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World Journal of Emergency Medicine 2024年第3期15卷 220-222页

作者： julie Cueva Duncan Grossman Vishnu Muppala Arlene Chung Mahlaqa Butt Jefferson Drapkin Antonios Likourezos Errel Khordipour Department of Emergency Medicine Maimonides Medical CenterNew York 11219USA

The “door-to-doctor” time for patients to be seen by a physician is an increasingly studied *** may shorten this time by implementing a triage physician (TP).The exact role of a TP may vary across *** put in preliminary orders for lab work,imaging,and treatment,and decide treatment location for further *** the prevalence of TPs grows,its effect on resident education in academic emergency departments (EDs) remains *** implemented a TP in the spring of 2016 and assessed resident physicians before and after implementation.

关键词： physician doctor treatment

Complex Regional Pain Syndrome: Outpatient Pain Management in the Chronic Setting: A Case Report

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Open Journal of Anesthesiology 2024年第5期14卷 137-144页

作者： julie Chege Ngugi Kinyungu ITAV Pain Management Medical School University of Nairobi New York USA ITAV Pain Management Donald and Barbara Zucker School of Medicine at Hofstra/Northwell New York USA

Background: Complex Regional Pain Syndrome (CRPS), previously known as reflex sympathetic dystrophy and causalgia, is a neuropathic pain condition that usually develops after an injury to an extremity. CRPS can be a debilitating condition with high levels of pain and reduced function. Aim: This case report aims to discuss the multimodal approach in the management of a patient who presented with ongoing poorly controlled pain secondary to CRPS from an injury that happened years prior. Case Presentation: A 45-year-old female was involved in a motor vehicle accident where her right leg was injured. She underwent several surgeries and developed CRPS that significantly reduced her mobility and quality of life. She presented to the pain clinic years after her initial injury and a multimodal regimen was started for her resulting in significantly improved function. Conclusion: CRPS can be a severely debilitating condition. While early diagnosis and management are important, ongoing management in the outpatient chronic pain setting is important in maintaining a good level of function.

关键词： Chronic Regional Pain Syndrome (CRPS) Multimodal Management Chronic Pain Sequelae

Blogging for Business—the Crucial Preparation Phase

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英语世界 2024年第10期 127-128页

作者： julie Dawn Fox

Pre-reading task You are going to read an article about the importance of planning and preparation when blogging for business. Before you read, think about your own company. Does it have a blog? Do you know who it is ...

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Development of a Proof-of-Concept Multi-Method Computer Simulation to Support Rural Healthcare Disaster Preparedness Planning

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International Journal of Disaster Risk Science 2024年第3期15卷 346-358页

作者： Thomas A.Berg Kristina W.Kintziger julie Suzuki Crumly Scott A.Lawson Carole R.Myers Tracey T.Stansberry College of Nursing University of Tennessee Knoxville Department of Environmental Agricultural and Occupational Health University of Nebraska Medical Center Public Health and Healthcare Oak Ridge Associated Universities

Due to a lack of resources, rural communities often face challenges when planning catastrophic events. This project involved applying systems thinking and model-based systems engineering to develop a proof-of-concept, multi-method computer simulation and then determining whether the simulation could be used to assess the efficacy of disaster planning approaches on health outcomes in rural communities, as a function of primary healthcare. The project focus was a rural or non-urban healthcare system experiencing a natural hazard. Both system dynamics and discrete event models were incorporated to represent subsystem operations, crucial disaster responses, as well as three key response systems: public health, emergency management, and healthcare. The subsystem models included several components: policies/procedures, communications,resources, exercises/drills/training, healthcare space and staff, and the flow of affected people into and through the *** combined simulation can serve as a first step to a more comprehensive approach to helping rural communities achieve more efficient and effective healthcare planning for disaster responses.

关键词： Computer simulation Disaster preparedness Model-based systems engineering Rural healthcare System dynamics model Systems thinking

Supportive care in transplantation: A patient-centered care model to better support kidney transplant candidates and recipients

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World Journal of Transplantation 2024年第4期14卷 15-28页

作者： Anita Slominska Katya Loban Elizabeth Anne Kinsella julie Ho Shaifali Sandal MEDIC Program Research Institute of the McGill University Health CentreMontreal H4A3J1QCCanada Institute of Health Sciences Education Faculty of Medicine and Health SciencesMcGill UniversityMontreal H4A3J1QCCanada Department of Medicine University of ManitobaWinnipeg R3A1R9MBCanada Department of Medicine McGill University Health CentreMontreal H4A3J1QCCanada

