Factors associated with a positive childbirth experience in Brazilian women: A cross-sectional study

BackgroundHaving a positive childbirth experience is an increasingly valued outcome. Few studies evaluated the women’s satisfaction with childbirth through face-to-face interviews out of the health service environment. The objective of this study was to identify factors associated with a higher level of satisfaction with the childbirth experience among Brazilian women.MethodsThis cross-sectional study involved 287 women giving birth in two hospitals in southern Brazil. Women who gave birth to healthy newborns at term were randomly selected. Face-to-face interviews were conducted 31–37 days after delivery, at the mothers’ homes, using a structured questionnaire. Satisfaction with the childbirth experience was measured using a Likert-type scale ranging from very satisfied to very dissatisfied. Prevalence ratios (PR) were estimated using Poisson regression with robust variance.ResultsFollowing hierarchical multivariate analysis, the following factors remained associated with a higher level of satisfaction with the childbirth experience: being satisfied with antenatal care (PR = 1.30; 95% confidence interval [95%CI] = 1.06−1.59), understanding the information provided by health professionals during labor and delivery (PR = 1.40; 95%CI = 1.01−1.95), not having reported disrespect and abuse (PR = 1.53; 95%CI = 1.01−2.31), and having had the baby put to the breast within the first hour of life (PR = 1.63; 95%CI = 1.26−2.11). No association was observed with type of delivery or hospital status (public or private).ConclusionsA higher level of satisfaction with the childbirth experience is related to satisfactory antenatal care, a non-abusive, respectful, and informative environment during childbirth, and to the opportunity to breastfeed the baby within the first hour of life. In clinical practice, greater attention to these basic principles of care during pregnancy and delivery could provide more positive experiences during birth.     

嵌套并联结构两阶段DEA下科技创新效率测度与分解

目前有许多研究将两阶段DEA模型应用到科技创新活动当中，一般将创新活动分为研发和转化两个阶段，为了进一步探讨不同转移转化方式下科技成果的转化效率以获得更多的详细信息，本文拓展了传统的两阶段DEA模型，考虑了嵌套并联结构的两阶段网络DEA模型，将科技创新活动分为科技成果研发阶段和科技成果转化阶段，并将科技成果转化阶段分为内部转化和外部转化两个并联子系统。本文选取14家中科院院属单位作为被评价对象，应用加权加法分解方法计算整体效率和各阶段子效率。通过将本文模型与传统两阶段模型进行对比发现，传统模型会低估科技成果转化效率。结果表明：整体科技创新效率均值偏低，科技成果研发效率均值高于科技成果转化效率均值，科技成果转化效率仍有很大的提升空间。科技成果转化阶段中内部转化效率普遍较高但是外部转化效率普遍较低，较低的外部转化效率是导致科技成果转化效率低下的主要原因。最后，本文将所有被评价单位分为四类机构，分析提高科技创新效率的实现路径，可以通过重点突破模式和渐进突破模式来实现整体效率的提高。     

“百年未有之大变局”之哲学分析

当今世界正处于“百年未有之大变局”中。这是中国共产党对于世界新的时代特征的全新、科学和准确的研判。“百年未有之大变局”这一重大论断，具有深厚的马克思主义哲学的本体论基础、认识论基础、矛盾论基础和历史观基础。作为科学世界观与方法论，马克思主义哲学的辩证唯物主义和历史唯物主义为我们深刻认识和精准把握“百年未有之大变局”的深层本质和哲学依据提供了重要的认知性引导、方法论基础和实践智慧支撑。     

威廉·坦普尔的园林理论初探——以《论伊壁鸠鲁的园林,或论园艺》为分析对象

威廉·坦普尔爵士园林思想的研究,一直是学术界研究的薄弱之处。实际上,坦普尔在《论伊壁鸠鲁的园林,或论园艺》中系统地探讨了园林的起源、伦理意义和审美形态等问题。他从病原学的角度出发,把园林作为治疗人们过剩欲望的理想之地。他虽然赞同伊壁鸠鲁主义的退隐思想,却从政治德性、顺从自然、自由选择3个方面阐述了园林的退隐伦理。在园林之美上,他认为美在于形式,但是这种形式既包括欧洲的规则式之美,也包括中国的不规则之美。坦普尔的园林理论对我国当下的疗养院园林、私家园林的建设等有一定的指导意义。     

Overcoming barriers: engaging younger students in an online intercultural exchange

This paper reports on a small-scale project involving an online school exchange between two classes of 12-/13-year olds located in the North of England and the Ruhr area of Germany. The overarching aim of the project was to develop intercultural understanding in foreign language learning through communication in an online environment. Analysing data from website posts, lesson observations, student questionnaires and interviews, the paper investigates the extent to which the project realised this goal, and examines emerging practical and pedagogical issues. Comparing the processes and outcomes of this project in secondary education to similar projects in Higher Education (HE), the research found that the young people learnt more than older students about cultural similarities than differences. They were thus less likely to be party to cultural misunderstandings, developing friendly relationships and openness towards a people of a different culture. However, their failure to notice differences may have been due to a lack of in-depth discussion and absence of more demanding student tasks. The paper concludes that in order to develop more sophisticated intercultural learning, expertise derived from telecollaboration in HE needs to be adapted to the lower secondary school context, drawing particularly on auto-ethnography and ethnographic interviewing.     

Impact of support networks for breastfeeding: A multicentre study

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Creating a positive emotional culture: Effect of internal communication and impact on employee supportive behaviors

The study surveyed 506 employees in the United States to test the effect of internal communication (i.e., corporate-level symmetrical and leadership-level responsive communications) on fostering a positive emotional culture characterized by companionate love, joy, pride, and gratitude. In addition, we tested the interplay between corporate internal communication and a positive emotional culture and its influence on supportive employee behaviors, specifically, organizational citizenship behavior (OCB) and employee advocacy. Results indicated that symmetrical communication and responsive leadership communication cultivated a positive emotional culture in organizations. Such culture also fostered employee OCB and advocacy. Moreover, corporate symmetrical communication directly and positively influenced employee OCB. Finally, this study found that employee OCB positively affected employee advocacy. The theoretical and practical implications of the findings for public relations scholars and practitioners were discussed.     

习近平新时代观的理论生成探讨

理顺习近平关于“中国特色社会主义进入新时代”的逻辑理路，有助于系统论证“新时代”的科学性和理论性。从方法论上看，习近平新时代观是应用马克思主义立场观点和方法得出的正确结论。从理论归因看，中国社会主要矛盾的转化作为习近平新时代观生成的主要标志，源于马克思主义关于矛盾运动的基本理论。从理论定位看，习近平新时代观展现的是中国发展的特殊阶段，内含着中国对自身发展的时代定位与目标趋向，渗透着中国与世界在共同发展中的新阶段、新高度、新未来，是对中国发展方向的顶层设计。     

Critical Components in Implementing Evidence‐based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities

When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence ‐based practice (EBP ). Individual Placement and Support (IPS ) is an evidence ‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, we have followed three IPS demonstration sites for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research (Damschroder et al. 2009 ). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for.