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Storylines of family medicine Ⅴ:ways of thinking—honing the therapeutic self

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Family Medicine and Community Health 2024年第S3期12卷 43-51页

作者： William B Ventres Leslie A Stone johanna F Shapiro Cynthia Haq jéssica R B Leao Donald E Nease jr Liz Grant Stewart W Mercer john C M Gillies Pablo González Blasco Maria Auxiliadora C De Benedetto Graziela Moreto Marcelo R Levites jennifer E DeVoe William R Phillips jane M Uygur thomas R Egnew Colette S Stanley Family and Preventive Medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA Family Medicine University of California Irvine School of MedicineIrvineCaliforniaUSA Faculty of Medicine University of Sao PauloSao PauloBrazil Family Medicine University of Colorado Anschutz Medical Campus School of MedicineAuroraColoradoUSA Usher Institute Edinburgh Medical SchoolUniversity of EdinburghEdinburghUK SOBRAMFA-Medical Education and Humanism Sao PauloBrazil Family Medicine Oregon Health&Science University School of MedicinePortlandOregonUSA Family Medicine University of Washington School of MedicineSeattleWashingtonUSA General Practice Royal College of Surgeons in IrelandDublinIreland General Internal Medicine Geriatrics&Palliative MedicineTulane University School of MedicineNew OrleansLouisianaUSA

Storylines of Family Medicine is a 12-part series of thematically linked 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 ***‘Ⅴ:ways of thinking—honing the therapeutic self’,authors present the following sections:‘Reflective practice in action’,‘The doctor as drug—Balint groups’,‘Cultivating compassion’,‘Towards a humanistic approach to doctoring’,‘Intimacy in family medicine’,‘The many faces of suffering’,‘Transcending suffering’and‘The power of listening to stories.’May readers feel a deeper sense of their own therapeutic agency by reflecting on these essays.

关键词： illustration dimensions suffering

Synthesis and electronic properties of expanded 5-(hetero)arylthien-2-yl substituted 3-ethynyl quinoxalines with AIE characteristics

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Science China Chemistry 2018年第8期61卷 909-924页

作者： Franziska K.Merkt thomas j.j.Müller Institute of Organic Chemistry and Macromolecular Chemistry Heinrich Heine University Düsseldorf

Expanded 5-(hetero)aryl-thien-2-yl substituted 3-ethynyl quinoxaline dyes with variable substitution pattern on the peripheral thiophene ring were synthesized in moderate to very good yields by Suzuki and Buchwald-Hartwig coupling of the corresponding brominated 3-ethynyl quinoxalines. Dumbbell-shaped bis(thienyl 3-ethynyl quinoxalines) are also accessible by the Suzuki protocol. The photophysical properties were investigated by UV and fluorescence spectroscopy. Most of the obtained compounds display fluorescence in solution and some of them also in the solid state. Additionally, tuning of the emission color of the quinoxaline based chromophores can be conveniently accomplished by the remote substituent group. The determined absorption and emission maximum as well as the Stokes shifts strongly correlate with Hammett σp+parameters. Besides,photophysical properties of selected derivatives in the solid state, biphasic solutions, and PMMA films, along with their relationships, are comparatively investigated. Moreover, two 5-(hetero)aryl-thien-2-yl substituted 3-ethynyl quinoxaline dyes are aggregation induced emission(AIE) chromophores indicated by restriction of molecular motions. A covalently restricted 3-ethynyl quinoxaline supports that the inhibition of molecular rotation is responsible for the significant enhancement of fluorescence in acetonitrile/water mixtures.

关键词： absorption aggregation induced emission cross-coupling fluorescence heterocycles palladium

Quantitative model evaluation of organic carbon oxidation hypotheses for the Ediacaran Shuram carbon isotopic excursion

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Science China Earth Sciences 2017年第12期60卷 2118-2127页

作者： SHI Wei LI Chao thomas j.ALGEO State Key Laboratory of Biogeology and Environmental Geology China University of Geosciences State Key Laboratory of Geological Processes and Mineral Resources China University of Geosciences Department of Geology University of Cincinnati