Kidney transplantation(KT),although the best treatment option for eligible patients,entails maintaining and adhering to a life-long treatment regimen of medications,lifestyle changes,self-care,and *** patients experience uncertain outcome trajectories increasing their vulnerability and symptom burden and generating complex care *** when transplants are successful,for some patients the adjustment to life post-transplant can be challenging and psychological difficulties,economic challenges and social isola-tion have been *** 50%of patients lose their transplant within 10 years and must return to dialysis or pursue another transplant or conservative *** paper documents the complicated journey patients undertake before and after KT and outlines some initiatives aimed at improving patient-centered care in transplantation.A more cohesive approach to care that borrows its philosophical approach from the established field of supportive oncology may improve patient experiences and *** propose the"supportive care in transplantation"care model to operationalize a patient-centered approach in *** model can build on other ongoing initiatives of other scholars and researchers and can help advance patient-centered care through the entire care continuum of kidney transplant recipients and ***-dimensionality,multi-disciplinarity and evidence-based approaches are proposed as other key tenets of this care *** conclude by proposing the potential advantages of this approach to patients and healthcare *** Tip:Kidney transplant recipients and candidates face several uncertainties in their care journey and have several expressed unmet healthcare *** recommend a structured and comprehensive approach to transplant care across the entire continuum of a transplant patient’s journey similar to what has been developed in the field of *** supportive care in transplantation model can operational

关键词： Supportive care Kidney transplantation Death Graft failure Adverse outcomes Kidney transplant recipients

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人工智能会像人一样与孩子交流吗?

黄金时代（下半月） 2024年第9期 34-35页

作者： julie Sedivy 不详

学习语言是踏入人类集体智慧的大门,孩子们需要大量的交流才能习得语言。不难想象,在未来的夜晚,父母在给孩子盖好被子准备哄睡时可以用一个APP来讲睡前故事,还可以吸引孩子进行温和对话;在白天的校园里,幼儿园老师不再把一大群孩子赶... 详细信息

学习语言是踏入人类集体智慧的大门,孩子们需要大量的交流才能习得语言。不难想象,在未来的夜晚,父母在给孩子盖好被子准备哄睡时可以用一个APP来讲睡前故事,还可以吸引孩子进行温和对话;在白天的校园里,幼儿园老师不再把一大群孩子赶到地毯上围成一圈,而是给每个孩子准备一个平板电脑,根据孩子的词汇量、语言水平和注意力程度来教授课程。那么,人工智能是否可以代替真实的人,与孩子们交流呢?

关键词：幼儿园老师人工智能平板电脑习得语言交流才能真实的人集体智慧注意力

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培养成功的孩子，从不过度干预开始（英文）

英语画刊(高中版) 2024年第10期 3-5页

作者： julie Lythcott-Haims

父母对孩子抱有过高的期望,事无巨细地管理他们的生活,实际上对他们并没有帮助。至少,朱莉·利思科特一海姆斯是这么认为的。这位斯坦福大学前新生教务长呼吁父母不要再用成绩来定义孩子的成功,而应该专注于提供最古老的理念:无条件的爱。

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JetZero的三角革命打造未来航空新形态

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商业周刊（中文版） 2024年第2期 16-17页

作者： julie Johnsson 晴川(译) 不详

从上世纪20年代的Ford Trimotor到当今波音(Boeing Co.)、空客(Airbus SE)的喷气机,在商业航空史发展的这一个多世纪里,一直有一件事没有变:飞机的机身设计总是呈长管状,有一对显眼的机翼,下面固定着引擎,后面有尾翼。飞机内部也有类似... 详细信息

从上世纪20年代的Ford Trimotor到当今波音(Boeing Co.)、空客(Airbus SE)的喷气机,在商业航空史发展的这一个多世纪里,一直有一件事没有变:飞机的机身设计总是呈长管状,有一对显眼的机翼,下面固定着引擎,后面有尾翼。飞机内部也有类似的标准布局:一排排座椅夹着一个或两个过道,当然偶尔也会有供头等舱乘客使用的楼梯或酒吧之类的奢侈空间。

关键词：飞机内部头等舱新形态机身设计未来航空

Changes in Soil Physicochemical Properties under Selected Climate-Smart Agricultural Practices in Central African Republic

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Open Journal of Soil Science 2024年第1期14卷 97-114页

作者： julie Léancy Gougodo De Mon-Zoni Arnauld Dave Bangane Konzoba Jane Akoth Omenda Mohammad Zaman Ephrem Kosh-Komba Plant and Fungal Biodiversity Laboratory Faculty of Sciences University of Bangui Central African Republic Central African Institute for Agricultural Research (ICRA) Bangui Central African Republic Laboratoiry of Geoscience Faculty of Sciences University of Bangui Bangui Central African Republic Departement of Water & Agricultural Resources Management University of Embu Embu Kenya International Atomic Energy Agency (IAEA) Vienna Austria Laboratory of Biological and Agronomical Sciences for Development Faculty of Sciences University of Bangui Bangui Central African Republic

