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Storylines of family medicine Ⅸ:people and places—diverse populations and locations of care

Family medicine and Community Health 2024年第S3期12卷 79-88页

作者： William B Ventres Leslie A Stone Emad R Abou-Arab Julio meza David S Buck Jerome W crowder Jennifer Y C Edgoose Alexander Brown Ellen J Plumb Amber K Norris Jay J Allen Lauren E Giammar John E Wood Scott m Dickson G Austin Brown Family and Preventive medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA Family medicine University of Michigan Medical SchoolAnn ArborMichiganUSA Family medicine University of California Los AngelesDavid Geffen School of MedicineLos AngelesCaliforniaUSA Community medicine University of HoustonTilman J Fertitta Family College of MedicineHoustonTexasUSA Social and Behavioral Sciences University of HoustonTilman J Fertitta Family College of MedicineHoustonTexasUSA Family medicine and Community Health University of Wisconsin-Madison School of Medicine and Public HealthMadisonWisconsinUSA NH Dartmouth Family medicine Residency ConcordNew HampshireUSA san Francisco VA medical Center San FranciscoCaliforniaUSA Duluth Family medicine Residency Program University of Minnesota Medical School Duluth CampusDuluthMinnesotaUSA UAmS Northeast Regional Campus Family medicine Residency Program JonesboroArkansasUSA Cascades East Family medicine Residency Program Oregon Health&Science University School of MedicineKlamath FallsOregonUSA

Storylines of Family medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the ***‘Ⅸ:people and places—diverse populations and locations of care’,authors address the following themes:‘LGBTQIA+health in family medicine’,‘A family medicine approach to substance use disorders’,‘Shameless medicine for people experiencing homelessness’,“Difficult”encounters—finding the person behind the patient’,‘Attending to patients with medically unexplained symptoms’,‘making house calls and home visits’,‘Family physicians in the procedure room’,‘Robust rural family medicine’and‘Full-spectrum family medicine’.may readers appreciate the breadth of family medicine in these essays.

关键词： illustration family dimensions

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Vegetation Response To Soil And morphological Properties In An Arid Region Alluvial Fan Landscape. Pre-Andes Of san Juan， Argentina

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Journal of Earth Science 2024年

作者： FLORES Daniel Germán OCA?A raúl Emmanuel mELIáN Edgardo ORTEG Andrés ESPER ANGILLIERI maría Yanina PITTALUGA maría Alejandra CIGEOBIO (CONICET-UNSJ) Av.José I.de la Roza y meglioli Gabinete de Geología Ambiental， INGEO， Universidad Nacional de san Juan， Av.José I.de la Roza y meglioli

The monte Desert is characterized by a great diversity of landforms created with fluvial， alluvial which the vegetation patterns are related to. The present work has the following objectives: 1: determine whether topographical attributes， surface characteristics， soil properties and vegetation patterns vary between alluvial landforms， and 2: define whether morphometric， soil and surface properties influence vegetation patterns along alluvial landscape. morphometric data were obtained by processing a 5 m digital elevation model. The coverage of rock fragments， fine sediments and mulch was quantified. Observations and descriptions of the soil profiles were restricted to the uppermost 50 cm. Vegetation properties were calculated using a Point Quadrat method. The relationship between variables was evaluated through multivariate statistical analysis. The main results show the presence of 45 plant species distributed in 19 families， where shrubs are dominant. The wind effect， topographic wetness and dissection of the landscape are limiting factors of diversity. The coverage of superficial rock fragments influence vegetation coverage through the distribution and availability of rainwater. Furthermore， the different soil textures reveal that the silt content favors an increase in vegetation coverage. The presence of V horizon could condition the installation and development of vegetation in the early stages of growth.

