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11.
It is uncertain whether Latin America and Caribbean (LAC) countries are approaching a single mortality regime. Over the last three decades, LAC has experienced major public health interventions and the highest number of homicides in the world. However, these interventions and homicide rates are not evenly shared across countries. This study documents trends in life expectancy and lifespan variability for 20 LAC countries, 2000–14. By extending a previous method, we decompose differences in lifespan variability between LAC and a developed world benchmark into cause-specific effects. For both sexes, dispersion of amenable diseases through the age span makes the largest contribution to the gap between LAC and the benchmark. Additionally, for males, the concentration of homicides, accidents, and suicides in mid-life further impedes mortality convergence. Great disparity exists in the region: while some countries are rapidly approaching the developed regime, others remain far behind and suffer a clear disadvantage in population health. 相似文献
12.
针对高职学生网上评教存在的问题,采用评教验证机制设置不合理评教的限制。对学生评教数据先剔除异常值,再分别对不同班级、不同课程和不同院系之间的学生评教数据进行修正与优化处理,得出最终的修正分值,降低了因班级、课程和院系的不同而导致的评教数据的差异性,使学生的网上评教能更准确有效的反应出教师的教学水平。 相似文献
13.
王敏 《盐城工学院学报(社会科学版)》2020,33(2):104-108
新时代培育民族复兴大任的时代新人,必须提升大学生的担当精神,以建设一支有担当、敢担当的时代新人队伍,这是应对时代诉求与历史使命的必由之路。然而,大学生的担当精神培育既面对着认知新的历史方位、奋力托举中国梦与应对新“忧患”的时代诉求;又要面对围观的看客心态、非科学的失衡心理、认知偏颇的冲击。因此,把担当精神摆在育人的重要位置,从升级育人内容、优化育人环境等几个关键教育环节着手,营造崇德向善、力争担当的社会风尚,将担当精神培育生活化、长效化,进而不断增强大学生的担当意识与担当力。 相似文献
14.
宁园 《重庆大学学报(社会科学版)》2020,26(5):156-166
《民法典》侵权责任编对原有通知删除规则进行了科学修正,但事前保护缺位与事后救济程序失范的问题仍然存在。随着网络服务提供者完成角色转型和技术升级,其作为网络侵权风险的控制者和参与者,有必要且有能力承担未通知阶段的主动预防义务和已通知阶段的证明材料审查义务,以弥补著作权保护和用户利益保护的漏洞。双重注意义务应分别与网络服务提供者对侵权危险的预期和控制能力以及材料审查能力相适应。未通知阶段之注意义务以技术措施为主要履行方式,其注意标准的认定应综合考量技术水平、服务类型、内容介入程度、是否直接获取收益等要素,未尽该注意义务仅为过错认定的考量因素而非唯一标准,并不必然导致侵权责任。已通知阶段之注意义务仅限于对提交的证明材料进行形式审查和有限的实质审查,尽到此注意义务的,可以免于承担侵权责任。 相似文献
15.
王延延 《北京理工大学学报(社会科学版)》2020,22(3):151-158
以审委会为代表的案件讨论机制的实践合理性正日益受到社会情境因素的影响,由此产生审委会决策机制的功能限缩问题。在审委会实际角色作用逐渐转变的过程中,法官会议讨论程序逐渐浮现并得到制度化。法官会议所具有的“正反校验”作用有助于解决疑难案件中法律适用的权威来源问题,很大程度上替代审委会规范法律适用的功能。法院内部案件集体讨论机制的流变,反映的是法院内部权力集中度的差异,即从审委会的功能限缩到法官会议的制度化呈现出从集体决策权到集体讨论权的权力变迁过程。与之相对应的是,法官群体在审判权力方面渐进的规模化、结构化、自主化,集体理性走向个体理性的过程得到强化。 相似文献
16.
17.
Nuria Infante-Torres Milagros Molina-Alarcón Ana Rubio-Álvarez Julián Rodríguez-Almagro Antonio Hernández-Martínez 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e318-e324
Aim
To assess the relationship between the duration of the second stage of labour and postpartum anaemia during vaginal birth.Methods
An observational, analytical retrospective cohort study was performed at the “Mancha-Centro Hospital” (Spain) during the 2013–2016 period. Data were collected from 3437 women who had a vaginal birth. Postpartum anaemia was defined as a haemoglobin level below 11 g/dL at 24 h postpartum. A univariate analysis was used for potential risk factors and a multivariate analysis with binary logistic regression to control for possible confounding factors.Findings
The incidence of postpartum anaemia was 42.0%. The risk of postpartum anaemia did not increase in nulliparous women whose duration of the second stage of labour exceeded 4 h. Compared with multiparous women who delivered between 0 and 3 h, multiparous women with a duration of the second stage of labour beyond 3 h were at higher risk of postpartum anaemia (OR = 2.43 [1.30–4.52]).Conclusion
The duration of the second stage of labour beyond 4 h is safe for postpartum anaemia in nulliparous women. However in multiparous women, monitoring should increase if the second stage of labour exceeds 3 h given the increased risk of postpartum anaemia. 相似文献18.
Gabriella Zizzo Catherine Mackenzie Carol Irizarry Ian Goodwin-Smith 《The Australian journal of social issues》2020,55(4):474-491
There is growing recognition of the experience of non-death-related loss and grief. One unexplored area of non-death-related loss and grief is associated with older people’s transition from home to residential aged care (RAC). This paper reports findings from a qualitative study that explored the experiences of people living in RAC, carer-relatives of people living in RAC and RAC staff. Using theories of loss and grief, the paper identifies features of the transition to RAC that are associated with unresolved loss and maladaptation to changed circumstances, and the types of support that would mitigate these. Using a series of focus groups with both residents and carer-relatives, as well as staff, the study found that residents and their families need more support to negotiate the multiple, often necessarily hasty decisions and bureaucratic requirements associated with transitioning to RAC, while simultaneously experiencing loss and grief. The types of support that families would welcome from service providers include facilitating shared decision making, valuing family and community carer expertise and providing practical information and assistance to fulfil administrative obligations. 相似文献
19.
《Long Range Planning》2019,52(3):366-385
The ambidexterity framework, which comprises two contradictory, yet interrelated processes of exploration and exploitation, has been researched using a variety of perspectives. Few studies, however, provide insight into the question: how is ambidexterity managed across multiple organizational levels? To address this question, we introduce the term ambidexterity penetration that refers to the enactment of ambidexterity across multiple organizational levels and develop a conceptual framework about how it is practiced (horizontally, vertically and organizationally). We empirically showcase this framework using findings from six business units of an aerospace and defense organization and analyzing data from 30 interviews. Overall, our study contributes to ambidexterity research and offers an empirical investigation of ambidexterity penetration across multiple organizational levels in the context of the aerospace and defense sector. 相似文献
20.
Sarah Long 《Disability & Society》2015,30(7):1118-1122
The week beginning 29 June 2015 is not just historic for the closure of the Independent Living Fund in the United Kingdom, but for me was the week they decided that my life is not worth investing in; they being NHS England, NICE and, with them, the Department of Health. They chose not to support the enzyme replacement therapy that has been not only keeping me alive, but giving me a quality of life – enabling me to return to finish my Disability Studies PhD exploring how Christian leaders explain disability, where ethics have become the main topic, and to rebuild my career – or so I thought. 相似文献