Effect of immediate and continuous mother–infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: A randomised control trial

ObjectiveTo evaluate the effect of mother–infant immediate skin-to-skin contact on primiparous mother's breastfeeding self-efficacy.Study designA randomised control trial.SettingsThe study was conducted in Omolbanin obstetrics hospital (large tertiary hospital), Mashhad, Iran.Participants114 18–35 year-old primiparous, Iranian, healthy and full term mothers who anticipated normal vaginal delivery and intended to breastfeed their babies.InterventionSkin-to-skin contact immediately after birth and then controlling breastfeeding self-efficacy at 28 days postpartum.Main outcome measureMaternal breastfeeding self-efficacy at 28 days postpartum and success in first breastfeeding and mean time of first breastfeeding initiation.ResultsA total of 92 mother–infant dyads (47 dyads in skin-to-skin care skin-to-skin contact group and 45 dyads in routine care group) were monitored and analysed. In skin-to-skin contact group, breastfeeding self-efficacy was 53.42 ± 8.57 SD as compared to 49.85 ± 5.50 SD in routine care group which is significantly higher in skin-to-skin contact group (p = 0.0003).Successful breastfeeding initiation rate was 56.6% in skin-to-skin contact group as compared to 35.6% in routine care group (p = 0.02).Time to initiate first feed was 21.98 ± 9.10 SD min in SSC group vs. 66.55 ± 20.76 min in routine care group (p < 0.001).ConclusionMother–infant immediate skin-to-skin contact is an easy and available method of enhancing maternal breastfeeding self-efficacy. High breastfeeding self-efficacy increases exclusive breastfeeding duration.     

Exponentiated power Lindley power series class of distributions: Theory and applications

ABSTRACT

We introduce a new four-parameter generalization of the exponentiated power Lindley (EPL) distribution, called the exponentiated power Lindley power series (EPLPS) distribution. The new distribution arises on a latent complementary risks scenario, in which the lifetime associated with a particular risk is not observable; rather, we observe only the minimum lifetime value among all risks. The distribution exhibits a variety of bathtub-shaped hazard rate functions. It contains as particular cases several lifetime distributions. Various properties of the distribution are investigated including closed-form expressions for the density function, cumulative distribution function, survival function, hazard rate function, the rth raw moment, and also the moments of order statistics. Expressions for the Rényi and Shannon entropies are also given. Moreover, we discuss maximum likelihood estimation and provide formulas for the elements of the Fisher information matrix. Finally, two data applications are given showing flexibility and potentiality of the EPLPS distribution.     

The Dyadic Effects of Controlling Emotional Abuse on Subjective Emotional Experience in Iranian Older Married Couples

This randomised control trial study examines the impact of an emotional‐focused intervention on emotional abuse and subjective emotional experience in Iranian older married couples. In the study, 57 older couples were randomly assigned into control and experimental groups with the latter taking part in an intervention program over 4 weeks, twice a week, with sessions lasting 90 minutes. In the experimental group, significant improvements were found for reducing emotional abuse behaviours and increasing subjective emotional experience. Dyadic analysis revealed that a partner's ability to control their own emotional abuse significantly effects both his/her subjective emotional experience and that of their spouse.     

A new four-parameter lifetime distribution

Generalizing lifetime distributions is always precious for applied statisticians. In this paper, we introduce a new four-parameter generalization of the exponentiated power Lindley (EPL) distribution, called the exponentiated power Lindley geometric (EPLG) distribution, obtained by compounding EPL and geometric distributions. The new distribution arises in a latent complementary risks scenario, in which the lifetime associated with a particular risk is not observable; rather, we observe only the maximum lifetime value among all risks. The distribution exhibits decreasing, increasing, unimodal and bathtub-shaped hazard rate functions, depending on its parameters. It contains several lifetime distributions as particular cases: EPL, new generalized Lindley, generalized Lindley, power Lindley and Lindley geometric distributions. We derive several properties of the new distribution such as closed-form expressions for the density, cumulative distribution function, survival function, hazard rate function, the rth raw moment, and also the moments of order statistics. Moreover, we discuss maximum likelihood estimation and provide formulas for the elements of the Fisher information matrix. Simulation studies are also provided. Finally, two real data applications are given for showing the flexibility and potentiality of the new distribution.     

