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designing a medical ethics curriculum in ophthalmology

Annals of Eye Science 2024年第1期9卷 4-9页

作者： matthew d.Gearinger Flaum Eye Institute University of Rochester Medical CenterRochesterNYUSA

Ethical principles form a bedrock to medical practice in any specialty,guiding physicians to appropriate attitudes and behaviors.A formal ethics curriculum can be difficult to generate de novo in an ophthalmology training program.A number of barriers exist in most ophthalmology departments:trainees may think ethics is of secondary importance compared to core basic and clinical science topics;most ophthalmology faculty have no formal degree in medical ethics;there is limited didactic time with competing academic,clinical,and surgical priorities;work-hours regulations may limit the time available to deliver“para-professional”lectures;and there is a belief that the medical ethics lectures during medical school is a sufficient amount of coursework to last through a physician’s career with no need for continuing professional *** four pillars of medical ethics are beneficence,non-maleficence,autonomy,and *** addition,morals,ethics,and professionalism are important aspects of sound medical practice.A curriculum specific to medical ethics in ophthalmology can be developed in any of our sub-specialties and include lectures,curated readings,case rounds,and clinic wrap-up *** considerations are part of everyday clinical practice,and a structured ethics curriculum can be incorporated into ophthalmology training *** concept of backward design can be used to structure the curriculum,starting with the expected outcome,then designing authentic assessments,and finally putting together a learning plan that has students actively involved in ethical *** paper will provide a guide to developing an ethics curriculum for an ophthalmology training program utilizing the concept of backwards design and guide the reader through the process of developing expected learning outcomes,authentic assessments,and a unified learning plan.

关键词： Medical ethics curriculum design medical education

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降低日粮粗蛋白并添加单体氨基酸对断奶——育肥猪生长性能和营养排泄的影响(下)

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猪业科学 2022年第12期39卷 18-20页

作者：何颖朱威力(编译) Caitlin E.Vonderohe Kayla M.Mills Shule Liu matthew d.asmus Emily R.Otto-Tice Brian T.Richert Ji-Qin Ni John Scott Radcliffe 重庆工商大学长江上游经济研究中心重庆400067 焦作禾丰饲料有限公司河南焦作454584 不详

综合来看,在生长第2阶段(d84)结束之前,NH3排放量无显著差异(P>0.05),其中饲喂对照组日粮的猪只每头排放的NH_(3)总量高于2X组,而IX组排放量介于二者之间(P<0.05)。在生长第3阶段,饲喂2X组日粮的猪只相较于对照组继续产生更少NH_(3)累积... 详细信息

综合来看,在生长第2阶段(d84)结束之前,NH3排放量无显著差异(P>0.05),其中饲喂对照组日粮的猪只每头排放的NH_(3)总量高于2X组,而IX组排放量介于二者之间(P<0.05)。在生长第3阶段,饲喂2X组日粮的猪只相较于对照组继续产生更少NH_(3)累积量,而IX组介于二者之间(P=0.0057)。

关键词：猪生长性能日粮粗蛋白累积量

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Chemical-assisted MMP reduction on methane-oil systems:Implications for natural gas injection to enhanced oil recovery

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Petroleum 2024年第1期10卷 101-108页

作者： Mohamed Almobarak matthew B.Myers Colin d.Wood Yongbing Liu Ali Saeedi Quan Xie discipline of Petroleum Engineering WA School of Mines: Minerals Energy and Chemical Engineering Curtin University Commonwealth Scientific and Industrial Research Organization Curtin University Oil and Gas Innovation Centre Management State Key Laboratory of Oil and Gas Reservoir Geology and Exploitation

Miscible natural gas injection is widely considered as a practical and efficient enhanced oil recovery technique. However, the main challenge in this process is the high minimum miscibility pressure（MMP）between natural gas and crude oil, which limits its application and recovery factor, especially in hightemperature reservoirs. Therefore, we present a novel investigation to quantify the effect of chemicalassisted MMP reduction on the oil recovery factor. Firstly, we measured the interfacial tension（IFT） of the methane-oil system in the presence of chemical or CO2to calculate the MMP reduction at a constant temperature（373K） using the vanishing interfacial tension（VIT） method. Afterwards, we performed three coreflooding experiments to quantify the effect of MMP reduction on the oil recovery factor under different injection *** interfacial tension measurements show that adding a small fraction（1.5 wt%） of the tested surfactant（SOLOTERRA ME-6） achieved 9% of MMP reduction, while adding 20 wt% of CO2to the methane yields 13% of MMP reduction. Then, the coreflooding results highlight the significance of achieving miscibility during gas injection, as the ultimate recovery factor increased from 65.5% under immiscible conditions to 77.2% using chemical-assisted methane, and to 79% using gas mixture after achieving near miscible condition. The results demonstrate the promising potential of the MMP reduction to significantly increase the oil recovery factor during gas injection. Furthermore, these results will likely expand the application envelop of the miscible gas injection, in addition to the environmental benefits of utilizing the produced gas by re-injection/recycling instead of flaring which contributes to reducing the greenhouse gas emissions.

