The use of play therapy with adolescents in high school.

Describes appropriate play therapy techniques for use with adolescents In a high school setting and provides specific case examples of the use of a variety of creative, expressive play therapy techniques that can help emotional development. The review of the literature on using play therapy techniques with children and adolescents included in the article provides support for the appropriateness of using creative techniques with adolescents and provides evidence of the need for current information on this topic. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improvement of result coherence in clinical enzymology: multicenter study of gamma-glutamyltransferase, alkaline phosphatase and amylase activities

We report here on the results of a multicenter study of three enzyme activities (gamma-glutamyltransferase, alkaline phosphatase and amylase). For each activity, measurements were performed in two laboratories on different series of patients' specimens under routine conditions, at 30 and 37 degrees C, with techniques frequently used in France and with the IFCC reference method, when it exists. For each technique, precision was acceptable, but results differed considerably according to the technique used. The study also showed that for different techniques it is not possible to use a single transformation factor for activities between 30 and 37 degrees C. Patients' results determined by two techniques often showed a constant relationship. Groups of techniques that determined the same catalytic activity in patients' specimens were identified, whereas other techniques did not have this property. Several preparations, including reference materials produced by the Community Bureau of Reference (European Community, Brussels) and ten commercial secondary materials were tested for similar behaviour as compared to patients' samples. Results show the commutability of reference materials within a group of techniques indicating that they can be used as calibrators. This was seldom the case for the commercial secondary materials and we did not find any such material suitable for calibration of the three enzymatic activities. The present study demonstrates that with defined techniques and validated calibrators it is possible to reduce considerably differences between results obtained with different techniques at different temperatures and in different laboratories.     

Propensity score techniques and the assessment of measured covariate balance to test causal associations in psychological research.

There is considerable interest in using propensity score (PS) statistical techniques to address questions of causal inference in psychological research. Many PS techniques exist, yet few guidelines are available to aid applied researchers in their understanding, use, and evaluation. In this study, the authors give an overview of available techniques for PS estimation and PS application. They also provide a way to help compare PS techniques, using the resulting measured covariate balance as the criterion for selecting between techniques. The empirical example for this study involves the potential causal relationship linking early-onset cannabis problems and subsequent negative mental health outcomes and uses data from a prospective cohort study. PS techniques are described and evaluated on the basis of their ability to balance the distributions of measured potentially confounding covariates for individuals with and without early-onset cannabis problems. This article identifies the PS techniques that yield good statistical balance of the chosen measured covariates within the context of this particular research question and cohort. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is integrative use of techniques in psychotherapy the exception or the rule? Results of a national survey of doctoral-level practitioners.

This study sought to investigate the extent to which therapists endorse techniques outside of their self-identified orientation and which techniques are endorsed across orientations. A survey consisting of 127 techniques from 8 major theories of psychotherapy was administered via U.S. mail to a national random sample of doctoral-level psychotherapy practitioners. The 201 participants endorsed substantial numbers of techniques from outside their respective orientations. Many of these techniques were quite different from those of the core theories of the respective orientations. Further examining when and why experienced practitioners switch to techniques outside their primary orientation may help reveal where certain techniques fall short and where others excel, indicating a need for further research that taps the collective experience of practitioners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Environmental specimen banking in the Czech Republic: a pilot study

In recognition of the importance of environmental specimen banking (ESB) as an important component of the described ongoing real-time environmental and health-related monitoring programmes, a proposal for a planned ESB pilot study in the Czech Republic is presented. Selection of biomonitors, analytes, sampling techniques and sites is discussed, especially with regard to the possible harmonization with ESB already operational abroad. Availability of validated analytical techniques for determination of up to 30 elements using nuclear and spectroscopic techniques, including speciation of several metals, and of the most important organic pollutants employing various chromatographic techniques in biological and environmental samples is demonstrated.     

Mutational analysis of candidate genes in psychiatric disorders

A genetic hypothesis for a disease presupposes the existence of variation in the DNA sequences of affected individuals. A series of techniques known together as "mutational analysis" can be applied towards identifying new sequence variations in selected genes. These techniques can screen a large series of individuals for mutations efficiently, so it is not necessary to determine the nucleotide sequence in every DNA sample. DNA samples suspected of harboring sequence variants are then sequenced. Denaturing gradient gel electrophoresis techniques, single stranded conformation polymorphism paradigms, and chemical cleavage of mismatches are 3 procedures widely used for the molecular screening of mutations today. We discuss each of these techniques for mutation screening.     

