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.     

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.     

基于Petri网的微博网络信息传播模型

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。     

城市综合体建设面临的一系列问题探讨--以南通市为例

随着房地产调控和城市化进程的加快，商业地产越来越受到开发商的青睐。城市综合体作为商业地产的典型代表以其多结构多层级的功能组合迅速提升区域价值而拥有了“城中之城”的美誉，在东部地区二三线城市大量涌现。但城市综合体带动城市发展的同时，也引发了一系列风险亟待关注。     

基于平均电价的在线电动汽车充电排程定价机制

考虑在一个区域内单个充电站为多辆电动汽车(充电顾客)提供充电服务的排程与定价问题.充电顾客的排程(排序)有三种可选择的机制,即从高到低将待充电顾客按下列准则进行排序:1)顾客充电的总报价;2)顾客充电的单位报价;3)顾客在当前时间点之前已充电量的价值.基于上述充电排程机制,提出了一种基于顾客已充电量的平均电价且不依赖未来充电需求的定价机制,证明了所提出的排程定价机制具有个体理性和激励兼容特性.与已有的按顾客获得的最后一单位待充电价格进行定价的方法相比,研究发现:在第1)或第2)种排程机制下,所提出的定价机制顾客充电最终支付价格的期望相同,但方差减小;在第3)种排程机制下,所提出的定价机制顾客最终支付价格的期望和方差均减小.算例结果展示了所提出定价机制在减小充电顾客最终支付价格不确定性方面的作用与效果.     

新冠肺炎疫情下对完善快递末端配送体系建设的思考——以重庆市为例

自新冠肺炎疫情发生以来，快递业为应急救援物资和人民群众日常基本生活物资运输和寄递服务、畅通经济循环、满足民生需要等方面做出了重要贡献，为疫情防控提供了强有力的支撑；但同时也暴露出了一些问题，集中体现在末端配送体系不健全、末端收投不畅等方面。在对电子商务和快递业发展现状进行分析的基础上，对快递末端配送的主要模式和发展趋势进行了论述，结合重庆市的实际情况，分析了其末端配送存在的不足，并从公共服务平台搭建、智能化无接触式配送构建、乡村快递服务网络完善、快递员队伍建设等方面提出了对策建议，以助推重庆经济社会高质量发展。     

《电子商务法》视角下网约车平台的信息披露义务

近年来网约车平台的信息管控问题受到较多关注。网约车属于服务提供型电子商务平台，具有更强的人身安全保障需求，以区别于以实物商品为交易标的的商品提供型电子商务平台。网约车平台对于服务提供过程中的驾乘信息有强大的管控能力，同时也需承担承运人责任。《电子商务法》为电子商务平台直接或间接设定了信息披露义务，在《电子商务法》未明确规定或仅做原则性规定的情形下，网约车平台亦应当根据实际情况将相应信息做单独处理以满足乘客、利益相关人和国家机关合法的信息披露要求。在一般情况下，网约车平台需向一般公众提供平台信息与平台内经营者信息，特别是法律要求的基本信息，而在特殊情况下，网约车平台不仅需要提供相应个人信息与运营信息，还需满足披露质量上的即时性和全面性要求。     

政府减排目标、产业结构与污染减排

政府是污染减排的重要主体,了解其行为对污染减排的作用对提升污染减排效果及实现中国绿色发展具有重要意义。创造性地将政府减排目标纳入研究框架,构建面板门槛模型,从工业污染排放总量的角度分析政府减排目标、产业结构、经济规模等因素对地方污染减排的影响,并用工业污染物强度进行稳健性检验。结果显示,政府减排目标对污染减排的作用存在阶段性不同:经济发展初级阶段,政府减排目标对污染排放总量的作用方向为正; 经济发展水平较高时,作用方向为负; 两者之间存在适应性调整阶段,作用方向具有不确定性,但总体由正向作用向负向作用转变。产业结构对工业污染排放总量的作用方向因污染物种类而异,经济规模对工业污染排放总量作用方向为正。