新加坡研发人力资源结构与人才政策初探

新加坡研发人力资源的国际化程度很高,国际化的人才有力地支援了新加坡的科技事业,本文分析了新加坡R&D人力资源的结构及其人才政策,对于我国制定人才政策具有借鉴意义。     

关于当代中国女性流动人口性别认同的研究

自1978年中国改革开放以来,城市劳动力需求剧增,人口流动政策逐渐放松。大量的农村劳动力抱着改善经济和生活条件的梦想流入城市打工。近三十年,流动人口规模迅速扩大,由1982年3000万激增到2005年的1．47亿。根据2000年人口普查的数据,女性流动人口规模已达到2001万,占流动人口总量（4242万人）的47．2％,大多数女性流动人口到工厂打工,因而派生出一个新的称谓——“打工妹”。     

The needs and experiences of women with gestational diabetes mellitus from minority ethnic backgrounds in high-income nations: A systematic integrative review

BackgroundGestational diabetes mellitus (GDM) represents a growing challenge worldwide, with significant risks to both the mother and baby that extend beyond the duration of the pregnancy and immediate post-partum period. Women from ethnic minority groups who access GDM care in high-income settings face particular challenges. The aim of this systematic integrative review is to explore the experiences and needs of women with GDM from select ethnic groups in high-income healthcare settings.MethodsFor the purposes of this systematic integrative review, a comprehensive search strategy explored the electronic databases CINAHL, Medline, Web of Science, and Scopus were searched for primary studies that explored the needs and experiences of women with gestational diabetes from select ethnic minority groups living in high-income nations. The ethnicity of the women in the study included: East, South and Southeast Asian, Indian subcontinent, Aboriginal/First Nations, Torres Strait Islander, Pacific Islander, Māori, Middle Eastern, African, or South/Latina American. Studies were assessed with the Crowe Critical Appraisal Tool and findings were synthesised with thematic analysis.ResultsThis review included 15 qualitative studies, one mixed method, and one cross-sectional study. Six high-income nations were represented. The voices and experiences of 843 women who originated from at least one ethnic minority group are represented. Four major themes were constructed: psychological impact of GDM, GDM care and education, GDM and sociocultural impact, and GDM and lifestyle changes.Discussion and conclusionLimitations exist in the provision of culturally appropriate care to support the management of GDM in women from select ethnic groups in high-income healthcare settings. Women require care that is culturally appropriate, considering the individual needs and cultural practices of the woman. Engaging a woman’s partner and family ensures good support is provided. Culturally appropriate care needs to be co-designed with communities so that women are at the centre of their care, avoiding a one-size-fits-all approach.     

“You’re a ‘high-risk’ customer”: A qualitative study of women’s experiences of receiving information from health professionals regarding health problems or complications in pregnancy

BackgroundExperiencing complications in pregnancy is stressful for women and can impact on fetal and maternal outcomes. Supportive encounters with health professionals can reduce the worry women experience. Further research is needed to understand women’s perspectives on communicating with their healthcare providers about their concerns.AimThis study explored women’s experiences of receiving information about pregnancy complications from healthcare providers and their interactions with multiple professionals and services during pregnancy.MethodsThis was a qualitative interpretive study. Semi-structured interviews were conducted with 20 women experiencing pregnancy complications recruited from antenatal services at two hospitals in Sydney. Inductive thematic analysis was used to analyse the data.FindingsWomen had a range of reactions to their diagnoses, including concern for their baby, for themselves and for their labour. Most women reported that communication with healthcare providers was distressing, they were not listened to and staff used insensitive, abrupt language. Women were also distressed by delays in education, receiving contradictory information and having to repeatedly share their stories with different health professionals. In some cases, this damaged the therapeutic relationship and reduced trust towards healthcare providers. Midwives were generally preferred over doctors because they had a more woman-centred approach.ConclusionTo improve women’s experiences of care for pregnancy complications, it is critical to improve the communication skills of maternity service providers. Women’s need for information, resources and support can best be provided by continuity of care with a named health professional, for example, a midwife working within an integrated multidisciplinary antenatal service model.     

