Caring for families experiencing stillbirth: Evidence-based guidance for maternity care providers

BackgroundEvidence-based guidance is needed to inform care provided to mothers and families who experience stillbirth. This paper focuses upon how meaningful and culturally appropriate care can be provided to mothers and families from when they are informed that their baby will be stillborn to many years after the experience. Avoidable suffering may be occurring in the clinical setting.AimsTo promote and inform meaningful and culturally appropriate evidence-informed practice amongst maternity care providers caring for mothers and families who experience stillbirth.MethodsA comprehensive systematic review was conducted which primarily synthesised relevant qualitative research studies. An expert advisory group comprised of stillbirth researchers, clinicians, and parents who have experienced stillbirth provided guidance for the review and the development of implications for practice.FindingsGrieving parents want staff to demonstrate sensitivity and empathy, validate their emotions, provide clear, information, and be aware that the timing of information may be distressing. Parents want support and guidance when making decisions about seeing and holding their baby. Sensitivity, respect, collaboration, and information are essential throughout the experience of stillbirth. Culturally appropriate care is important and may require staff to accommodate different cultural practices.ConclusionThe findings of the review and expert consensus inform the provision of meaningful and culturally appropriate care for mothers and families that have experienced stillbirth. Evidence informed implications for practice are provided to guide the actions, communication, and behaviours of maternity care providers.     

Using concept mapping as a planning tool: Child welfare citizen review panels

Citizen Review Panels (CRPs) are groups of citizen volunteers authorized by U.S. federal law to examine state child welfare agencies. These groups inspect policies and practices related to child protection responsibilities and are tasked with making recommendations for systemic improvement. Despite the federal mandate for each state to develop a CRP and the potential of these groups to positively impact child welfare practices, there is a dearth in the literature related to CRPs. Consequently, planning and evaluation processes of these groups vary widely. This study reports on the use of concept mapping (CM) to outline a framework for planning and subsequently evaluating the CRP in one southeastern state. CM is a mixed-method research approach that uses multi-dimensional scaling and hierarchical cluster analyses to explore an area of study. Through these analyses, the method creates visual depictions of conceptual relationships between ideas. Data yielded a seven cluster concept map that CRP members (N = 36) utilized for planning processes, and subsequently for developing an internal evaluation tool. Results from this study offer a unifying framework by which CRPs, and similar groups in other areas can utilize for planning and evaluation purposes. After a review of pertinent literature on CRPs, this article explicates CM processes utilized in this study, describes results, discusses lessons learned, and outlines apposite areas for future CRP research.     

战后美国对外援助政策的历史考察

〕关于美国对外援助 ,学者在论述时 ,往往侧重于得出结论性的评价 ,如把美国的对外援助与人权外交结合起来 ,认为美国对外援助尤其是经济援助是推行人权外交的工具 ,体现了美国的霸权主义 ;也有一些学者认为 ,美国提出对外经济援助计划的主要目的是为了维护美国的经济、政治利益 ,它与人权外交的关系不大。美国对外援助政策的提出 ,是美国外交政策的重大突破 ,自此美国人的视野更加开阔 ,对外援助政策是实现美国世界霸权的工具 ,无论何时美国的对外援助政策都是为了维护美国国内经济的持续繁荣 ,国内政策的制定一直是美国政府的中心工作     

论唯物史观的三大基本特征

唯物史观具有三大基本特征, 即: 实践原则与主体性原则的内在一致, 它为唯物史观奠定了彻底的唯物主义理论基础; 历史发展过程的客体制约性与主体创造性的辩证统一, 它为唯物史观赋予了辩证的理论品格; 人的自由解放与历史进程的高度一致, 它使唯物史观获得了明确的价值指向。这三大基本特征有着内在的逻辑联系, 使唯物史观与其它一切历史观从根本上区别开来。     

浅析黎巴嫩内乱的历史根源

教派隔阂和教派政治、列强的争夺和外部势力的插手、殖民者的"分而治之"政策、阿以冲突和巴勒斯坦问题是黎巴嫩内乱的四大历史根源.它们是在漫长的历史中逐步形成并发挥作用的,且呈现出积重难返的态势.要彻底结束黎巴嫩的内乱局面,只有逐步实现四个目标:教派利益服从民族国家利益;排除外部势力的恶性干扰;建立平等友好的黎叙关系;实现黎以关系正常化并最终公正地解决巴勒斯坦问题.     

高效液相色谱—核磁共振联用技术

本文简要地综述了高效液相色谱与核磁共振联用技术,并列举了该技术在药物、天然产物以及异构体研究中的应用。     

世纪辉煌的地域文化背景呈示——"浙江潮"文学现象研究之一

"浙江潮"文学现象对中国20世纪文学的发展极具观照意义,而就其"生成"原因看,则显然是这个地域积淀深厚的历史文化传统所致,对此作深入探讨,必将有助于文学历史经验的总结。     

《新青年》与《甲寅》月刊之历史渊源—《新青年》创刊史研究之一

1915年9月创刊的《新青年》，在其创刊之初，与《甲寅》月刊之间，在主编，撰稿人队伍，发刊宗旨，栏目设置，刊物风格等方面存在着很深的渊源关系，清理它们之间的这种关系，有助于更深入而全面地认识五四新文化运动的形成和发展。     

明清时期韩城地区山庄子的历史变迁--以党家村为例

对韩城地区进行了为期60天的调查,发现山庄子的兴衰在古代韩城地区农业发展史上具有代表性,对此进行描述和分析,对于当今这一地区的经济建设具有重要的参考价值。其变迁过程说明,人地矛盾是促使宗族剩余劳动力进入山区经营山庄子的根本动力,同时,又在一定政策的鼓励之下,步入了其繁荣发展期,从而成为当地农业的一个有效补充形式。但是大量人口的过度进入,却破坏了山区的生态平衡,导致气候改变,林地、草地锐减以及土地产出下降,从而使山庄子的发展陷于停滞,无可奈何地步入了衰退期。     

《学衡》论学者精神与责任

《学衡》杂志以“论究学术 ,阐求真理 ,昌明国故 ,融化新知”为宗旨 ,对 2 0世纪初期的学术弊端提出了严厉批评 ,并在此基础上呼唤对真正的学术精神的追求 ,即自信、自得、贞操、求真、审慎、创造、社会关怀和追求文德之精神 ,同时提出了学者对于前人、今人和世界的责任。