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增材成型316L磁流变抛光工艺研究

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机械设计与制造 2024年第6期400卷 132-135,139页

作者：陈丙三鲍中宇郑城黄迪程福建工程学院机械与汽车工程学院福建福州350118

磁流变抛光工艺参数的确定对样件表面粗糙度有着直接的影响。通过单因素试验方法研究了在不同磁流变抛光工艺参数(主轴转速、水平工作进给速度、加工间隙)下对增材成型316L不锈钢样件表面粗糙度的影响。结果表明:随着主轴转速的增加,316... 详细信息

磁流变抛光工艺参数的确定对样件表面粗糙度有着直接的影响。通过单因素试验方法研究了在不同磁流变抛光工艺参数(主轴转速、水平工作进给速度、加工间隙)下对增材成型316L不锈钢样件表面粗糙度的影响。结果表明:随着主轴转速的增加,316L不锈钢样件表面粗糙度先降低后增加;水平工作进给会在一定程度上降低永磁体磁场分布不均导致磁流变抛光垫样貌带来的影响,增加抛光轨迹均匀性,降低表面粗糙度;而加工间隙直接影响了磁流变抛光垫夹持磨粒对样件的抛光压力,从而影响抛光质量。实验最后得到最优工艺参数组合为主轴转速600r/min、水平工作进给速度0.8mm/min、加工间隙0.6mm,此时抛光后表面粗糙度值ra为0.023μm,为所有实验中的最优值。可见,合适的工艺参数能进一步提升磁流变抛光后的表面质量。

关键词：磁流变抛光增材成型表面粗糙度工艺参数 316L不锈钢

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Influence of flooding and vegetation on carbon,nitrogen,and phosphorus dynamics in the pore water of a Spartina alterniflora salt marsh

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Journal of Environmental Sciences 2011年第2期23卷 212-221页

作者： Vanesa L.Negrin Carla V.Spetter raúl O.Asteasuain Gerardo m.E.Perillo Jorge E.marcovecchio Argentine Institute of Oceanography (IADO CONICETCCT-Bahía Blanca)Camino La Carrindanga km 75Building E-1 CC 804Bahía Blanca 8000Argentina Department of Chemistry Southern National Institute of Chemistry (INQUISUR)Southern National University (UNS)Av Alem 1253Bahía Blanca 8000Argentina Department of Geology Southern National University (UNS)San Juan 670Bahía Blanca 8000Argentina National Technological University Regional Faculty of Bahía Blanca (UTN-FRBB)11 de Abril 461Bahía Blanca 8000Argentina University of the Fraternity of Associations santo Toms de Aquino (FASTA) Gascón 3145Mar del Plata 7600Argentina

Four sites were selected in a salt marsh in the Bahia Blanca Estuary （Argentina）：（1） low marsh （flooded by the tide twice daily） vegetated by S. alterniflora; （2） non-vegetated low marsh; （3） high marsh （flooded only in spring tides） vegetated by S. alterniflora; （4） non-vegetated high marsh. The pH and Eh were measured in sediments, while dissolved nutrients （ammonium, nitrate, nitrite and phosphate） and particulate organic matter （POm） were determined in pore water, pH （6.2-8.7） was only affected by vegetation in low areas. Eh （from -300 to 250 mV） was lower at low sites than at high ones; in the latter, the values were higher in the non-vegetated sediments. The POm concentration was greater in the high marsh than in the low marsh, with no effect of vegetation. Ammonium was the most abundant nitrogen nutrient species in pore water, except in the non-vegetated high marsh where nitrate concentration was higher. All nitrogen nutrients were affected by both flooding and vegetation. Phosphate was always present in pore water at all sites throughout the year and its concentration varied within narrow limits, with no effect of flooding and greater values always at non-vegetated sites. Our results showed that the variability of the pore water composition within the marsh is greater than the temporal variation, meaning that both tidal flooding and vegetation are important in the dynamics of nutrients and organic matter in the sediment pore water.

关键词： organic matter nutrients flooding Spartina alterniflora

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基于涡轮叶片修复的电解修型非加工面保护工艺

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材料工程 2016年第11期44卷 16-21页

作者：刘为东罗震敖三三谈辉天津大学材料科学与工程学院天津300072 天津大学天津市现代连接技术重点实验室天津300072

为提高民用客机涡轮叶片修复效率,对叶片修复工艺链中电解修型非加工面保护工艺进行了研究。通过建立电场的数学模型,对叶片表面电流密度分布进行数值计算,研究修型规律,并以此分析传统电解修型工艺的缺陷形成机理。提出了牺牲层工艺保... 详细信息

