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Comparing outcomes from the two most recognized acupuncturist workforce surveys

Journal of Integrative Medicine 2017年第1期15卷 37-43页

作者： Steven H. Stumpf Kory Ward-Cook clifford r. Carr Health Administration Program California State University at NorthridgeNorthridgeCalifornia 91330USA National Certification Commission of Acupuncture and Oriental Medicine JacksonvilleFlorida 32202USA clifford r.Carr 1743 PenmarAvenue#3VeniceCalifornia 90291USA

OBJECTIVE： To determine the informational consistency produced by the two most recent independent surveys and draw a conclusion whether the data would be sufficient for the National Center for Health Workforce Analysis and Bureau of Labor and Statistics consideration. METHODS： This paper compares workforce outcomes collected by the two most prominent acupuncture entities that have produced the most useful acupuncturist workforce data （California Acupuncture Board 2015 Occupational Analysis and the National Certification Commission of Acupuncture and Oriental Medicine^2013 Job Analysis） at national and state levels. rESULTS： Findings based upon the most compatible survey questions showed the following： more than 70% of acupuncturists work fewer than 40 hours weekly; approximately 76% work in solo practice or in shared space with other acupuncturists; more than 70% of the national sample have been in practice 15 years or less; and median income is between $40 000 and $50 000. A preponderance of acupuncturists is less than 50 years of age, and fewer than 15% of all respondents have been in practice more than 20 years. CONCLUSION： Basic workforce information is a necessary precursor for conducting workforce projections. It is useful to track the expansion or contraction of any given profession. Tracking influences subsequent planning for the profession based upon reliable and valid information about its growth. The ability of the profession to collect its own workforce data is paramount to workforce projection models. Any future survey should be a shared project that follows guidelines supported by the National Center for Health Workforce Analysis.

关键词： acupuncture workforce survey outcome assessment (health care) income

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Silica-Encapsulated Intermetallic Nanoparticles for Highly Active and Selective Heterogeneous Catalysis

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Accounts of Materials research 2021年第12期2卷 1190-1202页

作者： Minda Chen clifford r.Bowers Wenyu Huang Department of Chemistry Iowa State UniversityAmesIowa 50011United States Department of Chemistry University of FloridaGainesvilleFlorida 32611United States Ames Laboratory U.S.Department of EnergyAmesIowa 50011United States

CONSPECTUS:Intermetallic nanoparticles(iNPs)have been the subject of many recent reports for their demonstrated applications as highly active and selective heterogeneous *** a subclass of alloys,intermetallic compounds possess ordered crystal structures and,therefore,well-defined atomic environments,unlike the solid solution of alloys whose atomic arrangements are random and locally *** active iNPs typically contain a group 8−10 transition metals as the“active”*** usually also include an“inactive”metal that does not directly participate in the catalytic reaction but can significantly modify the active metal’s *** choice of the inactive metal component can range across the periodic table.

关键词： alloys intermetallic inactive

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Coating powder beds with liquids and foams based on viscous formulations using a twin screw mixer:A continuous process study

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Particuology 2024年第10期93卷 364-376页

作者： Mohamed S.Manga Dimitrios Kontziampasis Mustafa Al-Maqdad Sean clifford Serafim Bakalis David W.York School of Chemical and Process Engineering Faculty of Engineering and Physical SciencesUniversity of LeedsLeedsLS29JTUK School of Mechanical Engineering Faculty of Engineering and Physical SciencesUniversity of LeedsLeedsLS29JTUK School of Science and Engineering University of DundeeDD14HNDundeeScotlandUK Dundee International Institute of Central South University Tongzipo RoadCentral South UniversityChangshaHunan410013China Department of Chemical Engineering School of EngineeringUniversity of NewcastleNewcastleNE17RUUK School of Chemical Engineering University of BirminghamBirminghamB152TTUK Department of Chemical Engineering Faculty of EngineeringUniversity of NottinghamNG72RDUK

Coating with viscous formulations has been essential in numerous industries as it can be a means for providing functionalization, additional properties, as well as other benefits. However, there have been scarce studies that have investigated and proposed methodologies in literature. Continuous coating of powders with viscous liquids poses as a promising technology, which has been mentioned in some studies, but has not yet been thoroughly investigated. This paper employs the use of image processing and analysis, in combination with statistical analysis of particles to evaluate the effectiveness of foams and liquids as a means of coating powder beds. Two different sizes of twin screw mixers that are working in continuous operation are employed, and a new continuous foaming device is fabricated and used for the experiments of coating. The effect of materials and process parameters (as for example rotational speed, and flowrate) on the quality of coating are investigated. Image analysis is used to assess the coating quality. The results clearly showcase the potential of using twin screw mixers for coating purposes and not only for mixing. The hypothesis that using large bubble foams to improve the coating of viscous liquids on particles is proven correct, as they provide higher quality coatings compared to their equivalent liquids, when used in the twin screw mixer. Surprisingly, using a larger scale twin screw mixer, does not show a substantial effect on the mixing, regarding quality, however there is still a requirement for mix optimization for achieving scale-up of this process. These results provide a new pathway for coating powders with viscous formulations in industrial applications, requiring less energy and effort in this process, and can pave the way towards introducing more sustainable industrial methodologies for coating.