论交换型养老的特征、逻辑及其影响——基于华北平原地区的调查

在华北地区调查发现农村交换型养老现象凸显,农村养老呈现出交换内容的物质化、指标化和清晰化的特征,农村的养老逻辑不再是回报父母养育之恩的责任伦理,而是需用物质或者获致性方面来交换的经济理性,并且这种交换关系具有不平等性。交换型养老带来了老人生活状况的恶化,代际关系的均衡化以及农民人生意义的丧失等深远影响。解决我国农村养老问题需进一步关注老年人的精神建设。     

Complementary medicines and therapies in clinical guidelines on pregnancy care: A systematic review

BackgroundThere is a need for evidence-based guidance on complementary medicines and therapies (CMT) use during pregnancy due to high prevalence of use and lack of guidance on the balance of benefit and harms.AimEvaluate the extent to which current clinical practice guidelines relevant to Australian healthcare professionals make clear and unambiguous recommendations about CMT use in pregnancy, and synthesise these recommendations.MethodsThe search included EMBASE, PubMed, the National Health and Medical Research Council’s Clinical Practice Guidelines Portal, and websites of Australian maternity hospitals and professional/not-for-profit organisations for published guidelines on pregnancy care. Data were synthesised narratively. Guidelines were appraised by two independent reviewers using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument.FindingsA total of 48 guidelines were found, of which 41% provided recommendations that were not limited to routine vitamin and mineral supplementation. There were wide variations in recommendations, particularly for vitamin D and calcium. There was some consensus on recommending ginger and vitamin B6 for nausea and vomiting, and additional supplementation for women with obesity. Guidelines generally scored poorly in the domains of editorial independence and rigour of development.DiscussionThere is a lack of guidance with regard to appropriate CMT use during pregnancy, which may result in less-than-optimal care. Inconsistency between guidelines may lead to variations in care.ConclusionGuidelines should include clear and unambiguous guidance on appropriate CMT use during pregnancy, be based on a structured search of the evidence and informed by stakeholder engagement.     

The influence of financial, human and social capital on Japanese men’s and women’s health in single- and two-parent family structures

Large-scale demographic changes have been occurring in Japan over the last few decades. During this time, the proportion of two-parent (nuclear) and single-parent families have doubled. Despite this rapid increase, the health of individuals in these family structures have received limited attention, as the focus has been directed towards the health of Japan’s aging society and the health implications related to the decline in multigenerational households. However, researchers and policy planners cannot afford to overlook issues that influence the health of men and women in single- and two-parent family structures, not only because these families have become increasingly common throughout the nation, but also because the western literature has indicated that the health of families are largely influenced by the gender-by-family structure divide. Through logistic regression models, using the 1999 Nationwide Family Survey, this paper examines how financial, human and social capital influences the likelihood of good health among men and women in single- and two-parent families. As was expected, key determinants in predicting good health amongst these four sub-groups of parents were found. While parents in two-parent families were the least influenced by various measures of capital, these same measures were found to be significant in predicting good health amongst fathers, and more so mothers, in single-parent families.

人口质量与西部大开发

本文从宣传倡导避免近邻婚配为话题,简述了更新生育观念、扩大通婚圈、走出婚育生活误区,降低出生缺陷率,提高西部地区人口质量,促进西部大开发的重要作用。     

教育不平等与外来工工资的民族差异——兼论少数民族外来工教育获得的“三重弱势”

外来工工资收入的民族差异一直没有引起学术界的充分关注。2010年珠三角和长三角外来工问卷调查显示,少数民族外来工月平均工资为1636．16元,比汉族低约300元,差距显著。Oaxaca—Blinder模型分解表明,个人特征、企业特征、来源地等变量共解释了少数民族外来工与汉族外来工资差异的58．9％,其中主要来自于前劳动力市场阶段的教育不平等。导致少数民族外来工教育落后的原因是他们主要来自西部农村地区,当地经济发展水平和教育投入水平相对落后,而少数民族的语言和风俗习惯也影响到少数民族外来工的教育成就。     

