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Storylines of family medicine Ⅲ:core principles—primary care,systems and family

Family Medicine and Community Health 2024年第S3期12卷 23-32页

作者： william B Ventres Leslie A Stone Timothy A Joslin John w Saultz Sommer Aldulaimi Paul r Gordon John C Lane Eric r Lee Jacob Prunuske Limor Gildenblatt Michael H Friedman Colleen T Fogarty Susan H McDaniel Tessa rohrberg Amy Odom Family and Preventive Medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA Family Medicine Oregon Health&Science UniversityPortlandOregonUSA Family and Community Medicine University of Arizona Medical Center–South CampusTucsonArizonaUSA Family and Community Medicine University of Arizona Medical Center–University CampusTucsonArizonaUSA UAMS west regional Campus Family Medicine residency Program Fort SmithArkansasUSA Medical College of wisconsin–Central wisconsin Campus WausauWisconsinUSA Family and Community Medicine Medical College of Wisconsin–Central Wisconsin CampusWausauWisconsinUSA Family Medicine Advocate Illinois Masonic Medical CenterChicagoIllinoisUSA Family Medicine Presence Saints Mary and Elizabeth Medical CenterChicagoIllinoisUSA Family Medicine University of Rochester Medical CenterRochesterNew YorkUSA Psychiatry and Family Medicine University of Rochester Medical CenterRochesterNew YorkUSA Family and Community Medicine University of Kansas School of Medicine-WichitaWichitaKansasUSA Sparrow/Michigan State University Family Medicine residency Program LansingMichiganUSA

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 ***‘Ⅲ:core principles—primary care,systems,and family’,authors address the following themes:‘Continuity of care—building therapeutic relationships over time’,‘Comprehensiveness—combining breadth and depth of scope’,‘Coordination of care—managing multiple realities’,‘Access to care—intersectional,systemic,and personal’,‘Systems theory—a core value in patient-centered care’,‘Family-oriented practice—supporting patients’health and well-being’,‘Family physician as family member’and‘Family in the exam room’.May readers develop new understandings from these essays.

关键词： individual Storyline principles

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Last Interglacial-Glacial Cycle and an Attempt to reconstruct würmian Paleohumidity of the European Alps

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Journal of Mountain Science 2012年第3期9卷 322-330页

作者： Janez turk Karst research Institute ZrC SAZU Postojna 6230 Slovenia

A lot of paleoenvironmental surveys have been carried out in the Alpine region to elucidate glacier extension during the Last Glacial or the würmian (115 - 12 ka BP). However, the evidence of past glaciations differs greatly between western and Eastern Alps, while contrast between Southern and Northern Alps is not evident. The main purpose of this paper is to interpret variability of humidity during the last interglacial-glacial cycle in the Alpine region, based on results of various surveys performed in the Alpine region. results show that distribution of moisture throughout the Alps was most even during the Late würmian, while precipitation was mainly concentrated in the (North)western Alps during the Early würmian and in the (North)western and along all the Southern Alps during the Middle würmian. The Eastern Alps were rather dry during both episodes. Such moisture distribution can be explained by paths of prevailing winds. Moisture distribution is directly linked with atmospheric and oceanic circulation.

关键词： Alps wuermian glaciers Humidity Paleoclimate Atmospheric circulation

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Basis for the diversity and extent in loss of digestible nutrients created by dietary phytin: Emphasis on fowl and swine

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Animal Nutrition 2024年第1期16卷 422-428页

作者： Edwin T.Moran Michael r.Bedford Poultry Science Department Auburn University AB Vista Woodstock Court Blenheim Road

Phytin is the Ca2+-Mg2+-K+salt of phytic acid that is created and deposited in the aleurone layer and/or germ of grains and legumes. Its high presence in feedstuffs for fowl and swine diets results in it being a universal and significant impediment to optimum performance. Phytin impairs gastrointestinal recovery of a wide array of nutrients, the effect varying with the nutrient concerned. On exposure to low pH during gastric digestion, phytin dissociates into phytic acid and solubilized Ca2+. Even at low gastric pH,phytic acid is negatively charged which forms the basis of its anti-nutritive behavior. Pepsinogen has extensive basic amino acids on its activation peptide that are presented as cations at low pH which are targeted by pepsin for activation. Partially crystalized Ca2+near the enzyme?s active site further stabilizes its newly formed structure. Thus, phytic acid appears to interfere with gastric digestion by several mechanisms; interfering with pepsinogen activation by binding to the polypeptide?s basic amino acids;coordinating free Ca2+, destabilizing pepsin; binding some dietary proteins directly, further compromising gastric proteolysis. Upon digesta attaining neutrality in the duodenum, Ca2+and other cations rebind with accessible anions, phytic acid being a significant contender. Phytate not only binds free cations but can also strip them from enzymes(e.g. Ca2+, Zn2+) which reduces their structural resistance to autolysis and ability as co-factors(e.g. Zn2+) to increase enzyme activity. Goblet cells initially employ Ca2+as an electronic shield between mucin layers enabling granule formation and cell storage. After mucin granule release, Ca2+is progressively displaced by Na+to free the viscous mucins enabling its translocation. Mucin entangles with the glycocalyx of adjacent enterocytes thereby constructing the unstirred water layer（USwL）. Excessive removal of Ca2+from mucin by phytic acid increases its fluidity facilitating its loss from the USwL with

