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Um idoso, demenciado, foi encontrado desacordado no chão de seu banheiro. Não apresentava abertura ocular espontânea, nem aos estímulos. Foi encaminhado para a Unidade de Saúde mais próxima, onde o plantonista detectou o sinal de Battle, levantando a hipótese diagnóstica de
Paciente feminina, 77 anos, apresentava há um mês, cefaleia unilateral, de forte intensidade, que piorava no período noturno. Referia mialgia e perda ponderal. Notava, ainda, dolorimento do couro cabeludo ao pentear seus cabelos. A velocidade de hemossedimentação foi de 90 mm/h e a proteína C reativa estava aumentada.
A principal hipótese diagnóstica para esta paciente é
As crises epilépticas que se manifestam com a presença de riso estereotipado e inapropriado, são denominadas
Um paciente idoso, em coma, foi internado em uma unidade de terapia intensiva. Apresentava o ritmo respiratório tipo Biot.
Este padrão respiratório indica uma lesão
Em um paciente em coma, que apresenta dilatação pupilar unilateral (5,6 mm de diâmetro), não reagente à luz, é mandatório pensar em lesão do
Sobre o líquen plano, assinale a afirmativa incorreta.
Com relação aos tumores malignos das cavidades paranasais, assinale a afirmativa correta.
Com relação às síndromes vertiginosas, assinale a afirmativa correta.
Com relação à surdez na infância, analise as afirmativas a seguir.
I. Das hereditárias, a grande maioria ocorre de forma não sindrômica.
II. São fatores de risco: hiperbilirrubinemia, asfixia perinatal grave, peso ao nascimento inferior a 1500 g, história familiar de deficiência auditiva congênita, uso de aminoglicosídeos, entre outros.
III. A pesquisa das emissões otoacústicas evocadas e a pesquisa da mutação 35delG no teste do pezinho, são formas de triagem auditiva neonatal.
Assinale:
Abel, Bruno, Caio, Diogo e Elias ocupam, respectivamente, os bancos 1, 2, 3, 4 e 5, em volta da mesa redonda representada abaixo.
São feitas então três trocas de lugares: Abel e Bruno trocam de lugar entre si, em seguida Caio e Elias trocam de lugar entre si e, finalmente, Diogo e Abel trocam de lugar entre si.
Considere as afirmativas ao final dessas trocas:
• Diogo é o vizinho à direita de Bruno.
• Abel e Bruno permaneceram vizinhos.
• Caio é o vizinho à esquerda de Abel.
• Elias e Abel não são vizinhos.
É/são verdadeira(s):
TEXT 3
Sustainable mining – oxymoron or a way of the future?
Mining is an activity that has persisted since the start of humans using tools. However, one might argue that digging a big hole in the ground and selling the finite resources that come out of that hole is not sustainable, especially when the digging involves the use of other finite resources (i.e. fuels) and produces a lot of greenhouse gases.
The counter argument could go along the lines that minerals are not being lost or destroyed through mining and mineral processing – the elements are being shifted around, and converted into new forms. Metals can even be extracted from waste, seawater or even sewage, and recycled. But a more simple argument is possible: a mine can be sustainable if it is economically, socially and environmentally beneficial in the short and long term. To be sustainable, the positive benefits of mining should outweigh any negative impacts. […]
Social positives are often associated with mines in regional areas, such as providing better amenities in a nearby town, or providing employment (an economic and social positive). Social negatives can also occur, such as dust, noise, traffic and visual amenity. These are commonly debated and, whilst sometimes controversial, can be managed with sufficient corporate commitment, stakeholder engagement, and enough time to work through the issues. Time is the key parameter - it may take several years for a respectful process of community input, but as long as it is possible for social negatives to be outweighed by social positives, then the project will be socially sustainable.
It is most likely that a mine development will have some environmental negatives, such as direct impacts on flora and fauna through clearing of vegetation and habitat within the mine footprint. Some mines will have impacts which extend beyond the mine site, such as disruption to groundwater, production of silt and disposal of waste. Certainly these impacts will need to be managed throughout the mine life, along with robust rehabilitation and closure planning. […]
The real turning point will come when mining companies go beyond environmental compliance to create ‘heritage projects’ that can enhance the environmental or social benefits in a substantial way – by more than the environmental offsets needed just to make up for the negatives created by the mine. In order to foster these innovative mining heritage projects we need to promote ‘sustainability assessments’ - not just ‘environmental assessments’. This will lead to a more mature appreciation of the whole system whereby the economic and social factors, as well as environmental factors, are considered in a holistic manner.
