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A consumer advocate, two childbirth educators, and a certified nurse-midwife each provide commentary on the effectiveness of and potential uses for the Evidence Basis for the Ten Steps of Mother-Friendly Care.  相似文献   
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In this column, the author presents summaries of four research studies that further support the benefits of normal birth. The topics of the studies address cord clamping of term infants, the association of multiple cesareans and placental abnormalities, induction of labor at 41 weeks, and the World Health Organization's recently released pediatric growth charts.  相似文献   
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Negation recognition in medical narrative reports   总被引:1,自引:0,他引:1  
Substantial medical data, such as discharge summaries and operative reports are stored in electronic textual form. Databases containing free-text clinical narratives reports often need to be retrieved to find relevant information for clinical and research purposes. The context of negation, a negative finding, is of special importance, since many of the most frequently described findings are such. When searching free-text narratives for patients with a certain medical condition, if negation is not taken into account, many of the documents retrieved will be irrelevant. Hence, negation is a major source of poor precision in medical information retrieval systems. Previous research has shown that negated findings may be difficult to identify if the words implying negations (negation signals) are more than a few words away from them. We present a new pattern learning method for automatic identification of negative context in clinical narratives reports. We compare the new algorithm to previous methods proposed for the same task, and show its advantages: accuracy improvement compared to other machine learning methods, and much faster than manual knowledge engineering techniques with matching accuracy. The new algorithm can be applied also to further context identification and information extraction tasks.
Lior RokachEmail:
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In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses a new study that demonstrates the “First, do no harm” principle in a different way. New research on the potentially harmful effects of intravenous lines demonstrates that refraining from routine interventions in labor protects the safety of women and babies. A new systematic review of movement and position changes in labor shows that eliminating unfounded restrictions also protects maternal and infant health and well-being. Finally, a study of patterns of use of neonatal intensive care units reveals how the organization of the maternity care system itself can affect the health outcomes of its beneficiaries.  相似文献   
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Questions about identity and future success often occupy the thinking of individuals during life transitions. Possible-selves theory describes how future-oriented thought provides identity-relevant information and motivation to pursue self-relevant goals. Expected and feared possible selves of beginning teachers (n = 221) were analyzed revealing four main categories (i.e., interpersonal relationships, classroom management, instruction, and professionalism). Differences between student and beginning inservice teachers suggest a transitional trajectory that could have implications for understanding the “how” of teacher identity development. Possible-selves theory may help bring a degree of unity across divergent frameworks and help link identity to broader issues of teacher development.  相似文献   
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In this column, the author presents summaries of four research studies that further illuminate the physiology and benefits of normal birth. The topics of the studies are home birth, upright positions during the second stage of labor, delayed pushing in women using epidural analgesia, and the effect of exposure to familiar odors on newborns.  相似文献   
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