基于联立方程的个人健康与工资问题研究

像教育一样，健康作为人力资本的重要组成部分，能够影响个人的劳动生产率和工资。海外有很多检验健康对工资影响的研究，但是基于中国数据的研究较少。本文采用了中国营养健康数据检验健康对中国居民工资的影响，使用一个健康和工资的联立方程模型来解释健康的内生性，分别使用自评健康状况和健康生活质量指标来估计。结论证实了国外大量文献的结论，即健康对工资率有显著影响，但是这种显著效应只有在考虑了健康的内生性和估计误差后才能成立．这种影响不仅显著而且很大。     

Low-wage mobility during the early career

Despite the size of the low-wage workforce, knowledge of the low-wage labor market is markedly sparse. In particular, little is known about the mobility patterns of low-wage workers. Using data from the Panel Study of Income Dynamics, I analyze low-wage mobility during the early career. I find that exits from low-wages are common, but the odds of exit and the permanence of an exit vary by social group membership and have changed in recent decades. Women, African Americans, residents of the South, and the less educated fare worse in the low-wage labor market. My findings also suggest that low-wage mobility has changed since the 1970s, with low-wages becoming more difficult to avoid.     

Bayesian Estimation for Quantification by Real-time Polymerase Chain Reaction Under a Branching Process Model of the DNA Molecules Amplification Process

The aim of Quantitative Polymerase Chain Reaction is to determine the initial amount X ₀ of specific nucleic acids from an observed trajectory of the amplification process, the amplification being achieved through successive replication cycles. This process depends on the efficiency {p _n } _n of replication of the DNA molecules, p _n being the probability that a molecule will duplicate at replication cycle n. Assuming p _n  = p for all n, Bayesian estimators of the unknown parameter θ = (p, X ₀) are constructed by Markov Chain Monte Carlo methods under a Bienaymé-Galton-Watson branching model of the amplification process. The Bayesian approach takes into account some prior information on the parameter. Relying on simulated data, the proposed Bayesian estimators and their credibility sets are shown to be quite accurate.     

漂泊·成长·抗争·迷茫--新生代农民工的打工叙事分析

文章以田野调查资料为基础，运用叙事分析的质性研究方法剖析新生代农民工漂泊与迷茫的生存特点。新生代力图通过自己的努力融入城市或实现自我发展，但制度性障碍和歧视性政策依然将他们挡在了城市边缘，他们的漂泊已经从时空的频繁转换延伸为一种内心深处的漂泊感受，个人生命周期的发展阶段又加剧了他们的抗争和迷茫。新生代从农民工转变成工人，转变为城市居民，需要国家相应的制度安排和政策支持。     

Factors associated with a positive childbirth experience in Brazilian women: A cross-sectional study

BackgroundHaving a positive childbirth experience is an increasingly valued outcome. Few studies evaluated the women’s satisfaction with childbirth through face-to-face interviews out of the health service environment. The objective of this study was to identify factors associated with a higher level of satisfaction with the childbirth experience among Brazilian women.MethodsThis cross-sectional study involved 287 women giving birth in two hospitals in southern Brazil. Women who gave birth to healthy newborns at term were randomly selected. Face-to-face interviews were conducted 31–37 days after delivery, at the mothers’ homes, using a structured questionnaire. Satisfaction with the childbirth experience was measured using a Likert-type scale ranging from very satisfied to very dissatisfied. Prevalence ratios (PR) were estimated using Poisson regression with robust variance.ResultsFollowing hierarchical multivariate analysis, the following factors remained associated with a higher level of satisfaction with the childbirth experience: being satisfied with antenatal care (PR = 1.30; 95% confidence interval [95%CI] = 1.06−1.59), understanding the information provided by health professionals during labor and delivery (PR = 1.40; 95%CI = 1.01−1.95), not having reported disrespect and abuse (PR = 1.53; 95%CI = 1.01−2.31), and having had the baby put to the breast within the first hour of life (PR = 1.63; 95%CI = 1.26−2.11). No association was observed with type of delivery or hospital status (public or private).ConclusionsA higher level of satisfaction with the childbirth experience is related to satisfactory antenatal care, a non-abusive, respectful, and informative environment during childbirth, and to the opportunity to breastfeed the baby within the first hour of life. In clinical practice, greater attention to these basic principles of care during pregnancy and delivery could provide more positive experiences during birth.     

