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.     

民族记忆与文化基因--瑶族民族记忆中“中华民族共同体”文化基因的表征及其价值阐释

民族记忆既是传承民族文化基因的载体,也是彰显民族文化基因的重要文化表征。民族记忆作为延续民族历史和文化基因的内在根基,通过传承民族历史文化、建构民族身份、塑造民族形象等形式传承和彰显民族文化基因的内在特征。以瑶族为代表的少数民族文化基因是中华民族文化基因的重要组成部分,深入挖掘瑶族民族记忆中蕴含的“中华民族共同体”文化基因,并阐释其内在的价值与意义,对培育和铸牢我国各民族的“中华民族共同体”意识有着重要的理论价值与现实意义。     

Diagnostics of multiple group influential observations for logistic regression models

In this paper, two new multiple influential observation detection methods, GCD.GSPR and mCD*, are introduced for logistic regression. The proposed diagnostic measures are compared with the generalized difference in fits (GDFFITS) and the generalized squared difference in beta (GSDFBETA), which are multiple influential diagnostics. The simulation study is conducted with one, two and five independent variable logistic regression models. The performance of the diagnostic measures is examined for a single contaminated independent variable for each model and in the case where all the independent variables are contaminated with certain contamination rates and intensity. In addition, the performance of the diagnostic measures is compared in terms of the correct identification rate and swamping rate via a frequently referred to data set in the literature.     

丑角、看客与孤独者的悲喜剧 ——鲁迅与穆时英笔下的丑角形象之比较

鲁迅与穆时英笔下都塑造过一系列具有丑角特质的形象。不同的是,穆时英笔下的丑角具有自觉性,以小丑身份为面具,掩盖自己的孤独与恐惧；鲁迅笔下的丑角多是非自觉的,他们认真地践行着自己的人生理念,却因其与周遭环境格格不入,被人当作小丑、疯子。从中折射出两位作家迥异的生命观,穆时英从个体角度出发,写出了都市人在悲哀的脸上戴了快乐面具的无奈,对丑角表演持拥抱态度；鲁迅则从批判国民性的宏观角度出发,敏锐地意识到了丑角表演背后的隐忧,对其持拒斥的姿态。     

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。     

怀疑意识、主体性及其他——论孙郁鲁迅研究中的哲学视角

哲学视角是孙郁的鲁迅研究中起步早、且一以贯之的一个方向，他独创性地将鲁迅与康德进行比较，认为在强调认识的有限性这一点上，二人不乏相似性。孙郁强调怀疑意识作为鲁迅思想的“内核”，并指出其在文化史上的意义。他以“主体性”思想为参照，对鲁迅思想和作品进行了深度解读，进而指出传统的“主奴文化”是形成“相互主体性”思想的障碍。概而言之，孙郁对于哲学视角的运用，并非纯粹的知识生产，具有鲜活的生命力和学术价值。      

“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。     

基于交叉效率DEA与群体共识的区间乘性语言偏好关系群决策

针对区间乘性语言偏好关系群决策问题，提出了一种基于交叉效率DEA和群体共识的群决策方法。首先，提出乘性语言偏好关系导出函数的定义，并构建产出导向的DEA模型，证明了一致性乘性语言偏好关系的DEA效率得分与排序向量之间存在比例关系。在此基础上，建立基于理想值的交叉效率DEA模型，提出乘性语言偏好关系的通用排序方法。同时，基于群体共识建立目标规划模型来计算各语言偏好关系的权重系数。最后，利用Monte Carlo随机模拟的方法对群体语言偏好空间进行统计分析，得到群决策期望排序向量及其可信度。算例分析表明本文方法能够有效的避免信息损失，具有较强的适用性和较高的可信度。     

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。     

Side-by-Side on Stage - Music and Drama Form a Bridge between Acting Students and People with Dementia in an Intergenerational Group Work

ABSTRACT

This article presents an intergenerational music and drama therapy groups comprised of twelve people with dementia residing in a nursing home and twelve acting students from the community.

The qualitative research aimed to explore the students’ attitudes towards elderly people, and to understand the role of creative arts therapies in facilitating intergenerational relationships. Qualitative content analysis of students’ weekly reports and questionnaires revealed the gradual process of connection between the students and people with dementia. Engaging in a creative act helped the students to discover the strengths and abilities of people with dementia and to see beyond the disease.