近年剖宫产率上升的原因剖析

目的剖析近几年来剖宫产率上升的原因及影响因素,探讨降低剖宫产率的对策。方法对我院2004～2008年剖产率及剖宫产指征变化进行回顾性分析。结果剖宫产率呈逐年上升趋势,而阴道助产率呈逐年下降趋势;在剖宫产指征中,社会因素呈明显上升趋势,其他因素依次为胎儿窘迫、相对头盆不称、巨大儿、胎位异常、妊娠并发症及合并症、瘢痕子宫。结论近年来,剖宫产率上升的主要原因为社会因素。

Psychosocial determinants of irritable bowel syndrome

From a pure motor disorder of the bowel,in the past few years,irritable bowel syndrome (IBS) has become a multifactorial disease that implies visceral hypersensitivity,alterations at the level of nervous and humoral communications between the enteric nervous system and the central nervous system,alteration of the gut microflora,an increased intestinal permeability and minimum intestinal inflammation.Psychological and social factors can interfere with the communication between the central and enteric nervous systems,and there is proof that they are involved in the onset of IBS and influence the response to treatment and outcome.There is evidence that abuse history and stressful life events are involved in the onset of functional gastrointestinal disorders.In order to explain clustering of IBS in families,genetic factors and social learning mechanisms have been proposed.The psychological features,such as anxiety,depression as well as the comorbid psychiatric disorders,health beliefs and coping of patients with IBS are discussed in relation to the symptoms and outcome.

Dignity and its related factors among older adults in long-term care facilities:A cross-sectional study

Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in long-term care facilities.Dignity among older adults was measured using the Dignity Scale,and its potential correlates were explored using multiple linear regressions.Results:Results showed that the total score of the Dignity Scale is 151.95±11.75.From high to low,the different factors of dignity among older adults in long-term care facilities were as follows:caring factors(4.83±0.33),social factors(4.73±0.41),psychological factors(4.66±0.71),value factors(4.56±0.53),autonomous factors(4.50±0.57),and physical factors(4.38±0.55).A higher score of the Dignity Scale was associated with higher economic status,fewer chronic diseases,less medication,better daily living ability and long-time lived in cities.Conclusion:Older adults with low economic status,more chronic diseases,and poor daily living ability,taking more medications,or the previous residence in rural areas seem to be most at low-level dignity in long-term care facilities and thus require more attention than their peers.

Dietary and socio-economic factors in relation to Helicobacter pylori re-infection

AIM:To examine if dietary and socio-economic factors contribute to Helicobacter pylori(H pylori)re-infection. METHODS:The population of patients consisted of subjects in whom H pylori infection had been successfully treated in the past.Patients were divided into two groups:Ⅰ-examined group(111 persons with H pylori re-infection)andⅡ-control group(175 persons who had not been re-infected).The respondents were interviewed retrospectively on their dietary habits and socio-economic factors. RESULTS:A statistically significant lower frequency of fermented dairy products(P<0.0001),vegetables (P=0.02),and fruit(P=0.008)consumption was noted among patients with H pylori re-infection as compared to those who had not been re-infected. CONCLUSION:High dietary intake of probiotic bacteria,mainly Lactobacillus,and antioxidants,mainly vitamin C(contained in fruit and vegetables),might decrease the risk of H pylori re-infection.

Association between preoperative high sensitive troponin I levels and cardiovascular events after hip fracture surgery in the elderly