关键词： Powder coating Continuous processing Viscous liquid Foam Image analysis Positron emission particle traking(PEPT)

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The Fentanyl Crisis and ***

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Beijing review 2024年第5期67卷 22-23页

作者： clifford A.Kiracofe The Washington InstituteforPeaceand Development.

During their summit in San Francisco,California,on November 15,2023,Chinese President Xi Jinping and *** Joe Biden announced continued cooperation on counternarcotics issues,and a crackdown on fentanyl in *** on a wid... 详细信息

关键词： U.S. continued fentanyl

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A Just Solution to the Middle East Conflict Is a Must

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Beijing review 2024年第37期67卷 18-19页

作者： clifford A.Kiracofe 不详

Tensions are rising and the risk of regional war looms over the Middle *** has yet to restrain escalation and prospects for peace unfortunately are dim at this *** regional situation is *** assassinations raise tensions In addition to the devastating Israeli incursion into occupied Gaza that began after the tragic events of October 7 last year,there is also increasing Israeli pressure on the occupied West Bank,continued Israeli assassinations of top-level Hamas and Hezbollah officials,the continuing Israeli air attacks on Lebanon and Syria,and also the Israeli intransigence at the negotiations over a ceasefire in Gaza.

关键词： peace Middle occupied

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THE SUMMIT OF U.S.,JAPAN AND PHILIPPINES:A STEP CLOSEr TO NEW COLD WAr

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China report ASEAN 2024年第5期9卷 60-61页

作者： clifford A.Kiracofe the Washington Institute for Peace the US Senate Committee on Foreign relations

The leaders’summit of the United States,Japan,and the Philippines held in Washington,*** billed as“historic.”Manila will join the Washington-led new arrangements targeted at China.

关键词： arrangement Washington China

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real-Time High-resolution MrI Endoscopy at up to 10 Frames per Second

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Biomedical Engineering Frontiers 2021年第1期2卷 55-64页

作者： Xiaoyang Liu Parag Karmarkar Dirk Voit Jens Frahm clifford r.Weiss Dara L.Kraitchman Paul A.Bottomley Department of Electrical and Computer Engineering Johns Hopkins UniversityUSA The Division of Mr research Department of RadiologyJohns Hopkins UniversityBaltimoreMarylandUSA Biomedizinishe NMr Max-Plank-Institut fur Biophysikalische ChemieGottingenGermany The Division of Interventional radiology Department of RadiologyJohns Hopkins UniversityBaltimoreMarylandUSA

*** is a leading cause of mortality and *** endoscopy,ultrasound,and X-ray offer minimally invasive imaging assessments but have limited sensitivity for characterizing disease and therapeutic *** resonance imaging(MrI)endoscopy is a newer idea employing tiny catheter-mounted detectors connected to the MrI *** can see through vessel walls and provide soft-tissue sensitivity,but its slow imaging speed limits practical *** goal is highresolution MrI endoscopy with real-time imaging speeds comparable to existing ***(3 mm)transmit-receive MrI endoscopes were fabricated for highly undersampled radial-projection MrI in a clinical 3-tesla MrI *** nonlinear reconstruction was accelerated using graphics processor units connected via a single ethernet cable to achieve true real-time endoscopy visualization at the *** endoscopy was performed at 6-10 frames/sec and 200-300μm resolution in human arterial specimens and porcine vessels ex vivo and in vivo and compared with fully sampled 0.3 frames/sec and three-dimensional reference scans using mutual information(MI)and structural similarity(3-SSIM)***-speed MrI endoscopy at 6-10 frames/sec was consistent with fully sampled MrI endoscopy and histology,with feasibility demonstrated in vivo in a large animal model.A 20-30-fold speed-up vs.0.3 frames/sec reference scans came at a cost of~7%in MI and~45%in 3-SSIM,with reduced motion ***-resolution MrI endoscopy can now be performed at frame rates comparable to those of X-ray and optical endoscopy and could provide an alternative to existing modalities,with MrI’s advantages of soft-tissue sensitivity and lack of ionizing radiation.

