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1.
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.  相似文献   
2.
新时代培育民族复兴大任的时代新人,必须提升大学生的担当精神,以建设一支有担当、敢担当的时代新人队伍,这是应对时代诉求与历史使命的必由之路。然而,大学生的担当精神培育既面对着认知新的历史方位、奋力托举中国梦与应对新“忧患”的时代诉求;又要面对围观的看客心态、非科学的失衡心理、认知偏颇的冲击。因此,把担当精神摆在育人的重要位置,从升级育人内容、优化育人环境等几个关键教育环节着手,营造崇德向善、力争担当的社会风尚,将担当精神培育生活化、长效化,进而不断增强大学生的担当意识与担当力。  相似文献   
3.
新形势下突发重大疫情网络舆论不仅给疫情防控带来了严峻挑战,而且给维护国家意识形态安全带来了较大压力。厘清网络舆论的生成逻辑,把握网络舆论发展的演进特征,对做好网络舆论引导与谣言治理意义重大。在现代网络社会,随着交往实践的普遍进行,从现实逻辑、实践逻辑与理论逻辑来看,突发重大疫情网络舆论的生成,是网络议题、网络交往和网络传播相互作用的结果。受网络社会交往实践主体、客体、环体和介体等多种因素影响,突发重大疫情网络舆论又呈现为非线性的发展演进趋势,极易引发“蝴蝶效应”造成舆论秩序失范,甚至导致“塔西佗陷阱”的舆论信任危机,给疫情防控带来复杂变数。必须建立健全网络舆论治理机制,有效管控舆情,提高疫情防控治理水平。  相似文献   
4.
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.  相似文献   
5.
Recently, Kambo and his co-researchers (2012) proposed a method of approximation for evaluating the one-dimensional renewal function based on the first three moments. Their method is simple and elegant, which gives exact values for well-known distributions. In this article, we propose an analogous method for the evaluation of bivariate renewal function based on the first two moments of the variables and their joint moment. The proposed method yields exact results for certain widely used bivariate distributions like bivariate exponential distribution, bivariate Weibull distributions, and bivariate Pareto distributions. An illustrative example in the form of a two-dimensional warranty problem is considered and comparisons of our method are made with the results of other models.  相似文献   
6.
研究了网络外部性对双渠道供应链信息分享的影响。分别建立了存在网络外部性和不存在网络外部性下的双渠道供应链模型,通过比较零售商信息分享和不分享下其与制造商的期望利润。研究发现:当未考虑产品的网络外部性时,零售商不与制造商分享其市场需求信息,与已有研究一致。当考虑了产品网络外部性且网络外部性较小时,零售商仍不与制造商分享市场需求信息;然而,当网络外部性较大时,零售商与制造商分享其市场需求信息。此外,零售商与制造商共享其市场需求信息有助于增加制造商和供应链利润。  相似文献   
7.
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。  相似文献   
8.
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.  相似文献   
9.
刘宇  梁循  杨小平 《中国管理科学》2018,26(12):158-167
微博网络中的信息传播模型是分析用户行为,找出传播路径,确定领袖人物,发现舆情热点等研究的基础。虽然多种不同角度的信息传播模型已经得到广泛研究,但缺乏对信息动态传播过程的直观描述。本文基于Petri网的结构和特征,针对微博网络信息传播过程,提出了一种简单直观的描述模型,该模型首先对微博网络的信息动态传播过程中的对象进行结构化描述。本文根据微博网络的用户结构关系,并利用Petri网的相关理论,形式化解释和定义信息传播基本对象,从而更加直接描述了微博网络中的转发、评论、回复等多种用户行为。在此基础上,本文利用Petri网能够描述信息流动问题的特征,结合颜色Petri网和时延Petri网,从Petri网系统的角度表示信息动态传播路径,并研究网络的动态性质和传播条件,使得信息传播模型更加真实地模拟信息传播情况。最后本文分析信息传播算例和新浪微博真实数据实验,验证了模型的有效性和可行性,为舆情态势分析以及用户行为的研究提供帮助和支持,同时也为其它社交网络信息传播的用户行为描述提供了新的思路。  相似文献   
10.
Reviews     
Abstract

Michelle DeMars reviews The Indispensable Academic Librarian: Teaching and Collaborating for Change; Norma Durian reviews The Library Outreach Casebook; Trina Boykin Nolen reviews Licensing Digital Content: A Practical Guide for Librarians, Third Edition.  相似文献   
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