the other two can be deduced from their contents. Welles wrote Tudor four times in September 1799, at the onset of their senior year at Harvard, in an attempt to clear up hurt feelings and false rumors that he believed had caused a chill in their friendship. The cause of the rift is never fully explained, though Welles alludes to "a viper" and "villainous hypocrite" who apparently spread rumors and fueled discord between the two friends. In one letter, Welles asserts that "College is a rascal's Elysium - or the feeling man's hell." In another he writes: "College, Tudor, is a furnace to the phlegmatic, & a Greenland to thee feeling man; it has an atmosphere which breathes contagion to the soul [...] Villains fatten here. College is the embryo of hell." Whatever their discord, the wounds were apparently eventually healed; in a letter written June 26, 1800, Welles writes to ask Tudor about his impending speech at Commencement exercises. In an October 29, 1801 letter, Welles writes to Tudor in Philadelphia (where he appears to have traveled in attempts to recover his failing health) and expresses strong wishes for his friend's recovery and return to Boston. This letter also contains news of their classmate Washington Allston's meeting with painters Henry Fuseli and Benjamin West.