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Neonatal Infection among Women with Prior Premature Labor
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作者 Tandu-Umba Barthélémy Kalonji Tshianyi David 《Open Journal of Obstetrics and Gynecology》 2015年第15期833-838,共6页
Objectives: Since studies demonstrate that neonates born to mothers having been cared for premature labor will suffer from congenital neonatal sepsis, we aimed to evaluate the prevalence and main risk factors of neona... Objectives: Since studies demonstrate that neonates born to mothers having been cared for premature labor will suffer from congenital neonatal sepsis, we aimed to evaluate the prevalence and main risk factors of neonatal infection among mothers having experienced a prior premature labor. Methods: This was a cross sectional study carried out from January 1st throughout 31st December, 2013 at the university clinics of Kinshasa. It concerned all delivered women at term having been cared for premature labor prior to giving birth a live newborn. Maternal variables of interest were: parity, gestation, age, intrapartum fever, malaria, urogenital infection during the last 2 weeks before delivery (UGI), premature rupture of membranes (PROM), cervical cerclage, meconium-stained amniotic fluid (MSAF) and the way of delivery. For neonates attention was paid on gestational age, birth weight, admission at neonatal intensive care unit (ANICU) and infection as stated within three days after birth. T-test and Chi-square were used where appropriate. Logistic analysis was used to determine the risk for maternal variables to induce neonatal infection (OR and CI), the significance stated at p < 0.05. Results: Fifty two mother-infant couples were recruited. Of these 19 neonates were infected (prevalence of 36.5%). Mean age, gestational age and birth weight were 30.19 ± 5.32 years, 37.2 ± 2 weeks and 2638 ± 588 g, respectively. Infected neonates had their gestational age and birth weight significantly lower whilst proportion of ANICU higher than that on non infected. Prematurity, PROM, UGI, prior cerclage and MSAF were significantly more frequent in couples with neonatal infection. Prematurity, birth weight <2500 g and UGI were found to enhance the risk by 3 to 4 times. Conclusion: The prevalence of neonatal infection was very high. Prematurity, birth weight <2500 g and maternal UGI were found to enhance the risk by 3 to 4 times. 展开更多
关键词 Prior premature labor MATERNAL UROGENITAL INFECTION NEONATAL INFECTION Risk Factors
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Terminal Pregnancy Complicated by Measles and Premature Labor:a Case Report
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作者 Yu-chen Zhang Li Liu Xiao-li Yang 《国际感染病学(电子版)》 CAS 2013年第2期88-89,共2页