为提高民用客机涡轮叶片修复效率,对叶片修复工艺链中电解修型非加工面保护工艺进行了研究。通过建立电场的数学模型,对叶片表面电流密度分布进行数值计算,研究修型规律,并以此分析传统电解修型工艺的缺陷形成机理。提出了牺牲层工艺保护非加工面,并建立实验系统,对堆焊修复后的TC4叶片进行电解修型。结果表明:直接修型、绝缘层保护两种传统工艺将分别形成杂散腐蚀和"台阶"缺陷;采用牺牲层工艺,单组叶片修型时间60s,修型后的叶片精度较高,表面粗糙度ra≤0.6μm,具有较好重复性,满足设计要求。

关键词：叶片叶尖修复电解加工数值计算牺牲层工艺

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Temporal and spatial distribution characteristics in the natural plague foci of Chinese mongolian gerbils based on spatial autocorrelation

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Infectious Diseases of Poverty 2017年第1期6卷 1090-1099页

作者： Hai-Wen Du Yong Wang Da-Fang Zhuang Xiao-san Jiang State Key Laboratory of Resources and Environmental Information Systems Institute of Geographical Sciences and Natural Resources ResearchChinese Academy of Sciences11A Datun RoadChaoyang DistrictBeijing 100101China College of Resources and Environmental Science Nanjing Agricultural UniversityNo.6 Tongwei RoadNangjing 210095China

Background:The nest flea index of meriones unguiculatus is a critical indicator for the prevention and control of plague,which can be used not only to detect the spatial and temporal distributions of meriones unguiculatus,but also to reveal its cluster *** research detected the temporal and spatial distribution characteristics of the plague natural foci of mongolian gerbils by body flea index from 2005 to 2014,in order to predict plague ***:Global spatial autocorrelation was used to describe the entire spatial distribution pattern of the body flea index in the natural plague foci of typical Chinese mongolian *** and outlier analysis and hot spot analysis were also used to detect the intensity of clusters based on geographic information system *** quantity of *** nest fleas in the sentinel surveillance sites from 2005 to 2014 and host density data of the study area from 2005 to 2010 used in this study were provided by Chinese Center for Disease Control and ***:The epidemic focus regions of the mongolian gerbils remain the same as the hot spot regions relating to the body flea *** clustering areas possess a similar pattern as the distribution pattern of the body flea index indicating that the transmission risk of plague is relatively *** terms of time series,the area of the epidemic focus gradually increased from 2005 to 2007,declined rapidly in 2008 and 2009,and then decreased slowly and began trending towards stability from 2009 to *** the spatial change,the epidemic focus regions began moving northward from the southwest epidemic focus of the mongolian gerbils from 2005 to 2007,and then moved from north to south in 2007 and ***:The body flea index of Chinese gerbil foci reveals significant spatial and temporal aggregation characteristics through the employing of spatial *** diversity of temporary and spatial distribution is mainly affected by seasonal vari

关键词： Geographic information system Temporal and spatial distribution Spatial autocorrelation moran’s I Body fleas Plague natural focus of mongolian gerbils China

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Steviol Glycoside Content Dynamics during the Growth Cycle of Stevia rebaudiana Bert

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American Journal of Plant Sciences 2018年第4期9卷 892-901页

作者： Ana Belen Guerrero Leticia san Emeterio Itziar Domeno Ignacio Irigoyen Julio muro Departamento de Produccion Agrícola Universidad Publica de NavarraCampus de ArrosadiaPamplonaSpain Research Institute on Innovation&Sustainable Development in Food Chain(ISFood) Universidad Pública de NavarraCampus de ArrosadiaPamplonaSpain

The sweetener compounds in Stevia, steviol glycosides (SG), are mainly found in the leaves. The SG content depends on the plant’s growth stage and is usually highest just before flowering. In temperate areas, Stevia is a polyannual crop (5 - 7 years) with a vegetative period lasting from April-may until October, during which time the crop can be harvested two or three times. This research focuses on the need for knowledge about Stevia’s response to temperate climates in Southern Europe. Two field assays were established from June to October 2013 at two sites in Navarra (Spain). The biomass and content of the two major SG, stevioside (ST) and rebaudioside A (ra), were measured using High Performance Liquid Chromatography (HPLC) in 66 cloned plants, at different developmental stages. Although the results from the two sites showed different SG leaf content dynamics during the plant growth, the optimum harvest date at both sites coincided with the bud-flowering stage at the beginning of September (around 96 days after planting), when a ST yield of 27 g·m-2 was reached. These results show Stevia’s potential as a commercial crop for stevioside production in northern Spain.

