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1.

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.
We present the results of the use of a cognitive behavioral therapeutic intervention tool to improve the mental, physical, and social health of a group of long-term unemployed women in Spain. Method: We sent automated text messages (SMS) to the mobile phones of long-term unemployed women selected at random from public social services. During a 28-day intervention period, women received four daily automated text messages on her mobile phone on a predetermined hourly schedule. We measured depression symptoms at the start and end of the intervention and we analyzed qualitative data to determine the acceptability of a remote SMS program. Results: Depression symptoms using the Personal Health Questionnaire-9 (PHQ-9), went from an average of 13.8 at baseline to 4.9 at the end of 28 days (p?=?0.89). One hundred percent of the women reported that they liked receiving the text messages and most found them helpful.  相似文献   
3.
In the article, properties of the Bennett test and Miller test are analyzed. Assuming that the sample size is the same for each sample and considering the null hypothesis that the coefficients of variation for k populations are equal against the hypothesis that k ? 1 coefficients of variation are the same but differ from the coefficient of variation for the kth population, the empirical significance level and the power of the test are studied. Moreover, the dependence of the test statistic and the power of the test on the ratio of coefficients of variation are considered. The analyses are performed on simulated data.  相似文献   
4.
The aim of this paper is to obtain new sharp inequalities for a large family of topological indices, including the second variable Zagreb index \(M_2^{\alpha }\), and to characterize the set of extremal graphs with respect to them. Our main results provide lower bounds on this family of topological indices involving just the minimum and the maximum degree of the graph. These inequalities are new even for the Randi?, the second Zagreb and the modified Zagreb indices.  相似文献   
5.
Through a representative sample of 9,100 and 8,755 employees in 2008 and 2010, and a using two-stage structural equation model, this article empirically analyses the multi-dimensional determinants (direct effects) of job quality in Spain. The research concludes that: #1 despite the economic crisis, job quality improved over the analysis period; #2 there was a shift in job quality explanation towards a more complete model with greater preponderance of the dimensions connected with the workplace relationships, work intensity, working conditions and work–life balance in detriment to dimensions connected with the intrinsic job quality and extrinsic rewards. These results suggest the importance of the working environment and social relationships, beyond the quality of the workplace, as important tools of employment public policy to improve labor markets and to overcoming the economic crisis.  相似文献   
6.
L'effet des envois de fonds sur les indicateurs du marché du travail est abondamment traité dans la littérature, à partir de microdonnées en général. Les macrodonnées, plus rarement utilisées, posent un problème d'endogénéité lié aux corrélations possibles de la variable relative aux transferts. Dans cette analyse, fondée sur des données de panel relatives au Mexique, les auteurs cherchent à contourner le problème en utilisant un estimateur GMM en système. Ils montrent que les envois de fonds élèvent les taux d'activité tout en réduisant le nombre des heures travaillées, la fréquence de l'emploi «critique» (c'est‐à‐dire de mauvaise qualité) et la durée des épisodes de chômage.  相似文献   
7.
We could state that a catastrophic discourse is one that refers to a catastrophe which is avoided by the same discourse. This kind of discourse stimulates cautious behaviours. It is necessary that the actors do not know that the catastrophe exists and that they are avoiding it so that this situation can work. Nevertheless, the analyst knows everything. The catastrophic discourse takes part in a stable situation in which the analyst's knowledge is directly proportional to the actor alienation. The economist knows that unstable situations like panic produce an opposite phenomenon: the analyst does not know very well what is going on but the actor knows how to manage. If the market, as well as stable operation, permits instability, the prevention of catastrophes could admit an unstable one, similar to panic and together with the catastrophic solution. This paper suggests some concepts to think about this unstable and anticatastrophic situation. They are notions which give prominence to ‘emergentism’, autopoiesis and uncertainty. The reinterpretation of the Hobbesian natural state developed by Foucault, the analysis of the mobilization power of fear by Bataille and the unpolitical reflections of the community which have been proposed by Esposito, Nancy and Agamben will be reinterpreted in order to achieve this goal.  相似文献   
8.
Abstract. The receiver operating characteristic (ROC) curve is a tool of extensive use to analyse the discrimination capability of a diagnostic variable in medical studies. In certain situations, the presence of a covariate related to the diagnostic variable can increase the discriminating power of the ROC curve. In this article, we model the effect of the covariate over the diagnostic variable by means of non‐parametric location‐scale regression models. We propose a new non‐parametric estimator of the conditional ROC curve and study its asymptotic properties. We also present some simulations and an illustration to a data set concerning diagnosis of diabetes.  相似文献   
9.
Correspondence to Kate Wilson, Senior Lecturer in Social Work, Department of Social Policy and Social Work, University of York, Heslington, York YO1 5DD. Summary Recent policy developments in the UK, implemented in the wakeof well-publicized child abuse court cases, have highlightedthe tension between offering the abused child adequate supportand providing sound evidence in any statutory proceedings. Therapeuticwork can give the court clear indications of the child's wishes,feelings and developmental needs, with or without explicit verbalstatements, and non-directive play therapy, because it is non-coerciveand largely free from therapist suggestion, is particularlyeffective in this respect. Particular features of non-directiveplay therapy which enhance the validity of such evidence areconsidered and a range of factors involved in presenting therapeuticwork to the courts are explored.  相似文献   
10.
In this paper the Jackknife estimate of covariance of two Kaplan–Meier integrals with covariates is introduced. Its strong consistency is established under mild conditions. Several applications of the estimator are discussed.  相似文献   
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