Measles infection in pregnant women is a very dangerous clinical condition.Patients usually had complicated pneumonia,and virus could pass through the placenta to the fetus and lead to premature delivery,stillbirth,mi... Measles infection in pregnant women is a very dangerous clinical condition.Patients usually had complicated pneumonia,and virus could pass through the placenta to the fetus and lead to premature delivery,stillbirth,miscarriage and neonatal measles.In this report,one such case,which was diagnosed by clinical signs and symptoms,clinical and laboratory examination was described.After proper therapeutic treatment,the infection was well-controlled and a baby was born by nature labor. 展开更多
关键词 Pregnancy trimester third MEASLES Obstetric labor premature
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The Particularity of the Development of Labor Relationship in the 70-Year History of the People’s Republic of China
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作者 Liu Dawei 《学术界》 CSSCI 北大核心 2019年第11期207-214,共8页
The past seven decades witnesses a stage marked by"ossification-consolidation-emptiness"as regards domestic labor relationship.It is highly probable that China is to be inaugurated by the stage of"falsi... The past seven decades witnesses a stage marked by"ossification-consolidation-emptiness"as regards domestic labor relationship.It is highly probable that China is to be inaugurated by the stage of"falsification"in forthcoming days.A major cause is rooted in that labor relationship is the output of economic development that would request that labor relationship chime with it.The development course of labor relationship since the founding of PRC explicitly evinces that"flexibility"might be incurred in case labor relationship fails to align with economic development and with demands of marketing competitiveness.It might even propel main bodies of labor relationship to circumvent labor laws,as is verified by prevalence of large-scaled labor dispatching,and of"labor dispatching under the disguise of outsourcing".Lawmakers thus need to further ruminate over degree of tolerance on labor legislation. 展开更多
关键词 70-year history labor relationship flexible EMPLOYMENT
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Prevention and not merely prediction of preterm labor and delivery 被引量:1
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作者 Yves Jacquemyn 《World Journal of Obstetrics and Gynecology》 2012年第3期17-19,共3页
