Intrapartum cardiotocograph monitoring and perinatal outcomes for women at risk: Literature review

ProblemCaesarean section rates have risen in high-income countries. One of the potential drivers for this is the widespread use of CTG monitoring.BackgroundIntrapartum cardiotocograph monitoring is considered to be indicated for women at risk for poor perinatal outcome.AimThis systematic literature review with meta-analysis examined randomised controlled trials and non-experimental research to determine whether cardiotocograph monitoring rather than intermittent auscultation during labour was associated with changes in perinatal mortality or cerebral palsy rates for high-risk women.MethodsA systematic search for research published up to 2019 was conducted using PubMed, CINAHL, Cochrane, and Web of Science databases. Non-experimental and randomised controlled trial research in populations of women at risk which compared intrapartum cardiotocography with intermittent auscultation and reported on stillbirth, neonatal mortality, perinatal mortality and/or cerebral palsy were included. Relative risks were calculated from extracted data, and meta-analysis of randomised controlled trials was undertaken.FindingsNine randomised controlled trials and 26 non-experimental studies were included. Meta-analysis of pooled data from RCTs in mixed- and high-risk populations found no statistically significant differences in perinatal mortality rates. The majority of non-experimental research was at critical risk of bias and should not be relied on to inform practice. Cardiotocograph monitoring during preterm labour was associated with a higher incidence of cerebral palsy.DiscussionResearch evidence failed to demonstrate perinatal benefits from intrapartum cardiotocograph monitoring for women at risk for poor perinatal outcome.ConclusionThere is an urgent need for well-designed research to consider whether intrapartum cardiotocograph monitoring provides benefits.     

汽轮机凝汽器技术状态的故障诊断

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关于研究生教育若干问题的思考

研究生教育是高等教育结构中的高层次教育。文章围绕创建科学的研究生教育体系问题 ,从自主招生、导师队伍建设、学位授权点、学术监控以及办学理念等方面进行了探讨     

阅读与语篇理解的相关理论分析

阅读是外语教学和学习中的重要环节。阅读不仅是读者知识积累和经验积淀的反映,而且可以构架起作者和读者之间沟通的桥梁。掌握了语篇生成的理论基础和技巧,读者就能在阅读中驾轻就熟地理解作者的意图和观点,从而达到理解语篇的目的。     

概念语法隐喻的教学思考

成人说理性语篇在外语学习中有较大的理解困难,本文根据Halliday的语法隐喻观,对直白式或隐喻式语言现象作了简要对比分析,并从认知论的角度,分析了语法隐喻式、直白式与理解困难之间的关系,认为语法隐喻现象是导致语义理解困难的重要原因,从而提出成人语篇的英语教学中引入语法隐喻的必要性,应对语法隐喻语言现象进行适当的理性学习。     

浅谈提高英语阅读能力

本文指出学生综合运用英语阅读能力的重要性,并提出提高学生英语阅读能力所采用的方法。经过教学实验证明,如果学生掌握了一些阅读技巧,就会提高阅读速度和阅读理解能力。     

话语含义的判别和听力理解

语义层面上语用含义的话语理解是大学英语教学的难点之所在。为加强薄弱环节,须从“会话含义”和“关联”理论出发,揭示话语中交际意图传递的规律和特征,并结合实例分析听力理解过程中可能出现的信息推理障碍及原因。     

加强高校课程建设的基本途径

目前,高校课程建设存在诸多问题,为此必须健全和完善课程建设的有效途径。本文从建立健全竞争机制、调动教师积极性,建立健全教学质量监控体系,加强课程实践基地建设等方面,阐述了高校课程建设的基本途径。     

高校教学质量监控的现状与对策

从教学质量监控的目的和意义入手 ,针对目前高校教学质量监控存在的问题 ,提出了构建高校教学质量监控机制的设想 ,阐述了教学质量监控的实施要点     

Markov chain Monte Carlo methods for high dimensional inversion in remote sensing

Summary.  We discuss the inversion of the gas profiles (ozone, NO₃, NO₂, aerosols and neutral density) in the upper atmosphere from the spectral occultation measurements. The data are produced by the 'Global ozone monitoring of occultation of stars' instrument on board the Envisat satellite that was launched in March 2002. The instrument measures the attenuation of light spectra at various horizontal paths from about 100 km down to 10–20 km. The new feature is that these data allow the inversion of the gas concentration height profiles. A short introduction is given to the present operational data management procedure with examples of the first real data inversion. Several solution options for a more comprehensive statistical inversion are presented. A direct inversion leads to a non-linear model with hundreds of parameters to be estimated. The problem is solved with an adaptive single-step Markov chain Monte Carlo algorithm. Another approach is to divide the problem into several non-linear smaller dimensional problems, to run parallel adaptive Markov chain Monte Carlo chains for them and to solve the gas profiles in repetitive linear steps. The effect of grid size is discussed, and we present how the prior regularization takes the grid size into account in a way that effectively leads to a grid-independent inversion.