对于儿童而言,延迟MS诊断可能会导致未经疾病修饰疗法(DMT)早期解决该疾病的机会,以帮助推迟关闭炎症活动的残疾进展。对于老年患者,即使诊断是准确的,MS药物的不良副作用也可能超过益处。因此,尤其重要的是不要不适当地开药,尤其是因为尚未证明DMT在非差异进展中具有有效性,这反映了随着年龄的增长而变化的生物学过程,这一年龄在50岁以后变得更加突出。
无论是否服用抗抑郁药物,抑郁症患者的抑郁症状都可能恶化和/或出现自杀意念和行为(自杀倾向),这种风险可能会持续到病情明显缓解。18-24 岁的年轻人的风险更高,因为在初始治疗期间(通常为一到两个月)可能不会出现改善,因此应密切监测患者的自杀倾向临床恶化情况,尤其是在治疗开始时,或在剂量改变时(增加或减少)。对于抑郁症持续存在或出现的自杀倾向严重、突然发作或不是患者现存症状的一部分的患者,应考虑改变治疗方案,包括可能停止用药。应提醒患者(和患者的护理人员)需要监测病情是否恶化和/或出现自杀意念/行为或伤害自己的想法,如果出现这些症状,应立即就医。对于患有与其他精神疾病相关的共病抑郁症并接受抗抑郁药治疗的患者,也应同样观察其临床症状恶化和自杀倾向。
在本节中,我们将详细讨论有关微生物在改善土壤质量和植物对非生物胁迫的耐受性方面的作用的文献观察的主要发现。主要讨论的重点将涵盖土壤的非生物胁迫。讨论将基于对相关文献的深入审查,以及这些发现与土壤的非生物胁迫的相关性。本研究以批判性文献分析的形式进行,旨在传播与理论和学术方面相关的文献中包含的信息、概念和结果。数据分析方法:使用描述性和推论性统计数据分析土壤质量和植物生长测量数据,以确定微生物对土壤质量和植物耐受性的影响(Kumar et al.al.2021)。结果与讨论
摘要本研究讨论了生物医学时代所面临的道德困境,重点是在卫生部门的决策中应用基督教伦理原则。本研究旨在确定相关的道德原则并制定一个全面的道德框架。通过分析堕胎,安乐死和基因工程等具体案例,这项研究探讨了由于法律多元化和社会价值观的多样性而引起的挑战。结果表明,基于道德的政策,对卫生工作者的道德教育以及跨文化对话的发展是克服复杂的道德困境的重要步骤。这项研究还强调了可持续研究的必要性,以通过技术发展和动态社会环境来调整道德框架。关键词:生物医学伦理,基督教伦理原则,道德困境,堕胎,安乐死,基因工程,法律多元化,卫生政策,伦理教育。
POORNIMA大学(PU)是印度斋浦尔的一所州立私立大学,由拉贾斯坦邦立法机关的法案建立。pu成立于2012年,其愿景是建立具有科学脾气,团队精神和劳动尊严的基于知识的社会,以面对全球竞争和挑战。PU被大学赠款委员会(UGC)根据第2(f)条和第12(b)条认可,并根据1956年《 UGC法案》第22(1)条授予学位的权利。其建筑计划已由建筑委员会(COA)批准,酒店管理计划已由NCHMCT批准。目前,PU在各个领域的UG/PG和PhD计划的八所学校和14个部门的全国有8000多名学生,例如管理,工程,计算机应用科学,建筑,设计,设计,公共卫生和酒店管理等。
$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元$ 29,260 $ 29,260 $ 30,242 $ 31,214 $ 32,184 $ 33,155 $ 33,155 $ 33,723 $ 34,686 $ 35,655 $ 35,655 $ 35,695 $ 37,156 $ 38,218 $ 39,279 $ 40,340 $ 41,401 3 $ 35,900 $ 37,096 $ 38,292 $ 39,292 $ 39,488 $ 40,684 $ 41,41,880 $ 42,986 $ 44,330 $ 45,674 $ 47,018 $ 48,362 $ 49,706 $ 51,050 $ 52,394 5 $ 45,087 $ 46,589 $ 48,48,091 $ 49,593 $ 51,51,51,51,54,54,54,54,542,542,542,542,542,542 002,542 002,54,542,542 002,542 002,54,542,542,542,542,542 002,542 002,542,542,542,542,542 002,542 002,542,542,542,542 002,542,54,54,542 002,542,1002 $58,607 6 $50,259 $51,934 $53,609 $55,284 $56,959 $58,634 $60,309 $61,984 $63,659 $65,334 7 $55,850 $57,712 $59,574 $61,436 $63,298 $65,160 $ 67,023 $ 68,885 $ 70,747 $ 72,609 8 $ 61,851 $ 63,913 $ 63,913 $ 65,976 $ 68,038 $ 70,100 $ 72,163 $ 75,146 $ 77,423 $ 79,700 $ 81,977 $ 84,254 $ 86,531 $ 86,531 $ 88,808 10 $ 75,230 $ 77,737 $ 80,245 $ 82,752 $ 82,655 $ 85,410 $ 88,164 $ 90,919 $ 93,674 $ 96,428 $ 96,428 $ 99,183 $ 101,937 $ 101,937 $ 104,692 $ 107,447 12 $ 118,886 $ 122,189 $ 125,492 $ 128,795 13 $ 117,807 $ 121,734 $ 125,661 $ 125,661 $ 129,588 $ 133,515 $ 137,442 $ 148,492 $ 153,132 $ 157,773 $ 162,413 $ 167,053 $ 171,694 $ 176,334 $ 180,974 $ 180,974 15 $ 163,749 $ 169,207 $ 174,665 $ 174,665 $ 180,124 $ 185,582 $ 191,582 $ 191,04,191,04200 ***** 2004年4月********** 2004年4月4日 $195,200 ** $195,200 ** 16 $192,048 $198,449 $204,851 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 17 $207,500 * $207,500 * $207,500 * $207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * $ 207,500 * 18美元
