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Driving factors and the implications of work choices of rural laborers in ecologically vulnerable areas in North China 被引量:1
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作者 Haiguang Hao Xiubin Li +1 位作者 Huiyuan Zhang Jiping Zhang 《Chinese Journal of Population,Resources and Environment》 2013年第4期357-366,共10页
Using rural survey data for the year 2009,we provide evidence of work choices of rural laborers in ecologically vulnerable areas in North China,and model these choices as a function of characteristics of individuals,h... Using rural survey data for the year 2009,we provide evidence of work choices of rural laborers in ecologically vulnerable areas in North China,and model these choices as a function of characteristics of individuals,households,and land endowments.The findings reveal large differences between males and females,and between non-farm employment and part-time farming engagement Land scarcity is still an important driving factor in non-farming participation of rural laborers in the study area;and in the current case of land productivity and the total amount of land,there are still surplus rural labor forces in the study area.Diversification of livelihood reduces the pressure on land,thus facilitating ecosystem conservation.So,the paper concludes with the argument that establishing coordination mechanisms among non-farm employment of rural laborers,agricultural production,and restoration of ecosystems are essential for mitigating the conflicts of ecological security,agricultural production,and rural development in mis area. 展开更多
关键词 work CHOICES rural laborerS MULTINOMIAL LOGIT model ecologically VULNERABLE areas Taipusi County
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On the Employment Structure and Transfer Characteristics of Rural Laborers in He'nan Province
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作者 张竟竟 郭志富 《Agricultural Science & Technology》 CAS 2016年第1期209-216,共8页
He’nan is a populous province in China, in which a large number of rural laborers are one of the important factors affecting social and economic development of He’nan Province. However, the employment structure and ... He’nan is a populous province in China, in which a large number of rural laborers are one of the important factors affecting social and economic development of He’nan Province. However, the employment structure and transfer characteristics of rural laborers have important effect on regional industrial structure. Applying shiftshare method( SSM) which is often used in analyzing the characteristics of industrial structure to the structure analysis of the labour force can better show the characteristics of labor employment and transfer, thereby providing some reference for the development of regional social economy. The results showed that the transfer of rural laborers in He’nan Province still showed the typical characteristics of traditional agricultural province; the basic advantages of agricultural employment of rural laborers have gradually weakened, while the competitive advantages of the industry, the building industry, and the wholesale & retail trade and catering service industry gradually became obvious, at the same time, there were differences in the deviation of departments among different regions of He’nan Province. 展开更多
关键词 Shift-share method(SSM) Rural labor force He’nan Province TRANSFER
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Rational Thinking on Rectifying and Improving the Group Position of Peasant Laborer
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作者 SUN Yujuan LIU Meidan 《Journal of Northeast Agricultural University(English Edition)》 CAS 2008年第1期86-90,共5页
The group of peasant laborer, being a beneficial group in present Chinese society, has already come into being, which is both outcome of duality and the important strength breaking duality in Chinese society. However,... The group of peasant laborer, being a beneficial group in present Chinese society, has already come into being, which is both outcome of duality and the important strength breaking duality in Chinese society. However, for a long time the severe maladjustments of peasant laborer group's not only engender the injustice of their position but also do harm to the development of social structure and economic growth in China. Therefore, describing the position of peasant laborer group and analyzing the consequence which causes by their imbalance position may have significant impact on perfecting Chinese social structure and attaining the objectives of combining the city with countryside in theory and practice. 展开更多
关键词 peasant laborer group POSITION MALADJUSTMENT rectifying
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Policy options and system supplies on socialization standard management of city agricultural laborers
