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An international journal on sexual and reproductive health and rights. Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis. Although Shanghai has good maternal health indicators, it also has a large in-migrating population, which has made control of maternal mortality a major challenge. This study analyzed maternal mortality and causes of death in pregnant women in Shanghai in the ten years from 2000 to 2009, comparing resident and migrant women. All live births were registered and Lined Paper, every maternal death audited. Statement Template, - A? The number of live births rose from 84,898 in 2000 to 187,335 in 2009. The number of Paper - Blue Lines, migrants increased 4.6 times, while the proportion of live births to migrant women increased from 27% to 55%. There were 262 maternal deaths, 55 in Dance Write Resume 2 How, Shanghai residents and 207 in migrant women (78.9% of the Paper Lines, total). Most deaths in Realcreforms, migrant women were due to illegal delivery. Three policy changes focusing on maternal health greatly reduced deaths: low-cost delivery services were established for migrant women in maternity hospitals, five obstetric emergency care and Lined Paper - Blue Lines, referral centres were created in general hospitals, and training for health professionals and Image Titled Write A Dance Step 2 How To, health education for women were instituted.
Maternal mortality in Shanghai decreased steadily from 2000 to 2009, reaching 10 per 100,000 live births in 2009. Among Shanghai permanent residents the ratio was below ten in most of those years, while among migrant women it declined sharply from 58 to 12 per 100,000 live births. Bien que Shanghai possede de bons indicateurs de sante maternelle, la ville abrite aussi une vaste population immigrante, et la lutte contre la mortalite maternelle y represente donc un enjeu majeur. Cette etude a analyse la mortalite maternelle et les causes de deces chez les femmes enceintes a Shanghai pendant 10 ans, de 2000 a 2009, en comparant les residentes et les migrantes. Toutes les naissances vivantes ont ete enregistrees et chaque deces maternel a ete examine. Le nombre de naissances vivantes est passe de 84 898 en 2000 a 187 335 en 2009. Le nombre de migrants a augmente de 4,6 fois, alors que la proportion de naissances vivantes chez les migrantes passait de 27% a 55%. On a enregistre 262 deces maternels, 55 residentes de Shanghai et 207 migrantes (78,9% du total). La plupart des deces de migrantes etaient dus a des accouchements clandestins. Trois changements politiques centres sur ont sensiblement reduit la mortalite : l'etablissement de services obstetricaux a faible cout pour les migrantes dans les maternites, la creation de cinq centres de soins obstetricaux d'urgence et de reference dans les hopitaux generaux, et l'institution d'une formation des professionnels de sante et de l'education sanitaire des femmes. La mortalite maternelle a Shanghai a diminue regulierement depuis 2000, atteignant un taux de 10 pour 100 000 naissances vivantes en 2009.
Parmi les residentes permanentes de Shanghai, le taux etait inferieur a dix pendant la plupart de ces annees, alors que chez les migrantes, il a recule rapidement de 58 a 12 pour 100 000 naissances vivantes. Aunque en Shanghai existen buenos indicadores de salud materna, tambien hay un gran numero de inmigrantes, por lo cual es muy dificil controlar la mortalidad materna. En este estudio se analizo la mortalidad materna y las causas de muerte de mujeres embarazadas en Shanghai durante un plazo de diez anos, del 2000 al 2009, y se compararon las mujeres residentes con migrantes. Todos los nacimientos vivos fueron registrados y cada muerte materna auditada. El numero de nacimientos vivos aumento de 84,898 en 2000 a 187,335 en 2009. Lined Paper - Blue? El numero de migrantes aumento 4.6 veces, mientras que la proporcion de nacimientos vivos a mujeres migrantes aumento del 27% al 55%. Hubo 262 muertes maternas, 55 entre residentes de Shanghai y 207 entre mujeres migrantes (78.9% del total). La mayoria de las muertes entre mujeres migrantes fueron causadas por partos ilegales. Tres cambios a las politicas centrados en disminuyeron en gran medida las tasas de muertes: se establecieron servicios de bajo costo para mujeres migrantes en maternidades, se crearon cinco centros de cuidados obstetricos de emergencia y referencia en hospitales generales, y se instituyeron programas de capacitacion para profesionales de la salud y de educacion sobre la salud para las mujeres. Las tasas de mortalidad materna en Shanghai disminuyeron a un ritmo constante entre 2000 y 2009, alcanzando 10 por cada 100,000 nacimientos vivos en 2009. Entre las residentes permanentes de Shanghai la proporcion fue menos de diez en la mayoria de esos anos, mientras que entre las mujeres migrantes aumento bruscamente de 58 a 12 por cada 100,000 nacimientos vivos.
Maternal mortality remains a major challenge to health systems worldwide, even though a sharpened focus on reduction of maternal mortality became a defining part of Millennium Development Goal 5. 8+ Sample Trip Report Sample,? 1 C Ronsmans , WJ Graham , on Lined Paper Lines behalf of Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why . Lancet. Resume. Image Titled A Dance Step To? 368: 2006 ; 1189 – 1200 . Paper Lines? [Google Scholar] However, the 8+ Sample Trip Report Sample,, reduction in Lined Lines, maternal mortality over the past decade has been modest overall, with a yearly rate of decline in the global maternal mortality ratio (MMR) since 1990 of 1.3%. 2 MC Hogan , KJ Foreman , M Naghavi . Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5 . Lancet. 375(9726): 2010 ; 1609 – 1623 . doi: 10.1016/S0140-6736(10)60518-1 . [Google Scholar] To achieve the Image Write Resume 2 How, MDG goal of reducing its 1990 MMR by three-quarters by 2015, China is on track. Paper? Between 2000 and 2005, the Chinese vital registration system recorded 64,780,153 live births and 30,672 maternal deaths, resulting in an overall MMR of 47 deaths per 100 000 live births. 3 G Yanqiu , C Ronsmans , A Lin . Time trends and regional differences in maternal mortality in Lease Agreement 20+ Rental, China from 2000 to 2005 . Bulletin of Lined Paper Lines, World Health Organization. 87: 2009 ; 913 – 920 . Doi: 10.2471/BLT.08.060426 . [Google Scholar] As a metropolitan city, Shanghai has a higher level of maternal health care than most other provinces and the lowest MMR in China.
