对乳腺脓肿穿融抽脓治疗的体会

我站自1999年10月至2002年10月对20例乳腺脓肿患者采用了穿刺抽脓冲洗、注药治疗,疗效比较满意。     

Gay male couples: the importance of coming out and being out to parents

This exploratory study applied grounded theory methodology to examine what coupled gay men thought were the relationship impacts of being out to parents and in-laws. Data were collected from an accidental sample of 40 men in 20 homosexual couples using a standardized, open-ended interview. Virtually all of the respondents who had come out to their parents experienced initial and ongoing parental and in-law disapproval for their lifestyles and relationships. However, most men believed that it benefitted their unions to be out to their parents and partner's parents. Not having to hide the relationship was seen as a primary relationship advantage. Inclusion of one's partner in family events also emerged as a significant benefit. In contrast to the existing literature, a large proportion of respondents believed that parental/in-law antagonism had no adverse impacts on their dyads. They shielded their relationships by maintaining a strong sense of independence and in turn solid intergenerational boundaries. This study provides evidence to suggest that disclosure of sexual orientation to parents may be a distinctive, important developmental task for gay men which is critical to their relationships with their partners. Based on the findings of this research, mental health practitioners would be advised to assist gay men in the establishment and maintenance of strong intergenerational boundaries to protect their unions from parental/in-law disapproval.     

Culture-based versus risk-based screening for the prevention of group B streptococcal disease in newborns: A review of national guidelines

BackgroundMaternal colonisation with group B streptococcus (GBS) is recognised as the most frequent cause of severe early onset infection in newborns. National and international guidelines outline two approaches to the prevention of early onset disease in the neonate: risk based management and antenatal culture-based screening. We undertook an analysis of existing national and international guidelines in relation to GBS in pregnancy using a standardised and validated instrument to highlight the different recommended approaches to care.MethodsEnglish language guidelines on the screening and management of GBS colonisation in pregnant women and the prevention of early-onset group B streptococcal disease in newborns were sought.ResultsFour guidelines met the inclusion criteria, one from the United States of America (USA), the United Kingdom (UK), Canada and New Zealand. All four were appraised as at a high standard in terms of development using the AGREE II tool. Both approaches were recommended in the guidelines with different regions of the world advocating different approaches often based on the same evidence. Guidelines from the USA recommend an antenatal culture-based approach while the UK guidelines recommend risk-based management.ConclusionBased on an AGREE II analysis, the standard of the guidelines was high despite having disparate recommendations. Both approaches to the prevention of early onset GBS infection in neonates are recommended with the split being geographically-based.     

Premarital first births: The influence of the timing of sexual onset versus post-onset risks in the United States

Motivated by long-standing debates between abstinence proponents and sceptics, we examine how socio-economic factors influence premarital first births via: (i) age at first sexual intercourse and (ii) the risk of a premarital first birth following the onset of sexual activity. Factors associated with an earlier age at first intercourse will imply more premarital first births owing to increased exposure to risk, but many of these same factors will also be associated with higher risks of a premarital first birth following onset. Our analyses confirm previous findings that women from disadvantaged backgrounds are younger at first intercourse and have higher premarital first-birth risks than women from more advantaged backgrounds. However, differences in onset timing have a strikingly smaller influence on premarital first-birth probabilities than do differences in post-onset risks. Our findings thus suggest that premarital first births result primarily from differences in post-onset risk behaviours as opposed to differences in onset timing.     

Effectiveness of intrapartum antibiotic prophylaxis for early-onset group B Streptococcal infection: An integrative review

Background

In some countries, up to 30% of women are exposed to intrapartum antibiotic prophylaxis for prevention of early-onset group B Streptococcal infection. Intrapartum antibiotic prophylaxis aims to reduce the risk of neonatal morbidity and mortality from this infection. The intervention may adversely affect non-pathogenic bacteria which are passed to the newborn during birth and are considered important in optimising health. Since many women are offered intrapartum antibiotic prophylaxis, effectiveness and implications of this intervention need to be established. This review considers clinical trials and observational studies analysing the effectiveness of intrapartum antibiotic prophylaxis.