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作者 SUN Yujuan 《Journal of Northeast Agricultural University(English Edition)》 CAS 2007年第1期87-91,共5页
It is a social system engineering to solve problems of city agricultural laborers, inevitably concerning series of social phenomenon and the social issues of the city and countryside relations, the government function... It is a social system engineering to solve problems of city agricultural laborers, inevitably concerning series of social phenomenon and the social issues of the city and countryside relations, the government function, the city management, the fair efficiency, the population flows, the labor employment, the social security, and so on. Furthermore, it also involves the profoundly political and economic system reforms, the transformation of government functions, the system perfection, legal administration, the social stability in China. The city government, as the direct superintendent of the agricultural laborers, should adopt the conception of the system engineering to construct a new mechanism of the city agricultural laborers socialization standard management, which has a profound theoretical and practical significance. 展开更多
关键词 city agricultural laborers management POLICY SYSTEM
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Changes of the Scale and Structure of Agricultural Laborer and Their Impacts on Food Production——Empirical study on YinshanPo Village, Suizhou City
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作者 HUANG Li-min, PENG Da-lei, LIU Cheng-wu, YU Peng Department of Resources and Environment Science, Xianning College, Xianning 437100, China 《Asian Agricultural Research》 2010年第9期25-30,36,共7页
On the strength of expounding the general situation of study area and the status quo of agricultural laborers in China, the changes of the scale and structure of agricultural laborer from 1985 to 2009 are analyzed by ... On the strength of expounding the general situation of study area and the status quo of agricultural laborers in China, the changes of the scale and structure of agricultural laborer from 1985 to 2009 are analyzed by relying on the survey from farmers and statistical data from the government. The causes of these changes are analyzed from the aspects of rural farmland policy,birth-control policy, farmland marginalization and industrialization. Based on the study on the causes, the impacts of the changes on food production are analyzed from operation scale of household, the grain cropping area, the multi-cropping index and land productivity. The results show that the quality of agricultural laborers is decreasing form 1985 to 2009, which is characterized by the lack of middle-aged agricultural laborers and the aging of agricultural laborers. The causes of the changes include farmland policy, birth-control policy, farmland marginalization and urbanization. The shrinkage of agricultural laborers has grave impact on the multiple-cropping index. In addition, the land productivity is comprehensively affected by the scale and structure of agricultural laborers. 展开更多
关键词 AGRICULTURAL laborerS PEASANT household Food produ
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From Laborer to Billionaire
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《China Today》 1997年第3期25-27,共3页
关键词 In From laborer to Billionaire
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Improve Labor Contract System, Safeguard Lawful Rights and Interests of Laborers——An interview with Prof. Guan Huai of Law School of Renmin University of China
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作者 BY OUR STAFF REPORTER YOU XUEYUN 《The Journal of Human Rights》 2006年第5期9-12,共4页
EDITOR'S NOTE: The Draft Labor Contract Law of the People's Republic of China has been completed and was published for soliciting comments on March 20. In a short period of one month, 191,849 pieces of comments and... EDITOR'S NOTE: The Draft Labor Contract Law of the People's Republic of China has been completed and was published for soliciting comments on March 20. In a short period of one month, 191,849 pieces of comments and opinions were received. Prior to the promulgation of the law, this reporter interviewed Mr. Guan Huai, a noted Chinese expert in labor law, professor of the Law School of the Renmin University of China and law advisor to the All-China Federation of Trade Unions. 展开更多
关键词 An interview with Prof Safeguard Lawful Rights and Interests of laborers Guan Huai of Law School of Renmin University of China Improve Labor Contract System School
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The Tide of Laborers:When to Recede?
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作者 YOU QIU 《China Today》 1994年第10期49-50,共2页
This day may not come in China for a long time.Some experts believe that the day,if it really comes,will finally be the ebb tide of rural laborers.
