Background: Poor birth outcomes are common health problems everywhere in the world. Hence institutional delivery in Ethiopia is very low, improving birth outcomes through recent evidence remained critical. The objecti...Background: Poor birth outcomes are common health problems everywhere in the world. Hence institutional delivery in Ethiopia is very low, improving birth outcomes through recent evidence remained critical. The objective of the study was to determine the prevalence of poor birth outcomes and associated factors among women who delivered in selected health facilities of North Wollo Zone. Methods: A facility based cross-sectional survey was conducted on 295 laboring mothers from May to June 2009. Interviewer administered questionnaire was used to collect the data. Patient’s chart was reviewed to retrieve medical information. Anthropometry of the neonate was taken by standard measurement tools. Data were analyzed using statistical package for social sciences (SPSS), version 15. Binary logistic regression analyses were used to identify predictors of poor birth outcomes. P-value ≤ 0.05 was considered statistically significant. Results: All the data resulted from 295 laboring mothers were made part of the analyses. A total of 266 (90.2%) laboring mothers gave live birth. A quarter, 68 (23.1%) of the laboring mothers had a poor birth outcome. The common adverse outcomes were intrauterine fetal death (IUFD, preterm, and birth defects with the proportion of 29 (42.6%), 22 (32.4%), and 3 (4.4%), respectively). Mother whose husband’s occupation was merchant (AOR = 4.4, 95% CI: 1.0-19.0), driver (AOR = 4.2, 95% CI: 1.12-15.76), & women who were illiterate (AOR = 4.0, 95% CI: 1.2-13.5), primary school completed (AOR = 4.3, 95% CI: 1.3-13.8), non-antenatal care visited (AOR = 3.4, 95% CI: 1.12-10.2), rural residence, (AOR = 2.6, 95% CI: 1.11-5.80), & mother’s HIV status, (AOR = 34.2, 95% CL 5.6, 207.0) were independent predictors of poor birth outcomes. Conclusions: Poor birth outcomes were very common in the study area where low birth weight accounted for much of all adverse pregnancy outcomes. Occupation, residence, antenatal care visit, income, maternal education and HIV status were determinants of poor birth outcomes. Accessing antenatal care in early trimester, mild physical work, maternal education to secondary level and above should be encouraged.展开更多
Aromatherapy is the therapeutic use of oil from herbs, flowers, and other plants. The aim of this meta-analysis was to quantify the effectiveness of aromatherapy for laboring women. We searched five electronic databas...Aromatherapy is the therapeutic use of oil from herbs, flowers, and other plants. The aim of this meta-analysis was to quantify the effectiveness of aromatherapy for laboring women. We searched five electronic databases till November 15th 2013 including those Chinese and English language articles. A total of 4 eligible studies were identified. Aromatherapy was effective in reducing the length of labor, but there were no statistically significant effects in the use of pharmacological analgesia, spontaneous vaginal delivery, caesarean delivery and assisted vaginal birth. Due to the limited number of articles identified, the evidence is not sufficiently convincing that aromatherapy is an effective therapy for laboring women.展开更多
Uterine rupture is defined as the occurrence of communication between the abdominal and uterine cavity and may be complete or incomplete depending on the degree of involvement of the different layers of the uterus and...Uterine rupture is defined as the occurrence of communication between the abdominal and uterine cavity and may be complete or incomplete depending on the degree of involvement of the different layers of the uterus and surrounding organs. It is a rare complication whose consequences often involve the maternal and fetal prognosis. The majority of uterine rupture occurs on the scarred uterus, its incidence in France is estimated according to the series between 1/1000 and 1/2000 births, it represents 30% of causes of maternal death in the developing countries. The authors report here a case of uterine rupture outside of labor at 33 weeks of age in 32 years old woman, gravida 9 para 8, with no history of uterine surgery discovered during obstetric ultrasound for abdominal pain. During the interrogation, she was alarge multipara and had a child of 15 months. The abdominal ultrasound showed a right lateral corporeal rupture with hemoperitoneum of medium sized and a dead fetus. The emergency laparotomy revealed a right lateral uterine wound approximately 15 cm long with intra-abdominal placenta and a haemoperitoneum of medium sized of about 600 cc and a bladder lesion. After opening the amniotic sac, there was extraction of a dead fetus. The uterine and bladder lesions were repaired followed by bilateral tubal ligation. The patient received 500 cc of whole blood during and 500 cc after the procedure. The postoperative follow-up was simple. This case contributes to the knowledge of this rare and atypical event, and emphasizes the importance of maintaining a suspicion.展开更多
Zuoquan County has revitalized local villages with the fruits of their collected labor.GLOWING red apples hang heavily on branches in the orchards on the southern outskirts of Tongyu Town,Zuoquan County,Shanxi Provinc...Zuoquan County has revitalized local villages with the fruits of their collected labor.GLOWING red apples hang heavily on branches in the orchards on the southern outskirts of Tongyu Town,Zuoquan County,Shanxi Province,an area where a decade ago weeds and rocks covered a rather barren landscape.展开更多