年级 1 2 3 4 5 6 7 8 9 10 1 $26,175 $27,053 $27,922 $28,790 $29,658 $30,166 $31,028 $31,895 $31,930 $32,742 2 $29,431 $30,131 $31,106 $31,930 $32,289 $33,238 $34,187 $35,137 $36,086 $37,035 3 $32,114 $33,184 $34,254 $35,324 $36,394 $37,464 $38,534 $39,604 $40,674 $41,744 4 $36,049 $37,251 $38,453 $39,655 $40,857 $42,060 $43,262 $44,464 $45,666 $46,868 5 $40,332 $41,676 $43,020 $44,363 $45,707 $47,051 $48,395 $49,739 $51,083 $52,426 6 $44,959 $46,458 $47,956 $49,454 $50,953 $52,451 $53,949 $55,448 $56,946 $58,445 7 $49,960 $51,626 $53,292 $54,957 $56,623 $58,289 $59,955 $61,620 $63,286 $64,952 8 $55,328 $57,173 $59,018 $60,863 $62,708 $64,553 $66,398 $68,242 $70,087 $71,932 9 $61,111 $63,148 $65,185 $67,222 $69,259 $71,295 $73,332 $75,369 $77,406 $79,443 10 $67,297 $69,539 $71,782 $74,025 $76,268 $78,511 $80,754 $82,997 $85,240 $87,482 11 $73,939 $76,403 $78,867 $81,331 $83,795 $86,259 $88,723 $91,187 $93,652 $96,116 12 $88,621 $91,576 $94,531 $97,485 $100,440 $103,394 $106,349 $109,304 $112,258 $115,213 13 $105,383 $108,896 $112,409 $115,922 $119,435 $122,948 $126,461 $129,974 $133,487 $137,000 14 $124,531 $128,682 $132,833 $136,984 $141,135 $145,286 $149,436 $153,587 $157,738 $161,889 15 $146,481 $151,363 $156,246 $161,128 $166,011 $170,894 $175,776 $180,659 $185,541 $190,424 16 $171,795 $177,521 $183,248 $188,975 $194,701 $200,428 $206,154 $207,500 * $207,500 * $207,500 * 17 $197,302 $203,879 $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * $207,500 * 18 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 * 207,500 美元 *
幼儿保育和教育 (ECCE) 对儿童的成长和发展至关重要。联合国教科文组织、联合国儿童基金会和经合组织等国际组织强调提供高质量 ECCE 的重要性。这与可持续发展目标 4 相一致,该目标旨在确保所有儿童,无论性别,都能获得优质的幼儿保育和教育。在评估 ECCE 的质量时,必须考虑两个关键因素:结构质量和过程质量。结构质量包括设施、教室设置、儿童与成人比例、教师资格和课程等物理要素。教师资格尤其重要,因为它们直接影响学习环境和幼儿教育的整体效果。在马来西亚,政府认识到教师专业精神在 ECCE 中的重要性,并要求所有幼儿园教师到 2020 年至少持有幼儿教育文凭。然而,许多 ECCE 工作者仍然缺乏必要的资格。本研究调查了各种 ECCE 环境中的教师资格和专业问题,特别是托儿所和幼儿园。本研究采用定性研究方法,包括与森美兰州、雪兰莪州和吉隆坡的私人幼儿保育与教育中心进行焦点小组讨论。研究结果揭示了在这两种环境下对教师角色的不同看法:幼儿园教师通常被视为需要接受专门培训的教育工作者,而幼儿保育工作者则通常被视为看护者。这种认知差距影响了幼儿保育与教育的质量,因为更合格的教师更有可能提供高质量的教育和护理。本研究强调了教师资格与幼儿保育与教育质量之间的关系,为提高该领域专业水平的政策建议做出了贡献。此外,本研究符合马来西亚的第十二个马来西亚计划,该计划的重点是改善儿童的福祉。关键词:幼儿保育;幼儿园;治理;优质教育。