关键词 The Tide of laborers:When to Recede
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Migrant Laborers in China and Their Contributions to Rural Development
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作者 Charles Joseph G. De Guzman 《Cultural and Religious Studies》 2017年第11期639-651,共13页
This paper will look at the importance that the migrant labors in China are doing today. The main question posed in this paper is “how migrant labors in China are contributing to rural development?”. Furthermore, t... This paper will look at the importance that the migrant labors in China are doing today. The main question posed in this paper is “how migrant labors in China are contributing to rural development?”. Furthermore, the paper will answer the following sub-questions: (1) Is migration an important factor in the development of rural areas? (2) Can migration bridge the poverty gap between urban and rural areas? The objectives of this paper are the following: (1) to identify the migrant labors contributions in China’s rural development; (2) to look into the importance of migration for the rural Chinese; and (3) to know and analyze the problems that migrant workers in China are facing in relation to their migratory work. Furthermore, this paper posits that migrant labors in China are contributing to rural development through their remittances, their investments, and the new knowledge and techniques that they acquired in the urban areas which they share in their home areas. In addition to that, this research looks at the migrant labors’ remittances, their investments, and the new knowledge and techniques that they acquired in their home areas as their contributions to rural development. 展开更多
关键词 internal migration rural development migrant labors "hukou" system
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Safety and effectiveness of butorphanol in epidural labor analgesia:A protocol for a systematic review and meta-analysis 被引量:3
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作者 Guan-Cheng Tang Man He +1 位作者 Zhen-Zhao Huang Yan Cheng 《World Journal of Clinical Cases》 SCIE 2024年第8期1416-1421,共6页
BACKGROUND Epidural analgesia is the most effective analgesic method during labor.Butorphanol administered epidurally has been shown to be a successful analgesic method during labor.However,no comprehensive study has ... BACKGROUND Epidural analgesia is the most effective analgesic method during labor.Butorphanol administered epidurally has been shown to be a successful analgesic method during labor.However,no comprehensive study has examined the safety and efficacy of using butorphanol as an epidural analgesic during labor.AIM To assess butorphanol's safety and efficacy for epidural labor analgesia.METHODS The PubMed,Cochrane Library,EMBASE,Web of Science,China National Knowledge Infrastructure,and Google Scholar databases will be searched from inception.Other types of literature,such as conference abstracts and references to pertinent reviews,will also be reviewed.We will include randomized controlled trials comparing butorphanol with other opioids combined with local anesthetics for epidural analgesia during labor.There will be no language restrictions.The primary outcomes will include the visual analog scale score for the first stage of labor,fetal effects,and Apgar score.Two independent reviewers will evaluate the full texts,extract data,and assess the risk of bias.Publication bias will be evaluated using Egger's or Begg's tests as well as visual analysis of a funnel plot,and heterogeneity will be evaluated using the Cochran Q test,P values,and I2 values.Meta-analysis,subgroup analysis,and sensitivity analysis will be performed using RevMan software version 5.4.This protocol was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)Protocols statement,and the PRISMA statement will be used for the systematic review.RESULTS This study provides reliable information regarding the safety and efficacy of using butorphanol as an epidural analgesic during labor.CONCLUSION To support clinical practice and development,this study provides evidence-based findings regarding the safety and efficacy of using butorphanol as an epidural analgesic during labor. 展开更多
关键词 Epidural analgesia during labor BUTORPHANOL SAFETY PROTOCOL META-ANALYSIS
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Rural labor migration and farmers’arrangements of rice production systems in Central China:Insight from the intergenerational division of labor
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作者 Xue Shen Quanyu Yang +1 位作者 Rongjun Ao Shengsheng Gong 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第9期3200-3214,共15页
Rice production is crucial for food security in China,and its relationship with rural labor migration has been studied extensively.Labor migration in rural China has taken new forms in recent years.There has been a di... Rice production is crucial for food security in China,and its relationship with rural labor migration has been studied extensively.Labor migration in rural China has taken new forms in recent years.There has been a discernible trend wherein adult children have started migrating to cities while their elderly parents return to villages to re-engage in on-farm work.The phenomenon has notably shaped the intergenerational division of labor(IDL)within households.However,it remains to be seen how farmers adjust their rice production systems in response to the IDL.The age of 60 years for employment injury insurance is the eligibility threshold for off-farm employment and is used to obtain a source of exogenous variation in the IDL.Based on a representative household survey of 1,752 rice farmers in the Hubei Province of Central China,our fuzzy regression discontinuity analysis reveals that farmers in IDL households are more likely to adopt ratoon rice(RR)than single cropping rice(SR)or double cropping rice(DR).The effect of the IDL varies under different levels of operational scales and specialized agricultural service availability.Further analysis suggests that farmers’arrangements are associated with two potential mechanisms of downward intergenerational transfer.Monetary transfer for urban housing purchases increases RR in IDL households,and time transfer for intergenerational childcare significantly promotes SR in IDL households.This study enhances the understanding of the relationship between rural labor migration and rice production in China,providing a reference for adjusting rice production systems to ensure food security. 展开更多
关键词 labor migration intergenerational division of labor rice production systems fuzzy regression discontinuity Central China
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Butorphanol in epidural:Could this be the breakthrough solution for safe and effective labor analgesia that we've been waiting for?
