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Storylines of family medicine Ⅻ:family medicine and the healthcare system

Family medicine and Community Health 2024年第S3期12卷 109-118页

作者： william B Ventres Leslie A Stone Jeannette E south-Paul Kendall m Campbell Aerial R Petty Hima Ekanadham Kurt C Stange Rebecca S Etz william L miller Robert L Ferrer marianna Kong Thomas Bodenheimer Roger Strasser Sharon C m Reece Joshua Freeman John m Westfall Family and Preventive medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA meharry medical College NashvilleTennesseeUSA Family medicine University of Texas Medical Branch at Galveston School of MedicineGalvestonTexasUSA Family medicine Residency Program New York-Presbyterian Columbia University Medical CenterNew YorkNew YorkUSA Center for Family and Community medicine Columbia University Vagelos College of Physicians and SurgeonsNew YorkNew YorkUSA Center for Community Health Integration Case Western Reserve University School of MedicineClevelandOhioUSA Family medicine and Population Health Virginia Commonwealth University School of MedicineRichmondVirginiaUSA Family medicine Lehigh Valley Health NetworkAllentownPennsylvaniaUSA University of south Florida morsani College of medicine TampaFloridaUSA Family and Community medicine UT Health San Antonio Long School of MedicineSan AntonioTexasUSA Family and Community medicine University of California San Francisco School of MedicineSan FranciscoCaliforniaUSA Northern Ontario School of medicine University SudburyOntarioCanada Family medicine Baylor Scott and White HealthTempleTexasUSA Family medicine University of Kansas School of MedicineKansas CityKansasUSA DARTNet Insitute AuroraColoradoUSA

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 ***‘Ⅻ:Family medicine and the future of the healthcare system’,authors address the following themes:‘Leadership in family medicine’,‘Becoming an academic family physician’,‘Advocare—our call to act’,‘The paradox of primary care and three simple rules’,‘The quadruple aim—melding the patient and the health system’,‘Fit-for-purpose medical workforce’,‘Universal healthcare—coverage for all’,‘The futures of family medicine’and‘The 100th essay.’may readers of these essays feel empowered to be part of family medicine’s exciting future.

关键词： system illustration family

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Thermodynamic analysis of metal segregation in dual phase high entropy ceramics

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Journal of materiomics 2024年第4期10卷 889-895页

作者： Steven m.Smith II william G.Fahrenholtz Gregory E.Hilmas Stefano Curtarolo missouri University of Science and Technology Materials Science and Engineering DepartmentRollaMO65409USA Duke University Department of Mechanical Engineering and Materials ScienceDurhamNC27708USA Duke University Center of Autonomous Materials DesignDurhamNC27708USA

Equilibrium Gibbs'free energy calculations were used to determine metal segregation trends between boride and carbide solid solutions containing two metals that are relevant to dual phase high entropy *** model predicted that Ti had the strongest tendency to segregate to the boride phase followed by Zr,Nb,mo,V,Hf,and Ta,which matches experimental results of measured *** ratio of a metal in the carbide phase to the content of the same metal in the corresponding metal boride had a linear trend with the change in standard Gibbs'free energy of reaction for a metal carbide reacting with B_(4)C to produce its corresponding metal boride and *** proposed model was used to predict the changes in standard Gibbs'free energy for CrC→CrB_(2) to be−260 kJ and WC→WB_(2) to be 148 kJ,which indicates that Cr has the strongest segregation to the boride and W has the strongest segregation to the *** proposed model can be used to estimate the segregation of metals in dual phase high entropy boride-carbide ceramics of any boride/carbide ratio or metal content.