Objective Cardiovascular complications contribute to postoperative morbidity and mortality in elderly hip fracture patients. Limited data are available regarding which preoperative risk factors predict cardiovascular course following hip fracture surgery （HFS）. We used high sensitive troponin I （hs-TnI） assays and clinical parameters to identify preoperative risk factors associated with major adverse cardiac events （MACE） in elderly hip frac^u＇e patients. Method From August 2014 to November 2016, 575 patients with hip fracture were enrolled in a retrospective, single-center registry. A total of 262 of these patients underwent HFS and hs-TnI assays. MACE was defined as postoperative all-cause deaths, heart failure （HF）, new-onset atrial fibrillation （AF）, myocardial infarction （MI） and cardiovascular re-hospitalization that occurred within 90 days postoperative. Results Of 262 HFS patients, MACE developed following HFS in 65 （24.8%）. Patients with MACE were older and had higher rates of renal insufficiency, coronary artery disease, prior HF, low left ventricular ejection fraction and use of beta blockers; higher levels of hs-Tnl and N-terminal pro-brain natriuretic peptide （NT-proBNP） and higher revised cardiac risk index. A preoperative hs-TnI≥ 6.5 ng/L was associated with high risk of postoperative HF, new-onset AF and MACE. In multivariable analysis, pre-operative independent predictors for MACE were age 〉 80 years [adjusted hazard ratio （HR）： 1.79, 95% confident interval （CI）： 1.03-3.13, P = 0.04], left ventricular ejection fraction （LVEF） 〈 50% （adjusted HR： 3.17, 95% CI： 1.47-5.82, P 〈 0.01） and hs-TnI 〉 6.5 ng/L （adjusted HR： 3.75, 95% CI： 2.09~5.17, P 〈 0.01）. Conclusion In elderly patients with hip fracture who undergo HFS, a preoperative assessment of hs-TnI may help the risk refinement of cardiovascular complications.

How People Use Earthquake Information and Its Influence on Household Preparedness in New Zealand

Forty-eight interviews were undertaken with residents in Timaru, Wanganui and Napier, New Zealand, in 2008 to explore how people understand and use information about earthquake hazards and preparedness, and how this process affects actual preparedness. Three main types of information were identified as being utilized by people： passive information （e.g., newspapers, brochures, TV, radio, websites）, interactive information （e.g., community activities, school activities~ and workplace activities）, and experiential information （e.g., experiencing a hazardous event, responding to an event, and working in an organization that deals with hazards）. People tended to either contextualize hazard and preparedness information around any prevailing beliefs they had or form new beliefs on exposure to information. A number of core beliefs were identified as crucial for helping people consider that preparing is important and motivating actual adjustment adoption. Society also has an influence on how people interpret information and form intentions to prepare. People are often influenced by the opinions of others, and as preparing for disasters is not seen as a societal norm, this can cause people not to prepare. Feeling a responsibility for others （e.g., children） appears to be a major driver of preparedness. Other societal factors such as trust, leadership and sense of community also influence interpretation, dissemination and use of hazards and preparedness information. Finally, a number of resource issues can help or hinder preparedness.

Social and Ecological Constraints on Decision Making by Transhumant Pastoralists: A Case Study from the Moroccan Atlas Mountains

Transhumant pastoralism is an important activity in southern Morocco. Migration pattern of transhumant pastoralists can be affected by physical factors (e.g. droughts and diseases) or socioeconomic factors (e.g. schooling options for children and migration costs). We studied the spatio-temporal rangeland usage of the three tribes Ait Mgoun, Ait Zekri, and Ait Toumert in the south-central Atlas region with a two-fold approach. First, we tracked the migration movements of one representative transhumant herd using the Advanced Research and Global Observation Satellite (ARGOS) collars, which record coordinates from satellite signals. Second, we interviewed herders to obtain information about general grazing practices of the respective tribe and to gain more direct information on motivations underlying decisions. For each tribe we observed small-, medium- and large-scale movements. We found that the most important drivers of migration decisions were seasonal fodder availability and weather conditions in combination with herd-specific risk and cost assessment, as well as personal factors. In conclusion, general migration patterns vary in time, both between and within the tribes, but according to a regulatory framework. Moreover, it appears that both the customary rules and its flexible adaptation to physical constraints are generally beneficial in terms of conservation of the arid and semiarid rangeland resources.

Children and adolescents with Down syndrome,physical fitness and physical activity

Children(5-12 years) and adolescents(13-19 years) with Down syndrome(DS) possess a set of health,anatomical,physiological, cognitive,and psycho-social attributes predisposing them to limitations on their physical fitness and physical activity(PA) capacities.The paucity of studies and their conflicting findings prevent a clear understanding and/or substantiation of these limitations.The purpose of this article was to review the measurement,determinants and promotion of physical fitness and PA for youth(i.e.,children and adolescents) with DS. The existing body of research indicates that youth with DS:1) have low cardiovascular and muscular fitness/exercise capacity;2) demonstrate a greater prevalence of overweight and obesity;3) a large proportion do not meet the recommended amount of daily aerobic activity;and 4) their PA likely declines through childhood and into adolescence.Future research should focus on:1) strength testing and training protocols;2) methodologies to determine PA levels;and 3) practical interventions to increase PA.

