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Supportive care in transplantation: A patient-centered care model to better support kidney transplant candidates and recipients

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World Journal of Transplantation 2024年第4期14卷 15-28页

作者： Anita Slominska Katya Loban elizabeth anne Kinsella Julie Ho Shaifali Sandal MEDIC Program Research Institute of the McGill University Health CentreMontreal H4A3J1QCCanada Institute of Health Sciences Education Faculty of Medicine and Health SciencesMcGill UniversityMontreal H4A3J1QCCanada Department of Medicine University of ManitobaWinnipeg R3A1R9MBCanada Department of Medicine McGill University Health CentreMontreal H4A3J1QCCanada

Kidney transplantation(KT),although the best treatment option for eligible patients,entails maintaining and adhering to a life-long treatment regimen of medications,lifestyle changes,self-care,and *** patients experience uncertain outcome trajectories increasing their vulnerability and symptom burden and generating complex care *** when transplants are successful,for some patients the adjustment to life post-transplant can be challenging and psychological difficulties,economic challenges and social isola-tion have been *** 50%of patients lose their transplant within 10 years and must return to dialysis or pursue another transplant or conservative *** paper documents the complicated journey patients undertake before and after KT and outlines some initiatives aimed at improving patient-centered care in transplantation.A more cohesive approach to care that borrows its philosophical approach from the established field of supportive oncology may improve patient experiences and *** propose the"supportive care in transplantation"care model to operationalize a patient-centered approach in *** model can build on other ongoing initiatives of other scholars and researchers and can help advance patient-centered care through the entire care continuum of kidney transplant recipients and ***-dimensionality,multi-disciplinarity and evidence-based approaches are proposed as other key tenets of this care *** conclude by proposing the potential advantages of this approach to patients and healthcare *** Tip:Kidney transplant recipients and candidates face several uncertainties in their care journey and have several expressed unmet healthcare *** recommend a structured and comprehensive approach to transplant care across the entire continuum of a transplant patient’s journey similar to what has been developed in the field of *** supportive care in transplantation model can operational

关键词： Supportive care Kidney transplantation Death Graft failure Adverse outcomes Kidney transplant recipients

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Science Fiction as a Manifestation of Culture in America

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外国文学研究 2005年第6期27卷 41-47页

作者： elizabeth anne Hull William Rainey Harper College USA

Culture is broadly viewed as all the human activities that define us as a species. ″Sturgeon’s Law″ (that 90% of everything is inferior) is introduced to defend the study of fiction, and science fiction in particular, in higher education as a way of understanding ourselves better, and perhaps improving the world through the increased understanding of tomorrow’s leaders. Several ways of reading particular works of science fiction are examined, like providing historical contexts for readers, close reading and structural analysis, and application of theories based on particular ideologies or from other disciplines in the social and political sciences (such as feminist theory, Marxist theory, psychological theory, etc.). A conclusion is drawn that for literary analysis, a hybrid methodology, one devised individually for each text, works best.

关键词：科学小说美国文学研究文化背景

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Machu *** Lost City of Incas

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英语画刊（高三·社会综合版） 2010年第11期 30-31页

作者： anne elizabeth Eaves

马丘比丘是南美洲最重要的考古发掘中心，也是秘鲁最爱欢迎的旅游景点。由于独特的位置、地理特点和较晚的发现时间，马丘比丘成了印加帝国最为人所熟悉的标志。1983年马丘比丘被联合国教科文组织定为世界遗产，是世界上为数不多的文化... 详细信息

马丘比丘是南美洲最重要的考古发掘中心，也是秘鲁最爱欢迎的旅游景点。由于独特的位置、地理特点和较晚的发现时间，马丘比丘成了印加帝国最为人所熟悉的标志。1983年马丘比丘被联合国教科文组织定为世界遗产，是世界上为数不多的文化与自然双重遗产之一。

关键词：高中英语课外阅读阅读材料

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Evidence for niche differentiation of nitrifying communities in grassland soils after 44 years of different field fertilization scenarios

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Pedosphere 2020年第1期30卷 87-97页

作者： Zhongjun JIA Xue ZHOU Weiwei XIA Dario FORNARA Baozhan WANG elizabeth anne WASSON Peter CHRISTIE Martin F.POLZ David D.MYROLD State Key Laboratory of Soil and Sustainable Agriculture Institute of Soil ScienceChinese Academy of SciencesNanjing 210008(China) State Key Laboratory of Hydrology-Water Resources and Hydraulic Engineering Hohai UniversityNanjing 210098(China) Jiangsu Key Laboratory of Agricultural Meteorology College of Applied MeteorologyNanjing University of Information Science and TechnologyNanjing 210044(China Agri-Food and Biosciences Institute Belfast BT95PX(UK) Department of Civil and Environmental Engineering Massachusetts Institute of TechnologyCambridge MA 02139(USA) Department of Crop and Soil Science Oregon State UniversityCorvallis OR 97331(USA)

