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Storylines of family medicine Ⅵ:ways of being—in the office with patients

Family medicine and Community Health 2024年第S3期12卷 52-60页

作者： William B Ventres Leslie A Stone Lisa A LaVallee David Loxterkamp Jonisha R Brown Dael m Waxman peter S Dorward Jeanne Cawse-Lucas Larry B mauksch Autumn m Kieber-Emmons Benjamin F Crabtree William L miller veronica m.brohm.timothy p daalem.n Kelly Bossenbroek Fedoriw Family and preventive medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA mAHEC Family medicine Residency Mountain Area Health Education CenterAshevilleNorth CarolinaUSA Bucksport Regional Health Center BucksportMaineUSA Family medicine Atrium HealthCharlotteNorth CarolinaUSA Southfield medical practice EdinburghUK Family medicine University of Washington School of MedicineSeattleWashingtonUSA Family medicine Lehigh Valley Health NetworkAllentownPennsylvaniaUSA morsani College of medicine University of South FloridaTampaFloridaUSA Family medicine and Community Health Rutgers Robert Wood Johnson Medical SchoolPiscatawayNew JerseyUSA Cancer Institute of new Jersey New BrunswickNew JerseyUSA Family medicine UNC School of MedicineChapel HillNorth CarolinaUSA

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 ***‘Ⅵ:ways of being—in the office with patients’,authors address the following themes:‘patient-centred care—cultivating deep listening skills’,‘Doctor as witness’,‘Words matter’,‘Understanding others—metaphor and its use in medicine’,‘Communicating with patients—making good use of time’,‘The patient-centred medical home—aspirations for the future’,‘Routine,ceremony or drama?’and‘The life course’.may readers better appreciate the nuances of patient care through these essays.

关键词： centre illustration dimensions

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In-situ study of the microstructure evolution during tension of a mg-Y-Zn-Al alloy processed by rapidly solidified ribbon consolidation technique

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Journal of magnesium and Alloys 2024年第5期12卷 2024-2040页

作者： Jeno Gubicza Kristián máthis péter nagy péter Jenei Zoltán Hegedus Andrea Farkas Jozef Vesely Shin-ichi Inoue Daria Drozdenko Yoshihito Kawamura Department of materials physics Faculty of ScienceEotvos Loránd UniversityPázmány P.sétány 1/ABudapest H-1117Hungary Department of physics of materials Faculty of Mathematics and PhysicsCharles UniversityKe Karlovu 512116 Praha 2Czech Republic Deutsches Elektronen-Synchrotron DESY Notkestr.85Hamburg 22603Germany magnesium Research Center Kumamoto University2-39-1 KurokamiChuo-kuKumamoto 860-8555Japan

mg-Y-Zn-Al alloys processed by rapidly solidified ribbon consolidation(RSRC)technique exhibit an exceptional mechanical performance indicating promising application *** material has a bimodal microstructure consisting of fine recrystallized and coarse non-recrystallized grains with solute-rich stacking faults forming cluster arranged layers(CALs)and nanoplates(CAnaps),or complete long period stacking ordered(LpSO)*** order to reveal the deformation mechanisms,in-situ synchrotron X-ray diffraction line profile analysis was employed for a detailed study of the dislocation arrangement created during tension in mg-0.9%Zn-2.05%Y-0.15%Al(at%)*** uncovering the effect of the initial microstructure on the mechanical performance,additional samples were obtained by annealing of the as-consolidated specimen at 300 and 400℃ for 2 *** heat treatment at 300℃ had no significant effect on the initial microstructure,its evolution during tension and,thus,the overall deformation behavior under tensile *** the other hand,annealing at 400℃ resulted in a significant increase of the recrystallized grains fraction and a decrease of the dislocation density,leading to only minor degradation of the mechanical *** maximum dislocation density at the failure of the samples corresponding to the plastic strain of 10-25% was estimated to be about 16-20×10^(14)m^(-2).The diffraction profile analysis indicated that most dislocations formed during tension were of non-basal and pyramidal types,what was also in agreement with the Schmid factor values revealed independently from orientation *** was also shown that the dislocation-induced Taylor hardening was much lower below the plastic strain of 3% than above this value,which was explained by a model of the interaction between prismatic dislocations and CAnaps/LpSO plates.

