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Pediatric Investigation 2023年第1期7卷 43-48页

作者： Stephanie Harshman Desiree Sierra-Velez Kelly Daigle Cheryl Hersh Kristen Risley Alexy D.Arauz Boudreau Sarah Matathia Lauren Fiechtner meg simione Neuroendocrine Unit Massachusetts General HospitalBostonMassachusettsUSA Eating Disorders Clinical and Research Program Massachusetts General HospitalBostonMassachusettsUSA Department of Gastroenterology and Nutrition Mass General for ChildrenBostonMassachusettsUSA Department of Speech Language and Swallowing DisordersMassachusetts General HospitalBostonMassachusettsUSA Performance Analysis and Improvement Unit Massachusetts General Hospital BostonBostonMassachusettsUSA Massachusetts General Physicians Organization BostonMassachusettsUSA Division of General Academic Pediatrics Mass General for ChildrenBostonMassachusettsUSA Greater Boston Food Bank BostonMassachusettsUSA Department of Pediatrics Harvard Medical SchoolBostonMassachusettsUSA Division of General Internal Medicine Massachusetts General HospitalBostonMassachusettsUSA

Pediatric feeding disorders(PFD)are an impairment in oral intake that are associated with nutritional,medical,psychosocial,or feeding skills dysfunction.1 They are clinically complex and challenging due to the heterog... 详细信息

关键词： intake impairment feeding

Thermoregulatory function and sexual dimorphism of the throat sack in Helmeted Guineafowl(Numida meleagris)across Africa

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Avian Research 2022年第3期13卷 239-248页

作者： Johann H.Van Niekerk Rodrigo megía-Palma Giovanni Forcina Department of Environmental Sciences College of Agriculture and Environmental SciencesUniversity of South AfricaP.O.Box 392Pretoria0003South Africa Universidad de Alcal a(UAH) Department of Biomedicine and BiotechnologySchool of PharmacyA-2 Highwaykm 33.60028805Alcal a de HenaresMadridSpain Universidad de Alcal a(UAH) Global Change Ecology and Evolution Research Group(GloCEE)Departamento de Ciencias de la Vida28805Alcal a de HenaresMadridSpain CIBIO Centro de Investigaç~ao em Biodiversidade e Recursos Gen eticosInBIO Laborat orio AssociadoCampus de Vair~aoUniversidade do Porto4485-661Vair~aoPortugal BIOPOLIS Program in Genomics Biodiversity and Land PlanningCIBIOCampus de Vair~ao4485-661Vair~aoPortugal

The responses of ground-dwelling birds to heat and cold stress encompass a variety of behavioural,physiological and even morphological ***,the role of glabrous skin in this respect has been marginally addressed so *** Helmeted Guineafowl(Numida meleagris)is a landfowl distributed across Sub-Saharan Africa with eight traditionally recognised extant *** the most prominent morphological traits underlying intraspecific variability are size and pigmentation of the bare throat skin(or sack),which might be related to the different habitats and environmental conditions across its wide *** order to explore the Helmeted Guineafowl range-wide sack variation and pigmentation in relation to thermoregulation and sexual signalling,we collected morphometric and environmental information for *** integrating field data with the inspection of photographic material encompassing seven subspecies and environmental information from their *** data evidenced that sack size was significantly correlated with ambient temperature,thus pointing to a likely involvement of the throat sack in *** the pictorial data from all subspecies were pooled,sack size correlated negatively with biomass,rainfall and humidity,while a positive correlation was found with annual solar *** size correlated positively with monthly temperature variation among the bluethroated subspecies from southern Africa as opposed to the black-throated subspecies ranging north to Zambia and ***,in this latter group the sack was often larger during winter months,possibly to maximise solar radiation ***,sack size was related to sex dimorphism in two *** morphology and colour in the Helmeted Guineafowl likely modulate body temperature by evaporative cooling or heating upon needs,but in some subspecies it is also seemingly related to sexual *** studies are needed to fully understand the mu

关键词： Evaporative cooling Helmeted guineafowl Sexual size dimorphism Sub-Saharan Africa Thermoregulation Throat sack