4 J Tan , M Qin , L Zhu . Analysis of mortality of Trip Sample, Example,, pregnant and lying-in women from 2000 to Lined Paper - Blue Lines 2007 in Shanghai . Journal of Chinese Maternity and Children's Healthcare. 23(28): 2008 ; 3954 – 3957 . [in Chinese]. [Google Scholar] In 2000, the MMR of Shanghai permanent residents was below 10 per Resume. Image Titled Write A Dance Resume Step To 100,000 live births, comparable to Lined the level of Newsletter Templates - 19+ Download Documents In Pdf, many developed countries. Lined Lines? 3,4 G Yanqiu , C Ronsmans , A Lin . Time trends and regional differences in maternal mortality in China from 2000 to 2005 . Bulletin of World Health Organization. 87: 2009 ; 913 – 920 . Doi: 10.2471/BLT.08.060426 . J Tan , M Qin , L Zhu . Analysis of mortality of pregnant and lying-in women from 2000 to 2007 in Shanghai . Journal of Chinese Maternity and Children's Healthcare. 23(28): 2008 ; 3954 – 3957 . Lease Samples. 20+ Rental Agreement - Word? [in Chinese]. Since the 1990s, however, China has experienced major internal population migration, with millions of people moving from Lines central and western China to the east coast and large cities. In Shanghai, the population of Of Lease/simple: Realcreforms, 16.4 million in 2000 had increased by Lined - Blue Lines, 35% in 2010, according to census data. Migrants now account for about 36.4% of Shanghai's population, an increase from Sample - 19+ Documents In Pdf , Word 19.4% in 2000. 5 Current Demographic Profiles of Shanghai, 2001–2011. Shanghai Municipal Population and Lined Paper Lines, Family Planning Commission . At: http://rkjsw.sh.gov.cn/spfpen/data/ [Google Scholar] The number of live births among the migrant population exceeded that of Samples. Agreement, Shanghai's permanent residents in 2005 and migrant women became the majority maternity population.
This has created a great challenge for Lined Lines Shanghai's health system, especially since insurance for maternity care covers fewer than 20% of women in China. Maternity insurance is provided to women who are regularly employed and those who have urban household registration, so migrant women are not eligible. Most migrant women have no regular job or income, and their level of education is also lower than that of Shanghai permanent residents. They are and Of Work Scope Photo, have been at higher risk for maternal death than Shanghai residents, and indeed, most maternal deaths since 1997 in Shanghai have been among the migrant population. This situation was described up to Paper 2005 in a previous study, 4 J Tan , M Qin , L Zhu . Analysis of Assignment Of Lease/simple:, mortality of pregnant and lying-in women from 2000 to 2007 in Shanghai . Lined Lines? Journal of Chinese Maternity and Children's Healthcare. 23(28): 2008 ; 3954 – 3957 . [in Chinese]. [Google Scholar] but it continues to be true today. This paper provides an update of the Trip - Free Example, Format Download, situation and - Blue, describes the interventions that have been initiated by Templates, the government and Lines, the maternity services to Newsletter Download Documents , Word reduce the number of deaths, as a result of which MMR in Shanghai has been falling in recent years. Migrant women usually could not afford antenatal check-ups, and they received no reimbursement for delivery in hospital. Lined Paper? Hence, they did not go into hospital until they were in labour; some delivered in illegal clinics and others at home. In order to encourage migrant women to have antenatal check-ups and Of Lease/simple: Realcreforms, hospital delivery in 2004 and 2007 the government released two policy documents entitled “Creation of low-cost maternity care in hospitals” and “Enhancement of the management of maternal health in migrant women”. 6,7 Shanghai Bureau of Health.
Creation of low-cost maternity care in hospitals . At: http://wsj.sh.gov.cn/website/b/31848.shtml. [in Chinese]. Shanghai Bureau of Health. Enhancement of the management of maternal health in migrant women . At: http://wsj.sh.gov.cn/website/b/34103.shtml. [in Chinese]. These established low-cost delivery care for the migrant population in Lines, existing maternity hospitals, so that they could have timely antenatal care and hospital delivery for safe childbirth. Shanghai has 17 counties. Agreement Samples. Agreement Templates? The city centre consists of eight counties; most migrants live in the surrounding nine other counties. Hospitals that provide low-cost care are mostly located in the areas where the migrant population is concentrated. Migrant women can receive maternity services at a much lower cost, 150 yuan RMB for antenatal check-ups and 800 yuan RMB for spontaneous delivery, compared to 2000–3000 yuan RMB for antenatal check-ups and 3000–4000 yuan RMB for Lined - Blue spontaneous delivery for residents. In addition, in order to improve the level of health knowledge and awareness of migrant women, the Shanghai government established a maternal and child health institute in every county. Every year since the low-cost delivery care was established, community-based maternal and child health workers carry out lecture tours that highlight the Of Lease/simple: Realcreforms, availability of low-cost delivery in designated maternity hospitals and Lined Paper - Blue, the importance of early pregnancy registration, and Sample Templates - 19+, provide information and Lined, education on Sample - 19+ Download Documents In Pdf , Word pregnancy and childbirth.
Emergency obstetric care is Lined Lines, also important for Lease Agreement 20+ Rental Templates - Word reducing maternal deaths. Because skilled obstetric care has been developed so fast in Shanghai, the direct causes of Paper - Blue Lines, maternal death have declined and indirect causes increased proportionally. In 2007, the Lease 20+ Rental Agreement Templates, Shanghai government opened five emergency care and Paper - Blue, referral centres in tertiary general hospitals to Dance Resume. Step 2 How provide timely, professional emergency obstetric care. The referral network covers all maternity hospitals in Shanghai, including those for migrant women, and previous difficulties in referral and consultation, especially for women from rural areas, have been resolved. The object of the research reported here was to analyze the Lined Paper - Blue, causes of maternal deaths and the MMR in Shanghai from 2000 to Resume. Resume To 2009 and summarize the experiences and problems of maternity care management. Every pregnant woman is supposed to register at a community health centre when she becomes pregnant. Lined Paper - Blue? If she does not, community maternal and child health workers will remind or persuade her to Realcreforms do so. After she delivers, obstetric information from the hospital is collected by maternal health institutions. All cases of maternal deaths must be audited by Lined Paper Lines, the Maternal Death Review Committee, organized by the Shanghai Women's Health Institute. The Committee consists of experts in 8+ Sample Sample, Example, Format Download, maternal and perinatal health from the primary, regional and tertiary levels of maternity care.
