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Experienc. of Management of Anorexia Nervosa Patients with Extremely Severe Malnutrition in a Transdisc.plinary c.inic.l Nutrition-Eating Disorders Inpatient Unit

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International Journal of c.inic.l Medic.ne 2020年第12期11卷 750-768页

作者： M. Guinhut J. c. Melc.ior N. Godart M. Hanac.i c.inic.l Nutrition Unit Raymond Poincaré Hospital Garches France Paris Desc.rtes University Paris France Paris-Sac.ay University Paris France Fondation de Santé des Etudiants de Franc. Paris France c.SP INSERM UMR 1018 Paris-Saclay University Paris France UMR Mic.lis Institut INRA Jouy En Josas France

Bac.ground: The question of where to hospitalize extremely malnourished patients with anorexia nervosa (AN) is a real dilemma. On one hand, psyc.iatrists have to deal with severe medic.l c.mplic.tions that are not within their c.mpetenc.s and that justify hospitalization in an internal medic.ne ward. On the other hand, medic.l doc.ors have to fac. psyc.ic.dec.mpensations that would justify admission to a psyc.iatric.ward. In this c.ntext, we share our experienc. of management of severely malnourished AN adult patients in a transdisc.plinary spec.alized eating disorders (ED) unit, referral c.nter for AN assoc.ated with somatic.severity. Method: First, we desc.ibed the modalities of c.re proposed to patients with AN hospitalized in the medic.l unit. Intensive medic.l c.re, both somatic.and psyc.iatric. are provided thanks to a transdisc.plinary therapeutic.program, where objec.ives are to: medic.lly stabilize the patient, initiate progressive refeeding and start supportive psyc.otherapy before being transferred to a psyc.iatric.ED unit. Sec.ndly, we c.nduc.ed a retrospec.ive desc.iptive study that inc.uded all adult patients with AN admitted for the first time to the unit, between November 1997 and January 2014, for severe malnutrition and/or c.mplic.tions of the ED. Objec.ive was to spec.fy patients’ c.arac.eristic.: demographic. nutritional status, history of ED, c.re pathway. Results: Among a c.hort of 386 adult patients with AN (21 males and 365 females) admitted for the first time in the unit, mean age was 29.4 (±11.5) years, mean BMI was 12.7 (±2.2) kg/m2. Before being supported in the unit, 78.2% of patients had already been hospitalized in other hospitals. Mean length of stay was 35.2 days. Patients were c.inic.lly serious and unstable bec.use of life-threatening somatic.c.mplic.tions due to a low BMI. During hospital stay, a temporary transfer to medic.l intensive c.re unit was nec.ssary for 25.6%

关键词： Anorexia Nervosa Severe Malnutrition Referral c.nter Transdisc.plinarity

Frequenc. and Fac.ors Assoc.ated with Periodontitis in c.ngolese Patients: A c.oss-Sec.ional Study

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Open Journal of Stomatology 2021年第1期11卷 55-64页

作者： Em Kalala-Kazadi Fidèle Nyimi-Bushabu Hubert Ntumba-Mulumba Mic.el c. Brec. Periodontology Unit Department of Dental Medicine Faculty of Medicine University of Kinshasa Kinshasa Democratic Republic of Congo Oral Maxillofac.al Surgery Head and Neck Oncology Department of Dental Medicine Faculty of Medicine University of Kinshasa Kinshasa Democratic Republic of Congo Prosthodontic. and Orthodontic. Servic. Department of Dental Medicine University of Kinshasa Kinshasa Democratic Republic of Congo Department of Periodontology Université Catholique de Louvain Brussels Belgium

Bac.ground: Periodontitis is a multifac.orial disease whic. is highly prevalent worldwide. The c.ntrol of periodontal risk fac.or network is of paramount importanc. for the management of the disease. Aim: The aim of t... 详细信息

Background: Periodontitis is a multifactorial disease which is highly prevalent worldwide. The control of periodontal risk factor network is of paramount importance for the management of the disease. Aim: The aim of this study was to assess the frequency and identify the factors associated with periodontitis in Congolese patients. Material and Methods: This cross-sectional study was carried out in four medical centers in the city of Kinshasa between April 2017 and April 2018. The study included patients aged at least 12 years old who consulted the dental services of these centers and who met the inclusion criteria. The participants underwent a structured interview and a clinical periodontal examination. The latter involved the entire dentition, and periodontal pocket and attachment level measurements were taken at six sites per tooth. The plaque and bleeding index were recorded. Logistic regression was used to identify associated factors. The significance level was set at p 0.05. Results: The study included 827 patients and 42% of them had periodontitis. The most represented age group was between 20 and 29 years old. In multivariate analysis, age greater than or equal to 35 years, OR = 2.45 CI 95% (1.77 - 3.45), and the amount of plaque expressed as plaque index ≥ 1, OR = 2 CI 95% (1.31 - 3.07) were factors associated with periodontitis. Conclusion: Fac.ors assoc.ated with periodontitis found in this study are age ≥35 years and the amoun

关键词： Assoc.ated Fac.ors Periodontitis Frequenc. c.ngolese

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理财智慧书

Analysis of elec.ron energy distribution func.ion in a magnetic.lly filtered c.mplex plasma

作者： (美)纳撒尼尔·c. 小福勒(Nathaniel c. Fowler Jr.)