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作者 Anju Gupta Brinda Valecha Nishkarsh Gupta 《World Journal of Clinical Cases》 SCIE 2024年第32期6566-6569,共4页
The authors have conducted a comprehensive investigation into the safety and effectiveness of butorphanol for epidural analgesia during labor.Their critical analysis of the paper and discussion of the technique's ... The authors have conducted a comprehensive investigation into the safety and effectiveness of butorphanol for epidural analgesia during labor.Their critical analysis of the paper and discussion of the technique's advantages and disadvantages provide a thorough understanding of the topic. 展开更多
关键词 Metanalysis Protocol Labor analgesia Labor pain
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Advances in epidural labor analgesia:Effectiveness and treatment strategies of butorphanol
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作者 Wan-Qiu Yu Zhao-Qiong Zhu Fu-Shan Tang 《World Journal of Clinical Cases》 SCIE 2024年第34期6669-6673,共5页
In this editorial,we provide a critical review of the article by Tang et al published in the World J Clin Cases,focusing on the utilization of butorphanol for epidural analgesia during labor.Our discussion encompasses... In this editorial,we provide a critical review of the article by Tang et al published in the World J Clin Cases,focusing on the utilization of butorphanol for epidural analgesia during labor.Our discussion encompasses recent research developments in epidural labor analgesia,specifically highlighting the current status of clinical applications of butorphanol and associated treatment approaches.Epidural analgesia is widely acknowledged as the primary method for pain management during labor,offering effective and prolonged pain relief while allowing mothers to remain alert and actively participate in the delivery process.Among the various drugs utilized for epidural labor analgesia,butorphanol has received increasing attention due to its potential efficacy and distinctive pharmacological properties.As a synthetic opioid analgesic,butorphanol exhibits both agonistic and antagonistic activity on opioid receptors,striking a balance between analgesia and minimizing side effects.Nevertheless,the safety and efficacy of butorphanol in epidural labor analgesia remains controversial.While certain studies have reported positive outcomes with butorphanol,including effective pain relief and a reduced incidence of side effects,others have raised concerns about its safety and efficacy compared to traditional opioids or alternative analgesics.In addition,the optimal dosing strategy and regimen of butorphanol as an adjuvant in epidural labor analgesia still need to be verified.Through comprehensive synthesis and analysis of existing literature,we aim to evaluate the current evidence regarding the use of butorphanol for epidural labor analgesia,delineate areas of consensus and controversy,and propose future avenues for research and clinical practice in this domain. 展开更多
关键词 BUTORPHANOL Epidural analgesia Labor analgesia OPIOIDS Pain management
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Digital Infrastructure and Common Prosperity: An Influence Mechanism and Effect Test
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作者 Deng Liyuan Wang Shuo Tang Daisheng 《Contemporary Social Sciences》 2024年第5期1-25,共25页
Common prosperity is an important goal of China’s modernization efforts,and narrowing the income gap among different regions and populations is crucial to achieving common prosperity.The construction of digital infra... Common prosperity is an important goal of China’s modernization efforts,and narrowing the income gap among different regions and populations is crucial to achieving common prosperity.The construction of digital infrastructure has significantly boosted productivity and facilitated the diffusion of technology in less developed regions,leading to notable changes in labor employment and the income gap,which aligns with the goal of common prosperity.This paper explores the mechanism through which digital infrastructure influences common prosperity with a focus on employment,using panel data from 30 provinces in China between 2011 and 2021 for an empirical test.The research finds that digital infrastructure significantly promotes common prosperity.By expanding employment and increasing labor remuneration,the influence of digital infrastructure on common prosperity exhibits regional heterogeneity and a nonlinear threshold effect.The research suggests that the government should enhance investment in and construction of digital infrastructure,reduce the digital divide through policy support in rural areas,promote digital employment and skills training,and encourage industrial integration and enterprise participation. 展开更多