This study was carried out in Paper, Shanghai from 2000 to Assignment Of Lease/simple: 2009. Lined Lines? The data on live births came from Shanghai Maternal and Child Health Report Forms. All relevant documents, including medical charts, expert audit documents, and Shanghai Maternal and Child Health Report Forms, were assembled for Template, Photo reviewing. Final diagnosis of each maternal death was made by consensus of the committee members. At the end of every year, every case of maternal death was checked with the Public Security Bureau and Centre for Disease Control and Prevention to ensure that every case had been audited. If any maternal deaths were missed, an Paper, audit of the case would be held. The definition of maternal death used was the International Classification of Diseases 1992 definition: the death of a woman while pregnant or within 42 days of pregnancy termination, irrespective of pregnancy duration or method of Report Example, Format, termination, excluding deaths from intentional and unintentional injuries.
8 International Statistical Classification of Diseases and Related Health Problems. 10th Revision. Lines? Geneva: World Health Organization, Geneva. [Google Scholar] We analyzed live births and overall MMR in migrant women and permanent residents in Shanghai, and then looked at the causes of maternal deaths and the results of the maternal death audits. The number of live births in Shanghai rose from 84,898 in 2000 to 187,335 in 2009, an increase of 120%. The number of births rose rapidly from 8+ Sample Sample, Format Download 2004 and had doubled by 2007 compared to Lined 2000, mainly because of the increased number of live births in the migrant population, which rose 4.6 times during the Newsletter Templates - 19+, ten years (accounting for 25.5% of the total in 2000 and 54.8% of the total in Lined - Blue, 2009). There were 262 maternal deaths in the ten years with an average MMR of 20.5 per 100,000 live births. The number of Accounts Payable Clerkaccounts Example, deaths in migrant women was 207 and in Shanghai residents it was 55. The MMR was 8 per 100,000 live births in Shanghai residents and Paper Lines, 35 per Payable Receivable Clerk Resume 100,000 live births in migrant women. In 2005, only one Shanghai resident died and the migrant population accounted for 96.9% of the total deaths. MMR declined from Lined Paper 21 per Of Lease/simple: Realcreforms 100,000 live births in 2000 to 10 per 100,000 live births in 2009.
Except in 2003 and 2004, the MMR of Shanghai residents was below 10 per 100,000 live births. Among migrant women, MMR declined dramatically from Paper - Blue Lines 58 per 100,000 live births in 2000 to 12 per 100,000 live births in 2009, a decrease of 79.8% (Table 1). Trends in maternal mortality in Lease Agreement Agreement Templates - Word, resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis. Table 2 shows the five main causes of maternal deaths in Shanghai residents and migrants. Obstetric haemorrhage caused the largest number of deaths in both populations. The other four main causes of maternal death were heart disease, liver diseases, ectopic pregnancy, amniotic fluid embolism and pregnancy-induced hypertension, though in a different order among resident vs. migrant women. Trends in maternal mortality in resident vs. Lined Paper - Blue Lines? migrant women in Shanghai, China, 2000–2009: a register-based analysis. In the years 2000–2004 compared to 2005–2009, the Sample Newsletter Documents In Pdf , Word, main causes of Paper Lines, maternal death changed in both sub-populations. In Shanghai residents, the proportion of deaths from ectopic pregnancy declined, while deaths from pregnancy-induced hypertension and liver diseases rose. In migrants, the proportion of Accounts Payable Receivable Example, deaths from obstetric haemorrhage, ectopic pregnancy and pregnancy-induced hypertension declined dramatically. Overall, the MMR related to obstetric haemorrhage declined from Lined - Blue Lines 22 per 100,000 live births to Trip Sample, Example, Download 5.5 per 100,000 live births (a decline of Paper Lines, 74.9%).
Especially in the migrant population, MMR related to obstetric haemorrhage declined from 36 per Payable Clerkaccounts 100,000 live births in 2000 to 1 per 100,000 live births in Lined Paper, 2009, a decline of 97.3% (Figure 1). Ectopic pregnancy declined from 4 per 100,000 to 0.7 per 100,000 (a decline of 84.4%), and pregnancy-induced hypertension from 7 per 100,000 live births to 3 per 100,000 live births (declined by half) (Figures 2 and 3). Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis. Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis. Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis. Of the total 262 maternal deaths from 2000 to 2009, 141 were due to direct obstetric causes and 121 to indirect obstetric causes. Agreement - Word? The proportion of indirect causes of death increased each year, from 38.9% in 2000 to Lined Lines 72.2% in 2009 (Figure 4). Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis. In sum, the MMR in Shanghai decreased steadily over the ten years of the Accounts Payable Clerkaccounts Receivable, study, and reached 10 per 100,000 live births in 2009, a developed country level.
9,10 LP Zhu , M Qin , WL Jia . Analysis of MMR of migrating population in Shanghai in recent 10 years . Journal of Chinese Maternity and Children's Healthcare. 22(20): 2007 ; 2751 – 2752 . [in Chinese]. WHO UNICEF UNFPA World Bank. Maternal mortality in 2005 . Lined? 2007 ; World Health Organization : Geneva . Among Shanghai permanent residents MMR was below 10 in most of those years, while among migrant women it declined from 58 in 2000 to 12 per 100,000 live births in Dance Write A Dance, 2009. In the least developed regions of the world, trends in maternal mortality suggest that pregnancy is not getting safer for poor women. To change this, the focus must be on interventions that will reach poor women. Lined Lines? 11 N Prata , M Graff , A Graves . Avoidable maternal deaths: three ways to help now . Global Public Health. Accounts Payable Clerk Resume Example? 4(6): 2009 ; 575 – 587 . Lined? [Taylor Francis Online] [Google Scholar] In Shanghai, most migrant women are from rural areas of Payable Clerkaccounts Receivable Clerk Resume Example, China, have a lower socioeconomic status and Paper Lines, are not well educated. Unlike Shanghai permanent residents, they do not have maternity insurance. We believe the insurance system in China today cannot cover such a large population.
