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.     

随机需求环境下联产品系统价格与产量决策研究

基于固定比例生产技术和多产品随机需求的情形,研究了联产品制造商的两阶段产量和价格联合优化模型。通过反向倒推的优化求解,得到了联产品制造商的最优产量和价格决策以及变化规律。同时研究了需求服从均匀分布时,需求波动对均衡的影响。研究结果表明,在订货成本较低和一种产品的需求波动性较大时,当另外一种产品的波动增大,则该产品的最优订货量增大,同时价格下降。借助数值仿真,分析了价格敏感度和产出比例对最优决策和利润的影响。结果表明,在给定一种产品的价格敏感度时,另外一种的价格敏感度越大,那么该产品的价格就越低,制造商的订货量就下降。当一种产品的产出比例固定时,另一种产品的产出比例上升时,则该产品的价格下降,制造商的订货量下降,总利润上升。     

Engaging leader – Engaged employees? A cross-lagged study on employee engagement

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.     

历史变局、国家兴衰与发展之路——三次千年变局叠加下的中国特色社会主义发展道路

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。     

Statistical testing strategies for assessing treatment efficacy and marker accuracy in phase III trials

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.     

融合内容分析和关联分析的短生命周期体验品需求特征模式挖掘方法研究

挖掘特定产品的需求模式无法从整体掌握该类产品的市场特征；短生命周期体验品因缺乏历史销售数据，并且销售总量波动性极大，尤其需要从整体掌握销售总量与产品属性间关系的需求特征规律，但又难以挖掘，亟待提出适用于该类产品的需求特征模式挖掘方法。基于按销售总量分区后各区的需求特征的规律性，提出了一种按销售总量分区、以已有产品介绍集和销售总量为源信息、适用于新产品开发前使用、融合内容分析和关联分析的短生命周期体验品需求特征模式挖掘方法。该方法包括基于内容分析法的产品属性挖掘方法和基于关联分析的产品属性关系模式挖掘方法。前者可以得到较全面的产品属性；后者能够构建不同销售总量区间内产品集的属性关系模式，得到各区间的产品属性关系网，获得高销售总量区间具备，但中、低区间不具备的属性关系模式，从而获得需求特征模式。通过不断更新产品介绍集和销售总量并迭代挖掘，该方法能够动态挖掘需求特征模式。最后利用2013至2016年国产犯罪和爱情类电影数据验证了该方法的可行性，并得到了这两类电影的产品属性及近年的需求特征模式，可用于指导这两类电影的创作。     

How does distance affect market entry mode choice? Evidence from French companies

The objective of this article is to examine the relevant dimensions of distance for foreign market entry mode choice. Based on a sample of 203 interfirm linkages formed by French multinationals with partners across the world, we analyze the impact of four dimensions of distance on the choice between cooperative alliances and mergers-acquisitions. The findings indicate that administrative and economic distance have a significant influence on market entry mode choice, whereas the impact of cultural and geographic distance is not significant. They further highlight the important role of the host country's government effectiveness for market entry mode decisions.     

产需不确定下基于零售商风险规避的三级供应链组合契约模型

针对产需不确定下单一供应商、制造商和风险规避的零售商组成的三级供应链系统，建立了分散和集中情况下的最优决策模型。通过设计风险共担和GL组合契约实现了三级供应链的协调。讨论了风险规避零售商的最优订购决策，分析了风险规避对供应链期望效益的影响。比较了风险规避和风险中性两种情况下零售商的最优决策。探讨了组合契约的协调问题及契约参数之间的关系。研究表明供应链的期望利润随着产需不确定的增加而减少，风险规避下零售商的期望利润低于风险中性时的期望利润，零售商的期望利润随着风险规避程度的加大而减少，零售商最优订购量随风险规避程度的增加而变化。最后数值算例验证了模型和契约协调的有效性。     

娄底市实现农业和农村可持续发展的探索

可持续农业和农村发展”(SARD)是联合国粮农组织倡导的世界未来农业和农村发展的大趋向。本文探究了可持续农业和农村发展的内涵及来源 ;立足娄底地情 ,分析了其农业和农村可持续发展中存在的问题 ;提出了实现娄底可持续农业和农村发展的目标和对策     

‘Public toilets for a diverse neighborhood’: Spatial purification practices in community development discourse

This paper explores the dialectic of place and community identity in Mount Pleasant, a multi–ethnic and multi–class U.S. neighborhood where definitions of place are hotly contested among its residents. In a grant proposal for public toilets, Mount Pleasant writers use linguistic strategies such as presupposition, deixis, and contrast, coupled with discursive themes of filth and geography, to construct a core of the Mount Pleasant community. The writers place themselves and people who share their values in that core, and immigrants at the margins. These strategies serve as a discursive type of spatial purification practice (cf. Sibley 1988) through which the grantwriters set up a moral and spatial order where they and other core community members are deemed to use space ‘appropriately’, and thus inhabit positive moral positions, while immigrant community members’ imputed ‘inappropriate’ use of space is used to construct negative moral positions for them.