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.     

突发重大疫情网络舆论的生成逻辑､演进特征与治理机制

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。     

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.     

中国员工企业伦理态度调查及分析

随着中国市场经济的发展,各种企业丑闻的频发引起业界广泛关注,公司治理越来越受到重视。已有的研究表明,员工企业伦理态度关乎员工承诺度和企业竞争力。本文依据个人层次研究理论,采用实证分析方法,选择国内6家企业的员工为调研对象,沿用国外企业伦理个体层次研究中广泛使用的量表"Attitude Towards Business Ethics Questionnaire"(ATBEQ)即企业伦理态度量表,考察当代中国企业员工对企业伦理态度的看法;另外,也分析了不同的工作年限,性别,学历,户口等因素下的企业员工伦理态度差异。调查结果显示:中国员工的企业伦理观存在困惑;大部分中国员工有企业利益相关者意识;教育对企业员工伦理态度存在显著影响。     

中国特色社会主义制度自信：基本依据·价值意蕴·实现路径

中国特色社会主义制度是立足世情、国情、民情和党情建立起来的制度体系。从历史选择到制度实践构成了我们在新时代夯实制度自信的基本依据；从共同富裕到人的全面发展彰显了制度自信特有的价值意蕴。站在新的发展阶段，既需要大胆借鉴古今中外制度建设的有益成果，又务必坚持在实践基础上以理论创新推动制度创新，以制度借鉴、制度实践和制度创新进一步坚定制度自信。     

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.     

"指标困局":农村贫困治理的实践与反思

在国家的扶贫实践中，地方政府的行为策略是影响扶贫绩效的关键变量。通过对精准扶贫政策实践的调研发现，中央政府不断升级的治理手段为重构央地关系创造了条件，地方政府对国家扶贫理念转型认知的偏差以及在形成路径依赖之后的策略行为不仅容易产生对总体局势的误判，还为后期的政策困局埋下了伏笔。在此背景下，地方扶贫工作遭遇“指标困局”，即地方政府很难实事求是去识别贫困户，只能在既有的指标约束下进行精准识别，扶贫工作陷入了反复识别，却仍难实现精准的怪圈。     

中国共产党宪法治理百年探索及省思

中国共产党的宪法治理经历了从根据地局部执政时期的革命宪法,新中国成立初期移植苏联宪制模式及本土化探索,到改革开放后逐步形成依宪治国与依宪执政的新局面。百年宪法治理历程曲折蹒跚,终坚定向前,经验值得弘扬。宪法治理模式的移植当慎重,宪法的权威应维护,加强党的领导和中国特色社会主义宪制创新,培育中国特色社会主义宪法文化任重道远。     

论改善型民生

根据支撑基础、责任负担、保障水平以及民众需求等维度，可以把民生保障划分为托底型、基本型、改善型以及富裕型等四种类型。改善型民生是经济社会发展到一定阶段的产物，也是国家治理体系与治理能力现代化的客观要求。它是指通过各类民生项目的安排及民生待遇优化以促进民众生活得到持续改善、社会发展水平得到提升的一种制度类型，是民生项目更加齐全、内容更为完善、治理水平更高、使民众各按其分的民生模式，是人们的日常生活与服务消费支出总额持续增长以便能够提升生活水平的民生类型，是那种不断满足人的需要特别是较高层次需要的模式类型，也是更有助于形成社会结构稳定、国家长治久安的民生制度类型，因而具有综合性、完善性、激励性以及发展性等特点。这要求我们优化民生类型设计及民生投入结构，补齐改善型民生短板，营造良好社会秩序，扎实推进国家治理体系及治理能力现代化建设。