864 resultados para Hospital Reial i General (València)-S. XIX


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Mode of access: Internet.

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Materials didàctics del grup d'investigació Observatori sobre la Didàctica de les Arts (ODAS)

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Contiene en v. : Historia de Nuestra Señora de los Desamparados , su Real Capilla y fundación del Santo Hospital General de Valencia, extracto de "Glorias Valencianas", obra dirigida por Jaime Torrent y publicada en 1886 por Ramon Ortega

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Hay un ejemplar encuadernado con: La Real Compañia formada por S.M. para llevar a efecto el canal de navegación y riego del reyno de Murcia, las... experiencias de que informa D. Domingo Aguirre... le han confirmado en los abusos y fraudes que hacen muchos... (XVIII/4279).

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Hay un ejemplar encuadernado con: La Real Compañia formada por S.M. para llevar a efecto el canal de navegación y riego del reyno de Murcia, las... experiencias de que informa D. Domingo Aguirre... le han confirmado en los abusos y fraudes que hacen muchos... (XVIII/4279).

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The aim of this study was to evaluate the experiences of trainees taking part in an extended (four-year) general practice training programme introduced in the South Eastern region of the Republic of Ireland to replace the previous traditional (three-year) programme. In a qualitative design, eight homogeneous focus groups were held to determine the value of the additional year of training. The first cohort of trainees was interviewed towards the start and at the end of their fourth year. Trainees finishing the following year were also interviewed, as were graduates from the final three-year programme. GP trainers and the four members of the programme directing team comprised two further independent focus groups. Trainees reported that the integration of hospital posts and general practice attachments over the four years was particularly beneficial. The exposure to a variety of different general practices and the opportunity to take part in specialty clinics were considered extremely useful. The fourth year of training was felt to be less pressurised than previous years. Professional and personal development was enhanced; improved readiness to practise and confidence were noted. Perceived disadvantages of extended training included a lack of acknowledgment for doctors in their fourth year and excessive emphasis placed on research during the final year of training. The addition of an extra year of vocational training improves professional and personal development and changes the learning experience for doctors. Doctors felt more confident and ready to enter independent practice at the end of the fourth year of training.

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Using reversed-phase HPLC in combination with a radioimmunoassay for ovine corticotropin-releasing hormone (CRH), a peptide with CRH-like immunoreactivity was isolated in pure form from an extract of the caudal spinal cord region of the spotted dogfish, Scyliorhinus canicula. The primary structure of the peptide was established as Pro-Ala-Glu-Thr-Pro-Asn-Ser-Leu-Asp-Leu(10)-Thr-Phe-His-Leu-Leu-Arg-Glu-Met-Ile-Glu(20)-Ile-Ala-Lys-His-Glu-Asn-Gln-Gln-Met-Gln(30)-Ala-Asp-Ser-Asn-Arg-Arg-Ile-Met-Asp-Thr(40)-Ile . NH2. This amino acid sequence shows moderate structural similarity to Catostomus urotensin I (51%) and to human CRH (56%). The data provide, therefore, chemical evidence to support the conclusions of earlier immunohistochemical studies that the diffuse caudal neurosecretory system of elasmobranchs produces a peptide that is immunochemically related to teleost urotensin I peptides. However, the primary structure of urotensin I has been poorly conserved during evolution. (C) 1995 Academic Press, Inc.