关键词： Gas injection Enhanced oil recovery Miscibility Coreflooding

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Water quality, habitat, and fish assemblage relationships in middle-order agriculture and forest streams of the Mississippi Alluvial Plain

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Ecological Processes 2024年第1期13卷 217-236页

作者： matthew L.Skoog Michael A.Eggleton Yushun Chen department of Aquaculture and Fisheries University of Arkansas at Pine Bluff Minnesota department of Natural Resources State Key Laboratory of Freshwater Ecology and Biotechnology Institute of Hydrobiology Chinese Academy of Sciences University of Chinese Academy of Sciences

Background Agriculture has greatly influenced water quality, habitats, and fish assemblages in streams of the Mississippi Alluvial Plain(MAP) ecoregion. However, MAP streams have historically been understudied compared to streams in other agricultural regions of the USA. In this study, water quality, habitat, and fish assemblage composition were assessed seasonally(spring, summer, and fall) in eight representative MAP streams located across three U.S. states. The study design included four streams containing highly agricultural watersheds(herein termed “agriculture” streams) and four streams containing mostly forested watersheds(herein termed “forest” streams), which were intended to represent reference conditions for MAP *** In general, forest streams contained significantly better instream and riparian habitats than agriculture streams(P = 0.010–0.040) whereas agriculture streams contained significantly greater levels of primary nutrients(P differences between agriculture and forest streams with respect to other physical and chemical variables were intermittent and season dependent. Fish assemblages in agriculture and forest streams were structured primarily along an environmental gradient reflecting instream habitat conditions, water nutrient concentrations, and benthic chlorophyll-a production. Structurally, fish assemblages in both stream types contained many regionally common species, though some species appeared to exhibit affinities for a particular stream type. Functionally, fish assemblages in agriculture streams contained more tolerant species, more omnivores, and fewer insectivores compared to forest stream assemblages, which were nearly all insectivores. Overall, one-third of the fish specimens collected in forest streams classified as intolerant *** Our results suggested that stream water quality, habitat, and fish assemblages differed between agriculture and forest streams in the MAP, with fish assemblages e

关键词： Agriculture Stream Land use Water quality Habitat Fish Multivariate statistics Mississippi Alluvial Plain

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A three-dimensional feature extraction-based method for coal cleat characterization using X-ray μCT and its application to a Bowen Basin coal specimen

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第1期16卷 153-166页

作者： Yulai Zhang matthew Tsang Mark Knackstedt Michael Turner Shane Latham Euan Macaulay Rhys Pitchers ARC Training Centre for M3d Innovation Research School of PhysicsAustralian National UniversityCanberraACT2601Australia department of Materials Physics Research School of PhysicsAustralian National UniversityCanberraACT2601Australia Anglo American Steelmaking Coal BrisbaneQLD4000Australia SCT Operations Pty Ltd. WollongongNSW2500Australia

Cleats are the dominant micro-fracture network controlling the macro-mechanical behavior of *** understanding of the spatial characteristics of cleat networks is therefore important to the coal mining *** fracture networks(dFNs)are increasingly used in engineering analyses to spatially model fractures at various *** reliability of coal dFNs largely depends on the confidence in the input cleat *** of these parameters can be made from image-based three-dimensional(3d)characterization of coal cleats using X-ray micro-computed tomography(m CT).One key step in this process,after cleat extraction,is the separation of individual cleats,without which the cleats are a connected network and statistics for different cleat sets cannot be *** this paper,a feature extraction-based image processing method is introduced to identify and separate distinct cleat groups from 3d X-ray m CT ***(filters)representing explicit cleat features of coal are built and cleat separation is successfully achieved by convolutional operations on 3d coal *** new method is applied to a coal specimen with 80 mm in diameter and 100 mm in length acquired from an Anglo American Steelmaking Coal mine in the Bowen Basin,Queensland,*** is demonstrated that the new method produces reliable cleat separation capable of defining individual cleats and preserving 3d topology after ***-parallel fractures are also identified and separated,which has his-torically been challenging to delineate and rarely reported.A variety of cleat/fracture statistics is measured which not only can quantitatively characterize the cleat/fracture system but also can be used for dFN ***,variability and heterogeneity with respect to the core axis are *** heterogeneity is observed and suggests that the representative elementary volume(REV)of the cleat groups for engineering purposes may be a complex problem requ