Different methods have been proposed to screen for preterm labor and delivery; most of these aim to pre-dict the risk that preterm delivery is going to take place. However, interesting though this knowledge might be, ... Different methods have been proposed to screen for preterm labor and delivery; most of these aim to pre-dict the risk that preterm delivery is going to take place. However, interesting though this knowledge might be, knowing the future is of no use when no changes can be made. Recent publications have suggested new and exciting modalities to actually diminish the frequency of preterm birth in patients selected by transvaginal cervical length measurement; these modalities include vaginal progesterone and vaginal pessaries. Although promising, many questions remain to be answered; not least about the long term outcome for both neonates and mothers, but also on the eventual introduction of such strategies to the general obstetric population. One of the main problems that urgently needs clarifcation is how we are going to offer this best of medicine to those needing it most: deprived and socially isolated women who have the highest risk for preterm laborand delivery, probably not due to any congenital cervi-cal problems, but to a combination of environmental, microbiological and social factors, including transgen-erational poverty and deprivation. 展开更多
关键词 Preterm labor Cervical length PREVENTION prematurITY PROGESTERONE
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The “Glocal” Dynamics of Construction Labor and Digital Architecture: Preston Scott Cohen’s Addition to the Tel Aviv Museum as Case Study
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作者 Roy Kozlovsky 《Journal of Building Construction and Planning Research》 2015年第2期82-94,共13页
Globalization and technological change are transforming the ways in which buildings are being designed and built. An overlooked aspect of this development is its impact on construction labor, and the significance of l... Globalization and technological change are transforming the ways in which buildings are being designed and built. An overlooked aspect of this development is its impact on construction labor, and the significance of labor for assessing the work of architecture. The paper draws upon the sociological concept of the “glocal” to analyse the construction site as the product of the tension between global and local conditions of architectural production and consumption. The construction of Preston Scott Cohen’s 2010 Tel Aviv Museum Addition serves as its case study for theorizing the “glocal” dynamics of digital architecture, building technology and construction labor. This methodological approach highlights the role of migrant guest workers and technological transfer in contemporary construction culture. To realize with precision the complex design under local constraints, the contractor developed a hybrid work process that interspersed labor saving automated manufacturing techniques