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121.
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122.
Isabel Baño-Piñero María Emilia Martínez-Roche Manuel Canteras-Jordana César Carrillo-García Esteban Orenes-Piñero 《Women and birth : journal of the Australian College of Midwives》2018,31(4):e239-e244
Background
The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.Objectives
The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain).Methods
After searching unsuccessfully for a validated questionnaire, a specific one was developed and validated for measuring the impact of formal and informal support networks through five dimensions: satisfaction, consultation, experience, problems and support. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 2014. Upon completion of the survey and fieldwork, a detailed statistical analysis was conducted.Results
The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. In addition, mothers who clarified their doubts and discussed their problems with health professionals and/or breastfeeding support networks were more likely to breastfeed for a longer duration compared to those who did not (p = 0.005). Furthermore, mothers who sought support in breastfeeding are more likely to breastfeed for more than 6 months (p < 0.0005).Conclusion
Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a women’s decision to breastfeed. 相似文献123.
Nthati Rametse Topoyame Moremong‐Nganunu Ming Juan Ding Pia Arenius 《International migration (Geneva, Switzerland)》2018,56(4):217-234
This article presents findings on immigrant entrepreneurship in Australia. The relationship between the entrepreneurial start‐up motivation, co‐ethnic preferences and entrepreneurial capabilities of established immigrant businesses are explored. We analyse data collected with a self‐administered survey questionnaire from 157 immigrant entrepreneurs in Melbourne's suburbs. Our findings show that immigrant entrepreneurs who report a high level of individual achievement as their start‐up motivation also report high levels of entrepreneurial capabilities in terms of opportunity recognition, managerial innovativeness and proactiveness. Immigrant entrepreneurs who are highly influenced by co‐ethnic preferences on staff employment and customer targeting report higher opportunity recognition than those who have a co‐ethnic preference on suppliers. We provide important insights and explanations for these findings and their implications for Australian immigrant entrepreneurs and policymakers. 相似文献
124.
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
125.
In this study, we conceptualize personal initiative as a collective construct and adapt and validate a scale to evaluate it with a sample of 308 Spanish participants belonging to 91 work teams. Personal initiative at group level is a behavioural syndrome in which the team shows an approach to work that is self-initiated, proactive, persistent, capable of modifying the atmosphere and pro organization. As a predictive variable, we analysed the climate for initiative as well as personal initiative at group level. The resulting variables that were analysed referred to organization and team performance, with the team productivity and innovation as the criteria, analysing radical innovation. The scale has suitable psychometric properties. The results show that there is a relationship between the two predictive variables. Furthermore, personal initiative at group level is related to team productivity, while the climate for initiative is related to innovation. 相似文献
126.
‘What Was I Thinking?!’ Rhetorical Questions as a Technique to Identify and Explore Impasses in Therapy
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Rhetorical questions emerging spontaneously in consultations can be used as a tool for developing self‐reflexivity and exploring the therapeutic alliance in the process of therapy with couples and families. This paper presents a technique based on the enunciation of rhetorical questions, which can point to an impasse in the process of therapy and contain a key to its resolution. The technique focuses on the distinctive feature of rhetorical questions as convening a paradoxical injunction: a question not intended as a question, while uttered as such. The technique in four steps is illustrated by examples from therapy, supervision, consultation, and self‐supervision. Its focus is the interlink between the therapeutic relationship and the process of therapy and it is informed by a second‐order cybernetics approach, dialogical practice, and the systemic literature on emotion. The technique can help develop curiosity in working with families, lead to unforeseen developments, and touch on prejudices not made explicit in previous therapeutic encounters. Whether we are acting as supervisors, therapists, or clients, the creation of a ‘secure enough’ context for rhetorical questions becomes critical to allow freeform exploration. 相似文献
127.