To gain an in-depth understanding of China’s urban labor market,the Institute of Population and Labor Economics at the Chinese Academy of Social Sciences(IPLE-CASS)conducted the fifth wave of the China Urban Labor Su...To gain an in-depth understanding of China’s urban labor market,the Institute of Population and Labor Economics at the Chinese Academy of Social Sciences(IPLE-CASS)conducted the fifth wave of the China Urban Labor Survey in 2023,which covers eight major representative cities.The survey collected 9,122 household questionnaires and 26,145 individual questionnaires from 381 neighborhood committees.Based on this data,the report systematically analyzes employment,wages,educational attainment,and social security among China’s urban workforce.Key findings include an inverted U-shaped age pattern of labor force participation,with a widening gender gap after childbearing age.Additionally,job search methods combine market-based channels with traditional social networks.Notably,the gender wage gap persists and widens over the life cycle,while employed women now have higher average years of schooling than men.Rural-to-urban migrants show higher labor force participation rates but remain disadvantaged in wages,education,and social security coverage.Thus,this survey provides a comprehensive picture of the structural characteristics and challenges of China’s urban labor market,providing a solid data foundation for academic research and public policy design.展开更多
In the context of the coordinated pursuit of"carbon peak and neutrality"objectives,alongside the strategy to establish a robust agricultural nation,the economic and social development of rural areas is under...In the context of the coordinated pursuit of"carbon peak and neutrality"objectives,alongside the strategy to establish a robust agricultural nation,the economic and social development of rural areas is undergoing a profound paradigm shift.The traditional rural division of labor pattern,which depends on tangible factors such as land,labor,and capital,has increasingly encountered developmental challenges characterized by diminishing marginal returns and a detrimental cycle of internal competition.The new quality productive force,centered on data,algorithms,green technologies,bioengineering,and clean energy,offers a potential pathway for the rural division of labor system to overcome the"low-level equilibrium".This force is characterized by attributes such as non-exclusivity,replicability,network collaboration,and ecological compatibility.This paper develops a three-dimensional collaborative analytical framework encompassing"technology,institution,and culture".It systematically elucidates the internal logic by which new quality productive forces drive the transformation of the rural division of labor from"quantitative factor matching"to"qualitative structural reorganization"through three principal mechanisms:technology embedding,institutional reconstruction,and cultural coupling.Furthermore,the study proposes corresponding policy recommendations,thereby offering theoretical insights to support the modernization of China s agriculture and rural areas,as well as the development of a strong agricultural country.展开更多
In recent years,the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections.However,in clinical practice,pregnant women are prone to anxiety before childbirth,making it difficult t...In recent years,the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections.However,in clinical practice,pregnant women are prone to anxiety before childbirth,making it difficult to perform a vaginal trial delivery smoothly.The combined approach of ADIET communication and delivery rehearsal for vaginal trial delivery can provide a reference for reducing prenatal anxiety,shortening labor duration,facilitating a smooth delivery,and ensuring the safety of both mothers and babies.AIM To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.METHODS A study conducted between January 2023 and December 2023 included 200 vaginal trials.Women were randomly assigned to an observation group(100 women),which received ADIET communication plus delivery intervention,and a control group(100 women),which received routine communication plus delivery intervention.This study aimed to compare antenatal anxiety status as measured using the Maternal Anxiety Scale,labor duration,delivery efficacy as assessed using the simplified Chinese version of the Childbirth Self-Efficacy Inventory,and delivery outcomes.RESULTS After the intervention,the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score(P<0.05)than the control group(P<0.05),whereas the observation group had higher natural delivery,cesarean delivery,vaginal delivery,and neonatal asphyxia rates(P<0.05).CONCLUSION For women undergoing vaginal trial delivery,a combination of AIDET communication and delivery rehearsal can relieve prenatal anxiety,enhance delivery efficiency,shorten labor duration,and somewhat improve delivery outcomes.展开更多
In the era of digital capitalism with the explosion of data and information,human society will be greatly affected by digital capital,and all walks of life will be included in the chain of information-based labor prod...In the era of digital capitalism with the explosion of data and information,human society will be greatly affected by digital capital,and all walks of life will be included in the chain of information-based labor production,giving rise to a new type of labor form called“digital labor”.This paper discusses the alienation of digital labor in the context of digital capitalism,take Marx’s theory of alienated labor as the perspective,and analyze the fourfold alienation of digital labor in terms of producing products,labor process,self-realization of laborers,and social relations by combing the historical development of digital labor.Based on the above analysis,the article proposes the logical and practical paths to crack the alienation of digital labor:improve media literacy and thinking discernment,make full use of the positive effects of digital technology,and strengthen the governance of digital platforms,in order to build a fairer and more shared digital labor environment,and to realize the self-emancipation of laborers and the healthy development of the digital economy.展开更多