Long-term nitrogen(N)fertilization imposes strong selection on nitrifying communities in agricultural soil,but how a progressively changing niche affects potentially active nitrifiers in the field remains poorly *** a 44-year grassland fertilization experiment,we investigated community shifts of active nitrifiers by DNA-based stable isotope probing(SIP)of field soils that received no fertilization(CK),high levels of organic cattle manure(HC),and chemical N fertilization(CF).Incubation of DNA-SIP microcosms showed significant nitrification activities in CF and HC soils,whereas no activity occurred in CK *** 44 years of inorganic N fertilization selected only 13C-ammonia-oxidizing bacteria(AOB),whereas cattle slurry applications created a niche in which both ammonia-oxidizing archaea(AOA)and AOB could be *** analysis indicated that Nitrosospira sp.62-like AOB dominated inorganically fertilized CF soils,while Nitrosospira sp.41-like AOB were abundant in organically fertilized HC *** 13C-AOA in HC soils were affiliated with the 29i4 *** 13C-nitrite-oxidizing bacteria(NOB)were dominated by both Nitrospira-and Nitrobacter-like communities in CF soils,and the latter was overwhelmingly abundant in HC *** 13C-labeled nitrifying communities in SIP microcosms of CF and HC soils were largely similar to those predominant under field *** results provide direct evidence for a strong selection of distinctly active nitrifiers after 44 years of different fertilization regimes in the *** findings imply that niche differentiation of nitrifying communities could be assessed as a net result of microbial adaption over 44 years to inorganic and organic N fertilization in the field,where distinct nitrifiers have been shaped by intensified anthropogenic N input.

关键词： ammonia-oxidizing archaea ammonia-oxidizing bacteria community shift long-term fertilization nitrite-oxidizing bacteria nitrogen enrichment stable isotope probing microcosm

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歌曲教学法在汉语夏令营中的应用研究 ——以美国康科迪亚语言村为例

歌曲教学法在汉语夏令营中的应用研究 ...

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作者： anne elizabeth Triest（林忆安）厦门大学

学位级别：硕士

在第二语言教学中运用歌曲已经得到了广泛的认可,但是关于具体怎么在语言教学中应用歌曲的教学模式很有限,而且关于在语言夏令营中运用歌曲的研究非常少。本文最突出的创新之处在于,在对外汉语教学中的歌曲教学这个已经有丰富的研究的... 详细信息

在第二语言教学中运用歌曲已经得到了广泛的认可,但是关于具体怎么在语言教学中应用歌曲的教学模式很有限,而且关于在语言夏令营中运用歌曲的研究非常少。本文最突出的创新之处在于,在对外汉语教学中的歌曲教学这个已经有丰富的研究的领域的范围内,研究一种尚未被研究过的教学环境,即国外青少年汉语夏令营,和发源于或适合这种环境的歌曲教学模式。本文的研究对象是美国康科迪亚语言村的汉语村夏令营,“森林湖”,中歌曲教学的运用,特别是日常生活中的大型集体唱歌活动。具体的研究内容是本夏令营歌曲教学模式的特点、怎样评价理解歌词的重要性、和在夏令营教歌词意思的最好方式。本文回答这三个方面的研究问题将先从理论方面和文献分析法入手,然后再用实证研究。在考虑实证研究的可行性的前提下,笔者进行规模较小的教学案例分析和规模较大的问卷调查。关于夏令营歌曲教学模式的特点的发现包括:本夏令营的歌曲教学模式是北美夏令营的传统唱歌活动与第二语言教学法的结合;跟课堂上的歌曲教学比较,夏令营的集体唱歌活动更有降低情感过滤器的作用;还有集体唱歌活动特别适合夏令营的教学条件。对于怎么判断对歌词理解的重要性的问题,本文结合可理解输入、学习动机、和其它情感因素的理论和实事进行分析,得出的结论是:为了充分挖掘夏令营常用歌曲的潜力,歌词内容的教学是非常重要的,但是,第一次唱歌时就教全部歌词的意思是不必要的,在学生还听不懂歌曲的时候,参与夏令营唱歌活动其实还起到较大的作用。至于在夏令营里怎么教歌词的意思的问题,文本分析把夏令营的常用歌曲跟任务型教学法和TPRS教学法结合起来的例子,也提出关于教学场合与方法、歌曲的选择、和教材编写与应用的具体建议。本文对于组织汉语夏令营或在汉语夏令营工作的老师有很大的应用价值,也可以给在学校里进行课堂教学的老师提供一些启示。

关键词：汉语教学歌曲教学夏令营

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如何在酷暑中自我冷却

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环球科学 2024年第9期 15-15页

作者：伊丽莎白·安妮·布朗赵欢(译) 不详

盛夏时节,西班牙南部的景观可以说是一片“酥脆”。无情的烈日下,青草变成了枯黄的干草,几乎所有的绿植都枯萎而死,除了那簇生的名为Carlina corymbosa的刺苞菊,它们还开着不起眼的小黄花,着实令人惊讶。事实是,每年八月,在西班牙大部... 详细信息

盛夏时节,西班牙南部的景观可以说是一片“酥脆”。无情的烈日下,青草变成了枯黄的干草,几乎所有的绿植都枯萎而死,除了那簇生的名为Carlina corymbosa的刺苞菊,它们还开着不起眼的小黄花,着实令人惊讶。事实是,每年八月,在西班牙大部分干旱的地中海地区,这种刺苞菊是唯一会开花的植物,因而成为了当地蜜蜂和其他传粉昆虫采蜜的唯一蜜源。

关键词：地中海地区传粉昆虫蜜蜂蜜源小黄花干草西班牙

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