with artisanal, skilled construction work. In addition, workers and contractors exercised a high level of control over the pace and method of construction, and devised building solutions which improved upon the architect’s design. In conclusion, the paper argues that construction activity differs from broader trends in manufacturing due to the self-reflexivity of architectural design to its condition of production, but that at the same time, this critical capacity is enabled by the globalization of construction labor. 展开更多
关键词 history of Construction Technology Digital Architecture labor Policy GLOBALIZATION
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Factors of Fetal Origin in the Regulation of Labor Initiation and Preterm Birth
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作者 Longkun Ding Lu Gao 《Maternal-Fetal Medicine》 CSCD 2023年第4期238-243,共6页
Preterm birth is the leading cause of mortality and morbidity in newborns and children under 5 years-of-age.In order to improve the survival rate and quality of preterm infants,there is critical need to identify the s... Preterm birth is the leading cause of mortality and morbidity in newborns and children under 5 years-of-age.In order to improve the survival rate and quality of preterm infants,there is critical need to identify the specific mechanisms underlying the initiation of labor.Pregnancy represents a period of constant interactive dialog between mother and fetus.A disturbance in the pattern of maternal-fetal communication can induce physiological or pathological labor.Although a number of studies have investigated the contributions of maternal factors to the initiation of labor,the concept that fetal organ development and maternal adaptation are coordinated has emerged over recent years,thus emphasizing that factors of fetal origin may serve as hormonal signals for the initiation of labor.In this review,we summarize and discuss several specific mechanisms by which factors of fetal origin may influence parturition during term or preterm labor,including the specific regulation of fetal organs,including the lungs and accessory organs during pregnancy.Future research may focus on the specific pathways by which signals from the fetal lungs and other fetal organs interact with the maternal system to initiate eventual labor. 展开更多
关键词 premature birth Fetal origin factor PLACENTA Fetal membrane PARTURITION Term labor
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Preterm Labor,a Syndrome Attributed to the Combination of External and Internal Factors
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作者 Yuanyuan Liu Lu Gao 《Maternal-Fetal Medicine》 2022年第1期61-71,共11页