Labor provisions have become a fundamental trade rule in regional and bilateral trade agreements.Although China’s legislation on pilot Free Trade Zones includes content related to labor protection,it primarily aligns...Labor provisions have become a fundamental trade rule in regional and bilateral trade agreements.Although China’s legislation on pilot Free Trade Zones includes content related to labor protection,it primarily aligns with labor indicators in“Doing Business”,the assessment of business situations issued by the World Bank.It differs from the labor rights protection focus emphasized in trade agreements.The latest strategic documents issued by the State Council of China have addressed this issue to fully achieve the goal of aligning Free Trade Zones with high-standard trade agreements.Building on the development of Free Trade Zone legislation and domestic labor law governance,China should proactively explore a tailored approach to labor provisions in Free Trade Agreements.In this approach,it should explicitly define the“baseline”and“ceiling”for labor provisions during negotiations and,within this framework,establish benchmarks for labor rights protection,enforcement mechanisms,and cross-border regulatory mechanisms suited to the specific conditions of the agreement parties.展开更多
I have never given birth but have heard it said many times that as awful as labor is,when it's over and your newborn is placed in your arms,that pain is forgotten.That's how I feel now about the earliest days ...I have never given birth but have heard it said many times that as awful as labor is,when it's over and your newborn is placed in your arms,that pain is forgotten.That's how I feel now about the earliest days of grief.展开更多
Demography plays a fundamental role in shaping the landscape of human resources.The interdependent relationship between these two fields is observable in the workforce composition,labor market trends,talent management...Demography plays a fundamental role in shaping the landscape of human resources.The interdependent relationship between these two fields is observable in the workforce composition,labor market trends,talent management strategies and on learning.Changes perceived in demographic changes are shaping and transforming human resources management.In an era marked by demographic shifts,technological advancements,and evolving work preferences,organizations are facing the need to understand and adapt to the changing demographics to effectively manage their human resources.This article explores how demography influences human resource(HR)with a special highlight on the management of multigenerational workforce.展开更多
Background:Understanding the factors that influence adolescent psychological resilience is critical for promoting mental health.This study explores the impact and mechanism of labor values on adolescent psychological ...Background:Understanding the factors that influence adolescent psychological resilience is critical for promoting mental health.This study explores the impact and mechanism of labor values on adolescent psychological resilience from the perspective of emotion regulation theory.Methods:This study conducted an in-depth analysis using the Labor Value Scale on 2691 elementary school upper-grade students,middle school students,and high school students.Results:The results show that:(1)labor values can positively predict adolescents’mental resilience;(2)cognitive reappraisal and expression inhibition play a partial mediating role in the relationship between labor values and adolescents’psychological resilience.Among them,labor values can positively predict adolescents’mental resilience through positive cognitive reappraisal,and labor values can also predict adolescents’mental resilience through expression inhibition.Conclusion:Based on the theory of emotion regulation,this study explores the direct effect of labor values on mental resilience and the mediating effect of different strategies of emotion regulation.The results of this study provide a theoretical basis for improving the mental resilience of adolescents.展开更多
This study sought to analyze the occupational habits of immigrant workers in the formal Brazilian labor market from a sociological perspective.It was understood that a study on occupation should observe professional a...This study sought to analyze the occupational habits of immigrant workers in the formal Brazilian labor market from a sociological perspective.It was understood that a study on occupation should observe professional and employment history,which may include an analysis over time of workers in the same profession or in periods of professional mobility.In order to understand occupational trajectories and related aspects,this study used data that were collected through semi-structured interviews and surveys with immigrant workers who were employed in the Brazilian formal labor market.The interviews and surveys revealed a strong polarization among the immigrant workers present in Brazil-while a small part holds highly skilled occupations,the majority participate at the base of the productivity hierarchy.展开更多
Objective:To examine how emotional labor demands and strategies influence work engagement and occupational identity among Portuguese volunteer firefighters.Methods:Participants completed the Emotional Work Requirement...Objective:To examine how emotional labor demands and strategies influence work engagement and occupational identity among Portuguese volunteer firefighters.Methods:Participants completed the Emotional Work Requirements Scale,Emotional Labour Scale,Utrecht Work Engagement Scale,and Social Identity Scale.Multiple linear regression analyses were conducted to assess the predictive effects of emotional labor demands and strategies on work engagement and occupational identity.Results:Emotional labor explained 11.8%of the variance in work engagement and 10.9%in occupational identity.Positive emotion expression significantly predicted higher work engagement and a stronger occupational identity,while the suppression of negative emotions predicted a weaker occupational identity.Other emotional labor dimensions were not significant.Conclusions:Findings underscore the dual role of emotional labor—as a resource when positive emotions are expressed and as a strain when negative emotions are habitually suppressed.Targeted interventions to promote authentic positive expression and effective emotional processing may enhance firefighters’well-being,strengthen crisis team performance,and benefit the communities they serve.Further research is needed to deepen the understanding of emotional labor in crisis response contexts.展开更多
