天朝女试：李汝珍的理想科举

<镜花缘>中的天朝女试是李汝珍理想的科举:不以八股取士,而以诗赋选才且不论官职,考生博学多才,考官清廉识才,考规宽厚优遇,充满人性化的色彩.女试以康熙朝博学鸿词科为蓝本,表现出作者对博学鸿词科的向往和呼唤.     

事业部核心竞争力的多目标多层次模糊综合评价模型

文章指出了企业事业部层次核心竞争力评价的必要性 ,并在此基础上针对产品型事业部 ,设计了一套基于知识维度的核心竞争力评价指标体系 ;而后 ,将灰色关联分析与层次分析法相结合 ,建立了事业部层次的核心竞争力模糊综合评价模型 ,并给出了一个实例     

建设海峡西岸农业经济区之思考

海峡西岸农业经济区是海峡西岸经济区的一个重要组成部分。本文提出了建设海峡西岸农业经济区的具体设想,即具备区域农产品生产总体发展格局是科学的,区域农产品生产有区域范围内的优势,区域农产品生产技术具国内领先水平,区域农产品生产是可持续的,区域农产品生产经营硬软环境是健康的等五项基本特征,利用好自然资源优势,农作物资源优势,水产资源优势,林竹资源优势等四大优势,先做好设计构建某类农产品生产的理想体系,打好构建"理想体系"的前期基础,建好农业科技教育的基本架构等三项工作,坚持有效益原则和可持续原则等二项原则,明确一条信念,即坚持做几年就会成功。     

加强高校以教研室为单位的基层党组织建设

面对高校教师基层党组织建设面临的新形势和建设中存在的问题,应该以改革的精神切实加强教师基层党组织建设。支部建在教研室有利于教师基层党组织发挥战斗堡垒作用,为高校的健康、快速发展提供强有力的保证。     

Gluing Copulas

We present a new way of constructing n-copulas, by scaling and gluing finitely many n-copulas. Gluing for bivariate copulas produces a copula that coincides with the independence copula on some grid of horizontal and vertical sections. Examples illustrate how gluing can be applied to build complicated copulas from simple ones. Finally, we investigate the analytical as well as statistical properties of the copulas obtained by gluing, in particular, the behavior of Spearman's ρ and Kendall's τ.     

Indications for,and timing of,planned caesarean section: A systematic analysis of clinical guidelines

BackgroundThere has been a worldwide rise in planned caesarean sections over recent decades, with significant variations in practice between hospitals and countries. Guidelines are known to influence clinical decision-making and, potentially, unwarranted clinical variation. The aim of this study was to review guidelines for recommendations in relation to the timing and indications for planned caesarean section as well as recommendations around the process of decision-making.MethodA systematic search of national and international English-language guidelines published between 2008 and 2018 was undertaken. Guidelines were reviewed, assessed in terms of quality and extracted independently by two reviewers.FindingsIn total, 49 guidelines of varying quality were included. There was consistency between the guidelines in potential indications for caesarean section, although guidelines vary in terms of the level of detail. There was substantial variation in timing of birth, for example recommended timing of caesarean section for women with uncomplicated placenta praevia is between 36 and 39 weeks depending on the guideline. Only 11 guidelines provided detailed guidance on shared decision-making. In general, national-level guidelines from Australia, and overseas, received higher quality ratings than regional guidelines.ConclusionThe majority of guidelines, regardless of their quality, provide very limited information to guide shared decision-making or the timing of planned caesarean section, two of the most vital aspects of guidance. National guidelines were generally of better quality than regional ones, suggesting these should be used as a template where possible and emphasis placed on improving national guidelines and minimising intra-country, regional, variability of guidelines.     

服装专业产学研立体化教学模式研究与实践

从当前服装教研室在市场经济日趋完善状况下所存在的种种弊端着手,根据教学市场化规律来探寻一种适合市场经济的教学平台。通过构建工作室教学的市场化思路,来适应市场经济对服装专业人才综合素质的要求。     

南京市妇幼保健院剖宫产率升高的影响因素及应对措施

目的:分析南京市孕产妇剖宫产升高的原因及其影响因素.方法:采用整群调查的方式收集南京市妇幼保健院产科2011年1～12月选择剖宫产的4 793名产妇及其家庭成员进行问卷调查.结果:剖宫产指征中社会心理因素占69.27％、经济因素(家庭收入和医疗保险等)占17.24％、医学指征因素占13.49％.高学历、高收入和高龄产妇选择剖宫产术显著高于普通产妇(P＜0.01).多因素Logistic回归分析显示,与选择剖宫产术相关的危险因素有年龄、受教育程度、家庭收入、医疗保险、婚姻状况、产妇及家庭心理干预.结论:加强孕产妇围产期保健及分娩知识宣教,强化高危人群的筛查和规范化管理,广泛开展无痛分娩和住院服务,正确把握剖宫产指征与时机,将有利于降低剖宫产率.     

心理干预联合音乐疗法对剖宫产患者应激水平的影响

目的：探讨心理干预联合音乐疗法对减轻患者的心理压力、缓解患者的手术疼痛、降低机体的应激水平所起到的积极作用。方法：将60例择期剖宫产患者随机分为对照组和干预组：对照组给予常规观察和护理措施,干预组除进行对照组的护理措施外另给予术前心理干预和术中音乐疗法。观察两组干预前后焦虑评分（SAS）、皮质醇（Cort）、血糖（Glu）水平变化及干预前后血压、心率、新生儿评分、患者满意度及疼痛值（VAS）水平变化。结果：两组在干预前SAS焦虑自评无明显差异,干预后干预组焦虑程度有所改善,低于对照组（P〈0.05）;两组Cort、Glu水平、VAS评分、患者满意度,干预组优于对照组（P〈0.05）;两组血压、心率及新生儿Apgar评分无统计学意义（P〉0.05）。结论：心理干预联合音乐疗法能有效缓解剖宫产患者的应激水平。     

试析京杭运河山东段在近代的衰落原因

京杭大运河有“人类历史奇迹”的美誉,是贯通我国南北水运的大动脉。千百年来,在政治、经济、军事、文化等方面发挥了重要作用,成为维系中国大一统局面的政治纽带,大运河也呈现出盛极一时的繁荣局面。但清末至民国时期,由于航道淤塞、黄河改道、漕粮河运改为海运等自然、社会原因,京杭运河一度走向衰落。本文选取京杭运河主要是山东运河在近代以来的衰落情况及其原因作简单分析。