关键词： Dual phase High entropy ceramic Boride Carbide Thermodynamics

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Grow-light smart monitoring system leveraging lightweight deep learning for plant disease classification

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Artificial Intelligence in Agriculture 2024年第2期12卷 44-56页

作者： william.m.cdonald Yuksel Asli Sari majid Pahlevani Department of Electrical&Computer Engineering Queen's UniversityKingstonON K7L 3N6Canada The Robert m.Buchan Department of mining Queen's UniversityKingstonON K7L 3N6Canada

This work focuses on a novel lightweight machine learning approach to the task of plant disease classification,posing as a core component of a larger grow-light smart monitoring *** the extent of our knowledge,this work is the first to implement lightweight convolutional neural network architectures leveraging down-scaled versions of inception blocks,residual connections,and dense residual connections applied without pre-training to the PlantVillage *** novel contributions of this work include the proposal of a smart monitor-ing framework outline;responsible for detection and classification of ailments via the devised lightweight net-works as well as interfacing with LED grow-light fixtures to optimize environmental parameters and lighting control for the growth of plants in a greenhouse *** adaptation of dense residual connections achieved the best balance of minimizing model parameters and maximizing performance metrics with accuracy,precision,recall,and F1-scores of 96.75%,97.62%,97.59%,and 97.58%respectively,while consisting of only 228,479 model *** results are further compared against various full-scale state-of-the-art model architectures trained on the PlantVillage dataset,of which the proposed down-scaled lightweight models were capable of performing equally to,if not better than many large-scale counterparts with drastically less com-putational requirements.

关键词： Plant disease classification Smart monitoring Deep learning Residual connections Inception Dense residual connections

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Sb^(3+)and Sm^(3+)co-doped lead-free Cs_(2)NaInCl_(6)double perovskite nanocrystals for single-component cold white emitter

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Journal of Rare Earths 2024年第9期42卷 1646-1651,I0001页

作者： Biao Zhou Xiangtong Zhang Ranran Hu Ruixue Hou william W.Yu Key Laboratory for Special Functional materials of ministry of Education National&Local Joint Engineering Research Centre for High-Efficiency Display and Lighting TechnologySchool of Materials and EngineeringCollaborative Innovation Centre of Nano Functional Materials and ApplicationsHenan UniversityKaifeng475000China School of Chemistry and Chemical Engineering Shandong UniversityJinan250100China

metal halide perovskites exhibit promising prospect in light-emitting diodes,solar cells,photodetectors and ***,the workhorse of metal halide perovskites relies on toxicity lead element,which severely damages human body and *** lead-free perovskites,Cs_(2)NaInCl_(6)double perovskite is one of the most promising candidates because of its great stability and easy synthesis,but suffers inadequate optical ***,we doped Sb^(3+)and Sm^(3+)into Cs_(2)NaInCl_(6)nanocrystals by a hot injection ***_(2)NaInCl_(6):Sb^(3+)exhibits blue emission at 447 ***_(2)NaInCl_(6):Sm^(3+),Sb^(3+)nanocrystals simultaneously generate the blue emission of Sb^(3+)and the multiple emissions of Sm^(3+)at 565,602,650 and 710 *** the increase of Sm^(3+)feed ratio,the emission color of Cs_(2)NaInCl_(6):Sm^(3+),Sb^(3+)gradually moves to cold white region at(0.27,0.28)in CIE chromaticity diagram and correlated color temperature of 11840 *** work shows the potential application of Cs_(2)NaInCl_(6):Sm^(3+),Sb^(3+)nanocrystals as a single-component cold white emitter.

关键词： Lead-free Double perovskites Single component White emitter Doping Rare earths

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Detection of onset of agglomeration in a bubbling fluidized bed biomass combustor using reactive Eulerian computational fluid dynamics

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Particuology 2024年第7期90卷 504-515页

作者： Abdullah Tasleem Atta Ullah Fei Li Qun Yi william Nimmo Syed Sheraz Daood Department of Chemical Engineering Pakistan Institute of Engineering and Applied Sciences(PIEAS)Lehtrar RoadP.O.Nilore45650IslamabadPakistan Institute of Process Engineering Chinese Academy of SciencesBeijing100190China School of Chemical Engineering and Pharmacy Wuhan Institute of TechnologyWuhan430205China Energy Engineering Group Energy 2050Department of Mechanical EngineeringUniversity of SheffieldSheffieldS37RDUnited Kingdom Institute of Energy and Environmental Engineering Faculty of ElectricalEnergy&Environmental EngineeringUniversity of the PunjabQuaid-e-Azam CampusLahorePakistan Energy Engineering Research and Development Centre Faculty of ElectricalEnergy&Environmental EngineeringUniversity of the PunjabQuaid-e-Azam CampusLahorePakistan