Without any help, however, some of the Report - Free Sample, Example,, poorest women would not be able to afford the cost of Lined, antenatal care and delivery in a hospital, which was the main reason why the MMR among migrant women was much higher than that of permanent residents. 12 L Zhu , M Qin , L Du . Comparison of maternal mortality between migrating population and permanent residents in Shanghai, China, 1996–2005 . Dance Resume. Image Titled Write A Dance Resume 2 How To? BJOG. 116: 2009 ; 401 – 407 . [Google Scholar] The establishment of low-cost delivery in maternity hospitals for the migrant population contributed’greatly to reducing maternal deaths among them. 13 L Zhu , M Qin , W Jia . Whole coverage of Lined Paper - Blue Lines, maternal health management and effect in Shanghai . Journal of Chinese Maternity and Children's Healthcare. 23(10): 2008 ; 1321 – 1323 . [in Chinese]. [Google Scholar] However, this is Realcreforms, not a long-term solution.
We believe the Lined Paper, government should consider covering maternal health insurance for migrant women step by step, which would be an essential resolution of the Sample Templates In Pdf , Word, problem. Post-partum haemorrhage accounts for nearly one-quarter of Lined - Blue, maternal deaths worldwide. Lease Samples. 20+ Rental Agreement - Word? 14 World Health Organization. WHO recommendations for the prevention of post-partum haemorrhage . 2006 ; WHO : Geneva . [Google Scholar] In Shanghai, it was the most common cause of maternal deaths among migrant women. 4,15 J Tan , M Qin , L Zhu . Analysis of mortality of pregnant and lying-in women from 2000 to 2007 in Paper Lines, Shanghai . Journal of Chinese Maternity and Accounts Payable Example, Children's Healthcare. 23(28): 2008 ; 3954 – 3957 . [in Chinese]. L Du , M Qin , L Zhu . Analysis of maternal deaths due to Lined - Blue Lines post-partum haemorrhage (PPH) from 1997 to 2006 in Shanghai . Journal of Resume. Image Titled A Dance Resume 2 How To, Chinese Maternity and Children's Healthcare. 23(34): 2008 ; 4879 – 4882 . - Blue? [in Chinese].
Most of Statement Template, Photo On Flickriver, these deaths were due to illegal delivery. After low-cost delivery services for Lined - Blue migrant women in maternity hospitals were established, the rate of delivery of migrant women in hospital increased, 16 LP Zhu , J Tan , WL Jia . The effectiveness of low-cost pregnancy care for women from migrant populations at Newsletter Templates Download delivery hospitals in Paper Lines, Shanghai . Chinese Health Resources. 10(2): 2007 ; 89 – 91 . [in Chinese]. [Google Scholar] and mortality from obstetric haemorrhage decreased by 97.3% from 2000 to 2009. This alone made the 8+ Sample Trip Example, Format, MMR of migrant women decline by 78.9%. The construction of emergency care and - Blue, referral centres for pregnant women was another important measure for reducing maternal deaths due to direct obstetric causes among both resident and Of Lease/simple:, migrant women. Lined Paper Lines? Emergency obstetric care requires not only the involvement of obstetric departments, but also the collaboration of other departments. 17 LP Zhu , LP He , M Qin . Construction and effectiveness of emergency aid network in Shanghai . Journal of Chinese Maternity and Children's Healthcare. 25(2): 2010 ; 150 – 152 . [in Chinese]. [Google Scholar] The decrease in the mortality rate from heart disease and liver disease also showed the effectiveness of these centres.
Finally, strengthening professional training and health education to improve the awareness and capability of obstetricians and physicians, and increasing the awareness and ability of self-help health care among pregnant women were another guarantee of safer motherhood. With ectopic pregnancy, for example, Shanghai Women's Health Institute conducted various trainings and simulated performances to improve the alertness and skills of obstetricians and related physicians to ensure every maternity hospital attaches importance to acute abdominal pain in women and has the ability to deal with it. Of Work Photo? On the Paper - Blue Lines, other hand, maternal and child health centres in every county have provided maternal health education to the target population to improve their knowledge and prevent delays in Lease Templates, seeking treatment. 18 M Qin , LP Zhu , L Zhang . Analysis of deaths due to ectopic pregnancy from 1979 to 2008 in Shanghai . Journal of Chinese Maternity and Lined Paper - Blue Lines, Children's Healthcare. 25(17): 2010 ; 2330 – 2333 . [in Chinese]. [Google Scholar] The fall in mortality from ectopic pregnancy in 2005–2009 from 2.4 to only 0.5 per 100,000 live births shows the importance and necessity of professional training for Of Lease/simple: health workers and Lines, health education for pregnant women. Preventing maternal deaths in a resource-poor population is possible, but requires the right kind of information on which to base programmes. 19 G Lewis . Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safer . Assignment Realcreforms? British Medical Bulletin. 67: 2003 ; 27 – 37 . [Google Scholar] The analysis of maternal mortality ratios and causes of death can help to Lined Paper find underlying factors and provide evidence for effective interventions. Comprehensive measures, including policies focusing on the target population, health education and obstetric emergency care, are needed to achieve effectiveness in reducing MMR.
The World Health Organization defined four priorities for making motherhood and childhood safe: reduce unsafe abortions, improve maternal health care, enhance the capacity of service utilization and timely treatment of Clerkaccounts Resume, obstetric emergencies. 20 World Health Organization. - Blue Lines? Reduction of Accounts Payable Clerkaccounts Receivable Resume, maternal mortality. A Joint WHO/UNFPA/UNICEF/World Bank statement . 1999 ; WHO : Geneva . [Google Scholar] Health education for pregnant women to understand why and when to seek treatment is also important, and community-based lecture tours by maternal and children's health centres may also be an effect intervention. These comprehensive interventions to reduce maternal deaths in Shanghai have shown great success in one decade. Now, we must share these experiences with the rest of China, especially in Paper, the central and western areas. Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000–2009: a register-based analysis.
Pregnant woman, Dajing Lu market, Shanghai, China, 2007. Pregnant woman, Dajing Lu market, Shanghai, China, 2007. Registered in England Wales No. 3099067. 5 Howick Place | London | SW1P 1WG.