The largest global carbon-cycle perturbation in Earth history was recorded in the Ediacaran—a persistent negative shift in the global marine dissolved inorganic carbon(DIC) reservoir that lasted for ~25–50 million years, with a nadir of –12‰(i.e.,the Shuram Excursion, or SE). This event is considered to have been a result of full or partial oxidation of a large dissolved organic carbon(DOC) reservoir, which, if correct, provides evidence for massive DOC storage in the Ediacaran ocean owing to an intensive microbial carbon pump(MCP). However, this scenario was recently challenged by new hypotheses that relate the SE to oxidization of recycled continentally derived organic carbon or hydrocarbons from marine seeps. In order to test these competing hypotheses,this paper numerically simulates changes in global carbon cycle fluxes and isotopic compositions during the SE, revealing that:(1) given oxygen levels in the Ediacaran atmosphere-ocean of ≤40% PAL, the recycled continental organic carbon hypothesis and the full oxidation of oceanic DOC reservoir hypothesis are challenged by the atmospheric oxygen availability which would have been depleted in 4 and 6 million years, respectively;(2) the marine-seep hydrocarbon oxidation hypothesis is challenged by the exceedingly large hydrocarbon fluxes required to sustain the SE for >25 Myr; and(3) the heterogeneous(partial) DOC oxidation hypothesis is quantitatively able to account for the SE because the total amount of oxidants needed for partial oxidation(<50%)of the global DOC reservoir could have been met.

关键词： Carbon isotope Shuram Excursion Dissolved organic carbon Atmospheric oxygen Oceanic oxidation

The impact of macroalgae on mean and turbulent flow fields

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journal of Hydrodynamics 2015年第3期27卷 427-435页

作者： thomas Robert E. MCLELLAND Stuart j. Department of Geography Environment and Earth Sciences University of Hull

In this paper, we attempt to quantify the mean and turbulent flow fields around live macroalgae within a tidal inlet in Norway. Two Laminaria digitata specimens - 0.50 m apart were selected for detailed study and a profiling ADV was used to collect 45 velocity profiles, each composed of up to seven 0.035 m-high profiles collected for 240 s at 100 Hz, at a streamwise spacing of 0.25 m and cross-stream spacing of 0.20 m. To quantify the impact of the macroalgae, measurements were repeated over a sparser grid after the region had been completely cleared of algae and major roughness elements.

关键词： dealiasing laminaria digitata turbulence vectrino profiler velocity profile

Evaluation of a model for providing cost effective,accessible continuing education to the forensic science community

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Forensic Sciences Research 2021年第4期6卷 224-230页

作者： thomas j.Gluodenis Department of chemistry&Physics Lincoln UniversityLincoln UniversityPAUSA

This study presents a detailed model and its subsequent assessment for the development and optimized delivery of continuing education for the forensic science *** continuing education is on the rise as this modality of content dissemination allows for accessibility,convenience,and *** model,which includes an educational needs assessment,gap analysis,online content delivery and archival,was evaluated through the launch of a global training event/symposium *** four-year study of over 6000 participants representing>75 countries provides empirical support for the model based upon registration/attendance data and participant self-assessment *** practices are identified relative to content and format,operational excellence,technology,and financing of the *** directions along with opportunities to further enhance the model are also discussed.

关键词： Forensic sciences continuing education educational requirements online web-based certification

The Soft X-ray Imager(SXI)on the SMILE Mission

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Earth and Planetary Physics 2024年第1期8卷 5-14页

作者： S.Sembay A.L.Alme D.Agnolon T.Arnold A.Beardmore A.Belén Balado Margeli C.Bicknell C.Bouldin G.Branduardi-Raymont T.Crawford j.P.Breuer T.Buggey G.Butcher R.Canchal j.A.Carter A.Cheney Y.Collado-Vega H.Connor T.Crawford N.Eaton C.Feldman C.Forsyth T.Frantzen G.Galgóczi j.Garcia G.Y.Genov C.Gordillo H-P.Gröbelbauer M.Guedel Y.Guo M.Hailey D.Hall R.Hampson j.Hasiba O.Hetherington A.Holland S-Y.Hsieh M.W.j.Hubbard H.jeszenszky M.jones T.Kennedy K.Koch-Mehrin S.Kögl S.Krucker K.D.Kuntz C.Lakin G.Laky O.Lylund A.Martindale j.Miguel Mas Hesse R.Nakamura K.Oksavik N.Østgaard H.Ottacher R.Ottensamer C.Pagani S.Parsons P.Patel j.Pearson G.Peikert F.S.Porter T.Pouliantis B.H.Qureshi W.Raab G.Randal A.M.Read N.M.M.Roque M.E.Rostad C.Runciman S.Sachdev A.Samsonov M.Soman D.Sibeck S.Smit j.Søndergaard R.Speight S.Stavland M.Steller TianRan Sun j.Thornhill W.thomas K.Ullaland B.Walsh D.Walton C.Wang S.Yang School of Physics and Astronomy University of LeicesterLeicesterLE17RHUK Space Park Leicester University of LeicesterLeicesterLE17RHUK Mullard Space Science Laboratory University College LondonDorkingRH56NTUK Centre for Electronic Imaging Open UniversityMilton KeynesMK76 AAUK Birkeland Centre for Space Science Department of Physics and TechnologyUniv.of BergenN-5007 BergenNorway University of Vienna A-1010 ViennaAustria Space Research Institute Austrian Academy of SciencesA-8042 GrazAustria National Institute of Aerospace Technology MadridSpain ESTEC European Space Agency2201 AZ NoordwijkNetherlands State Key Laboratory of Space Weather National Space Science CentreBeijing 100190China University of Applied Sciences and Arts Northwestern Switzerland CH-5210 WindischSwitzerland Koegl Space GmbH CH-8157 DielsdorfSwitzerland Space Acoustics GmbH CH-8157 DielsdorfSwitzerland Zurich University of Applied Sciences 8400 WinterhurSwitzerland Genov Solutions N-5172 LoddefjordNorway STM Engineering N-5165 LaksevagNorway john Hopkins University Applied Physics Laboratory MD 20723USA NASA/Goddard Space Flight Centre MD 20771USA Center for Space Physics Boston UniversityBostonMA 02215USA Department of Theoretical Physics and Astrophysics Masaryk University60177 BrnoCzech Republic Institute of Physics E¨otvo¨s Lor´and University1053 BudapestHungary Aerospace Information Research Institute Chinese Academy of SciencesBeijing 100045China Centro de Astrobiologia(CAB) CSIC-INTAMadridSpain

