Early Pregnancy Assessment Services in Australia: What psychosocial support is available? A qualitative study

ProblemWomen commonly experience emotional distress following miscarriage but do not receive the support they need from healthcare providers.BackgroundMiscarriage can result in psychological morbidity; however, appropriate support at the time of a miscarriage can lead to better psychological outcomes. Early Pregnancy Assessment Services (EPASs) are dedicated outpatient services considered the “gold standard” for miscarriage care. Little is known about the psychosocial support EPASs provide in Australia.AimsThe aim of this study was to explore the provision of psychosocial support in Australian EPASs.MethodsSemi-structured interviews were conducted with 29 purposively sampled key-informants from 13 EPASs. Interviews were audio-recorded, transcribed, and thematically analysed.FindingsConsiderable variation was found in how EPASs functioned and their provision of psychosocial support. Many services were co-located with antenatal services, run by doctors with limited experience and most did not offer any psychosocial training to staff specific to EPAS. Referrals for additional support were generally not offered for first trimester miscarriages, and follow-up typically focused on physical management rather than emotional wellbeing. All EPAS staff demonstrated a strong commitment to providing best possible care to women within their own clinical setting and acknowledged the need for improved psychosocial support.ConclusionThis study provides the first exploration of Australian EPASs’ provision of psychosocial support. It has shown that while health care professionals working in EPASs are dedicated to providing the best possible care to women within their clinical setting, psychosocial support is very limited and could be improved.     

河北省大学生就业现状研究

2012年,河北省的高校毕业生将达到35万人,加上中专、技校毕业生可达40万人,就业形势不容乐观。在这样严峻的形势下,河北省要实现大学生充分就业,须从政府、社会、高校和用人单位等各方面抓起。     

Assisting the High Administrative Court in Restricting Too Broad a Concept of Academic Judgment

I have received substantial monetary compensation and a formal apology from my first doctoral school, and a Ph.D. from another university. This essay describes my personal view on discussing the boundaries of academic judgment and research supervision with the ombudsman agency for higher education, and at the High Administrative Court of England and Wales. The Court’s judicial doctrine addresses substantial research accountability matters. It clarifies that although the Court and ombudsman agency must not interfere with academic judgment, not everything done by an academic can be considered as academic judgment. A Ph.D. supervisor can seriously fail to perform his/her duties.     

多语际语言语音习得中的质性案例研究

语言迁移现象既发生在母语与第一外语学习过程中,也同样发生在学习第二外语的过程中,并且因此而变得复杂有趣。多种语言本身的独特性和差异性,使多语际语言基础对第一、第二外语语音学习过程产生了相互影响和作用。本研究以西班牙大学生和中国西班牙语专业大学生为研究对象,通过对比研究中文普通话、英语和西班牙语在语音方面的特点,探索母语、第一外语、第二外语之间的相互关系,及其对语音学习所产生的作用和影响,为多语际语音习得与外语教学提供有价值的借鉴和经验。     

Sensitivity,uncertainty, and decision analyses in the prioritization of research

The evaluation of hazards from complex, large scale, technologically advanced systems often requires the construction of computer implemented mathematical models. These models are used to evaluate the safety of the systems and to evaluate the consequences of modifications to the systems. These evaluations, however, are normally surrounded by significant uncertainties related to the uncertainty inherent in natural phenomena such as the weather and those related to uncertainties in the parameters and models used in the evaluation.

Another use of these models is to evaluate strategies for improving information used in the modeling process itself. While sensitivity analysis is useful in defining variables in the model that are important, uncertainty analysis provides a tool for assessing the importance of uncertainty about these variables. A third complementary technique, is decision analysis. It provides a methodology for explicitly evaluating and ranking potential improvements to the model. Its use in the development of information gathering strategies for a nuclear waste repository are discussed in this paper.     

动态性与静态性:教学目标的确定及实现——以“教育研究方法”课程为例

教学目标的存在有应然状态和实然状态之分。"教育研究方法"课程的静态目标应具体体现为"涵养科学精神、问题意识的形成、基本研究技能的掌握和有效获取文献信息",这些目标在实现过程中必然存在着动态性选择。     

漯河市新兴产业发展政策研究

近年来漯河大量承接产业转移,一些能源企业、电子信息技术企业、生物制药企业落户漯河。以这些企业为代表的新兴产业在漯河逐步兴起,因此,应从政策引导、规划设计、财政扶持和人才培养等政策层面鼓励和刺激新兴产业的崛起。     

房屋拆迁中的国有土地使用权补偿司法实证研究

房屋拆迁中的国有土地使用权补偿是我国城镇房屋拆迁中的主要矛盾点之一。通过对司法判例进行实证研究发现，法院判决多数认为原告诉请国有土地使用权补偿于法无据，抑或认为对于国有土地使用权的补偿已随房屋评估作价。房屋拆迁的重点在于“地”，若仅对房屋所有权人进行补偿，而忽视国有土地使用权人，无疑会引发诸多诉讼，乃至于阻碍城镇化进程。因此，在渐进式改革的背景之下，可以开展国有土地使用权补偿的试点，同时应当完善《国有土地上房屋征收与补偿条例》，并将合理补偿原则作为补偿的基本原则，以此为基础建立一套独立于房屋拆迁补偿的国有土地使用权补偿体系。     

客观性与境域性——道德实在论的收敛

道德实在论是应对道德多元主义而兴起的。它为寻求道德的确定性,收敛到道德的客观性,但这面临着事实和价值之间的矛盾。因而,它又收敛到人类都有关于建立美好社会的愿望的共识,但这种观点不仅面临着理想人以及知识和信仰之间跳跃的问题,而且将其设为目标来追求,还会导致专制和道德虚无主义的困境。只有走出理论思辨,采取局部的实践哲学的方法和根本的存在论境域的方法,才能解决自己的困境。