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.     

疲劳裂纹扩展试验裂纹图像采集系统

针对目前金属疲劳裂纹扩展检测方法存在效率低、操作繁琐、精度不高，不能实现实时性等缺点，文章提出了基 于机器视觉的裂纹检测方法。根据金属疲劳裂纹扩展试验过程中裂纹图像的采集要求，设计了摄像头位置可自动调整 的疲劳裂纹图像采集系统，包括摄像头安装运动装置，裂纹图像采集装置以及摄像头运动控制系统。图像采集装置由高 分辨率黑白面阵CCD摄像头、光学镜头，光源照明装置和图像采集卡组成，前3者安装在摄像头支架上，与摄像头运动 装置相连。摄像头运动装置中的X，Y，，Z轴运动机构由步进电机带动滚珠导轨机构。在基于ARM技术的运动控制系统 的控制下摄像头可沿X，Y，，Z轴作高精度直线运动，实现和试件之间精确位置的调整。实验结果表明，所设计的系统可 采集到疲劳裂纹扩展试验过程中高清晰度、高分辨率的试件裂纹图像，满足下一步裂绞尺寸计算的要求；摄像头运动定 位精度可达到0. 02 mm，满足精确的系统聚焦、位置调整、跟踪采集的要求。     

国家级教学名师的优秀品质及其养成

通过对5位国家级教学名师的自述报告进行三级编码和主题凝练，研究发现国家级教学名师作为教师队伍的杰出代表，在其专业发展过程中养成了许多优秀品质。例如：教学方面注重实践、考虑周全，师德方面以德施教、追求卓越，科研方面以教带研、实现创新。国家级教学名师优秀品质的养成通常经历了漫长而曲折的过程，不仅需要精神与物质力量的共同推动，还需要家庭、学校和社会各环境要素的相互促进，以及社会取向养成方式和个人取向养成方式的互相配合。深入探究国家级教学名师的优秀品质及其养成之道，可以为教师专业发展提供借鉴与启示。     

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.     

基于遗传算法的装备采购决策优化研究

在装备采购中，由于需求单位地域分布和担负的任务各不相同，对装备的品种、数量、时限要求也就不一样，如何使装备采购科学化、合理化，是一个涉及多变量、多目标的复杂系统问题。在综合考虑装备采购各项因素的基础上，构建多约束条件下的多目标模糊指派模型，提出了基于遗传算法的解决方案，最后通过案例进行仿真实验，验证该算法的可行性和有效性，解决了采用传统优化方法难以解决的装备采购优化决策问题。     

中国网上聊天室中英语语言特征

中国网上英语聊天室中的英语与英语国家聊天室中的英语相比较 ,在某些方面 ,如缩写的使用、句首字母少用大写、句尾少标点等有一些共同的特征。但由于受本族语的影响 ,中国人网上聊天的语言有其独到之处。中国人用英语聊天的目的主要是为了练习语言 ,使英语语言的交际功能减弱。受语言水平所限 ,中国聊天者的会话语言更接近书面语体 ,聊天的内容狭窄且缺乏连续性。网上聊天 ,作为一种新的语言交际方式 ,为英语学习者们提供了另一种学习途径 ,在练习快速英语思维及表达方面有着积极作用     

简论中国共产党科教兴国战路思想产生的依据

中国共产党科教兴国的战略思想,建立在马克思主义科学理论基础之上,扎根于中华民族优秀传统文化的沃土;是当代中国社会实践发展的客观要求。这一战略的制定有其理论、历史和现实的依据。     

ERP在钢铁贸易企业的应用研究

以上海宝钢技术经济发展公司为对象,根据公司对提升内部管理及业务流程规范化的要求,研究了公司建立ERP系统的定位及目标,提出应建立以钢材贸易和钢铁产品深加工为主业的ERP体系,实现流通过程中的价值增值.在分析存在的主要问题的基础上,提出了ERP的模式、流程设计及采购业务、库存业务的解决方案.     

大型系统集成的设计与实现

根据行业间系统集成项目在通信、协议、事务、安全方面的特点，和国税多元化信息服务平台建设的背景，提出了系统建设的目标在于通过税务和银行、国库、电信、邮政等行业的互联和系统集成，为纳税人提供多种纳税申报言式，保证税款及时征收和入库。该平台由电话／传真／银行网点／网络／邮政报税、税／银／邮／电联网、ＣＡ安全认证、数据传输、业务处理、中心管理等功能模块组成；采用多种技术和产品进行实现；并从技术角度提出需关注的问题。     

锌表面Mo(W)-S-Zn簇合物膜的XPS和AES研究

在锌表面获得了多种不同颜色且具有金属光泽的不溶性Mo(W)-S-Zn簇合物转化膜,所获膜层具有良好的耐蚀性能和装饰效果,加热处理后颜色将发生变化,加速腐蚀试验结果表明,金黄色膜耐蚀性最佳。FT-IR、FT-Raman、XPS和AES分析表明,该膜层厚度约为60nm。钼在膜表面的价态为+6价,而在膜内则以+6、+4价共存。从AES深度分布曲线可知,其组成为32.5％Zn,19.3％Mo,39.4％S,8.5％O。膜为多分子层组成的复杂体系,其颜色是各组分统计分布的结果。