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Ethnographic Decision Tree Modeling of the Decision Criteria and Decision Patterns for Adult Married Women with Unexpected Pregnancies
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作者 yu-chan li Yieh Loong Tsai Pei-Jung Lan 《Open Journal of Obstetrics and Gynecology》 2017年第10期1052-1063,共12页
Introduction: As far as adult and married women were concerned, when they occurred to “unplanned pregnancy”, they felt so surprised and concussive all the time. Besides, the unplanned pregnancy also affects the othe... Introduction: As far as adult and married women were concerned, when they occurred to “unplanned pregnancy”, they felt so surprised and concussive all the time. Besides, the unplanned pregnancy also affects the other members in the family system. Therefore, when married women have to face the choice: “birth” or “abortion”, they’ll consider lots of thoughts and different decision criteria and decision pattern under various influences on physician, mind, mental and society. The purpose of this study was to investigate the criteria considered and the decision patterns involved when adult married women decide whether to terminate or continue an unplanned pregnancy. Methods: The study uses the method—“Ethnographic Decision Tree Modeling” [1] to build model of the decision criteria and decision patterns involved when adult married women make a decision about their unplanned pregnancy. There are three process in the research method: “Pilot Study”—interview two groups, every group distinct 4 married adult women with unplanned pregnancies, which decide whether to terminate or continue an unplanned pregnancy, what is the items of decision characters affect to the choice: “birth” or “abortion”. “Building of the Model”, displays the importance in proper order of those items and build the modeling with these two groups of women. “Testing of the Model”: investigate the criteria considered and the decision patterns involved when adult married women decide whether to terminate or continue an unplanned pregnancy. The study interviewed 34 married adult women with 43 unplanned pregnancies totally. Results: The result of the study finds out 12 items of decision characters, including planning to get pregnant or not, stability of feelings for married partner, the points of view on life, was affected by mother, mother-in-law, an husband’s emphasis on male, the meanings of children, the financial burden, the plan an assignment of career and time, the past pregnant experiences, the status of raising children, the health of parents and fetus, the effect of living environment, and social and cultural vision. Besides, there are four decision patterns of married adult women with unplanned pregnancy are “receiving abortion positively”;“giving birth as long as getting pregnancy naturally”;“ the minds are hesitative and changeable”, and “being forced by important others.” Conclusion: By setting the decision model tree, we found several decision criteria and patterns, and possible modes actions to be taken, could offer to see the adult married women’s decision-making and struggles in mind about unplanned pregnancy. 展开更多
关键词 Ethnographic DECISION Tree Modeling ADULT and MARRIED Women UNPLANNED Pregnancy DECISION Pattern
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短期应用普拉洛芬滴眼液治疗老年干眼症的疗效及安全性 被引量:20
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作者 李玉婵 刘兵 《国际眼科杂志》 CAS 北大核心 2018年第6期1097-1100,共4页
目的:探讨短期应用普拉洛芬滴眼液治疗老年干眼症的疗效及安全性。方法:将2016-06/2017-05于我院接受治疗的100例老年干眼症患者随机均分为两组,每组各50例,均双侧发病,取右眼为观察眼。观察组50眼应用1g/L普拉洛芬滴眼液联合1g/L玻璃... 目的:探讨短期应用普拉洛芬滴眼液治疗老年干眼症的疗效及安全性。方法:将2016-06/2017-05于我院接受治疗的100例老年干眼症患者随机均分为两组,每组各50例,均双侧发病,取右眼为观察眼。观察组50眼应用1g/L普拉洛芬滴眼液联合1g/L玻璃酸钠滴眼液治疗;对照组50眼应用1g/L玻璃酸钠滴眼液治疗。分别于用药前、用药2wk时,进行泪液分泌试验Ⅰ(SchirmerⅠ),检测眼表疾病指数(OSDI)、泪膜破裂时间(BUT)、眼表染色(OSS)评分、球结膜上皮细胞中人类白细胞DR抗原(HLA-DR)、CD11b表达水平,同时观察不良反应与并发症情况。结果:两组治疗前SchirmerⅠ实验结果、OSDI、BUT、OSS、HLA-DR及CD11b表达均接近,差异无统计学意义(P>0.05);经治疗后OSDI、OSS、CD11b均明显下降,BUT均明显上升,组内差异有统计学意义(P<0.01);治疗后观察组OSDI、OSS、HLA-DR明显低于对照组,BUT明显高于对照组,差异有统计学意义(P<0.05)。HLA-DR表达与OSDI、OSS呈正相关,与BUT呈负相关。两组均未见明显不良反应及并发症。结论:短期应用普拉洛芬能够有效提升老年干眼症疗效,改善患者临床症状,且普拉洛芬治疗机制可能与其对HLA-DR的抑制作用有关。 展开更多
关键词 普拉洛芬 玻璃酸钠 老年人 干眼症
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Comparison on conjunctival sac bacterial flora of the seniors with dry eye in Ganzi autonomous prefecture 被引量:4
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作者 Yue Zhang Zhi-Rong liu +7 位作者 Hui Chen Ying-Chuan Fan Ji Duo Hong Zheng Guang-Jin Wang yu-chan li Dan-Ba Jiachu Ge-Ma Zewang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2013年第4期452-457,共6页
AIM:To compare the bacterial flora in palpebral conjunctiva of xerophthalmia seniors of Tibetan,Yi and Han,and analyze the differences and similarities of the bacteria.·METHODS:The test subjects were selected fro... AIM:To compare the bacterial flora in palpebral conjunctiva of xerophthalmia seniors of Tibetan,Yi and Han,and analyze the differences and similarities of the bacteria.·METHODS:The test subjects were selected from 2Tibetan,2 Yi and 3 Han populated places,respectively.Total 222 seniors(444 eyes) with dry eye were examined.Secretion was collected from the palpebral conjunctiva of the subjects and then inoculated onto a blood agar plate.After 48h of incubation,the bacteria were examined for the differences and similarities between different ethnics.·RESULTS:There was no significant difference(P 】0.05)of Gram stain characterization,dominant bacteria and number of the bacterial species present in oxrophthalmia patients among Tibetan,Yi and Han nationalities.The bacteria presented in all groups include staphylococcus epidermidis,corynebacterium,micrococcus luteu,int-racellular bacteria sphingomonas,pseudomonas aerug-inosa.The bacteria detected from the two of three ethnic groups were staphylococcus aureus,staphylococcus haemolyticus,escherichia coli,kytococcus sedentarius,streptococcus angina,micrococcus lylae,and staphy-lococcus heads.The incidence rate of bacteria-associated dry eye in Tibetan population was significantly lower than that of Han and Yi population.·CONCLUSION:There is no significant difference in the bacteria flora of palpebral conjunctiva observed among dry eye elder populations of Tibetan,Yi and Han people.All of staphylococcus epidermidis,corynebacterium,micrococcus luteu,intracellular bacteria sphingomonas,pseudomonas aeruginosa,staphylococcus aureus,staphylococcus haemolyticus,escherichia coli,kytococcus sedentarius,streptococcus angina,micrococcus lylae and staphylococcus heads are common bacteria flora of the three nationalities inhibiting in this area. 展开更多
关键词 CONJUNCTIVA BACTERIA dry eye TIBETAN Yi ethnic
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