As India vigorously reclaims its cost advantages in textiles,the apparel trade landscape in South Asia is set for a reshuffle,with Bangladesh,Vietnam,and China becoming key reference points in India's new competit...As India vigorously reclaims its cost advantages in textiles,the apparel trade landscape in South Asia is set for a reshuffle,with Bangladesh,Vietnam,and China becoming key reference points in India's new competitiveness roadmap.According to India's Ministry of Textiles,the government has formulated a fourpoint action plan divided into short-term(two years),medium-term(five years),and two long-term stages.It aims to reduce production costs,enhance labor productivity,and strengthen export competitiveness in the textile sector.The plan seeks to increase India's textile and apparel exports to$100 billion by 2030,a significant leap from the$37.7 billion projected for the 2024-25 fiscal year.The trigger for this plan was the US imposition of 50%tariffs on Indian textiles earlier this year,raising concerns about India's competitiveness relative to Bangladesh,Vietnam,and China.展开更多
Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based ins...Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.Methods A comprehensive literature search was conducted in databases,including PubMed,Web of Science,the Cochrane Library,Embase,Wanfang Databases,China National Knowledge Infrastructure Databases(CNKI),China Science and Technology Journal Database(CSTJ),and China Biology Medicine disc(CBMdisc)to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor.The search included randomized controlled trials published from database inception to September 30,2024.The Cochrane risk-of-bias tool was used to assess the quality of the studies.Two independent reviewers screened the literature,extracted data,and evaluated study quality.Subsequently,a network meta-analysis was performed using STATA software.The study protocol has been registered in PROSPERO(CRD42023428217).Results This study analyzed data from 25 randomized controlled trials involving 9,844 women.The findings indicated that in comparison to lithotomy position,free position(MD=20.53,95%CI[11.38,29.68])and upright position(MD=−24.13,95%CI[−42.94,-5.32])were found to be superior in reducing the duration of the second stage of labor.Free position outperformed kneeling position(MD=21.48,95%CI[4.67,38.28])and squatting position(MD=23.43,95%CI[1.88,44.97]);upright position was superior to kneeling position(MD=−25.08,95%CI[−46.93,−3.22]);semirecumbent position surpassed squatting position(MD=19.71,95%CI[2.05,37.38]);and upright position was also superior to squatting position(MD=−27.03,95%CI[−51.48,−2.57]).According to the surface under the cumulative ranking curve(SUCRA),the upright position emerged as the most effective for reducing the duration of the second stage of labor(87.4%),followed by free position(81.1%),semirecumbent position(70.0%),and lateral position(62.3%).Conclusion These findings offer valuable insights for midwifery practice and help inform future research directions.Considering the limitations of this review,more larger-scale,multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.展开更多
Against the backdrop of the rapid development of digitalization today,the platform economy,as an emerging economic form,is profoundly changing the operation mode and resource allocation methods of the labor market.The...Against the backdrop of the rapid development of digitalization today,the platform economy,as an emerging economic form,is profoundly changing the operation mode and resource allocation methods of the labor market.The efficiency of labor resource allocation is an important indicator to measure the vitality and potential of economic development in a country or region.It is not only related to the welfare level of workers but also directly affects the productivity level and development quality of the entire society.With the help of modern information technology means such as Internet technology,big data algorithms,and mobile communication devices,the platform economy closely connects originally scattered individual workers with employers,building a large and complex networked trading platform.Based on this,this paper focuses on the impact and role of the platform economy on the efficiency of labor resource allocation,aiming to stabilize the efficient operation of the labor market.展开更多
Objective:To investigate the effects of intraspinal anesthesia combined with acupoint injection at Zusanli(ST36)and Sanyinjiao(SP6)on labor progression and delivery outcomes in full-term primiparas.Methods:A retrospec...Objective:To investigate the effects of intraspinal anesthesia combined with acupoint injection at Zusanli(ST36)and Sanyinjiao(SP6)on labor progression and delivery outcomes in full-term primiparas.Methods:A retrospective analysis was conducted on 303 full-term primiparas who delivered between July and December 2023.According to the analgesic method,the participants were divided into an observation group(n=110)and a control group(n=193).Maternal general characteristics,mode of delivery,duration of each labor stage,incidences of uterine inertia,urinary retention,and intrapartum fever,as well as neonatal outcomes,were compared between the two groups.Results:The rate of vaginal delivery in the observation group was significantly higher than that in the control group(p<0.05).The duration of the first stage of labor was significantly shorter(p<0.05).The incidences of uterine inertia and urinary retention were both significantly lower in the observation group than in the control group(p<0.05).There were no significant differences in neonatal Apgar scores or neonatal intensive care unit(NICU)transfer rates between the two groups(p>0.05).Conclusion:Intraspinal anesthesia combined with acupoint injection at Zusanli and Sanyinjiao can increase the rate of vaginal delivery,shorten the first stage of labor,and reduce obstetric interventions in full-term primiparas,without increasing adverse maternal or neonatal outcomes.展开更多