关键词： mg-Zn-Y-Al alloy Long period stacking ordered(LpSO)phase Cluster arranged nanoplates(CAnaps) Annealing Tension Dislocation density Hardening

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partitioning Anatolian Kinematics into Tectonic Escape and Slab Rollback Dominated Domains

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Journal of Earth Science 2024年第3期35卷 758-768页

作者： Jiannan meng timothy m.Kusky Erdin Bozkurt Hao Deng Ozan Sinoplu State Key Laboratory of Geological processes and mineral Resources Center for Global TectonicsSchool of Earth SciencesChina University of GeosciencesWuhan 430074China Badong national Observatory and Research Station for Geohazards China University of GeosciencesWuhan 430074China Department of Geological Engineering Middle East Technical University06800 AnkaraTurkey Department of Geosciences Auburn UniversityAuburn AL 36849USA

Anatolia is the global archetype of tectonic escape,as witnessed by the devastating 2023 Kahramanmaraş Earthquake sequence,and the 2020 Samos Earthquake,which show different kinematics related to the framework of the escape *** positioning System(GpS)motions of the wedge-shaped plate differ regionally from northwestwards to southwestwards(from east to west).Anatolia was extruded westward from the Arabian-Eurasian collision along the north and East Anatolian fault systems,rotating counterclockwise into the oceanic free-faces of the mediterranean and Aegean,with dramatic extension of western Anatolia in traditional ***,which is the dominant mechanism for this change in kinematics,extrusion related to the Arabia/Eurasia collision or rollback of the African slab beneath western Anatolia is still *** assess the dominant driving mechanisms across Anatolia,we analyze recent GpS velocity datasets,and decomposed them into n-S and E-W components,revealing that westward motion is essentially constant across the whole plate and consistent with the slip rates of the north and East Anatolia fault zones,while southward components increase dramatically in the transition area between central and western Anatolia,where a slab tear is *** phenomenon is related to different tectonic driving *** ArabiaEurasia collision drives the Anatolian plate uniformly westwards while western Anatolia is progressively more affected by the southward retreating African subducting slab west of the Aegean/Cypriot slab tear,which significantly increases the southward component of the velocity field and causes the apparent curve of the whole modern velocity *** 2020 and 2023 earthquake focal mechanisms also confirm that the northward colliding Arabian plate forced Anatolia to the west,and the retreating African slab is pulling the upper plate of western Anatolian apart in *** propose that the Anatolian plate is moving westwards as

关键词： tectonics neotectonics tectonic escape slab rollback Anatolian plate GpS velocity field geodynamics.

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RBC aggregation,deformation and adhesion to endothelium:Role of nitric oxide derived from L-Arginine and sodium nitroprusside

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Journal of Innovative Optical Health Sciences 2024年第5期17卷 53-65页

作者： m.K.maksimov p.B.Ermolinskiy O.n.Scheglovitova n.n.Sklyankina A.V.muravyov A.E.Lugovtsov A.V.priezzhev Faculty of physics M.V.Lomonosov Moscow State University bld.1subbuilding.2Leninskie goryMoscow 11991Russia n.F.Gamaleya national Research Center for Epidemiology and microbiology 18 Gamaleya StreetMoscow 123098Russia K.D.Ushinsky Yaroslavl State pedagogical University 108/1 Respublikanskaya StreetYaroslavl 150000Russia

