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11.
贵州建省600年来,贵州传统学术文化瑰宝中最具有本土特点且又最能与全国乃至世界学术文化接轨、交流和对话的当首推"黔中三宝",即黔中王学、佛学和易学,这"三宝"是黔中传统文化中的奇葩,它们相对于贵州原有的其他地域文化来说,具有更加系统、更加理性和更加深刻的特点,再加上这一传统文化本身所蕴含的深厚的中国文化精神,使其自然拥有宏大的文化影响力和亲和力,具有强大的生命力,至今仍然能够给予人们以形上智慧的启迪,值得我们重新发掘和认识。  相似文献   
12.
I examine whether prenatal sex selection has substituted postnatal excess female mortality by analysing the dynamics of child sex ratios between 1980 and 2015 using country-level life table data. I decompose changes in child sex ratios into a ‘fertility’ component attributable to prenatal sex selection and a ‘mortality’ component attributable to sex differentials in postnatal survival. Although reductions in numbers of excess female deaths have accompanied increases in missing female births in all countries experiencing the emergence of prenatal sex selection, relative excess female mortality has persisted in some countries but not others. In South Korea, Armenia, and Azerbaijan, mortality reductions favouring girls accompanied increases in prenatal sex selection. In India, excess female mortality was much higher and largely stable as prenatal sex selection emerged, but slight reductions were seen in the 2000s. In China, although absolute measures showed reductions, relative excess female mortality persisted as prenatal sex selection increased.  相似文献   
13.
正I believe that there are many different elements to an outstanding education today.But the element that may be the most new,the most different from what constituted an outstanding education in the past,is the need to help today’s talents to become cross-cultural talents.  相似文献   
14.

Background

Meconium stained amniotic fluid commonly occurs postdates (?>40 weeks gestation) indicating fetal maturity. Previous literature indicates that different ethnicities mature at different rates.

Aim

To compare the rate of meconium stained amniotic fluid of Australian-born and non-Australian born women.

Methods

A retrospective correlation study design was implemented, using data collected in the birth outcomes system at one tertiary hospital. Data was collected from all women who gave birth to a term (>/=37 weeks gestation), singleton, liveborn baby between January 1st to December 31st, 2014. Maternal country of birth was used for comparison. Categorical data was analyzed using Chi-Square test for Independence. Continuous variables were assessed for normality, and differences were compared using an Independent t-test or a Mann–Whitney U test. All tests were two-tailed and p < 0.05 was considered statistically significant.

Results

3,041 women were included; 1131 Australian-born and 1910 non-Australian born. Meconium stained amniotic fluid occurred more frequently in non-Australian born women compared to Australian-born women (23.5% vs. 19.8 p = 0.02). Their babies were significantly smaller (Mean = 3265 g, Standard Deviation 463.8 vs Mean = 3442 g, Standard Deviation 499.2, p < 0.001), with no difference in gestational length (Mean = 39.4, Standard Deviation 1.28 vs Mean = 39.5, Standard Deviation 1.18, p = 0.06). Increasing gestational age had the strongest association with meconium stained amniotic fluid;?>/=42 weeks gestation occurring 3.52 (95% Confidence Interval: 2.00, 6.22, p = <0.001) more than <40 weeks gestation.

