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81.
Despite the many high‐profile Black child deaths in England, race as a factor remains a largely underexplored factor of serious case reviews (SCRs). Evidence from analysis of SCRs indicates that race receives limited attention, or is virtually absent. Given that the main function of SCRs is to provide opportunities for learning lessons to improve practice, the way in which issues of race and culture may influence child protection processes for Black children is therefore of critical importance. In this article, we employ content analysis to examine the extent that race and cultural factors are considered in SCRs involving Black children. It is argued that race is often an important factor influencing Black children's experiences of abuse and neglect, as well as their encounters in the child protection system. This article therefore poses two key questions: (a) What questions are asked about race, ethnicity, and culture in SCRs concerning Black children? (b) How did the SCRs extract lessons to be learnt for improving practice to safeguard Black children? By extending the analysis of race and ethnicity in SCRs, this article furthers our understandings of the needs of Black children in the child protection system.  相似文献   
82.
83.
2016年1月1日起实施的全面二孩政策能否有效地鼓励民众的生育行为,这关乎到我国未来几十年合理调整人口结构、稳固新常态发展的成功与否。本文通过对我国1980-2015年有关生育意愿的国内外文献总结回顾,将生育意愿的内涵界定为数量、时间、性别、动机四个维度,并在此基础上结合国内外学者们的研究归纳得出影响生育意愿的五个方面因素:政策、经济、观念、教育、年龄,以期在新政策背景下展望未来,借鉴国外发展的经验,做好养老、医疗、就业、教育方面的准备措施来迎接全面二孩时代,并为有关生育意愿的进一步研究提供参考。  相似文献   
84.

Background

During the last decades, there has been an alarming and dramatic increase in the number of cesarean births in both developed and undeveloped countries. This increase has not been clinically justified but, nevertheless, has raised an important number of issues.

Aim

The aim of this study was to determine the risk factors associated with the high cesarean section rates in Lebanon.

Methods

This study is based on a sample of 29,270 Lebanese women who were pregnant between 2000 and 2015. Among these, 14,327 gave birth by cesarean section and 14,943 gave birth vaginally. To identify the risk factors of cesarean section, logistic regression was applied as a statistical method using the SPSS statistical package.

Findings

Of the 29,270 pregnant women included in the study, 49% had cesarean sections while 51% gave birth vaginally. Repeat cesarean section accounted for 23% while vaginal birth after cesarean accounted for only 0.2% of deliveries. In addition, weekdays were associated with a preference of providers to carry out more cesarean sections. According to an analysis of our data using logistic regression, the risk factors associated with the increase in cesarean section rates were advanced maternal age, elective cesarean section, malpresentation of fetus, multiple birth, prolonged pregnancy, prolonged labor, and fetal distress.