Preterm labor(before 37 weeks’gestation)is the leading cause of neonatal mortality and morbidity,which can be divided into iatrogenic preterm labor,infectious preterm labor,and spontaneous preterm labor(sPTL).Up to n... Preterm labor(before 37 weeks’gestation)is the leading cause of neonatal mortality and morbidity,which can be divided into iatrogenic preterm labor,infectious preterm labor,and spontaneous preterm labor(sPTL).Up to now,there continue to be great difficulties in prediction and prevention of sPTL,owing to multiple risk factors,pathogenesis,and pathologic processes contributing to the event,which have not been fully clarified.Pregnancy maintenance and parturition is a complicated process with continuous maternal-fetal dialogue,in which both maternal and fetal factors participate and affect the outcome of pregnancy,including sPTL.Besides,external factors can also participate in sPTL,individually or through the interaction with internal factors.In this article,we summarize recent studies regarding sPTL from our and other groups,and discuss the risk factors and pathogenesis of preterm birth from both external and internal(maternal and fetal)aspects,so as to provide theoretical evidences for the diagnosis,prevention,and treatment of sPTL in the future. 展开更多
关键词 Obstetric labor premature Maternal factor Fetal factor Maternal-fetal crosstalk External factor
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马克思的历史观与哲学变革 被引量:1
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作者 方军 《北京师范大学学报(社会科学版)》 CSSCI 北大核心 2024年第4期16-25,共10页
历史观是马克思最具原创性贡献的领域之一,唯物史观就是马克思的哲学或马克思主义哲学。唯物史观诞生以前,一切哲学在历史观上都受困于“观念的神话”与“遮蔽”。而“观念的神话”与“遮蔽”,源自人类实践的具体历史形式--分工,特别是... 历史观是马克思最具原创性贡献的领域之一,唯物史观就是马克思的哲学或马克思主义哲学。唯物史观诞生以前,一切哲学在历史观上都受困于“观念的神话”与“遮蔽”。而“观念的神话”与“遮蔽”,源自人类实践的具体历史形式--分工,特别是物质生产与精神生产的分工以及职业精神生产者的出现和扩大。唯物史观的创立,终结了观念决定历史的神话、超历史的历史哲学的神话、历史宿命论的神话,开辟了一种崭新的哲学图景。坚持和发展唯物史观,应摈弃从观念到观念、从文献到文献、从概念到概念的研究范式,从实践的不同历史形态的变化入手,展开活的历史研究。 展开更多
关键词 哲学 历史观 观念神话 分工 唯物史观
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子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素及对妊娠结局影响
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作者 田玉翠 王倩 +1 位作者 王红梅 代荫梅 《山东医药》 CAS 2024年第12期24-27,共4页
目的分析子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素及对妊娠结局影响。方法395例子宫肌瘤孕妇根据是否出现妊娠期肌瘤性疼痛综合征分为病例组(74例)和对照组(321例),采用单因素分析法及多因素Logistic回归分析法分析子宫肌瘤... 目的分析子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素及对妊娠结局影响。方法395例子宫肌瘤孕妇根据是否出现妊娠期肌瘤性疼痛综合征分为病例组(74例)和对照组(321例),采用单因素分析法及多因素Logistic回归分析法分析子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素,另比较两组妊娠结局。结果年龄是发生妊娠期肌瘤性疼痛综合征的影响因素,年龄每减小1岁,妊娠期肌瘤性疼痛综合征的风险增加0.911倍(OR=0.911,95%CI 0.852~0.973,P=0.006)。病例组产后出血占22.38%、先兆早产占23.44%,对照组产后出血占35.69%、先兆早产占8.39%,两组产后出血、先兆早产发生率比较,P均<0.05。结论子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素是年龄,肌瘤性疼痛综合征增加先兆早产的发生风险。 展开更多
关键词 子宫肌瘤 妊娠期肌瘤相关性疼痛综合征 年龄 先兆早产