Prediction of dust fall concentrations in urban atmospheric environment through support vector regression

Support vector regression （SVR） method is a novel type of learning machine algorithms, which is seldom applied to the development of urban atmospheric quality models under multiple socio-economic factors. This study presents four SVR models by selecting linear, radial basis, spline, and polynomial functions as kernels, respectively for the prediction of urban dust fall levels. The inputs of the models are identified as industrial coal consumption, population density, traffic flow coefficient, and shopping density coefficient. The training and testing results show that the SVR model with radial basis kernel performs better than the other three both in the training and testing processes. In addition, a number of scenario analyses reveal that the most suitable parameters （insensitive loss function e, the parameter to reduce the influence of error C, and discrete level or average distribution of parameters σ） are 0.001, 0.5, and 2 000, respectively.

The association of various social capital indicators and physical activity participation among Turkish adolescents

Background: Physical activity participation(PAP) has been proven to improve health and promote optimal growth among adolescents. However,most adolescents do not meet the current physical activity(PA) recommendations in Turkey. The role of the social environment and social factors on PAP is being increasingly recognized. Although social capital(SC) indicators have been examined in high-income countries, there are few studies on developing countries. The aim of this study was to examine the relationship between SC indicators and PAP among Turkish adolescents.Methods: A survey was conducted among 19 high schools in 4 different cities in Turkey in 2016. A total of 506 female and 729 male high school students participated in this study. The dependent variable was overall PAP, which was measured using the short form of the International Physical Activity Questionnaire. The independent variables included self-perceived family, neighborhood, and school SC. Self-rated health and obesity status, measured by body mass index, were other study covariates in multiple binary logistic regression models. Chi-square tests were used to assess the differences between genders.Results: PAP levels were significantly different between males and females. A higher percentage of males reported PAP(77.4%) compared to females(51.0%). Among males, teacher–student interpersonal trust and informal social control were inversely associated with PAP, while high students interpersonal trust was positively associated with increased odds of PAP. For females, students interpersonal trust was inversely associated with PAP.Conclusion: Various SC indicators are associated with PAP for males and females. These associations are different from findings of studies conducted in developed countries. Therefore, health-promotion interventions and policies should consider gender and different social agents on the social and cultural background to improve PAP among Turkish adolescents.

Microblog User Recommendation Based on Particle Swarm Optimization

Considering that there exists a strong similarity between behaviors of users and intelligence of swarm of agents,in this paper we propose a novel user recommendation strategy based on particle swarm optimization(PSO)for Microblog network. Specifically,a PSO-based algorithm is developed to learn the user influence,where not only the number of followers is incorporated,but also the interactions among users(e.g.,forwarding and commenting on other users' tweets). Three social factors,the influence and the activity of the target user,together with the coherence between users,are fused to improve the performance of proposed recommendation strategy. Experimental results show that,compared to the well-known Page Rank-based algorithm,the proposed strategy performs much better in terms of precision and recall and it can effectively avoid a biased result caused by celebrity effect and zombie fans effect.

Smallholder Pigs Production Systems in Tanzania

Pig production is becoming increasingly important in Mbozi and Mbeya rural districts to characterise smallholder pig Eastern Africa in recent years. Two studies were carried out in production systems and associated pig management practises. A participatory rural appraisal （PRA）, involving 279 pigs-keeping households in nine villages and a cross sectional survey using a random sample of 300 pig farmers in 30 villages of the study districts, were used to collect data. Important economic activities were crop farming, livestock keeping, petty business, casual labour and artisan works in that order. The mean farm size and number of pigs per household was 2 ± 2.7 ha and 4.9 ±4.2 pigs, respectively. The largest categories of pig herd structure were breeding females followed by piglets. Age, marital status, household size and land size of household head had significant influence on the pig herd size （P 〈 0.05）. Pig farmers practised three main types of pig management systems, namely, total confinement, semi confinement and free range/herding. Each system had specific management practices in relation to feeding and housing. The frequencies of these systems varied significantly （P 〈 0.01） by socio-economic factors, such as, educational status of household head, land size and herd sizes of pigs, goats and cattle. The authors recommend effective use of locally available resources and careful consideration of existing farming systems for sustainable development of smallholder pig production.