The Soft X-ray Imager(SXI)is part of the scientific payload of the Solar wind Magnetosphere Ionosphere Link Explorer(SMILE)*** is a joint science mission between the European Space Agency(ESA)and the Chinese Academy of Sciences(CAS)and is due for launch in *** is a compact X-ray telescope with a wide field-of-view(FOV)capable of encompassing large portions of Earth’s magnetosphere from the vantage point of the SMILE *** is sensitive to the soft X-rays produced by the Solar Wind Charge eXchange(SWCX)process produced when heavy ions of solar wind origin interact with neutral particles in Earth’s *** provides a mechanism for boundary detection within the magnetosphere,such as the position of Earth’s magnetopause,because the solar wind heavy ions have a very low density in regions of closed magnetic field *** sensitivity of the SXI is such that it can potentially track movements of the magnetopause on timescales of a few minutes and the orbit of SMILE will enable such movements to be tracked for segments lasting many *** is led by the University of Leicester in the United Kingdom(UK)with collaborating organisations on hardware,software and science support within the UK,Europe,China and the United States.

关键词： Soft X-ray Imaging micropore optics large area CCD

Patient selection essential in optimizing the benefit of radical prostatectomy for patients with organ-confined prostate cancer

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Asian journal of Andrology 2011年第6期13卷 789-790页

作者： Matthew j Resnick thomas j Guzzo The Division of Urology The Hospital of the University of Pennsylvania Philadelphia PA 19104 USA

P rostate cancer is the most common noncutaneous malignancy in the United States and is a highly prevalent disease worldwide in industrialized nations.1 Prostate cancer is also a leading cause of cancer related mortality in the United States with an estimated 32 050 deaths in 2010. If one were to simply look at the raw mortality data,

关键词： Prostate cancer noncutaneous appropriate treatment decisions

Solid-state emissive biphenylene bridged bisaroyl-S,N-ketene acetals as distinct aggregation-induced enhanced emitters and fluorometric probes

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Aggregate

Aggregate 2021年第5期2卷 179-184页

作者： Lukas Biesen thomas j.j.Muller Institut fur Organische und Makromolekulare Chemie Heinrich-Heine-Universitat DusseldorfDüsseldorfGermany

Biphenylene bridged bisaroyl-S,N-ketene acetals can be readily synthesized by a one-pot Masuda borylation-Suzuki arylation sequence,thus,yielding a library of 20 bisaroyl-S,N-ketene acetals with tunable solid-state emission and aggregationinduced enhanced emission characteristics depending on the para substituents in the starting *** applications as fluorometric probe of alcoholic beverages are outlined.

关键词： aggregation-induced emission aroyl-S N-ketene acetals liquor sensors one-pot reaction solid-state

Neuromodulator interactions and spinal cord injury in lamprey

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Neural Regeneration Research 2018年第4期13卷 643-644页

作者： David Parker thomas j.McClelland Department of Physiology Neuroscience and DevelopmentUniversity of Cambridge

Neuromodulation is mediated by neurotransmitters that typically act on G-protein-coupled *** can confer behavioural flexibility by modifying the functional properties of anatomically hard-wired neural *** neuromodulators generally have divergent cellular and synaptic effects（Harris-Warrick and johnson,2010）,and different modulators,

关键词： Figure Neuromodulator interactions and spinal cord injury in lamprey