BACKGROUND The full implementation of the national two-child policy has presented significant challenges in ensuring the safety of pregnant women.AIM To investigate the effect of cervical balloon fluid volume on mater...BACKGROUND The full implementation of the national two-child policy has presented significant challenges in ensuring the safety of pregnant women.AIM To investigate the effect of cervical balloon fluid volume on maternal processes,maternal and infant outcomes,and anxiety during pregnancy.METHODS A total of 100 singleton term pregnancies with cervical maturity induction and anxiety were selected using a lottery method;50 women were included.Cervical balloons were used for all participants.In the control group,80 mL of fluid was injected into both balloons;in the observation group,80 and 100 mL were injected into the vaginal and cervical balloons,respectively.The two groups were compared for cervical maturity,labor duration,anxiety,maternal and infant outcomes,and effects on cervical ripening.RESULTS After treatment,the cervical maturity test(Bishop)score was significantly higher in the observation group(9.76±1.19)than in the control group(7.62±0.83),and the Hamilton Anxiety Scale score was lower in the observation group(7.32±0.85)than in the control group(13.05±1.12).The observation group showed higher rates of natural delivery and lower rates of cesarean section than the control group.The first and total stages of labor were shorter in the observation than in the control group;no significant differences were found in the second and third stages.The incidence of complications was lower in the observation group[1(2.00%)vs 9(18.00%)for complications;49(98.00%)vs 41(82.00%)for non-complications].CONCLUSION The selected fluid volumes to promote cervical maturity and induce labor stabilize maternal mood,increase the natural delivery rate,shorten labor,and improve maternal and infant outcomes.展开更多
文摘Background: Poor birth outcomes are common health problems everywhere in the world. Hence institutional delivery in Ethiopia is very low, improving birth outcomes through recent evidence remained critical. The objective of the study was to determine the prevalence of poor birth outcomes and associated factors among women who delivered in selected health facilities of North Wollo Zone. Methods: A facility based cross-sectional survey was conducted on 295 laboring mothers from May to June 2009. Interviewer administered questionnaire was used to collect the data. Patient’s chart was reviewed to retrieve medical information. Anthropometry of the neonate was taken by standard measurement tools. Data were analyzed using statistical package for social sciences (SPSS), version 15. Binary logistic regression analyses were used to identify predictors of poor birth outcomes. P-value ≤ 0.05 was considered statistically significant. Results: All the data resulted from 295 laboring mothers were made part of the analyses. A total of 266 (90.2%) laboring mothers gave live birth. A quarter, 68 (23.1%) of the laboring mothers had a poor birth outcome. The common adverse outcomes were intrauterine fetal death (IUFD, preterm, and birth defects with the proportion of 29 (42.6%), 22 (32.4%), and 3 (4.4%), respectively). Mother whose husband’s occupation was merchant (AOR = 4.4, 95% CI: 1.0-19.0), driver (AOR = 4.2, 95% CI: 1.12-15.76), & women who were illiterate (AOR = 4.0, 95% CI: 1.2-13.5), primary school completed (AOR = 4.3, 95% CI: 1.3-13.8), non-antenatal care visited (AOR = 3.4, 95% CI: 1.12-10.2), rural residence, (AOR = 2.6, 95% CI: 1.11-5.80), & mother’s HIV status, (AOR = 34.2, 95% CL 5.6, 207.0) were independent predictors of poor birth outcomes. Conclusions: Poor birth outcomes were very common in the study area where low birth weight accounted for much of all adverse pregnancy outcomes. Occupation, residence, antenatal care visit, income, maternal education and HIV status were determinants of poor birth outcomes. Accessing antenatal care in early trimester, mild physical work, maternal education to secondary level and above should be encouraged.
文摘Aromatherapy is the therapeutic use of oil from herbs, flowers, and other plants. The aim of this meta-analysis was to quantify the effectiveness of aromatherapy for laboring women. We searched five electronic databases till November 15th 2013 including those Chinese and English language articles. A total of 4 eligible studies were identified. Aromatherapy was effective in reducing the length of labor, but there were no statistically significant effects in the use of pharmacological analgesia, spontaneous vaginal delivery, caesarean delivery and assisted vaginal birth. Due to the limited number of articles identified, the evidence is not sufficiently convincing that aromatherapy is an effective therapy for laboring women.
文摘Uterine rupture is defined as the occurrence of communication between the abdominal and uterine cavity and may be complete or incomplete depending on the degree of involvement of the different layers of the uterus and surrounding organs. It is a rare complication whose consequences often involve the maternal and fetal prognosis. The majority of uterine rupture occurs on the scarred uterus, its incidence in France is estimated according to the series between 1/1000 and 1/2000 births, it represents 30% of causes of maternal death in the developing countries. The authors report here a case of uterine rupture outside of labor at 33 weeks of age in 32 years old woman, gravida 9 para 8, with no history of uterine surgery discovered during obstetric ultrasound for abdominal pain. During the interrogation, she was alarge multipara and had a child of 15 months. The abdominal ultrasound showed a right lateral corporeal rupture with hemoperitoneum of medium sized and a dead fetus. The emergency laparotomy revealed a right lateral uterine wound approximately 15 cm long with intra-abdominal placenta and a haemoperitoneum of medium sized of about 600 cc and a bladder lesion. After opening the amniotic sac, there was extraction of a dead fetus. The uterine and bladder lesions were repaired followed by bilateral tubal ligation. The patient received 500 cc of whole blood during and 500 cc after the procedure. The postoperative follow-up was simple. This case contributes to the knowledge of this rare and atypical event, and emphasizes the importance of maintaining a suspicion.
文摘Zuoquan County has revitalized local villages with the fruits of their collected labor.GLOWING red apples hang heavily on branches in the orchards on the southern outskirts of Tongyu Town,Zuoquan County,Shanxi Province,an area where a decade ago weeds and rocks covered a rather barren landscape.
