blueprint

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  • 文章类型: Journal Article
    本文提供了情绪调节和人类繁荣的创新观点,该观点承认早期亲子经历在塑造情绪调节中涉及的大脑结构和功能方面的基本作用,以及正念父母在促进父母和父母情绪调节中的核心作用孩子(共同调节)。在这篇透视论文中,作者不仅强调了情绪和情绪调节在人类发展和繁荣中的核心作用,还有产妇心理健康的重要性,正念,以及在怀孕期间和出生后建立的相互联系的支持性社区,以促进护理人员和婴儿的情绪调节,从而促进安全的依恋。介绍了非生育父母的作用以及我们如何进化以分享育儿,情绪调节不是一个个体现象,而是一个关系体现的过程。右脑功能之间的关联,正念和安全的依恋,所有这些都导致情绪调节,幸福,描述了韧性。分享发现和观点提供了一个机会,可以洞悉和反思可以创建哪些策略来促进早期生活中的关系情绪调节和福祉,从而人类繁荣,导致一个和平的社会。
    This article provides an innovative perspective of emotional-regulation and human flourishing which acknowledges the fundamental role of early parent-child experiences in shaping brain structure and functioning involved in emotional regulation and the central role of mindful parenting in facilitating emotional regulation in both parent and child (co-regulation). In this perspective paper the author underlines not only the central role of emotions and emotional regulation in human development and flourishing, but also the importance of maternal mental health, mindfulness, and a connected supportive community during pregnancy and postnatally in facilitating emotional regulation in both the caregiver and the infant and thus promoting secure attachment. The role of alloparenting and how we evolved to share childrearing is introduced, and emotional regulation is described not as an individual phenomenon but a relational embodied process. The associations between right brain functioning, mindfulness and secure attachment, all leading to emotional regulation, wellbeing, and resilience are described. Sharing findings and perspectives offer an opportunity for insights and reflection upon what strategies could be created to promote relational emotional regulation and wellbeing in early life, thus human flourishing leading to a peaceful society.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    目标:生物库通过存储有价值的生物材料和数据以供将来分析,在基础和转化研究中发挥着至关重要的作用。然而,他们的信息技术(IT)基础设施的设计通常是根据具体要求定制的,从而缺乏用于包含其他(类型)疾病的生物库的能力。这导致了巨大的成本,时间,以及每个新生物库项目的努力。荷兰多中心卵巢癌研究群岛(AOCR)生物库开发了一种创新,可重复使用的IT基础设施,能够适应各种生物库,从而实现经济高效的生物库IT系统的实施和管理。方法和结果:AOCRIT基础设施结合了现有的生物库软件,主要由Health-RI管理。基于网络的注册工具Ldot用于患者数据的安全存储和假名化。从荷兰癌症登记处和荷兰全国病理学数据库(Palga)检索临床病理数据,都建立了存储库,减少管理工作量并确保高数据质量。收集的生物材料的元数据存储在OpenSpecimen系统中。对于数字病理学研究,将每位患者肿瘤的苏木精和伊红染色载玻片数字化并上传到载玻片评分。此外,坚持Findable,可访问,互操作,和可重用(FAIR)原则,来自AOCR样品的基因组数据存储在cBioPortal中。结论:AOCR生物库的IT基础设施代表了生物库的新标准,提供灵活性来处理不同的疾病和类型的生物材料。这种基础设施绕过了对特定疾病的需求,定制软件,从而具有成本效益和时间效益,同时确保数据质量和立法合规性。此基础架构的适应性凸显了其作为新的和现有的生物库中IT基础架构开发蓝图的潜力。
    Objective: Biobanks play a crucial role in fundamental and translational research by storing valuable biomaterials and data for future analyses. However, the design of their information technology (IT) infrastructures is often customized to specific requirements, thereby lacking the ability to be used for biobanks comprising other (types of) diseases. This results in substantial costs, time, and efforts for each new biobank project. The Dutch multicenter Archipelago of Ovarian Cancer Research (AOCR) biobank has developed an innovative, reusable IT infrastructure capable of adaptation to various biobanks, thereby enabling cost-effective and efficient implementation and management of biobank IT systems. Methods and Results: The AOCR IT infrastructure incorporates preexisting biobank software, mainly managed by Health-RI. The web-based registration tool Ldot is used for secure storage and pseudonymization of patient data. Clinicopathological