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Prolapse is an extremely common condition, for which 11% of women will have a surgical procedure at some point in their lives. The recurrence rate after most of the traditional surgical procedures is high and upto 29% of women who have had surgery for prolapse will require a further operation. In order to improve the surgical outcome, there is currently much interest in the use of grafts to augment traditional repairs and new procedures have been developed using specifically developed grafts. These have been combined with minimally invasive surgical techniques in an attempt to reduce surgical morbidity. These procedures may improve the outcome of surgery for prolapse. However, there is currently a lack of long-term data from randomized trials to demonstrate their effectiveness and safety.  相似文献   
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随着我国高等教育进入大众化发展阶段,既要扩大高等教育规模,又要保证教学质量,已成为我国高等教育面临的突出问题,针对解决这一问题而言,师资队伍建设是独立学院可持续健康发展的关键.师资队伍建设是一个长期的积累过程,针对不同的发展阶段要找准建设的重点,采取不同的措施并进行灵活的管理,始终坚持以"引进 培养"为指导思想,采取"专、兼"相结合的方法,充分利用民办和公办二者的优势,走一条从依靠到独立和特色发展的道路,建立一支独立自主的高素质师资队伍,才能从根本上保障办学质量和提高办学效益.  相似文献   
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中国古代美学提倡含蓄朦胧、蕴籍风流,诗歌作为最能体现古典美学精神的文学样式,利用语词的隐喻特质,极大地拓宽了诗歌的审美空间,丰富了诗歌的审美内涵。主要探讨诗歌与语词的隐喻关联,同时简要归列了解析语词隐喻内涵的方法,力求从隐喻阐释理论的高度对诗歌的多义主题及丰富寓意作出更合理的解释和还原。  相似文献   
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Bartlett correction constitutes one of the attractive features of empirical likelihood because it enables the construction of confidence regions for parameters with improved coverage probabilities. We study the Bartlett correction of spatial frequency domain empirical likelihood (SFDEL) based on general spectral estimating functions for regularly spaced spatial data. This general formulation can be applied to testing and estimation problems in spatial analysis, for example testing covariance isotropy, testing covariance separability as well as estimating the parameters of spatial covariance models. We show that the SFDEL is Bartlett correctable. In particular, the improvement in coverage accuracies of the Bartlett‐corrected confidence regions depends on the underlying spatial structures. The Canadian Journal of Statistics 47: 455–472; 2019 © 2019 Statistical Society of Canada  相似文献   
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ABSTRACT

Using latent class analysis, this study examined the overall patterns of multifaceted intergenerational relationships of 604 parent-child dyads in 292 transnational families in Beijing, China. Three family relation types emerged: local obligatory (27%, with reciprocal support and ambivalent feelings), distant discordant (27%, with weak associations and high conflict), and distant intimate (46%, with highest filial ratings and emotional quality). Parents’ health and children’s marital status, socioeconomic status, childcare responsibilities, and sibling numbers were associated with different relation types. The findings are helpful for social workers to identify subgroups of older adults in transnational families who are at risk of having inadequate support.  相似文献   
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Johan A. Oldekop  Lorenza B. Fontana  Jean Grugel  Nicole Roughton  Emmanuel A. Adu‐Ampong  Gemma K. Bird  Alex Dorgan  Marcia A. Vera Espinoza  Sara Wallin  Daniel Hammett  Esther Agbarakwe  Arun Agrawal  Nurgul Asylbekova  Clarissa Azkoul  Craig Bardsley  Anthony J. Bebbington  Savio Carvalho  Deepta Chopra  Stamatios Christopoulos  Emma Crewe  Marie‐Claude Dop  Joern Fischer  Daan Gerretsen  Jonathan Glennie  William Gois  Mtinkheni Gondwe  Lizz A. Harrison  Katja Hujo  Mark Keen  Roberto Laserna  Luca Miggiano  Sarah Mistry  Rosemary J. Morgan  Linda L. Raftree  Duncan Rhind  Thiago Rodrigues  Sonia Roschnik  Flavia Senkubuge  Ian Thornton  Simon Trace  Teresa Ore  Ren Mauricio Valds  Bhaskar Vira  Nicola Yeates  William J. Sutherland 《Development policy review : the journal of the Overseas Development Institute》2016,34(1):55-82
The Sustainable Development Goals (SDGs) herald a new phase for international development. This article presents the results of a consultative exercise to collaboratively identify 100 research questions of critical importance for the post‐2015 international development agenda. The final shortlist is grouped into nine thematic areas and was selected by 21 representatives of international and non‐governmental organisations and consultancies, and 14 academics with diverse disciplinary expertise from an initial pool of 704 questions submitted by 110 organisations based in 34 countries. The shortlist includes questions addressing long‐standing problems, new challenges and broader issues related to development policies, practices and institutions. Collectively, these questions are relevant for future development‐related research priorities of governmental and non‐governmental organisations worldwide and could act as focal points for transdisciplinary research collaborations.  相似文献   
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The study aimed to identify different patterns of gambling activities (PGAs) and to investigate how PGAs differed in gambling problems, substance use outcomes, personality traits and coping strategies. A representative sample of 4989 young Swiss males completed a questionnaire assessing seven distinct gambling activities, gambling problems, substance use outcomes, personality traits and coping strategies. PGAs were identified using latent class analysis (LCA). Differences between PGAs in gambling and substance use outcomes, personality traits and coping strategies were tested. LCA identified six different PGAs. With regard to gambling and substance use outcomes, the three most problematic PGAs were extensive gamblers, followed by private gamblers, and electronic lottery and casino gamblers, respectively. By contrast, the three least detrimental PGAs were rare or non-gamblers, lottery only gamblers and casino gamblers. With regard to personality traits, compared with rare or non-gamblers, private and casino gamblers reported higher levels of sensation seeking. Electronic lottery and casino gamblers, private gamblers and extensive gamblers had higher levels of aggression-hostility. Extensive and casino gamblers reported higher levels of sociability, whereas casino gamblers reported lower levels of anxiety–neuroticism. Extensive gamblers used more maladaptive and less adaptive coping strategies than other groups. Results suggest that gambling is not a homogeneous activity since different types of gamblers exist according to the PGA they are engaged in. Extensive gamblers, electronic and casino gamblers and private gamblers may have the most problematic PGAs. Personality traits and coping skills may predispose individuals to PGAs associated with more or less negative outcomes.  相似文献   
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