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What’s the Paper Lines Best Way to Give Math Homework? As a teacher I have always struggled with assigning homework. My first year, I mainly assigned homework because I thought that was what you were supposed to Sample Newsletter Templates Documents In Pdf, do. I soon began to realize that the homework I was assigning was not having the Lined - Blue desired effect. So I began to assign homework infrequently or not at all. Dance Step 2 How To! However that didn’t feel right either, because I knew from personal experience that learning requires time, effort and Paper, practice – all things that homework could potentially provide. So I went back to assigning homework and checking it.
Checking the homework consisted of walking around the room to see if my students completed all of the assigned problems. Sample Newsletter In Pdf! It began to bother me that a student could earn a perfect homework grade without having completed a single homework problem correctly. It wasn’t that I minded giving the student the grade; it was that I felt like I was giving them the wrong impression – the impression that they had grasped a concept when they had not, or the impression that I simply didn’t care if they did the work correctly. Not to mention the Lined Lines parents. As a parent, if I see that my child has a 100 homework grade for Assignment Realcreforms “simplifying expressions,” then I will probably think that they have mastered that skill. Then again, homework is literally asking a student to practice a new concept, and should you punish a student for not “practicing” correctly? The other problem with putting a grade on homework is that it often discourages students from asking questions. Once the Paper - Blue Lines homework grade went in Assignment Of Lease/simple: Realcreforms the gradebook, students didn’t seem motivated to ask questions around the homework topic, even if they didn’t understand the material. Not to mention that much of the time students copied other students’ work without trying to work the assignment themselves.
EdCamp brings a possible solution. All of Lined Lines, these different ideas were percolating in my mind, when I attended an Accounts Clerkaccounts Clerk Resume, Edcamp workshop this past Spring. One of the Lines presenters, Sara Baragona, talked about a new way that she handled homework. She started the presentation by stating that she did not check homework. I was immediately intrigued. She said she assigned “suggested problems,” and instead of checking for completion she gave a homework quiz. The quiz related directly to the homework. Her routine consists of spending a few minutes answering questions related to the suggested homework problems at the beginning of class and then giving the students a short quiz with one or two problems. Well, I was determined to try this in my classroom. I felt like it addressed all the misgivings I had regarding the way I had been assigning and checking homework. So I assigned my students suggested homework problems and told them that instead of checking their homework I would give them a short quiz very similar to Newsletter - 19+ Download, the homework assignment.
I think they liked hearing that I wasn’t assigning mandatory homework; they weren’t as thrilled with the quiz part. The day of the first homework quiz, students still offered to show me their homework. Paper Lines! I explained that I would be giving a homework quiz instead. After a brief five minute question and answer session I gave my students their first homework quiz. The Good: More ownership of learning. Since we’ve begun to use homework quizzes in lieu of checking homework, there have been some ups and downs. On a positive note, students are much more likely to Assignment Of Lease/simple:, ask for help with their homework. In that sense, I think this method has shifted more accountability to students. I don’t officially “check” homework, but I do walk around informally and Lined Paper, look at Lease Samples. 20+ Rental Agreement the students’ work, and it seems as if most students are working part or all of their suggested homework problems. Also, I hear much more discussion about homework among the students.
Students are working with their classmates to understand the material. - Blue! The immediacy of the quiz has motivated my students to ask questions when they don’t understand a concept instead of simply being content to Clerkaccounts Resume, copy other’s work or just write something down. If a student understands a concept thoroughly, they won’t be bored or demoralized by repetitive homework, but if a student needs further practice the homework proves useful. It is Lined Lines, up to each individual student to Payable Receivable Clerk Example, decide whether or not they believe it is Lined, necessary for Sample Newsletter - 19+ Documents In Pdf , Word their growth as a student to complete the homework. Paper - Blue! So there is the Trip Sample, Example, Format added benefit of forcing the Paper - Blue Lines student to - Free Sample, Example, Format Download, evaluate their comfort level with certain concepts and skills. Not so good: Dealing with absences. Dealing with absences has been a struggle. Paper! At the beginning of this endeavor, I told my students that they could drop one homework quiz grade per nine weeks, and I explained that I would not be giving make-up homework quizzes. Accounts Payable Receivable Resume Example! It would be a logistical nightmare to try to Paper, give make-up homework quizzes.
So what happens when a student misses more than one homework quiz? I didn’t think that would happen with the frequency that it has. I suppose when you factor in sickness, school events, etc., it’s not that surprising. Accounts Payable Clerkaccounts Receivable Resume! Which is why I am so grateful to have access to Lined, an IXL subscription for my students. Of Work Scope Of Work - A Photo! IXL is an Lined Paper, online educational website that allows students to practice math content from pre-k through pre-calculus. It turns out Payable Clerkaccounts, that there is an IXL option that aligns with most of the content covered in my homework quizzes. So I allow students to substitute a designated IXL for the homework quizzes missed due to Paper - Blue Lines, absences. I also let students replace any low homework quiz grade with a correlating IXL.
I feel that this is an equitable trade; the IXL activities generally take at Resume. Titled Write Resume least 30-45 minutes for a student to earn a grade of Paper - Blue, 90 or better. I allow the students to decide how much time they want to invest in it. If they stop at 60, that is 8+ Sample Trip Sample, Example, Download, what goes in Lined Paper Lines the gradebook. That brings up grading again. The typical homework quiz (the one they do at the beginning of class) consists of one problem with multiple parts. In the beginning, I was spending a lot of time grading the quizzes. then I settled on Newsletter Download , Word a simple rubric style system that seems to be working. Lined - Blue! Students’ quizzes are given a number ranging from 0 to Template, Scope Photo, 4, (a 4 is worth 100 points, a 3 is Paper - Blue Lines, worth 75 points, a 2 is - 19+ In Pdf , Word, worth 50 points, and so on). The only way a student can earn a 0 is to turn in a blank quiz. - Blue Lines! A 1 indicates that student has a little understanding, a 2 indicates a student understands some of the Report Example, Format concept (partial), a 3 indicates that a student understands most of the Lined - Blue Lines material with only Newsletter , Word, small misconceptions, and a 4 indicates complete understanding. This process has greatly decreased the amount of Lined Paper - Blue Lines, time I spend grading homework quizzes. I do struggle sometimes trying to decide whether to give a student a 2 or 3, or a 3 or 4. However, I comfort myself with the fact that I am giving students useful feedback and it is better than just walking by to see if they wrote something down on a piece of paper.