关键词 digital infrastructure income gap employment scale labor remuneration common prosperity
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MBTI Assessment as Social Currency:A New Digital Cultural Phenomenon in the Meta-media Era
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作者 Rao Quan Chen Rui 《Contemporary Social Sciences》 2024年第4期53-67,共15页
The MBTI assessment has become a hot topic online and a common method for netizens to identify themselves across China’s social platforms.These netizens generally consider the results of their MBTI assessments as per... The MBTI assessment has become a hot topic online and a common method for netizens to identify themselves across China’s social platforms.These netizens generally consider the results of their MBTI assessments as personal emblems suitable for public display,leading to a remarkably widespread cultural phenomenon.Through structured interviews,this study has found that Internet users are experiencing a psychological crisis of identity due to the dual influences of technological embodiment and the meta-media ecology revolution.Moreover,their behavior on social platforms can be regarded as an invisible form of affective labor.To date,researchers have not paid adequate attention to the immense popularity of MBTI assessment in China,and they have not fully investigated whether MBTI assessment is a symbolic representation of the current identity crisis in the context of meta-media and digital labor.This study has two purposes:First,this study aims to explore whether the dynamic interactions of the MBTI assessment are a form of social currency.Second,it aims to construct an MBTI topic production chain to help understand MBTI’s underlying mechanisms regarding the interactions,the reasons behind its popularity,and the reflection on broader social phenomena. 展开更多
关键词 MBTI meta-media digital labor social currency
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Managing Vogt–Koyanagi–Harada disease during pregnancy with steroid pulse therapy:A case report
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作者 Kyouhei Ueyama Toshiyuki Kakinuma +7 位作者 Keisuke Mori Ayumi Hayashi Kaoru Kakinuma Rora Okamoto Ayaka Kaneko Kaoru Yanagida Nobuhiro Takeshima Michitaka Ohwada 《World Journal of Clinical Cases》 SCIE 2024年第31期6493-6499,共7页
BACKGROUND High-dose steroid administration is a common initial therapeutic approach for Vogt–Koyanagi–Harada disease(VKH).Nonetheless,administering substantial doses of steroids to pregnant women necessitates metic... BACKGROUND High-dose steroid administration is a common initial therapeutic approach for Vogt–Koyanagi–Harada disease(VKH).Nonetheless,administering substantial doses of steroids to pregnant women necessitates meticulous consideration due to the potential impacts on the mother and fetus.We present a case wherein steroid pulse therapy was administered to a patient who developed VKH during the late stages of pregnancy.CASE SUMMARY The patient was a 26-year-old nulliparous woman.At 33 weeks and 1 day of her pregnancy,she experienced a decline in visual acuity and noticed metamorphopsia in her left eye.Examination revealed bilateral serous retinal detachment,leading to VKH diagnosis.A collaborative effort involving the departments of ophthalmology,internal medicine,and neonatology was initiated.Steroid pulse therapy was administered at 34 weeks and 1 day of pregnancy under hospital supervision.Complications,such as threatened preterm labor and gestational diabetes,emerged,necessitating the initiation of oral ritodrine hydrochloride and insulin therapy.Then,serous retinal detachment was resolved,and visual acuity was restored.Labor pains initiated 32 days post-initiation of steroid pulse therapy(at 38 weeks and 4 days of gestation),culminating in a normal delivery.Mother and newborn experienced an uneventful puerperal course and were discharged from the hospital on the 5th day following delivery.CONCLUSION VKH management in pregnancy requires multidisciplinary coordination,emphasizing collaboration with ophthalmologists and specialists in internal medicine and neonatology. 展开更多
关键词 Vogt-Koyanagi-Harada disease Gestational diabetes mellitus PREGNANCY Steroid pulse therapy Threatened preterm labor Case report
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Employment and development levels in rural areas of the Russian Federation
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作者 Guzel SALIMOVA Gulnara NIGMATULLINA +2 位作者 Gamir HABIROV Alisa ABLEEVA Rasul GUSMANOV 《Regional Sustainability》 2024年第3期124-134,共11页
