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Background

Induction of labor is a common obstetric procedure. Acupressure is a natural method that is used for inducing uterine contractions. Nevertheless, few studies have examined the impact of acupressure on the induction of labor.

Aim

The aim of this study was to evaluate the effect of acupressure on the initiation of labor.

Material and methods

In this randomized clinical trial, 162 nulliparous pregnant women were admitted to the hospital. They were categorized into 3 groups; acupressure, sham acupressure and control. Acupressure points SP6, BL 60 and BL 32 were pressured bilaterally. The intervention was done by the researcher every other day between 9 am and 11 am. The intervention was carried out on women in the afternoon and the following day. Subjects were examined to determine the initiation of labor symptoms48 and 96 h after the start of intervention and at the time of hospitalization. Data were analyzed using the ANOVA, Kruskal–Wallis and Chi-square tests (p < 0.05).

Results

There was no significant difference among the groups for spontaneous initiation of labor within 48 h (P = 0.464), and 49–96 h after beginning the intervention (P = 0.111) and 97 h after beginning the intervention to the time of hospitalization for the spontaneous initiation of labor (P = 0.897). There were no significant differences in the secondary outcomes between the groups.

Conclusion

According to the finding of this study, it seems that acupressure treatment was not effective in initiating labor as compared with the sham acupressure and the routine care groups.  相似文献   
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While there are several international initiatives advocating for rights of individuals with disabilities in their community, many African countries lag behind in taking any actions. This is an ethnographic study conducted in Abidjan, Cote d’Ivoire in West Africa, and examines the current programs and services for children with disabilities, and views of disability among the public. It utilizes individual and group interviews, field observations, surveys and examination of governmental documents. There are tremendous needs and shortcomings regarding disability programs. This might be due not only to a lack of resources but to the views of disabilities held by society.  相似文献   
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This study examined emotional reactivity to rejection and executive function (EF) skills as potential mediators of the social behavior problems of inattentive and hyperactive kindergarteners. Participants included 171 children, including 107 with clinical levels of ADHD symptoms, 23 with sub‐clinical levels of ADHD symptoms, and 41 typically developing children (63 percent male; 73 percent Caucasian, 11 percent African‐American, 4 percent Latino/Hispanic, 1 percent Asian, and 11 percent multiracial; Mage = 5.2 years). Inattention (but not hyperactivity) was uniquely associated with poor EF, social withdrawal, and aggression. In structural equation models, EF skills mediated the associations between inattention and both aggression and social withdrawal. Hyperactivity (but not inattention) was uniquely associated with rejection reactivity and each contributed uniquely to aggression. Findings suggest that difficulties with emotion regulation may warrant more attention in early interventions planned for children with high levels of ADHD symptoms.  相似文献   
4.
Public policies to mitigate the impacts of extreme events such as hurricanes or terrorist attacks will differ depending on whether they focus on reducing risk or reducing vulnerability. Here we present and defend six assertions aimed at exploring the benefits of vulnerability-based policies. (1) Risk-based approaches to covering the costs of extreme events do not depend for their success on reduction of vulnerability. (2) Risk-based approaches to preparing for extreme events are focused on acquiring accurate probabilistic information about the events themselves. (3) Understanding and reducing vulnerability does not demand accurate predictions of the incidence of extreme events. (4) Extreme events are created by context. (5) It is politically difficult to justify vulnerability reduction on economic grounds. (6) Vulnerability reduction is a human rights issue; risk reduction is not.  相似文献   
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