Conclusion

Based on these results, it is recommended that a new health policy be implemented to reduce the number of unnecessary cesarean deliveries in Lebanon.  相似文献   
85.
性别因素对脆弱儿童的长期照顾的影响主要体现在以下方面:第一,在父死母嫁的情况下,女孩更容易被带入新的家庭,融入新的家庭中,成为其成员;而男孩则更容易被留在原生家庭中,形成与祖父母之间的隔代抚养关系。第二,在收养方面,女孩更容易被收养从而进入正常的家庭环境。以上这些状况的形成与亚洲地区男孩的性别偏好有非常重要的关系,这对于目前的社会福利政策与社会照顾体系提出了新的要求,需要采取一系列的措施与政策。如:通过现有的社会救助体系对祖父母—孙子女的隔代抚养关系给予支持与照顾;充分发挥社区作用,为脆弱儿童提供支持与保护;充分发挥儿童福利院的作用,为脆弱儿童提供专业支持和心理、情感指导,与家庭、社区相结合,共同为脆弱儿童的成长提供支持。  相似文献   
86.
对某一行为进行评价是规范行为主体的目的性、保障行为过程的科学性、实现行为结果的公益性的有力手段。创业教育的评价体系需包含学校、政府与社会这三大主体和以创业教育理念为统领的九大要素。评价的价值导向是要引导并促成由单纯的就业率评价向就业结构、就业质量、创业尝试评价转向,由毕业之时的就业率评价向若干年后的社会贡献评价转向,由家长期盼的评价向学生自我评价转向,由政府主导的评价向社会主导的评价转向。  相似文献   
87.
This paper investigates how enhanced support for foster parents, such as covering fees and providing consultants and relief, may reduce the number of replacements experienced by children in foster care. It also investigates the extent to which replacements are associated with family (kin) vs. non‐family foster parents, or with legal characteristics of the placement (i.e. forced administrative decisions vs. relief measures agreed upon by the parents). Statistical analyses of administrative data from Norway investigated the longitudinal relationships between these characteristics and the number of replacements at two levels – children (N = 16 109) and municipalities (N = 418) – over 5 years (2007–2011). The results reveal modest associations between enhanced support and fewer replacements; for example, replacement rates are lower for children placed in homes of kin than in non‐family homes. Replacements also tend to be fewer when the placement is forced rather than consensual.  相似文献   
88.
全球治理的提出源于全球化的推动,而全球治理的提出及实践则使国际行政法的产生、形成成为可能。具体而言,全球公民社会的兴起与国际非政府组织的发展是国际行政法产生的两个现实驱动因素。国际行政法的产生路径可总结为"自下而上"和"自上而下"的路径。国际行政法具有区别于国内行政法的若干明显特征,国际层面相比国内层面的很多特殊性也使得国际行政法的体系化发展面临诸多挑战。这些问题虽然不能忽视,但它们也并非不可克服。虽然国际行政法不如国内行政法成熟,但是如能改进合法性,便能够将超国家机构的全球治理职能发挥得更好。全球治理语境下国际行政法体系的产生、形成是一种历史的必然趋势。  相似文献   
89.
We aimed to investigate the predictive factor of erectile dysfunction (ED) in prostate cancer (PCa) patients who underwent low-dose permanent I125 seed implant brachytherapy and to investigate if ED could represent a patient’s reported outcome measures (PROMs) of efficacy of BT and indirectly associated with biochemical recurrence free survival (BRFS). From 2000 to 2012, 176 consecutive patients with low-risk PCa underwent BT. ED was evaluated with the International Index of Erectile Function (IIEF-5). Cox regression analysis was performed to assess significant predictors of mild-to-severe ED and BRFS after BT, including covariates. The 10-year actuarial rate of ED was 66%. Subjects with severe ED had higher values of D90 (183.0 versus 177.0; p?p?p?p?=?0.20), while D90?≤?180?Gy independently predicted BCR (HR: 4.65; [95%CI: 1.25–17.34]; p?125 implant, but it is not associated with better BRFS.  相似文献   
90.
Evidence suggests that problem gambling is an unstable state where gamblers move into and out of risk over time. This article looks at longitudinal changes in risky gambling and the factors associated with an increased risk (measured by the Problem Gambling Severity Index [PGSI]) in the current New Zealand context, which has experienced a doubling of the electronic gaming machine (EGM) market over the last two decades. Respondents from a nationally representative baseline sample (n = 2672) were recontacted two years later to assess changes in gambling behaviours. Among the 901 respondents reached at follow-up, average gambling risk increased over time, and the prevalence of those who had at least some level of gambling risk (i.e. low-risk or greater) more than doubled (from 4.7% to 12.4%). The majority (80.2%) of those who were at risk at follow-up had not been at risk at baseline. Multivariate linear regression analyses show that the predictors of low to moderate increased risk include Pacific ethnicity; high neighbourhood deprivation status; baseline frequent, continuous gambler type; baseline PGSI status; and playing EGMs. These findings highlight the need to develop theories of gambling addiction trajectories and to identify the earliest point along the trajectory where public health interventions should occur.  相似文献   
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