The development of agro-industrial complex is important for ensuring national food security and national health.The development of rural areas is subject to the development of agriculture and local infrastructure,as w... The development of agro-industrial complex is important for ensuring national food security and national health.The development of rural areas is subject to the development of agriculture and local infrastructure,as well as the availability of various services.This study selected 15 indicators in 2021 to analyze the employment and development levels in rural areas of 71 regions of the Russian Federation using the analytical grouping method.The results indicated that 20 regions(Group 1)had the highest percentage of rural population(33.10%).The percentage of population engaged in agriculture had the highest value(12.40%)in 31 regions(Group 2).Moreover,20 regions(Group 3)had the highest investments in fixed assets at the expense of municipal budget(11.80 USD/person).Increasing the investments in fixed assets carried out from the budget of the municipality can improve the employment level in rural areas.Then,we used cluster analysis to divide 14 regions of the Volga Federal District in the Russian Federation into 3 clusters.Cluster 1 covered Kirov Region and Republic of Mari El;Cluster 2 included Ulyanovsk Region,Saratov Region,Nizhny Novgorod Region,Perm Territory,Orenburg Region,Chuvash Region,and Republic of Mordovia;and Cluster 3 contained Republic of Tatarstan,Samara Region,Udmurtian Republic,Penza Region,and Republic of Bashkortostan.Results indicated that the 2 regions of Cluster 1 need to increase the availability of resources and natural gas and improve the investment attractiveness of rural areas.The 7 regions of Cluster 2 needed to develop infrastructure,public services,and agricultural production.We found the highest employment level in rural areas,the largest investments in fixed assets at the expense of municipal budget,the largest residential building area per 10,000 persons,and the largest individual residential building area in the 5 regions of Cluster 3.This study makes it possible to draw up a comprehensive regional development program and proves the need for the development of rural areas,which is especially important for the sustainable development of the Russian Federation. 展开更多
关键词 Rural areas Employment level Labor productivity Investments in fixed assets Sustainable Development Goal(SDG) Russian Federation
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How Effective Is Cervical Ripening Using the Controlled-Release Dinoprostone Vaginal Delivery System for Primiparas with Unruptured Membranes?
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作者 Yoshino Kinjyo Yukiko Chinen +2 位作者 Tadatsugu Kinjo Shuko Chinen Keiko Mekaru 《Open Journal of Obstetrics and Gynecology》 2024年第8期1185-1196,共12页
Background: Labor induction has a low success rate, especially in primiparas with unruptured membranes. Previous studies focused on pregnant women with unruptured membranes, but none specifically targeted primiparas. ... Background: Labor induction has a low success rate, especially in primiparas with unruptured membranes. Previous studies focused on pregnant women with unruptured membranes, but none specifically targeted primiparas. Aims: To compare the effectiveness of a controlled-release dinoprostone vaginal delivery system for cervical dilatation (PROPESS) with that of mechanical dilation for labor induction in primiparous women with unruptured membranes. Materials and Methods: We retrospectively analyzed the data of 90 primiparas with unruptured membranes (41 and 49 in the PROPESS and mechanical dilation groups, respectively). The primary outcome was the cesarean section (CS) rate. The secondary outcomes were the prevalence of vaginal delivery within 12 or 24 h after the initial insertion, oxytocin usage rate, chorioamnionitis, additional use of mechanical dilation in the PROPESS group, and neonatal outcomes. Results: The CS rate was significantly lower in the PROPESS group than in the mechanical dilation group (p = 0.02). A total of 13 patients (31.7%) delivered within 24 h with PROPESS alone, indicating a significantly higher rate of delivery within 24 h in the PROPESS group (p = 0.02). Fewer patients required additional oxytocin in the PROPESS group than in the mechanical dilation group (p = 0.001). However, 14 (34%) patients in the PROPESS group required additional mechanical cervical dilation, resulting in a longer time to delivery than mechanical dilation. Conclusions: PROPESS significantly reduced CS rates and increased delivery rates 24 h after the initial insertion in primiparas with unruptured membranes compared to mechanical dilatation. However, failure to respond to PROPESS resulted in an overall longer delivery time than that of the conventional mechanical dilation group;therefore, identifying predictors of response to PROPESS is necessary. 展开更多
