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.     

Improved two-parameter estimators for the negative binomial and Poisson regression models

Negative binomial regression (NBR) and Poisson regression (PR) applications have become very popular in the analysis of count data in recent years. However, if there is a high degree of relationship between the independent variables, the problem of multicollinearity arises in these models. We introduce new two-parameter estimators (TPEs) for the NBR and the PR models by unifying the two-parameter estimator (TPE) of Özkale and Kaç?ranlar [The restricted and unrestricted two-parameter estimators. Commun Stat Theory Methods. 2007;36:2707–2725]. These new estimators are general estimators which include maximum likelihood (ML) estimator, ridge estimator (RE), Liu estimator (LE) and contraction estimator (CE) as special cases. Furthermore, biasing parameters of these estimators are given and a Monte Carlo simulation is done to evaluate the performance of these estimators using mean square error (MSE) criterion. The benefits of the new TPEs are also illustrated in an empirical application. The results show that the new proposed TPEs for the NBR and the PR models are better than the ML estimator, the RE and the LE.     

孤山智圆净土思想之天台教义探赜

孤山智圆是北宋天台宗山外派的著名学僧，也是宋代倡导儒佛互融的代表性人物。智圆一生致力于天台三观，同时又“刻心净土”，力求以天台宗圆教的“心性”论统摄净土法门的“唯心净土”，又以“心性”为诸法之体来消解净秽二土之别。智圆不仅是“唯心净土”论者，也是“实在净土”的坚定信仰者，其净土思想具有鲜明的“唯心净土”和“实在净土”两重性。     

缅北动荡局势下我国边境安全应对刍议

缅北动荡局势下，我国中缅边境地区面临传统安全与非传统安全双重威胁。从前期系列缅北冲突导致的问题处理经验看，我国中缅边境地区安全应对体系建设在预防意识的主动性、应急制度的协调性、应急体系的系统性方面仍有待进一步提升。立足中缅边境地区安全问题的特殊性，其应对可从立足跨境民族众多的实情主动应对、立足边境安全事件的复杂性系统应对、立足边疆经济的落后性持续应对等方面予以加强。     

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。     

Experiences of homelessness by people seeking asylum in Australia: A review of published and “grey” literature

This review examines the current published and “grey” literature relating to the experiences of homelessness by people seeking asylum within Australia. While many people seeking asylum have experienced homelessness during their flight, inadequate and unaffordable housing are a feature of the settlement experience for a large number of new arrivals to Australia, putting at risk their successful settlement. This study aims to explore the factors influencing access to stable housing. A systematic review of the academic literature and a search of the grey literature identified 11 articles and 20 documents related to homelessness and people seeking asylum in Australia. The academic literature included a variety of methods and approaches to the investigation of the experience of homelessness in Australia. The grey literature was more practice based, including evaluation and research reports, submissions, and newsletters. Findings suggest that experiences of homelessness are multifaceted and have a range of influences, including policy, financial stress, lack of access to education and employment, and a lack of affordable and suitable housing. Any solutions to address homelessness need to be similarly diverse. Discrimination from real estate agents and employers was also identified as a barrier to housing for many people seeking asylum, an issue that will need to be addressed at a systematic level. The lack of research published in the academic literature means that although there may be some programmes or solutions operating in the community, as demonstrated in the grey literature, this information is not being shared beyond organisation websites or subscriber lists, resulting in a lack of coherency or sharing of solutions. This review highlights the need for further attention to the factors influencing homelessness in asylum seekers, the experience of homelessness, and how these can be addressed by government and non-government led strategies and policy development.     

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.