目的调查临沂市GDM患病率,并对GDM相关危险因素进行分析,为GDM临床管理提供参考资料。方法采用2010年国际糖尿病与妊娠研究组（IADPSG）制定的GDM诊断标准,对2014年1～6月于我院进行产前检查的孕妇1861名,于妊娠24～28周行75 g OGTT,并...目的调查临沂市GDM患病率,并对GDM相关危险因素进行分析,为GDM临床管理提供参考资料。方法采用2010年国际糖尿病与妊娠研究组（IADPSG）制定的GDM诊断标准,对2014年1～6月于我院进行产前检查的孕妇1861名,于妊娠24～28周行75 g OGTT,并分析年龄、孕前BMI、OGTT时BMI、孕期BMI增加值、糖尿病家族史等因素与GDM的关系。结果按照IADPSG标准,筛查出GDM患者（GDM组）406例,患病率为21.82%（406/1861）及糖耐量正常妊娠（GNGT）组1455名。两组年龄、孕次、产次、糖尿病家族史、孕前BMI、OGTT时BMI比较,差异有统计学意义（P〈0.05）。Pearson相关分析显示,GDM患病率与年龄、孕次、产次、糖尿病家族史、孕前BMI、OGTT时BMI、OGTT时BMI增量呈正相关（r=0.064、0.201、0.180、0.148、0.086、0.217、0.434,P〈0.05）。Logistic回归分析显示,年龄孕次、产次、糖尿病家族史、孕前BMI、OGTT时BMI、OGTT时BMI增量均是GDM的危险因素（OR=1.040、1.524、1.406、1.578、1.106、2.191、2.515,P〈0.05）。结论临沂市GDM患病率较高,合并高龄、肥胖/超重、糖尿病家族史、孕期体重增加过多等高危因素的孕妇GDM患病率升高,应对其加强管理,尽快予个体化生活方式干预,以减少母婴并发症发生。展开更多
The production-oriented approach （POA） has been developed over a decade. It is driven by the need to improve English classroom instruction for university students in China （Wen, 2016）. It is also motivated by the ...The production-oriented approach （POA） has been developed over a decade. It is driven by the need to improve English classroom instruction for university students in China （Wen, 2016）. It is also motivated by the aspiration to enhance the quality of foreign language education in other similar pedagogical contexts outside China. A volume of research has been done by Wen Qiufang and her research team, to formulate the theory of POA and to test its effectiveness in classroom pedagogy （e.g. Wen, 2016, 2015; Yang, 2015; Zhang, 2015）. At the moment, the POA is still at an early stage of theory building and almost all empirical research is done in the Chinese context. In order to improve the quality of this theory and to make it intelligible to the international academic community, a one-day symposium was held in Beijing Foreign Studies University on May 15, 2017. The symposium was entitled ＇The first international forum on innovative foreign language education in China： Appraisal of the POA＇. In the forum, leading experts in applied linguistics were invited to discuss the strengths and weaknesses of the POA and the directions for its future development. The symposium was the first attempt for the POA research team to discuss its latest work with international scholars. This Viewpoint section collects the responses of four experts who participated in the symposium, listed in alphabetical order. The collection of articles covers three topics related to the POA： its pedagogical application, its use for teacher training, and its research. Alister Cumming is Professor Emeritus and the former Head of the Centre for Educational Research on Languages and Literacies, University of Toronto, Canada. His article focuses primarily on POA research as an exemplary case of design-based research. Rod Ellis is Research Professor in the School of Education at Curtin University, Australia. He discusses POA in terms of pedagogy, teacher training and research, with both critiques and constructive suggestions. Paul Kei Matsuda is Professor of English and Director of Second Language Writing at Arizona State University, the writed states. He responds to POA from the perspective of an expert researcher and teacher of L2 writing. Charlene Polio is Professor and Associate Chair in the Department of Linguistics ＆ Germanic, Slavic, Asian ＆ African Languages atMichigan State University, the writed states. She conceptualises POA as a useful method to address some issues in pre-service teacher development. Overall, the articles in this section are insightful and reader-friendly. They are not only useful for the development of POA in particular, but may also be valuable to a broad range of researchers as they touch upon pertaining issues, as well as emerging topics, in the field of applied linguistics. We therefore find it necessary to make them accessible to a wide readership.展开更多