data are retrieved from the Netherlands Cancer Registry and the Dutch nationwide pathology databank (Palga), both established repositories, reducing administrative workload and ensuring high data quality. Metadata of collected biomaterials are stored in the OpenSpecimen system. For digital pathology research, a hematoxylin and eosin-stained slide from each patient\'s tumor is digitized and uploaded to Slide Score. Furthermore, adhering to the Findable, Accessible, Interoperable, and Reusable (FAIR) principles, genomic data derived from the AOCR samples are stored in cBioPortal. Conclusion: The IT infrastructure of the AOCR biobank represents a new standard for biobanks, offering flexibility to handle diverse diseases and types of biomaterials. This infrastructure bypasses the need for disease-specific, custom-built software, thereby being cost- and time-effective while ensuring data quality and legislative compliance. The adaptability of this infrastructure highlights its potential to serve as a blueprint for the development of IT infrastructures in both new and existing biobanks.
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  • 文章类型: Journal Article
    目标:在个人和组织层面以及更广泛的环境中发展和加强卫生技术评估(HTA)能力与HTA合作有关。根据马耳他案件,我们提供了建设HTA能力的蓝图。
    方法:基于Pichler等人开发了一套活动。马耳他的框架和起始HTA能力。个人一级的活动侧重于通过在线和面对面培训加强流行病学和卫生经济技能。在组织层面,开发了一个新的HTA框架,随后将其用于影子评估。提高认识运动活动在开展和利用HTA的更广泛环境中提高了认识和支持。
    结果:建立HTA能力所需的时间超过了计划的两年,以适应评估者的学习进度。除了计划的培训,网络研讨会补充了在线课程,允许更多的知识交流。随着时间的推移,高级在线课程得到了扩展,以方便评估人员的日常任务旁边的学习。增加了培训课程,以实施新的经济评价框架,用于第二次阴影评估。通过报告提高了决策者的认识,海报,以及一篇关于当前和发展中的HTA能力的文章。
    结论:需要时间和大量(动手)培训来培养进行复杂评估的技能,例如HTA。促进与知识渊博的各方的交流对于成功以及激励员工的当地管理人员的加入至关重要。需要让决策者参与HTA能力建设的持续成功。
    OBJECTIVE: The development and strengthening of health technology assessment (HTA) capacity on the individual and organizational level and the wider environment is relevant for cooperation on HTAs. Based on the Maltese case, we provide a blueprint for building HTA capacity.
    METHODS: A set of activities were developed based on Pichler et al.\'s framework and the starting HTA capacity in Malta. Individual level activities focused on strengthening epidemiological and health economic skills through online and in-person training. On the organizational level, a new HTA framework was developed which was subsequently utilized in a shadow assessment. Awareness campaign activities raised awareness and support in the wider environment where HTAs are conducted and utilized.
    RESULTS: The time needed to build HTA capacity exceeded the planned two years accommodating the learning progress of the assessors. In addition to the planned trainings, webinars supplemented the online courses, allowing for more knowledge exchange. The advanced online course was extended over time to facilitate learning next to the assessors\' daily tasks. Training sessions were added to implement the new economic evaluation framework, which was utilized in a second shadow assessment. Awareness by decision-makers was achieved with reports, posters, and an article on the current and developing HTA capacity.
    CONCLUSIONS: It takes time and much (hands-on) training to build skills for conducting complex assessment such as HTAs. Facilitating exchange with knowledgeable parties is crucial for succeeding as well as the buy-in of local managers motivating staff. Decision-makers need to be on-boarded for the continued success of HTA capacity building.
