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.     

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.     

《警察与赞美诗》的功能文体学

运用功能文体学的理论,通过对三大元功能的介绍和应用对欧.亨利作品《警察与赞美诗》进行的分析。功能文体学为文学欣赏提供了有效的手段,使人们更好的对作品有了深层的理解和欣赏。     

关于创新中小学语文课堂教学的探讨

在查阅相关文献的基础上,结合具体的语文教学实践经验,从走向开放的课堂空间、创新课堂教学模式和用心反思课堂教学等三个方面对创新语文课堂教学进行了探究。     

State of the Art in Risk Analysis of Workforce Criticality Influencing Disaster Preparedness for Interdependent Systems

The objective of this article is to discuss a needed paradigm shift in disaster risk analysis to emphasize the role of the workforce in managing the recovery of interdependent infrastructure and economic systems. Much of the work that has been done on disaster risk analysis has focused primarily on preparedness and recovery strategies for disrupted infrastructure systems. The reliability of systems such as transportation, electric power, and telecommunications is crucial in sustaining business processes, supply chains, and regional livelihoods, as well as ensuring the availability of vital services in the aftermath of disasters. There has been a growing momentum in recognizing workforce criticality in the aftermath of disasters; nevertheless, significant gaps still remain in modeling, assessing, and managing workforce disruptions and their associated ripple effects to other interdependent systems. The workforce plays a pivotal role in ensuring that a disrupted region continues to function and subsequently recover from the adverse effects of disasters. With this in mind, this article presents a review of recent studies that have underscored the criticality of workforce sectors in formulating synergistic preparedness and recovery policies for interdependent infrastructure and regional economic systems.     

改革开放以来中共领导集体法律思想研究述要

学界对改革开放以来中共三代领导集体核心——邓小平、江泽民、胡锦涛法律思想的研究主要集中在对其历史地位、历史意义、基本内容、基本特征及形成过程的概括和总结上，对三者的相互关系、它们对中国法制建设的影响及三者在中国特色社会主义法制思想形成过程中所做出的历史贡献缺乏整体性研究，需要今后进一步深入探讨。     

关于量子控制系统的哲学思考

环境对量子控制系统的消相干揭示了一个事实,即量子世界里的系统将是一种全新的系统,它是某种开放的、数学的、并且是基于量子逻辑的系统。笔者认为,假如仍然还是立足经典思维,则系统的独立性将难以得到保证,传统的整体论也将变得自相矛盾。只有发展全新的"量子整体论",并在这种新的框架下去审视和建构量子系统,我们才有可能重新获得某种连贯一致的整体论。     

Community Resilience and Decision Theory Challenges for Catastrophic Events

Extreme and catastrophic events pose challenges for normative models of risk management decision making. They invite development of new methods and principles to complement existing normative decision and risk analysis. Because such events are rare, it is difficult to learn about them from experience. They can prompt both too little concern before the fact, and too much after. Emotionally charged and vivid outcomes promote probability neglect and distort risk perceptions. Aversion to acting on uncertain probabilities saps precautionary action; moral hazard distorts incentives to take care; imperfect learning and social adaptation (e.g., herd‐following, group‐think) complicate forecasting and coordination of individual behaviors and undermine prediction, preparation, and insurance of catastrophic events. Such difficulties raise substantial challenges for normative decision theories prescribing how catastrophe risks should be managed. This article summarizes challenges for catastrophic hazards with uncertain or unpredictable frequencies and severities, hard‐to‐envision and incompletely described decision alternatives and consequences, and individual responses that influence each other. Conceptual models and examples clarify where and why new methods are needed to complement traditional normative decision theories for individuals and groups. For example, prospective and retrospective preferences for risk management alternatives may conflict; procedures for combining individual beliefs or preferences can produce collective decisions that no one favors; and individual choices or behaviors in preparing for possible disasters may have no equilibrium. Recent ideas for building “disaster‐resilient” communities can complement traditional normative decision theories, helping to meet the practical need for better ways to manage risks of extreme and catastrophic events.     

Limit Theorems for Semi-Markov Queues and Their Applications

We begin by definition of semi-Markov flow and discussion of its properties. Asymptotic behavior of multi-server and single-server queueing systems is studied under assumption of time-compression or service time growth. The results obtained are used for calculation of large systems reliability. Statistical estimates of parameters involved are also provided.     

校企合作构建第二课堂的实施效果分析及评价——基于圣奥班(家具设计专业)毕业生跟踪问卷的调查

南京林业大学与浙江圣奥(木业)集团联合创建的“圣奥班”是校企合作联合培养创新型家具设计工程专业人才的成功平台之一.基于圣奥班毕业生的问卷调查,对学生进班动机与目标定位、比较优势、获得的帮助、专业能力提升,以及今后办班建议等方面内容进行了分析.统计结果表明,学校和企业共同搭建的圣奥班平台对学生创新意识,专业能力、就业竞争力等诸多方面都有显著的提升.