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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   
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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   
4.
This article is based on research about the daily lives of people living with chronic illnesses in England and Portugal. Through the first-person narratives of participants, I argue that the lives of people living with debilitating chronic illnesses are affected by disablism, discrimination and exclusion. These aspects affect them in several important realms of life such as lack of or poor social support, difficulties in obtaining reasonable adjustments or the inability to obtain any kind of state support at all. These aspects are also widespread and compound and greatly influence their lives, beyond or in addition to the physical experience of the illness itself. I conclude that it is fundamental to change these structural and policy aspects and that people should have access to what I have termed a paradigm of sustained well-being, despite the illness.  相似文献   
5.
The 2014 release of a new set of purchasing power parity (PPP) conversion factors (PPPs) for 2011 has prompted a revision of the World Bank’s international poverty line. In revising the line, we have sought to minimize changes to the real purchasing power of the earlier $1.25 line (in 2005 PPPs), so as to preserve the integrity of the goalposts for international targets such as the Sustainable Development Goals (SDGs) and the World Bank’s twin goals – which were set with respect to that line. In particular, the new line was obtained by inflating the same fifteen national poverty lines – originally used by Ravallion et al. (World Bank Econ. Rev. 23(2): 163–184 2009) to construct the $1.25 line – to 2011 prices in local currency units, and then converting them to US dollars using 2011 PPP conversion factors. With a small approximation, this procedure yields a new international poverty line of $1.90 per person per day. In combination with other changes described in the paper, this revision leads to relatively small changes in global poverty incidence for 2011: from 14.5 % using the old method to 14.1 % using the new method. In 2012, the new reference year for the global count, we find 12.7 % of the world’s population, or 897 million people, are living in extreme poverty. There are changes in the regional composition of poverty, but they are also relatively small. This paper documents methodological decisions taken in the process of updating both the poverty line and the consumption and income distributions at the country level, including issues of inter-temporal and spatial price adjustments. It also describes various caveats and limitations of the approach taken.  相似文献   
6.
In the areas of design, especially in architectural design, collaboration has become an important challenge. The specialization of skills increase, work teams are more and more extensive and the geographic distance between them increases too. The economic and ecological stakes related to remote collaboration are an evidence. This context involves the need to support most efficiently possible remote working meetings. We present the Distributed Collaborative Digital Studio (DSDC), a tool designed to recreate, in distant situations, the context of copresence meetings. This shared environment is created in the "invisible computer" approach [11]. The idea is that the tool should disappear from user's consciousness. Indeed, creative design activities require some fluidity in their process. Therefore, any involuntary interruption created by the system can potentially brake creativity. In this perspective, we investigate specifically the "invisibility" of our environment. To do this, we propose a framework for the operationalization of the concept and a methodology to test the system invisibility. This methodology was applied through a case study consisting of a corpus of 12 hours of remote collaborative design sessions with the DSDC. We highlight the learning effects while using our system, conclude on its effectiveness and discuss our methodology.  相似文献   
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This paper analyses welfare regime changes in Serbia and their impact on social enterprise development in the last two decades. We cover the period of significant transition-related reforms within the welfare state, with important implications on the position of these enterprises. Using data gathered from the qualitative field research, our study shows that there are two broad groups of factors that are important for development of the new generation of social enterprises, those that emerged in the last decade with an idea to foster entrepreneurial spirit and expanded into new domains other than those providing assistance to the marginalized groups. First, their decision to enter the social economy sector still depends on the environment created by the state. Secondly, their sustainability is affected by the factors typically found in any other enterprise of comparable scale like business skills, capacity to form networks and partner with relevant stakeholders.  相似文献   
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ABSTRACT

In recent years, Sierra Leone has witnessed intense population movements. During the civil war (1991–2002), many populations fled the fighting zones of the interior to take refuge on the coast. Since the conflict ended, new populations have reached the coastal area with the hope of accessing economic opportunities in the fishing business. Mobility, along with changing sociopolitical and economic conditions, has generated conflict between immigrants and Sherbro populations, who consider themselves autochthonous and deny migrants the freedom to access political and land rights. The paper argues that present dynamics of conflicts are rooted in long-term patterns of settlement and relationships of reciprocity between groups. Relations between migrants and local populations are grounded in a sociocultural idiom that implies the institutionalization of practices of reciprocity between local inhabitants (hosts) and later settlers (strangers). The host/stranger reciprocity system is an emic model of cultural action embedded in historical and power relations between groups. It implies the progressive integration of strangers into the host society. This paper highlights how, in a situation of conflict, long-established social relationships between groups are reevaluated with reference to norms of integration and reciprocity. The paper draws on Sherbro oral traditions to show how social memories about interethnic relations are reframed with reference to values and expectations of reciprocity, in order to explain the recent conflict that opposes Sherbros to immigrants. Sherbros use oral traditions to interpret these tensions in a long-term perspective, thereby expressing their own view on settlement, conflict and integration.  相似文献   
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