Red blood cells(RBCs)are the most abundant human blood *** aggregation and deformation strongly determine blood viscosity which impacts hemorheology and *** turn,RBC properties depend on di®erent endogenous and exogenous *** such factor is nitric oxide(nO),which is mainly produced by endothelial cells(EC)from L-arginine amino acid in the circulatory *** the mechanisms of the RBC-endothelium interplay are not clear up to date and considering its possible clinical importance,the aims of this study are to investigate in vitro:(1)The e®ect of L-arginine induced nO on RBC aggregation and adhesion to endothelium;(2)the nO e®ect on RBC aggregation and deformation induced by L-arginine and sodium nitroprusside without the presence of endothelium in the *** RBC aggregation and adhesion to a monolayer of EC were studied using optical tweezers(OT).The RBC deformability and aggregation without endothelium in the samples were studied using the°ow chamber method and myrenne *** con¯rmed that nO increases deformability and decreases aggregation of *** showed that the soluble guanylate cyclase pathway appears to be the only nO signaling pathway *** the samples with the endothelium,the\bell-shaped"dependence of RBC aggregation force on L-arginine concentration was observed,which improves our knowledge about the process of nO production by ***,data related to L-arginine accumulation by endothelium were obtained:necessity of the presence of extracellular L-arginine stated by other authors was put under *** our study,nO decreased the RBC-endothelium adhesion,however,the tendency appeared to be weak and was not con¯rmed in another set of *** our knowledge,this is the¯rst attempt to measure the forces of RBC adhesion to endothelium monolayer with OT.

关键词： Red blood cells aggregation L-arginine endothelium optical tweezers myrenne flow chamber

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magnetic,dielectric and electrical modulus of Ce^(3+) doped cobalt-magnesium ferrite nanoparticles

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Journal of Rare Earths 2024年第2期42卷 373-382,I0005页

作者： n.m.Basfer Hanaa Almaghamsi Department of physics Umm AL-Qura UniversityMakkahSaudi Arabia physics Department College of Science and ArtKing Abdulaziz UniversityPOB344Rabigh291Saudi Arabi

In this work,the magnetic,dielectric properties and electric modulus of Ce^(3+) substituted cobaltmagnesium(Co_(0.7)mg_(0.3)Ce_(x)Fe_(2-x)O_4)(labeled as CmCF) ferrite nanoparticles were investigated in *** magnetization decreases from 50.05 to 34.87 emu/g for further substituting Ce^(3+) ***,coercivity increases from 738.22 Gs for the CmCFO sample to 912.10 Gs for the CmCF2 sample,then decreases monotonically to 762.1 Gs for the CmCF5 *** cerium content and particle size play important roles in controlling the magnetization and coercivity of the CmCF *** CmCF nanoferrites are suitable for microwave applications since their high-frequency response ranges from 7.72 to 11.07 *** CmCF nanoferrites' dielectric parameter dispersion exhibits normal *** pristine Co-mg nanoferrite only has ε' value of 28.25,but the nanoferrite mCmF2 has ε' value of365.03,with an enhancing ratio of 1192%.The conduction mechanism of the mCmF nanoferrites was determined by fitting the σ_(ac) results via the Jonscher power *** 653 K,large polaron tunnelling is thought to be responsible for this conduction process,which is followed by electron barrier hopping at higher ***-Cole diagrams at different temperatures,assuring the contributions of the grains and their boundaries at lower temperatures(653 K) and only the grains at higher *** on our results,the CmCF nanoferrites hold magnetic and semiconducting nature,which can be used in magnetic devices and dielectrics in lower-frequencies or conductors in higher-frequencies.

关键词： nanoferrites Rare earth ions magnetic properties Dielectric parameters Impedance spectroscopy

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EDSUCh:A robust ensemble data summarization method for effective medical diagnosis

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Digital Communications and networks 2024年第1期10卷 182-189页

作者： mohiuddin Ahmed A.n.m.Bazlur Rashid School of Science Edith Cowan UniversityPerthAustralia

Identifying rare patterns for medical diagnosis is a challenging task due to heterogeneity and the volume of *** summarization can create a concise version of the original data that can be used for effective *** this paper,we propose an ensemble summarization method that combines clustering and sampling to create a summary of the original data to ensure the inclusion of rare *** the best of our knowledge,there has been no such technique available to augment the performance of anomaly detection techniques and simultaneously increase the efficiency of medical *** performance of popular anomaly detection algorithms increases significantly in terms of accuracy and computational complexity when the summaries are ***,the medical diagnosis becomes more effective,and our experimental results reflect that the combination of the proposed summarization scheme and all underlying algorithms used in this paper outperforms the most popular anomaly detection techniques.