关键词： scanner frames mounted

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Hartmann手术与腹会阴括约肌间切除术的Hip研究:一项多中心前瞻性队列研究

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结直肠肛门外科 2020年第6期26卷 758-759页

作者：王涛 FOWLEr H clifford r SUTTON P 甘肃省人民医院肛肠外科甘肃兰州730000 不详

背景与目的:因考虑到机体状态较差或机体功能的情况,低位直肠癌患者有时需避免行低位结肠肛管吻合术,此时通常可选择Hartmann术(HP)或腹会阴括约肌间切除术(inter-sphincteric abdominoperineal excision,IAPE)。目前,尚无充分数据支持... 详细信息

背景与目的:因考虑到机体状态较差或机体功能的情况,低位直肠癌患者有时需避免行低位结肠肛管吻合术,此时通常可选择Hartmann术(HP)或腹会阴括约肌间切除术(inter-sphincteric abdominoperineal excision,IAPE)。目前,尚无充分数据支持何种术式最为安全并向外科医师提出关于诊疗策略的建议。本研究旨在分析两种术式相关并发症的发生率。方法:本研究是一项多中心、非随机的前瞻性研究,研究对象为接受HP术或IAPE术的患者。主要观察指标为手术相关并发症的发生率,次要观察指标包括住院时间、辅助治疗开始时机以及术后90天生活质量。结果:本研究共纳入2016年4月至2019年6月接受治疗的179例直肠癌患者,其中约2/3行HP术、1/3行IAPE术,两组并发症总发生率(HP组54%,IAPE组52%)均较高。两组手术相关并发症发生率(HP组43%,IAPE组48%)同样均较高,但组间比较差异无统计学意义。HP组盆腔脓肿总发生率为11%,其中能触及残端钉合线组高于未能触及组(15%vs.2%),而IAPE组内科相关严重并发症发生率较高(IAPE组16%vs. HP组5%)且术后90天生活质量较低。结论:本研究是一项在不适宜行一期吻合的直肠癌患者中比较HP术和IAPE术治疗情况的最大型前瞻性研究,基于两种术式相近的并发症发生率数据认为,对该类直肠癌患者可继续采用这两种术式之一进行治疗。

关键词：前瞻性队列研究机体状态结肠肛管吻合术文献来源低位直肠癌诊疗策略机体功能

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真空炉隔热屏的材料选择

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热处理 1990年第1期50卷 55-57,40页

作者： clifford r.PIErCE 陆大魁

本文是真空热处理基础系列介绍的第五篇文章,内容是有关隔热屏的结构,文中详见了当今隔热屏所使用材料组成对真空炉运行和成本的影响。

关键词：隔热屏真空热处理绝热层真空炉最高工作温度石墨毡加热室氧化铝纤维石墨片文中

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Geochemical fingerprints and hydrocarbon potential of Paleocene mudrocks in the Tano Basin, Ghana: insights from biomarkers and stable carbon isotopes

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Acta Geochimica 2024年第2期43卷 255-279页

作者： Kojo Amoako Nancy Pearl Osei-Boakye Ningning Zhong N’Guessan Francois De Sales Konan Gordon Foli Prince Opoku Appau clifford Fenyi Ebenezer Apesegah research Group for Marine Geochemistry(ICBM-MPI Bridging Group) Institute for Chemistry and Biology of the Marine Environment(ICBM)Carl von Ossietzky University OldenburgAmmerlander Heerstr.26129 OldenburgGermany State Key Laboratory of Petroleum resources and Prospecting College of GeosciencesChina University of PetroleumBeijing 102249China Department of Geological Engineering Faculty of Civil and Geo-EngineeringKwame Nkrumah University of Science and TechnologyKumasiGhana Ghana National Gas Company 225 Osibisa CloseAirport WestAccraGhana Petroleum Corporation GNPCPMBPetroleum HouseTemaGhana

The Paleocene mudrocks in Ghana’s Tano Basin have received limited attention despite ongoing efforts to explore hydrocarbon resources.A thorough geochemical analysis is imperative to assess these mudrocks’petroleum generation potential and formulate effective exploration *** this study,a comprehensive geochemical analysis was carried out on ten Paleocene rock cuttings extracted from TP-1,a discovery well within the Tano *** analytical techniques,including total organic carbon(TOC)analysis,rock–Eval pyrolysis,gas chromatography-mass spectrometry,and isotope ratio-mass spectrometry,were employed to elucidate their hydrocar-bon potential and organic ***ﬁndings in this study were subsequently compared to existing geochemical data on Paleocene source rocks in the South Atlantic marginal *** results indicated that the Paleocene samples have TOC content ranging from 0.68 to 2.93 wt%.The prevalent kerogen types identiﬁed in these samples were Type Ⅱ and Type Ⅲ.Molecular and isotope data suggest that the organic matter found in the Paleocene mudrocks can be traced back to land plants and lower aquatic *** mudrocks were deposited in a transi-tional environment withﬂuctuating water salinity,charac-terized by sub-oxic redox *** indices,both bulk and molecular,indicated a spectrum of maturity levels within the Paleocene mudrocks,spanning from immature to marginally mature,with increasing maturity observed with greater *** comparison,the organic composition and depositional environments of Paleocene source rocks in the Tano Basin closely resemble those found in the Niger Delta Basin,Douala,and Kribi-Campo Basins,the Kwanza Formation in Angola,and certain Brazilian marginal ***,it is worth noting that Paleocene source rocks in some of the basins,such as the Niger Delta and Brazilian marginal basins,exhibit rela-tively higher thermal maturity levels compared to those observed in the current Paleocene samp

关键词： Paleocene source rocks Source input Depositional environment Thermal maturity Hydrocarbon potential Tano Basin West Africa

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