关键词： Cleat separation Cleat statistics Feature extraction discrete fracture network(dFN)modeling

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Simultaneous detection of flare-associated kink oscillations and extreme-ultraviolet waves

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Science China(Technological Sciences) 2024年第5期67卷 1592-1601页

作者： LI dong HOU ZhenYong BAI XianYong LI Chuan FANG matthew ZHAO HaiSheng WANG JinCheng NING ZongJun Key Laboratory of dark Matter and Space Astronomy Purple Mountain ObservatoryChinese Academy of SciencesNanjing210023China Yunnan Key Laboratory of the Solar Physics and Space Science Kunming650216China School of Earth and Space Sciences Peking UniversityBeijing100871China National Astronomical Observatories Chinese Academy of SciencesBeijing100101China School of Astronomy and Space Science University of Chinese Academy of SciencesBeijing100049China School of Astronomy and Space Science Nanjing UniversityNanjing210023China Key Laboratory of Modern Astronomy and Astrophysics Ministry of EducationNanjing UniversityNanjing210023China Columbus Academy GahannaOhio43230USA Key Laboratory of Particle Astrophysics Institute of High Energy PhysicsChinese Academy of SciencesBeijing100049China Yunnan Observatories Chinese Academy of SciencesKunming650216China

Kink oscillations,which are frequently observed in coronal loops and prominences,are often accompanied by extreme-ultraviolet(EUV)***,much more needs to be explored regarding the causal relationships between kink oscillations and EUV *** this article,we report the simultaneous detection of kink oscillations and EUV waves that are both associated with an X2.1 flare on 2023 March 03(SOL2023-03-03T17:39).The kink oscillations,which are almost perpendicular to the axes of loop-like structures,are observed in three coronal loops and one *** short loop shows in-phase oscillation within the same period of 5.2 min at three *** oscillation could be triggered by the pushing of an expanding loop and interpreted as the standing kink *** lags are found between the kink oscillations of the short loop and two long loops,suggesting that the kink wave travels in different *** kink oscillations of one long loop and the prominence are possibly driven by the disturbance of the coronal mass ejection(CME),and that of another long loop might be attributed to the interaction of the EUV *** onset time of the kink oscillation of the short loop is nearly same as the beginning of an EUV *** fact demonstrates that they are almost *** EUV wave is most likely excited by the expanding loop structure and shows two *** leading component is a fast coronal wave,and the trailing one could be due to the stretching magnetic field lines.

关键词： coronal loops solar flares solar prominence solar oscillations extreme-ultraviolet wave magnetohydrodynamic

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Boosting the catalytic activity toward oxygen reduction via a heterostructure of porous iron oxide-decorated 2d NiO/NG nanosheets

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Journal of Energy Chemistry 2024年第6期93卷 669-681,I0016页

作者： Kakali Maiti matthew T.Curnan Hyung Jun Kim Kyeounghak Kim Jeong Woo Han department of Chemical Engineering Pohang University of Science and Technology(POSTECH)PohangGyeongbuk 37673Republic of Korea department of Materials Science and Engineering Research Institute of Advanced MaterialsSeoul National UniversitySeoul 08826Republic of Korea department of Chemical Engineering Clean-Energy Research InstituteHanyang UniversitySeoul 04763Republic of Korea CSIR-Institute of Minerals and Materials Technology RRL CampusAcharya ViharBhubaneswarOdisha 751013India

As a noble metal substitute,two-dimensional(2d)hierarchical nano-frame structures have attracted great interest as candidate catalysts due to their remarkable advantages-high intrinsic activity,high electron mobility,and straightforward surface ***,they may replace Pt-based catalysts in oxygen reduction reaction(ORR)***,a simple method is developed to design hierarchical nano-frame structures assembled via 2d NiO and N-doped graphene(NG)*** procedure can yield nanostructures that satisfy the criteria correlated with improved electrocatalytic performance,such as large surface area,numerous undercoordinated atoms,and high defect ***,porous NG nanosheet architectures,featuring NiO nanosheets densely coordinated with accessible holey Fe_(2)O_(3) moieties,can enhance mesoporosity and balance *** improvements can facilitate charge transport and expose formerly inaccessible reaction sites,maximizing active site density *** functional theory(dFT)calculations reveal favored O_(2) adsorption and dissociation on Fe_(2)O_(3) hybrid structures when supported by 2d NiO and NG nanomaterials,given 2d materials donated charge to Fe_(2)O_(3) active *** systematic studies reveal that synergistic contributions are responsible for enriching the catalytic activity of Fe_(2)O_(3)@NiO/NG in alkaline media-encompassing internal voids and pores,unique hierarchical support structures,and concentrated N-dopant and bimetallic atomic ***,this work expands the toolbox for designing and synthesizing highly efficient 2d/2d shelled functional nanomaterials with transition metals,endeavoring to benefit energy conversion and related ORR applications.