The choice of a type of combustion technology to be used for heat or power generation depends on economic,technical,operational and fuel availability *** benefits associated with the evolving market driven by the fluidised bed combustion(FBC)technology cannot be overlooked especially when gauged at 65 GWth of worldwide installed capacity alongside added benefits of handling fuel variation,low pollutant emissions and high combustion *** or biomass waste will continue to have a vital role to play in the future FBC technology-based power *** often contains high levels of inorganic species that can form sticky agglomerates posing a significant risk to boiler operation resulting in unscheduled *** added complexity of the behaviour of the fuel and bed material mix highlights the requirement for simulation models to identify agglomeration to help improve the overall performance and reliability of FBC *** resolve this problem,this research devised a simulation strategy for the detection of agglomeration using the Eulerian–Eulerian *** developed modelling strategy is validated with the experimental data available in literature for two-dimensional simplified geometry of a pilot-scale fluidised bed *** model results were found promising and robust to predict bed defluidisation times and other parameters consistent with the experimental data.

关键词： Fluidized bed combustion Eulerian models Biomass Agglomeration Defluidisation

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Exertional calf pain at kilometer five - Finding the cause

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Sports medicine and Health Science 2024年第1期6卷 89-93页

作者： Samuel A.Renier Angela m.Voight Emilee J.Trost william O.Roberts St.John's Hospital Family medicine Residency Department of Family Medicine and Community HealthUniversity of Minnesota Medical SchoolMinneapolisMNUSA Summit Orthopedics Woodbury Clinic2090 Woodwinds Dr.WoodburyMN55125USA minnesota Distance Elite 4007Forest RdMinneapolisMN55416USA Department of Family medicine and Community Health University of Minnesota Medical School516 Delaware St.SE6-240 Phillips-Wangensteen BuildingMinneapolisMN55455USA

A 23-year-old professional distance runner with several years of exertional calf pain was diagnosed with a unique mixed type III and functional popliteal artery entrapment syndrome(PAES).Surgical reduction of the obstructing tissue allowed her to return to professional *** case highlights the importance of including PAES in the differential for chronic intermittent lower extremity claudication and outlines the work-up required to diagnose this vascular obstruction in younger athletes.

关键词： Claudication Lower leg pain Vascular imaging PAES FPAES Popliteal entrapment

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

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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 Daaleman 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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Enhancing the clinical relevance of haemorrhage prediction models in trauma

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military medical Research 2024年第3期11卷 467-468页

作者： Sankalp Tandle Jared m.Wohlgemut max E.R.marsden Erhan Pisirir Evangelia Kyrimi Rebecca S.Stoner william.m.rsh Zane B.Perkins Nigel R.m.Tai Centre for Trauma Sciences Blizard InstituteQueen Mary University of LondonLondon E12ATUK The Royal London Hospital Barts Health NHS TrustLondon E11FRUK Academic Department of military Surgery and Trauma Research and Clinical InnovationThe Royal Centre for Defence MedicineBirmingham B152WBUK Department of Electronic Engineering and Computer Science Queen Mary University of LondonLondon E14NSUK

We read with interest the recent systematic reviewaArtificial intelligence and machine learning for hemorrhagic trauma careoby Peng et al.[1],which evaluated literature on machine learning(mL)in the management of trau... 详细信息

关键词： Trauma Injury Blood transfusion massive transfusion Prediction Artificial intelligence machine learning

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Unicompartmental knee arthroplasty vs high tibial osteotomy for knee osteoarthritis:A comparison of clinical and radiological outcomes

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World Journal of Orthopedics 2024年第5期15卷 444-456页

作者： Frederick william Wyatt Oday Al-Dadah Translational and Clinical Research Institute Faculty of Medical SciencesNewcastle UniversityNewcastle Upon Tyne NE24HHUnited Kingdom Department of Trauma and Orthopaedic Surgery South Tyneside District HospitalSouth Shields NE340PLUnited Kingdom

