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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.
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
3.
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
4.
Integrating Operational and Organizational Aspects in Interdependent Infrastructure Network Recovery
Camilo Gomez Andrs D. Gonzlez Hiba Baroud Claudia D. Bedoya‐Motta 《Risk analysis》2019,39(9):1913-1929
Managing risk in infrastructure systems implies dealing with interdependent physical networks and their relationships with the natural and societal contexts. Computational tools are often used to support operational decisions aimed at improving resilience, whereas economics‐related tools tend to be used to address broader societal and policy issues in infrastructure management. We propose an optimization‐based framework for infrastructure resilience analysis that incorporates organizational and socioeconomic aspects into operational problems, allowing to understand relationships between decisions at the policy level (e.g., regulation) and the technical level (e.g., optimal infrastructure restoration). We focus on three issues that arise when integrating such levels. First, optimal restoration strategies driven by financial and operational factors evolve differently compared to those driven by socioeconomic and humanitarian factors. Second, regulatory aspects have a significant impact on recovery dynamics (e.g., effective recovery is most challenging in societies with weak institutions and regulation, where individual interests may compromise societal well‐being). And third, the decision space (i.e., available actions) in postdisaster phases is strongly determined by predisaster decisions (e.g., resource allocation). The proposed optimization framework addresses these issues by using: (1) parametric analyses to test the influence of operational and socioeconomic factors on optimization outcomes, (2) regulatory constraints to model and assess the cost and benefit (for a variety of actors) of enforcing specific policy‐related conditions for the recovery process, and (3) sensitivity analyses to capture the effect of predisaster decisions on recovery. We illustrate our methodology with an example regarding the recovery of interdependent water, power, and gas networks in Shelby County, TN (USA), with exposure to natural hazards. 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.
ABSTRACTIn this article responsibilisation in social work is studied by analysing two Finnish state-level policy documents (called final report and research report) which concern a current activation initiative called inclusive social security (ISS). It is asked how social workers and clients are constructed as responsible subjects in these documents. Responsibilisation refers to the advanced liberal mode of governmentality, which aims to strengthen citizens’ abilities to self-governance through various techniques that include the intertwined elements of surveillance and empowerment. It is demonstrated that the policy documents construct the social workers’ and the clients’ responsibilities partly in different ways. The final report leads activation to be based on shared responsibility and social work to be more community-based, whereas the research report strengthens more individual-based responsibility of clients and social workers. For the clients, the interpretation of ISS based on shared responsibility would probably be less stigmatising and paternalistic than the one based on individual responsibilities, i.e. approaching long-term unemployed citizens as being personally ‘at risk’ and thus a justified target group of individualised techniques for activation. For social workers and clients, future activation appears to be a wide mix of different techniques, moral expectations and possible ways of being a responsible subject. 相似文献
7.
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
8.
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
9.
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
10.
Catastrophic events, such as floods, earthquakes, hurricanes, and tsunamis, are rare, yet the cumulative risk of each event occurring at least once over an extended time period can be substantial. In this work, we assess the perception of cumulative flood risks, how those perceptions affect the choice of insurance, and whether perceptions and choices are influenced by cumulative risk information. We find that participants' cumulative risk judgments are well represented by a bimodal distribution, with a group that severely underestimates the risk and a group that moderately overestimates it. Individuals who underestimate cumulative risks make more risk‐seeking choices compared to those who overestimate cumulative risks. Providing explicit cumulative risk information for relevant time periods, as opposed to annual probabilities, is an inexpensive and effective way to improve both the perception of cumulative risk and the choices people make to protect against that risk. 相似文献