基金supported by the Special Project of the National Natural Science Foundation of China(NSFC)“The Uniqueness of China’s Demographic Transition,Its Economic Impact,and Policy Implications”(Grant No.72141310)the Major Economic and Social Survey Project of the Chinese Academy of Social Sciences(CASS)“China Urban Labor Survey”(Grant No.GQDC2023022)the Comprehensive Grant of CASS Affiliated Institute Laboratories“Population Simulation and Employment Monitoring Laboratory”(Grant No.2024SYZH008).
文摘To gain an in-depth understanding of China’s urban labor market,the Institute of Population and Labor Economics at the Chinese Academy of Social Sciences(IPLE-CASS)conducted the fifth wave of the China Urban Labor Survey in 2023,which covers eight major representative cities.The survey collected 9,122 household questionnaires and 26,145 individual questionnaires from 381 neighborhood committees.Based on this data,the report systematically analyzes employment,wages,educational attainment,and social security among China’s urban workforce.Key findings include an inverted U-shaped age pattern of labor force participation,with a widening gender gap after childbearing age.Additionally,job search methods combine market-based channels with traditional social networks.Notably,the gender wage gap persists and widens over the life cycle,while employed women now have higher average years of schooling than men.Rural-to-urban migrants show higher labor force participation rates but remain disadvantaged in wages,education,and social security coverage.Thus,this survey provides a comprehensive picture of the structural characteristics and challenges of China’s urban labor market,providing a solid data foundation for academic research and public policy design.
基金Supported by Key Project of Jiangsu Education Science Planning"Research on the Structural Adjustment of Higher Education in Jiangsu in the Context of High-Quality Economic Development"(B/2021/01/67).
文摘In the context of the coordinated pursuit of"carbon peak and neutrality"objectives,alongside the strategy to establish a robust agricultural nation,the economic and social development of rural areas is undergoing a profound paradigm shift.The traditional rural division of labor pattern,which depends on tangible factors such as land,labor,and capital,has increasingly encountered developmental challenges characterized by diminishing marginal returns and a detrimental cycle of internal competition.The new quality productive force,centered on data,algorithms,green technologies,bioengineering,and clean energy,offers a potential pathway for the rural division of labor system to overcome the"low-level equilibrium".This force is characterized by attributes such as non-exclusivity,replicability,network collaboration,and ecological compatibility.This paper develops a three-dimensional collaborative analytical framework encompassing"technology,institution,and culture".It systematically elucidates the internal logic by which new quality productive forces drive the transformation of the rural division of labor from"quantitative factor matching"to"qualitative structural reorganization"through three principal mechanisms:technology embedding,institutional reconstruction,and cultural coupling.Furthermore,the study proposes corresponding policy recommendations,thereby offering theoretical insights to support the modernization of China s agriculture and rural areas,as well as the development of a strong agricultural country.
文摘In recent years,the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections.However,in clinical practice,pregnant women are prone to anxiety before childbirth,making it difficult to perform a vaginal trial delivery smoothly.The combined approach of ADIET communication and delivery rehearsal for vaginal trial delivery can provide a reference for reducing prenatal anxiety,shortening labor duration,facilitating a smooth delivery,and ensuring the safety of both mothers and babies.AIM To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.METHODS A study conducted between January 2023 and December 2023 included 200 vaginal trials.Women were randomly assigned to an observation group(100 women),which received ADIET communication plus delivery intervention,and a control group(100 women),which received routine communication plus delivery intervention.This study aimed to compare antenatal anxiety status as measured using the Maternal Anxiety Scale,labor duration,delivery efficacy as assessed using the simplified Chinese version of the Childbirth Self-Efficacy Inventory,and delivery outcomes.RESULTS After the intervention,the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score(P<0.05)than the control group(P<0.05),whereas the observation group had higher natural delivery,cesarean delivery,vaginal delivery,and neonatal asphyxia rates(P<0.05).CONCLUSION For women undergoing vaginal trial delivery,a combination of AIDET communication and delivery rehearsal can relieve prenatal anxiety,enhance delivery efficiency,shorten labor duration,and somewhat improve delivery outcomes.
文摘In the era of digital capitalism with the explosion of data and information,human society will be greatly affected by digital capital,and all walks of life will be included in the chain of information-based labor production,giving rise to a new type of labor form called“digital labor”.This paper discusses the alienation of digital labor in the context of digital capitalism,take Marx’s theory of alienated labor as the perspective,and analyze the fourfold alienation of digital labor in terms of producing products,labor process,self-realization of laborers,and social relations by combing the historical development of digital labor.Based on the above analysis,the article proposes the logical and practical paths to crack the alienation of digital labor:improve media literacy and thinking discernment,make full use of the positive effects of digital technology,and strengthen the governance of digital platforms,in order to build a fairer and more shared digital labor environment,and to realize the self-emancipation of laborers and the healthy development of the digital economy.
基金result of the“Research on ESG Supply Chain Governance and Labor Rights Protection”(Project Number SUFE-ESG-20250315)a general subject project of the Fullgoal Institute for ESG Research,SUFE in 2025.
