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Pain Assessment as a Tool in Back-to-Work Rehabilitation

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Open Journal of Nursing 2015年第9期5卷 828-835页

作者： aud Moe aud evensen Karin Torvik Hildfrid V. Brataas Faculty of Health Science Nord-Tr&oslashndelag University College Steinkjer Norway

The purpose of this study was to elucidate participant experiences with a way to use pain assessment as a tool in vocational rehabilitation and see if the process is perceived to be important for the rehabilitation process in a four-week lasting rehabilitation back to work program for people with chronic pain, mental illness and fatigue symptoms. Design: A qualitative study. Purposeful typical case sampling. Semi-structured qualitative interviews with rehabilitation back to work participants were thematic content analyzed. Setting: Interviews at the end of the 4th week of rehabilitation took place at a Rehabilitation Center in Central Norway. Subjects: Six women and four men aged 23 to 57 years, suffering from chronic pain and mild mental illness symptoms. Main outcome measure: This paper describes the participants’ experiences with pain mapping in back-to-work rehabilitation, used as a tool in a rehabilitation model for people suffering from chronic pain and mild mental illness. Results: The main topic was “empowered to insights”. The results illustrate a process where mapping tools were experienced relevant in the process of growing discovery of pain and ways of pain management. Pain assessment as a joint aid for both themselves and the staff provided a clearer pain understanding. Conclusion: Mapping as own activity, and cooperation with supportive personnel showing respect for patients’ own experiences, may promote empowerment, and further motivate own efforts and progress of the rehabilitation process.

关键词： Pain Assessment Rehabilitation to Work empowerment Qualitative Research

A description of resilience for Norwegian home-living chronically ill oldest older persons

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Open Journal of Nursing 2013年第2期3卷 241-248页

作者： aud Moe Knut ekker Ingela enmarker Faculty of Health and Science Nord-Trondelag University CollegeLevangerNorway Department of Health Sciences Mid Sweden UniversitySundsvallSweden Faculty of Agricuclture and Information Technology Nord-Trondelag University CollegeSteinkjerNorway Faculty of Health Science Nord-Trondelag University CollageNamsosNorway

Background: Despite worsening health the chronically ill oldest older persons have expressed feelings of inner strength, which can be understood as resilience. The objective was to describe and compare the characteristics of resilience in two different age groups of chronically ill oldest older persons living at home and who needed help from home nursing care. Design: Cross-sectional design was used to describe and compare the resilience qualities between the two age groups. Methods: The inclusion criteria were 80 years or older, living at home with chronic disease, receiving help from home nursing care, and with the capacity to be interviewed. A sample of 120 oldest older women (n = 79) and men (n = 41) separated in two age groups, aged 80- 89 and 90+ years, participated in the study. Resilience characteristics were measured by Resilience Scale. Results: The whole group of oldest older people was vulnerable in relation to the characteristics of perseverance, self-reliance, and existential aloneness. Despite reduced physical health they reported a meaningful life, and equanimity. even if there were no significant differences between the age groups among the oldest older persons in the characteristics of Resilience Scale (RS), in the characteristic of meaning there was a tendency of interaction between age and how much help from home nursing care the participants received. Conclusions: It is important to focus on the individual aging and the risk of developing illness and disabilities rather than focusing on chronologic age. Possessing meaning in life and equanimity may be strengths to meet challenges through illness and growing older.