文摘目的调查临沂市GDM患病率,并对GDM相关危险因素进行分析,为GDM临床管理提供参考资料。方法采用2010年国际糖尿病与妊娠研究组（IADPSG）制定的GDM诊断标准,对2014年1～6月于我院进行产前检查的孕妇1861名,于妊娠24～28周行75 g OGTT,并分析年龄、孕前BMI、OGTT时BMI、孕期BMI增加值、糖尿病家族史等因素与GDM的关系。结果按照IADPSG标准,筛查出GDM患者（GDM组）406例,患病率为21.82%（406/1861）及糖耐量正常妊娠（GNGT）组1455名。两组年龄、孕次、产次、糖尿病家族史、孕前BMI、OGTT时BMI比较,差异有统计学意义（P〈0.05）。Pearson相关分析显示,GDM患病率与年龄、孕次、产次、糖尿病家族史、孕前BMI、OGTT时BMI、OGTT时BMI增量呈正相关（r=0.064、0.201、0.180、0.148、0.086、0.217、0.434,P〈0.05）。Logistic回归分析显示,年龄孕次、产次、糖尿病家族史、孕前BMI、OGTT时BMI、OGTT时BMI增量均是GDM的危险因素（OR=1.040、1.524、1.406、1.578、1.106、2.191、2.515,P〈0.05）。结论临沂市GDM患病率较高,合并高龄、肥胖/超重、糖尿病家族史、孕期体重增加过多等高危因素的孕妇GDM患病率升高,应对其加强管理,尽快予个体化生活方式干预,以减少母婴并发症发生。
文摘The production-oriented approach （POA） has been developed over a decade. It is driven by the need to improve English classroom instruction for university students in China （Wen, 2016）. It is also motivated by the aspiration to enhance the quality of foreign language education in other similar pedagogical contexts outside China. A volume of research has been done by Wen Qiufang and her research team, to formulate the theory of POA and to test its effectiveness in classroom pedagogy （e.g. Wen, 2016, 2015; Yang, 2015; Zhang, 2015）. At the moment, the POA is still at an early stage of theory building and almost all empirical research is done in the Chinese context. In order to improve the quality of this theory and to make it intelligible to the international academic community, a one-day symposium was held in Beijing Foreign Studies University on May 15, 2017. The symposium was entitled ＇The first international forum on innovative foreign language education in China： Appraisal of the POA＇. In the forum, leading experts in applied linguistics were invited to discuss the strengths and weaknesses of the POA and the directions for its future development. The symposium was the first attempt for the POA research team to discuss its latest work with international scholars. This Viewpoint section collects the responses of four experts who participated in the symposium, listed in alphabetical order. The collection of articles covers three topics related to the POA： its pedagogical application, its use for teacher training, and its research. Alister Cumming is Professor Emeritus and the former Head of the Centre for Educational Research on Languages and Literacies, University of Toronto, Canada. His article focuses primarily on POA research as an exemplary case of design-based research. Rod Ellis is Research Professor in the School of Education at Curtin University, Australia. He discusses POA in terms of pedagogy, teacher training and research, with both critiques and constructive suggestions. Paul Kei Matsuda is Professor of English and Director of Second Language Writing at Arizona State University, the writed states. He responds to POA from the perspective of an expert researcher and teacher of L2 writing. Charlene Polio is Professor and Associate Chair in the Department of Linguistics ＆ Germanic, Slavic, Asian ＆ African Languages atMichigan State University, the writed states. She conceptualises POA as a useful method to address some issues in pre-service teacher development. Overall, the articles in this section are insightful and reader-friendly. They are not only useful for the development of POA in particular, but may also be valuable to a broad range of researchers as they touch upon pertaining issues, as well as emerging topics, in the field of applied linguistics. We therefore find it necessary to make them accessible to a wide readership.