文摘Labor provisions have become a fundamental trade rule in regional and bilateral trade agreements.Although China’s legislation on pilot Free Trade Zones includes content related to labor protection,it primarily aligns with labor indicators in“Doing Business”,the assessment of business situations issued by the World Bank.It differs from the labor rights protection focus emphasized in trade agreements.The latest strategic documents issued by the State Council of China have addressed this issue to fully achieve the goal of aligning Free Trade Zones with high-standard trade agreements.Building on the development of Free Trade Zone legislation and domestic labor law governance,China should proactively explore a tailored approach to labor provisions in Free Trade Agreements.In this approach,it should explicitly define the“baseline”and“ceiling”for labor provisions during negotiations and,within this framework,establish benchmarks for labor rights protection,enforcement mechanisms,and cross-border regulatory mechanisms suited to the specific conditions of the agreement parties.
文摘I have never given birth but have heard it said many times that as awful as labor is,when it's over and your newborn is placed in your arms,that pain is forgotten.That's how I feel now about the earliest days of grief.
文摘Demography plays a fundamental role in shaping the landscape of human resources.The interdependent relationship between these two fields is observable in the workforce composition,labor market trends,talent management strategies and on learning.Changes perceived in demographic changes are shaping and transforming human resources management.In an era marked by demographic shifts,technological advancements,and evolving work preferences,organizations are facing the need to understand and adapt to the changing demographics to effectively manage their human resources.This article explores how demography influences human resource(HR)with a special highlight on the management of multigenerational workforce.
基金supported by Scientific Research Fund of Hunan Provincial EducationDepartment(23B1133):How Labor Affects Moral Development:Based on the perspective of mixed research methods.
文摘Background:Understanding the factors that influence adolescent psychological resilience is critical for promoting mental health.This study explores the impact and mechanism of labor values on adolescent psychological resilience from the perspective of emotion regulation theory.Methods:This study conducted an in-depth analysis using the Labor Value Scale on 2691 elementary school upper-grade students,middle school students,and high school students.Results:The results show that:(1)labor values can positively predict adolescents’mental resilience;(2)cognitive reappraisal and expression inhibition play a partial mediating role in the relationship between labor values and adolescents’psychological resilience.Among them,labor values can positively predict adolescents’mental resilience through positive cognitive reappraisal,and labor values can also predict adolescents’mental resilience through expression inhibition.Conclusion:Based on the theory of emotion regulation,this study explores the direct effect of labor values on mental resilience and the mediating effect of different strategies of emotion regulation.The results of this study provide a theoretical basis for improving the mental resilience of adolescents.
文摘This study sought to analyze the occupational habits of immigrant workers in the formal Brazilian labor market from a sociological perspective.It was understood that a study on occupation should observe professional and employment history,which may include an analysis over time of workers in the same profession or in periods of professional mobility.In order to understand occupational trajectories and related aspects,this study used data that were collected through semi-structured interviews and surveys with immigrant workers who were employed in the Brazilian formal labor market.The interviews and surveys revealed a strong polarization among the immigrant workers present in Brazil-while a small part holds highly skilled occupations,the majority participate at the base of the productivity hierarchy.
基金funded by national funds through FCT-Fundação para a Ciência e a TecnologiaI.P.(Foundation for Science and Technology,I.P.) under project UIDB/05037/2020.
文摘Objective:To examine how emotional labor demands and strategies influence work engagement and occupational identity among Portuguese volunteer firefighters.Methods:Participants completed the Emotional Work Requirements Scale,Emotional Labour Scale,Utrecht Work Engagement Scale,and Social Identity Scale.Multiple linear regression analyses were conducted to assess the predictive effects of emotional labor demands and strategies on work engagement and occupational identity.Results:Emotional labor explained 11.8%of the variance in work engagement and 10.9%in occupational identity.Positive emotion expression significantly predicted higher work engagement and a stronger occupational identity,while the suppression of negative emotions predicted a weaker occupational identity.Other emotional labor dimensions were not significant.Conclusions:Findings underscore the dual role of emotional labor—as a resource when positive emotions are expressed and as a strain when negative emotions are habitually suppressed.Targeted interventions to promote authentic positive expression and effective emotional processing may enhance firefighters’well-being,strengthen crisis team performance,and benefit the communities they serve.Further research is needed to deepen the understanding of emotional labor in crisis response contexts.
文摘As India vigorously reclaims its cost advantages in textiles,the apparel trade landscape in South Asia is set for a reshuffle,with Bangladesh,Vietnam,and China becoming key reference points in India's new competitiveness roadmap.According to India's Ministry of Textiles,the government has formulated a fourpoint action plan divided into short-term(two years),medium-term(five years),and two long-term stages.It aims to reduce production costs,enhance labor productivity,and strengthen export competitiveness in the textile sector.The plan seeks to increase India's textile and apparel exports to$100 billion by 2030,a significant leap from the$37.7 billion projected for the 2024-25 fiscal year.The trigger for this plan was the US imposition of 50%tariffs on Indian textiles earlier this year,raising concerns about India's competitiveness relative to Bangladesh,Vietnam,and China.
