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最佳的固定式和移动式柴油机

机电信息（北京） 1996年第9期 31-32页

作者： gross.,H

目前,功率级在40～50kW的柴油机,其世界市场容量几乎达到14万台/年。据行家估计,到本世纪末,将会比这个数字增加15％。这种情况促成了英国的Varity Perkins和Peterborough公司与日本的Iseki发动机制造公司把这两种产品投入到该市场。... 详细信息

目前,功率级在40～50kW的柴油机,其世界市场容量几乎达到14万台/年。据行家估计,到本世纪末,将会比这个数字增加15％。这种情况促成了英国的Varity Perkins和Peterborough公司与日本的Iseki发动机制造公司把这两种产品投入到该市场。这两种发动机是专为工业动力、农业机械和建筑机械以及地面输送设备设计的。内燃机的高速发展要求人们为改进柴油机必须努力进行研究和试验工作。在这种情况下,用比较少的开发费用(6000万马克)。

关键词：柴油机固定式柴油机移动式柴油机

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Clustering of prostate cancer healthcare pathways in the French National Healthcare database

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Cancer Innovation 2023年第1期2卷 52-64页

作者： Roméo Baulain Jérémy Jové Dunia Sakr Marine gross‐Goupil Magali Rouyer Marius Puel Patrick Blin Cécile Droz‐Perroteau Régis Lassalle Nicolas H.Thurin École nationale de la statistique et de l'administrationéconomique Paris(ENSAE) Institut Polytechnique ParisPalaiseauFrance Univ.Bordeaux INSERM CIC‐P 1401Bordeaux PharmacoEpiBordeauxFrance Medical Oncology Hôpital Saint AndréCHU de BordeauxBordeauxFrance

Background:Healthcare pathways of patients with prostate cancer are heterogeneous and complex to apprehend using traditional descriptive *** and visualization methods can enhance their ***:Patients with prostate cancer in 2014 were identified in the French National Healthcare database(Système National des Données de Santé—SNDS)and their data were extracted with up to 5 years of history and 4 years of follow‐***‐one‐specific encounters constitutive of prostate cancer management were synthesized into four macro‐variables using a clustering *** values over patient follow‐ups constituted healthcare *** matching was applied to calculate distances between *** around medoids was then used to define consistent groups across four exclusive cohorts of incident prostate cancer patients:Hormone‐sensitive(HSPC),metastatic hormone‐sensitive(mHSPC),castration‐resistant(CRPC),and metastatic castration‐resistant(mCRPC).Index plots were used to represent pathways ***:The repartition of macro‐variables values—surveillance,local treatment,androgenic deprivation,and advanced treatment—appeared to be consistent with prostate cancer *** to five clusters of healthcare pathways were observed in each of the different cohorts,corresponding for most of them to relevant clinical patterns,although some heterogeneity *** instance,clustering allowed to distinguish patients undergoing active surveillance,or treated according to cancer progression risk in HSPC,and patients receiving treatment for potentially curative or palliative purposes in mHSPC and ***:Visualization methods combined with a clustering approach enabled the identification of clinically relevant patterns of prostate cancer *** of these care pathways is an essential element for the comprehension and the robust assessment of healthcare technology effectiveness.

关键词： prostate cancer healthcare pathway clustering machine learning SNDS

Planning a Patient-Centered Parkinson’s Disease Support Program: Insights from Narrative Medicine

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Advances in Parkinson's Disease 2014年第4期3卷 35-39页

作者： Nancy gross Melissa Nicolas Susan Neigher Shannon McPartland Melvyn Heyes Sandra Wrigley Roger Kurlan Humanities in Medicine Program Overlook Medical Center Atlantic Health System Summit NJ USA University of Nevada Reno NV USA Private Practice Randolph NJ USA Atlantic Neuroscience Institute Overlook Medical Center Atlantic Health System Summit NJ USA

Background: We desired relevant information from patients with Parkinson’s disease (PD) and their caregivers for help in planning a long-term support program. Methods: We compared 3 ap-proaches: 1) a standard needs assessment questionnaire, the Camberwell assessment of need in the elderly, 2) an open-ended listing of needs, and 3) participation in a narrative medicine program in which health care professionals were involved. Results: On the questionnaire, patients reported physical needs as the most important while their caregivers were more concerned about psychological needs. The open-ended listings revealed additional needs, particularly access to re-liable information about PD and to opportunities to participate in clinical research. The narrative medicine process yielded a number of new insights and proposed solutions, particularly related to the heterogeneity of needs across individuals, the importance of providing hope, and the fact that caregivers expressed that their needs had been largely neglected. Participation in the narrative medicine sessions led to an increase in measured empathy by health care professionals, an im-provement in measured depression among PD patients, but a worsening of measured depression among the caregivers. Conclusions: We have identified important needs and potential solutions to be considered in providing long-term support to patients with PD and their caregivers.