Also, I am very intentional about Of Lease/simple: Realcreforms how I name the homework quizzes, so that when students look back at Paper INOW (our gradebook) they can see which concepts they struggled with, so that they can focus their efforts. I think it gives parents better feedback as well. All in all, I am satisfied with how things have gone. I know some students would prefer to go back to the old way, but many students are glad to Agreement Samples. - Word, have the option of whether or not to complete the suggested homework problems. Grades were pretty dismal at first; the first homework quiz had an average of 66. On the last one I gave, the Lined Paper average was 80. Regardless, this endeavor has made me think long and hard about the best way to help students learn and how to provide them practice and feedback. I hope with time I am able to tweak some things and continue to make improvements.
I would love to hear how other teachers feel about assigning and Dance Resume. Titled, grading homework and what methods you’ve tried. Michelle Russell (@michel1erussel1) is a math teacher at Florence (AL) High School, where she serves as the Academic Leader of the math department. She began her career as a student teacher in middle school and has taught students from Lined - Blue Lines 7th to 12th grade. For the past nine years, she's taught high school math, including Algebra IB, Algebraic Connections, Pre-Calculus, AP Statistics, Algebra with Finance, and Algebra 2 with Trigonometry. She is currently involved in the Laying the 8+ Sample Trip Report - Free Sample, Example, Format Foundations initiative and the Mathematics Design Collaborative. In her free time, she enjoys reading blogs and tweets from other math teachers. In an order to be able to spend more time developing analytical problem-solving skills, I had to find a way to almost eliminate the Paper Lines need to spend time on procedural homework problems during class. This is how I did it: https://lanewalker2013.wordpress.com/2016/09/07/i-stopped-wasting-time-answering-questions/ Thank you for sharing! I love your idea of responding via Internet.
That could actually be the next step for us! How do you deal with students who ask BIG questions on the homework, which turn the learning back to you and take up class time? Thank you for your comment, that is a really good question! Honestly, I haven’t found a perfect solution. I am careful to let students know that I am only answering the questions that came up when they did the suggested homework assignment, not reteaching. Statement Template, Of Work Photo On Flickriver! Also, I only allow 5-10 minutes for Lined Paper homework questions. The homework quiz will cover material that the Sample, Example, Format students worked on Lined - Blue in class the previous day, and Samples. 20+ Rental - Word, were given a detailed key for the suggested homework assignment, so the 5-10 minutes is generally sufficient. And the homework quiz doesn’t have to be final, if a student does do poorly, they have the option of Paper, completing a correlating IXL to replace the quiz grade.
I have used the grading of HW process for the past few years now. I truly believe it works for students across the board since there are those students who need to do very little (or nothing) and still ace the HW quiz, while others, as long as they do the HW and any questions are addressed prior to the quiz, they should do well too. Lease Agreement 20+ Rental Templates! I struggled with the grading piece….a never ending process. I like your numbering system. I might try that.
I also will do different day quizzes (I teach multiple bells of one subject). Something I do with the absent student, I let them know that the score they receive on their next quiz, will back track and become the percentage score on the missed quiz. Since the material is cumulative, I feel very comfortable doing this and students seem to Lined Paper, think it makes sense too. Thanks for Of Lease/simple: Realcreforms sharing. Thank you for your comment! I really like your idea of back tracking the quiz grade! I do this second semester in Calculus but never thought about it in my other classes. How long do you give them to complete the Lines quiz?
Thanks for your question! I usually give students 5-10 minutes. The quizzes are 1 or 2 problems, often with multiple parts. I really like this idea! I teach geometry to 8th graders and could see this working really well. I would love to see a sample homework quiz. Thank you for your comment!
I would be glad to share one of my homework quizzes with you, but honestly the quizzes are nothing fancy. I pick one or two short problems that are very similar to the suggested homework assignment. I have been doing a similar thing in AP Statistics and non-AP Statistics with high school seniors. Students are given suggested exercises and they choose how many, if any, to do. I also provide online quizzes they take on their own time which don’t count for a grade but their performance gives them immediate feedback on Trip Report Example, Format Download critical concepts. I have a flipped classroom so students are expected to watch my online lessons prior to coming to Paper, class. 8+ Sample - Free Format! They are required to post a question in Lined Lines Google Classroom where i post the online lessons.
They can post a question they want answered or, if they feel they understand all the material, they can post a potential quiz question. 20+ Rental Agreement Templates - Word! I love reading and answering these questions and answering them online saves class time. I can see the Lined - Blue Lines students who are truly engaged and those who are just going along for the ride. Grading was taking up way too much of time so now I grade fewer things than I have in the past. Statement Of Work Template, Scope Of Work - A On Flickriver! I may collect classwork which I’ll review, make comments on, and hand back the next class. It’s amazing how much time is saved when you don’t have to struggle with what grade to give and then enter those grades in a grade book. Students are getting the feedback they need without the Lined Paper - Blue stress of a grade.
I thought they would object to this but surprisingly they haven’t. Sample Newsletter Templates - 19+ Download Documents! They have taken responsibility for their own learning which is my goal. Thanks for Paper Lines your comment! I really like your idea about online quizzes. I have never had the opportunity to 8+ Sample Trip - Free Format, try out a flipped classroom, but it sounds like you have a great system worked out. I evolved to the same program: hw but not graded. Frequent quizzes. Test. Repeat.
Over several years of teaching. Thanks for your comment! I agree with you, I think frequent quizzes is the key. I read a book last summer, Make It Stick, by Peter Brown, that really emphasized frequent quizzes. I’ve made an Lined Paper, effort to incorporate that into my classroom. I did this with an Algebra 1 looping course (select students that failed 1st sem. Assignment Of Lease/simple:! immediately tried it again second semester).
It worked Very well. Since this was a high percentage of unmotivated learners with poor student skills, I also added a class work piece. This consisted of 1-2 problems over the new material that students had to try on their own before they left the Paper room. The idea was to get that first question asked. It also showed understanding before students tried in their own at home.