关键词： Digestive enzyme Calcium Endogenous protein Mucin Phytin

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Malargüe Site remediation:A Successful Solution for Uranium Mill Tailings

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原子能科学技术 2024年第10期58卷 2088-2094页

作者： BArArI E DíAZ J G GIOMIA KEMPF r A National Atomic Energy Commission Av.Del Libertador 8250Ciudad Autónoma de Buenos AiresC1429BNPArgentina

Comisión Nacional de Energía Atómica (CNEA) has the responsibility for restoring uranium mining facilities once the operations have ***,within its Environmental Program and in compliance with its legal responsibilities,decides to implement a restoration project for all sites related to the mining and processing of uranium *** Malargüe Site is located within the Province of Mendoza in the city of Malargü*** is the first site to successfully complete its *** activities consist of relocation of tailings to an engineering *** tailings management(encapsulation) and rehabilitation of the area was finished in June *** remediation alternative for the ore tailings was selected after conducting comparative studies and submitted the project to the society for *** objective of the encapsulation of the mineral tails is to isolate them from the environment,also proceeding with the decontamination and rehabilitation of the area (landscaping,post-closure monitoring and 20 years monitoring period).Encapsulation consisted of the construction of a containment cell for the mine tailings,to isolate them and prevent pollutants from entering the environment through the transfer *** clean the impacted areas,the soil was removed,it was incorporated into the encapsulation,and the filling was carried out with natural soils from the *** prevents radon transfer to the environment,as ^(222)ra is an alpha emitter with a half-life of four days,which produces its own radioactive *** progeny are solids,and when a ^(222)ra nucleus emits an alpha particle into the air,the resulting ^(218)Po nucleus,momentarily electrically charged,adheres to any dust *** prevents the discharge into the air containing radon and also containing dust particles charged with intensely radioactive radon *** tasks mentioned make it possible to decrease radon emanation,reduce radiological risks to the public and pre

关键词： remediation radionuclide transfer tailings encapsulation solution sustainable

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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

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Structural changes in the obese brain

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Neural regeneration research 2024年第12期19卷 2561-2562页

作者： Anna r.r.Da Conceicao Marcelo N.N.Vieira Fernanda G.De Felice D’Or Institute for research and Education Rio de JaneiroBrazil Institute of Medical Biochemistry Leopoldo De Meis Federal University of Rio de JaneiroRio de JaneiroBrazil Centre for Neuroscience Studies Department of Biomedical and Molecular Sciences&Department of PsychiatryQueen’s UniversityKingstonONCanada

Obesity represents a major global health concern,with widespread growing prevalence and severe consequences for the quality of life and life expectancy of affected individuals and for the economic burden of healthcare systems(Prospective Studies Collaboration,2009).Obesity is a well-established risk factor for a variety of conditions including metabolic,vascula r,and heart diseases,and seve ral types of cancer(Prospective Studies Collaboration,2009).

关键词： diseases consequences prevalence

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Applications of optical control materials based on localized surface plasmon resonance effect in smart windows

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Tungsten 2024年第4期6卷 711-731页

作者： Na Ta Jing-Yi Huang Shuai He w.Hanggai Luo-Meng Chao College of Science Inner Mongolia University of Science and Technology Fundamental Aspects of Materials and Energy Faculty of Applied Sciences Delft University of Technology

The increasing energy consumption in buildings due to cooling and heating,accounting for over one-third of the total energy consumption in society,has become a growing ***,reducing building energy consumption has become an urgent issue for countries *** serve as the primary channel for energy exchange between the indoor and the outdoor *** providing natural lighting for occupants,windows are also the weakest link in terms of energy *** recent years,there have been some new and superior coating glass technologies compared to traditional low-emissivity *** coatings utilize various optical functional materials to regulate the incident sunlight,aiming to save cooling and heating energy ***,such as tungsten-based compounds,vanadium dioxide,lanthanum hexaboride,or copper monosulfide,can absorb near-infrared light to effectively control solar radiation by leveraging the localized surface plasmon resonance(LSPr) effect of *** paper mainly introduces the micro-mechanisms of these materials and provides a detailed summary of the latest advancements in coating *** application and effects of these coatings in building energy conservation are ***,the challenges and prospects of LSPrbased smart windows are *** is expected that this review will provide new insights into the application of smart windows in green buildings.

