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1.
Factors associated with a positive childbirth experience in Brazilian women: A cross-sectional study
《Women and birth : journal of the Australian College of Midwives》2021,34(4):e337-e345
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.
Dennis Wagenaar Tiaravanni Hermawan Marc J. C. van den Homberg Jeroen C. J. H. Aerts Heidi Kreibich Hans de Moel Laurens M. Bouwer 《Risk analysis》2021,41(1):37-55
Damage models for natural hazards are used for decision making on reducing and transferring risk. The damage estimates from these models depend on many variables and their complex sometimes nonlinear relationships with the damage. In recent years, data‐driven modeling techniques have been used to capture those relationships. The available data to build such models are often limited. Therefore, in practice it is usually necessary to transfer models to a different context. In this article, we show that this implies the samples used to build the model are often not fully representative for the situation where they need to be applied on, which leads to a “sample selection bias.” In this article, we enhance data‐driven damage models by applying methods, not previously applied to damage modeling, to correct for this bias before the machine learning (ML) models are trained. We demonstrate this with case studies on flooding in Europe, and typhoon wind damage in the Philippines. Two sample selection bias correction methods from the ML literature are applied and one of these methods is also adjusted to our problem. These three methods are combined with stochastic generation of synthetic damage data. We demonstrate that for both case studies, the sample selection bias correction techniques reduce model errors, especially for the mean bias error this reduction can be larger than 30%. The novel combination with stochastic data generation seems to enhance these techniques. This shows that sample selection bias correction methods are beneficial for damage model transfer. 相似文献
3.
刘芹 《上海理工大学学报(社会科学版)》2021,43(3):212-219
近日对我国著名电子光学和光电子成像专家周立伟院士进行了访谈。访谈中,周院士首先分享了自己学习英语和俄语的经历,强调了自主学习能力的重要性;其次,周院士详细论述了外语教学,尤其是英语教学的必要性,指出英语能力与科学研究紧密相关,英语教学不可或缺;之后周院士分析了研究生在英语学习和科学研究方面存在的问题,并讨论了大学中开设人文课程的迫切性;最后,周院士对上理工师生提出了建议与期望。 相似文献
4.
卞少辉 《河北工程大学学报(社会科学版)》2018,35(4):106-108
学习分析技术在教育教学中的应用,其根本目的是为了构建新的教学法,更新教学与管理的方式。针对高校大学英语线上、线下混合教学无法有机融合的现状,S-ISAL(Space-based Information search and Analysis Learning)应运而生,它是基于网络学习空间的信息搜集与分析的教学模式,将学习分析技术引入大学英语混合式课程中。探究该教学模式在大学英语教学中的适切性和实效性是文章的研究重点,目的是为了实现大学英语线上、线下教学优势互补,为大学生在线英语学习提供更具个性化的学习内容和路径,并提升大学生自适应学习能力和在线学习绩效。 相似文献
5.
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
6.
蔡之兵 《吉首大学学报(社会科学版)》2020,41(3):67-76
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
7.
阮咏梅 《宁波大学学报(人文科学版)》2020,33(1):1-6
卫所制度是明清时期重要的军政制度。以浙江沿海明清卫所驻地方言为考察对象,从北到南选取了最有代表性的16个方言点,通过共时和历时的比较,分析和总结浙江沿海明清卫所驻地方言声母在数量和古今分合上的特点。 相似文献
8.
四川盆地卤水分布广泛,资源丰富, 早为世人所瞩目,中三叠统雷口坡组是四川盆地最早开采天然气和盐卤的层系之一。根据盆地雷口坡组大量钻井资料研究表明,盆地雷口坡组主要成盐期分别为雷三2 期和雷四2 期,在盆地东部和南部由于受到古隆起的影响,盐岩地层已被剥蚀难以保存,现今盐岩主要分布在开江古隆起和泸州古隆起的西部以及天井山古隆起的南部(华蓥山以西—龙门山以东的川西—川中地区)。印支运动对盆地雷口坡组盐岩在平面的迁移起着十分重要的作用,根据不同时期盐岩统计数据看,两期盐盆在平面上具有向西迁移、叠加的特征,其中川中的GS1 井就钻遇了这两期的盐岩。 相似文献
9.
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
10.
随着勘探程度的深入,为了扩大四川盆地天然气勘探领域、寻找新的勘探接替区,四川盆地的勘探区域由盆内逐渐向盆缘延伸。在这种背景下,川东北地区须家河组二段相继取得新的勘探成果,但在勘探开发过程中逐渐暴露了诸如区块之间气井产能差异大,储层的碎屑组分、结构及厚度、物性、孔隙结构差异明显等问题,制约了勘探开发的步伐。针对上述问题,根据岩芯观察描述、分析化验资料及测井解释成果,从沉积、成岩方面入手,对比剖析了川东北龙岗和营山地区须二段储层特征的差异性及其成因,认为远离物源区和高能水体的反复淘洗是造成储层差异性的首要因素,强烈的压实作用和多期石英加大对储层差异性起关键作用,自生绿泥石衬边胶结和长石选择性溶蚀最终决定了储层差异性。从而解释了气藏勘探开发中遇到的诸多问题,对有效指导该区的下一步勘探开发工作具有重要意义。 相似文献