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  • 文章类型: Journal Article
    目的:本文提供了修复性美学牙冠延长的技术指南,以及对生物学原理的讨论。提出了一种分类系统,以帮助制定治疗计划并对手术和恢复阶段进行排序。
    方法:当审美牙冠延长术作为修复治疗的辅助手段时,手术入路必须由修复边缘的预期位置决定.通过使用根据修复体的设计制造的手术引导件,促进了足够的骨的移除以实现期望的临床牙冠长度并保持上牙龈组织尺寸。分阶段的方法可以对临时修复进行排序,以最大程度地减少愈合期间的不美观后遗症。不充分的骨切除和/或软组织尺寸的改变导致延迟愈合。导致冠状牙龈回弹和生物宽度撞击。
    结论:确定和保留适当的修复性和生物学标志对于修复前美学牙冠延长治疗的成功至关重要。分阶段方法可改善术后愈合和成熟期的美学管理。
    结论:提出了一种恢复性驱动分类系统,用于排序和分期辅助美学牙冠延长程序。提出了提高牙龈边缘可预测性的技术指南,并附有相关证据。此外,提供了牙龈和骨切除后的伤口愈合时间表。
    OBJECTIVE: This article presents technical guidelines for perio-restorative esthetic crown lengthening, along with a discussion of the biologic rationale. A classification system is proposed to assist in treatment planning and sequencing the surgical and restorative phases.
    METHODS: When esthetic crown lengthening is performed as an adjunct to restorative therapy, the surgical approach must be determined by the anticipated position of the restorative margins. The removal of sufficient bone to achieve the desired clinical crown length and preserve the supracrestal gingival tissue dimensions is facilitated by the use of a surgical guide fabricated according to the design of the restorations. A staged approach allows sequencing the provisional restoration to minimize unesthetic sequelae during the healing period. Inadequate bone resection and/or alteration of the soft tissue dimensions results in delayed healing, leading to coronal gingival rebound and biologic width impingement.
    CONCLUSIONS: The identification and preservation of appropriate restorative and biologic landmarks is essential for success in pre-prosthetic esthetic crown lengthening treatment. A staged approach improves the esthetic management during the postsurgical healing and maturation period.
    CONCLUSIONS: A restorative driven classification system for sequencing and staging adjunctive esthetic crown lengthening procedures is presented. Technical guidelines to enhance gingival margin predictability are suggested, accompanied by relevant evidence. In addition, wound healing timelines following gingival and osseous resection are provided.
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  • 文章类型: Journal Article
    蓝图通过为各个内容区域分配成比例的权重,为评估提供了基础,并帮助纸张制定者构建了统一而有效的评估。本研究旨在根据印度医学本科生的新课程设计和验证社区医学理论蓝图。
    社区医学蓝图是通过为能力分配影响得分(I)和频率得分(F)来设计的。使用内容有效性指数(CVI)验证蓝图,并计算了使用Fleiss\'kappa统计数据的主题专家的评估者之间的协议。随后获得了教师和学生的反馈,以评估充血后的反应。
    蓝图是由一个专家组设计的,其中影响得分和频率得分被分配给社区医学理论中的146个能力。在Delphi调查I中,63.2%的主题专家回答,而在德尔福调查II中,有效率为58.3%。评估者之间协议的Fleiss\'Kappa测试的价值为0.68,即\“实质性协议,“而评估者中的CVI为0.86,即总体有效评估。教师的反馈(n=11)表明蓝图是有帮助的,并标准化了论文设置,而来自学生的反馈(n=138)描述了它有助于准备考试,他们会推荐给其他学生。
    经过学科专家共识验证的蓝图具有影响分数和频率分数以及按主题分配的分数,以方便教师,其效用也在学习者中得到了很好的证明。
    UNASSIGNED: Blueprint provides a base for assessment by assigning proportionate weightage to various content areas and helps the paper setter to construct a uniform and valid assessment. This study aimed to design and validate a blueprint for theory in Community Medicine as per the new curriculum for Medical Undergraduates in India.