关键词： N-doped graphene Holey Fe_(2)O_(3)nanocrystals NiO nanosheets High catalytic performance ORR

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Management of early oesophageal cancer:An overview

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World Journal of Gastrointestinal Surgery 2024年第5期16卷 1255-1258页

作者： Gavin G Calpin matthew G davey Noel E donlon department of Surgery Royal College of Surgeons in IrelandDublin D2Ireland department of Upper Gastrointestinal Surgery Beaumont HospitalDublin D09V2N0Ireland

The incidence of esophageal cancer,namely the adenocarcinoma subtype,continues to increase exponentially on an annual *** indolent nature of the disease renders a significant proportion inoperable at first presentation,however,with the increased utilisation of endoscopy,many early lesions are now being identified which are suitable for endotherapeutic *** article details the options available for dealing with early esophageal cancer by endoscopic mean obviating the need for surgery thereby avoiding the potential morbidity and mortality of such intervention.

关键词： Esophageal cancer Endotherapy Endoscopic submucosal resection Endoscopic mucosal resection Endoscopy

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Are there sex-based disparities in cataract surgery?

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International Journal of Ophthalmology(English edition) 2024年第1期17卷 137-143页

作者： matthew d.Geiger Anne M.Lynch Alan G.Palestine Nathan C.Grove Karen L.Christopher Richard S.davidson Michael J.Taravella Naresh Mandava Jennifer L.Patnaik department of Ophthalmology University of Colorado School of MedicineAuroraCO 80045USA

AIM:To investigate sex-based differences in the occurrence of intra-operative and post-operative complications and associated visual outcomes following cataract ***:This was a retrospective study of patients who had phacoemulsification cataract surgery at the University of Colorado School of *** collected included the patient’s health history,ocular comorbidities,operative and post-operative complications,and the post-operative best corrected visual acuity(BCVA).The data were analyzed using univariate and multivariable logistic regression with generalized estimating equations to account for the correlation of some patients having two eyes included in the ***:A total of 11977 eyes from 7253 patients were included in the *** comorbidities differed by sex,with males having significantly higher percentages of traumatic cataracts(males 0.7%vs females 0.1%),prior ocular surgery(6.7%vs 5.5%),and mature cataracts(2.8%vs 1.9%).Conversely,females had significantly higher rates of pseudoexfoliation(2.0%vs 3.2%).In unadjusted analysis,males had higher rates of posterior capsular rupture(0.8%vs 0.4%)and vitreous loss(1.0%vs 0.6%),but this difference was not significant after adjustment for *** had a significantly increased risk of post-operative retinal detachment,but in multivariable analysis this was no longer *** were significantly less likely to undergo post-operative neodymium-doped yttrium aluminum garnet(Nd:YAG)laser capsulotomy for posterior capsule opacification(OR=0.8,95%CI=0.7-0.9,P=0.0005).The BCVA was slightly worse for males pre-operatively;but post-operatively,both sexes exhibited similar visual acuity of Snellen equivalent 20/***:The study finds that in a cohort of patients presenting for cataract surgery,sex differences exist in pre-operative comorbidities and surgical characteristics that contribute to higher rates of some complications for ***,observed surgical complicatio

关键词： cataract surgery sex-based disparity phacoemulsification outcomes

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Snapshot imaging of ultrashort electron bunches

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Light(Science & Applications) 2024年第7期13卷 1226-1228页

作者： Andreas döpp Ludwig-Maximilian-Universität München Am Coulombwall 185748GarchingGermany Max Planck Institut für Quantenoptik Hans-Kopfermann-Strasse 1Garching85748Germany

New measurements combine spatial and temporal information from optical transition radiation to estimate the three-dimensional structure of electron bunches from a laser wakefield accelerator.

关键词： ultrashort Snapshot electron

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