Iranian obstetricians’ views about the factors that influence pregnant women's choice of delivery method: A qualitative study

BackgroundCaesarean section is a commonly performed childbirth procedure. While caesarean section is undeniably a lifesaving procedure for some mothers and babies, it can also be an unnecessary procedure for others. Different factors may be involved in the rate of birth by caesarean section.QuestionThis qualitative study was conducted in Kashan city, Iran, to explore obstetrician's views of what might influence pregnant women's choice of delivery method.MethodsObstetricians’ views and experiences were collected using semi-structured interviews. Interviews were conducted in a clinic or hospital, based on the preference of the 18 physicians who agreed to participate in the study. All interviews were recorded and transcribed. Participants were asked key questions, including: “Why do some women prefer caesarean section?”; “What kind of delivery did you have and why?”; “What kind of delivery would you recommend to pregnant women and why?” Inductive qualitative content analysis was undertaken using the method described by Morreti with 120 initial codes categorized into six categories.FindingsThe six categories developed from the initial codes were: factors relating to women, obstetricians, delivery conditions, complications, society's beliefs and the health system.ConclusionA qualitative study conducted in Iran showed that most of the factors identified by participants facilitated the choice of caesarean section. Vaginal birth was anticipated as a painful and lengthy process, with low cultural acceptance and resulting in less income for obstetricians.     

Efficient Estimation of the PDF and the CDF of the Weibull Extension Model

The Weibull extension model is a useful extension of the Weibull distribution, allowing for bathtub shaped hazard rates among other things. Here, we consider estimation of the PDF and the CDF of the Weibull extension model. The following estimators are considered: uniformly minimum variance unbiased (UMVU) estimator, maximum likelihood (ML) estimator, percentile (PC) estimator, least squares (LS) estimator, and weighted least squares (WLS) estimator. Analytical expressions are derived for the bias and the mean squared error. Simulation studies and real data applications show that the ML estimator performs better than others.     

A Novel Collinearity-Influential Observation Diagnostic Measure Based on a Group Deletion Approach

High leverage points can induce or disrupt multicollinearity patterns in data. Observations responsible for this problem are generally known as collinearity-influential observations. A significant amount of published work on the identification of collinearity-influential observations exists; however, we show in this article that all commonly used detection techniques display greatly reduced sensitivity in the presence of multiple high leverage collinearity-influential observations. We propose a new measure based on a diagnostic robust group deletion approach. Some practical cutoff points for existing and developed diagnostics measures are also introduced. Numerical examples and simulation results show that the proposed measure provides significant improvement over the existing measures.     

Competencies of disabled entrepreneurs in Iran: implications for learning and development

This qualitative research set out to explore competencies of disabled entrepreneurs by presenting their lived experiences in developing their capabilities to create and manage their own business. The research also aimed to identify the dimensions and components of entrepreneurial competencies of disabled entrepreneurs. The participants were 16 entrepreneurs with physical and mobility disabilities, four educational managers of disabled vocational education and rehabilitation centers, and four entrepreneurship academics. Our findings suggested that the disabled entrepreneurs possess specific personal and functional entrepreneurial competencies. Personal competencies include attitudinal competencies, entrepreneurial self-efficacy and entrepreneurship learning self-efficacy. Functional competencies encompass entrepreneurial competencies, commitment and social competencies.     

Cross‐Cultural Measurement Invariance of Adolescent Self‐Report on the Pediatric Quality of Life Inventory™ 4.0

This study evaluated the cross‐cultural measurement invariance of the Pediatric Quality of Life Inventory version 4.0 (PedsQL^?) among adolescents sampled from Bulgaria, Croatia, India, Indonesia, Nigeria, Serbia, and Turkey. The multiple‐indicator multiple‐cause (MIMIC) model was used, which allowed controlling of demographic variables (i.e., age, gender, and socioeconomic status). Significant effects of country on scores within the PedsQL^? domains were observed, with up to 17 items showing differential item functioning (DIF) across the countries. We did not find support for cross‐cultural measurement invariance hypotheses for scores on the PedsQL^? adolescent self‐report in this study. Researchers should use caution in making cross‐cultural quality of life comparisons while using the PedsQL.     

Internationalization Orientation in SMEs: The Mediating Role of Technological Innovation

This study examines the relationship between internationalization orientation and international performance of small and medium-sized enterprises (SMEs), and the mediating effect of technological innovation. Prior research suggests that internationalization is a prominent strategic choice for SMEs growth and profitability. However, there is still no explicit agreement on how internationalization affects international performance. Similarly, the role of innovation on performance has long been emphasized, but the implications of technological innovation on international performance are still eluding us. Our investigation of 116 SMEs in the United Kingdom reveals that internationalization orientation has a significant effect on their international performance, with SMEs adopting simultaneously an inward and outward international orientation achieving superior results. We further demonstrate that there is an inverted U-shaped relationship between technological innovation and international firm performance among SMEs. Meanwhile, we find that technological innovation positively mediates the effect of internationalization orientation on international firm performance, particularly for the SMEs exhibiting moderate levels of technological innovation activities. The findings of this study suggest that managers can improve international performance by combining inward and outward internationalization orientation with technological innovation activities in their strategic decisions.