Women’s Perceptions Using the CenteringPregnancy Model of Group Prenatal Care

A qualitative nonexperimental thematic analysis was conducted at a hospital-based midwifery practice to explore the views of participants in group prenatal care and its impact on pregnancy, birth, and postnatal care. Ten women and three support people, recruited through purposive sampling, shared their feedback on the program. The findings conveyed three broad themes: program experience, midwife relationship, and support. Women enjoyed the opportunity for in-depth learning, and peer-group support led to normalizing of pregnancy concerns. Having support people as participants also helped during pregnancy, birth, and child care. The findings showed the enhanced opportunity for education, learning, and interpersonal support provided by CenteringPregnancy to expectant mothers had a positive impact on their pregnancy experiences.     

Choice? Factors That Influence Women’s Decision Making for Childbirth

This article reports the findings from a mixed-methods study on factors that influence women’s decisions about birth, with the view that women’s decision making about birth can affect the use of cesarean surgery. Data was collected from focus groups and structured postpartum interviews and was analyzed using the Consensual Qualitative Research method. The findings relate specifically to the factors reported as influential in making decisions about birth including how the women categorized, prioritized, and/or favored certain types of knowledge about modes of birth. Four major information categories were identified but only stories about birth and/or attending a birth appeared to have a lasting effect on birth choices. These findings have implications for prenatal and perinatal education and nursing practice.     

中国养老服务问题解析及其路径改进

在人口老龄化、经济发展、老年人需求多样化背景下,中国养老服务市场呈现出多样化需求现状,其中也存在一些需求无法得到满足的问题。在探讨如何解决养老服务问题的过程中,发达国家采取以经济性和社会性为标识,以企业化运营的管理方式,这些形式可以为我国的养老服务发展提供借鉴,使以社会企业形式所提供的养老服务同政府、营利性组织、非营利性组织所提供的养老服务相配合,共同促进我国养老服务体系的发展。     

舒适护理在子宫肌瘤围手术期的应用

目的探讨子宫肌瘤围手术期实施舒适护理措施。方法对102例子宫肌瘤患者分别在术前、术中、术后实施舒适护理措施。结果所有患者经过精心治疗和护理,术后均痊愈出院。结论舒适护理作为整体护理的延伸和拓展,注重“以人为本”的护理理念,从患者的角度来考虑患病过程中的心理、家庭和社会因素对患者的治疗和康复的影响,实施护理措施,可以有效减轻患者的病程,有利于提高患者术后的生活质量。     

强直性脊柱炎合并胸腰椎骨折围手术期护理

目的探讨强直性脊柱炎（AS）合并胸腰椎骨折患者的围手术期护理。方法对强直性脊柱炎合并胸腰椎骨折28例患者,进行充分的术前准备及护理、术中配合与术后护理。结果所有患者对手术效果均满意,无一例护理并发症的发生。结论通过围手术期的精心护理,保证了手术治疗效果,促进患者早日康复,提高患者的满意度。     

《一九四二》：生命的反思

作家刘震云根据自己创作的小说《温故一九四二》改编的电影《一九四二》上映后,在国内引起强烈的反响。这部对生命与历史抱持着尊重与客观态度的影片让国人重新反思,对那段不曾经历的历史,对那些不应忘记的人,如今的我们能做些什么。影片围绕“人”的主题,从历史中延展的生命维度、人的栖居——故乡家园的概念、人的信仰三个方面对生命本体进行了描述。生命个体始终是值得被尊重的,假如他没有在存在的时候被尊重,至少也要在记忆中被留存。反思生命是回归到对艺术创作核心问题的探讨,对生命存在的相关思索是艺术创作永恒的命题。     

State and local government liability for failing to use reasonably available information and technology in emergency management

Abstract

A range of interlocking liability issues has arisen in recent years in connection with state and local governmental handling of crisis situations. As such authorities strive to anticipate and cope with impending disaster, when advance action is an option, the result of their decisions often directly affects the safety of the citizenry and the degree to which property is protected. In particular, the question of government liability for failing to use available information in fulfillment of its disaster‐related responsibilities is explored.     

从魏晋体育文学看魏晋体育

将魏晋时期较为成熟的文学样式诗、赋、文、小说中涉及＂体育＂的部分划定为＂体育文学＂,从中窥探当时体育的发展状况。指出魏晋＂体育文学＂呈现了当时军事、侠士、射猎、走狗、登高、垂钓、棋弈、击壤、养生等体育形态,但这不是简单的再现,而是将现实中的体育活动与历史、人性、生命本体、社会存在等进行了紧密的联系,开辟了更广阔的文化空间。     

Factors associated with physical activity referral completion and health outcomes

Abstract

Participant socio-demographic characteristics and referral reason were investigated in relation to completion and health outcomes in a Primary Care Physical Activity Referral Scheme using a prospective population-based longitudinal design. Participants (n = 1735) were recruited over a 2-year period. A three-stage binary logistic regression analysis identified the factors associated with the outcomes of completion (model 1), body mass reduction (model 2) and blood pressure reduction (model 3). Participant's age, gender, ethnicity, occupation and referral reason were the independent variables for model 1, with the variables of completion added in model 2 and completion and body mass reduction added in model 3. Logistic regression analysis revealed that increasing age is associated with the likelihood of completion (Odds Ratio, OR = 1.019; Confidence Interval, CI = 1.008–1.030; P = 0.001). Participants with a pulmonary condition are less likely to complete (OR = 0.546; CI = 0.346–0.860; P < 0.01) compared to those referred for cardiovascular conditions. For ethnicity, in comparison to the white category, patients in the mixed category are significantly more likely to achieve a reduction in body mass (OR = 3.991; CI = 1.191–13.373; P < 0.05). Those who complete are more likely to achieve a reduction in body mass (OR = 3.541; CI = 2.721–4.608; P < 0.001). When compared to the unemployed category, the skilled manual category had an increased likelihood of achieving a reduction in blood pressure (OR = 1.875; CI = 1.044–3.227; P < 0.05). Participants who completed also demonstrated an increased likelihood of a reduction in blood pressure (OR = 1.680; CI = 1.250–2.003; P < 0.001). Furthermore, those participants who achieved a reduction in body mass had an increased likelihood of achieving a reduction in blood pressure (OR = 1.292; CI = 1.008–1.641; P < 0.05). Completion is associated with health outcomes of reduced body mass and blood pressure.