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1.

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   
2.
Simulation, the use of trained actors as simulated clients, has gained empirical support as an effective teaching and assessment method in social work education. The associated costs involving the use of live simulation, however, often pose a barrier and prevent less resourced schools from implementing this pedagogical approach in the classroom. Social Work Serial is a pedagogical project that used video-recorded simulated client sessions as an alternative to live simulation. In this teaching note, we will describe step-by-step production and implementation processes involving the project and discuss the implications of video-based simulation for social work education.  相似文献   
3.
A college of social work developed a partnership with a state commission on indigent defense to examine existing data-collection procedures, potential case outcomes, and practical implications of implementing holistic defense programs. The holistic defense model responds to the complex challenges of justice-system-involved defendants by providing social services in public defense offices. Using chi-square and logistic regression analyses of administrative data for a sample of 15,994 public defendants from a single judicial circuit, this research study examined case outcomes before and after implementation of a holistic defense program. Results were mixed regarding effectiveness of holistic defense in mitigating the effect of justice involvement for indigent defendants. Implementation of holistic defense was associated with a decrease in case dismissals. However, defendants receiving holistic representation were less likely to be indicted than defendants prior to program implementation. Once indicted, there were no changes in levels of diversions, and more defendants were held on bond, convicted as guilty, and incarcerated. After program implementation, fewer defendants were sentenced to alternatives to incarceration; more defendants were sentenced to time served, avoiding further incarcerative penalty. These findings suggested the need for further research to determine whether holistic defense practices are producing desired legal and social service outcomes.  相似文献   
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There is limited guidance for conducting competent and responsive cross-cultural evaluation research with American Indian communities. The authors draw on Fisher and Ball's Tribal Participatory Research Model to highlight ways in which this project is attempting to be culturally appropriate and sensitive as they partner with an American Indian community to implement and evaluate a youth-based initiative. Challenges encountered during the evaluation are shared, as well as the authors' collective responses to such challenges. Implications for future cross-cultural evaluation researchers are also discussed in light of these experiences.  相似文献   
6.
The authors assessed young men's knowledge and perceptions of genital human papillomavirus (HPV) infection to identify factors that predict intention to make positive behavioral changes. Male university students aged 18 to 25 years completed a self-report instrument to assess knowledge and perceptions of genital HPV infection. If diagnosed with HPV, most men (95%) reported that they would use condoms with new partners. The intention to reduce number of sex partners was associated with an understanding that HPV may have severe consequences for women, whereas intention to encourage female sex partners to undergo Pap smear screening was associated with increased general knowledge of HPV infection. The authors concluded that it is important to include men in HPV education and prevention efforts, especially within the context that HPV may lead to cervical cancer in female partners.  相似文献   
7.
尽管美国实力的现实表现得非常明显,而且没有一个可与其实力相媲美的强有力的竞争对手,但如果其采取单边主义行为,它的局限就会表现出来。美国的政治、安全、军事、经济以及媒体等各个方面的实力都是客观存在的。美国所犯的错误可能不会导致世界秩序的崩溃,但极有可能削弱美国的相对实力并且疏远与其它国家的关系,从而弱化美国实力的效能,使美国的单边主义实现自我修正。  相似文献   
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The transmission of family stories provides insight into the personal and emotional lives of individuals, and sharing stories allows older generations to impart wisdom and family values to developing young adults. The current research explored how gender variation in content and perception of family stories differentially affected identity development in young adults. Young adults from a large northeastern private university shared a written family story about a grandparent and described how that story had impacted their values, behaviors, and identity. Three hundred twenty-five stories, from 238 women and 87 men, were qualitatively analyzed. The stories had much greater impact on young adults' values and attitudes than either their identity development or behaviors. Women shared more relationship stories, whereas men most frequently relayed humorous anecdotes. In addition, women indicated stories most often taught them to be appreciative, loving, or courageous, whereas more men shared stories that emphasized having a strong work ethic or being appreciative of and respectful to others. Although family narratives have been shown to help shape the younger generation's individual identity and character, it is important to differentiate between which stories might impact different genders as they seek to discover their own sense of self.  相似文献   
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