BACKGROUND Unicompartmental knee arthroplasty(UKA)and high tibial osteotomy(HTO)are well-established operative interventions in the treatment of knee ***,which intervention is more beneficial to patients with knee osteoarthritis remains unknown and a topic of much ***,there is a paucity of research assessing the relationship between radiographic parameters of knee joint alignment and patient-reported clinical outcomes,preoperatively and following HTO or *** To compare UKAs and HTOs as interventions for medial-compartment knee osteoarthritis:Examining differences in clinical outcome and investigating the relationship of joint alignment with respect to *** This longitudinal observational study assessed a total of 42 patients that had undergone UKA(n=23)and HTO(n=19)to treat medial compartment knee ***-reported outcome measures(PROms)were collected to evaluate clinical *** included two disease-specific(Knee Injury and Osteoarthritis Outcome Score,Oxford Knee Score)and two generic(EQ-5D-5L,Short Form-12)*** radiographic parameters of knee alignment assessed were the:Hip-knee-ankle angle,mechanical axis deviation and angle of mikulicz *** Statistical analyses demonstrated significant(Pmprovements in the PROm scores of both *** were,however,no significant inter-group differences in the postoperative PROm scores of the UKA and HTO *** significant correlations associated a more distolaterally angled mikulicz line with worse knee function and overall health preoperatively(Pm scores and knee joint alignment parameters(hip-knee-ankle angle,mechanical axis deviation)within the HTO group;yet no such associations were observed within the UKA *** UKAs and HTOs are both efficacious operations that provide a comp

关键词： Arthroplasty Osteotomy medial compartment Osteoarthritis Knee alignment Patient reported outcome measures

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The secondary injury cascade after spinal cord injury:an analysis of local cytokine/chemokine regulation

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Neural Regeneration Research 2024年第6期19卷 1308-1317页

作者： Daniel J.Hellenbrand Charles m.Quinn Zachariah J.Piper Ryan T.Elder Raveena R.mishra Taylor L.marti Phoebe m.Omuro Rylie m.Roddick Jae Sung Lee william L.murphy Amgad S.Hanna Department of Neurosurgery University of Wisconsin-Madison School of Medicine and Public HealthMadisonWIUSA Department of Biomedical Engineering University of Wisconsin-MadisonMadisonWIUSA Department of Orthopedics and Rehabilitation University of Wisconsin-MadisonMadisonWIUSA Department of materials Science and Engineering University of Wisconsin-MadisonMadisonWIUSA Forward BIO Institute University of Wisconsin-MadisonMadisonWIUSA

After spinal cord injury,there is an extensive infiltration of immune cells,which exacerbates the injury and leads to further neural ***,a major aim of current research involves targeting the immune response as a treatment for spinal cord *** much research has been performed analyzing the complex inflammatory process following spinal cord injury,there remain major discrepancies within previous literature regarding the timeline of local cytokine *** objectives of this study were to establish an overview of the timeline of cytokine regulation for 2 weeks after spinal cord injury,identify sexual dimorphisms in terms of cytokine levels,and determine local cytokines that significantly change based on the severity of spinal cord *** were inflicted with either a mild contusion,moderate contusion,severe contusion,or complete transection,7 mm of spinal cord centered on the injury was harvested at varying times post-injury,and tissue homogenates were analyzed with a Cytokine/Chemokine 27-Plex *** demonstrated pro-inflammatory cytokines including tumor necrosis factorα,interleukin-1β,and interleukin-6 were all upregulated after spinal cord injury,but returned to uninjured levels within approximately 24 hours post-injury,while chemokines including monocyte chemoattractant protein-1 remained upregulated for days *** contrast,several anti-inflammatory cytokines and growth factors including interleukin-10 and vascular endothelial growth factor were downregulated by 7 days *** spinal cord injury,tissue inhibitor of metalloproteinase-1,which specifically affects astrocytes involved in glial scar development,increased more than all other cytokines tested,reaching 26.9-fold higher than uninjured *** a mild injury,11 cytokines demonstrated sexual dimorphisms;however,after a severe contusion only leptin levels were different between female and male *** conclusion,pro-inflammatory cytokines in

关键词： astrocytes chemokines cytokines inflammation macrophages microglia secondary damage spinal cord injury

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