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1.
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.  相似文献   
2.
The goal of this study is to provide a cross-lagged examination of the relationships between engaging leadership, job resources and employee work engagement. We propose a mediation model and we postulate that engaging leadership can increase perceptions of three specific job resources (i.e. autonomy, support from colleagues and opportunities for learning and development) which theoretically correspond to the three facets of engaging leadership (i.e., inspiring, connecting and strengthening, respectively). Subsequently, in keeping with the extant body of Job Demands-Resources (JD-R) research, we link job resources to employee work engagement. Our hypotheses were tested on data collected at two time-points – T1 (N = 759) and T2 (N = 273) –from employees working for a hotel chain in the Netherlands. In line with our expectations, engaging leadership showed a significant cross-lagged relationship with autonomy and support from colleagues, but did not predict learning opportunities and work engagement across time. While we formulated specific hypotheses, we also tested reversed causation relationships. We found no direct effect from engaging leadership on employee work engagement, however, the reversed effect was significant; employee perceptions of engaging leadership were shaped by their own engagement experiences. Importantly, engaged employees at T1 reported more job resources at T2. By providing a cross-lagged examination of our model, we showed that engaging leaders as well as employees’ positive affective state of being engaged, are essential to shaping a resourceful work context. A comprehensive view on the triggers and outcomes of work engagement and engaging leadership is needed, as the traditional unidirectional cause-effect rationale fails to explain how these concepts relate to one another and to employee experiences of job resources.  相似文献   
3.
每当先进的发展制度开始取代落后的发展制度时,整个世界格局就会进入重大的转换阶段。在中国五千年的发展历史中,有两次重大的历史变局完全改变了中国历史发展轨迹并深远地影响了当前中国的发展模式。新时代下的中国作为前两次历史变局影响的客体,曾经既是先进发展制度取代落后发展制度的受益者,也经历过作为落后发展制度主体而被先进发展制度冲击的过程。目前世界正处于第三次先进发展制度与落后发展制度交替的历史变局阶段,作为第三次重大历史变局的主体,在三次千年历史变局叠加的背景下,能否有效地认识、适应并改造利用前两次历史变局的经验与教训,构建系统性、科学性、可行性、领先性的中国特色社会主义制度,将决定中国在本次历史变局中能否顺利成为先进发展制度的主体从而实现民族复兴。  相似文献   
4.
When a candidate predictive marker is available, but evidence on its predictive ability is not sufficiently reliable, all‐comers trials with marker stratification are frequently conducted. We propose a framework for planning and evaluating prospective testing strategies in confirmatory, phase III marker‐stratified clinical trials based on a natural assumption on heterogeneity of treatment effects across marker‐defined subpopulations, where weak rather than strong control is permitted for multiple population tests. For phase III marker‐stratified trials, it is expected that treatment efficacy is established in a particular patient population, possibly in a marker‐defined subpopulation, and that the marker accuracy is assessed when the marker is used to restrict the indication or labelling of the treatment to a marker‐based subpopulation, ie, assessment of the clinical validity of the marker. In this paper, we develop statistical testing strategies based on criteria that are explicitly designated to the marker assessment, including those examining treatment effects in marker‐negative patients. As existing and developed statistical testing strategies can assert treatment efficacy for either the overall patient population or the marker‐positive subpopulation, we also develop criteria for evaluating the operating characteristics of the statistical testing strategies based on the probabilities of asserting treatment efficacy across marker subpopulations. Numerical evaluations to compare the statistical testing strategies based on the developed criteria are provided.  相似文献   
5.
Generally, the semiclosed-form option pricing formula for complex financial models depends on unobservable factors such as stochastic volatility and jump intensity. A popular practice is to use an estimate of these latent factors to compute the option price. However, in many situations this plug-and-play approximation does not yield the appropriate price. This article examines this bias and quantifies its impacts. We decompose the bias into terms that are related to the bias on the unobservable factors and to the precision of their point estimators. The approximated price is found to be highly biased when only the history of the stock price is used to recover the latent states. This bias is corrected when option prices are added to the sample used to recover the states' best estimate. We also show numerically that such a bias is propagated on calibrated parameters, leading to erroneous values. The Canadian Journal of Statistics 48: 8–35; 2020 © 2019 Statistical Society of Canada  相似文献   
6.
基于单物流服务商、单供应商和单零售商构成的生鲜农产品供应链,构建3种冷链服务模式:承诺模式、提前要求模式与延后要求模式,探讨不同冷链服务模式对定价与冷链服务水平、企业绩效的影响。研究发现:某种冷链服务模式是否有利于消减数量与质量损耗依赖于产品易腐性、冷链服务成本及其分担比例。供应链成员无法在承诺模式与提前要求模式下形成统一的模式偏好。当物流服务商承担的冷链服务成本比例较低时,相比于提前要求模式,供应商偏好承诺模式,否则,偏好提前要求模式。承诺模式比提前要求模式更有利于物流服务商,然而对于零售商,结果正好相反。数值实验表明,虽然供应链成员无法对冷链服务模式形成整体的一致性偏好,但仍可实现局部的一致性偏好。  相似文献   
7.
考虑在一个区域内单个充电站为多辆电动汽车(充电顾客)提供充电服务的排程与定价问题.充电顾客的排程(排序)有三种可选择的机制,即从高到低将待充电顾客按下列准则进行排序:1)顾客充电的总报价;2)顾客充电的单位报价;3)顾客在当前时间点之前已充电量的价值.基于上述充电排程机制,提出了一种基于顾客已充电量的平均电价且不依赖未来充电需求的定价机制,证明了所提出的排程定价机制具有个体理性和激励兼容特性.与已有的按顾客获得的最后一单位待充电价格进行定价的方法相比,研究发现:在第1)或第2)种排程机制下,所提出的定价机制顾客充电最终支付价格的期望相同,但方差减小;在第3)种排程机制下,所提出的定价机制顾客最终支付价格的期望和方差均减小.算例结果展示了所提出定价机制在减小充电顾客最终支付价格不确定性方面的作用与效果.  相似文献   
8.
可持续农业和农村发展”(SARD)是联合国粮农组织倡导的世界未来农业和农村发展的大趋向。本文探究了可持续农业和农村发展的内涵及来源 ;立足娄底地情 ,分析了其农业和农村可持续发展中存在的问题 ;提出了实现娄底可持续农业和农村发展的目标和对策  相似文献   
9.
This paper explores the dialectic of place and community identity in Mount Pleasant, a multi–ethnic and multi–class U.S. neighborhood where definitions of place are hotly contested among its residents. In a grant proposal for public toilets, Mount Pleasant writers use linguistic strategies such as presupposition, deixis, and contrast, coupled with discursive themes of filth and geography, to construct a core of the Mount Pleasant community. The writers place themselves and people who share their values in that core, and immigrants at the margins. These strategies serve as a discursive type of spatial purification practice (cf. Sibley 1988) through which the grantwriters set up a moral and spatial order where they and other core community members are deemed to use space ‘appropriately’, and thus inhabit positive moral positions, while immigrant community members’ imputed ‘inappropriate’ use of space is used to construct negative moral positions for them.  相似文献   
10.
经济全球化与证券市场监管研究   总被引:1,自引:0,他引:1  
证券市场开放是一国融入全球化世界经济体系的必然结果,通过分析WTO条件下对成员国证券市场开放的基本要求,指出了入世后证券市场监管将面临的严峻挑战,并提出了一些今后证券市场监管的新思路。  相似文献   
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