(adapted from https://www.engineersaustralia.org.au/western-australia-division/sustainable-mining-oxymoron-or-way-future. Retrieved on August 10, 2015)
The title suggests that the expression “sustainable mining” may:
TEXT 2
Innovation is the new key to survival
[…]
At its most basic, innovation presents an optimal strategy for controlling costs. Companies that have invested in such technologies as remote mining, autonomous equipment and driverless trucks and trains have reduced expenses by orders of magnitude, while simultaneously driving up productivity.
Yet, gazing towards the horizon, it is rapidly becoming clear that innovation can do much more than reduce capital intensity. Approached strategically, it also has the power to reduce people and energy intensity, while increasing mining intensity.
Capturing the learnings
The key is to think of innovation as much more than research and development (R&D) around particular processes or technologies. Companies can, in fact, innovate in multiple ways, such as leveraging supplier knowledge around specific operational challenges, redefining their participation in the energy value chain or finding new ways to engage and partner with major stakeholders and constituencies.
To reap these rewards, however, mining companies must overcome their traditionally conservative tendencies. In many cases, miners struggle to adopt technologies proven to work at other mining companies, let alone those from other industries. As a result, innovation becomes less of a technology problem and more of an adoption problem.
By breaking this mindset, mining companies can free themselves to adapt practical applications that already exist in other industries and apply them to fit their current needs. For instance, the tunnel boring machines used by civil engineers to excavate the Chunnel can vastly reduce miners’ reliance on explosives. Until recently, those machines were too large to apply in a mining setting. Some innovators, however, are now incorporating the underlying technology to build smaller machines—effectively adapting mature solutions from other industries to realize more rapid results.
Re-imagining the future
At the same time, innovation mandates companies to think in entirely new ways. Traditionally, for instance, miners have focused on extracting higher grades and achieving faster throughput by optimizing the pit, schedule, product mix and logistics. A truly innovative mindset, however, will see them adopt an entirely new design paradigm that leverages new information, mining and energy technologies to maximize value. […]
Approached in this way, innovation can drive more than cost reduction. It can help mining companies mitigate and manage risks, strengthen business models and foster more effective community and government relations. It can help mining services companies enhance their value to the industry by developing new products and services. Longer-term, it can even position organizations to move the needle on such endemic issues as corporate social responsibility, environmental performance and sustainability.
(http://www2.deloitte.com/content/dam/Deloitte/ru/Documents/energy-resources/ru_er_tracking_the_trends_2015_eng.pdf)
“For instance” in “Traditionally, for instance, miners have focused on extracting” (l. 34-35) is used to:
TEXT 2
Innovation is the new key to survival
[…]
At its most basic, innovation presents an optimal strategy for controlling costs. Companies that have invested in such technologies as remote mining, autonomous equipment and driverless trucks and trains have reduced expenses by orders of magnitude, while simultaneously driving up productivity.
Yet, gazing towards the horizon, it is rapidly becoming clear that innovation can do much more than reduce capital intensity. Approached strategically, it also has the power to reduce people and energy intensity, while increasing mining intensity.
Capturing the learnings
The key is to think of innovation as much more than research and development (R&D) around particular processes or technologies. Companies can, in fact, innovate in multiple ways, such as leveraging supplier knowledge around specific operational challenges, redefining their participation in the energy value chain or finding new ways to engage and partner with major stakeholders and constituencies.
To reap these rewards, however, mining companies must overcome their traditionally conservative tendencies. In many cases, miners struggle to adopt technologies proven to work at other mining companies, let alone those from other industries. As a result, innovation becomes less of a technology problem and more of an adoption problem.
By breaking this mindset, mining companies can free themselves to adapt practical applications that already exist in other industries and apply them to fit their current needs. For instance, the tunnel boring machines used by civil engineers to excavate the Chunnel can vastly reduce miners’ reliance on explosives. Until recently, those machines were too large to apply in a mining setting. Some innovators, however, are now incorporating the underlying technology to build smaller machines—effectively adapting mature solutions from other industries to realize more rapid results.
