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Trò chơi nhỏ: Một thế giới trò chơi mở rộng tầm mắt
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Se�or asociado: copia de los oficios circulares giradospor la CNA y del procedimiento para aplicar el ajuste de los costos est�n a sudisposici�n para consulta en la Direcci�n T�cnica de Oficinas Centrales CMIC.Oficio Circular No. BOO.03.03.108/98Asunto: se autorizan ajustes de costos para zonade riego, canal ppal. y estructuras que incluye, cemento, acero de refuerzo y los acarreosal periodo dic.97-jun 98. Ajuste de Costos para Obra CivilAjuste de Costos para Obra Civil1. Zona de riego con revestimiento de concreto en canal. Incluye cemento y los acarreos sin estructuras ENE.98 FEB.MRZ.ABR.MAY.JUN.JUL.AGO.SEPOCT.1/13 NOV14/30 NOV1�/2 DIC.3/31 DIC.98DIC. 973,454,876,377,418,118,598.7810.6915.1717.0616.9418.5718.6421.31ENE. 98 1,372,823,834,504,975.167.0011.3310.1013.0414.6114.6817.26FEB. 98 1,432,423,093,553.735.569.8411.6411.5313.0813.1515.69MRZ. 98 0,981,642.092.274.078.2810.069.9511.4711.5414.05ABR. 98 0,651,101.273.067.238.998.8810.3910.4612.94MAY. 98 0,450.622.396.548.298.189.689.7512.22JUN.98 0.171.936.067.807.699.199.2511.71JUL.98 1.765.887.627.519.009.0711.52AGO.98 4.055.765.657.127.189.60SEP.98 1.641.542.953.015.33OCT 98 -0.101.291.353.631/13 NOV. 98 1.391.453.7314/30,NOV. 0.062.311�/2,DIC. 2.252. Canal principal con revestimiento deconcreto en canal incluye cemento y los acarreos sin estructuras. ENE.98 FEB.MRZ.ABR.MAY.JUN.JUL.AGOSEP.OCT.1/13 NOV14/30 NOV1�/2 DIC.3/31 DIC.98DIC. 973,464,896,417,448,148,638.8110.7315.2317.1217.0018.6418.7121.38ENE. 98 1,382,853,854,524,995.177.0211.3713.2013.0814.6714.7417.32FEB. 98 1,452,433,103,563.745.579.8611.6611.5513.1113.1815.73MRZ. 98 0,971,632.082.264.068.2810.069.9511.4811.5514.06ABR. 98 0,651,101.273.007.249.008.8910.4110.4812.97MAY. 98 0,450.622.396……
¿Cuál de las siguientes afirmaciones no es característica jun98 de la leucemia linfática crónica B en alguno de sus estadios? Dic 01/Sep03 Hipogammaglobulinemia Inmunoglobulina IgM en la superficie celular Componente monoclonal en suero Inmunoglobulinas de superficie policlonales Inmunoglobulina IgD.¿Cuál es el patrón inmunofenotípico característico de la leucemia linfática crónica B? Jun98/Dic99/Jun03 Expresión fuerte de IgS y positividad para CD10 y CD20 Expresión débil de IgS y positividad para CD20, CD5 y CD23 Positividad para CD5, CD7 y CD4 Positividad para CD10, CD20 y CD79 Expresión débil de IGs, Ig citoplasmática y positividad para CD20.¿Cuáles de las siguientes situaciones puede asociarse en un paciente con LLC? Jun98,Dic99,Dic02 Anemia hemolítica o trombopenia autoinmune Asociación a 2ª neoplasia Eritroblastopenia selectiva Evolución a sídnrome de Richter Todos los anteriores.Si un paciente diagnosticado de leucemia linfática crónica presenta al diagnóstico adenopatías cervicales, axilares e inguinales, anemia (8 gr/dl) con hemólisis inmune, linfocitosis (25 x 109/L) e infiltración de médula (60%), ¿en qué estadio de la clasificación de Rai se encuentra? Jun.98/ Jun.00/Dic02 0 I III IV II.¿Cuál es la alteración citogenética más frecuente en la leucemia linfática crónica? Dic.98/ Jun.00/Dic02/Sep03 t(9;22) t(14;18) t(2;5) t(8;14) Trisomía 12.Indique cuál de estos patrones histológicos de médula ósea implica peor pronóstico en la leucemia linfática crónica: Dic.98 / Sept.00/Jun03 Difuso Nodular Mixto Intersticial Reticular.Señale cuál de los siguientes signos define el estadio C de la leucemia linfática crónica: Dic.98 / Dic.00/jun07/Sept 07 Adenopatías a ambos lados del diafragma Adenopatías en mediastino Espleno-hepatomegalia Trombopenia inferior a 100.00 / ul Linfocitosis superior a 100.00/ul.De los siguientes síndromes linfoproliferativos, ¿cuál se presenta con mayor afectación cutánea? : Dic.98/ Dic.99 Leucemia linfática crónica Linfoma centrocítico Síndrome de Sézary Leucemia prolinfocítica Tricoleucemia.Todos estos procesos son neoplasias de células B, excepto: Dic.98/ Jun.01/Jun03 Mieloma múltiple Macroglobulinemia primaria Linfomas foliculares Tricoleucemia Sí……
Other Stages Christopher Boardman (GAN), won the 15.4 kms ITT todayand showed his superiority in this discipline. The worldhour record holder sizzled the technically complexroute and also endured strong winds over the secondhalf of the race. He kept the leader’s jersey for anotherday as a consequence. Spaniard Luis Pérez wasthe revelation of the day, marking at time of 22.22minutes, which many specialists were not able toimprove.The other surprise of the day was the visit by the UCI‘Vampires’ in their hunt for high hematocrit countsand Spaniard Garmendia (Banesto) got caught with acount higher than allowed, taking his license andtherefore not being able to ride the time trial.Tomorrow’s Sixth stage starts in the Winter Resort ofBoi Taull and will cover 180 kms through the climbs ofComiols (Cat 2), Montllobar (3) & Boi Taull, where thefinish will be located,a ategory one with up to 12%slopes.After the time trial Boardman commented that he feltthat he had reached his goal for the race: “Thelogical thing happened for the time trial and also myobjective, which was no other than to win the two timetrials and wear the leader’s jersey at the start ofthe race”. He added: “It’s almost a carbon copy oflast year’s edition, where I also won the two timetrials and was the overall leader for many days andeven held on for a mountain stage”. Boardman said thatthe good thing about his results was that he is inform to accomplish one of his objectives for theseason: the first maillot jaune at the Tour de France.Ten of the sixteen teams participating in Cataluña,were fined today 20.000 pesetas each ($US128.00).These teams used the time trial course for warming up,outside of the time alloted by the judges. The teamsfined were: Estepona Brepac, Kelme Costa Blanca,Banesto, Once Deutsche Bank, Vitalicio Seguros; USPostal, Mercatone Uno, Mapei, Saeco and Telekom. 1. BOARDMAN, ChristopherGBRGAN 21.38 (49.92) 2. OLANO, Abraham ESPBANESTO 0.17 3. VELO, Marco ITAMERCATONE-UNO-BIANCH0.25 4. DOMINGUEZ, Juan Carlos ESPVITALICIO SEGUROS0.30 5. MAURI, Melchor ESPONCE-DEUTSCHE BANK 0.39 6. PEREZ, Luis ESPON……
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