关键词： Chronically Ill Cross-Sectional Oldest Older Persons Resilience

Catalytically Important Residues in e. coli 1-Deoxy-D-Xylulose 5-Phosphate Synthase

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Journal of Biosciences and Medicines 2014年第4期2卷 30-35页

作者： Jordi Querol-audí Albert Boronat Josep J. Centelles Santiago Imperial Department of Biochemistry and Molecular Biology School of Biology University of Barcelona Barcelona Spain

1-deoxy-D-xylulose 5-phosphate synthase (DXS) catalyzes the initial step of the 2-C-methyl-D- erythritol 4-phosphate (MeP) pathway consisting in the condensation of (hydroxiethyl)thiamin derived from pyruvate with D-glyceraldehyde 3-phosphate (GAP) to yield 1-deoxy-D-xylulose 5-phosphate (DXP). The role of the conserved residues H49, e370, D427 and H431 of e. coli DXS was examined by site-directed mutagenesis and kinetic analysis of the purified recombinant enzyme mutants. Mutants at position H49 showed a severe reduction in their specific activities with a decrease of the kcat/KM ratio by two orders of magnitude lower than the wild-type DXS. According to available structural data residue H49 is perfectly positioned to abstract a proton from the donor substrate. Mutations in DXS e370 showed that this residue is also essential for catalytic activity. Three-dimensional structure supports its involvement in cofactor deprotonation, the first step in enzymatic thiamin catalysis. Results obtained with H431 mutant enzymes indicate that this residue plays a role contributing to transition state stabilization. Finally, mutants at position D427 also showed a severe specific activity decrease with a reduction of the kcat/KM ratio. A role in binding the substrate and selecting the stereoisomer is proposed for D427.

关键词： Active Site 1-Deoxy-D-Xylulose 5-Phosphate Synthase Isoprenoid Biosynthesis Kinetic Parameters MeP Pathway Methylerythritol Phosphate Mutagenesis

流体包裹体后期改造及其对矿床领域应用的启示

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流体包裹体后期改造及其对矿床领域应用的启示

作者：张道涵 Andreas audétat

矿物生长过程中(或生长后)捕获的流体包裹体,是研究成矿流体物理化学性质最直接、最佳的研究对象,是研究成矿流体演化过程的重要研究对象。但流体包裹体研究有一个重要理论前提,即包裹体被捕获后保持等容封闭体系。然而,已有研究表明,... 详细信息

矿物生长过程中(或生长后)捕获的流体包裹体,是研究成矿流体物理化学性质最直接、最佳的研究对象,是研究成矿流体演化过程的重要研究对象。但流体包裹体研究有一个重要理论前提,即包裹体被捕获后保持等容封闭体系。然而,已有研究表明,这一前提假设往往在很多环境下并不成立。

关键词：流体包裹体后期改造领域应用

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好主妇巧收纳

现代装饰（家居） 2014年第3期 54-59页

作者： Inga Sempe aud Julie Befring 伏平

家居杂物摆放零乱，一不小心就会弄得满地狼藉；房间里总是乱七八糟的，每隔一段时间就得花一天的功夫收拾，但是很可能第二天早上又是一团糟；没有足够的收纳空间，东西塞得满满的门部关不上……这些可能是不少主妇头疼的事。

关键词：室内装饰设计方案设计风格家居

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湍流与张力巴奴概念餐厅

室内设计与装修 2020年第9期 20-21页

作者：无 Ted Kane(Kane aud) Sanhoi Lam(Kane aud) Viviana Wang Mariarosa Doardo 陈晨吴清山(摄影) 纽约Link-arc建筑师事务所不详

巴奴概念餐厅是一个设计面积2100 m2的室内改造项目,位于河南郑州。巴奴火锅是一家新兴的餐饮企业,在中国已有56家直营店,本项目作为该企业的旗舰店,将是塑造企业形象的重要门户。“巴奴”一名取自木船航运时代的川江纤夫,他们用自己的... 详细信息

巴奴概念餐厅是一个设计面积2100 m2的室内改造项目,位于河南郑州。巴奴火锅是一家新兴的餐饮企业,在中国已有56家直营店,本项目作为该企业的旗舰店,将是塑造企业形象的重要门户。“巴奴”一名取自木船航运时代的川江纤夫,他们用自己的身体承载着川江水路的千万民生,这种在风雨里坚持向前的精神也是巴奴企业最重要的文化核心。设计师提取了有关纤夫与河流的两个重要标识,将其抽象为“湍流的空间”和“有张力的绳索”。

