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Clare Bellhouse Meredith Temple-Smith Shaun Watson Jade Bilardi 《Women and birth : journal of the Australian College of Midwives》2019,32(2):137-146
Background
Miscarriage is a common event in Australia and is estimated to occur in up to one in four confirmed pregnancies. Prior research has demonstrated that miscarriage is associated with significant distress, grief and loss, and in some cases clinically significant levels of depression, anxiety, and Post Traumatic Stress Disorder. Despite these consequences for women’s emotional and mental health, studies have commonly found that women feel that healthcare providers often lack empathy, support, and acknowledgement of their loss.Aim
The aim of this study is to explore the psychological distress experienced by women as a result of miscarriage, as well as the perceived support provided by healthcare professionals.Methods
Fifteen women were recruited in Australia and participated in semi-structured interviews either in person or over the telephone.Findings
It was found that for most women, the levels of distress, grief, and loss associated with their miscarriages were significant. While women experienced both positive and negative interactions with healthcare providers throughout their miscarriage journeys, all women interviewed expressed their increased distress following negative experiences.Conclusion
A number of recommendations have been provided by women to improve the service of healthcare providers in the event of a miscarriage, including referral to a psychologist, and ongoing follow-up after their miscarriage, which women felt would assist them with managing their distress. 相似文献93.
In recent years, the situation of e-commerce in Germany especially in the retail sector has not only been characterized by a sustained growth in sales but also by an increase in deficits in payment. Companies considering a general exclusion of risky payment methods to be suboptimal are challenged by an adequate assessment of their prospective customers’ risk of payment default. Thereby, inability and unwillingness to pay has to be considered as possible reasons on a transactional basis and in real-time. This paper presents a new approach combining common methods for risk identification and assessment. Case studies show that a more sophisticated risk control can be achieved by applying the approach presented. 相似文献
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This paper presents an integrated 21-equation model of how marriage, family, and population conditions, as indexed by macro social indicators, affect each other and are affected by other social, demographic, and economic forces. An opportunity structures theoretical paradigm is applied to the specification of dynamic structural equations for determining changes (both trends and cyclical fluctuations) in marriage formation and dissolution, family and household composition, fertility, mortality, population growth, and population distribution. The equations are estimated on annual national data for the United States during the post-World War II years 1947 to 1972, and then they are used to make conditional forecasts of the values of some of the endogenous variables for 1973 and 1974. It is found that the equations fit the observed data well, lack demonstrable autocorrelation of disturbances, and forecast the 1973 and 1974 values usually with less than 2% error. Strategies are sketched for further refining some of the equations, and it is suggested that this model should be integrated into a larger societal model in order to estimate some of the effects of changes in demographic phenomena on other social conditions. 相似文献
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Building the therapeutic alliance is a creative process and is a central issue for all age groups. In the absence of an alliance, there can be no therapy. The alliance contains many primitive sources for collaboration with the therapist. It is a combination of both rational and irrational elements. The therapist's awareness of developmental issues and defense mechanisms are utilized to guide one along the pathway of productive therapy. In addition, the unique psychodynamic factors are considered when working with children and adolescents. The clinical examples distinguish pitfalls which are destructive and could be avoided, in contrast with understanding and responding appropriately to the verbal and nonverbal communications of the young patient.This paper was presented to the International Conference for the Advancement of Private Practice of Clinical Social Work, Rio de Janeiro, Brazil, August 1987. Ms. Marcus is in private practice in New Orleans. 相似文献
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结合斯坦福大学的实际和费尔德曼教授的研究经历和切身感受,介绍了一流大学的使命、创新路径,论述了一流的大学、一流的教授、一流的科研项目应具备的条件,以及研究生与博士后在科研中的角色和作用,同时介绍了斯坦福大学的一些新动向。 相似文献
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