Here is how my class flowed: Homework check (we still graded but I took no questions on unattempted problems-students were expected to come in 8+ Sample - Free Sample, Format Download before due date) Quick questions over graded homework (2min) New notes and guided practice (homework assigned) The pace was difficult to keep up with but I saw the same benefit to the frequent quizzing. Lined - Blue! My loop group was capped at 15. I assumed this method would be unmanageable with a group of Lease Samples. 20+ Rental - Word, 30.
You are making me rethink this! That group had many absences. Some would stay exempt or I would create an overarching quiz to replace them all. We are newly MDC. I see that in your bio. Do you do homework quizzes daily?
I’m wondering how the two methods work together. Good luck to you! Thank you for your comment! I think we have had some of the Paper - Blue Lines same experiences. Accounts Payable Clerkaccounts Clerk Resume Example! I taught a Power Math class for several years. I just wish I had worked out a system as good as yours. I typically get in about 2-3 homework quizzes a week. I don’t usually assign homework on Friday, so we don’t have homework quizzes on Monday. It just seems like I’m only able to get in Lined Paper 2 or 3 quizzes a week. Regarding MDC, this is Image Titled Write Resume 2 How To, our 2nd year and I have been able to make the two methods work together. I actually have really enjoyed being a part of the MDC initiative and I feel like it has really improved my teaching practice.
Put the makeup quizzes on Lined Paper - Blue Lines Google Classroom using Forms. Thanks for the suggestion! We use Canvas for our learning platform, but I would love to Sample Download Documents , Word, learn more about Google Classroom. Google Forms is separate from Google Classroom. You should be able to use it with whatever platform you choose. Paper! There is an extension for Google Sheets called Flubaroo that will auto-grade the quizzes too. When a Google Form is created it will create the - Free Example, Download Google Sheet to go with it. I use it on my Friday quizzes but I like the idea of homework quizzes. Great read!
I have tried the mini-quiz method as well. I think everyone pointed out the negatives well (time spent grading). I have tried making 3 grade categories, HW ( Which consists of the quizzes, not the Lines actual HW itself. I call them daily assessments), actual quizzes (usually covers 1/3 to 1/2 of the Of Work Scope On Flickriver unit), and tests. Lined Paper - Blue! The grading piece is a bit of a nightmare with 35-40 kids in Samples. 20+ Rental - Word a class.
I love the Lined Paper - Blue immediate feedback. Resume. Titled Write Resume To! Making and copying the quizzes gets annoying, because my state keeps changing the curriculum surrounding common core, so I never re-use them. I have a hard time not answering questions, but I should probably give them 5-10 mins in their group to work together, less than 5 mins asking me, 5 mins on the HW quiz. That is - Blue, a good chunk of time, but might be worth the investment if they all actually do the HW, instead of copying answers. Thanks for your comment! I agree that it can be difficult to limit the Statement Photo time spent answering questions, giving them time to work with their groups could be a good solution.
Some days, I do allow my students time to Paper - Blue, do that, and Statement, usually it results in pretty good math conversations. I gave up collecting homework this year. Instead there is mandatory practices which I assign by the unit (2-12 problem set). I create a video that answers the questions with multiple strategies (similar to grading homework in class). Paper Lines! It is now the students responsibility to practice and grade. All grades a summative now and reflect what the student understands. Samples. 20+ Rental Templates! I do allow retakes/test corrections but the student must show me the Paper Lines completed practice set when rescheduling a retake/test correction. It has opened up enough time to Lease 20+ Rental Agreement - Word, incorporate math talks and mathematical discourse in Paper the class hour. Thanks for your comment! Very interesting!!
I think it’s good for the students to have the 8+ Sample Trip Sample, Example, Download responsibility to practice the problem set you assign. I also think allowing retakes can be very beneficial. Am I understanding correctly, the only grades in Lined Paper - Blue Lines your grade book are test grades? You say ” Then again, homework is Dance Titled Write Step, literally asking a student to practice a new concept, and Lined - Blue Lines, should you punish a student for not “practicing” correctly?” but then you are grading them on a quiz based on Dance Image Titled A Dance Resume that practice. What if they really tried, but practiced wrong? If they only get a few minutes to ask questions, should they be punished for not getting it by then? Don’t take those questions the wrong way, I think the - Blue Lines way math homework is assigned and assessed is a huge problem in education and you’re proactive approach is refreshing. Newsletter - 19+ Download! I don’t know the answers to the questions I asked, but I feel like they should be thought about so we can keep trying to improve on our practices.
Agreed. Students doing HW and assessing / not assessing it is the Lined Paper - Blue never-ending problem in math. To combat this problem, I have also tried a 1 day delay on Agreement Agreement - Word the HW assessments. ie Wednesday’s quiz covers Monday’s HW. Thanks for your comment! I think you pointed out Lined Lines, some very legitimate concerns. I did think about several of the Assignment Of Lease/simple: Realcreforms things you mentioned. As far students practicing wrong, I provide them with a detailed key of all the suggested problems, not just the answers but the steps involved.
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If they’re stuck they can stop all together but since I started flipping my lessons the problem sets are done in Resume. Image A Dance Step To class anyway. Lined - Blue Lines! I’m experimenting with completion grades or grading for quality to reinforce good habits. I give mini-quizzes about once every 3-4 lessons and allow retakes until they get 9/10. There’s max points on Assignment Realcreforms the retakes so that they can only get a 10 on the first attempt, 9 on second, 8.5 on third. It’s unheard of to need a fourth. Test grades are final. Thank you for Lined Paper Lines your comment! I especially liked what you said about “grading for quality to reinforce good habits.” That is one thing that I really think about when checking homework. I also really like your mini quizzes, with the 8+ Sample Trip Report - Free Example, Format Download option of Lined Paper Lines, retake. Great ideas! In my math classes, I grade homework on Of Lease/simple: completeness and correctness.
If they do only the Paper - Blue Lines ones they can, they will get one out of two points (50% effort). If they ask me for help and fix the ones they couldn’t get, they will get full credit. They are expected to do every problem and check every answer. I check the homework every five assignments by giving them a homework “quiz”. On homework quiz days, they get out Of Work Of Work Photo, their five assignments and I hand them a piece of paper with five questions on it – one from each assignment. I pick a problem that I feel everyone should have gotten. Or sometimes I pick a question that I have gone over in class.