基金the Obstetrics and Gynecology Hospital of Fudan University for supporting this project。
文摘Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.Methods A comprehensive literature search was conducted in databases,including PubMed,Web of Science,the Cochrane Library,Embase,Wanfang Databases,China National Knowledge Infrastructure Databases(CNKI),China Science and Technology Journal Database(CSTJ),and China Biology Medicine disc(CBMdisc)to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor.The search included randomized controlled trials published from database inception to September 30,2024.The Cochrane risk-of-bias tool was used to assess the quality of the studies.Two independent reviewers screened the literature,extracted data,and evaluated study quality.Subsequently,a network meta-analysis was performed using STATA software.The study protocol has been registered in PROSPERO(CRD42023428217).Results This study analyzed data from 25 randomized controlled trials involving 9,844 women.The findings indicated that in comparison to lithotomy position,free position(MD=20.53,95%CI[11.38,29.68])and upright position(MD=−24.13,95%CI[−42.94,-5.32])were found to be superior in reducing the duration of the second stage of labor.Free position outperformed kneeling position(MD=21.48,95%CI[4.67,38.28])and squatting position(MD=23.43,95%CI[1.88,44.97]);upright position was superior to kneeling position(MD=−25.08,95%CI[−46.93,−3.22]);semirecumbent position surpassed squatting position(MD=19.71,95%CI[2.05,37.38]);and upright position was also superior to squatting position(MD=−27.03,95%CI[−51.48,−2.57]).According to the surface under the cumulative ranking curve(SUCRA),the upright position emerged as the most effective for reducing the duration of the second stage of labor(87.4%),followed by free position(81.1%),semirecumbent position(70.0%),and lateral position(62.3%).Conclusion These findings offer valuable insights for midwifery practice and help inform future research directions.Considering the limitations of this review,more larger-scale,multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.
文摘Against the backdrop of the rapid development of digitalization today,the platform economy,as an emerging economic form,is profoundly changing the operation mode and resource allocation methods of the labor market.The efficiency of labor resource allocation is an important indicator to measure the vitality and potential of economic development in a country or region.It is not only related to the welfare level of workers but also directly affects the productivity level and development quality of the entire society.With the help of modern information technology means such as Internet technology,big data algorithms,and mobile communication devices,the platform economy closely connects originally scattered individual workers with employers,building a large and complex networked trading platform.Based on this,this paper focuses on the impact and role of the platform economy on the efficiency of labor resource allocation,aiming to stabilize the efficient operation of the labor market.
文摘Objective:To investigate the effects of intraspinal anesthesia combined with acupoint injection at Zusanli(ST36)and Sanyinjiao(SP6)on labor progression and delivery outcomes in full-term primiparas.Methods:A retrospective analysis was conducted on 303 full-term primiparas who delivered between July and December 2023.According to the analgesic method,the participants were divided into an observation group(n=110)and a control group(n=193).Maternal general characteristics,mode of delivery,duration of each labor stage,incidences of uterine inertia,urinary retention,and intrapartum fever,as well as neonatal outcomes,were compared between the two groups.Results:The rate of vaginal delivery in the observation group was significantly higher than that in the control group(p<0.05).The duration of the first stage of labor was significantly shorter(p<0.05).The incidences of uterine inertia and urinary retention were both significantly lower in the observation group than in the control group(p<0.05).There were no significant differences in neonatal Apgar scores or neonatal intensive care unit(NICU)transfer rates between the two groups(p>0.05).Conclusion:Intraspinal anesthesia combined with acupoint injection at Zusanli and Sanyinjiao can increase the rate of vaginal delivery,shorten the first stage of labor,and reduce obstetric interventions in full-term primiparas,without increasing adverse maternal or neonatal outcomes.
基金Supported by the Wuxi Municipal Health Commission Maternal and Child Health Research Project,No.FYKY202202.
文摘BACKGROUND The full implementation of the national two-child policy has presented significant challenges in ensuring the safety of pregnant women.AIM To investigate the effect of cervical balloon fluid volume on maternal processes,maternal and infant outcomes,and anxiety during pregnancy.METHODS A total of 100 singleton term pregnancies with cervical maturity induction and anxiety were selected using a lottery method;50 women were included.Cervical balloons were used for all participants.In the control group,80 mL of fluid was injected into both balloons;in the observation group,80 and 100 mL were injected into the vaginal and cervical balloons,respectively.The two groups were compared for cervical maturity,labor duration,anxiety,maternal and infant outcomes,and effects on cervical ripening.RESULTS After treatment,the cervical maturity test(Bishop)score was significantly higher in the observation group(9.76±1.19)than in the control group(7.62±0.83),and the Hamilton Anxiety Scale score was lower in the observation group(7.32±0.85)than in the control group(13.05±1.12).The observation group showed higher rates of natural delivery and lower rates of cesarean section than the control group.The first and total stages of labor were shorter in the observation than in the control group;no significant differences were found in the second and third stages.The incidence of complications was lower in the observation group[1(2.00%)vs 9(18.00%)for complications;49(98.00%)vs 41(82.00%)for non-complications].CONCLUSION The selected fluid volumes to promote cervical maturity and induce labor stabilize maternal mood,increase the natural delivery rate,shorten labor,and improve maternal and infant outcomes.