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产时Ⅱ度及以上会阴裂伤风险预测模型的构建和验证
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作者 胡寅初 杨明晖 +2 位作者 李燕 付立 陆虹 《护理学杂志》 CSCD 北大核心 2024年第6期32-36,62,共6页
目的 构建产时Ⅱ度及以上会阴裂伤风险预测随机森林算法模型,并初步评价模型的预测性能。方法 采用方便抽样法,选取经阴道分娩的1 366例产妇为研究对象,将其按照7∶3的比例随机分为训练集和验证集。采用LASSO回归分析筛选产时Ⅱ度及以... 目的 构建产时Ⅱ度及以上会阴裂伤风险预测随机森林算法模型,并初步评价模型的预测性能。方法 采用方便抽样法,选取经阴道分娩的1 366例产妇为研究对象,将其按照7∶3的比例随机分为训练集和验证集。采用LASSO回归分析筛选产时Ⅱ度及以上会阴裂伤的风险因素,采用随机森林算法构建预测模型,计算ROC曲线下面积、预测准确率、灵敏度和特异度等评价模型的性能。结果 共计8个预测因子被纳入随机森林模型中,分别为孕前BMI、孕期体质量增加、初产妇、剖宫产史、硬膜外麻醉、催产、引产和胎儿估计体质量,其中胎儿估计体质量对产时Ⅱ度及以上会阴裂伤的影响最大,其次是初产妇和催产。随机森林模型在验证集中的ROC曲线下面积为0.698(95%CI:0.645~0.751),预测准确率为80.0%(95%CI:75.8%~83.8%),灵敏度和特异度分别为50.5%和89.1%。结论 基于随机森林算法构建的产时Ⅱ度及以上会阴裂伤风险预测模型具有一定的预测价值,但预测性能仍有待提高。 展开更多
关键词 阴道分娩 会阴裂伤 初产妇 剖宫产史 催产 胎儿估计体质量 预测模型 随机森林算法
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晚清民初“劳动”概念的演变
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作者 周冬梅 《唐都学刊》 2024年第2期82-90,共9页
晚清以来,自西方政治经济学知识输入中国,“labour”产生了多种译名,“劳动”通过日语的译介,获得近代意涵的转变。民国初期,尤其五四时期前后,“劳动”被作为社会呼唤变革的工具,获得了新的高度重视。“劳动”与中国国情融汇并被不同... 晚清以来,自西方政治经济学知识输入中国,“labour”产生了多种译名,“劳动”通过日语的译介,获得近代意涵的转变。民国初期,尤其五四时期前后,“劳动”被作为社会呼唤变革的工具,获得了新的高度重视。“劳动”与中国国情融汇并被不同群体讨论,产生了意涵更加丰富的“劳动”观;20世纪20年代后,在早期马克思主义者的助推下,“劳动”的表述基本获得认可。“劳动”的演变和理论内涵的形成,既体现出近代以来中国知识阶层对外界的主动认知与探索,也是中国近代社会历史变迁的见证与反映。 展开更多
关键词 劳动 劳力 意涵 概念史
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间苯三酚与阿托西班在先兆早产治疗中的临床效果对比分析
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作者 叶慧 周愉希 谢晓玲 《药品评价》 CAS 2024年第1期98-101,共4页
目的比较分析间苯三酚与阿托西班治疗先兆早产的临床效果。方法筛选2021年1月至2023年3月上饶市妇幼保健院住院的82例先兆早产孕妇作为研究对象,随机数字表法分A组和B组,各41例。在常规治疗的基础上,A组采用间苯三酚治疗;B组采用阿托西... 目的比较分析间苯三酚与阿托西班治疗先兆早产的临床效果。方法筛选2021年1月至2023年3月上饶市妇幼保健院住院的82例先兆早产孕妇作为研究对象,随机数字表法分A组和B组,各41例。在常规治疗的基础上,A组采用间苯三酚治疗;B组采用阿托西班治疗。比较A、B两组患者用药后的药物起效时间,延长妊娠时间,临床效果,保胎成功率,性激素水平(孕酮、雌三醇),新生儿状态(体质量、头围、身长、Apgar评分)及用药不良反应。结果治疗后,A组患者的药物起效时间较B组相比更快,差异有统计学意义(P<0.05);A组延长妊娠时间较B组更短,差异有统计学意义(P<0.05);A组用药后的临床有效率与B组的临床有效率相比较低,差异有统计学意义(P<0.05);A组保胎成功率与B组相比较低,差异有统计学意义(P<0.05);A组用药后孕酮较B组低,雌三醇较B组高,差异有统计学意义(P<0.05);A组新生儿的体质量、头围、身长、Apgar评分与B组新生儿相比略低,但差异无统计学意义(P>0.05)。比较两组用药后不良反应发生率,A组略低于B组,但差异无统计学意义(P>0.05)。结论在治疗先兆早产时,阿托西班的药物起效时间相较于间苯三酚稍慢,但妊娠延长时间相较于间苯三酚更长,且阿托西班治疗先兆早产后的临床有效率、保胎成功率及改善患者性激素水平的作用与间苯三酚相比更好,故针对治疗先兆早产的患者应优先选用阿托西班。 展开更多
关键词 先兆早产 间苯三酚 阿托西班 临床效果
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足月胎膜早破产妇破膜后不同时间引产对产程及母婴结局的影响
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作者 陈学花 《中国现代药物应用》 2024年第22期31-34,共4页