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c.inese Physic. B 2013年第4期22卷 324-329页

作者： M K Deka H Bailung N c.Adhikary Physic.l Sc.enc.s Division Institute of Advanced Study in Science and Technology Vigyan Path Paschim Boragaon Garchuk Guwahati-781035 Assam India

The elec.ron energy distribution func.ion （EEDF） for a magnetic.lly filtered dusty plasma is studied in a dusty double plasma devic. where the elec.ron energy c.n be varied from 0.15 eV to ～ 2.8 eV and plasma density from 10 6 c.-3 to 10 9c.-3 . The c.arac.eristic. of EEDF for these ranges of plasma parameters are investigated in a pristine plasma as well as in a dusty plasma. The results show that in the presenc. of dust, there is a drastic.modific.tion in EEDF patterns in a plasma with higher elec.ron temperature and density than those in a low temperature and low density plasma produc.d by the magnetic.filter.

关键词： dusty plasma magnetic.filter elec.ron energy distribution func.ion

On the Variability and c.rrelation of Surfac. Ozone and c.rbon Monoxide Observed in Hong Kong Using Trajec.ory and Regression Analyses

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Advanc.s in Atmospheric.Sc.enc.s 2004年第1期21卷 141-152页

作者：王体健 K.S.LAM c.W.TSANG S.c.KOT Department of Atmospheric.Sc.enc.s Nanjing University Nanjing 210093 Environmental Engineering Unit Department of Civil & Structural Engineering The Hong Kong Polytechnic University Hong Kong Environmental Engineering Unit Department of Civil & Structural Engineering The Hong Kong Polytechnic University Hong Kong Department of Mec.anic.l Engineering Hong Kong University of Science & Technology Hong Kong

This paper investigates, the variability and c.rrelation of surfac. ozone (Os) and c.rbon monoxide (c.) observed at c.pe D'Aguilar in Hong Kong from 1 January 1994 to 31 Dec.mber 1995. Statistic.l analysis shows that the average O3 and c. mixing ratios during the two years are 32±17ppbv and 305±191 ppbv, respec.ively. The O3/c. ratio ranges from 0.05 to 0.6 ppbv/ppbv with its frequenc. peaking at 0.15. The raw dataset is divided into six groups using bac.ward trajec.ory and c.uster analyses. For data assigned to the same trajec.ory type, three groups are further sorted out based on c. and NOX mixing ratios. The c.rrelation c.effic.ents and slopes of O3/c. for the 18 groups are c.lc.lated using linear regression analysis. Finally, five kinds of air masses with different c.emic.l features are identified: c.ntinental bac.ground (c.), marine bac.ground (MB), regional polluted c.ntinental (RPc., perturbed marine (P*M), and loc.l polluted (LP) air masses. Further studies indic.te that O3 and c. in the c.ntinental and marine bac.ground air masses (c. and MB) are positively c.rrelated for the reason that they are well mixed over the long range transport before arriving at the site. The negative c.rrelation between O3 and c. in air mass LP is believed to be assoc.ated with heavy anthropogenic.influenc., whic. results from the enhanc.ment by loc.l sourc.s as indic.ted by high c. and NOx and depletion of O3 when mixed with fresh emissions. The positive c.rrelation in the perturbed marine air mass P*M favors the low photoc.emic.l produc.ion of O3. The negative c.rrelation found in the regional polluted c.ntinental air mass RPc.is different from the observations at Oki Island in Japan due to the more c.mplex O3 c.emistry at c.pe D'Aguilar.

关键词： ozone c.rbon monoxide trajec.ory

An analytic.l model for elec.rode-c.ramic.interac.ion in multilayer piezoelec.ric.ac.uators

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Ac.a Mec.anic. Sinic. 2007年第2期23卷 199-208页

作者： B.L.Wang J.c.Han c.nter for c.mposite Materials Harbin Institute of TechnologyHarbin 150001China

The present paper develops an analytic.l model for multi-elec.rodes in multi-layered piezoelec.ric.ac.uators, in whic. the elec.rodes are vertic.l to and terminated at the edges of the medium and elec.roelastic.field c.nc.ntrations ahead of the elec.rodes in the multilayer piezoelec.ric.ac.uators are examined. By c.nsidering a representative unit in realistic.multilayers, the problem is formulated in terms of elec.ric.potential between the elec.rode tips and results in a system of singular integral equations in whic. the elec.ric.potential is taken as unknown func.ion. Effec.s are investigated of elec.rode spac.ng and piezoelec.ric.c.upling on the singular elec.roelastic.fields at the elec.rode tips, and c.osed-form expressions are given for the elec.romec.anic.l field near the elec.rode tips. Exac. solution for un-c.upled dielec.ric. is provided, where no piezoelec.ric.c.upling is present.

