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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.
This article presents a series of creative social intervention experiences developed with a group of homeless people in the Spanish city of Seville. These experiences are part of an applied research project that uses theatre as a tool to aid social work, and they are led by a group of homeless people who have become actors through this initiative. The group is known as ‘Theatre of Inclusion’ and has been running for a decade now. Using group social work and applied theatre techniques, this initiative creatively exposes the needs of this collective and also generates spaces in which they can reclaim their dignity. The systematisation of these experiences highlights the potential of combining disciplines such as social work and theatre to work with vulnerable collectives, in the same way Jane Addams did. The aim is also to move beyond the dominant welfare proposals in place in Spain currently, which are intended to meet the needs of homeless people.  相似文献   
3.
The Organic Law on the Improvement of the National Education Quality (Ley Orgánica de Reforma de la Calidad Educativa) readdressed one of the most significant educational issues: educational policies related to immigrant students. Therefore, this is an appropriate moment to evaluate these types of policies in three singular Spanish regions: Madrid, Catalonia and Andalusia. This article presents an analysis of the measures taken in three Spanish regions: Madrid, Catalonia and Andalusia in response to students’ reception, acceptance and enrolment of immigrant students. A qualitative methodology based on the comparative method is used. Diverse similarities, but also specific characteristics and differences, can be found among the three models associated with each region. There are several significant differences that can be appreciated, such as the institutional role, as well as other specific measures. However, singular features are also identified, such as the diverse policies for the use of the vehicular language in each of the cases. Finally, the comparisons highlight various critical aspects, such as attention devoted to the students’ native language and progress towards intercultural education in school strategies and planning.  相似文献   
4.
Nuria Torrado 《Statistics》2017,51(6):1359-1376
Stochastic ordering relations between extreme order statistics from exponential, Weibull and gamma distributions have been studied extensively by many researchers in recent years. In this work, we obtain various ordering results for the comparisons of two extreme order statistics from scale models when one set of scale parameters majorizes the other. The new results obtained here are applied when the baseline distributions are exponentiated Weibull or generalized gamma distributions. In this way, we generalize and extend some results established recently in the literature.  相似文献   
5.
We aimed to explore the association between age of onset of gambling problems and current psychopathological and clinical status, personality profile and therapeutic outcome in a sample of pathological gamblers. A total of 904 consecutive pathological gambling patients were administered several instruments about gambling behavior, psychopathology and personality. They received a 4-month cognitive-behavioral group treatment. Information of dropouts and relapses during treatment was registered. Older age of onset of gambling problems was associated with higher general psychopathology (SCL-90-R Paranoid Ideation, Psychoticism, Depression; P < 0.015). Younger age of onset was related to greater severity of pathological gambling (P < 0.015), higher novelty seeking, and lower self-directedness (P < 0.015). No statistically significant association was found between age of onset and relapse and dropouts during treatment. Age of onset of gambling problems seems to influence the clinical presentation of pathological gambling but not treatment outcome.  相似文献   
6.
This paper investigates the measurement of trust transfer in interpersonal contexts. Despite the importance of this topic, little evidence of comparable indicators exists to fill the current gap in knowledge regarding the measurement of interpersonal transference of trust and its reciprocal. We propose a modification of the classical structure of a widely accepted experimental setting for analyzing trust (i.e. a trust game) and build two indexes for the measurement of trust transfer and its reciprocation. Several properties of these indicators are investigated to examine their robustness and accuracy for measuring the transference of interpersonal trust. Furthermore, using data from our own modified trust game, we provide an empirical examination of both indexes. The results show that the existence of a mutually known third party fosters a stronger willingness to achieve cooperative behavior in an anonymous trust game; thus, the transference of interpersonal trust works in both directions of the dyad.  相似文献   
7.
This paper deals with the selection of the profiles of weights to be used in cross-efficiency evaluations. In an attempt to prevent unrealistic weighting schemes, one of the issues of main interest that we address here is that of the zero weights, since their use implies that some of the variables considered are excluded from the assessments to be made. In the calculation of cross-efficiency scores, we propose to ignore the profiles of weights of the DMUs that cannot make a choice of non-zero weights among their alternate optima. The different units are therefore assessed in a peer-evaluation that does not consider the profiles of weights of some inefficient DMUs. This approach is referred to as “peer-restricted” cross-efficiency evaluation. Aside from avoiding zero weights, the choice of weights that we make also seeks to reduce the differences between the weights profiles selected as much as possible. Thus, in the “peer-restricted” cross-efficiency evaluation in the present paper we also try to avoid that the different DMUs attach very different weights to the same variable. Finally, we extend this approach to derive a common set of weights by exploiting the idea of similarity between profiles of weights.  相似文献   
8.
This paper provides data from individual interviews conducted with 15 and 16 year‐old non‐immigrant students from a highly multiethnic secondary urban school in Barcelona, Spain. In this school, mixed classrooms (immigrant and local) and small linguistically heterogeneous working groups are frequent in the mathematics lessons. The focus is on the non‐immigrant students’ perspectives on the notion of learning. Findings show that these students interpret certain whole‐class and small‐group interactions among local and immigrant students as not constitutive of learning. In particular, I explore some of the meanings associated with the representation of the multiethnic classroom as a conflictive place for learning.  相似文献   
9.
Readers’ trust on the medical literature has been eroded, and journal editors and some editorial boards are taking measures to ensure that authors fully and accurately report research findings and disclose conflicts of interest. This article describes a case study in which the papers editor of the World Health Organization (WHO) Bulletin influenced the content of an article that had been approved by the external reviewers. The editor objected to the publication of the large price differentials of the new molecular entities (NMEs) across the Latin American countries where they had been tested and the limited added therapeutic value of the NMEs that had been assessed by independent drug bulletins. This article summarizes the exchanges with WHO staff and posits the hypothesis that the WHO Bulletin might be affected by the shifts in WHO financing. Several authors have raised concern about the impact of financial conflicts of interest in WHO activities in the field of nutrition, intellectual property, and in the emergency response to the flu pandemic. Moreover, it has been reported that powerful WHO contributors pressured WHO into revising its publication policy. This is the first time that authors question if these conflicts of interest are also affecting the editorial independence of the WHO Bulletin.  相似文献   
10.
The aim of this qualitative study is to identify the dimensions people used to assess the risk of smoking and then compare them with those used by health professionals in primary healthcare. Five discussion groups were conducted. The field work was carried out in Barcelona (Spain), from February 2005 to January 2006. Data were analyzed following a semantic‐thematic categorical content analysis (ACC‐ts). Results showed that people tend to employ stereotypical discourses when evaluating the risk of smoking. Similarly, they reassess the risk in the context of their life experience and incorporate new nuances to the arguments sustaining their behavior. Once this reassessment takes place, the decision to continue smoking emerges, and smokers come up with additional arguments justifying their habit (i.e., age, benefits related to costs). Professionals are aware of this process and its multidimensional nature. Nevertheless, their discourse loses this multidimensional feature when discussing the strategies they use at smoking cessation interventions. This qualitative study increases the understanding of various meanings that people attribute to their life experience. These assumptions may be useful for developing health practices that are closer to people. As a practical utility of these results, it would be interesting to apply a preliminary assessment of the different meanings that people attribute to smoking from their life context in risk communication.  相似文献   
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