    UNASSIGNED: Blueprint in community medicine was designed by assigning impact score (I) and frequency score (F) for the competencies. Blueprint was validated using the Content Validity Index (CVI), and inter-rater agreement for subject experts using Fleiss\' kappa statistics was calculated. Feedback from faculty and students was obtained afterward to assess the postimplementation response.
    UNASSIGNED: Blueprint was designed by an expert group where impact score and frequency score were assigned to 146 competencies in the theory of Community Medicine. In Delphi survey I, 63.2% of subject experts responded, while in Delphi survey II, a response rate of 58.3% was achieved. Value of the Fleiss\' Kappa test for an inter-rater agreement was 0.68, i.e. \"substantial agreement,\" while CVI among the raters came out to be 0.86, i.e. overall valid assessment. Feedback of faculty (n = 11) suggested that the blueprint was helpful and standardized the paper setting, whereas feedback from students (n = 138) depicted that it helped in preparing for exams, and they would recommend it to other students.
    UNASSIGNED: Validated blueprint by consensus of subject experts has impact score and frequency score along with topic-wise distribution of marks for the convenience of faculty and its utility is well proven among learners too.
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  • 文章类型: Journal Article
    背景:印度大多数医学院都遵循基于能力的医学教育。卫生大学正在改变其问题论文模式和实践评估模式,以确保对学生学习的有效和可靠的评估,但对整个课程能力的评估是一项艰巨的任务。评估蓝图可以为平衡和合理的评估提供指导图。它确保每年的考试内容相似(可以避免过度或不足代表主题)。评估蓝图为评估的知识/技能提供了适当格式的想法。该研究旨在观察促进者的看法,并为解剖学课程制定评估蓝图。
    方法:这项教育混合方法研究是在全印度医学研究所解剖学系进行的,焦特布尔,印度。在五点李克特量表上观察到解剖部13位主持人对评估蓝图的看法。下肢主题是根据印度政府国家医学委员会提供的本科课程第一卷文件确定的。每个主题的权重是根据本科生的解剖学重要性和临床意义给出的。根据相对权重计算主题的标记。该蓝图由研究所的主题专家编写和验证。根据评估蓝图准备了示例性问题论文模板。
    结果:在本研究中,所有13名(100%)参与者一致认为,需要一个有效的评估框架来保持评估的可靠性,11名(85%)参与者同意评估蓝图可以提供有效的评估工具,10名(77%)参与者同意不按照学习领域要求计划评估,根据蓝图规划评估需要更多的时间和资源。在参与者中,八位(62%)同意在设置问题文件时不包括所有主题或能力。评估下肢的蓝图提供了高权重和低权重主题的想法以及这些主题的合适类型的问题。
    结论:评估是基于能力的医学教育的关键要素。对于一个完整的,有效,和可靠的评估,评估蓝图是小时的需要。这项研究中的评估蓝图显示,大腿前部区域,髋关节,膝关节,下肢血管和神经供应是医学解剖学本科课程中下肢最重要的课题。它可以帮助减少内容的不足或过度表示。在蓝图的帮助下,考官可以评估大部分内容,没有任何有意或无意的偏见。
    BACKGROUND:  Competency-based medical education is followed by most of the medical schools in India. Health universities are changing their question paper pattern and practical assessment pattern to ensure valid and reliable evaluation of student learning but assessment of entire curriculum competencies is a difficult task to achieve. Assessment blueprinting can provide a guiding map for balanced and rational assessment. It ensures similar exam content from year to year (over- or under-representing a topic can be avoided). The assessment blueprint provides ideas of appropriate formats for the knowledge/skills being assessed. The study aims to observe facilitators\' perceptions and develop an assessment blueprint for the anatomy curriculum.
    METHODS:  This educational mixed-method study was conducted in the Department of Anatomy of All India Institute of Medical Sciences, Jodhpur, India. Perceptions of 13 facilitators of the Anatomy Department about assessment blueprinting were observed on a five-point Likert scale. Topics of the lower limb were identified based on the Undergraduate Curriculum Volume-1 document provided by the National Medical Council of the Government of India. Weightage to each topic was given on the basis of anatomical importance and clinical significance at the undergraduate level. Marks for the topic as per relative weightage were calculated. The blueprint was prepared and validated by the subject expert of the institute. An example question paper template was prepared as per the assessment blueprint.
