949 resultados para letter of intent


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Caption title: Letter, &c. To the electors of St. Lawrence and Franklin Counties, New-York.

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Mode of access: Internet.

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"The English is a translation from the Latin published simultaneously with it ..."--P. [2].

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The referral letter is a key instrument in moving patients from primary to secondary care services. Consequently, the circumstances in which a referral should be made and its contents have been the subject of clinical guidelines. This article is based on a project that demonstrated that physicians do not adhere to clinical guidelines when referring patients to secondary mental health services. This research supports earlier findings into noncompliance with guidelines by general practitioners (GPs). The authors briefly note possible reasons, which have been the subject of some debate. They also present a content analysis of referral letters to demonstrate the important ways in which they differ from guideline criteria. However, their central argument is that the role of the referral letter in relation to the GP’s repertoire of treatments has not been understood fully. Such understanding implies the need for a reexamination of the support available for GPs.

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Attaran and colleagues in an open letter to WHO expressed their concern about the upcoming Olympic and Paralympic Games in Rio de Janeiro and the threat posed by the Zika epidemic (Attaran 2016). We agree that Zika virus is of great public health concern and much remains to be known about this disease. Care should be taken to reduce the risk of infection, especially to pregnant women. However, we argue that this is not sufficient reason for changing the original plans for the Games, in particular because of the time of the year when they will take place. The present article outlines several scientific results related to Zika and mosquito-borne infectious diseases dynamics that we believe ratify the current position of WHO in not endorsing the postponing or relocation of the 2016 Olympic and Paralympic Games (WHO 2016).

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This essay, starting from the description of the indigenous in the letter of discovery of Brazil of Pero Vaz de Caminha (1500), tries to define the clear tensions in the relationship between the first seafarers went to Brazil and the local population.It will be defined the relationship with the otherness, starting from the bodies, in their double function: they are at the same time filter (the eye of the colonizer) and filtered (the bodies of the colonized). It will be analyzed the way the sensorial perception can contribute to the construction of the representation of the world.  The description of the bodies and the perception of them, that the Portuguese writer will give though his own senses, will be the basis to observe the relation of the power and the tensions between colonizers and colonized, tensions that will persist in the future Brazilian society. Finally starting from the production of desire that this bodies excite and from the relationship between genders, will be speculated the function of sexuality in the society and the way the the power tries control it for its strengthness and establishment. The perception of the body will be also the reason to analyze the representation that the Portuguese writer will give of the otherness as being or as existing being.  

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This article has a purpose to study the interspeech on discourse about letter of country music. Since the beginning, we emphasize that, although there is interdependence between letter and melody, according Tatit (1996), we will privilege the discourse about letter. It is grounded by the contribution methodological - theorist of speech analysis, more specifically about the postulate enunciation-discursive from Maingueneau (2008), we start from presupposition about the interspeech, which has a strait relation with the discursive memory, shows features about the enunciator identity. Like object focus of analysis, we select the letter named Ferreirinha, who is considered a classical to be one of the most remembered and known by the people. It was made at the 50´s decade, this speech has a very strong representation, mainly at the Midwest and Southeast region from Brazil, they´re considered the crib of the culture from the hayseed man. The result shows us that the interspeech includes discourses that compound the discursive memory from rural migrant, showing their discursive identity.

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The keyword based search technique suffers from the problem of synonymic and polysemic queries. Current approaches address only theproblem of synonymic queries in which different queries might have the same information requirement. But the problem of polysemic queries,i.e., same query having different intentions, still remains unaddressed. In this paper, we propose the notion of intent clusters, the members of which will have the same intention. We develop a clustering algorithm that uses the user session information in query logs in addition to query URL entries to identify cluster of queries having the same intention. The proposed approach has been studied through case examples from the actual log data from AOL, and the clustering algorithm is shown to be successful in discerning the user intentions.

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OBJECTIVE: To analyze differences in the variables associated with severity of suicidal intent and in the main factors associated with intent when comparing younger and older adults. DESIGN: Observational, descriptive cross-sectional study. SETTING: Four general hospitals in Madrid, Spain. PARTICIPANTS: Eight hundred seventy suicide attempts by 793 subjects split into two groups: 18-54 year olds and subjects older than 55 years. MEASUREMENTS: The authors tested the factorial latent structure of suicidal intent through multigroup confirmatory factor analysis for categorical outcomes and performed statistical tests of invariance across age groups using the DIFFTEST procedure. Then, they tested a multiple indicators-multiple causes (MIMIC) model including different covariates regressed on the latent factor "intent" and performed two separate MIMIC models for younger and older adults to test for differential patterns. RESULTS: Older adults had higher suicidal intent than younger adults (z = 2.63, p = 0.009). The final model for the whole sample showed a relationship of intent with previous attempts, support, mood disorder, personality disorder, substance-related disorder, and schizophrenia and other psychotic disorders. The model showed an adequate fit (chi²[12] = 22.23, p = 0.035; comparative fit index = 0.986; Tucker-Lewis index = 0.980; root mean square error of approximation = 0.031; weighted root mean square residual = 0.727). All covariates had significant weights in the younger group, but in the older group, only previous attempts and mood disorders were significantly related to intent severity. CONCLUSIONS: The pattern of variables associated with suicidal intent varies with age. Recognition, and treatment of geriatric depression may be the most effective measure to prevent suicidal behavior in older adults.