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Martin Klomp Peter M. Van den Bergh Frits J. H. Harinck 《Child & youth care forum》1997,26(5):343-355
In child and youth care in the Netherlands, systematic planning of treatment is more and more considered to be a condition
for effective and well founded treatment. Although workers are convinced of the benefits of treatment plans, treatment planning
is not yet a natural and integrated part of residential care. There are several pressure points. In this article a model of
treatment planning will be presented that contributes to an answer to these pressure points. The theoretical bases and the
practical implications of this model will be discussed. 相似文献
94.
Jaafar Mouhyi Lars Sennerby Jeanjacques Pireaux Nicolas Dourov Samir Nammour Jack Van Reck 《Clinical oral implants research》1998,9(3):185-194
The purpose of the present study was to analyse clinically failed and retrieved implants prior to and after cleaning by means of scanning electron microscopy (SEM) and X-ray induced photoelectron spectroscopy (XPS) as compared to unused controls. Six different chemical and physical techniques for cleaning of contaminated titanium implants were evaluated: 1) rinsing in absolute ethanol for 10 min, 2) cleaning in ultrasonic baths containing trichloroethylene (TRI) and absolute ethanol, 10 min in each solution, 3) abrasive cleaning for 30 s, 4) cleaning in supersaturated citric acid for 30 s, 5) cleaning with continuous CO2-laser in dry conditions at 5 W for 10 s, 6) cleaning with continuous CO2-laser in wet conditions (saline) at 5 W for 10 s. SEM of failed implants showed the presence of contaminants of varying sizes and XPS showed almost no titanium but high carbon signals. XPS of unused titanium implants showed lower levels of titanium as previously reported, probably due to contamination of carbon which increased with time in room air. Cleaning of used implants in citric acid followed by rinsing with deionized water for 5 min followed by cleaning in ultrasonic baths with TRI and absolute ethanol gave the best results with regard to macroscopical appearance and surface composition. However, as compared to the unused implants the results from an element composition point of view were still unsatisfactory. It is concluded that further development and testing of techniques for cleaning of organically contaminated titanium is needed. 相似文献
95.
Amrik Sahota Min Yang Sujuan Gao Siu L. Hui Olusegun Baiyewu Oyewusi Gureje Steven Oluwole Adesola Ogunniyi Kathleen S. Hall Hugh C. Hendrie 《Annals of neurology》1997,42(4):659-661
As a part of our ongoing study on Alzheimer's disease (AD) in elderly African Americans, we obtained clinical assessment and apolipoprotein E (ApoE) genotype data on 288 individuals (including 60 with AD). The ApoE σ4 allele frequency was significantly increased in AD patients compared with controls. The age-adjusted odds ratio (OR) for AD in σ4 homozygotes was 4.83 (95% confidence interval [CI], 1.71–13.64) compared with the σ3/σ3 genotype, but the OR for AD with the σ3/σ4 genotype did not reach significance (1.20; 95% CI, 0.58–2.45). These findings suggest that the association between ApoE σ4 and AD is weaker in African Americans than in whites. 相似文献
96.
L.-J. Van Bogaert 《Medical hypotheses》1997,48(6):485-488
With spinal anesthesia the level of surgical analgesia is mostly reported without reference to the neuroanatomic map of spinal nerves. The classical maps are variably and inconsistently reported in many textbooks. Because of the differences between the classical maps of Keegan and Garrett and of Foerster, and also because of the variability in their interpretation, we applied them to the same clinical data. This resulted in a theoretically clinically significant difference of two segments. It is concluded that clear reference should be made to the implemented segmental map in expressing the level of spinal blockade. 相似文献
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红霉素对犬幽门括约肌压力影响及其与胃动素,生长抑素的关系 总被引:7,自引:2,他引:5
为探讨红霉素对犬幽门括约肌的作用及其机理,及其与血浆胃动素,生长抑素的关系。方法采用胃压力测量仪及放射免疫法,同步监测观察了10条犬静脉滴EM前后和使用拮抗剂后的幽门压力、血浆MTL,SS的变化,结论:EM具有增高犬胃幽门压力的作用,其作用机理除与血浆MTL有着密切的关系外,血浆SS也可能共同参与了其调节机制。 相似文献
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