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  • 文章类型: Journal Article
    (1)背景:“自我形象”(IOS)是最近开发和评估的15个疗程的艺术治疗计划,以减少“自我意识”中的困难,\'情绪调节\',\'灵活性\',和被诊断患有自闭症谱系障碍(ASD)的儿童的“社会行为”。在本文中,探讨儿童行为的变化是否与治疗师在IOS和15周后的行为相对应。(2)方法:在重复的案例研究设计中,12名儿童和7名治疗师参加了会议。艺术治疗师通过应用两种观察工具来监测自己和孩子的行为:OAT(在艺术治疗中观察自闭症儿童)和EAT(评估与自闭症儿童一起工作时的艺术治疗师行为)。在节目的三个时刻,儿童在艺术创作过程中的行为与治疗师的行为进行了单独和集体比较。(3)结果:考虑到所有OAT分量表,在治疗结束时和治疗后15周,十二个儿童中有十个表现出实质性或中度的积极行为变化。“社会行为”的改善脱颖而出。中途治疗艺术治疗师最突出的表现是对“情绪调节”的支持,\'灵活性\',和“社会行为”。无法确定儿童行为变化与治疗师行为之间的明确一对一关系。(4)结论:该研究通过监测儿童和治疗师的行为,为AT治疗过程提供了新的见解。艺术创作本身和艺术治疗三角形(儿童,艺术创作,治疗师)提供机会来提高孩子的言语和非言语沟通技巧。
    (1) Background: \'Images of Self\' (IOS) is a recently developed and evaluated art therapy program of 15 sessions to reduce difficulties in \'sense of self\', \'emotion regulation\', \'flexibility\', and \'social behavior\' of children diagnosed with Autism Spectrum Disorders (ASD). In this paper, it is explored whether change in the child\'s behaviors corresponds to the therapist\'s actions during IOS and 15 weeks later. (2) Method: In a repeated case study design, twelve children and seven therapists participated. Art therapists monitored their own and the children\'s behavior by applying two observation instruments: the OAT (Observation of a child with autism in Art Therapy) and EAT (Evaluation of Art Therapist\'s behavior when working with a child with autism). Child behaviors during art making were-individually and as a group-compared with therapist\'s actions at three moments during the program. (3) Results: Ten of twelve children showed a substantial or moderate positive behavior change considering all OAT subscales at the end of the program and 15 weeks after treatment. Improvement of \'social behavior\' stood out. Halfway treatment art therapists most prominently showed support of \'emotion regulation\', \'flexibility\', and \'social behavior\'. Clear one-on-one relationships between changes in children\'s behavior and actions of therapists could not be identified. (4) Conclusion: The study provides new insights in the AT treatment process by monitoring children\'s and therapists\' behavior. The art making itself and the art therapy triangle (child, art making, therapist) offer opportunities to improve verbal and nonverbal communication skills of the child.
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  • 文章类型: Journal Article
    评估新药候选药物与转运蛋白的相互作用,或者作为基底,抑制剂,或诱导物,不是简单的事情。有许多临床相关的转运蛋白,截至2020年,FDA提交的评估多达9项,EMA评估多达11项。此外,如果一种化合物是一种转运蛋白的底物或抑制剂,其他运输商也是如此。实际上没有特定的底物或抑制剂,大概是因为药物转运蛋白的特异性如此广泛和重叠,甚至更少的临床相关探针可用于评估人类的转运蛋白功能。在一些运输者的情况下,建议使用一个以上的测试系统和/或一个以上的探针底物对NCE进行评估,以说服自己(和监管机构)不需要进行临床药物相互作用研究.最后,每个测试系统都有自己独特的优点和缺点。人们必须欣赏可用工具的细微差别(测试系统,探针基板,等。),以选择最相关的工具进行研究,并设计最佳的体外实验。在这一章中,几个例子被用来说明外排和摄取转运蛋白体外数据的成功解释。本章中提供的一些数据在本书编写时尚未发表。本章中包含的内容是为读者提供转运蛋白动力学的复杂性。
    Assessing the interactions of a new drug candidate with transporters, either as a substrate, inhibitor, or inducer, is no simple matter. There are many clinically relevant transporters, as many as nine to be evaluated for an FDA submission and up to 11 for the EMA as of 2020. Additionally, it is likely that if a compound is a substrate or inhibitor of one transporter, it will be so for other transporters as well. There are practically no specific substrates or inhibitors, presumably because the specificities of drug transporters are so broad and overlapping, and even fewer clinically relevant probes that can be used to evaluate transporter function in humans. In the case of some transporters, it is advisable to evaluate an NCE with more than one test system and/or more than one probe substrate in order to convince oneself (and regulatory authorities) that a clinical drug interaction study is not warranted. Finally, each test system has its own unique set of advantages and disadvantages. One has to appreciate the nuances of the available tools (test systems, probe substrates, etc.) to select the most relevant tools for the study and design the optimal in vitro experiment. In this chapter, several examples are used to illustrate the successful interpretation of in vitro data for both efflux and uptake transporters. Some data presented in this chapter are unpublished at the time of the compilation of this book. It has been included in this chapter to provide a sense of the complexities in transporter kinetics to the reader.
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    文章类型: Case Reports
    目的:这项工作旨在评估接受植入手术的口服抗凝治疗(OAT)患者“非保守”治疗方案的血栓栓塞和出血风险。
    方法:我们决定采取手术“非保守”方案,在美学区域插入四个植入物,不使用无翼手术和手术模板。根据血液学家的说法,INR值降低,华法林被低分子量肝素替代,有一个更好的凝血控制。
    结果:现代指南对OAT患者实施保守治疗方案,微创手术,无翼,和使用手术模板,以减少不受控制的出血风险。这个,多亏了牙医和血液学家之间的团队合作,多亏了INR的仔细调整和当地止血剂的使用,没有遇到任何出血或手术内或术后的问题。
    结论:对于口腔外科医生来说,OAT患者的手术治疗是一个真正的问题,每次与血液学家联合治疗。应用这种外科手术,不同于今天的指导方针,根据我们的经验,没有发生术后并发症(出血或出血);骨整合未受损,假体康复成功完成.
    OBJECTIVE: This work aims to assess the risks both thromboembolic that bleeding of a management protocol \"non-conservative\" in patients on oral anticoagulant therapy (OAT) to be undergoing implant surgery.
    METHODS: We decided to take a surgical \"non-conservative\" protocol, to insert four implants in the aesthetic zone, without using flapless surgery and the surgical template. In accordance with the hematologist, the value of INR is lowered and warfarin was replaced with heparin low molecular weight, to have a better coagulation\'s control.
    RESULTS: The modern guidelines impose a protocol of conservative management in patients with OAT, with minimally invasive surgery, flapless, and use of surgical template to reduce the risk of uncontrolled bleeding. This, thanks to the team-work between dentist and hematologist, thanks to careful adjustment of INR and the use of local haemostatic agents, were not encountered any problems with bleeding or intra or postoperative.
    CONCLUSIONS: Surgical treatment of patients with OAT is a real problem for the oral surgeon, to treat every time in association with the hematologist. Applying this type of surgical procedure, different from today\'s guidelines, in our experience there were no post-operative complications (bleeding or bleeding); osseointegration has not been compromised and the prosthetic rehabilitation was completed successfully.
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