Evaluation of an intervention supporting breastfeeding among late-preterm infants during in-hospital stay

BackgroundLate-preterm infants show lower breastfeeding rates when compared with term infants. Current practice is to keep them in low-risk wards where clinical guidelines to support breastfeeding are well established for term infants but can be insufficient for late-preterm.ObjectiveThe aim of this study was to evaluate an intervention supporting breastfeeding among late-preterm infants in a maternity service in the Basque Country, Spain.MethodsThe intervention was designed to promote parents’ education and involvement, provide a multidisciplinary approach and decision-making, and avoid separation of the mother-infant dyad. A quasi-experimental study was conducted with a control (n = 212) and an intervention group (n = 161). Data was collected from clinical records from November 2012 to January 2015. Feeding rate at discharge, breast-pump use, incidence of morbidities, infant weight loss and hospital stay length were compared between the two groups.ResultsInfants in the control group were 50.7% exclusive breastfeeding, 37.8% breastfeeding, and, 11.5% formula feeding at discharge, whereas in the intervention group, frequencies were 68.4%, 25.9%, and 5.7%, respectively (p = 0.002). Mothers in the intervention group were 2.66 times more likely to use the breast-pump after almost all or all feeds and 2.09 times more likely to exclusively breastfeed at discharge. There were no significant differences in morbidities and infant weight loss between groups. Hospital stay was longer for infants who required phototherapy in the intervention group (p = 0.009).ConclusionThe intervention resulted in a higher breastfeeding rate at discharge. Interventions aimed to provide specific support among late-pretem infants in maternity services are effective.     

企业成长过程中组织结构演进规律及动因

阐述企业成长过程中组织结构的演变规律,运用管理学及经济学相关理论,揭示组织结构演变的内在动因。分析表明,随着企业的成长,组织结构呈现从直线职能制到事业部制的规律性变化,从管理学意义上,这种变化极大地降低了生产成本和流通费用,从而取得了管理协调的“速度经济”;从经济学意义上,则意味着管理分工导致企业运营效率提高;更深层次看,是一个分权的、控制权较为明晰的组织模式被逐渐使用,最终导致一个均衡权力结构模型———联邦分权式事业部制的产生。     

阿盟发展缺失及其对上合组织的启示

阿拉伯国家联盟是当今世界成立最早的几个地区性国际组织之一。在其六十多年的发展历程中,从维护阿拉伯国家整体利益来看,其成绩并不理想。本文对阿盟的发展缺失的表现及其原因进行了分析,并探索了其对上海合作组织完善和发展过程中的启示。     

新化辛亥志士戴哲文事略

新化籍辛亥革命志士戴哲文联络新化、邵阳、武冈等地会党,开展反清革命活动;1907年与黄兴、蔡锷等在广西发动武装起义,因积劳成疾,28岁即英年早逝。     

Sifting the wheat from the chaff—the organization of telephone intake and the selection of social assistance inquirers in Sweden

In Sweden, the initial contact between help-seeking people and a social welfare office normally takes place over the telephone, with designated intake officers handling those aiming to apply for social assistance. Citizens seeking help are here sorted according to various eligibility criteria as well as according to different intake routines. The outcome of the sorting process is that some receive an appointment for a further assessment while others are sent away. This article describes and classifies the degree of selection at seven telephone intakes, discusses relations between the degrees of selection and reasons for selection and distinguishes several selection strategies.     

对创建学习型编辑组织的思考

学习型编辑组织是编辑事业的发展趋势,文章对如何创建学习型编辑组织提出了4个思考点,分析了在创建期可能会遇到的困难并提出克服困难的对策。     

成人教育的有效性探讨

成人学习与青年学生不同 ,他们侧重于从经验中学习 ,目的性明确 ,理解能力和分析解决问题的能力较强。但他们的学习也常受制于各种主客观因素 ,存在局限性。要提高成人教育的有效性 ,一要走自学、互学的路子 ,努力建立学习型组织 ,实现知识和经验共享 ;二是改革培训的方式方法 ,提高在教师指导下的培训效果     

網絡組織成員合作的穩定性模型分析

本文應用博弈論建立了一個網絡組織成員合作的穩定性模型,通過模型分析作者提出網絡組織的穩定性依賴於多種因素,其中,信任機制、懲罰機制是網絡組織穩定的基本因素。本文通過對中國網絡組織的一般性分析,指出特殊主義文化背景下的中國網絡組織的信任機制和懲罰機制更多的來源於非正式制度,而非正式制度作用的空間局限性,是導致中國區際網絡組織穩定性差的重要原因,本文最後提出了中國網絡組織穩定性提升的建議。     

世界贸易组织争端解决机制评析

从世界贸易组织（WTO）成立后的实践来看，它的争端解决机制为各成员方解决贸易争端、为帮助世界贸易秩序的稳定和发展发挥了重要作用。但是从对WTO争端解决机制的几个方面的具体的分析、评价中可以得知它也并非尽善尽美，还有待进一步的发展和完善。     

国际合作计划生育结合项目与社区发展——云南罗平县结合项目实践的分析

根据云南省罗平县结合项目实施情况的实地考察,从社区发展方法的视角,对项目实施过程中的社区宣传、社区组织、资金筹措、效果评估和基层总体项目管理能力等方面进行了分析.