Vaginal births after caesarean: What does Google think about it?

AimVaginal birth after caesarean (VBAC) is a relatively safe alternative to repeat caesarean birth in the proper context. This important decision to undergo an elective caesarean versus VBAC is ultimately a decision of the mother. The purpose of our study was to assess the quality of online information in relation to VBAC collected using the most common search engine: Google.MethodsThe 10 most common hit sites for the keywords “VBAC” and “Vaginal birth after caesarean” were evaluated using the search engine Google. The quality of websites was rated based on the Silberg scale for accountability, the modified Abbott's criteria for presentation and the SMOG index for readability. The content of each website was compared to the Society of Obstetricians and Gynecologists of Canada (SOGC) guidelines for VBAC.Findings13 out of 20 identified websites met the adequate criteria for accountability, with 85% of the websites indicating authorship. 11 websites were deemed aesthetically agreeable. The target audience, assessed by the readability score, was notably above the non-medical population with an average SMOG index score of 14.75. Only half of the websites contained recommendations, as detailed by the SOGC guidelines.ConclusionAlmost all sites target a higher academic level, making it beyond the comprehension of the general population. Woman friendly web-assessment tools should be provided to enable pregnant women to take an active role in their decision making.     

Cognitive abilities,self-efficacy,and financial behavior

This paper investigates the effect of cognitive abilities on financial behavior among older adults. Using the U.S. Health and Retirement Study, I find that cognitive abilities significantly affect financial behavior through two channels: ability and self-efficacy. People with higher cognition scores achieve better financial outcomes. This positive association is especially strong in tasks having high demand of cognitive abilities, which confirms the ability channel of the cognitive ability effect. In addition, there is evidence for the self-efficacy channel as a secondary source of cognitive influence. Lower cognitive abilities decrease people’s sense of self-efficacy, which, in turn, significantly decreases financial management efficiency. The findings have important policy implications, specifically that more effort is needed to assist the growing older population through the cognitive aging process and that noncognitive skills, as a secondary source of influence, also warrant attention.     

互联网深化、信息不确定性与企业出口平稳性

互联网作为信息搜寻和传播的重要渠道,有利于缓解国际市场不确定性对企业出口决策的影响,从而有助于稳定企业出口预期,保障出口企业的持续生存。本文首先基于Fernandes 和 Tang(2014)的研究框架将互联网深化程度和出口集聚同时纳入到异质性贸易企业模型,在剥离出口集聚对企业出口行为影响的基础上,从理论视角揭示了互联网深化程度提高影响企业出口行为特别是出口持续生存的内在机理与方向。研究发现,不同于出口集聚会同时影响企业的需求冲击和成本冲击,互联网深化带来的信息溢出效应会通过贝叶斯法则(Bayesian Rule)使得企业修正其对国际市场不确定性的预期,提高其对目的国市场成本冲击的估计精度,从而在互联网深化程度较高的城市,企业进入出口市场的临界生产率较低,有利于其出口参与度和出口稳定性的提高。然而互联网深化程度提高不影响企业在目的国市场产品出口的集约边际。本文使用2000-2013 年中国工业企业数据库、中国海关数据库和中国城市统计年鉴数据库的匹配数据从企业-目的国-产品层面实证检验了本文的理论命题。研究表明,我国政府应充分发挥互联网发展降低信息不确定性的微观机制,以推动外贸的平稳增长。     

互联网医疗服务法律监管研究

随着互联网技术的进步以及医疗改革的深入,互联网医疗服务成为新生业态.然而,我国互联网医疗服务法律监管体系还不够完善,缺乏统一规范的监管体系,多头监管、个人隐私隐患大、纠纷处理解决机制不健全等现实困境尚未解决,不利于互联网医疗服务行业的发展和人民群众身心健康.为解决上述问题,通过梳理发达国家的成功经验,如美国的移动医疗应用程序监管和个人隐私保护、欧盟的互联医疗数据管理、英国的行业协会监管等,结合我国现有国情,建议从完善立法体系、建设隐私保护机制、构建行业监管、明晰医疗服务主体责任等方面健全互联网医疗法律监管制度,以期推动互联网医疗服务行业发展,保障医患双方的合法权益.     

关于规范地方财政投融资体系的若干思考

地方财政投融资是以地方政府信用为基础 ,为实现政府基本目标 ,采取有偿融资和投资方式所进行的经济活动及所形成的制度体系。改革开放以来 ,投融资业务对地方经济发展起到了积极作用 ,但由于理论研究的严重滞后 ,以及政策措施不配套 ,地方财政投融资尚处于初步发展阶段 ,我们有必要总结其在发展中面临的问题 ,促进地方财政投融资体系的进一步完善     

互联网时代的信息传播悖论

互联网上存在这样一个悖论——一方面是海量信息 ,另一方面却是垃圾信息 ,有用信息难以查找 ,文章分析了这一现象产生的原因及其对网络生态环境的危害 ,并初步提出了解决方法。     

沈阳市农户储备行为实证分析

以沈阳市农户统计数据为基础,根据影响农户储蓄行为的因素,建立了沈阳市农户储蓄行为的计量模型;并对现今农村金融体制与社会制度变迁过程中存在的问题进行分析,提出相应的政策建议。     

对我国企业财务工程再造的思考

企业再造是一项系统工程 ,其内容主要包括资产结构再造、经营结构再造、管理体制和组织体制再造等。本文主要从财务的角度来反映和分析企业问题 ,并通过对企业财务工程这个企业再造工程系统的子系统的再造来探索企业改革措施和解困办法     

风险投资与地方政府财政的作用定位

发展风险投资是推动高新技术产业加快发展、实现产业结构优化升级的重要途径。鉴于风险投资业在我国刚刚起步的现实 ,强调地方政府介入风险投资意义重大。近期地方政府介入风险投资应在资本配置中发挥重要作用 ;从长远来讲 ,地方政府应致力于相关制度环境建设 ,这方面的内容包括政策引导、制度环境支持以及法律保障等 ,以此创造有利于风险投资业大发展的社会环境     

金融环境论略

金融业的存在和发展与金融环境之间存在一个极为密切的关系 ,金融环境是金融活动发生和发展的支持系统和资源。金融环境可以被分为内在的外部性和外在的外部性这两个层次。金融环境既包括自然、经济、法律、社会政治等诸多方面 ,同时也包括金融结构、信用关系和金融监管等要素。从金融业的经营状态来判断金融环境的好坏及其变化 ,这有利于治理和保护金融环境 ,营造良好的金融环境。当前需要从法律、市场、信用和宏观经济几个方面改良金融环境。