    RESULTS:  In the present study, all 13 (100%) participants agreed that there is a need for a valid assessment framework to maintain the reliability of assessment, 11 (85%) participants agreed that an assessment blueprint can provide a valid tool for assessment, and 10 (77%) participants agreed that assessments are not planned as per learning domain requirement, and planning of assessment as per blueprint requires more time and resource. Of the participants, eight (62%) agreed that all topics or competencies are not included while setting the question paper. The blueprint for assessment of the lower limb provided an idea of high-weightage and low-weightage topics and the suitable types of questions for these topics.
    CONCLUSIONS: Assessment is the key element of competency-based medical education. For a complete, valid, and reliable assessment, a blueprint for assessment is the need of the hour. Assessment blueprinting in this study showed that the anterior thigh region, hip joint, knee joint, and vascular and nerve supply of the lower limb are topics with maximum weightage for the lower limb in the medical anatomy undergraduate curriculum. It can help in reducing under or over-representation of content. With the help of a blueprint, the examiners can assess the majority of content without any intentional or unintentional bias.
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  • 文章类型: Journal Article
    3D打印的Liberator枪支计划的发布引发了全球创作者的新设计浪潮。产生了大量的3D打印枪支计划,特别是蓝图,和部分可在互联网上几乎不受限制地下载。由于可用的设计丰富,识别和分类各种3D打印枪支和组件构成了挑战。在2021年至2023年4月之间,收集了超过2100个3D打印枪支计划的数据。虽然完全3D打印的枪支蓝图最初占据了主导地位,混合设计和零件套件完成/转换(PKC)因其提高的可靠性和性能而受到欢迎。现在高度网络化的社区通过详细的说明和程序提供了相当大的支持,为施工提供精确指导。这种系统的分类,ClearWeb上记录数据的分组和结构化支持识别与3D打印枪支相关的主要威胁趋势的模式。
    The release of the plans of the 3D-printed Liberator firearm sparked a wave of new designs from creators worldwide, resulting in an extensive collection of 3D-printed firearm plans, in particular blueprints, and parts available for almost unrestricted download on the internet. Identifying and categorizing the diverse range of 3D-printed firearms and components pose a challenge due to the abundance of designs available. Between 2021 and April 2023, data was collected on over 2,100 3D-printed firearm plans. While blueprints of fully 3D-printed firearms initially dominated the scene, hybrid designs and parts kit completions / conversions (PKC) have gained popularity for their improved reliability and performance. The now highly networked community offers considerable support with detailed instructions and procedures, providing precise guidance for construction. This systematic classification, grouping and structuration of the recorded data on the Clear Web supported the identification of patterns of the main threat trends related to 3D-printed firearms.