Conclusion

Maternity health services should record ethnicity and region of birth to provide individualised care as women born overseas often have poorer perinatal outcomes when compared to Australian-born women.  相似文献   
15.
A proportional hazards model was used to evaluate the association between ten categorical covariates and the risk of pre-term delivery for women having their first child and women in subsequent pregnancies. An adaptation of the model for use with grouped survival times made it possible to model foetal life times between 28 and 36 completed weeks of gestation for 67,000 Scottish singleton births in 1981. The use of the model was justified by testing time-dependent effects. For both groups of women age, and a history of abortion, were major factors associated with increased hazard. For women experiencing a second or higher-order birth a history of perinatal death was also associated with substantially increased hazard to the pregnancy.  相似文献   
16.
17.
The authors show how saddlepoint techniques lead to highly accurate approximations for Bayesian predictive densities and cumulative distribution functions in stochastic model settings where the prior is tractable, but not necessarily the likelihood or the predictand distribution. They consider more specifically models involving predictions associated with waiting times for semi‐Markov processes whose distributions are indexed by an unknown parameter θ. Bayesian prediction for such processes when they are not stationary is also addressed and the inverse‐Gaussian based saddlepoint approximation of Wood, Booth & Butler (1993) is shown to accurately deal with the nonstationarity whereas the normal‐based Lugannani & Rice (1980) approximation cannot, Their methods are illustrated by predicting various waiting times associated with M/M/q and M/G/1 queues. They also discuss modifications to the matrix renewal theory needed for computing the moment generating functions that are used in the saddlepoint methods.  相似文献   
18.
Despite increasing numbers of lesbian- and gay- (LG-) parent families, little research on LG-adoptive-parent families has examined parental beliefs and perceptions related to discussing their sexual minority status with their children. This study assessed 266 LG adoptive parents (160 lesbian mothers, 106 gay fathers) from the Modern Adoptive Families (MAF) study, a nationwide survey (2012–2013) of adoptive parents' pre- and post-placement experiences. A cultural socialization lens provided the framework for examining LG parenting beliefs and practices. Two measurement scales were developed to examine parents' perceptions and self-efficacy related to socializing their child about being in a sexual-minority-parent family. Results indicate that LG parents endorse the importance of unique socialization practices and generally feel confident engaging in these practices. Parent education, transracial adoption, endorsement of racial socialization, and socialization self-efficacy were positively associated with endorsement of socialization practices. Excellent reliability suggests the 2 scales have the potential of being psychometrically sound instruments with which to measure parental endorsement and related self-efficacy of socialization practices for families headed by sexual minority parents. Findings contribute to a deeper understanding of socialization and communication patterns in LG-headed families, especially those formed through adoption. Research, policy, and practice implications are discussed.  相似文献   
19.
社会生产方式与生育文化变迁研究   总被引:1,自引:0,他引:1  
以中国传统生育文化的生成土壤为基础,将中国生育文化作为一个包括技术系统、社会系统和意识形态系统的整体动力系统,并把社会生产方式作为推动这一系统运行、变迁的动力源泉,由此探讨生产力和生产关系的矛盾运动对中国生育文化的形成、发展、变迁的决定作用,以及这种作用的内在机理和外部表现形式,并揭示存在各种不同社会机体中生育文化发展、变迁的特殊规律,以正确把握由传统生育文化向现代化生育文化转变的内在动力和运行机制。  相似文献   
20.

Problem

Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems.

Background

Due to minimal experience and cultural resistance, few practitioners offer vaginal breech birth, and many practice guidelines and training programmes recommend delivery techniques requiring supine maternal position. Fewer practitioners have skills to support physiological breech birth, involving active maternal movement and choice of birthing position, including upright postures such as kneeling, standing, squatting, or on a birth stool. How professionals learn complex skills contrary to those taught in their local practice settings is unclear.

Question

How do professionals develop competence and expertise in physiological breech birth?

Methods

Nine midwives and five obstetricians with experience facilitating upright physiological breech births participated in semi-structured interviews. Data were analysed iteratively using constructivist grounded theory methods to develop an empirical theory of physiological breech skill acquisition.

Results

Among the participants in this research, the deliberate acquisition of competence in physiological breech birth included stages of affinity with physiological birth, critical awareness, intention, identity and responsibility. Expert practitioners operating across local and national boundaries guided less experienced practitioners.

Discussion

The results depict a specialist learning model which could be formalised in sympathetic training programmes, and evaluated. It may also be relevant to developing competence in other specialist/expert roles and innovative practices.

Conclusion

Deliberate development of local communities of practice may support professionals to acquire elusive breech skills in a sustainable way.  相似文献   
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