Critical Success Factors for Executive Information Systems： A Case of Kenyan Organizations

In recent years, a number of organisations have implemented Executive Information Systems （EIS） including Computer-Based Information Systems （CBIS） in order to improve the performance of their executives＇ jobs though the majority of executives are unwilling to use EIS applications because of their design defects. Present researches on Executive Information Systems （EIS） are limited and less focused on the factors associated with EIS successful usage. This research adopts an extension of the Technology Acceptance Model （TAM） to derive useful variables to address the problem of the low usage of EIS by executives due to social factors, habits and facilitation conditions variables in Triandis＇ Framework. It reports on the adoption and usage of EIS by the executives in Organizations. The results show that experience in EIS usage was high with most respondents having used EIS for between 0 to 4 years （72.41%）, followed by the 5-9 years group with 25.86%. However, in terms of ability to use EIS, most executives were at the expert （knowledgeable）, casual user with 37.93%, followed by novice frequent user group with 31.03%. From this research, the authors propose a model that incorporates the habits, social factors and facilitating conditions in an Executive Information Systems.

Freedoms and Restrictions of Translator＇s Subjectivity in Literary Translation

With the translation studies leaning to target-language, the translator＇s subjectivity has been paid more and more attention by translation scholars. It is noticed gradually that translation is actually a dynamic and complex process, during which the translator, acting as a reader of the source text and also a writer of the target text, will unavoidably add something subjective in his or her translation. Since literary translation is interwoven with more cultural and social elements, the translator has to make a choice between loyalty and violation, getting freedom and being restricted when he or she confronts with all the clashes and conflicts between the source language culture and the target language culture.

Notes on the Semantic Clash Caused by Individual Background, a Survey on Translation Materials in Qing Dynasty

Influenced by translator＇s individual background, semantic clash is inevitable during the process of code-switching from source language to target language. This re-correspondence in semantic level has been well-shown not only in the translation of literature works, but in those of dictionary and glossary translations as well. Semantic clash, generally, is based on two main factors, one is the inherent difference between languages lying in typology features, the other is the social and culture diversity factors lying in the translator＇s personal background. According to actual translation works, social and culture factors of individual background take the dominant position unconsciously over other features in the process of code-switching. The present paper, branches the latter factor into certain categories, by analyzing bilingual dictionaries and glossaries cases in the 18th century, Qing Dynasty, and indicates that the conceptual lagging, religion beliefs, living environment and political stand embedded in individual background will somehow result in semantic clash, which will lead the relevant research to pay more attention on cross-cultural literature translation.

Social Network Impacts on Stock Market： An Experimental View

In this paper, the authors present a method to construct a simulation experiment system which used to prove how social network affects the stock market. The authors construct a model considered of three main stock market effect factors： cognitive factors, social factors and economic factors. In the simulation system, free-scale social network is generated for information relations among investors in stock market. The authors simulate the organization information propaganda processes and generate stock related news. The generated news contains economy factors and sudden events. Stockholders cooperate with the related stockholders in their social network, and make stock exchange decision based on this news and their cognitive understanding of this news. Simulation results shows that the social network news propaganda effect stock prices. If social network in stock market have circles, the news affection will be amplified.