THE ADOPTION OF AN INNOVATION:BARRIERS TO USE OF GREEN ROOFS EXPERIENCED BY MIDWEST ARCHITECTS AND BUILDING OWNERS

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Journal of Green Building 2006年第3期1卷 148-168页

作者： Jennifer Strauss Hendricks meg Calkins Naperville Park District NapervilleIllinois.320 W.Jackson Ave.NapervilleIL 60540 Department of Landscape Architecture Ball State UniversityArchitecture Building 226Ball State UniversityMuncieIN 47306

While green roof technologies are increasingly employed in Northern European countries,adoption is progressing at amuch slower rate in the *** manuscript discusses results of a survey that quantified knowledge,barriers,and perceivedcosts and benefits to use of green roof technology among a sample of architects and building owners in the *** survey also examined conditions that may encourage use of this technology among the *** that many respondents do not fully recognize the economic or performance advantages offered by green roof *** payback period for economic advantage is longer than owners are willing to *** owners andarchitects possess a wide range of misconceptions about the performance advantages of green *** green roof technologyoffers clear environmental advantages such as reduced stormwater runoff,increased habitat,and cooler temperaturesthat mitigate heat island effects,many building owner respondents either do not know about or value these *** research quantified potential adopters’perceptions of an innovative technology and the survey results areinterpreted and discussed within the conceptual framework of innovation diffusion *** to hasten theadoption of green roof technology are suggested.

关键词： green roofs innovation diffusion building owners architects construction industry

Pathological aspects of so called "hilar cholangiocarcinoma"

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World Journal of Gastrointestinal Oncology 2013年第7期5卷 159-170页

作者： Víctor M Castellano-megías Carolina Ibarrola-de Andrés Francisco Colina-Ruizdelgado Department of Pathology Hospital Universitario de Fuenlabrada28041 MadridSpain. Department of Pathology Hospital Universitario "12 de Octubre"28041 MadridSpain.

Cholangiocarcinoma(CC) arising from the large intrahepatic bile ducts and extrahepatic hilar bile ducts share clinicopathological features and have been called hilar and perihilar CC as a ***,"hilar and perihilar CC" are also used to refer exclusively to the intrahepatic hilar type CC or,more commonly,the extrahepatic hilar ***,a major distinction can be made between papillary and non-papillary ***,most hilar CCs are well to moderately differentiated conventional type(biliary) ***,CK7,CK20,CEA and MUC1 are normally expressed,being MUC2 positive in less than 50% of *** main premalignant lesions are known:biliary intraepithelial neoplasia(BilIN) and intraductal papillary neoplasm of the biliary tract(IPNB).IPNB includes the lesions previously named biliary papillomatosis and papillary carcinoma.A series of 29 resected hilar CC from our archives is ***(82.8%) were conventional type adenocarcinomas,mostly well to moderately differentiated,although with a broad morphological spectrum;three cases exhibited a poorly differentiated cell component resembling signet ring *** was observed in 5(17.2%),four of them with an associated invasive carcinoma.A clear cell type carcinoma,an adenosquamous carcinoma and two gastric foveolar type carcinomas were observed.

关键词： Cholangiocarcinoma Bile duct carcinoma Hilar cholangiocarcinoma Perihilar cholangiocarcinoma Klatskin tumor Extrahepatic bile duct carcinoma Hepatic hilum

Medical Risks and Rewards--The search for effective cancer-fighting technology involves some unknown risks

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空中英语教室（高级版．彭蒙惠英语） 2024年第9期 28-29,47页

作者： meg Wingerter 不详

Aprocess of taking patients'own cells and reprogramming them to fight cancer has been a last-ditch option for blood cancer patients when nothing else worked,but a new study underway in Aurora,[Colorado,]is trying to d... 详细信息

关键词： cancer Medical fighting

Pathological features and diagnosis of intraductal papillary mucinous neoplasm of the pancreas

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World Journal of Gastrointestinal Oncology 2014年第9期6卷 311-324页

