Evaluation of an intervention supporting breastfeeding among late-preterm infants during in-hospital stay

BackgroundLate-preterm infants show lower breastfeeding rates when compared with term infants. Current practice is to keep them in low-risk wards where clinical guidelines to support breastfeeding are well established for term infants but can be insufficient for late-preterm.ObjectiveThe aim of this study was to evaluate an intervention supporting breastfeeding among late-preterm infants in a maternity service in the Basque Country, Spain.MethodsThe intervention was designed to promote parents’ education and involvement, provide a multidisciplinary approach and decision-making, and avoid separation of the mother-infant dyad. A quasi-experimental study was conducted with a control (n = 212) and an intervention group (n = 161). Data was collected from clinical records from November 2012 to January 2015. Feeding rate at discharge, breast-pump use, incidence of morbidities, infant weight loss and hospital stay length were compared between the two groups.ResultsInfants in the control group were 50.7% exclusive breastfeeding, 37.8% breastfeeding, and, 11.5% formula feeding at discharge, whereas in the intervention group, frequencies were 68.4%, 25.9%, and 5.7%, respectively (p = 0.002). Mothers in the intervention group were 2.66 times more likely to use the breast-pump after almost all or all feeds and 2.09 times more likely to exclusively breastfeed at discharge. There were no significant differences in morbidities and infant weight loss between groups. Hospital stay was longer for infants who required phototherapy in the intervention group (p = 0.009).ConclusionThe intervention resulted in a higher breastfeeding rate at discharge. Interventions aimed to provide specific support among late-pretem infants in maternity services are effective.     

Journey towards independent living: a grounded theory investigation of leaving the care of Girls & Boys Town,South Africa

The journey out of care and towards independent living is a challenge for many care-leavers. There has been little research into the social processes involved in this care-leaving journey. This paper presents the results of a grounded theory investigation into the care-leaving journeys of nine young men who had, several years previously, been in the care of Girls & Boys Town in South Africa. Working from a resilience perspective, with an ecological emphasis, four central social processes emerged that together explain the care-leaving experiences of the participants. These processes are striving for authentic belonging; networking people for goal attainment; contextualised responsiveness and building hopeful and tenacious self-confidence. These four processes are located within contextual boundaries and at the social environmental interface. The paper presents these processes in detail, drawing on selected narratives of the participants and integrated with additional theory. It is hoped that this paper may contribute to theory building concerning care-leaving processes and enhance youth care practices for youth in care and leaving care.     

关于高校中层副职干部几个基本问题的思考

高校中层副职干部具有高校干部、中层干部和副职干部的群体特征，应当具备相应的政治、思想、道德、业务、能力和身体等方面的基本素质。高校应当按照现行干部配置规制，结合内部管理体制和工作机制任用干部。高校中层副职干部的日常活动涉及到社会、学校、家庭等多个层面，必须妥善处理好各种人事关系。     

对区域高等教育战略规划的若干思考--基于《加利福尼亚州高等教育总体规划（1960-1975）》的分析

《加利福尼亚州高等教育总体规划（1960—1975）》是区域高等教育战略规划领域的成功范例，规划内容通过州宪法性效力、州法律法规性效力以及行业约定性效力三种形式发挥作用。准确把握关键问题、秉持院校自治理念、深入开展调研等做法值得借鉴。我国区域高等教育机遇与挑战并存，教育规划应当坚持治理理念、以人为本理念和系统论理念，对区域高校定位作出合理预期与安排，引导区域高等教育健康和谐发展。     

零售4.0时代先行发货问题的大数据分析

在零售4.0时代，渠道的多样化不仅丰富了数据源，还能迅速生成大量数据，需要通过分析大数据，为决策提取有意义的信息，通过分析先行发货的重要性，提出了一种基于遗传算法（GA）的优化模型，预测顾客何时购买，然后在顾客线下单前将产品运送到距顾客最近的配送中心，解决先行发货中存在的问题。研究认为，需要先部署云计算来存储所有渠道生成的大数据，再应用基于集群的关联规则挖掘研究顾客的购买行为，根据“如果-那么”预测规则预测未来的采购情况，最后利用修正的遗传算法生成最优的先行发货计划；这种遗传算法考虑了其在运输成本和运输距离之外，还有预测规则的置信度，利用大量的数值实验权衡了先行发货中的不同因素，验证了模型的最优可靠性     

相互保险的风险识别及创新解决方案——基于TRIZ和TIF理论

相互保险是保险组织形态中非常重要的一种,但是由于信息不对称,相对于其他保险模式而言,同样存在着逆向选择和道德风险问题。传统的监管模式下,监管渗透不够,反制力不强,导致了相互保险无法彻底解决逆向选择和道德风险的治理困境。本文基于塔福域理论和TRIZ理论系统地分析了相互保险模式中存在的风险,并且提出了创新性的解决方案,即构建“保险域”。     

金诗学唐的历程

金代诗歌在受苏轼等宋代诗人的影响之外 ,也受到唐诗的浸润。本文依据金诗发展变化的自身情况 ,考察了金诗学唐的历程。文中将金诗学唐分为金初“借才异代”时期、“国朝文派”时期、金代后期等三个阶段 ,做了比较详细的论述 ,从一个方面展示了金诗发展的轨迹 ,揭示了金诗的某些重要特点 ,对于我们深入地认识金诗是有裨益的     

《老子》韵读研究

本文分三大部分：一、依王力古韵三十部，将《老子》各章所有入韵之字表而谱之；二、自用韵之部居、韵在句中之位置、韵在章中之位置、用韵之数量、用韵比配之形式等角度，归纳出《老子》用韵40例；三、古今诸家对《老子》韵读之研究，多有失误所在。究其失误之由，则主要在于对《老子》韵例之特殊性及《老子》以古谐声入韵之特殊性认识不足。特略考数例，以明一般。     

Open Road or Blind Alley? Welfare Reform, Mothers, and Children with Disabilities

Welfare reform was examined for 39 Michigan families whose children have significant health or intellectual and behavioral disabilities. As a group, these families received little specialized assistance or services to address their unique needs. Family-cited barriers to self-sufficiency included poorly trained welfare caseworkers, limited public transportation, and inadequate child care. Having an older child was the only discriminating variable between working and non-working mothers. However, working mothers only had temporary positions with no benefits and low pay. All families, whether employed or not, lived below the poverty line.     

从英语修辞格谈英语习语译为汉语成语

在英汉翻译中,部分英语习语可译为汉语成语。英语习语和汉语成语既是英语和汉语中重要的修辞手段,同时其本身也是各种修辞手段的集中体现。本文从英语修辞格中音韵格和意象修辞格的角度对可译为汉语成语的英语习语作了部分归纳。在音韵格中,本文从头韵、重复和韵脚三方面予以小结。在意象修辞格中,着重从明喻、借代、讽喻和拟人的角度进行分析。本文旨在探讨汉语成语在翻译一些英语习语中的恰当运用。同时也指出不能滥用汉语成语。