American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native popula...American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native population resides on reservations that are self-managed and have few non-Indian residents, professional health services are mostly provided by clinicians from the dominant culture. The essay tries to highlight specific historical, sociological, and cultural variables the clinician must be aware of to work effectively in this setting. Particular emphasis is placed on using a flexible, eclectic approach, and a case vignette is included to illustrate the principle.展开更多
ARACHNOIDITIS ossificans （AO） is a rare type of chronic arachnoiditis presence of calcification spinal arachnoid. Small characterized by the in, or ossification of the plaques of calcificationof the dura mater are f...ARACHNOIDITIS ossificans （AO） is a rare type of chronic arachnoiditis presence of calcification spinal arachnoid. Small characterized by the in, or ossification of the plaques of calcificationof the dura mater are frequently observed in radiography or during surgery, which are often asymptomatic and have no apparent clinical significance. AO and dura calcification should not be confused.展开更多
Different two-equation k-ε models were used to simulate the gas flow field generated by a new type of circulating fluidized bed reactor with venturi gas distributor. The numerical results were compared with the exper...Different two-equation k-ε models were used to simulate the gas flow field generated by a new type of circulating fluidized bed reactor with venturi gas distributor. The numerical results were compared with the experimental data. It has been shown that the simulation results from the standard k-ε model have the best match with the experimental data. Based on this model, the gas flow field in the venturi diffuser and riser was analyzed by the concept of velocity nonuniformity and dead zone percentage. Both the nonuniformity of gas velocity and the dead zone percentage reach the maximum at the venturi outlet due to the effect of the vortex. At the same time, it provides a good platform for the further optimization of the inlet configuration of circulating fluidized bed reactor.展开更多
OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The...OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The CADI was culturally and lin-guistically translated into Korean via translation,back-translation, and face validity test process. Two hundred and fifty-four Korean adolescents were asked to complete the Korean version of the CADI(K-CADI), the Phlegm Pattern, the Cold-Heat Pattern, and the Korean version of the General Health Questionnaires. A clinician estimated acne severity for the adolescents, using the Korean Acne Grading System. Finally, reliability and validity of the K-CADI was examined, and the relationships between acne severity, Phlegm, Cold, and Heat patterns, and Qo L level were examined via pathway analysis.RESULTS: The K-CADI had satisfactory internal consistency(α = 0.827). The examination of construct validity indicated that the K-CADI had one factor(explaining 59.6% of the total variance). Pathway analysis showed satisfactory model fit(normal fit index = 0.960 and comparative fit index = 0.983),and acne-related Qo L was determinant to Phlegm,Heat, and Cold patterns(0.13-0.27 of β), and Phlegm and Heat patterns lowered one's Qo L level(0.17-0.34 of β).CONCLUSION: The K-CADI is a valid and reliable instrument. Phlegm and Heat patterns should be managed when treating acne since they have a moderating effect on general Qo L aggravation.展开更多
文摘American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native population resides on reservations that are self-managed and have few non-Indian residents, professional health services are mostly provided by clinicians from the dominant culture. The essay tries to highlight specific historical, sociological, and cultural variables the clinician must be aware of to work effectively in this setting. Particular emphasis is placed on using a flexible, eclectic approach, and a case vignette is included to illustrate the principle.
文摘ARACHNOIDITIS ossificans （AO） is a rare type of chronic arachnoiditis presence of calcification spinal arachnoid. Small characterized by the in, or ossification of the plaques of calcificationof the dura mater are frequently observed in radiography or during surgery, which are often asymptomatic and have no apparent clinical significance. AO and dura calcification should not be confused.
文摘Different two-equation k-ε models were used to simulate the gas flow field generated by a new type of circulating fluidized bed reactor with venturi gas distributor. The numerical results were compared with the experimental data. It has been shown that the simulation results from the standard k-ε model have the best match with the experimental data. Based on this model, the gas flow field in the venturi diffuser and riser was analyzed by the concept of velocity nonuniformity and dead zone percentage. Both the nonuniformity of gas velocity and the dead zone percentage reach the maximum at the venturi outlet due to the effect of the vortex. At the same time, it provides a good platform for the further optimization of the inlet configuration of circulating fluidized bed reactor.
文摘OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The CADI was culturally and lin-guistically translated into Korean via translation,back-translation, and face validity test process. Two hundred and fifty-four Korean adolescents were asked to complete the Korean version of the CADI(K-CADI), the Phlegm Pattern, the Cold-Heat Pattern, and the Korean version of the General Health Questionnaires. A clinician estimated acne severity for the adolescents, using the Korean Acne Grading System. Finally, reliability and validity of the K-CADI was examined, and the relationships between acne severity, Phlegm, Cold, and Heat patterns, and Qo L level were examined via pathway analysis.RESULTS: The K-CADI had satisfactory internal consistency(α = 0.827). The examination of construct validity indicated that the K-CADI had one factor(explaining 59.6% of the total variance). Pathway analysis showed satisfactory model fit(normal fit index = 0.960 and comparative fit index = 0.983),and acne-related Qo L was determinant to Phlegm,Heat, and Cold patterns(0.13-0.27 of β), and Phlegm and Heat patterns lowered one's Qo L level(0.17-0.34 of β).CONCLUSION: The K-CADI is a valid and reliable instrument. Phlegm and Heat patterns should be managed when treating acne since they have a moderating effect on general Qo L aggravation.
