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1.
Nuria Infante-Torres Milagros Molina-Alarcón Ana Rubio-Álvarez Julián Rodríguez-Almagro Antonio Hernández-Martínez 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e318-e324
Aim
To assess the relationship between the duration of the second stage of labour and postpartum anaemia during vaginal birth.Methods
An observational, analytical retrospective cohort study was performed at the “Mancha-Centro Hospital” (Spain) during the 2013–2016 period. Data were collected from 3437 women who had a vaginal birth. Postpartum anaemia was defined as a haemoglobin level below 11 g/dL at 24 h postpartum. A univariate analysis was used for potential risk factors and a multivariate analysis with binary logistic regression to control for possible confounding factors.Findings
The incidence of postpartum anaemia was 42.0%. The risk of postpartum anaemia did not increase in nulliparous women whose duration of the second stage of labour exceeded 4 h. Compared with multiparous women who delivered between 0 and 3 h, multiparous women with a duration of the second stage of labour beyond 3 h were at higher risk of postpartum anaemia (OR = 2.43 [1.30–4.52]).Conclusion
The duration of the second stage of labour beyond 4 h is safe for postpartum anaemia in nulliparous women. However in multiparous women, monitoring should increase if the second stage of labour exceeds 3 h given the increased risk of postpartum anaemia. 相似文献2.
3.
According to the data of the Chinese Longitudinal Healthy Longevity Survey(CLHLS)and applyin g methods of Sullivan and multistate life table,this paper examines the time expectancy of care for daily living of Chinese elderly and its proportion in their elderly life.The results find that there exists a signifi cant gender gap of the expectancy,which the male at 65averagely are expected to have four to five care years while the female at 65averagely are expected to have seven to eight care years.The time expectancy for slight care of daily living is longer than that for sever care.Additionally,there is no significant difference between urban elderly and rural elderly.However,as age increases,the time expectancy for slight care goes down while that for sever care stabilities at a constant at different ages.The time expectancy for different types of care and its proportion in the rest of life are significantly various.The study points out that the establishment and improvement of care insurance system and the elderly care service are very necessary. 相似文献
4.
Lu Shuang Huang Chien-Chung Deng Guosheng Lu Ke 《Voluntas: International Journal of Voluntary and Nonprofit Organizations》2020,31(6):1188-1200
VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Organizational transparency has become a prominent concern for the nonprofit sector as it expands globally. Transparency... 相似文献
5.
"儒家文化的命运"关系到每个中国人的安身立命,关系到中华民族和中国的命运,关系到人类和世界格局及其发展趋势。本文以10个样本城市1254个样本的经验数据为根据,澄清了两个诉说纷纭的问题:一,儒家文化的生存状态,它是一成不变地保留下来了,还是已经彻底消亡,抑或是处于一种折中状态?二,近年出现的传统文化复兴现象的性质,它是一个暂时的现象,还是一个长期历史趋势的开端?实证分析表明:一、儒家文化的生存状态,既不是张之洞所言的"一成不变",也不是列文森所言的"彻底消亡"。在经历了一个半世纪的被妖魔化的历史之后,经过损益的儒家文化仍然活着。二、近年来出现的传统文化复兴现象,不是一场误会,而是历史的必然;不是稍纵即逝的泡沫,而是一个长期历史趋势的开端。儒家文化正迎来一个复兴的时代。儒家文化之所以在此时走上复兴之路,一是中国的终极文化具有超越时代的素质,这种素质孕育了其复兴的"可能性";二是中国的工具文化现代化获得了空前成功,这种成功创造了使可能转化为现实的"大势";三是当下的有利的现实的经济、政治、社会和国际条件。 相似文献
6.
Open innovation and absorptive capacity are two concepts based on the idea that companies can leverage the knowledge generated externally to improve their innovation performance. The aim of this paper is to analyse the joint effect of open innovation and absorptive capacity on a firm's radical innovation. Open innovation is expressed in terms of external search breadth and depth strategies and absorptive capacity is described by distinguishing between potential and realized absorptive capacity. In order to test our hypotheses, we carried out empirical research in firms operating in high-technology industries. The results indicate that internal routines and processes for absorbing external knowledge help explain radical innovation as they show a significant effect of potential and realized absorptive capacity. Also, there is a moderating effect of absorptive capacity on open innovation. Specifically, potential absorptive capacity exerts a positive effect on the relationship between external search breadth and depth and radical innovation. Realized absorptive capacity moderates the influence of external search breadth. These findings confirm the complementary nature of absorptive capacity and open innovation search strategies on radical innovation. 相似文献
7.
Jinks Lu Kniesner Thomas J. Leeth John Lo Sasso Anthony T. 《Journal of Risk and Uncertainty》2020,60(1):53-76
Journal of Risk and Uncertainty - Texas is the only state that does not mandate that employers carry workers’ compensation (WC) insurance coverage. In place of traditional WC, companies can... 相似文献
8.
1980年代末至1990年代初,美国亚利桑那州经济遭遇严重衰退,地区经济发展面临转型压力。1992年,亚利桑那州实施了产业集群战略,成功推动了地区经济的复苏和转型,并使其成为之后十余年美国经济增长最快的地区之一。通过对亚利桑那州产业集群战略的制定、调整和集群发展特征的深入分析发现,亚利桑那州产业集群的发展得益于科学的战略设计和以"技术密集型中小企业+企业网络组织"为双驱动的发展模式,而政府在这一过程中只扮演着"组织者"和"协调者"的角色。这对中国产业集群的发展具有重要的借鉴意义。 相似文献
9.
Serra Sónia R. Q. Calapez Ana Raquel Simões Nuno Eduardo Sá Marques José A. A. Laranjo Maria Feio Maria João 《Urban Ecosystems》2019,22(6):1173-1186
Urban Ecosystems - Urban streams provide important ecosystem services to cities’ population, from the maintenance of urban biodiversity, temperature, humidity and air quality to improving... 相似文献
10.
Luis Villar-Fidalgo María del Mar Espinosa Escudero Manuel Domínguez Somonte 《生产规划与管理》2019,30(8):624-638
Not only ETO (Engineering to Order), but even serial production industry should know how to deal with projects and their schedule: plant commissioning, shutdown, introducing new products and similar circumstances should be managed with adequate planning and resource allocation techniques to create a schedule useful in decision making during the execution. The current complex reality, with evolving technologies and fierce pressure to reach the market as soon as possible, pushes the project managers to use more advanced techniques than waterfall planning, such as agile or lean. It also requires them to take a holistic view and manage concurrent tasks in complex projects. The contributions of this paper are two: the proposal to control specific parallel groups of waterfall activities under uncertain environments, which can lead to iterations and reworks, as a single concurrent Activity Managed by Kanban Methods (AMKM). This activity can be subsequently embedded into traditional scheduling approaches as CPM-PERT. The second contribution is the feasibility of its application in industrial environments due to the affordability of simulation software. Two use cases are shown as evidence. It is not a disruptive proposal, but a kaizen action based on very mature technologies. Finally, it is suggested some improvements to be implemented in Project Management Software due to this ‘kaizen’ proposal. 相似文献