Contribution analysis to analyze the effects of the health impact assessment at the local level: A case of urban revitalization

The health impact assessment (HIA) is a tool used to estimate the potential impact on health of non-health-related proposals prior to implementation. While it is increasingly used in Quebec, Canada, studies have not analyzed its medium-term impacts and potential long-term impacts. We conducted a contribution analysis using in-depth interviews with key stakeholders, as well as documents, observation and images related to HIA in order to analyze its impacts on the revitalization of road infrastructure, parks and green spaces, and residential housing. Our analysis not only reflects on the decision-making process through the adoption and implementation of HIA recommendations, but also on the link between actions implemented in the field and health outcomes.     

Perceptions of paternal involvement and labour pain management in Chinese couples during childbirth: A qualitative study

BackgroundLabour pain is an individual experience embedded in a socio-cultural context. In childbirth, the father’s involvement provides important support to the mother during labour. However, few published studies have evaluated couples’ experiences of paternal involvement and labour pain management in the Chinese context.AimThis study aimed to understand the experience of labour pain management and the father’s involvement in childbirth from the perspectives of women and their partners in Hong Kong.MethodsAn exploratory qualitative design was adopted. A purposive sample of 45 Chinese parents was recruited at the postnatal unit of a regional hospital. Data were collected through semi-structured face-to-face interviews within 1 month after birth. The data were subjected to content analysis.FindingsThe findings revealed six major themes: the mothers’ experience of labour pain, effectiveness of pain relief measures, mothers’ perceptions of support from their partners, mothers’ perceptions of support from healthcare professionals, fathers’ experience of involvement in childbirth and suggested improvements to maternity services.DiscussionChinese mothers experienced intense labour pain and used various pain relief measures. Both parents considered the involvement of fathers and support from healthcare professionals to be highly significant during childbirth.ConclusionsThis study highlights the need for a family-centred model of care during childbirth that involves both parents in the decision-making process. Chinese maternity services should implement individualised birth plans that acknowledge both parents’ expectations and preferences, thus promoting a positive childbirth experience for the parents.     

The experiences of privately practising midwives in Australia who have been reported to the Australian Health Practitioner Regulation Agency: A qualitative study

BackgroundIn Australia the majority of homebirths are attended by privately practising midwives (PPMs). In recent years PPMs have been increasingly reported to the Australian Health Practitioner Regulation Agency (AHPRA) mostly by other health professionals.Purposeto explore the experiences of PPMs in Australia who have been reported to the AHPRA.MethodsA qualitative interpretive approach, employing in-depth interviews with eight PPMs was undertaken and analysed using thematic analysis. A feminist theoretical framework was used to underpin the research.ResultsThe majority of reports made to AHPRA occurred when midwives supported women who chose care considered outside the recommended Australian College of Midwives (ACM) Consultation and Referral Guidelines. During data analysis an overarching theme emerged, “Caught between women and the system”, which described the participants’ feelings of working as a PPM in Australia. There were six themes and several sub-themes: The suppression of midwifery, A flawed system, Lack of support, Devastation on so many levels, Making changes in the aftermath and Walking a tight rope forever. The findings from this study reveal that midwives who are under investigation suffer from emotional and psychological distress. Understanding the effects of the process of investigation is important to improve the quality of professional and personal support available to PPMs who are reported to AHPRA and to streamline processes.ConclusionIt is becoming increasingly difficult for PPMs to support the wishes and needs of individual women and also meet the requirements of the regulators, as well as the increasingly risk averse health service.     

Double and group acceptance sampling plan for truncated life test based on inverse log-logistic distribution

This paper introduces a double and group acceptance sampling plans based on time truncated lifetimes when the lifetime of an item follows the inverse log-logistic (ILL) distribution with known shape parameter. The operating characteristic function and average sample number (ASN) values of the double acceptance sampling inspection plan are provided. The values of the minimum number of groups and operating characteristic function for various quality levels are obtained for a group acceptance sampling inspection plan. A comparative study between single acceptance sampling inspection plan and double acceptance sampling inspection plan is carried out in terms of sample size. One simulated example and four real-life examples are discussed to show the applicability of the proposed double and group acceptance sampling inspection plans for ILL distributed quality parameters.     

Modified maximum likelihood estimator under the Jones and Faddy's skew t-error distribution for censored regression model

It is well-known that classical Tobit estimator of the parameters of the censored regression (CR) model is inefficient in case of non-normal error terms. In this paper, we propose to use the modified maximum likelihood (MML) estimator under the Jones and Faddy''s skew t-error distribution, which covers a wide range of skew and symmetric distributions, for the CR model. The MML estimators, providing an alternative to the Tobit estimator, are explicitly expressed and they are asymptotically equivalent to the maximum likelihood estimator. A simulation study is conducted to compare the efficiencies of the MML estimators with the classical estimators such as the ordinary least squares, Tobit, censored least absolute deviations and symmetrically trimmed least squares estimators. The results of the simulation study show that the MML estimators work well among the others with respect to the root mean square error criterion for the CR model. A real life example is also provided to show the suitability of the MML methodology.     

略论19世纪70-90年代的中国木船业

在近代,随着外国侵略势力的到来,中国航运业受到了很大的冲击,中国古老的航运工具———木船受到了排挤。但由于各种原因,在19世纪70—90年代这段时间里中国木船业并没有走向灭亡,而是持续的向前发展。     

我国股东代表诉讼实用性的经济学分析

设置股东代表诉讼的目的是为了完善公司治理,强化股东的经营监督和抑制违法的作用。但由于股东提起代表诉讼是为了公司和全体股东的利益,如何降低原告股东的诉讼成本对实现股东代表诉讼的立法目的具有重要的意义。     

以系统化思维高质量推进江苏全面深化改革

以系统化思维高质量推进江苏全面深化改革,有利于江苏在全面深化改革中一体贯彻新发展理念、聚力培育发展新动能、统筹推进高质量发展。改革开放40年来,江苏锐意改革、大胆创新、勇立潮头。具体表现为：经济发展体制障碍不断突破,经济综合实力稳步提升;区域协调发展机制逐步构建,区域空间布局日渐优化;社会治理体制创新积极推进,社会治理水平明显提高;生态文明体制改革日益深化,“美丽江苏”建设成效初显。同时,江苏目前在发展方式转变、经济结构优化、增长动力转换等方面仍然存在不少问题和障碍。今后一段时间,江苏应站在更高起点系统谋划和推进各项改革。要着眼走在高质量发展前列,深化经济体制改革;要着眼提高保障和改善民生水平,创新社会治理格局;要着眼经济和社会事业发展全局,完善人才发展制度;要着眼人与大自然是生命共同体,推进生态文明建设。     

90后大学生思想道德建设刍议

90后大学生在思想道德方面呈现出独特性：思想观念新锐、张扬、自主、时尚;自我实现意识强,价值取向功利化;危机感强,心理承受能力有限;有较自觉的社会公德意识,能积极弘扬传统美德。这些特征的形成是受社会变革、互联网、家庭教育模式和学校思想政治教育水平等多种因素的影响。加强90后大学生思想道德建设,应以学生为中心,不断创新高校思想道德教育的方法与内容;要发挥家庭教育和社会教育的作用,形成大学生思想道德教育的合力;要加强校园网络文化建设,主动占领网络思想政治教育新阵地。