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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

muscle amino acid profiles of eleven species of aquacultured animals and their potential value in feed formulation

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Aquaculture and Fisheries 2024年第4期9卷 642-652页

作者： Ewen mcLean Kelly b.Alfrey Delbert m.Gatlin III T.Gibson Gaylord Frederick T.barrows Aqua Cognoscenti LLC 479 Henslowe LaneWest ColumbiaSC29170USA Anthropocene Institute 855 El Camino RealSte 13A N399Palo AltoCA94301USA Texas A&m University Department of Ecology and Conservation BiologyCollege StationTX77843USA US Fish and Wildlife Service Bozeman Fish Technology Center4050 Bridger Canyon RoadBozemanMT59715USA Aquatic Feed Technologies LLC 48 West Plaza del LagoIslamoradaFL33036USA

The complete quantitative essential amino acid(EAA)requirements of aquacultured animals are largely unknown except for a handful of *** is problematic because formulation of least-cost diets for target animals demands precise knowledge of EAA *** way of approximating EAA requirements is to use correlations between whole-body and/or muscle EAA profiles using essential to total EAA ratios(A/E ratios).This method requires a reference,quantified EAA requirement,usually lysine(Lys).To systematically evaluate the A/E ratio method,muscle AA profiles were measured in 10 species of teleost and whiteleg *** fish,Lys represented the dominant muscle EAA measured,ranging between 7.06 and 9.58 g/100 g protein,whereas,in shrimp,arginine(Arg)was quantified as the principal *** non-EAA,glutamate(Glu)and glutamine were consistently the NEAA recorded at highest levels whereas,in shrimp,Glu+Gln was highest followed by aspartate(Asp)plus asparagine(Asn).Except for Arg,which was twice that of fish(Pmp expressed similar muscle A/E *** of relationship between muscle EAA levels and known requirements were all strongly and positively correlated for non-salmonid *** using Lys as the reference EAA there were few semblances between measured and estimated EAA requirements.

关键词： Aquafeed A/E ratio EAA requirement Ideal protein muscle Fishmeal replacement

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 marsh 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

Surface-modified Ag@Ru-P25 for photocatalytic CO_(2) conversion with high selectivity over CH_(4) formation at the solid–gas interface

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Carbon Energy 2024年第1期6卷 182-196页

作者： Chaitanya b.Hiragond Sohag biswas Niket SPowar Junho Lee Eunhee Gong Hwapyong Kim Hong Soo Kim Jin-Woo Jung Chang-Hee Cho bryan m.Wong Su-Il In Department of Energy Science&Engineering Daegu Gyeongbuk Institute of Science and Technology(DGIST)DaeguRepublic of Korea Department of Chemical&Environmental Engineering Materials Science&Engineering ProgramDepartment of ChemistryDepartment of Physics&AstronomyUniversity of California-RiversideRiversideCaliforniaUSA Department of Physics and Chemistry Daegu Gyeongbuk Institute of Science and Technology(DGIST)DaeguRepublic of Korea NiceScience Corporation DaeguRepublic of Korea

Systematic optimization of the photocatalyst and investigation of the role of each component is important to maximizing catalytic activity and comprehending the photocatalytic conversion of CO_(2) reduction to solar fuels.A surface-modified Ag@Ru-P25 photocatalyst with H_(2)O_(2) treatment was designed in this study to convert CO_(2) and H_(2)O vapor into highly selective *** doping followed by Ag nanoparticles(NPs)cocatalyst deposition on P25(TiO_(2))enhances visible light absorption and charge separation,whereas H_(2)O_(2) treatment modifies the surface of the photocatalyst with hydroxyl(–OH)groups and promotes CO_(2) ***-resonance transmission electron microscopy,X-ray photoelectron spectroscopy,X-ray absorption near-edge structure,and extended X-ray absorption fine structure techniques were used to analyze the surface and chemical composition of the photocatalyst,while thermogravimetric analysis,CO_(2) adsorption isotherm,and temperature programmed desorption study were performed to examine the significance of H_(2)O_(2) treatment in increasing CO_(2) reduction *** optimized Ag1.0@Ru1.0-P25 photocatalyst performed excellent CO_(2) reduction activity into CO,CH4,and C2H6 with a~95%selectivity of CH4,where the activity was~135 times higher than that of pristine TiO_(2)(P25).For the first time,this work explored the effect of H_(2)O_(2) treatment on the photocatalyst that dramatically increases CO_(2) reduction activity.