关键词： Copper monosulfide Lanthanum hexaboride Localized surface plasmon resonance (LSPr) Tungsten Tungsten-based compounds Vanadium dioxide

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robotic reconstructive surgery: The time has arrived

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Asian Journal of Urology 2024年第3期11卷 339-340,F0002页

作者： Brian w.Chao Department of Urology Lewis Katz School of MedicineTemple UniversityPhiladelphiaPAUSA

Thank you to the Asian Journal of Urology(AJU)for the honor of allowing me to be the guest editor for this special focus section on robotic urinary tract *** topic has been a large focus for me in my career;in my pursuit of knowledge in this new sub-field of urology,I have been so fortunate to have met so many talented surgeons who share a similar *** urinary tract spans a large anatomical region,and due to the large variety of conditions that affect it,an endless variety of functional and structural urologic problems can *** have always been adept surgeons capable of operating in various anatomical spaces and have embraced technological ***,the trend has moved from open surgery to endoscopic treatment;however,many patients with reconstructive needs remain untreated or sub-optimally managed.

关键词： surgery constructive editor

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Detecting fake reviewers in heterogeneous networks of buyers and sellers:a collaborative training-based spammer group algorithm

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Cybersecurity 2024年第2期7卷 44-67页

作者： Qi Zhang Zhixiang Liang Shujuan Ji Benyong Xing Dickson K.w.Chiu Shandong Provincial Key Laboratory of wisdom Mine Information Technology Shandong University of Science and TechnologyQingdao 266590ShandongChina Zhejang University-University of linois at Urbana-Champaign Institute Haining 314499ZhejiangChina School of Civil Engineering Beijing Jiaotong UniversityBeijing 100044China Faculty of Education The University of Hong KongPok Fu LamHong KongChina

It is not uncommon for malicious sellers to collude with fake reviewers(also called spammers)to write fake reviews for multiple products to either demote competitors or promote their products'reputations,forming a gray industry *** detect spammer groups in a heterogeneous network with rich semantic information from both buyers and sellers,researchers have conducted extensive research using Frequent Item Mining-based and graph-based ***,these methods cannot detect spammer groups with cross-product attacks and do not jointly consider structural and attribute features,and structure-attribute correlation,resulting in poorer detection ***-fore,we propose a collaborative training-based spammer group detection algorithm by constructing a heterogene-ous induced sub-network based on the target product set to detect cross-product attack spammer *** jointly consider all available features,we use the collaborative training method to learn the feature representations of *** addition,we use the DBSCAN clustering method to generate candidate groups,exclude innocent ones,and rank them to obtain spammer *** experimental results on real-world datasets indicate that the overall detection performance of the proposed method is better than that of the baseline methods.

关键词： Spammer group Heterogeneous network Collaborative training DBSCAN

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The CCD instrument background of the SMILE SXI

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Earth and Planetary Physics 2024年第1期8卷 15-24页

作者： M.w.J.Hubbard O.Hetherington D.J.Hall T.w.Buggey S.Parsons T.Arnold A.Holland C.Pagani S.Sembay Centre for Electronic Imaging The Open UniversityMilton KeynesMK76AAUK X-ray and Observational Astronomy Group Department of Physics&AstronomyUniversity of LeicesterLE17RHUK

The ESA and CAS SMILE mission orbit is highly elliptical and will pass through multiple radiation *** Soft X-ray Imager(SXI)instrument aboard has a radiation shutter door designed to close when the surrounding radiation flux is *** shutter door will close when passing below an altitude threshold to protect against trapped particles in the Earth’s Van Allen ***,two radiation environments can be approximated based on the shutter door position:open and *** instrument background for the CCDs(Charge-Coupled Devices)that form the focal plane array of the SXI were evaluated for the two *** to the correlation of the space environment with the solar cycle,the solar minima and maxima,the background was also evaluated at these two *** results demonstrated that the highest instrument background will occur during solar minima due to the main contributing source being Galactic Cosmic rays(GCrs).It was also found that the open background was highest for solar minima and that the closed background was highest during solar *** is due to the radiation shutter door acting as a scattering centre and the changes in the energy flux distribution of the GCrs between the two solar extremes.

关键词： instrument background X-ray astronomy space radiation

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