作者： Víctor M Castellano-megías Carolina Ibarrola-de Andrés Guadalupe López-Alonso Francisco Colina-Ruizdelgado Department of Pathology Hospital Universitario de Fuenlabrada Department of Pathology Hospital Universitario "12 de Octubre"

Intraductal papillary mucinous neoplasm(IPMN) of the pancreas is a noninvasive epithelial neoplasm of mucinproducing cells arising in the main duct(MD) and/or branch ducts(BD) of the *** ducts are dilated and filled with neoplastic papillae and mucus in variable *** lacks ovarian-type stroma,unlike mucinous cystic neoplasm,and is defined as a grossly visible entity(≥ 5 mm),unlike pancreatic intraepithelial *** the use of high-resolution imaging techniques,very small IPMNs are increasingly being *** IPMNs are solitary and located in the pancreatic head,although 20%-40% are *** classification in MD type,BD type and mixed or combined type reflects biological differences with important prognostic and preoperative clinical management *** on cytoarchitectural atypia,IPMN is classified into low-grade,intermediategrade and high-grade *** on histological features and mucin(MUC) immunophenotype,IPMNs are classified into gastric,intestinal,pancreatobiliary and oncocytic *** different phenotypes can be observed together,with the IPMN classified according to the predominant *** pathways have been suggested:gastric phenotype corresponds to less aggressive uncommitted cells(MUC1-,MUC2-,MUC5 AC +,MUC6 +) with the capacity to evolve to intestinal phenotype(intestinal pathway)(MUC1-,MUC2 +,MUC5 AC +,MUC6- or weak +) or pancreatobiliary /oncocytic phenotypes(pyloropancreatic pathway)(MUC1 +,MUC 2-,MUC5 AC +,MUC 6 +) becoming more *** of IPMN is excellent but critically worsens when invasive carcinoma arises(about 40% of IPMNs),except in some cases of minimal *** clinical challenge is to establish which IPMNs should be removed because of their higher risk of developing invasive *** resected,they must be extensively sampled or,much better,submitted in its entirety for microscopic study to completely rule out associated invasive carcinoma.

关键词： Mucinous pancreatic cysts Intraductal papillary mucinous neoplasm Main duct intraductal papillary mucinous neoplasm Branch duct intraductal papillary mucinous neoplasm Mucins

Enhanced recovery after surgery pathway: The use of fascia iliaca blocks causes delayed ambulation after total hip arthroplasty

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World Journal of Anesthesiology 2019年第2期8卷 13-18页

作者： Jamie-Lee Metesky Junping Chen meg Rosenblatt Anesthesia Department Mount Sinai St.Luke’s and West Hospitals

BACKGROUND Fascia iliaca compartment blocks(FIBs) have been used to provide postoperative analgesia after total hip arthroplasty(THA). However, evidence of their efficacy remains limited. While pain control appears to be satisfactory, quadriceps weakness may be an untoward consequence of the block. Prior studies have shown femoral nerve blocks and fascia iliaca blocks as being superior for pain control and ambulation following THA when compared to standard therapy of parenteral pain control. However, most studies allowed patients to ambulate on post-operative day(POD) 2-3, whereas new guidelines suggest ambulation on POD 0 is *** To determine the effect of FIB after THA in patients participating in an enhanced recovery after surgery(ERAS) *** We conducted a retrospective analysis of patients undergoing THA with or without FICBs and their ability to ambulate on POD 0 in accordance with ERAS protocol. Perioperative data was collected on 39 patients who underwent *** data, anesthesia data, and ambulatory outcomes were *** Twenty patients had FIBs placed at the conclusion of the procedure, while 19 did not receive a block. Of the 20 patients with FIB, only 1 patient was able to ambulate. Of the 19 patients without FIB blocks, 17 were able to ambulate. All patients worked with physical therapy 2 h after arriving in the post-anesthesia care unit on POD *** Our data suggests an association between FIB and delayed ambulation in the immediate post-operative period.

