Vaginal births after caesarean: What does Google think about it?

AimVaginal birth after caesarean (VBAC) is a relatively safe alternative to repeat caesarean birth in the proper context. This important decision to undergo an elective caesarean versus VBAC is ultimately a decision of the mother. The purpose of our study was to assess the quality of online information in relation to VBAC collected using the most common search engine: Google.MethodsThe 10 most common hit sites for the keywords “VBAC” and “Vaginal birth after caesarean” were evaluated using the search engine Google. The quality of websites was rated based on the Silberg scale for accountability, the modified Abbott's criteria for presentation and the SMOG index for readability. The content of each website was compared to the Society of Obstetricians and Gynecologists of Canada (SOGC) guidelines for VBAC.Findings13 out of 20 identified websites met the adequate criteria for accountability, with 85% of the websites indicating authorship. 11 websites were deemed aesthetically agreeable. The target audience, assessed by the readability score, was notably above the non-medical population with an average SMOG index score of 14.75. Only half of the websites contained recommendations, as detailed by the SOGC guidelines.ConclusionAlmost all sites target a higher academic level, making it beyond the comprehension of the general population. Woman friendly web-assessment tools should be provided to enable pregnant women to take an active role in their decision making.     

A New Methodology for Before–After Safety Assessment Using Survival Analysis and Longitudinal Data

The widely used empirical Bayes (EB) and full Bayes (FB) methods for before–after safety assessment are sometimes limited because of the extensive data needs from additional reference sites. To address this issue, this study proposes a novel before–after safety evaluation methodology based on survival analysis and longitudinal data as an alternative to the EB/FB method. A Bayesian survival analysis (SARE) model with a random effect term to address the unobserved heterogeneity across sites is developed. The proposed survival analysis method is validated through a simulation study before its application. Subsequently, the SARE model is developed in a case study to evaluate the safety effectiveness of a recent red‐light‐running photo enforcement program in New Jersey. As demonstrated in the simulation and the case study, the survival analysis can provide valid estimates using only data from treated sites, and thus its results will not be affected by the selection of defective or insufficient reference sites. In addition, the proposed approach can take into account the censored data generated due to the transition from the before period to the after period, which has not been previously explored in the literature. Using individual crashes as units of analysis, survival analysis can incorporate longitudinal covariates such as the traffic volume and weather variation, and thus can explicitly account for the potential temporal heterogeneity.     

李觏与佛教

李觏佛教思想具有双重性，既有排佛的一面，也有容佛的一面。排佛主要表现在两个领域，一是以经济建设、财富积累和社会秩序为内容的物质领域，一是儒家礼治伦理领域；容佛主要表现在对佛教某些教义、佛教教化功能的肯定。李觏佛教思想的基本内容及其特点，是颇有启示的。     

沙僧形象溯源

沙僧是《西游记》中重要的取经人物之一。从《大正新修大藏经》中的相关材料看 ,其原型当是出于密教中的深沙神 ,历经唐宋元明诸朝说部作者的结撰才定型。     

与时俱进 应势而变——浅议入世后我国高等职业教育发展的趋势

入世以后,必将对我国高等职业教育提出新的要求。高等职业教育必须顺应时代发展的趋势,与时俱进、应势而变,才能与时代同步。本文遵循以下思路展开:入世以后,对我国高等职业教育的发展趋势作一些前瞻性的探讨,在此基础上提出应对的措施。有利于我国高等职业教育主动地适应新形势发展的要求。     

《文心雕龙·神思》创作要义新绎

刘勰《文心雕龙·神思》篇是一篇专论艺术构思与想象的著名论文。其“神与物游”说,实即形象地阐明了“心物交融”的过程,开启了形象思维理论的先声;而形象思维的结晶便是“意象”,即“人心营造之象”,作者要像“窥意象而运斤”的“独照之匠”那样,迅摄意象,运笔于纸。而意象的酝酿与定型,其必不可少的前提又“贵在虚静”。“虚静”是对创作之前的作者必须保持境静与心静的双重要求。     

第二次世界大战对世界格局产生的影响

第二次世界大战以雅尔塔体系为基础形成了以美苏两大国为首的世界政治格局,对战后世界政治、经济和国际关系产生了深刻影响。随着两极格局的终结,世界又朝着多极化趋势发展。     

新型蓄光性长余辉荧光陶瓷的研制

研究了基础釉的成分、蓄光粉的加入量、釉层厚度和烧成温度制度等因素对蓄光陶瓷发光性能的影响以及各种制品最佳工艺技术路线的确定.     

论京剧的雅化及其鼎盛

文章论述了京剧在 2 0世纪 30年代达到鼎盛阶段的内外部原因。在其内部原因上 ,作者以其研究古代文学史时所提出的“原生态式的把握方式”来观察这一段京剧史 ,从而对这一段京剧史的发展作了新的勾勒 :艺术块团之形成、相互间的争锋、浮沉以及名号形成的种种情况。在其外部原因上 ,论述了京剧是如何从回应“五四”新文化运动的批评以及如何从向话剧的学习中受益的。 30年代新文化界对于当时京剧的雅化是批判的 ,作者则对此取肯定态度。最后还说明了 ,当京剧出国演出时 ,它的许多曾受“五四”新文化运动批判的特点 ,却受到了国外艺术家的肯定 ,中国的京剧艺术家们也更加开拓了视野 :由此勾勒出京剧发展过程中的一个大的回旋     

歷代對峨眉山佛教文化的保護措施述論

以宋代以前、宋、元明清三個時段分述歷代對峨眉山佛教文化的保護措施。在把握各時段峨眉山佛教文化發展歷史背景的基礎上,分析政府、宗教界和民間保護峨眉山佛教文化的努力,着重探討歷代對峨眉山佛教寺廟和佛教文化遺存,尤其是主要的佛教文化景點的興建與保護措施、峨眉山登山道路與相應設施的建設與發展過程,進而梳理在此過程中峨眉山歷史地位的發展演變线索。