920 resultados para Aleutian Islands Alaska
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http://moa.umdl.umich.edu/cgi/sgml/moa-idx?notisid=ALQ8090
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http://www.archive.org/details/amongindiansofal00repliala
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http://www.archive.org/details/hawaiianislandsa00peabiala
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http://moa.umdl.umich.edu/cgi/sgml/moa-idx?notisid=AGA4516
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http://www.archive.org/details/metlakahtlaalask00duncrich
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Reproduction of copy held by Special Collections, Bridewell Library, Perkins School of Theology, Southern Methodist University. Includes both DjVu and PDF files for download. Mode of access: World Wide Web.
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http://www.archive.org/details/proposalforbette00berkrich
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BACKGROUND: Little is known about the constraints of optimizing health care for prostate cancer survivors in Alaska primary care. OBJECTIVE: To describe the experiences and attitudes of primary care providers within the Alaska Tribal Health System (ATHS) regarding the care of prostate cancer survivors. DESIGN: In late October 2011, we emailed a 22-item electronic survey to 268 ATHS primary care providers regarding the frequency of Prostate Specific Antigen (PSA) monitoring for a hypothetical prostate cancer survivor; who should be responsible for the patient's life-long prostate cancer surveillance; who should support the patient's emotional and medical needs as a survivor; and providers' level of comfort addressing recurrence monitoring, erectile dysfunction, urinary incontinence, androgen deprivation therapy, and emotional needs. We used simple logistic regression to examine the association between provider characteristics and their responses to the survivorship survey items. RESULTS: Of 221 individuals who were successfully contacted, a total of 114 responded (52% response rate). Most ATHS providers indicated they would order a PSA test every 12 months (69%) and believed that, ideally, the hypothetical patient's primary care provider should be responsible for his life-long prostate cancer surveillance (60%). Most providers reported feeling either "moderately" or "very" comfortable addressing topics such as prostate cancer recurrence (59%), erectile dysfunction (64%), urinary incontinence (63%), and emotional needs (61%) with prostate cancer survivors. These results varied somewhat by provider characteristics including female sex, years in practice, and the number of prostate cancer survivors seen in their practice. CONCLUSIONS: These data suggest that most primary care providers in Alaska are poised to assume the care of prostate cancer survivors locally. However, we also found that large minorities of providers do not feel confident in their ability to manage common issues in prostate cancer survivorship, implying that continued access to specialists with more expert knowledge would be beneficial.
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Seasonal changes in altimeter data are derived for the North Atlantic Ocean. Altimeter data are then used to examine annually propagating structure along 26 degree N. By averaging the altimeter data into monthly values or by Fourier analysis, a positive anomaly can be followed from 17 degree W to similar to 50 degree W along similar to 26 degree N. The methods give a westward travel speed of 1 degree of longitude a month and a half-life of one year for the average decaying structure. At similar to 50 degree W 26 degree N, the average structure is about 2.8 years old with an elevation signal of similar to 1 cm, having gravelled similar to 3300 km westward. The mean positive anomaly results from the formation of anticyclonic eddies which are generally formed annually south of the Canary Islands by late summer and which then travel westward near 26 degree N. Individual eddy structure along 26 degree N is examined and related to in situ measurements and anomalies in the annual seasonal concentration cycle of SeaWiFS chlorophyll-a.
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A pinnotherid zoea taken in a plankton sample from the Selvagens Islands during the TFMCBM/SELVAGENS’2000 Cruise, organized by the Natural Sciences Museum of Tenerife (Canary Islands), differs from previously described zoeas of the family. The specimen has dorsal and lateral spines but no rostrum, a combination of characters not previously described from pinnotherid zoeas. The lateral spines originate behind the upper part of the eye, unlike all previously described Pinnotheridae zoeas where these spines, when present, originate near the ventrolateral margin of the carapace. The specimen is attributed to Afropinnotheres monodi, the only pinnotherid species known from the area with undescribed larvae.