Soil nutrient depletion as a result of continuous cultivation with insufficient external nutrient replenishment is a major challenge in sub-Saharan Africa (SSA). A trial using the organic and mineral fertilizer was established in the cassava cropping system of the Pissa and Damara areas to address the declining soil fertility. The study aimed to evaluate the effect of cow manure and mineral fertilizer in combination or sole application on soil physico-chemical properties and macronutrients. The experimental trial adopted a randomized complete block design (RCBD) replicated four times. The treatments comprised of;T1 (Control), T2 (Peasant practice), T3 (sole NPK), and T4 (Cow manure + NPK). The data on soil physicochemical analysis was subjected to a one-way analysis of variance in SAS 9.4 and the mean was separated by Tukey’s HSD test at p < 0.005. The soil pH values ranged from 4.20 to 4.91;and 4.53 to 5.28 in Pissa and Damara respectively. According to the treatments, a low pH value is observed in T3 (4.13) in the Pissa. Combined use of cow manure and the mineral fertilizer resulted in higher Mg K and N in the Pissa region and higher soil pH in Damara. The use of sole NPK (T3) gave a higher soil carbon and CN ratio. In the Pissa region the CEC, Cu, Fe, and Zn were higher in the treatments with mineral fertilizer compared to the control. Conclusively, the use of mineral fertilizer and cow manure can be used with optimum rates to improve soil physico-chemical properties on a sustainable basis.

关键词： Cow Manure Physicochemical Nutrients Agroecology Nutrient Management

Assessment of the Recent Hydromorphological Features of Nokoue Lake and Its Channels (South-East Benin)

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Open Journal of Modern Hydrology 2024年第1期14卷 33-55页

作者： Tètchodiwèï julie-Billard Yonouwinhi Gérard Alfred Franck Assiom d’Almeida Felix Kofi Abagale Akuemaho Virgile Onésime Akowanou Laboratory of Applied Hydrology (LHA) National Institute of water (INE) African Centre of Excellence for Water and Sanitation (C2EA) University of Abomey-Calavi (UAC) Cotonou Benin International Chair in Mathematical Physics and Applications (ICMPA–UNESCO Chair) University of Abomey-Calavi (UAC) Cotonou Benin Laboratory of Geology Mining and Environment (LGME) Faculty of Science and Technology (FAST) University of Abomey-Calavi (UAC) Cotonou Benin West African Centre for Water Irrigation and Sustainable Agriculture (WACWISA) University of Development Studies (UDS) Tamale Ghana Laboratory of Sciences and Technology for Water and Environment (LSTEE) University of Abomey-Calavi (UAC) Cotonou Benin

Based on 2022 and 2023 hydrometric data and satellite images (Sentinel 2022, SPOT 2010), this study aims to present the Nokoué Lake and its channels’ re-cent hydromorphological characteristics. Integrating flow, tributary morphology, and topography data determined specific power values along the axes studied. The values obtained range from 2.69 to 12.92 W/m2 for Ouémé River and 2.46 to 10.99 W/m2 for Sô River. The resulting water erosion on banks and bottoms is of linear, areolar, or gully and claw types. Lake bathymetry varies from -0.5 to -2.6 m (low flow period) and -1 to -4 m;in the Ouémé, Sô, and Totchè rivers, it varies from -5 m to -7 m, reaching -10 m at the Cotonou channel entrance (flood period). Bathymetric profiles reveal varied “U”, “V” and “Intermediate” bottom morphologies, influenced by erosion/sedimentation processes and human activities. The flow facies identified are lentic in the northern tributaries and lotic in the Cotonou and Totchè canals. Spatial analysis identified nine (09) thematic classes. In 2022, the surface area of the water body has increased from 274 km2 at low water to 280 km2 at high water, whereas in 2010 (a recent year of exceptional flooding), the surface area was 270 km2 at low water and 277 km2 at high water. Significant changes in land use are observed between 2010 and 2022. The floodplain area decreased slightly, from 421 km2 in 2010 (year of exceptional flooding) to 419 km2 in 2022. The evolution of land use shows a progressive expansion of the urban environment to the detriment of the natural environment. In the medium to long term, this trend could threaten the hydromorphological balance and even the existence of this important lagoon ecosystem.

关键词： Nokoué Lake Ouémé River Sô River Cotonou Channel Hydromorphology