Association between body mass index and erosive esophagitis:A meta-analysis

AIM:To conduct a meta-analysis to estimate the determinants of the association between erosive esophagitis (EE)and body mass index(BMI). METHODS:We identified the studies using PubMed. Studies were selected for analysis based on certain inclusion and exclusion criteria.Data were extracted from each study on the basis of predefined items.Metaanalyses were performed to verify the risk factors,such as obesity and gender. RESULTS:Twenty-one studies were included in this systematic review.These studies demonstrated an association between increasing BMI and the presence of EE[95%confidence interval(CI):1.35-1.88,overweight,odds ratio(OR)=1.60,P value homogeneity =0.003,95%CI:1.65-2.55,obese,OR=2.05,P< 0.01].The heterogeneity disappeared by stratifying for gender.No publication bias was observed in this metaanalysis by the Egger method. CONCLUSION:This analysis demonstrates a positive association between BMI and the presence of EE,especially in males.The risk seems to progressively increase with increasing weight.

Sexual Ethics; A Need Indeed, Buddhist Ethics as a Model

According to Psychological theories of motivation, sexuality is a biological need which urges to satisfy sexual desire. Though it is not essential for the survival of an individual, it plays a major role in the growth, development, adjustment and well-being. Therefore, sexuality is a common aspect in the existence and it should not be neglected. However, in many religious ethical issues, sexuality had been treated negatively and identified as a barrier for an advanced spiritual life. Even in tribal societies there were some sexual taboos that controlled man＇s sexual behavior to some extent. Among religious ethical codes, one may find that it had been placed an important position for controlling or completely eliminating sexual behaviors. In modem world, what is evident is that this so called sexual need has been used for many commercial and marketing purposes. Even in advertising field, sexual desire of man is used as a mean of attracting public. Phonograph has become a very profitable illegal professional today. Sexual medicines, drugs and tools are available everywhere in the society. Though sexual education had been included into the curriculum in schools and higher education institutions, the awareness of sexuality among people seems to be in a low level. While biologically man is compelled to fulfill sexual desire internally, it is motivated externally by many social factors. So that not only misconceptions of sexuality, but also misbehaviors of sexuality can be observed in the society today. By examining these current situations of man＇s sexual behaviors, there is a big need to formulate a sexual ethical code--a code of law with the help of religious teachings. Otherwise these various sexual behaviors may create more and more social and world problems. In this paper, my aim is to examine Buddhist ethics in order to formulate a sexual ethical code.

Research on the Influence Factors of Left-behind Children Happines

the left-behind children is appeared in our city in the process, there are many factors that influence the well-being, in this paper I conducted about the influence of left-behind children happiness questionnaire, focuses on the analysis of the influence factors from three aspects of environmental factors, personality factors and social factors. Based on the analys：is results, put forward and strengthen left-behind chi]dren well-being measures.

Social Causes of Arab Youth Radicalizing

The purpose of this study was to examine the impact of macro social factors （states, religion, region, Arab spring, terrorism, unrest （Shoe index）, democracy, corruption （GPI）, Human development （HDI）, low self-control, life stress events （LSE）, youth unemployment, religiosity, feeling （fear and anger）, youth unemployment and total unemployment） on Arab youth＇s radicalization. A sample of 6,730 Arab youth age 15-24 years was selected from Kuwait, UAE, KSA, Oman, Qatar, Bahrain, Jordan, Tunisia, Libya, Morocco, Lebanon, Egypt, Gaza and Palestine and Syrian refuges in Jordan. A questionnaire of 43 items to measure radicalization was developed based on the literature review. A construct validity of the scale was estimated by calculating the correlation between radicalization scale and Low self-control scale and found a positive significant relationship （0.680, a = 0.000）, a sign of validity of the scale. A Reliability of the scale is strong and was estimated by Cronbach＇s alpha and was 0.947. An average of 46.6% of the participants was categorized as radicals with standard deviation of 12. Macro social factors explained 64% of the variance on radicalization. It has a significant impact on radicalization （F = 807.6, a = 0.000）. Each single variable has a significant impact. The analysis revealed three groups of macro determinants of youth radicalization were identified： （1） Geographic factors： state, region, and Arab spring; （2） Social factors： religion, religiously, feelings, LSE and LSC; （3） Human security： unrest, terrorism, democracy, corruption, human development, youth unemployment and employment rate. To alleviate the consequences of radicalization, prevention policies should take in account youth concerns as partners and victims of radicalization. Policies need to focus on radicalization pull and push factors on micro-meso-macro level.