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.     

闲吟闲咏谱棹歌--论蒋捷词的独特风格

蒋捷词风独特 ,与其家世、人品不无关系。蒋捷生于巨族 ,家风淳厚 ,正值壮年却痛失家国 ,惨遭离乱 ,一身民族正气使他隐而不仕 ,宁愿漂泊江湖。家世国运影响着词人的创作 ,其词既有飒然凛风之豪放 ,又兼绮丽纤柔之婉约 ,在宋词史上享有一定的地位     

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.     

Sifting the wheat from the chaff—the organization of telephone intake and the selection of social assistance inquirers in Sweden

In Sweden, the initial contact between help-seeking people and a social welfare office normally takes place over the telephone, with designated intake officers handling those aiming to apply for social assistance. Citizens seeking help are here sorted according to various eligibility criteria as well as according to different intake routines. The outcome of the sorting process is that some receive an appointment for a further assessment while others are sent away. This article describes and classifies the degree of selection at seven telephone intakes, discusses relations between the degrees of selection and reasons for selection and distinguishes several selection strategies.     

近雅远俗话词论

词体天然具备着一种介质的属性,它穿凿游刃于雅、俗间。中国传统词论对词作之雅、俗评判见仁见智,甚至大相径庭,这属于传统词论的一种生态平衡,除了证明接受美学的多解性,更可从古代文化思想对词论产生的直接影响中找到答案。     

苏轼之后的北宋词坛

天才词人苏轼以前所未有的力度对词风进行了全面的革新,为当时绮丽的词坛吹进了一股清新的空气。然而,在当时和稍后却未能得到普遍的认同。苏轼之后的北宋词坛主要活跃着两类创作主体,一是以贺铸为典范的都会　　名士,一是以周邦彦为代表的大晟府人。他们并没有继承苏轼的革新精神,而是沿袭原有的道路,使词的创作重新陷入艳科的泥沼中去。