目的 观察足月胎膜早破(PROM)产妇破膜后不同时间引产对产程及母婴结局的影响。方法 180例足月PROM产妇,均给予缩宫素引产,根据不同引产时间分为A组(破膜后2~12 h内引产,96例)和B组(破膜后>12 h引产,84例);A组和B组根据Bishop评分可... 目的 观察足月胎膜早破(PROM)产妇破膜后不同时间引产对产程及母婴结局的影响。方法 180例足月PROM产妇,均给予缩宫素引产,根据不同引产时间分为A组(破膜后2~12 h内引产,96例)和B组(破膜后>12 h引产,84例);A组和B组根据Bishop评分可进一步细分为A1组(Bishop评分≥6分,59例)、A2组(Bishop评分<6分,37例)和B1组(Bishop评分≥6分,32例)、B2组(Bishop评分<6分,52例)。比较四组产妇的破膜至分娩时间、总产程时间、分娩方式、不良妊娠结局发生情况及新生儿的并发症发生率。结果 破膜至分娩时间:A1组(11.33±3.15)h明显短于A2组的(19.49±6.58)h、B1组的(17.78±4.28)h、B2组的(19.64±6.85)h(P<0.05),A2组、B1组、B2组两两组间比较均无统计学差异(P>0.05)。总产程时间:A1组(6.43±2.11)h、B1组(6.28±1.97)h均明显短于A2组的(9.56±2.43)h、B2组的(9.39±2.20)h(P<0.05),A1组与B1组、A2组与B2组比较均无统计学差异(P>0.05)。剖宫产率:A2组(64.86%)明显高于A1组(27.12%)、B1组(25.00%)、B2组(40.38%)(P<0.05),A1组、B1组、B2组两两组间比较均无统计学差异(P>0.05)。不良妊娠结局发生率:A1组(3.39%)最低,其次是B2组(7.69%),且均明显低于A2组(24.32%)和B1组(25.00%)(P<0.05);A1组与B2组、A2组与B1组比较均无统计学差异(P>0.05)。新生儿的并发症发生率:A1组(5.07%)最低,其次是B2组(7.69%),且均明显低于A2组(29.73%)和B1组(25.00%)(P<0.05);A1组与B2组、A2组与B1组比较均无统计学差异(P>0.05)。结论 对于足月PROM产妇,宫颈成熟度高者在破膜后2~12 h内引产,宫颈成熟度低者在破膜后12 h后引产,更有利于缩短产程和改善母婴结局,为临床探索最优引产时机提供依据。 展开更多
关键词 足月胎膜早破 产程 引产时机 宫颈成熟度 母婴结局
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三维超声测量宫颈容积在妇产领域的应用进展
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作者 甘华 阎萍 《中国医药导报》 CAS 2024年第24期77-81,共5页
近年来,随着超声技术的不断发展,三维超声成像在妇产领域的应用越来越广泛,主要用于胎儿畸形诊断、宫腔病变评估及胎盘体积测量等。三维超声测量宫颈容积通过超声探头在妇女阴道内测量宫颈长度、直径和容积,提供完整和立体的宫颈结构图... 近年来,随着超声技术的不断发展,三维超声成像在妇产领域的应用越来越广泛,主要用于胎儿畸形诊断、宫腔病变评估及胎盘体积测量等。三维超声测量宫颈容积通过超声探头在妇女阴道内测量宫颈长度、直径和容积,提供完整和立体的宫颈结构图像,优于传统二维超声,为临床医师提供关于宫颈功能和疾病的重要信息。三维超声测量宫颈容积可预测早产,但目前不能代替宫颈管长度;宫颈容积可评价孕晚期宫颈成熟度,从而预测引产结局;对宫颈疾病的诊断及预防有潜在临床意义。宫颈容积的测量为临床医师提供新的研究方向及参考价值。由于目前研究较少,今后需更多文献及研究验证三维超声测量宫颈容积在妇产领域的应用价值。 展开更多
关键词 三维超声 宫颈容积 宫颈功能不全 早产 引产 宫颈病变
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建党前后(1919-1922)邓中夏对“劳工神圣”口号的实践阐释
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作者 杨军 《福建江夏学院学报》 2024年第3期85-93,118,共10页
邓中夏以唯物史观对“劳工神圣”口号的阐释,肇始于他领导的早期工人运动。这种实践阐释,首开知识分子走与劳工相结合的先河,走出书斋与劳工相结合,提倡“劳工神圣”以促进劳工阶级的觉醒;创办面向劳工的刊物,深刻阐明“劳工神圣”以启... 邓中夏以唯物史观对“劳工神圣”口号的阐释,肇始于他领导的早期工人运动。这种实践阐释,首开知识分子走与劳工相结合的先河,走出书斋与劳工相结合,提倡“劳工神圣”以促进劳工阶级的觉醒;创办面向劳工的刊物,深刻阐明“劳工神圣”以启发劳工阶级意识;创立以产业组合为原则的革命工会,用斗争实践阐释“劳工神圣”;是马克思主义工运理论中国化的具体体现,既是领导工人罢工斗争经验的总结,又是在实践基础上将唯物史观与中国劳工运动相结合的理论创新成果,为党的早期工人运动的发展作出了卓越贡献。 展开更多
关键词 邓中夏 中国共产党 工人运动 唯物史观 劳工神圣
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马克思劳动理念及其价值意蕴
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作者 王玉蓉 《沈阳大学学报(社会科学版)》 2024年第3期1-9,共9页
基于劳动始终是马克思哲学思想的一条重要线索,阐述了劳动理念的基础性地位。认为马克思劳动理念阐明了劳动创造历史的马克思主义劳动历史观;指明了奋斗成就人生的马克思主义劳动人生观;明晰了教育与劳动相结合的劳动教育观;点明了从谋... 基于劳动始终是马克思哲学思想的一条重要线索,阐述了劳动理念的基础性地位。认为马克思劳动理念阐明了劳动创造历史的马克思主义劳动历史观;指明了奋斗成就人生的马克思主义劳动人生观;明晰了教育与劳动相结合的劳动教育观;点明了从谋生劳动到体面劳动的劳动解放观。指出在民族复兴的伟大征程和新时代的历史方位上,劳动对于建设中国特色社会主义具有重要的决定意义。 展开更多
关键词 劳动 现实世界 人类活动 社会历史
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孕妇宫颈分泌物中胎盘α1-微球蛋白、胎儿纤维连接蛋白水平预测自发性早产价值
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作者 杨姗姗 孙桂霞 张艳夏 《中国计划生育学杂志》 2024年第7期1653-1657,共5页