Re-imagining the future
At the same time, innovation mandates companies to think in entirely new ways. Traditionally, for instance, miners have focused on extracting higher grades and achieving faster throughput by optimizing the pit, schedule, product mix and logistics. A truly innovative mindset, however, will see them adopt an entirely new design paradigm that leverages new information, mining and energy technologies to maximize value. […]
Approached in this way, innovation can drive more than cost reduction. It can help mining companies mitigate and manage risks, strengthen business models and foster more effective community and government relations. It can help mining services companies enhance their value to the industry by developing new products and services. Longer-term, it can even position organizations to move the needle on such endemic issues as corporate social responsibility, environmental performance and sustainability.
(http://www2.deloitte.com/content/dam/Deloitte/ru/Documents/energy-resources/ru_er_tracking_the_trends_2015_eng.pdf)
The word “them” in “apply them to fit” (l. 25) refers to:
TEXT 2
Innovation is the new key to survival
[…]
At its most basic, innovation presents an optimal strategy for controlling costs. Companies that have invested in such technologies as remote mining, autonomous equipment and driverless trucks and trains have reduced expenses by orders of magnitude, while simultaneously driving up productivity.
Yet, gazing towards the horizon, it is rapidly becoming clear that innovation can do much more than reduce capital intensity. Approached strategically, it also has the power to reduce people and energy intensity, while increasing mining intensity.
Capturing the learnings
The key is to think of innovation as much more than research and development (R&D) around particular processes or technologies. Companies can, in fact, innovate in multiple ways, such as leveraging supplier knowledge around specific operational challenges, redefining their participation in the energy value chain or finding new ways to engage and partner with major stakeholders and constituencies.
To reap these rewards, however, mining companies must overcome their traditionally conservative tendencies. In many cases, miners struggle to adopt technologies proven to work at other mining companies, let alone those from other industries. As a result, innovation becomes less of a technology problem and more of an adoption problem.
By breaking this mindset, mining companies can free themselves to adapt practical applications that already exist in other industries and apply them to fit their current needs. For instance, the tunnel boring machines used by civil engineers to excavate the Chunnel can vastly reduce miners’ reliance on explosives. Until recently, those machines were too large to apply in a mining setting. Some innovators, however, are now incorporating the underlying technology to build smaller machines—effectively adapting mature solutions from other industries to realize more rapid results.
Re-imagining the future
At the same time, innovation mandates companies to think in entirely new ways. Traditionally, for instance, miners have focused on extracting higher grades and achieving faster throughput by optimizing the pit, schedule, product mix and logistics. A truly innovative mindset, however, will see them adopt an entirely new design paradigm that leverages new information, mining and energy technologies to maximize value. […]
Approached in this way, innovation can drive more than cost reduction. It can help mining companies mitigate and manage risks, strengthen business models and foster more effective community and government relations. It can help mining services companies enhance their value to the industry by developing new products and services. Longer-term, it can even position organizations to move the needle on such endemic issues as corporate social responsibility, environmental performance and sustainability.
(http://www2.deloitte.com/content/dam/Deloitte/ru/Documents/energy-resources/ru_er_tracking_the_trends_2015_eng.pdf)
The fragment “To reap these rewards” (l. 17) means to:
Na figura a seguir está representado o gráfico da importância relativa dos três processos mais relevantes de interações da radiação gama e X com a matéria.
As curvas mostram os valores de número atômico Z do meio absorvedor e energia do fóton incidente no meio para os quais dois tipos de interação são igualmente prováveis.
Na figura, 1, 2 e 3 correspondem, respectivamente, às regiões onde as seguintes interações são dominantes:
Um jardineiro cercou um canteiro triangular com cada lado medindo 3,60m com dois fios horizontais de arame em volta dele.
O jardineiro tinha um rolo com 25m de arame para fazer o cercado.
Depois de realizado o trabalho a quantidade de arame que sobrou foi de:
O acervo registrado na base de dados bibliográfica da RVBI abrange as áreas das Ciências Humanas e Sociais e tem como prioridade temática a área do Direito, especificamente:
A participação de bibliotecas e as responsabilidades e obrigações do Prodasen, da biblioteca do Senado Federal e da biblioteca cooperante, na Rede de Bibliotecas Virtuais - Congresso Nacional (RVBI), estão regulados pelo Termo de:
Em termos de preservação de acervos bibliográficos, a reprodução gerada para conservar a informação registrada num suporte, que não deve ser armazenada no mesmo espaço físico que o original de onde foi reproduzida, é identificada como:
A retirada de títulos ou partes do material bibliográfico existente numa biblioteca, para fins de doação, permuta, venda ou eliminação denomina-se:
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