关键词： Parkinson’s Disease Support Narrative Medicine Needs

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HomeStories家具店

现代装饰 2015年第9期 138-139页

作者： Paul Yanacopoulos-gross Sophie Yanacopoulos-gross 白骐鸣 HomeStories

作为勇敢的开拓者和冒险者,Paul和Sophie在美国纽约布鲁克林蒙塔古街148号开设了他们在美国的第一间家具店。该家具店的整体灵感来自设计师对于文化遗产的理解,他们希望能够通过精心策划使文化遗产能够聚集,Paul和Sophie所运用混合设计... 详细信息

作为勇敢的开拓者和冒险者,Paul和Sophie在美国纽约布鲁克林蒙塔古街148号开设了他们在美国的第一间家具店。该家具店的整体灵感来自设计师对于文化遗产的理解,他们希望能够通过精心策划使文化遗产能够聚集,Paul和Sophie所运用混合设计的对象全部都来自于世界各地天然的柔和材料。Paul设计的空间和Sophie所想体现的风格,经过一些布鲁克林当地的最优秀的工匠的努力,展示出迷人稀疏的简约和别样美丽的生活环境。

关键词： HomeStories 布鲁克林冒险者蒙塔古混合设计玻璃器皿功能介绍家具设计最新设计自然风化

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Preference of Dogs between Two Commercially Available Oral Formulations of Ectoparasiticide Containing Isoxazolines,Afoxolaner or Fluralaner

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Open Journal of Veterinary Medicine 2015年第2期5卷 25-29页

作者： Lenaig Halos Douglas S.Carithers Ruchika Solanki Heather Stanford Sheila J.gross Merial S.A.S. LyonFrance Merial Limited DuluthUSA Summit Ridge Farms SusquehannaUSA 26 Bayberry Close PiscatawayUSA

Because of their convenience, oral dosage forms are an emerging trend in companion animal formulations. Ectoparasiticides represent a significant proportion of the treatments administered to pets, and recently oral formulations have been commercialized. They have to demonstrate high palatability to ensure that they are voluntarily accepted by the animal especially because they are repeatedly offered medications. The present study aimed to compare the dog’s preference between two commercially available oral ectoparasiticide formulations containing either afoxolaner (NexGard®, Merial) or fluralaner (Bravecto®, MSD Animal Health). In two separate experiments, 225 individual dogs (115 and 110 respectively) were offered a choice of afoxolaner or fluralaner chewable tablets. The 225 dogs were given an opportunity to smell both products, and then the products were simultaneously offered to each dog by hand for 4 consecutive days with products offered from alternate hands on each day. Individual consumption and related behaviors were recorded. The same individual offered the products to the dogs throughout each study. The total number of chewable tablets for each formulation was recorded and preference was evaluated as the consumption of a given formulation during more days. A total amount of 797 tablets were consumed by the 225 dogs during the 4 days of the studies. A total of 573 (71.9%) afoxolaner chews and 224 (28.1%) fluralaner chews were consumed voluntarily. The overall consumption ratio was 2.56 to 1 for NexGard®?to Bravecto®, with significantly (p ®?than Bravecto®?on each day. As for dogs demonstrating a preference over the entire test period;83% of the dogs tested preferred NexGard®?to Bravecto®, resulting in a preference ratio of 5 to 1 for afoxolaner formulation versus fluralaner formulation. This study demonstrated that when dogs were offered a choice between the two ectoparasiticide products, a significant preference for NexGard

关键词： Palatability Preference Oral Ectoparasiticide Treatment Compliance

Criterion for transient dislocation emission from a crack tip-shear mode

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Criterion for transient dislocation emission from a crack ti...

Effect of pneumatic compression therapy on lymph movement in lymphedema-affected extremities,as assessed by near-infrared fuorescence lymphatic imaging.

International Symposium of Young Scholars on Mechanics and Material Engineering for Science and Experiments

作者： Y.S.Wang G.Y.Huang D.gross Institute of Engineering Mechanics Northern Jiaotong UniversityBeijing 100044China Institute of Engineering Mechanics Northern Jiaotong UniversityBeijing 100044China Institute of Mechanics TU-DarmstadtHochschulstrasse 1D-64289 DarmstadtGermany

ISBN: (纸本)1880132796

＜正＞ Transient dislocation emission from a crack tip under shear deformation is analyzed. The dynamic interaction between the crack and a moving dislocation is considered. The governing equation for the dislocation motion is derived under the quasi-steady assumption. The behavior of dislocation emission is explored in detail by solving this equation numerically. An asymptotic criterion for transient dislocation emission is developed.