关键词 PROPESS Labor Induction Primiparas Cervical Ripening Unruptured Membranes
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Risk Factors Associated with Unsuccessful Vaginal Birth after One Cesarean (VBAC-1) in Puerto Rico
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作者 Irazú Guinan Marjorie Suárez +8 位作者 Fabiola Angulo Luis Mayol Paula Suárez Lisandris Dominicci Nathalie Chang Saribel Torres Antonio Rodríguez Raymond L. Tremblay Maricarmen Colón-Díaz 《Open Journal of Obstetrics and Gynecology》 2024年第6期888-902,共15页
Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic a... Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic and associated factors influencing vaginal birth after one cesarean (VBAC-1) success focusing on variables like pre-pregnancy BMI, diabetes, hypertension, education, and smoking. Study Design and Methods: In this retrospective study, we analyzed 285 cases (81 unsuccessful VBAC-1, 204 successful VBAC-1) from San Juan City Hospital (Puerto Rico) between January 1, 2019, and December 31, 2020. We used odds ratios and model selection comparison to assess the impact of variables on successful VBAC-1, using a significance threshold of 95% CI. Model selection assessed binomial model combinations using a generalized linear approach to identify key risk factors. Results: Unsuccessful VBAC-1 (a repeat cesarean), was associated with diabetes (OR: 0.376, p = 0.086), hypertension (OR: 0.23, p = 0.006), and university-educated women (OR: 1.372, p = 0.711). High school-educated women had an OR of 3.966 (p = 0.105), while overweight women were 0.481 times more likely to have unsuccessful VBAC-1 (p = 0.041). Significant associations were not found with obesity (OR: 0.574, p = 0.122), underweight/normal (OR: 1.01, p = 0.810), or smoking (OR: 1.227, p = 0.990). Conclusion: Results revealed women with higher education levels, hypertension, or diabetes are less likely to have a successful VBAC-1. Understanding the complex interactions affecting these outcomes is aimed at establishing guidelines for healthcare professionals to conduct systematic risk/benefit assessments. This study lays a foundation for evidence-based practices and policies, offering initial insights into VBAC-1 success factors in Puerto Rico. 展开更多
关键词 DIABETES HYPERTENSION OBESITY Trial of Labor Vaginal Birth after Cesarean
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Is Induction of Labor with Early Rupture of Membranes Associated with an Increased Rate of Clinical Chorioamnionitis?
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作者 Laura Rankin Matthew Romagano +1 位作者 Shauna Williams Joseph Apuzzio 《Open Journal of Obstetrics and Gynecology》 2024年第2期240-249,共10页
Objective: The objective of this study was to determine if early rupture of membranes (ROM) in women undergoing induction of labor (IOL) at term is associated with an increased rate of clinical chorioamnionitis. Study... Objective: The objective of this study was to determine if early rupture of membranes (ROM) in women undergoing induction of labor (IOL) at term is associated with an increased rate of clinical chorioamnionitis. Study Design: A retrospective cohort study was performed on women undergoing IOL. Early ROM was defined as ROM at a modified Bishop score less than 5, cervical dilation less than 4 cm, or cervical effacement less than 80%. The rate of clinical chorioamnionitis was compared between women with early and late ROM. Results: The rate of clinical chorioamnionitis was 8.6% (24/279). ROM at an effacement of less than 80% was associated with a rate of clinical chorioamnionitis of 15.4% (12/78) compared to 6.0% (12/201) at an effacement of equal to or greater than 80%, p = 0.017. The rate of cesarean delivery was higher for patients with early ROM by any definition: 32% compared to 17.5% by modified Bishop score (p = 0.031), 32.4% versus 18.2% by cervical dilation (p = 0.049), and 33.3% versus 14.9% by cervical effacement (p = 0.001). Conclusions: In patients undergoing IOL, early ROM may be associated with an increased rate of clinical chorioamnionitis when performed at a cervical effacement of less than 80% and an increased rate of cesarean delivery. 展开更多
关键词 Amniotomy Cesarean Delivery CHORIOAMNIONITIS Induction of Labor Intraamniotic Infection Perinatal Infection Rupture of Membranes Term Pregnancy
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