关键词： Fascia iliaca Total hip arthroplasty Enhanced recovery after surgery protocol Deep vein thrombus Post-operative

The training process： Planning for strength-power training in track and field. Part 1： Theoretical aspects

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Journal of Sport and Health Science 2015年第4期4卷 308-317页

作者： Brad H. DeWeese Guy Hornsby meg Stone Michael H. Stone Exercise and Sport Science Center of Excellence Jor Sport Science and Coach Education East Tennessee State University Johnson City TN 37614 USA Kinesiology and Health Sciences Virginia Commonwealth University Richmond VA 23284 USA

The process of strength-power training and the subsequent adaptation is a multi-factorial process. These factors range from the genetics and morphological characteristics of the athlete to how a coach selects, orders, and doses exercises and loading patterns. Consequently, adaptation from these training factors may largely relate to the mode of delivery, in other words, programming tactics. There is strong evidence that the manner and phases in which training is presented to the athlete can make a profound difference in performance outcome. This discussion deals primarily with block periodization concepts and associated methods of programming for strength-power training within track and field. 2015 Production and hosting by Elsevier B.V. on behalf of Shanghai University of Sport.

关键词： Periodization Strength-power training Track and field Training process

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哇！连纸盘都这么好玩

家庭教育导读 2019年第4期 126-129页

作者： meg

热带鱼、萌趣装饰画、挂饰……普通的纸盘居然可以有这么多玩法！搬出小板凳，准备几个纸盘，和小朋友开始纸盘的创意手工之旅吧！将圆圆的纸盘当成小鱼的身体，然后贴上五彩的鱼鳞，活灵活现的彩色小鱼就诞生了。所需材料：白色纸盘...

热带鱼、萌趣装饰画、挂饰……普通的纸盘居然可以有这么多玩法！搬出小板凳，准备几个纸盘，和小朋友开始纸盘的创意手工之旅吧！将圆圆的纸盘当成小鱼的身体，然后贴上五彩的鱼鳞，活灵活现的彩色小鱼就诞生了。所需材料：白色纸盘两个，丙烯颜料，画笔，超轻粘土，彩色纸若干，动动眼球，彩色扣子，剪刀，胶水，布片。 1.用丙烯颜料将白色纸盘上色。 2.将纸盘一边剪出V状小口，成为鱼的嘴巴，再用胶水粘上动动眼球或扣子，成为鱼眼。 3.将超轻粘土捏成一个个小圆片或将彩色卡纸剪成若干六边形，贴在纸盘上，成为鱼身上多彩的鳞片。 4.再用彩色卡纸或布片剪出鱼尾及鱼鳍的形状粘在纸盘上，两条漂亮的彩色小鱼就完工了。鱼身上的鳞片、尾巴及鱼鳍还可以选用亮闪闪的金纸、锡纸或者彩色的糖纸，效果也很赞。把圆圆的纸盘当成画布，选择适当的手工材料，在上面拼贴出任意立体的图案，独特的装饰画就完成了，只有想不到，没有做不到，尽情发挥你和宝贝的想象力吧！所需材料：白色纸盘，彩色卡纸及不织布，蓝色丙烯颜料，画笔，强力胶水，自由石，绒铁丝若干。 1将白色纸盘的一半用画笔涂成蓝色，作为天空。 2.在白色纸盘的另一半用胶水将彩色自由石随机粘贴成绿色的草地。 3.用彩色卡纸及不织布剪出花朵的形状。 4.将绿色卡纸剪出若干叶片，粘在绿色绒铁丝制成的花杆上。 5.把剪出的彩色小花粘在花杆一端，贴在纸盘上的草地中。还可以用画笔在白色纸盘的边缘画出几何形状的图案或色块，更具装饰感。使用毛线在纸盘上缠绕，可以有很多方法，这个挂饰简单易做，而且它还有一个非常好听的名字，叫捕梦网，传说把它挂于床边，可以让小朋友做个好梦哦！所需材料：白色一次性纸盘，彩色毛线，彩色不织布若干，剪刀，彩色木珠，强力胶水。 1.用剪刀将纸盘的中心底部剪掉，变成空心的圆环。

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一起动手，找回枯树枝的“春天”