我国外逃贪官人口的特点及外逃法律对策

目前,我国贪官携款潜逃现象非常严重,给我国带来极其恶劣的国际影响的同时,也给国家造成了极大的危害。严格抑制赃款外逃,掐断赃款外逃途径,对打击贪官携款潜逃具有釜底抽薪的意义。完善现有法律加快相关立法、加强国际司法合作是防止贪官携款外逃有效的法律手段。     

The missing bridge: How immigrant networks keep Americans out of dirty jobs

Immigrants are over half of the new entrants in occupations in southwestern labor markets that range from farmworker to janitor to engineering professor. This paper explains how the availability of immigrant workers changes employment practices in ways that push and pull Americans out of jobs which remain "dirty" or unattractive to U.S. workers. An immigrant network that eventually takes over an enterprise's jobs can begin by accident or design. Accidental immigrant takeovers begin with pioneer workers who persist in high turnover jobs such as seasonal farmworker. These workers offer to bring their friends and relatives to fill vacancies as they occur. Takeovers by design sometimes follow a strike in which immigrants are recruited to be strikebreakers. After immigrants dominate the workforce, the language and culture of the workplace change in ways that make American workers feel out-of-place. Employers feel under no compulsion to upgrade dirty jobs as long as immigrant workers are available, so the technology and productivity of immigrant-enclave jobs tend to be frozen, guaranteeing that dirty jobs get less and less attractive to Americans. Indeed, industries dependent on immigrant workers often turn protectionist when they realize that even low immigrant wages are not sufficient to ensure their survival in the global marketplace. In this way, Americans lose out in several ways: They must compete directly with immigrant workers in the labor market, and then pay higher prices for the goods produced by immigrant workers because the industries preserved by them demand protection from imports. This paper will explore the manner in which immigrant networks displace Americans from dirty jobs and how the availability of immigrant workers can preserve sunset industries which turn protectionist. Examples from fruit and vegetable agriculture, garments, and shoes will be discussed.     

人口立法与人口教育应同步进行

我国《人口与计划生育法》实施以来,不仅使我国司法机关和人口工作者在人口管理中有法可依,而且给理论工作者拓展了一个新的研究空间。人口教育对人口立法起着制约的作用,二者只有同步进行,才能充分发挥法律效力,实现人口与经济、社会、资源、环境的协调发展。     

The analysis of early life courses: Complex descriptions of the transition to adulthood

The quantitative analysis of life courses has to deal with a complex pattern of interrelated events and trajectories. Such a complex pattern needs complex measurement tools, even if only to describe the experience of cohorts. This paper addresses the methodological issue of describing the transition to adulthood from a life course perspective, following an event-based definition. New proposals are developed and traditional approaches are discussed, using Italy as an example. A generalization of survivor functions for the analysis of the temporal relationships between two events is introduced and applied. The paper then deals with the problem of describing the process of transition to adulthood as a whole, making use of the sequence analysis approach with special emphasis on the empirical analyses of the ‘standardization vs individualization’ hypotheses.     

For the love of the children: the coming out process for lesbian and gay parents and stepparents

This research investigated the coming out decision and process for 23 lesbian and gay custodial stepfamilies. We argue that lesbian and gay stepfamilies represent a unique type of family, distinct from heterosexual stepfamilies and from lesbian and gay families who have children within the context of a lesbian or gay relationship. The coming out process is one developmental challenge that distinguishes lesbian and gay stepfamilies from these other types. Through interviews with both lesbian and gay parents and stepparents we explored their coming out process to significant others: the children, families of origin and ex-spouses. We discuss those factors influencing the decision and the consequences that developed in light of these decisions. Findings show that the coming out process for lesbian and gay co-parents is a flexible and familial one, primarily influenced by and centered around the needs of the children.     

农村人口流动对农田生态建设的影响

本文从我国实际出发,分析了农村剩余劳动力流出及其回流对农田生态建设的影响,趋利避害,因势利导,为新形势下我国农田生态建设提出相应的建议,以期为我国经济建设提供良好的生态环境支持和强大的经济动力。     

The characteristics of population growth of the Dongxiang nationality and the necessity of carrying out family planning]

For a long time, the Dongxiang nationality has lived in the area of Dongxiang, which is a part of Gu Hezhou in Gansu Province. Among the various minorities in China, the Dongxiang people has been noted for their small population. In recent years, however, their population growth rate has been very high. Statistics show their annual population growth rate was 13.5% in 1970 and 32.8% in 1980. This situation is caused mainly by the young age of the population (young persons under the age of 19 constitute 55.7% of the entire population). Because of the popularity of Islam among the people, the custom of early marriage and having children at an early age has long been a tradition. Rapid population growth has created numerous problems. Food production has been unable to keep up with the speed of the population growth, and economic development cannot satisfy the needs of the rapid growing population. The Dongxiang people are physically healthy and strong, and marriages between close relatives is prohibited. Because of the backward condition in education and culture, efforts to promote the quality of the Dongxiang population have remained slow and ineffective. Starting in 1974, the local government in Dongxiang launched extensive birth control projects and positive results have been achieved. At the present time, about 62% of its population have taken birth control measures, and the natural population growth rate dropped to 15.34% in 1982.     

