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Background

Meconium stained amniotic fluid commonly occurs postdates (?>40 weeks gestation) indicating fetal maturity. Previous literature indicates that different ethnicities mature at different rates.

Aim

To compare the rate of meconium stained amniotic fluid of Australian-born and non-Australian born women.

Methods

A retrospective correlation study design was implemented, using data collected in the birth outcomes system at one tertiary hospital. Data was collected from all women who gave birth to a term (>/=37 weeks gestation), singleton, liveborn baby between January 1st to December 31st, 2014. Maternal country of birth was used for comparison. Categorical data was analyzed using Chi-Square test for Independence. Continuous variables were assessed for normality, and differences were compared using an Independent t-test or a Mann–Whitney U test. All tests were two-tailed and p < 0.05 was considered statistically significant.

Results

3,041 women were included; 1131 Australian-born and 1910 non-Australian born. Meconium stained amniotic fluid occurred more frequently in non-Australian born women compared to Australian-born women (23.5% vs. 19.8 p = 0.02). Their babies were significantly smaller (Mean = 3265 g, Standard Deviation 463.8 vs Mean = 3442 g, Standard Deviation 499.2, p < 0.001), with no difference in gestational length (Mean = 39.4, Standard Deviation 1.28 vs Mean = 39.5, Standard Deviation 1.18, p = 0.06). Increasing gestational age had the strongest association with meconium stained amniotic fluid;?>/=42 weeks gestation occurring 3.52 (95% Confidence Interval: 2.00, 6.22, p = <0.001) more than <40 weeks gestation.

Conclusion

Maternity health services should record ethnicity and region of birth to provide individualised care as women born overseas often have poorer perinatal outcomes when compared to Australian-born women.  相似文献   
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It is the purpose of this paper to make explicit the methodology (the theory of the methods) by which we conducted research for an Economic and Social Research Council-funded research project on the relationship of values to value. Specifically, we wanted to study the imperative of Facebook to monetize social relationships, what happens when one of our significant forms of communication is driven by the search for profit, by the logic of capital. We therefore wanted to ‘get inside’ and understand what capital's new lines of flight, informationally driven models of economic expansion, do to social relations. Taking up the challenge to develop methods appropriate to the challenges of ‘big data', we applied four different methods to investigate the interface that is Facebook: we designed custom software tools, generated an online survey, developed data visualizations, and conducted interviews with participants to discuss their understandings of our analysis. We used Lefebvre's [(2004). Rhythmnanalysis: Space, time and everyday life. London: Continuum] rhythmanalysis and Kember and Zylinska's [(2012). Life after new media: Mediation as a vital process. Cambridge, MA: MIT Press] ideas about ‘lifeness’ to inform our methodology. This paper reports on a research process that was not entirely straightforward. We were thwarted in a variety of ways, especially by challenge to use software to study software and had to develop our project in unanticipated directions, but we also found much more than we initially imagined possible. As so few academic researchers are able to study Facebook through its own tools (as Tufekci [(2014 Tufekci, Z. (2014). Big questions for social media big data: Representativeness, validity and other methodological pitfalls. In ICWSM 14: Proceedings of the 8th International AAAI Conference on Weblogs and Social Media, pp. 505–514. [Google Scholar]). Big questions for social media big data: Representativeness, validity and other methodological pitfalls. In ICWSM ‘14: Proceedings of the 8th International AAAI Conference on Weblogs and Social Media (pp. 505–514)] notes how, unsurprisingly, at the 2013 ICWSM only about 5% of papers were about Facebook and nearly all of these were co-authored with Facebook data scientists), we hope that our methodology is useful for other researchers seeking to develop less conventional research on Facebook.  相似文献   
4.
This paper explores the involvement of voluntary organisations in three Diploma of Social Work programmes in the North East of England. It focuses on their involvement in management, and curriculum planning and delivery. Issues of power and representation are fundamental to this involvement and consequently to this paper. The paper looks in detail at the approach to involving voluntary organisations in one programme, and compares the process and results of this approach with those of the other two programmes in the region studied. Throughout, the paper incorporates two perspectives: that of the programmes and that of the voluntary organisations. This paper concludes with suggested methods for involving voluntary organisations more closely in the management and curriculum development of DipSW programmes and demonstrates this with particular reference to the Black voluntary sector.  相似文献   
5.
1. Providing sexual health education for adolescents with mental health problems presents a difficult but important clinical task. 2. Using a group format for this task is an effective way to provide information about sexual health and promote positive coping strategies related to relationships and sexual issues. 3. Group leaders need to be aware of their own values related to sexual issues and have the ability to be frank and nonjudgmental.  相似文献   
6.
Effects of suicidal behavior on a psychiatric unit nursing team   总被引:1,自引:0,他引:1  
1. Suicide of a psychiatric inpatient can have significant, although diverse, effects on the emotions and behavior of both individual nurses and team functioning. 2. The majority of participants in this study felt there was a need for formal debriefing or counseling for themselves and their colleagues after a critical incident, although there was less consensus about the timing and structure of such an intervention. 3. This research highlights the need for advanced training of critical incident stress management team members and for flexibility in the application of critical incident stress management techniques.  相似文献   
7.
We develop a formula for the expected absolute departure of x2 from its median.  相似文献   
8.
In a longitudinal investigation of the antecedents and pathways of teen parenthood, 475 participants (248 females and 227 males) were followed from Grade 7 through early adulthood. In the first year of the investigation, homogeneous subgroups were identified by clustering participants on five characteristics (i.e., aggression, popularity, academic competence, age, and socioeconomic status). At the same time, peer social networks were identified by the Social Cognitive Map procedure. For each participant, the configuration of peer characteristics was also identified. A high correspondence was found between the individual characteristics and the characteristics of closely affiliated peers. Both teen fatherhood and teen motherhood were predicted by individual configurations and peer configurations (e.g., a combination of high aggression, low academic competence, low popularity, and low family SES). Peer characteristics, race, and family socioeconomic status assumed unique roles in predicting teen motherhood. Growth curve analyses showed that teen-mothers differed from non-mothers in their starting points and developmental trajectories. This study demonstrated that a simultaneous examination of both the individual and his/her peer context yielded important information on teen parenthood.  相似文献   
9.
Drawing on the textual analysis of an ESRC research project 'Making Class and the Self through Mediated Ethical Scenarios' , this article illustrates how 'reality' television offers a visible barometer of a person's moral value. The research included an examination of the shift to self-legitimation, the increased importance of reflexivity and the decline of class proposed by the individualisation thesis. 1 We focused on self-transformation 'reality' television programmes as public examples of the dramatisation of individualisation. The over-recruitment of different types of working-class participants to these shows and the positioning of many in need of transformation, enabled an exploration of how certain people and cultures are positioned, evaluated and interpreted as inadequate, deficient and requiring improvement. We found that the individualisation promoted through the programmes was always reliant upon access to and operationalisation of specific social, cultural, economic and symbolic capital.  相似文献   
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