关键词： gas-phase CO_(2) reduction H_(2)O_(2) treatment plasmonic nanoparticles solar fuel photocatalyst surface modification

blockade of Rho-associated kinase prevents inhibition of axon regeneration of peripheral nerves induced by anti-ganglioside antibodies

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Neural Regeneration Research 2024年第4期19卷 895-899页

作者： Andrés berardo Cristian R.bacaglio bárbara b.báez Rubén Sambuelli Kazim A.Sheikh Pablo H.H.Lopez Laboratorio de Neurobiología Instituto de Investigación Médica Mercedes y Martin Ferreyra(INIMEC)-Consejo Nacional de Investigaciones Cientificas y Técnicas(CONICET)Universidad Nacional de Córdoba Departamento de Química biológica-Centro de Investigaciones en Química biológica de Córdoba(CIQUIbIC)-Consejo Nacional de Investigaciones Cientificas y Técnicas(CONICET) Facultad de Cs.QuímicasUniversidad Nacional de Córdoba Servicio de Anatomía Patológica Clínica Universitaria Reina FabiolaUniversidad Católica de Córdoba Department of Neurology University of Texas Medical School at Houston

Anti-ganglioside antibodies are associated with delayed/poor clinical recovery in Guillain-barrèsyndrome,mostly related to halted axon ***-linking of cell surface gangliosides by anti-ganglioside antibodies triggers inhibition of nerve repair in in vitro and in vivo paradigms of axon *** effects involve the activation of the small GTPase Rho A/ROCK signaling pathways,which negatively modulate growth cone cytoskeleton,similarly to well stablished inhibitors of axon regeneration described so *** aim of this work was to perform a proof of concept study to demonstrate the effectiveness of Y-27632,a selective pharmacological inhibitor of ROCK,in a mouse model of axon regeneration of peripheral nerves,where the passive immunization with a monoclonal antibody targeting gangliosides GD1a and GT1b was previously reported to exert a potent inhibitory effect on regeneration of both myelinated and unmyelinated *** results demonstrate a differential sensitivity of myelinated and unmyelinated axons to the pro-regenerative effect of *** with a total dosage of 9 mg/kg of Y-27632 resulted in a complete prevention of anti-GD1a/GT1b monoclonal antibody-mediated inhibition of axon regeneration of unmyelinated fibers to skin and the functional recovery of mechanical cutaneous *** contrast,the same dose showed toxic effects on the regeneration of myelinated ***,scale down of the dosage of Y-27632 to 5 mg/kg resulted in a significant although not complete recovery of regenerated myelinated axons exposed to anti-GD1a/GT1b monoclonal antibody in the absence of toxicity in animals exposed to only ***,these findings confirm the in vivo participation of Rho A/ROCK signaling pathways in the molecular mechanisms associated with the inhibition of axon regeneration induced by anti-GD1a/GT1b monoclonal *** findings open the possibility of therapeutic pharmacological intervention targeting Rho A/R

关键词： anti-ganglioside antibodies anti-glycan antibodies axon regeneration ganglioside Guillain-barrésyndrome nerve repair ROCK Y-27632

Hydrocarbon indication in Rio bonito Formation sandstone:Implication for CO_(2)storage in São Paulo,brazil

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Energy Geoscience 2024年第1期5卷 331-341页

作者： Richardson m.Abraham-A Haline V.Rocha Saulo b.de Oliveira Colombo C.G.Tassinarri Orlando C.da Silva Institute of Energy and Environment University of São PauloSão PauloBrazil Research Centre for Greenhouse Gas Innovation University of São PauloSão PauloBrazil

São Paulo State has witnessed CO_(2)storage-based investigations considering the availability of suitable geologic structures and proximity to primary CO_(2)source sinks related to bioenergy and carbon capture and storage(bECCS)*** current study presents the hydrocarbon viability evaluations and CO_(2)storage prospects,focusing on the sandstone units of the Rio bonito *** objective is to apply petrophysical evaluations with geochemical inputs in predicting future hydrocarbon(gas)production to boost CO_(2)storage within the study *** study used data from eleven wells with associated wireline logs(gamma ray,resistivity,density,neutron,and sonic)to predict potential hydrocarbon accumulation and fluid mobility in the investigated *** samples(shale and carbonate)obtained from depths>200 m within the study location have shown bitumen *** geochemistry data of the Rio bonito Formation shale beds suggest they are potential hydrocarbon source rocks and could have contributed to the gas accumulations within the sandstone *** drilled well data,e.g.,Cb-1-SP and TI-1-SP,show hydrocarbon(gas)presence based on the typical resistivity and the combined neutron-density responses at depths up to 3400 m,indicating the possibility of other hydrocarbon members apart from the heavy oil(bitumen)observed from the near-surface rocks *** the three-dimensional(3-D)model,the free fluid indicator(FFI)is more significant towards the southwest and southeast of the area with deeper depths of occurrence,indicating portions with reasonable hydrocarbon recovery rates and good prospects for CO_(2)injection,circulation and permanent ***,future studies based on contemporary datasets are required to establish the hydrocarbon viability further,foster gas production events,and enhance CO_(2)storage possibilities within the region.

