Adherence to three different strategies to prevent early onset GBS infection in newborns

ProblemDespite the introduction of preventive guidelines, no decrease in the incidence of early onset infection was observed.BackgroundEarly onset group B streptococcal (EOGBS) infection is an important cause of neonatal morbidity and mortality.AimOur study was conducted to determine adherence to three guideline-based group B streptococcus (GBS) preventive strategies.MethodsA prospective experimental study clustered by obstetric collaboration region was performed between March 2013 and August 2014 among midwives, obstetricians and paediatricians in the Netherlands. At baseline, the three regions operated according to the Dutch preventive strategy (founded on the risk-based strategy) in order to prevent EOGBS infection, whereas in the study period they followed either the risk-based, the combination or the Dutch strategy. Adherence was measured prospectively per pregnant woman, using predefined core elements of each preventive strategy: identification of risk factors, maternal GBS screening, application of intrapartum antibiotic prophylaxis and observation of the child. Data about adherence to the core elements were collected from medical records, maternal questionnaires and laboratory test results.FindingsIn the three regions, a total of 121 care providers and 1562 women participated.We found an overall adherence of 90% to the risk-based strategy, 57% to the combination strategy and 89% to the Dutch strategy. Adherence to a strategy in case women had EOGBS risk factors was below 20% in all strategies.DiscussionThe majority of women with EOGBS risk factors did not receive the care prescribed by any of three preventive strategies and were not treated optimally.ConclusionThe risk-based and the Dutch strategy are the recommended strategies for implementation.     

B2C电子商务败因:创新范式研究

B2C电子商务的发展经历了泡沫-失败-复苏的周期,深刻分析其失败的原因,对于今后B2C的发展是有指导意义的。B2C商务模式是一种创新行为,B2C的失败是一种创新行为的失败。本文采用创新理论框架对其失败的原因进行分析。     

用于1553总线控制器的存储管理单元设计

从消息队列的数据存储结构定义、存储空间规划和控制过程设计三方面讨论了MIL-STD-1553/1773总线控制器的设计实现。在总线控制器的模块化设计方案中,这三个方面构成了总线控制器的核心模块棗存储管理单元,应用该方案可实现具有多消息自动处理功能的总线控制器。     

An individual measure of relative survival

Summary.  Relative survival techniques are used to compare survival experience in a study cohort with that expected if background population rates apply. The techniques are especially useful when cause-specific death information is not accurate or not available as they provide a measure of excess mortality in a group of patients with a certain disease. Whereas these methods are based on group comparisons, we present here a transformation approach which instead gives for each individual an outcome measure relative to the appropriate background population. The new outcome measure is easily interpreted and can be analysed by using standard survival analysis techniques. It provides additional information on relative survival and gives new options in regression analysis. For example, one can estimate the proportion of patients who survived longer than a given percentile of the respective general population or compare survival experience of individuals while accounting for the population differences. The regression models for the new outcome measure are different from existing models, thus providing new possibilities in analysing relative survival data. One distinctive feature of our approach is that we adjust for expected survival before modelling. The paper is motivated by a study into the survival of patients after acute myocardial infarction.     

叶芝诗歌创作中的东方神秘主义

叶芝诗歌以东方神秘主义的象征著称于世。玫瑰、狮身人面怪、天鹅和螺旋是叶芝诗歌中具有凸现主题意义的意象。其来源有二 ,对《旧约圣经》抒情诗风格的继承是叶芝诗歌抒情性的直接来源 ,东方神秘主义思想指导下的对中国和日本诗歌的模仿学习是叶芝诗歌抒情性的间接来源     

分光光度法测定罗丹明B的实验设计

设计了一个分光光度法教学实验“分光光度法测定罗丹明B”,采用电脑处理实验数据,对所设计的实验的可行性及教学效果进行了探讨.     

60Co-r射线辐射保持系嘉浙B的M2代突变类型分析

用60 CO-r射线直接辐射保持系嘉浙B诱发突变 ,M2 代出现多种变异 ,按变异频率大小从高到底依次为 :叶色突变>早熟突变 >颖尖不退花突变 >高外露率突变 >薄颖壳突变 >花时早 >突变紫稃尖突变 >迟熟突变 ,上述 8个选择项的总突变频率达到 2 .4 19% ,说明辐射诱变改良保持系性状十分有效     

中国经济增长模式转型：供给结构视角分析

本文从供给结构角度分析了自1978年以来中国经济增长模式转型的特征，并针对存在的问题提出了相应的解决对策，旨在寻求经济增长模式转型的有效路径。     

A simulation study of a discrete-time multiserver retrial queue with finite population

In this paper, we deal with a discrete-time multiserver retrial queue with finite population. Firstly, we study the Markov chain at the epochs immediately after slot boundaries making emphasis on the computation of its steady-state distribution. Then, the main performance measures are investigated. Besides, we simulate the waiting time of a customer in the retrial group under three different queueing policies. Some numerical examples are given to illustrate the analysis.     

B股与H股及红筹股之间的溢出效应与信息流动

运用向量GARCH-M模型检验了B股与H股及红筹股之间的溢出效应与信息流动.实证结果表明:红筹股对沪深市B股、H股对沪市B股的收益和波动溢出效应均显著存在,而反向的溢出效应均不显著,表明信息是从红筹股向沪深市B股、从H股向沪市B股单向流动的;深市B股与H股之间相互的收益溢出效应均存在,而波动溢出效应均不存在,信息在H股和深市B股之间的流动情况不明显;在信息流动过程中,红筹股始终处于信息领先地位.