关键词： Fracture mechanics crack tip dislocation emission

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Journal of Innovative Optical Health Sciences 2017年第2期10卷 110-123页

作者： Melissa B.Aldrich Deborah gross John Rodney Morrow Caroline E.Fife John C.Rasmussen Center for Molecular Imaging The Brown Institute for Molecular Medicine UTHealth HoustonTexasUSA Mego Afek/Lympha Press USA Freehold New JerseyUSA CHI St.Luke's Health The Woodlands Hospital The Woodlands TexasUSA

Previous studies have shown cost effectiveness and quality-of-life benefit of pneumatic compression therapy(PCT)for lymphedema(LE).Insurers,such as the Centers for Medicare/Medicaid(CMS),however,desire visual proof that PCT moves *** infrared fuorescence lymphatic imaging(NIRFLI)was used to visualize lymphatic anatomy and function in four subjects with primary and cancer treatment-related LE of the lower extremities before,during,and after *** transparent and windowed PCT garments allowed visualization of lymph movement during single,1h PCT treatment *** revealed significant extravascular and lymphatic vascular movement of intradermally injected dye in all *** one subject with sufficient patent lymphatic vessels to allow quantification of lymph pumping velocities and frequencies,these values were significantly increased during and after PCT as compared to pre-treatment *** contractile activity in patent lymphatic vessels occurred in concert with the sequential cycling of *** visualization revealed increased lymphatic function,during and after PCT therapy,in all LE-affected *** studies are warranted to assess the effects of PCT pressure and sequences on lymph uptake and movement.

关键词： Lymphedema pneumatic compression therapy near-infrared fAuorescence

How do we manage post-OLT redundant bile duct?

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World Journal of Gastroenterology 2013年第16期19卷 2501-2506页

作者： Victor Torres Nicholas Martinez Gabriel Lee Jose Almeda Glenn gross Sandeep Patel Laura Rosenkranz Division of Gastroenterology and Nutrition Department of Medicine University of Texas Health Science Center at San Antonio Department of Pancreatic and Hepatobiliary Surgery University of Texas Health Science Center at San Antonio

AIM: To address endoscopic outcomes of post-Orthotopic liver transplantation (OLT) patients diagnosed with a "redundant bile duct" (RBD). METHODS: Medical records of patients who underwent OLT at the Liver Transplant Center, University Texas Health Science Center at San Antonio Texas were retrospectively analyzed. Patients with suspected biliary tract complications (BTC) underwent endoscopic retrograde cholangiopancreatography (ERCP). All ERCP were performed by experienced biliary endoscopist. RBD was defined as a looped, sigmoid-shaped bile duct on cholangiogram with associated cholestatic liver biomarkers. Patients with biliary T-tube placement, biliary anastomotic strictures, bile leaks, bile-duct stonessludge and suspected sphincter of oddi dysfunction were excluded. Therapy included single or multiple biliary stents with or without sphincterotomy. The incidence of RBD, the number of ERCP corrective sessions, and the type of endoscopic interventions were recorded. Successful response to endoscopic therapy was defined as resolution of RBD with normalization of associated cholestasis. Laboratory data and pertinent radiographic imaging noted included the pre-ERCP period and a follow up period of 6-12 mo after the last ERCP intervention. RESULTS: One thousand two hundred and eighty-two patient records who received OLT from 1992 through 2011 were reviewed. Two hundred and twenty-four patients underwent ERCP for suspected BTC. RBD was reported in each of the initial cholangiograms. Twentyone out of 1282 (1.6%) were identified as having RBD. There were 12 men and 9 women, average age of 59.6 years. Primary indication for ERCP was cholestatic pattern of liver associated biomarkers. Nineteen out of 21 patients underwent endoscopic therapy and 2/21 required immediate surgical intervention. In the endoscopically managed group: 65 ERCP procedures were performed with an average of 3.4 per patient and 1.1 stent per session. Fifteen out of 19 (78.9%) patients were successfully

关键词： Redundant bile duct Orthotopic liver transplantation Biliary complications Biliary stent Endoscopic retrograde cholangiopancreatography

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含铁建造的构造体系与沉积作用

地质与勘探 1984年第12期 26-32页

作者：吴克成 G.A.gross

含铁建造由各种不同的岩相所组成,而其沉积作用则同特定类型的构造体系有密切关系.尽管这些化学沉积岩石的生成并不限于任何的特定地质时代,然而厚层含铁建造仍以中前寒武纪的为多(克劳德,1973). 称为含铁建造的条带状硅铁沉积因其与(鱼... 详细信息

含铁建造由各种不同的岩相所组成,而其沉积作用则同特定类型的构造体系有密切关系.尽管这些化学沉积岩石的生成并不限于任何的特定地质时代,然而厚层含铁建造仍以中前寒武纪的为多(克劳德,1973). 称为含铁建造的条带状硅铁沉积因其与(鱼面)绿泥石-菱铁矿-粘土铁岩不同,所以在过去几十年内,成了世界很多研究者的课题,并且对它在整个地质时期内的沉积、层位及构造等方面的研究,都获得了重要进展.而今,含铁建造已被公认为是一群重要的具有特殊成矿意义的化学沉积含铁沉积物,其重要性

关键词：含铁建造阿尔戈陆架沉积构造体系构造系统大地构造苏必利尔湖沉积作用地质作用