关键词： Data summarization Ensemble medical diagnosis Sampling

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Stochastic Ranking Improved Teaching-Learning and Adaptive Grasshopper Optimization Algorithm-Based Clustering Scheme for Augmenting network Lifetime in WSns

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China Communications 2024年第9期21卷 159-178页

作者： n Tamilarasan SB Lenin p mukunthan nC Sendhilkumar Department of Electronics and Communications Engineering Sri Indu College of Engineering and TechnologyHyderabadTelanganaIndia Department of Electronics and Communications Engineering Sri Manakula Vinayagar Engineering CollegePondicherryIndia

In Wireless Sensor networks(WSns),Clustering process is widely utilized for increasing the lifespan with sustained energy stability during data *** clustering protocols were devised for extending network lifetime,but most of them failed in handling the problem of fixed clustering,static rounds,and inadequate Cluster Head(CH)selection criteria which consumes more *** this paper,Stochastic Ranking Improved Teaching-Learning and Adaptive Grasshopper Optimization Algorithm(SRITL-AGOA)-based Clustering Scheme for energy stabilization and extending network *** SRITL-AGOA selected CH depending on the weightage of factors such as node mobility degree,neighbour's density distance to sink,single-hop or multihop communication and Residual Energy(RE)that directly influences the energy consumption of sensor *** specific,Grasshopper Optimization Algorithm(GOA)is improved through tangent-based nonlinear strategy for enhancing the ability of global *** the other hand,stochastic ranking and violation constraint handling strategies are embedded into Teaching-Learning-based Optimization Algorithm(TLOA)for improving its exploitation ***,SR and VCH improved TLOA is embedded into the exploitation phase of AGOA for selecting better CH by maintaining better balance amid exploration and *** results confirmed that the proposed SRITL-AGOA improved throughput by 21.86%,network stability by 18.94%,load balancing by 16.14%with minimized energy depletion by19.21%,compared to the competitive CH selection approaches.

关键词： Adaptive Grasshopper Optimization Algorithm(AGOA) Cluster Head(CH) network lifetime Teaching-Learning-based Optimization Algorithm(TLOA) Wireless Sensor networks(WSns)

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A FLEXIBLE OBJECTIVE-COnSTRAInT AppROACH AnD A nEW ALGORITHm FOR COnSTRUCTInG THE pARETO FROnT OF mULTIOBJECTIVE OpTImIZATIOn pROBLEmS

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Acta mathematica Scientia 2024年第2期44卷 702-720页

作者： n.HOSEInpOOR m.GHAZnAVI Faculty of mathematical Sciences Shahrood University of TechnologyShahroodIran

In this article, a novel scalarization technique, called the improved objective-constraint approach, is introduced to find efficient solutions of a given multiobjective programming problem. The presented scalarized problem extends the objective-constraint problem. It is demonstrated that how adding variables to the scalarized problem, can lead to find conditions for (weakly, properly) pareto optimal solutions. Applying the obtained necessary and sufficient conditions, two algorithms for generating the pareto front approximation of bi-objective and three-objective programming problems are designed. These algorithms are easy to implement and can achieve an even approximation of (weakly, properly) pareto optimal solutions. These algorithms can be generalized for optimization problems with more than three criterion functions, too. The effectiveness and capability of the algorithms are demonstrated in test problems.