关键词： Stevia rebaudiana Bert. Crop Stevioside Rebaudioside A Photoperiod

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Principles for managing marine ecosystems prone to tipping points

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Ecosystem Health and Sustainability 2015年第5期1卷 15-32页

作者： Kimberly A.Selkoe Thorsten Blenckner margaret R.Caldwell Larry B.crowder Ashley L.Erickson Timothy E.Essington James A.Estes Rod m.Fujita Benjamin S.Halpern mary E.Hunsicker Carrie V.Kappel Ryan P.Kelly John N.Kittinger Phillip S.Levin John m.Lynham megan E.mach Rebecca G.martone Lindley A.mease Anne KSalomon Jameal F.Samhouri Courtney Scarborough Adrian C.Stier Crow White Joy Zedler National Center for Ecological Analysis and Synthesis 735 State StreetSuite 300Santa BarbaraCalifornia 93101 USA Hawaii Institute of marine Biology University of HawaiiKaneoheHawaii 96744 USA Stockholm Resilience Centre Stockholm UniversityKra¨ftriket 2B10691 StockholmSweden Center for Ocean Solutions Stanford Woods Institute for the EnvironmentStanford University473 Via Ortega Room 193StanfordCalifornia 94305 USA School of Aquatic and Fishery Sciences University of WashingtonSeattleWashington 98195 USA Department of Ecology and Evolutionary Biology 100 Shaffer RoadUniversity of CaliforniaSanta CruzCalifornia 95060 USA Environmental Defense Fund 123 Mission Street28th FloorSan FranciscoCalifornia 94105 USA Bren School of Environmental Science and management University of CaliforniaSanta BarbaraCalifornia 93106 USA Imperial College London Silwood Park CampusBuckhurst RoadAscot SL57PY United Kingdom School of marine and Environmental Affairs University of Washington3707 Brooklyn Avenue NESeattleWashington 98105-6715 USA Conservation International Betty and Gordon Moore Center for Science and Oceans7192 Kalaniana‘ole HighwaySuite G230HonoluluHawaii 96825 USA Conservation Biology Division Northwest Fisheries Science CenterNational Marine Fisheries ServiceNational Oceanic and Atmospheric Administration2725 Montlake Boulevard EastSeattleWashington 98112 USA Department of Economics University of Hawaii at ManoaHonoluluHawaii 96822 USA School of Resource and Environmental management Simon Fraser UniversityBurnabyBritish Columbia V5A1S6 Canada Department of Biological Sciences California Polytechnic State UniversitySan Luis ObispoCalifornia 93407 USA Botany Department University of WisconsinMadisonWisconsin 53706 USA

As climatic changes and human uses intensify,resource managers and other decision makers are taking actions to either avoid or respond to ecosystem tipping points,or dramatic shifts in structure and function that are often costly and hard to *** indicates that explicitly addressing tipping points leads to improved management *** on theory and examples from marine systems,we distill a set of seven principles to guide effective management in ecosystems with tipping points,derived from the best available *** principles are based on observations that tipping points(1)are possible everywhere,(2)are associated with intense and/or multifaceted human use,(3)may be preceded by changes in earlywarning indicators,(4)may redistribute benefits among stakeholders,(5)affect the relative costs of action and inaction,(6)suggest biologically informed management targets,and(7)often require an adaptive response to *** suggest that early action to preserve system resilience is likely more practical,affordable,and effective than late action to halt or reverse a tipping *** articulate a conceptual approach to management focused on linking management targets to thresholds,tracking early-warning signals of ecosystem instability,and stepping up investment in monitoring and mitigation as the likelihood of dramatic ecosystem change *** approach can simplify and economize management by allowing decision makers to capitalize on the increasing value of precise information about threshold relationships when a system is closer to tipping or by ensuring that restoration effort is sufficient to tip a system into the desired regime.