Dropping out of post-compulsory education in the UK: an analysis of determinants and outcomes

We analyse the decision to drop out of post-compulsory education over the period 1985–1994 using data from the Youth Cohort Surveys. We show that the dropout rate declined between 1985 and 1994, in spite of the rising participation rate in education, but is still substantial. Dropping out is more or less constant over the period of study, though the risk of dropout does vary with young people’s prior attainment, ethnicity, family background and the state of the labour market. The course of study has a substantial effect on the risk of dropout.

Detection and management of mood disorders in the maternity setting: The Australian Clinical Practice Guidelines

BackgroundMood disorders arising in the perinatal period (conception to the first postnatal year), occur in up to 13% of women. The adverse impact of mood disorders on mother, infant and family with potential long-term consequences are well documented. There is a need for clear, evidence-based, guidelines for midwives and other maternity care providers.AimTo describe the process undertaken to develop the Australian Clinical Practice Guidelines for Depression and Related Disorders in the Perinatal Period and to highlight the key recommendations and their implications for the maternity sector.MethodUsing NHMRC criteria, a rigorous systematic literature review was undertaken synthesising the evidence used to formulate graded guideline recommendations. Where there was insufficient evidence for recommendations, Good Practice Points were formulated. These are based on lower quality evidence and/or expert consensus.FindingsThe quality of the evidence was good in regards to the use of the Edinburgh Postnatal Depression Scale and psychological interventions, but limited as regards medication use and safety perinatally. Recommendations were made for staff training in psychosocial assessment; universal screening for depression across the perinatal period; and the use of evidence based psychological interventions for mild to moderate depression postnatally. Good Practice Points addressed the use of comprehensive psychosocial assessment – including risk to mother and infant, and consideration of the mother–infant interaction – and gave advice around the use and safety of psychotropic medications in pregnancy and breastfeeding. In contrast to their international counterparts, the Australian guidelines emphasize a more holistic, woman and family centred approach to the management of mental health and mood disorders in the perinatal setting.ConclusionThe development of these Guidelines is a first step in translating evidence into practice and providing Australian midwives and other maternity care providers with clear guidance on the psychosocial management of women and families.     

Birth Control and on the Way out of the Fourth Country

According to Xinhuanet, persons with severe disabilities and household register in Sichuan Province began to receive nursing subsidies suceessively.In 2014, Sichuan Province planned to allocate 500 million Yuan of nursing subsidies to 650 000 persons with severe disabilities in the province.     

Three strikes and you're out: Demographic analysis of mandatory prison sentencing

Much of the debate about the costs and benefits of “three-strikes” laws for repeat felony offenders is implicitly demographic, relying on unexamined assumptions about prison population dynamics. However, even state-of-the-art analysis has omitted important demographic details. We construct a multistate life-table model of population flows to and from prisons, incorporating age-specific transition rates estimated from administrative data from Florida. We use the multistate life-table model to investigate patterns of prison population growth and aging under many variants of three-strikes laws. Our analysis allows us to quantify these demographic changes and suggests that the aging of prison populations under three-strikes policies will Significantly undermine their long-run effectiveness.     

Minimizing heterosexism and homophobia: constructing meaning of out campus LGB life

This work investigates how American college students make meaning of the heterosexism and homophobia they encounter in their daily lives. Through interviews and a focus group with 23 out lesbian, gay, and bisexual (LGB) college students, analysis yielded four themes: the overwhelming majority of students minimized incidences of heterosexism and homophobia; there was a desire on the part of many respondents to develop an identity apart from, rather than integrated with, sexual identity; the campus climate was generally portrayed as positive; and some participants expressed resistance, suggesting that heterosexism and homophobia can be countered.     

From natural fertility to family limitation: The onset of fertility transition in a sample of German villages

Utilizing data from a sample of German village genealogies, it is possible to document the changes in reproductive patterns on the family level that started to take place in Germany during the nineteenth century and formed the basis for the secular decline in fertility which eventually encompassed the entire country. One striking finding from this study was the substantial diversity among the small sample of villages in terms of the timing of the emergence of family limitation. While couples in all villages who married during the last half of the eighteenth century appeared to be characterized predominantly by natural fertility the emergence of family limitation began as early as the turn of the nineteenth century in some places and as late as the end of the nineteenth century in others. Occupational differentials with respect to family limitation were also examined. There is little evidence that changes in birth spacing played an important part in the initial phase of the fertility trnsition. Rather, the underlying process appears to involve a change from fertility patterns that were characterized by the absence of parity-dependent control to one in which attempts to terminate childbearing in response to the number of children already born becomes widespread.