关键词： Paranábasin Hydrocarbon indication Sandstone reservoirs Rio bonito Formation CO_(2)storage Hydrocarbon recovery factor Fluid injection rate

Assessment of bisphenols in children's toy and baby products in the middle East

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Emerging Contaminants 2024年第3期10卷 336-342页

作者： K.martínez-Guijarro b.Gevao m.Porcelli S.Al-Salem Saif Uddin m.bahloul H.Taqi m.Hajeyah D.Krishnan S.Rajagopalan A.boota Environment Pollution and Climate Program Kuwait Institute for Scientific ResearchP.O.Box 23884SafatKuwait EPA Sierra Leone

A major concern from the scientific community has been raised since evidence of bisphenol A(bP-A)can leach out from the products where they are incorporated as well as its endocrine disrupting effects observed in animals and ***-A and several related chemicals such as bisphenol AP(bP-AP),bisphenol b(bPeb),bisphenol S(bPeS),bisphenol AF(bP-AF),bisphenol(bPeP),bisphenol Z(bP-Z)were analyzed in this ***-A and bP-S were the only bisphenols detected in the samples analyzed in this *** median(range;mean)concentrations of bP-A found in this study was 321 ng/g(11-200932;4893 ng/g).The analysis was carried out by sonicating 0.1 g of a cryo-milled sample aliquot in methanol followed by UPLC-mS/mS *** concentrations of bP-A were found in several products labeled as bP-A free such as nursing bottles which are particularly problematic from the children's exposure point of *** study presents the first reliable bisphenols in children's toys and baby products commercialized in the middle *** is,however,a need to continue monitoring these compounds,especially in low-cost toys,and the so-called bP-A-free products,which appear to have high levels of target contaminants and can pose an exposure risk for infants and children in the region.

关键词： bisphenols bisphenol A(bP-A) bisphenol S(bPeS) Children Toys

A rat model of multicompartmental traumatic injury and hemorrhagic shock induces bone marrow dysfunction and profound anemia

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Animal models and Experimental medicine 2024年第3期7卷 367-376页

作者： Lauren S.Kelly Jennifer A.munley Erick E.Pons Kolenkode b.Kannan Elizabeth m.Whitley Letitia E.bible Philip A.Efron Alicia m.mohr Department of Surgery and Sepsis and Critical Illness Research Center University of Florida College of MedicineGainesvilleFloridaUSA Pathogenesis LLCGainesvilleFloridaUSA

background:Severe trauma is associated with systemic inflammation and organ *** rodent trauma models are the mainstay of postinjury research but have been criticized for not fully replicating severe human *** aim of this study was to create a rat model of multicompartmental injury which recreates profound traumatic ***:male Sprague-Dawley rats were subjected to unilateral lung contusion and hemorrhagic shock(LCHS),multicompartmental polytrauma(PT)(unilateral lung contusion,hemorrhagic shock,cecectomy,bifemoral pseudofracture),or na?ve ***,plasma toll-l ike receptor 4(TLR4),hemoglobin,spleen to body weight ratio,bone marrow(bm)erythroid progenitor(CFU-GEmm,bFU-E,and CFU-E)growth,plasma granulocyte colony-stimulating factor(G-CSF)and right lung histologic injury were assessed on day 7,with significance defined as p valuesma resulted in markedly more profound inhibition of weight gain compared to LCHS(p=0.0002)along with elevated plasma TLR4(pmoglobin(pbody weight ratios(p=0.004).both LCHS and PT demonstrated suppression of CFU-E and bFU-E growth compared to naive(pma G-CSF was elevated in PT compared to both na?ve and LCHS(pmonstrated significant histologic right lung injury with poor alveolar wall integrity and interstitial ***:multicompartmental injury as described here establishes a reproducible model of multicompartmental injury with worsened anemia,splenic tissue enlargement,weight loss,and increased inflammatory activity compared to a less severe *** may serve as a more effective model to recreate profound traumatic injury to replicate the human inflammatory response postinjury.

关键词： anemia i nflammation polytrauma pseudofracture shock

Storylines of family medicine Ⅶ: family medicine across the lifespan

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Family medicine and Community Health 2024年第S3期12卷 61-69页

作者： William b Ventres Leslie A Stone Katharine C barnard Sara G Shields mark J Nelson maria Verónica Svetaz Clara m Keegan Joel J Heidelbaugh Paige b beck Lucille marchand Family and Preventive medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA Family medicine and Community Health UMass Chan Medical SchoolWorcesterMassachusettsUSA John Peter Smith Hospital Family medicine Residency Fort WorthTexasUSA Family and Community medicine Hennepin HealthcareMinneapolisMinnesotaUSA Family medicine University of Vermont Larner College of MedicineBurlingtonVermontUSA Family medicine University of Michigan Medical SchoolAnn ArborMichiganUSA Family medicine and Community Health University of Wisconsin-Madison School of Medicine and Public HealthMadisonWisconsinUSA

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 ***‘Ⅶ:family medicine across the lifespan’,authors address the following themes:‘Family medicine maternity care’,‘Seeing children as patients brings joy to work’,‘Family medicine and the care of adolescents’,‘Reproductive healthcare across the lifespan’,‘men’s health’,‘Care of older adults’,and‘being with dying’.may readers appreciate the range of family medicine in these essays.

关键词： life illustration family