Juan Carlos Callirgos 《Cultural Studies》2018,32(3):477-496
ABSTRACTThis article analyses the impact of ‘recognition’ of cultural and ethnic diversity in Peru. It proposes that the rise of a new global ‘ethnonormativity’ – a regime to define and administrate cultural and identity differences, to establish boundaries between those who ‘are’ ethnic and those who are not, and to set rights and duties derived from identities – has had meagre effects in Peru. While the past decades have witnessed the emergence of Latin American political actors who regard indigenousness as their basic political identity, there has been no ‘emergence of indigenous movements’ in Peru. The discourses that highlight the importance of diversity have gained terrain – unsettling, to a certain extent, the narratives of assimilation through ‘development’ and mestizaje – and the Peruvian state has officially embraced ‘recognition’, including it in its official rhetoric and creating institutions to design policies to guarantee the rights of the indigenous and Afroperuvian ‘peoples’ (itself a label part of the language of multiculturalism). The state has also crafted a definition of ‘indigenous peoples’ and introduced ethnic variables in censuses and official statistics, thus being active in the production and regulation of subjects. Some civil society actors have also incorporated ethnic labels into their rhetoric to adapt to the global turn to identity politics. Peru remains, however, a fertile terrain for neoliberal policies and discourses of a different kind. A discourse that exalts ‘emprendedurismo’ (entrepreneurship) and states that success depends entirely on personal effort has become a new common sense, obscuring the structural inequality that has historically affected indigenous and Afroperuvian people. Extractivism continues to damage the environment and the rights of indigenous people, while the expansion of agribusiness in the coastal valleys of Peru keeps people – regardless of their ‘ethnic’ self-identification – in poverty and without basic labour and social rights. The article suggests that the ambiguities of the ethnonormative regime in Peru may serve as a diversion from structural issues in a context of neoliberalism and may re-elaborate racial hierarchies, racism and the narratives of mestizaje it allegedly opposes. 相似文献
128.
Carmen Martínez Novo 《Cultural Studies》2018,32(3):389-413
ABSTRACTThis article discusses two forms of discrimination against indigenous people: ventriloquism and open racism, and argues that a transition from paternalism to open intolerance has taken place in Ecuador in the context of governmental emphasis on natural resource extraction. Ventriloquism, when non-Indians speak for indigenous people, is analysed through the Sumak Kawsay (Good Living) policies of the government of Rafael Correa (2007–2017). Public racism is examined by looking at government repression against indigenous leaders and communities and Presidential speeches. The article concludes that the state’s ventriloquist and racist discourses and practices are equally rooted in the country’s colonial past. These findings are contrasted with the writings of scholars that have called the government of Mr. Correa decolonizing. The article examines the ways in which decolonial theorists informed and promoted the policies of this regime, and argues that decolonial scholars have been insufficiently self-critical and reflective of their own complicity with the state’s repressive project vis-à-vis indigenous communities. 相似文献
129.
130.
Philippe Eynaud Maïté Juan Damien Mourey 《Voluntas: International Journal of Voluntary and Nonprofit Organizations》2018,29(4):621-636
The right to the city is a concept that helps rethink spatial–social dynamics, which has recently reinvigorated the field of organization studies. Following Lefebvre and considering the failure of both the market and the state, other scholars pinpoint the need to rethink social–spatial and geographical–historical relations. They do so by theorizing the city as a host for urban commons. Collective and non-commodified, these spatial–social experiences need to be constantly reproduced and preserved through commoning practices in the struggle against spatial injustice. A case study shows that a civil society organization (CSO) uses participatory art to (re)produce urban commons at the level of a local community and to redress partially spatial injustice. We theorize participatory art-making as a social practice of commoning, i.e., a process of organizing for the commons—collective art-based activities to serve a community—and of the common—to (re)produce a community while performing them. Such commoning practices are not only about sharing urban resources but also about using and experiencing differently urban spaces. By making participatory artworks in public spaces and co-designing street furniture with residents of poor areas, TDA helps to better cope with the tensions between residents and local authorities and between amateurs and professional artists. By negotiating the long-term implementation of these creative artworks in the public space with public authorities, TDA has fostered the empowerment of inhabitants as they have experienced citizens’ reappropriation of some public spaces in Marseille. 相似文献