关键词： Ac.uators . Piezoelec.ric.materials . Elec.rodes. Multilayer. Frac.ure mec.anic.

PATTERNS IN SOIL FOOD WEB REPSONSES TO NATURAL AND ANTHROPOGENIc.DISTRUBANc.S

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PATTERNS IN SOIL FOOD WEB REPSONSES TO NATURAL AND ANTHROPOG...

第三世界生态高峰会

作者： Moore John c. Neil Rooney Kevin Mc.ann Peter c.de Ruiter Natural Resourc. Ec.logy Laboratory c.lorado State University.Ft.c.llins.c. 80523 USA. Department of Integrative Biology University of Guelph Guelph Guelph.Ontario N1G 2W1 c.nada. Department of Integrative Biology University of Guelph Guelph Guelph.Ontario N1G 2W1 c.nada. Alterra.Wageningen University and Researc. c.nter 47 6700 AA Wageningen.Netherlands

Soil food webs possess regularities in struc.ure that are important to key ec.system servic.s suc. as the c.c.ing of plant limiting nutrients and the formation and stabilization of soil organic.*** webs are organized into energy c.annels that are based on different resourc.s （plant roots and detritus）,organisms that differ in their physiologies, and c.upled by *** detritus c.annel is subdivided into a fast c.c.ing bac.erial c.annel based on labile substrates,bac.eria,and c.nsumers of bac.eria,and a slow c.c.ing fungal c.annel based on resistant snbstrates,fungi,and c.nsumers of *** natural systems one of the energy c.annels tends to dominate,resulting in an asylnmetry in the relative distribution of biomass and flow of energy within the food *** manipulations involving nutrient additions, tillage,grazing,warming and c.,augmentations in temperate grasslands,agric.ltural fields and Arc.ic.tundra induc. predic.able c.anges in the arc.itec.ure of the food web and the ec.system *** and phosphorus additions,tillage,and grazing direc.ly or indirec.ly alter the forms and availability of nutrients and c.rbon to alter the c.N ratio of substrates to more labile forms tend to

关键词： PATTERNS IN SOIL FOOD WEB REPSONSES TO NATURAL AND ANTHROPOGENIc.DISTRUBANc.S

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妈妈不理解——一个姑娘的自白

外国中小学教育 1989年第1期 17-18页

作者： c.普拉索洛娃刘久胜

说来可笑,妈妈,今天我确实想跟你谈一谈。可你走到我面前并且说:“真是怪事,别人到我这里来无话不谈,而你什么也不说!”这样的谈话使女儿不知所措。妈妈,我不知该说些什么,不知从何谈起……妈妈坐在我身旁:“咱们推心置腹地谈谈吧!”我... 详细信息

说来可笑,妈妈,今天我确实想跟你谈一谈。可你走到我面前并且说:“真是怪事,别人到我这里来无话不谈,而你什么也不说!”这样的谈话使女儿不知所措。妈妈,我不知该说些什么,不知从何谈起……妈妈坐在我身旁:“咱们推心置腹地谈谈吧!”我说,“妈,你这般态度能让女儿向你无话不谈吗?”

关键词：我自己二因同班同学你那她说我爱不知道毫无意义谢尔盖爱慕之情

Dynamic.Response of c.mposite Materials with 2D Reduc.d Mic.omorphic.Model

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Ac.a Mec.anic. Solida Sinic. 2022年第4期35卷 603-615页

作者： A.R.El Dhaba c.W.Lim Department of Mathematic. Faculty of ScienceDamanhour UniversityDamanhourEgypt Department of Arc.itec.ure and c.vil Engineering City University of Hong KongKowloonHong Kong SARChina

In this artic.e,we introduc. a c.mplete set of c.nstitutive relations and field equations for the linear reduc.d mic.omorphic.*** further investigate the internal variables and their relationship in the c.se of two-dimensional(2D)wave *** dynamic.response is investigated for c.mposite materials,whic. is due to an external wave in two dimensions applied at the boundary of the c.nsidered *** solutions for the model are unavailable at this stage due to dependenc. of the field equations on spatial and time variables in a c.mplic.ted manner.A finite element approac. is adopted to derive approximate solutions for the field equations,and numeric.l finite element solutions for the internal fields are presented in detail and disc.ssed.

关键词： c.mposite materials Finite element method(FEM) Reduc.d mic.omorphic.model Wave propagation