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  • 文章类型: Editorial
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  • 文章类型: Multicenter Study
    未经批准:国家血友病基金会(NHF)进行了广泛的,包容性社区协商,以指导未来几十年的研究优先次序,以与其寻找治疗方法、解决和预防并发症的使命相一致,使患有血液疾病的人和家庭能够茁壮成长。
    未经批准:美国血栓和止血网络,NHF招募了多学科专家工作组(WG),将社区确定的优先事项提炼成具体的研究问题,并对其可行性进行评分,影响,和风险。WG6负责识别基础设施,劳动力发展,以及促进优先研究的资金和资源。在NHF科学研究峰会上收集了社区对结论的投入。
    UNASSIGNED:WG6详细说明了最小研究能力基础设施阈值,以及实现这一目标的机会,出血性疾病中心参与前瞻性,多中心国家登记册。他们确定了招聘的挑战和机遇,保留,并培训未来所需的多元化多学科护理和研究人员。试验设计的创新协作方法,资源网络,并阐明了克服罕见疾病研究面临的障碍的资金。
    未经评估:基础设施方面的创新,劳动力发展,本文提出的资源和资金可能有助于促进遗传性出血疾病的国家研究蓝图。
    研究对于推进遗传性出血性疾病(PWIBD)患者的诊断和护理至关重要。这项研究需要大量的基础设施,包括人和资源。血友病治疗中心(HTC)需要许多不同的熟练护理专业人员,包括医生,护士,和其他提供者;还有统计学家,数据管理人员,和其他专家将患者的临床信息处理为研究。吸引各种合格的专业人员到临床和研究工作需要长期规划,在培训计划中招募个人,并在他们成为专家时留住他们。研究基础设施包括运行数据库软件的物理服务器,连接它们的网络,以及这些组件发挥作用的环境。美国疾病控制和预防中心(CDC)和美国血栓形成和止血网络(ATHN)协调并资助HTC收集有关成千上万PWIBD的健康和福祉的数据,并将其纳入研究中使用的注册表。国家血友病基金会(NHF)和ATHN要求我们的医疗保健专业人员小组,技术专家,和现场体验专家(LEE)来识别基础设施,劳动力,以及对PWIBD最重要的研究所需的资源。我们确定了所有HTCs应该能够进行的CDC/ATHN研究的类型,以及这需要的物理和人力基础设施。我们优先考虑寻找最好的临床试验设计来研究遗传性出血性疾病,确定在HTCs之间共享人员和工具的方法,创新研究的管理和资助方式。让LEE参与设计,管理,开展研究将是开展研究以改善PWIBD生活的关键。
    The National Hemophilia Foundation (NHF) conducted extensive, inclusive community consultations to guide prioritization of research in coming decades in alignment with its mission to find cures and address and prevent complications enabling people and families with blood disorders to thrive.
    With the American Thrombosis and Hemostasis Network, NHF recruited multidisciplinary expert working groups (WG) to distill the community-identified priorities into concrete research questions and score their feasibility, impact, and risk. WG6 was charged with identifying the infrastructure, workforce development, and funding and resources to facilitate the prioritized research. Community input on conclusions was gathered at the NHF State of the Science Research Summit.
    WG6 detailed a minimal research capacity infrastructure threshold, and opportunities to enable its attainment, for bleeding disorders centers to participate in prospective, multicenter national registries. They identified challenges and opportunities to recruit, retain, and train the diverse multidisciplinary care and research workforce required into the future. Innovative collaborative approaches to trial design, resource networking, and funding to surmount obstacles facing research in rare disorders were elucidated.
    The innovations in infrastructure, workforce development, and resources and funding proposed herein may contribute to facilitating a National Research Blueprint for Inherited Bleeding Disorders.
    Research is critical to advancing the diagnosis and care of people with inherited bleeding disorders (PWIBD). This research requires significant infrastructure, including people and resources. Hemophilia treatment centers (HTC) need many different skilled care professionals including doctors, nurses, and other providers; also statisticians, data managers, and other experts to process patients’ clinical information into research. Attracting diverse qualified professionals to the clinical and research work requires long-term planning, recruiting individuals in training programs and retaining them as they become experts. Research infrastructure includes physical servers running database software, networks that link them, and the environment in which these components function. US Centers for Disease Control and Prevention (CDC) and American Thrombosis and Hemostasis Network (ATHN) coordinate and fund data collection at HTCs on the health and well-being of thousands of PWIBD into a registry used in research studies.National Hemophilia Foundation (NHF) and ATHN asked our group of health care professionals, technology experts, and lived experience experts (LEE) to identify the infrastructure, workforce, and resources needed to do the research most important to PWIBD. We identified the types of CDC/ATHN studies all HTCs should be able to perform, and the physical and human infrastructure this requires. We prioritized finding the best clinical trial designs to study inherited bleeding disorders, identifying ways to share personnel and tools between HTCs, and innovating how research is governed and funded. Involving LEEs in designing, managing, and carrying out research will be key in conducting research to improve the lives of PWIBD.
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