The journal editor: Friend or foe?

The role of the journal editor may not be well known by authors. The purpose of this article is to explain the role in order to encourage future participation in reviewing and publication. Illustration is provided of the publishing process.     

Does midwifery continuity of care make a difference to women with perinatal mental health conditions: A cohort study,from Australia

BackgroundPerinatal mental health (PMH) conditions are associated with an increased risk of adverse perinatal outcomes including preterm birth. Midwifery caseload group practice (continuity of care, MCP) improves perinatal outcomes including a 24 % reduction of preterm birth. The evidence is unclear whether MCP has the same effect for women with perinatal mental health conditions.AimTo compare perinatal outcomes in women with a mental health history between MCP and standard models of maternity care. The primary outcome measured the rates of preterm birth.MethodsA retrospective cohort study using routinely collected data of women with PMH conditions between 1st January 2018 – 31st January 2021 was conducted. We compared characteristics and outcomes between groups. Multivariate logistic regression models were performed adjusting for a-priori selected variables and factors that differ between models of care.ResultsThe cohort included 3028 women with PMH, 352 (11.6 %) received MCP. The most common diagnosis was anxiety and depression (n = 723, 23.9 %). Women receiving MCP were younger (mean 30.9 vs 31.3, p = 0.03), Caucasian (37.8 vs 27.1, p < 0.001), socio-economically advantaged (31.0 % vs 20.2, p < 0.001); less likely to smoke (5.1 vs 11.9, p < 0.001) and with lower BMI (mean 24.3 vs 26.5, p < 0.001) than those in the standard care group. Women in MCP had lower odds of preterm birth (adjOR 0.46, 95 % CI 0.24–0.86), higher odds of vaginal birth (adjOR 2.55, 95 % CI 1.93–3.36), breastfeeding at discharge (adj OR 3.06, 95 % CI 2.10–4.55) with no difference in severe adverse neonatal outcome (adj OR 0.79, 95 % CI 0.57–1.09).ConclusionsThis evidence supports MCP for women with PMH. Future RCTs on model of care for this group of women is needed to establish causation.     

Effects of skin-to-skin contact and breastfeeding at birth on the incidence of PPH: A physiologically based theory

BackgroundThe importance of optimising maternal/baby psychophysiology has been integrated into contemporary midwifery theories but not in the detail required to really understand the underpinning biological basis.MethodThe functioning of the autonomic nervous system, as it relates to the uterus is reviewed. The physiology of myometrial cell contraction and relaxation is outlined. The main focus is on the factors that affect the availability and uptake of oxytocin and adrenaline/noradrenaline in the myometrial cells. These are the two key neuro-hormones, active in the 3rd and 4th stages of labour, that affect uterine contraction and retraction and therefore determine whether the woman will have an atonic PPH or not.DiscussionThe discussion explains and predicts the physiological functioning of the uterus during the 3rd and 4th stages of labour when skin-to-skin contact and breastfeeding occurs and when it does not.ConclusionThis biologically based theory hypothesises that to achieve and maintain eutony and eulochia, midwives and birthing women should ensure early, prolonged and undisturbed skin-to-skin contact for mother and baby at birth including easy access for spontaneous breastfeeding.