Impact of having a high-risk pregnancy on future postpartum contraceptive method choice

BackgroundTo compare the knowledge and preference of preconceptional contraception to future postpartum contraceptive method choice in high-risk pregnancies.Research questionDoes a high-risk pregnancy condition affect future postpartum contraceptive method choice?MethodWomen hospitalised at the High Risk Pregnancy unit of a tertiary research and training hospital were asked to complete a self-reported questionnaire that included demographic characteristics, presence of unintended pregnancy, contraceptive method of choice before the current pregnancy, plans for contraceptive use following delivery and requests for any contraceptive counselling in the postpartum period.FindingsA total of 655 pregnant women were recruited. The mean age, gravidity and parity of the women were 27.48 ± 6.25 years, 2.81 ± 2.15 and 1.40 ± 1.77, respectively. High-risk pregnancy indications included 207 (31.6%) maternal, 396 (60.5%) foetal and 52 (7.9%) uterine factors. All postpartum contraceptive choices except for combined oral contraceptives (COCs) usage were significantly different from preconceptional contraceptive preferences (p < 0.001). High-risk pregnancy indications, future child bearing, ideal number of children, income and education levels were the most important factors influencing postpartum contraceptive choices. While the leading contraceptive method in the postpartum period was long-acting reversible contraceptive methods (non-hormonal copper intrauterine device Cu-IUD, the levonorgestrel-releasing intrauterine system (LNG-IUS) (40%), the least preferred method was COCs use (5.2%) and preference of COCs use showed no difference between the preconceptional and postpartum periods (p = 0.202). Overall 73.7% of the women wanted to receive contraceptive counselling before their discharge.ConclusionA high-risk pregnancy condition may change the opinion and preference of contraceptive use, and also seems to affect the awareness of family planning methods.     

Does Perceived Social Support Buffer the Negative Effects of Type C Personality on Quality of Life of Breast Cancer Patients?

The present study investigated possible Type C personality–quality of life (QOL) relationship, and the moderating role of perceived social support in this relation among 101 postoperative breast cancer patients. Participants were from different cities in Turkey but receiving treatment in the capital, Ankara. Obtained data were analyzed by moderated regression analysis. According to the results, Type C personality was not related to the QOL of participants, however, higher perceived social support was associated with better QOL in patients. Also, perceived social support moderated Type C personality–QOL relation. Accordingly, patients high on Type C personality and perceived social support had the highest QOL. In contrast, patients high on Type C personality and low on perceived social support had the lowest QOL. Findings, as well as the strengths and limitations of the study, were discussed in the light of the relevant literature. As a possible clinical implication, enhancement of social support networks of the patients were suggested.     

盐岩在库车拗陷中的作用

库车拗陷的勘探实践表明，盐层与油气密切相关。通过对2条地震测线的分析发现，盐层、盐上地层、盐下地层变形看似孤立，实际相互影响。盐层构造变形一般发育在古隆起上部，盐上构造变形主要发生在盐枕构造的翼部，无盐地区主要发育基底卷入式构造。膏盐层可以延缓盐下地层烃源岩的热演化程度，可以改善盐下储层的储集性能；膏盐层本身也有可能成为油气储集层；膏盐层具有形成超压封闭和物性封闭的双重封闭机制，对盐下油气藏的保存极为有利；膏盐层的塑性流动特性，使得盐下构造圈闭在强烈的构造挤压中得以保存。     

Mean success run length

In this paper we consider mean of success run lengths appearing in a sequence of binary trials. We derive the exact and limiting distributions of mean success run length for i.i.d. Bernoulli trials. The exact distribution of the corresponding random variable is also derived for a sequence of Markov-dependent Bernoulli trials. In addition, a combinatorial formula for the distribution of any success run statistic defined on Markov-dependent trials is presented.     

Statistical analysis for Kumaraswamy’s distribution based on record data

In this paper we review some results that have been derived on record values for some well known probability density functions and based on m records from Kumaraswamy’s distribution we obtain estimators for the two parameters and the future sth record value. These estimates are derived using the maximum likelihood and Bayesian approaches. In the Bayesian approach, the two parameters are assumed to be random variables and estimators for the parameters and for the future sth record value are obtained, when we have observed m past record values, using the well known squared error loss (SEL) function and a linear exponential (LINEX) loss function. The findings are illustrated with actual and computer generated data.     

Goodness-of-Fit Tests for Multivariate Distributions

We propose three new statistics, Z _p , C _p , and R _p for testing a p-variate (p ≥ 2) normal distribution and compare them with the prominent test statistics. We show that C _p is overall most powerful and is effective against skew, long-tailed as well as short-tailed symmetric alternatives. We show that Z _p and R _p are most powerful against skew and long-tailed alternatives, respectively. The Z _p and R _p statistics can also be used for testing an assumed p-variate nonnormal distribution.     

Decolonising the university in 2020

ABSTRACT

We came together as editors of Decolonising the University through a commitment to understanding the university and our place within it; to examine what else might be possible for us, collectively, in the domain of higher education. Although we do not always agree about the university– or, perhaps more specifically, about the possibilities it contains for intervening effectively in the world– we nonetheless coalesced around an idea of ‘decolonising the university’ as an important strategic mode of engagement. Here, we set out the positions that we come from in relation to the broader debates about the university and its political possibilities and offer responses also to the reviews. These are not our final words on the matter, but words shaped by the political possibilities that present themselves at the outset of 2020 and which, we hope, will contribute to the increasingly necessary dialogues on this topic.