Why we live and why we die

Several different techniques for urodynamic signal compression have been proposed in the last few years. Using these techniques it is possible to reduce the requirements for digital storage or transmission. There are a number of applications where it is essential to use such techniques in diagnostic and ambulatory urodynamics. The purpose of this study is to compare different techniques of urodynamic data compression. The so-called FAN, voltage triggered, two point projection and second difference methods. The comparison between the methods is based on 65 pressure, 46 uroflow and 18 surface electromyogram signals. The reduction ratio achieved for different allowable errors between the original and compressed signals is calculated and compared for the different techniques. Results show that it is possible to store urodynamic signals accurately at a low sampling rate, where FAN and voltage triggered methods seem to be superior to the rest.     

Relevance of nucleic acid amplification techniques for diagnosis of respiratory tract infections in the clinical laboratory

Clinical laboratories are increasingly receiving requests to perform nucleic acid amplification tests for the detection of a wide variety of infectious agents. In this paper, the efficiency of nucleic acid amplification techniques for the diagnosis of respiratory tract infections is reviewed. In general, these techniques should be applied only for the detection of microorganisms for which available diagnostic techniques are markedly insensitive or nonexistent or when turnaround times for existing tests (e.g., viral culture) are much longer than those expected with amplification. This is the case for rhinoviruses, coronaviruses, and hantaviruses causing a pulmonary syndrome, Bordetella pertussis, Chlamydia pneumoniae, Mycoplasma pneumoniae, and Coxiella burnetii. For Legionella spp. and fungi, contamination originating from the environment is a limiting factor in interpretation of results, as is the difficulty in differentiating colonization and infection. Detection of these agents in urine or blood by amplification techniques remains to be evaluated. In the clinical setting, there is no need for molecular diagnostic tests for the diagnosis of Pneumocystis carinii. At present, amplification methods for Mycobacterium tuberculosis cannot replace the classical diagnostic techniques, due to their lack of sensitivity and the absence of specific internal controls for the detection of inhibitors of the reaction. Also, the results of interlaboratory comparisons are unsatisfactory. Furthermore, isolates are needed for susceptibility studies. Additional work remains to be done on sample preparation methods, comparison between different amplification methods, and analysis of results. The techniques can be useful for the rapid identification of M. tuberculosis in particular circumstances, as well as the rapid detection of most rifampin-resistant isolates. The introduction of diagnostic amplification techniques into a clinical laboratory implies a level of proficiency for excluding false-positive and false-negative results.     

轻钢结构建筑

文章对轻钢结构建筑的设计、制造、安装技术以及关于轻钢结构建筑的管理理念等进行了简单介绍.通过中外比较,阐述了轻钢结构建筑技术的发展方向.     

Minimally invasive interventions in heart surgery

Recently a number of minimally invasive surgical techniques have been developed in order to reduce surgical trauma especially to avoid median sternotomy and cardio-pulmonary bypass (CPB). In March 1996 we started successfully a clinical trial with the Port Access technique at our institution for the first time in Europe for the treatment of coronary artery single vessel disease. In addition mitral valve disease, aortic valve disease and ASD were treated successfully with minimally invasive surgical techniques. We developed a new minimally invasive surgical technique (Dresden technique) for the treatment of coronary artery multi vessel disease at our institution. Besides we used several minimally invasive surgical techniques without CPB. Our results indicate that minimally invasive surgical techniques routinely used will decrease the morbidity and time of convalescence after cardiac surgery. These techniques can be applied for a variety of cardiac diseases.     

Minimally invasive heart surgery--a fad or a clinically recognized therapy method?

Within the last 5 years new less invasive surgical techniques have been developed in the field of cardiac surgery. This new field named "minimally invasive cardiac surgery" can be subdivided into techniques which do not require cardiopulmonary bypass and are used mainly for coronary artery surgery (called minimally invasive direct coronary artery surgery, MIDCAB technique). This MIDCAB procedure can be done through a small left anterior thoracotomy or a sternotomy. In addition there are other methods which allow the performance of complex cardiac surgery through small accesses in combination with the use of an endovascular CPB system and internal aortic clamping to achieve cardioplegic arrest (so-called Port-Access method). Also for valvular surgery, new surgical techniques were developed allowing access to mitral and aortic valves through limited incisions. In addition, new less invasive techniques were developed for congenital heart surgery. This article will describe the various surgical techniques and define the indications for minimally invasive cardiac surgery.     

The role of magnetic resonance angiography in the assessment of intracranial vascular disease

Magnetic resonance techniques have a significant role in the evaluation of intracranial vascular diseases; however, to achieve an appropriate diagnosis, a combination of both magnetic resonance imaging and angiography are needed. It is extremely important for the interpreting physician to be aware of the potential limitations of the techniques being used. With this knowledge, magnetic resonance techniques can eliminate the need for more invasive procedures. An overview of the current methods and their applications and limitations is provided.     

