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101.
Nuria Infante-Torres Milagros Molina-Alarcón Ana Rubio-Álvarez Julián Rodríguez-Almagro Antonio Hernández-Martínez 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e318-e324
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102.
Adriana Amorim Francisco Sonia Maria Junqueira Vasconcellos De Oliveira Mary Steen Moacyr Roberto Cuce Nobre Eder Viana De Souza 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e334-e340
Background
Ice-pack is widely used for alleviating postpartum perineal pain sustained after birth related perineal trauma. However, it lacks robust evidence on timing and frequency of applications, to ensure the effective and safe use of this therapy.Aims
To evaluate if a 10 min ice-pack application relieved postpartum perineal pain and if the analgesic effect was maintained for up to 2 h.Methods
A randomised controlled trial conducted from December 2012 to February 2013 with 69 primiparous women ≥18 years old, 6–24 h postpartum, with perineal pain ≥3, who had not received anti-inflammatory medication or analgesics after childbirth, who were randomised to a single ice-pack application on the perineum for 10 min or standard care. The primary and secondary outcomes were a reduction ≥30% in perineal pain intensity, immediately after the application and the maintenance of the analgesic effect for up to 2 h, respectively.Findings
Immediately post-intervention, the proportion of women whose perineal pain decreased ≥30% was significantly higher in the experimental group. Within 2 h, there was no significant difference in the pain levels in both groups. Within 2 h, for 61.9% and 89.3% of women in the experimental and control group, respectively, the perineal pain levels remained unchanged. For the remaining participants, perineal pain was increasing after an average time of 1 h 45 min and 1 h 56 min for the experimental and control groups, respectively.Conclusion
By applying an ice-pack for 10 min to the perineum, effective pain relief is achieved, that is maintained for between 1 h 45 min and 2 h. 相似文献103.
104.
Juan M. Sánchez 《Economic inquiry》2018,56(2):914-930
The information technology (IT) revolution coincided with the transformation of the U.S. unsecured credit market. Households' borrowing increased rapidly and there was an even faster increase in bankruptcy filings. A risk of default model with asymmetric information and costly screening is introduced to study this period. When information costs are high, the design of contracts under private information prevents some households from borrowing with a risk of default. As information costs drop, households borrow more and bankruptcy filings increase. Quantitative exercises suggest that the IT revolution may have played an important role in the transformation of the unsecured credit market. (JEL E43, E44, G33) 相似文献
105.
A graph is locally irregular if the neighbors of every vertex v have degrees distinct from the degree of v. A locally irregular edge-coloring of a graph G is an (improper) edge-coloring such that the graph induced on the edges of any color class is locally irregular. It is conjectured that three colors suffice for a locally irregular edge-coloring. In the paper, we develop a method using which we prove four colors are enough for a locally irregular edge-coloring of any subcubic graph admiting such a coloring. We believe that our method can be further extended to prove the tight bound of three colors for such graphs. Furthermore, using a combination of existing results, we present an improvement of the bounds for bipartite graphs and general graphs, setting the best upper bounds to 7 and 220, respectively. 相似文献
106.
107.
Oliver Arránz Becker Daniel Lois Anja Steinbach 《KZfSS K?lner Zeitschrift für Soziologie und Sozialpsychologie》2014,66(1):417-444
The present contribution shows conceptual and methodological approaches for the study of social context effects within families. Family members mutually constitute the social context in which family behavior and personality development take place. Social influence in families becomes evident empirically in family members’ significant similarity concerning a wide variety of characteristics. The present study focuses on intrafamily convergence with regard to religiousness. In an empirical illustration, both (a) horizontal intracouple alignment and (b) vertical intergenerational transmission processes are examined. Besides the finding that experiences during religious socialization in the parental home have a stronger impact than partner influences in adulthood, our analyses show that social context effects are more pronounced the stronger the cohesion of the respective interaction dyad is (e.g., according to measures of relationship quality). 相似文献
108.
Initiation,Trance And Possession in an Afro-Brazilian Religion-The Narratives of a mineiro maranhense
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Roberto Malighetti 《民族学刊》2014,(5)
This article presents the process of initiation to the Tambor de Mina, the mainreli-gious tradition in Maranh?o, a state in the north of Brazil .The Tambor de Mina designates an ec-static and inziatic ... 相似文献
109.
This article assesses how two key institutions differentially shape immigrants’ relationship to their rights in American society. We draw on over 200 in‐depth interviews to argue that there is a stark difference between how schools encourage undocumented youth to view themselves as equal members of US society and how undocumented workers are marginalized in the workplace. We find that even as schools track and stratify students, they also foster a culture of meritocracy between documented and undocumented youth. Schools ultimately render immigration status irrelevant as undocumented youth learn to navigate the primary institution of this stage of their lives. Conversely, immigration status is central to the experience of undocumented workers, who develop a particular set of survival skills that help them live and work successfully in the United States without being detected while also erecting a barrier between themselves and any additional rights they may be afforded. 相似文献
110.
Daniel Hernández Rosete 《International migration (Geneva, Switzerland)》2012,50(5):142-152
The purpose of this text is to analyse the motives of seasonal migrant workers for attempting to get their wives pregnant when they return to Mexico. The meanings attributed to paternity, pregnancy and rearing are analysed from the perspective of the migrant worker and his wife. Ethnographic research was conducted in several Purépecha communities in Michoacán, supported by interviews with indigenous, who travelled to the United States for periods of up to three years, and with their wives, who stayed in Mexico. The migrant workers interviewed consider pregnancy and the paternity derived from it as an important means of male legitimization and sexual control of their wives, particularly valid in their rural communities of origin, where they know they are absentee males. When they return to Mexico they seek sexual relations for reproductive purposes, since they fear their wives will have extramarital relations in their absence. From these findings, it was considered necessary to implement sexual and reproductive health policies with pluri‐ethnic and gender approaches that take into account male beliefs and practices regarding paternity and pregnancy in a rural context. The development of sensitizing policies aimed at migrant males during their stays in Mexico is recommended. 相似文献