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61.
According to Hobfoll’s conservation of resources theory (1989), psychological resources such as resilience and self-efficacy could mediate the effects of unemployment on well-being. The objective of this study is to analyse the mediating role of self-efficacy and resilience on the relationship between the amount of time unemployed and psychological distress. A sample of unemployed persons from the Region of Murcia was used (N = 280). With a transversal design and using the macro PROCESS for SPSS (2013), a multiple mediation model is proposed which analyses the mediating role of psychological resources in relation to the amount of time unemployed and self-perceived health. The explained variance of this model is 23.79%. The results show that only self-efficacy partially mediates in the relationship between the two variables (β = .18, SD = 0.06, p < .01). The main contribution of this article is showing that personal psychological resources are an effective tool to cope with life stressors, such as, in this case, unemployment.  相似文献   
62.
Tweets offer us early information on initial stages of diseases, since people often tweet the early symptoms of feeling unwell prior to presenting to an emergency department if their symptoms become more severe. Even when people do present at an emergency department, it generally takes over 24 hours for their information to be collected, diagnosed and transferred for analysis at a centralized location. The advantage of utilizing tweets is that they offer information on syndromes in real-time. This paper investigates the value of carrying out multivariate syndromic surveillance using daily counts of keywords. The dynamic bi-plot is used to detect unexpected changes in the daily counts. These methods can be easily generalized to hourly tweet syndromic counts. By following Twitter users that suffer certain symptoms over time we can better understand the burden of these health issues and better understand emerging health issues. Monitoring people who present with symptoms but are just not sick enough to go to emergency departments provides us with additional information not gathered by emergency departments.  相似文献   
63.

Background

Castor oil is a substance used for labor induction in an inpatient setting. However, its efficacy as an agent for the induction of labor, for post-date pregnancies in an outpatient setup is unknown.

Objective

Efficacy of castor oil as an agent for the induction of labor, for post-date pregnancies in outpatient settings.

Methods

Eighty-one women with a low-risk post-date singleton pregnancy with a Bishop score  7, without effective uterine contractions were randomized to the intervention, 60 ml of castor oil, or the control, 60 ml of sun-flower oil. The primary outcome was proportion of women entering the active phase of labor 24, 36, 48 h after ingestion. Secondary outcomes included meconium stained amniotic fluid, abnormal fetal heart rate tracing, cesarean section rate, instrumental deliveries, birth weight, 5 min Apgar score, chorioamnionitis, hypertensive complications, retained placenta, and post-partum hemorrhage.

Findings

Intervention and control groups included 38 and 43 women, respectively. No differences in baseline characteristics, except for age were noted. The observed interaction between castor oil and parity was significant (pinteraction = 0.02). Multiparous women in the intervention group exhibited a significant beneficial effect on entering active labor within 24, 36 and 48 h after castor oil consumption compared with the placebo (Hazard Ratio = 2.93, p = 0.048; Hazard Ratio = 3.29, p = 0.026; Hazard Ratio = 2.78, p = 0.042 respectively). This effect was not noted among primiparous women. No differences in rate of obstetric complications or adverse neonatal outcomes were noted.

Conclusion

Castor oil is effective for labor induction, in post-date multiparous women in outpatient settings.  相似文献   
64.
In 2010 the Human Development Index (HDI) was revised with several major changes. Many of its problems were tackled, although some drawbacks still persist. This paper proposes a multi-criteria approach to measure human development, propounding two innovations for the computation of the HDI: (1) the introduction of a double reference point scheme in the normalization; (2) an aggregation function which deals with the problem of substitutability between components. In particular, for each component of the HDI the value of each country is normalized by means of two reference values (aspiration and reservation values) by using an achievement scalarizing function that is piecewise linear. Aggregating the new normalized values, we calculate a range of indices with different degrees of substitutability: (1) a weak index that allows total substitutability; (2) a strong index that measures the state of the worst component and allows no substitutability; and (3) a mixed index that is a combination of the first two.  相似文献   
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Social Indicators Research - Many developing countries have highly unequal health systems across their regions. The pandemic of COVID-19 brought an additional challenge, as hospital structures...  相似文献   
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Social Indicators Research - Several indicators on human development and capabilities have been introduced in recent decades that measure the absolute level of deprivations and freedoms of people....  相似文献   
68.
Labia minora elongation has been documented as being practiced by 98.6% of the women in Tete province, Mozambique. Women engage in this procedure before the first menstruation. In this article we report on the findings from the male respondents from Tete province that participated in the qualitative component of the World Health Organization–supported multicountry Gender, Sexuality, and Vaginal Practices study. The men reported that the main motivation behind labia minora elongation is to enhance the sexual pleasure for both female and male partners. Researching what men know and perceive of labia minora elongation is crucial to understanding the contribution of this practice for sexual health. This knowledge is helpful to inform the development of new human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention technologies and culturally appropriate information, education, and communication interventions.  相似文献   
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