62 resultados para Lighthouse


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Contiene un libro de lectura para los niños y un cuaderno de notas para el profesor. Las ideas sugeridas en estas actividades se desarrollan a partir de los temas, la estructura y el lenguaje del libro de lectura, aunque se pueden cambiar, adaptar y completar, siempre que los niños estén familiarizados con la historia. El faro de la costa siempre tiene que estar iluminado por la noche, el Sr. Grinling el guardafaros, ama su trabajo tanto que no se puede imaginar haciendo cualquier otra cosa. Un día, debido a su avanzada edad, en su camino para encender las luces, se queda dormido, lo que provoca algún desastre. Él y su esposa, tienen que empaquetar, sus pertenencias y marcharse, entonces ocurre algo que trae la alegría de nuevo a Grinling, y las autoridades lo recompensan readmitiéndolo como guardafaros a tiempo parcial.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Five seismic units may be identified in the similar to 8 m thick Holocene sediment package at the bottom of the Blue Hole, a 120 m deep sinkhole located in the atoll lagoon of Lighthouse Reef, Belize. These units may be correlated with the succession of an existing 5.85-m-long sediment core that reaches back to 1385 kyrs BP. The identification of seismic units is based on the fact that uniform, fine-grained background sediments show weak reflections while alternating background and coarser-grained event (storm) beds exhibit strong reflections in the seismic profiles. The main source of sediments is the marginal atoll reef and adjacent lagoon area to the east and north. Northeasterly winds and storms transport sediment into the Blue Hole, as seen in the eastward increase in sediment thickness, i.e., the eastward shallowing of the Blue Hole. Previous assumptions of much thicker Holocene sediment packages in the Blue Hole could not be confirmed. So far, close to 6-m-long cores were retrieved from the Blue Hole but the base of the sedimentary succession remains to be recovered. The nature of the basal sediments is unknown but mid-Holocene and possibly older, Pleistocene sinkhole deposits can be expected. The number of event beds identified in the Blue Hole (n = 37) during a 1.385 kyr-long period and the number of cyclones listed in historical databases suggest that only strong hurricanes (categories 4 and 5) left event beds in the Blue Hole sedimentary succession. Storm beds are numerous during 13-0.9 kyrs BP and 0.8-0.5 kyrs BP.

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BACKGROUND Implementation of user-friendly, real-time, electronic medical records for patient management may lead to improved adherence to clinical guidelines and improved quality of patient care. We detail the systematic, iterative process that implementation partners, Lighthouse clinic and Baobab Health Trust, employed to develop and implement a point-of-care electronic medical records system in an integrated, public clinic in Malawi that serves HIV-infected and tuberculosis (TB) patients. METHODS Baobab Health Trust, the system developers, conducted a series of technical and clinical meetings with Lighthouse and Ministry of Health to determine specifications. Multiple pre-testing sessions assessed patient flow, question clarity, information sequencing, and verified compliance to national guidelines. Final components of the TB/HIV electronic medical records system include: patient demographics; anthropometric measurements; laboratory samples and results; HIV testing; WHO clinical staging; TB diagnosis; family planning; clinical review; and drug dispensing. RESULTS Our experience suggests that an electronic medical records system can improve patient management, enhance integration of TB/HIV services, and improve provider decision-making. However, despite sufficient funding and motivation, several challenges delayed system launch including: expansion of system components to include of HIV testing and counseling services; changes in the national antiretroviral treatment guidelines that required system revision; and low confidence to use the system among new healthcare workers. To ensure a more robust and agile system that met all stakeholder and user needs, our electronic medical records launch was delayed more than a year. Open communication with stakeholders, careful consideration of ongoing provider input, and a well-functioning, backup, paper-based TB registry helped ensure successful implementation and sustainability of the system. Additional, on-site, technical support provided reassurance and swift problem-solving during the extended launch period. CONCLUSION Even when system users are closely involved in the design and development of an electronic medical record system, it is critical to allow sufficient time for software development, solicitation of detailed feedback from both users and stakeholders, and iterative system revisions to successfully transition from paper to point-of-care electronic medical records. For those in low-resource settings, electronic medical records for integrated care is a possible and positive innovation.

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"ISP 8-23"--Colophon.

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Mode of access: Internet.

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"Book two: Impressions of and observations by an architect after having visited the Dominican Republic, dealing with ... aspects of its past, its present, its future, and above all with the wonder, the romance and the glory of the Spanish Main ...": p. [33]-72.

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attached letter: Dear Professor Lorch: At the suggestion of the July 31, 1953 Newsletter of the Michigan Historical Society I am sending you two photoes [sic] of the old lighthouse and adjoining building on Presque Isle, Michigan located on the shore of Huron lake, supposedly the oldest lighthouse on the Great Lakes. It is owned by Mr. F. B. Stebbins, 326 N. Capital, Lansing, Michigan. When through using the photos I would appreciate your returning them directly to him. The following information was given to me by Mr. Stebbins: Built in 1840, through a congressional appropriation of $5,000.- in Presque Isle county, described as, "Where a portage of 200 yards would save 4 miles of canoe trip." Jefferson Davis after graduation from West Point, was supposed to have built it. (According to careful historical investigation, this is not true. There is an article about this controversy in some back number of the Michigan History magazine. Mr. Stebbins feels very strongly about his. He prefers the legend, it sounds bigger). Francis Burgoyne Stebbins purchased from his Uncle Bliss Stebbins in 1930, who bought the property in 1930 from General Duffield of Dteoirt [sic], who had purchased it from the government a short time previously. This light-house was abandone [sic] upon the completion of a new lighthouse in 1872, one mile north from the present location. Adjoining house was used as a summer home. Condition restored in 1936. Lighthouse towe [sic] walls 3 feet thick with handhewn circular stone steps to the top. Signed, Lee H. Gregory