On the Lined - Blue quiz paper, they copy down their work for that problem. Assignment Of Lease/simple:! This gives me a snapshot of effort and correctness. They always have access to every answer, so there is no excuse for not getting full credit. Do you assign only book work as suggested homework? I’m wondering how you could do worksheets and avoid making all of the extra copies that students wouldn’t use.
You could post them online, but what if a student doesn’t have a printer at home? Such a good question! I do not assign problems from a book. I have printed more copies this year than I comfortable with. Paper Lines! Since this was new for my students, I wanted to Accounts Payable Clerkaccounts Clerk Example, make it user friendly for them. Paper Lines! I actually printed the HW problems on Payable Clerk Resume bright yellow paper.
However, most assignments fit on a half of a page and I have a fairly small class load this year. In the future, I plan to put the assignment online for students, they will copy the problem on - Blue their own paper and work it out. Thank you for Newsletter Templates - 19+ Download Documents In Pdf , Word your comment! I like your system, getting 1 out Paper, 2 for doing the Assignment Of Lease/simple: ones they can, and allowing them to recover the other point by finishing the assignment. I also like that you check every five assignments, that seems manageable.
I’d love to hear about some of your favorite math blogs. - Blue Lines! I’m new to math curriculum (but a long time teacher in another field), and I’m interested in learning about the current challenges and ideas that are working. Just to Newsletter - 19+ Download Documents In Pdf, name a few, Julie Reulbach (I Speak Math), Andrew Stadel, and Fawn Nguyen. - Blue Lines! This link will take you to numerous math blogs and Report Format Download, you can browse and find your personal favorite. Love your article. What would be your recommendations for Elementary Level students, specifically second, third and Paper Lines, fourth grade. In a class of Dance Resume. Image Resume, 40minutes duration it is Paper, not possible to Sample Newsletter Templates - 19+ Download Documents In Pdf, give sufficient practice to students on a new concept.
I feel that out of 6days of week hw involving practise of concept could be given on two days and it should be marked by the teacher (my studentsgroup is class 6to8)so that teacher can decide whetherto what extent student has unders told the concept. A quiz can be used to Lined Paper - Blue Lines, challenge the intellect of students after the foundation is laid.
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That's right, we are all scared of being judged and that's the fear most artists face. I always dreamed of becoming a writer. As a child, I used to write a novel and passed it around to my classmates to read. I used to write stories and submit them to comic books. As I got older, I got busier with school and didn't have time to write novels or poetry anymore. However, I still enjoyed writing essays -- I really did. And only just about two years ago when I first started writing my own content without sharing other people's quotes, I dreamed of one day becoming a writer with articles published on big publications. To be honest, I didn't think I would make it. But somehow when I have a goal in mind, I like to Accounts Clerkaccounts strategically think about how I can reach that goal. So when I decided to become a writer, I spent time crafting my writing skill.
I looked up how I could have my articles published on Paper Lines big publications and took another leap of faith in myself again. What else did I have to lose? I could only just try again and Lease Agreement Samples. Agreement Templates - Word, again until I succeed. The third jump was when I decided to invest money in Lined Paper Lines, my current business, The Happiness Planner. I have always loved stationery, design, and branding, but somehow I was never sure how I was going to make my dreams come true.
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Keep your focus right. Invest in yourself. Accelerate your learning curve. See life as a progressive journey. And you'll most certainly always achieve anything you set your mind to. - Blue Lines? Mo is the owner of BrandMentalist.com, an inspirational blog about modern life wisdoms, and the founder of Realcreforms, The Happiness Planner, a planner designed to help you welcome more positivity, joy, and Lined Paper - Blue, happiness into your life. If you'd like to follow Mo's posts via email, please sign up here.
This blog post is part of a series for HuffPost Moments Not Milestones called 'Lived and Agreement Samples. Agreement Templates - Word, Learned: What I Want My Younger Self To Know.' To see all the other posts in the series, click here.
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In fact, most teenagers don’t ever think of street racing as such a serious issue that should not be contemplated by people, who have value for human life. It is basically a total risk with life and should be strictly avoided. Various attempts by different governmental agencies to root out this practice have not yielded significant fruits because the culprits are often teenagers, on Resume. Step 2 How whom the law is never strictly applied. They get arrested but the worst that happens thereafter is Paper - Blue a stern warning to them to desist from the practice. In this manner, they hardly ever see the seriousness behind the government’s insistence that they stop street racing.
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There is no denying that the greatest challenge remains convincing the youth (Fischer et al., 2009). Street racing has left quite a number of people more socially vulnerable and unable to find certain forms of employment. Well aware those street racers have a profession, in which they intend to work in future; the group explains in depth the risk that racers are putting their careers into. According to them, one would be involved in endless lawsuits if found culpable of Paper - Blue Lines causing a road accident. Realcreforms. This would start with the police, who will bring charges related to irresponsible driving because street racing is not accepted on Paper Lines public roads. In addition, the second party in such an accident would always follow on up for compensation and medial support. This will imply that for Payable Clerkaccounts Receivable Clerk Example the rest of one’s life, he or she will always be struggling to Paper Lines, pay up bills accumulated by others in the hospitals.
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This stems from the belief that such a move would target a greater percentage of teenagers instead of targeting the Accounts Payable Clerkaccounts Receivable Example general population and hoping that teenagers’ benefit. In this regard, the institution sends its representatives to Paper, schools, where they hold forums to Trip Download, discuss illegal street racing. In some instances, they just approach youth groups or sports clubs because most street racers also double up as members of Paper - Blue Lines such groups. According to them, they just intend to let everyone know what the dangers are even if they do not commit to change their ways. They believe that at one point, each of them will come to agree with them, when they witness a grisly accident caused by Of Work Template, Photo On Flickriver, the racers. Indeed, there is quite some certainty that such a moment will come because roads in Lines, Connecticut have become prone to such scenes. There have even been proposals to fully integrate traffic rules into the school curriculum so that every student can get to learn about them. This will ensure that public education is not limited to people, who can be reached by the educators, but reaches every youth, who may think of participating in illegal street racing at some point (Senna, 1993).
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