目的:探究宫颈分泌物中胎盘α1-微球蛋白(PAMG-1)和胎儿纤维连接蛋白(fFN)水平对自发性早产的预测价值。方法:收集2021年4月-2023年4月本院收治的128例发生自发性早产患者临床资料纳入早产组,同期产前检查并足月分娩的正常孕妇128例临... 目的:探究宫颈分泌物中胎盘α1-微球蛋白(PAMG-1)和胎儿纤维连接蛋白(fFN)水平对自发性早产的预测价值。方法:收集2021年4月-2023年4月本院收治的128例发生自发性早产患者临床资料纳入早产组,同期产前检查并足月分娩的正常孕妇128例临床资料纳入正常组。比较两组临床资料,宫颈分泌物PAMG-1、fFN水平;采用受试者工作曲线(ROC)分析PAMG-1、fFN对孕妇发生自发性早产的预测价值。结果:PAMG-1、fFN对孕妇发生自发性早产的预测准确性分别为68.0%和67.6%、阳性预测值分别为76.1%和73.2%、阴性预测值分别为63.7%和64.2%,2项联合预测的准确性(69.9%)和阳性预测值(79.3%)提高(P<0.05);经ROC曲线分析,PAMG-1、fFN预测孕妇发生自发性早产的曲线下面积分别为0.680和0.679,灵敏度分别为52.3%、55.5%,特异度分别为83.6%、79.7%,2项联合预测的曲线下面积为0.699,灵敏度53.9%、特异度85.9%。结论:PAMG-1、fFN可作为孕妇发生自发生性早产的预测指标,且2项联合可提高预测效能。 展开更多
关键词 自发性早产 宫颈分泌物 胎盘α1-微球蛋白 胎儿纤维连接蛋白 预测价值
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《1857—1858年经济学手稿》中的世界历史思想
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作者 唐洪玉 《西部学刊》 2024年第18期29-32,共4页
《1857—1858年经济学手稿》是马克思思想发展史上承上启下的著作,蕴含其中的世界历史思想在当代仍闪耀着思想光辉。马克思在其中深入论述了历史向世界历史转变的内在机制,资本的生产、消费、流通三个环节是历史向世界历史转变的终极根... 《1857—1858年经济学手稿》是马克思思想发展史上承上启下的著作,蕴含其中的世界历史思想在当代仍闪耀着思想光辉。马克思在其中深入论述了历史向世界历史转变的内在机制,资本的生产、消费、流通三个环节是历史向世界历史转变的终极根源,而资本形成的历史前提是劳动与所有权的分离。同时,马克思科学地论述了历史成为真正的世界历史的内在逻辑,将资本主导下的世界历史作为通向未来共产主义的过渡阶段,全面阐述了资本内在矛盾激化,即劳资关系的恶化造成了经济危机爆发,资本主义时代的世界历史将某一国家或地域的经济危机成倍扩大成全球性的灾难,进而为真正的世界历史——共产主义的实现提供了现实的可能性。 展开更多
关键词 《1857—1858年经济学手稿》 世界历史 劳动 资本 共产主义
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我国劳动保障监察体制改革发展与未来展望
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作者 陆传英 《中国人事科学》 2024年第3期82-91,共10页
劳动保障监察是贯彻落实劳动保障法律法规的重要保证,健全劳动保障监察体制,是做好劳动保障监察工作的关键。以劳动保障监察工作的重要节点为依据,可将劳动保障监察体制发展划分为初步建立、恢复发展、建立健全、规范发展、改革完善五... 劳动保障监察是贯彻落实劳动保障法律法规的重要保证,健全劳动保障监察体制,是做好劳动保障监察工作的关键。以劳动保障监察工作的重要节点为依据,可将劳动保障监察体制发展划分为初步建立、恢复发展、建立健全、规范发展、改革完善五个阶段,每一阶段都包括了制度建设、职能配置、监察机构、队伍建设四个方面的内容。经过多年的发展,我国建立健全了劳动保障监察制度体系和组织体系,创新了劳动保障监察执法机制,提升了执法效能,切实维护了劳动者合法权益。面对新形势的要求,未来劳动保障监察体制要继续改革完善劳动保障监察制度体系,强化劳动保障监察职能,加强劳动保障监察机构建设,完善劳动保障监察长效机制,规范劳动保障监察队伍管理。 展开更多
关键词 劳动保障监察 监察体制 发展历程 劳动者权益
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妊娠期高血压与不同早产亚型之间的关联性研究
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作者 王洋 《黑龙江医学》 2024年第19期2319-2322,共4页
目的:探讨妊娠期高血压(HDP)与不同早产亚型之间的关联性。方法:选取2020年1月—2022年12月开封市妇产医院行产前检查的孕妇作为研究对象,通过问卷调查、医院电子病历系统等得到所有孕妇基本资料、孕期情况,对所有孕妇进行随访,直至妊... 目的:探讨妊娠期高血压(HDP)与不同早产亚型之间的关联性。方法:选取2020年1月—2022年12月开封市妇产医院行产前检查的孕妇作为研究对象,通过问卷调查、医院电子病历系统等得到所有孕妇基本资料、孕期情况,对所有孕妇进行随访,直至妊娠终止或分娩,记录妊娠结局的相关信息,并构建孕妇队列。利用log-binomial回归模型分析HDP与不同早产亚型之间的关联性;多个混杂因素利用倾向性评分校正法构建模型计算调整后的关联性。结果:2020—2022年早产率比较,差异有统计学意义(χ^(2)=13.764,P<0.05);在13 662例孕妇中,HDP发生率为3.86%,早产发生率为7.91%。1 080例早产中,18例为医源性早产,占1.67%;1 062例为自发性早产,占98.33%,其中,29.17%为早产临产,69.17%为未足月胎膜早破;两组孕妇自发性早产发生率比较,差异有统计学意义(χ^(2)=90.131,P<0.05);两组孕妇未足月胎膜早破发生率比较,差异有统计学意义(χ^(2)=167.813,P<0.05);调整混杂因素后结果显示,HDP孕妇发生未足月胎膜早破的风险是未发生HDP孕妇的1.96倍(aRR=6.495,95%CI:3.774~11.178),HDP与早产临产无关联性。结论:HDP可增加未足月胎膜早破发生风险,与医源性早产、早产临产可能无关。因此医护人员应加强HDP孕妇胎膜检测,关注炎症、羊水量等指标变化,防治胎膜破裂引发早产。 展开更多
关键词 妊娠期高血压 自发性早产 早产临产 未足月胎膜早破 医源性早产
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