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.     

Engaging leader – Engaged employees? A cross-lagged study on employee engagement

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.     

试述马克思主义大众化传播应坚持的四个基本原则

马克思主义大众化传播是一个极其复杂、艰巨的社会系统工程。学术界对于马克思主义大众化传播应该坚持什么样的原则和方法也是众说纷纭。从当代世界和中国现实情况、信息传播技术飞速发展的时代背景,以及马克思主义理论创新发展的内在规律出发,马克思主义大众化传播应坚持指导思想一元和文化价值多元的统一、理论逻辑和生活逻辑的统一、科学性与通俗性的统一、传承性和开放性的统一等四个基本原则。     

新中国成立初期马克思主义在新疆地区的传播(1949—1955年）

新中国成立初期,马克思主义在新疆地区的传播,历经了从边缘走向中心、从隐蔽走向公开,进而发展为常态化的历史过程。这一过程,蕴涵着马克思主义理论的内在诉求,是中国共产党执政的在场体现,也深度契合了新疆地区各族人民的迫切需求。面对传播过程中出现的话语、文本和媒介等现实问题,党和政府通过加强党组织建设以建构话语路径、翻译出版经典著作以建构文本路径、完善本土大众传媒以建构媒介路径等来化解问题,从而为新疆维吾尔自治区成立奠定了思想与理论基础,强化了中国共产党在新疆地区的组织建设,也推进了本土传播媒介的发展与提升,更为马克思主义在民族地区传播的理论探究提供了现实参考。     

历史变局、国家兴衰与发展之路——三次千年变局叠加下的中国特色社会主义发展道路

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。     

Statistical testing strategies for assessing treatment efficacy and marker accuracy in phase III trials

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.     

20世纪初中国人对马克思思想解读的再评价

19世纪末20世纪初,马克思的思想就传入了中国,梁启超在传统大同思想与社会主义贯通中对它进行解读;早期国民党人在批判资本主义,建构民生主义中对它进行评价;无政府主义在反传统中认同马克思的共产主义。虽然各有局限性,但又各有自身的意义。以十月革命的经验解读马克思主义,遮蔽了对马克思思想早期传播的研究,研究马克思主义在中国的早期传播,对认识马克思主义中国化有重要意义。     

进化论思潮与唯物史观的传播——近代中国两大思想关系刍议

进化论思想与唯物史观同为近代中国影响广泛的思想。二者的传入时间接近，并且都经历了中国化的过程。随着进化论思想在现代遭到了越来越多的批判和质疑，唯物史观早期传播和发展的历程也经历了重新的审视。文章从近代思想史发展的事实出发，重新厘清两种思想的关系，并具体论证马克思的唯物史观能否从广义上归结为一种进化论的思想，以及进化论思想在中国是否经历了一个向唯物史观转变的历程。     

全球化与当代马克思主义中国化

全球化是人类社会发展的一个必然过程。马克思主义是全球化的产物,在全球化和马克思主义的共同作用下,结合中国具体实际,形成了中国化的马克思主义。全球化不仅对马克思主义传入中国和马克思主义中国化的推进产生了深刻的影响,而且对当今中国共产党的指导思想和社会政治现实产生了巨大的作用。     

奥古斯特·倍倍尔的社会主义思想及其对马克思主义的丰富和发展

奥古斯特·倍倍尔(1840-1913)是德国社会民主党的主要领袖和创始人之一,也是德国工人运动和国际工人运动著名的政治家和活动家.他的社会主义思想,大多是从革命实践中形成的,对德国工人运动和社会主义运动具有实际的指导作用.他的社会主义思想,既是对马克思主义基本理论的继承,又是对马克思主义思想的丰富和发展.在继承了马克思主义基本原理的基础上,倍倍尔在无产阶级政党建设的具体问题、无产阶级政党的具体斗争方式与斗争策略问题、以及妇女解放事业与实现社会主义的关系问题上,进一步丰富和发展了马克思主义.