Lateral ankle sprains. Part II: Acute and chronic treatment

This paper reviews the treatment alternatives for acute and chronic lateral ankle ligament sprains. Inadequately treated ankle sprains can result in chronic lateral ankle instability, disabling pain, and the early onset of osteoarthritis. There are a multitude of reconstructive techniques used for chronic lateral ankle instability. Morbidity associated with present techniques includes loss of proprioception, stiffness following cast immobilization, loss of subtalar motion, loss of internal rotation of the talus during ankle plantar flexion, and recurrent instability. In addition, this paper reviews the reconstructive techniques used for chronic lateral ankle instability, addresses the shortcomings of current reconstructive techniques, and proposes alternatives that may help decrease associated morbidity.     

Ore Pretreatment Methods for Grinding: Journey and Prospects

Pretreatment of ores to improve energy efficacy of grinding has been explored for decades. However, many of these techniques are still at developmental stages and a review has been presented in this paper to discuss the research journey and problems associated with commercialization of these techniques. This review reveals that a variety of stress-generating techniques have been used to treat the composition and morphology of particles to improve the grinding process. Grinding additives are used commercially successful technology while microwave pretreatment also has been successfully piloted. Newly developed techniques such as ultrasonics and electric disintegration have shown potential for success but the cost economics of these processes is still not as attractive as desired. Incipient techniques based on bio-milling, shock waves, and nuclear hold promise for the future. It is also expected that the technological advances around information technology, instrumentation, and energy science will help to solve techno-economic challenges associated with commercialization of the known technologies. Demand for energy-efficient grinding pretreatment methods will grow in the future considering the depletion of high-grade resources and stringent environmental constraints related to reject disposal.     

重视理化检验技术,提高产品实物质量

本文从以下四个方面叙述了应当重视理化检验技术提高产品实物质量:(1)以标准化为中心,为钢铁工业生产提供适用的理化分析检验技术;(2)以在线分析为目标,使理化分析检验技术积极参与质量控制过程;(3)以研究开发为对象,不断提高理化分析检验技术水平;(4)以学科发展为基础,逐步使理化分析检验技术完善化和系统化。     

Bayesian Updating Application into Simulation in the North Edmonton Sanitary Trunk Tunnel Project

Simulation models are built on assumptions, approximations, and estimates. Repetitive long-term projects such as tunnel construction provide opportunities to finetune approximations based on input from actual project progress. Bayesian updating techniques are an effective approach for improving the quality of simulation input and output based on what has already been observed. This paper presents a case study in which Bayesian techniques were applied to a simulation model of an actual tunnel project, the North Edmonton Sanitary Trunk. The study shows that using Bayesian techniques greatly improves the quality of projections. The novelty of this work includes the enhancement of the application of Bayesian updating techniques, the demonstration of simulation applications with a fully monitored tunneling project, and the demonstration of the extent of improvement to planning predictions from the use of actual data and the Bayesian updating techniques.     

Managing organizational conflict.

Conflict is endemic to interpersonal, intergroup, and interorganizational relations whenever 2 parties depend reciprocally on each other for valued outcomes, and alternative sources of the same outcomes are relatively unavailable. It is suggested that there are a number of useful techniques for managing conflict, including channeling conflict through structures and procedures, training negotiators to use normative bargaining techniques, and using 3rd parties. These techniques will not eliminate conflict, and it may be useful for organizations to have a manageable level of conflict to keep them responsive to their environments. However, conflict management techniques are likely to become increasingly important to the management of complex organizations. (47 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Successful surgical correction for an incomplete endocardial cushion defect in an elderly patient

The rise of minimally invasive surgical techniques during the past 20 years has been one of the more dramatic developments in modern medicine. Minimally invasive procedures are now widely accepted for treatment of diseases involving many different organ systems. Minimally invasive procedures may be more common and more accepted in the treatment of diseases of the biliary tract than in any other area. The development of laparoscopic cholecystectomy serves as a benchmark for minimally invasive procedures, and it is now the standard of care for the treatment of cholelithiasis. Today, not only is laparoscopic cholecystectomy one of the most common operations performed in the United States, but many new techniques have been developed that allow minimally invasive treatment of a variety of biliary tract diseases. The development of nonoperative techniques for treatment of biliary tract disease has accompanied the rapid developments in minimally invasive surgical techniques. This article describes the nonoperative treatment of biliary tract disease.