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.     

习近平总书记关于高校体育工作重要论述的逻辑意蕴与实践路径

习近平总书记关于高校体育工作重要论述是新时代中华民族所认同体育文化的价值取向、精神气质、思维方式与行动纲要的总和，它是大学生思想教育工作发展创新的内在需要。高校通过以中华体育文化精神为基石，融入社会主义主流价值；优化体育文化育人环境，让体育文化叫好又叫座；深入挖掘体育文化活动内涵，打造经典体育文化品牌；丰富体育文化载体形式，使体育文化育人产生倍增效果，多种实践途径践行习近平总书记关于高校体育工作的重要论述，促推中华民族体育强国梦的实现。     

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.     

进化论思潮与唯物史观的传播——近代中国两大思想关系刍议

进化论思想与唯物史观同为近代中国影响广泛的思想。二者的传入时间接近，并且都经历了中国化的过程。随着进化论思想在现代遭到了越来越多的批判和质疑，唯物史观早期传播和发展的历程也经历了重新的审视。文章从近代思想史发展的事实出发，重新厘清两种思想的关系，并具体论证马克思的唯物史观能否从广义上归结为一种进化论的思想，以及进化论思想在中国是否经历了一个向唯物史观转变的历程。     

以环境哲学为研究视域的文化自觉

以环境哲学为研究视域的文化自觉是站在明确的生态整体主义立场的学科文化自觉。它以哲学为衔接点，把环境与广义的文化联系在一起，努力为环境哲学寻求新的增长点。而弱的非人类中心主义观念作为观念侧翼，更细致地修复破碎染尘之人心。让人类有效地从社会走向自然，又从自然回归社会。审视以环境哲学为研究视域能否实现文化自觉？它必须立足以环境哲学的语境与方式思考文化自觉的可能与必然，并应用环境哲学的方法与逻辑阐释文化自觉的内涵与趋向。环境哲学所固有的自然之翼，是其学科存在的本质特征。但如若停滞于自然界的现象，而无文化元素的参与和交融，环境哲学的困顿将会在现象与抽象之间迷失。而文化元素的加入，又必须在自觉的前提下进行，它一方面是为融合确定边界，另一方面是为渗透找到根据。以对人类与自然界高度负责的精神，文化自觉与环境哲学都有着共同的使命：欣赏人与自然的和谐相处。     

论数字货币的私法性质——以日本Bitcoin.Cafe数字货币交易所破产案为中心

数字货币，是一种具有财产性价值属性的电磁记录型数据。数字货币在其依存的区块链体系中所彰显的与不特定者之间的支付对价性、与法定货币之间的互换性、使用电子信息处理系统进行转移的在线转移性等特点，得以从数据说的角度，将其作为一种数据性财产权在现行法律框架内对其私法性质进行讨论。有鉴于我国民法总则已将数据纳入保护客体的范畴，数字货币作为数据之一种，理应成为一种新型法律客体，在得到法律理论支撑的基础上获得保护。     

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     

乡约的诸属性及其文化原理认识

乡约是传统社会乡民基于一定的地缘和血缘关系,为某种共同目的而设立的生活规则及组织。乡约最初形成于中国,后传播至朝鲜半岛、日本和越南,成为东亚社会共同的法律文化传统。传统中国的乡约有其时空性、价值性和法律性。乡约不是国法,但在乡民的实际生活中发挥着法的作用,是中国传统社会秩序构造链中的重要一环,其内贯一极二元主从式多样化的文化原理,与传统中国社会的结构和文化理念相契合。近代以来,乡约总体上呈现出消解的趋势,但至今仍有各种流变形式,认真对待,合理改造,必有益于中国类型法治社会的建立。