关键词： critical transition ecosystem-based management marine spatial planning nonlinear relationships restoration ecology stakeholder engagement

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Total phenolic content,in vitro antioxidant activity and chemical composition of plant extracts from semiarid mexican region

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Asian Pacific Journal of Tropical medicine 2015年第2期8卷 104-111页

作者： Jorge E.Wong-Paz Juan C.Contreras-Esquivel raúl Rodríguez-Herrera maría L.Carrillo-Inungaray Lluvia I.López Guadalupe V.Nevárez-moorillón Cristóbal N.Aguilar Laboratory of Bioprocesses and Natural Products Food Research DepartmentSchool of ChemistryUniversidad Autónoma de CoahuilaSaltillo25280México Laboratory of Biochemistry Multidisciplinary Academic Unit-HuastecaUniversidad Autónoma de San Luis Potosí79060Cd.VallesS.L.P.Mexico Department of microbiology School of ChemistryUniversidad Autónoma de Chihuahua31125 ChihuahuaMexico

Objective:To determine the extraction suitable conditions of total phenolic content(TPC) by heat-reflux system,antioxidant activities and HPLC characterization of the aqueous-ethanolic extracts of Jatropha dioica(***)(Dragon's blood).Flourensia cernua(***)(Tar bush).Eucalyptus camaldulensis(***)(Eucalyptus) and Turnera diffusa(***)(Damiana).methods:TPC was evaluated by the well-known colorimetric assay using FolinCiocalteu *** antioxidant activities were assayed by three methods based on scavenging of DPPH,ABTS and by lipid oxidation *** chemical composition of the extracts obtained was subject to HPLC ***:TPC in the plant extracts ranged from 2.3 to14.12 mg gallic acid equivalents/g for *** and ***,*** plant extracts of ***,*** and *** showed similar strong antioxidant activities on scavenging of DPPH and lipid oxidation *** contrast,*** extracts had lowest potential antioxidant in three assays *** assay showed the presence of several phenolic compounds in the extracts ***:The results obtained suggest that ***,*** and *** are potential sources to obtain bioactive phenolic compounds with high antioxidant properties which can be used in the factories as antioxidant agents or for treatments in diseases.

关键词： Plant-extracts Polyphenols Natural antioxidants mexican plants Heat-reflux system

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Effects of Finer Scale Soil Survey and Land-Use Classification on SWAT Hydrological modelling Accuracy in Data-Poor Study Areas

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Journal of Water Resource and Protection 2022年第2期14卷 100-125页

作者： Verenice Escamilla-Rivera Sergio Cortina-Villar raúl A. Vaca Duncan Golicher José Arellano-monterrosas Jordi Honey-Rosés Patagonian Institute for the Study of Continental Ecosystems IPEEC-CONICET-CENPAT Puerto Madryn Argentina Center for Demographic Urban and Environmental Studies El Colegio de México A.C. Mexico City Mexico Department of Agriculture Society and Environment El Colegio de la Frontera Sur San Cristóbal de Las Casas Mexico National Council of Science and Technology El Colegio de San Luis (CONACYT-COLSAN) San Luis Potosí Mexico Department of Life and Environmental Sciences Bournemouth University Dorset United Kingdom National Water Commission CONAGUA Mexico City Mexico Institute for Environmental Science and Technology Universitat Autonoma de Barcelona (ICTA-UAB) Barcelona Espa&ntilde a Institute for Resources Environment and Sustainability (IRES) The University of British Columbia Vancouver Canada

The limited availability of high-quality spatial data often limits the development of hydrological modelling in developing countries. Hydrological models with data at different scales may generate large uncertainties in modelling outputs. This study analysed the accuracy of four SWAT built models that combine soil and land use/land cover (LULC) data at the scale of 1:250,000 and 1:100,000 in a basin of mexico. SWAT model allowed determining that large-scale maps produced better results than data from small-scale. Sensitivity analysis with different soil data was less than LULC data. However, the small-scale can be used for exploratory purposes when testing SWAT performance.

关键词： map Scale SWAT model Soil Survey Land Use/Land Cover mexico

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