关键词：塑造企业形象直营店餐饮企业河南郑州旗舰店张力湍流川江

Understanding and Promoting Clinical Reasoning in Chronic and Multimorbid Conditions: A Call for GPs and Healthcare Professionals

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Health 2019年第10期11卷 1338-1346页

作者： Marie-Claude audétat Julia Sader Sarah Cairo Notari Claire Ritz Nathalie Caire Fon Hubert Maisonneuve Katherine Blondon Mathieu Nendaz UDReM (Unit of Development and Research in Medical education) Faculty of Medicine University of Geneva Geneva Switzerland UIGP (Family Medicine Unit) Faculty of Medicine University of Geneva Geneva Switzerland Family and emergency Medicine Department Faculty of Medicine Université de Montréal Montréal Canada CIS (Center of Interprofessional Simulation) Geneva Switzerland Department of Medicine Faculty of Medicine University of Geneva Geneva Switzerland.

Multimorbidity, defined as 2 or more chronic diseases, is of increasing importance for health professionals. Many factors are at play when it comes to multimorbidity, but we still know very little about how clinicians actually weigh up the different factors—medical, social, and psychological—to reach a particular course of action. Further research is therefore required to explore the ways in which clinical reasoning processes are involved in the follow up of patients suffering from multimorbidities, to highlight their potential risks of errors. A better understanding of these clinical processes will also enrich supervision of trainees and collaboration between healthcare professionals involved in primary care.

关键词： Clinical Reasoning Primary Care Multimorbidity Supervision

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波浪爬高随消波平台宽度变化的一种现象

海岸工程 1989年第2期8卷 42-45页

作者：陈来华浙江省河口海岸研究所

笔者在水槽中用带平台的复坡式海堤进行断面要素和堤前波要素对波浪爬高影响的试验中,发现在某些条件下,随平台加宽,波浪爬高起先减小,然后增加,接着又减小。在试验范围内,增加的数值已达到0.41米。就笔者接触到的文献中,均未提及这一现... 详细信息

笔者在水槽中用带平台的复坡式海堤进行断面要素和堤前波要素对波浪爬高影响的试验中,发现在某些条件下,随平台加宽,波浪爬高起先减小,然后增加,接着又减小。在试验范围内,增加的数值已达到0.41米。就笔者接触到的文献中,均未提及这一现象,现有的波浪爬高计算公式中也未予考虑,如果忽视,可能会对海堤工程的安全产生不良后果。

关键词：波浪爬高消波平台宽度

早期的硫化物饱和并不妨碍斑岩Cu-Au矿的形成

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矿物岩石地球化学通报 2020年第3期39卷 575-575页

作者： Du J G audétat A 袁超(编译) 不详

斑岩型铜(金和钼)矿床提供了世界上约75%的Cu、50%的Mo和20%的Au的产量。该类型矿床通常与汇聚板块边缘的下地壳以及中性火山-侵入岩浆体系相关。然而,尽管经过近十年的研究,目前对造成富矿岩浆体系和贫矿岩浆体系的控制因素仍然不完全... 详细信息

斑岩型铜(金和钼)矿床提供了世界上约75%的Cu、50%的Mo和20%的Au的产量。该类型矿床通常与汇聚板块边缘的下地壳以及中性火山-侵入岩浆体系相关。然而,尽管经过近十年的研究,目前对造成富矿岩浆体系和贫矿岩浆体系的控制因素仍然不完全清楚。一些研究认为,富矿岩浆比贫瘠岩浆更加富集金属成矿元素,而另一些研究则指出,斑岩型铜矿可以通过正常岩浆形成,并指出岩浆的硫含量、氧逸度、水含量或者上地壳岩浆房的规模都能决定其成矿。

关键词：斑岩型铜矿成矿元素岩浆房氧逸度岩浆形成板块边缘岩浆体系硫化物饱和