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.     

Challenges of operationalizing trauma‐informed practice in child protection services in New Zealand

New Zealand is undergoing major change in service delivery to children and families. A new Ministry for Children Oranga Tamariki has been established to oversee 5 work streams, one of which provides intensive intervention with families requiring a statutory response to child protection concerns. The government minister responsible promised that the service would be child‐centred and trauma‐informed. To date, these terms remain undefined, and there is no shared understanding of their meaning. Practice frameworks to support the work of the new ministry are still being developed, creating something of a vacuum in the meantime. The focus of this paper is the challenge of implementing trauma‐informed practice in the child protection service provided by the Intensive Intervention work stream. Limited research or commentary on trauma‐informed practice in this context currently exists. Drawing on the relevant available literature, the concept and its application in child protection social work is explored. An ecological framework is used to discuss the changes needed to achieve this. Particular attention is paid to the impact of historical trauma for indigenous people due to New Zealand's colonial history and their over‐representation in care and protection services.     

制度风险的法律维度: 突破非物质文化遗产保护的瓶颈

以风险理论审视非物质文化遗产的现行法律制度,根据风险产生根源不同,非物质文化遗产保护的制度风险会表现为制度运转失灵风险、制度功能偏差风险和公平性缺失风险。化解制度风险,形成制度风险的维度,不可基于同一个标准,而是需要在大的框架之下论及制度风险的法律管控,需要有针对性地创构"建立私权,善用公权"的多元法律控制体系,并在体系内引入技术规制,创设"非物质文化遗产权",推动民间习惯法与法律制度、公法与私法的互动式发展。     

从《了凡四训》到《训儿俗说》——关于袁了凡及其家风家训的思想史考察

袁了凡（袁黄）以其《了凡四训》闻名于世，该书亦被当作训子家书。其实，了凡所作家训并非《了凡四训》，而是《训儿俗说》。作为王龙溪（王畿）的及门弟子，了凡在思想上是阳明后学的一分子，其人生轨迹属于典型的儒家士大夫，其日常修持及著述呈现三教汇通的思想特色。了凡家风淳朴，家学深厚，以儒为宗，兼收并蓄，强调道德主义，注重积德行善，具有出世情怀，对其人格产生深刻影响。     

数字媒介视域下的文化记忆研究

文化记忆媒介经历多次嬗变,从口述媒介、书写媒介、印刷媒介到当下的数字媒介。媒介嬗变为文化记忆当下化提供了基本的结构框架,尤其是数字媒介,对文化记忆的储存、传播和表现产生了诸多新影响。首先,它极大地提升了文化记忆的储存能力,也产生了“数字黑暗时代”问题;其次,它有利于传播个体关于文化记忆的观点和评价,放大了各群体间关于文化记忆的认知差异,改变了文化记忆的水平传播和垂直传播;最后,它为文化记忆的表现带来了非线性叙事,产生了超文本和超作者,并为文化记忆文本提供了互文性链接,提高了多叙事主体间互动频率。不仅如此,数字媒介的影响还延展至文化记忆的代际延续和集体认同领域。     

金沙遗址出土文物太阳神鸟黄金面具青铜立人的藏文化解读

从藏族古代文化的视角来看，金器太阳神鸟图似乎与斯巴嘎巴和迥瓦风轮的观念有关，斯巴嘎巴和迥瓦风轮观涉及藏族本教的空间时间观和宇宙本体观。斯巴嘎巴是藏语的汉语对音，指空间和时间。迥瓦是藏语的汉语对音，指风火水土四元素。风轮是藏语的汉语意思表达，指“风”为元初原动力的宇宙形成观。在藏语言里，黄金面具实为金面。古藏人非常重视头发及其发型，即便是对死者补妆也是如此，在为死者补妆时，发辫被排在了补妆12点数的首选位置，且头发与绿松石相对应。     

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。     

京津冀文化消费的影响因素与结构特征

在京津冀协同发展战略中,文化创意产业在取得初步发展成果的同时,还依旧面临着不少亟待解决的问题。采用问卷调查法实地走访采集区域居民文化消费数据,并进一步通过决策树算法进行数据挖掘,发现京津冀文化消费的影响因素及结构特征,据此提出打造区域共同文化品牌、保障居民收入持续平稳增长、针对青少年文化消费市场创新营销模式、培养其正确的文化价值观及文化创新能力等改进措施,从而优化推动京津冀文化消费市场协同发展的路径,打造互联互通、开放统一的区域文化消费市场,使区域居民文化消费需求成为促进文化产品供给的市场新动力。     

“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。     

以人民为中心的理论认识与制度安排

以人民为中心的思想理念拓展了传统意义上的人民概念和创造历史伟业的依靠对象。依靠人民创造历史伟业，发展生产力，提供丰富的物质财富、精神财富和生态财富。构建劳动力资本化为劳动者股份的制度安排，合理界定劳动收入和资本收入的边界，保障劳动贡献归劳动者所得，资本贡献归资本所有者所得，为人民实现美好生活需要提供制度和收入上的保障。以人民为中心的思想理念，是对《共产党宣言》的每个人自由发展思想的继承和发展，是马克思主义中国化时代化大众化的理论成果。