关键词： multiobjective optimization pareto front scalarization objective-constraint approach proper efficient solution

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Kinetics of glyphosate and aminomethylphosphonic acid sorption onto montmorillonite clays in soil and their translocation to genetically modified corn

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Journal of Environmental Sciences 2024年第1期135卷 669-680页

作者： meichen Wang Kelly J Rivenbark timothy D phillips Veterinary physiology and pharmacology College of Veterinary Medicine and Biomedical SciencesTexas A&M UniversityTX 77845USA

The co-occurrence of glyphosate(GLp)and aminomethylphosphonic acid(AmpA)in contaminated water,soil,sediment and plants is a cause for concern due to potential threats to the ecosystem and human health.A major route of exposure is through contact with contaminated soil and consumption of crops containing GLp and AmpA ***,clay-based sorption strategies for mixtures of GLp and AmpA in soil,plants and garden produce have been very *** this study,in vitro soil and in vivo genetically modified corn models were used to establish the proof of concept that the inclusion of clay sorbents in contaminated soils will reduce the bioavailability of GLp and AmpA in soils and their adverse effects on plant *** of chemical concentration(1–10 mg/kg),sorbent dose(0.5%-3%in soil and 0.5%-1%in plants)and duration(up to 28 days)on sorption kinetics were *** time course results showed a continuous GLp degradation to *** inclusion of calcium montmorillonite(Cm)and acid processed montmorillonite(Apm)clays at all doses significantly and consistently reduced the bioavailability of both chemicals from soils to plant roots and leaves in a dose-and time-dependent manner without detectable *** treated with 0.5%and 1%Apm inclusion showed the highest growth rate(p≤0.05)and lowest chemical bioavailability with up to 76%reduction in roots and57%reduction in *** indicated that montmorillonite clays could be added as soil supplements to reduce hazardous mixtures of GLp and AmpA in soils and plants.

关键词： Glyphosate AmpA Adsorption Soil remediation plant Hydroponic system

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predicting effects of tunnel throttling of annular freeway vehicular flow by a continuum model

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Journal of Traffic and Transportation Engineering(English Edition) 2024年第4期11卷 733-746页

作者： Zhongmin Huang m.n.Smirnova n.n.Smirnov Zuojin Zhu Faculty of Engineering Science University of Science and Technology of ChinaHefei 230026China Institute of plasma physics Hefei Institutes of Physical ScienceChinese Academy of SciencesHefei 230031China Faculty of mechanics and mathematics Lomonosov Moscow State UniversityMoscow 119992Russia

Fluid flow throttling is common in industrial and building services *** tunnel throttling of vehicular flow is caused by the abrupt number reduction of roadway lane,as the tunnel has a lower lane number than in the roadway normal *** predict the effects of tunnel throttling of annular freeway vehicular flow,a three-lane continuum model is ***Ⅲof the tunnel is completely blocked due to the need of tunnel rehabilitation,*** exists mandatory net lane-changing rate from laneⅢto laneⅡjust upstream of the tunnel entrance,which is described by a model of random number generated through a golden section *** net-changing rate between adjacent lanes is modeled using a lane-changing time expressed explicitly in algebraic *** paper assumes that the annular freeway has a total length of 100 km,a two-lane tunnel of length 2 km with a speed limit of 80 km/*** free flow speeds on lanesⅠ,ⅡandⅢare assumed to be 110,100 and 90 km/h *** on the three-lane continuum model,numerical simulations of vehicular flows on the annular freeway with such a tunnel are conducted with a reliable numerical method of 3rd-order *** results reveal that the vehicular flow has a smaller threshold of traffic jam formation in comparison with the case without tunnel *** fuel consumption can be estimated by interpolation with time averaged grid traffic speed and an assumed curve of vehicle *** vehicle fuel consumption is lane number dependent,distributes with initial density concavely,ranging from 5.56 to 8.00 *** throttling leads to an earlier traffic jam formation in comparison with the case without tunnel throttling.

关键词： Effects of tunnel throttling Vehicle fuel consumption Travel time Threshold of traffic jam formation Continuum model

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