A Study on the Correlation of Body Mass Management During Pregnancy with Adverse Pregnancy Outcomes and Labor Progression

Objective:To investigate the effects of body mass management during pregnancy on adverse pregnancy outcomes,duration of labor,and neonatal birth weight.Methods:472 pregnant women who visited Beijing Anzhen Hospital from January to December 2023 were selected,and the pregnant women were divided into 236 each in the observation group and the control group.Body mass of pregnant women was measured and BMI was calculated in early and late pregnancy respectively,and the pregnant women in the control group were guided by routine management,while the observation group was guided by body mass management during pregnancy.The growth of maternal body mass,mode of delivery,postpartum hemorrhage,neonatal score,neonatal blood glucose at birth,and umbilical artery blood,as well as the comparison of the duration of labor,were observed.Results:The observation group was significantly better than the control group in terms of mode of delivery,postpartum hemorrhage,and body mass growth,with statistically significant differences(P<0.05),and there was no statistical significance in terms of neonatal scores,neonatal blood glucose at birth,and umbilical artery blood(P>0.05);the time of the first stage of labor and the time of the second stage of labor of the mothers in the observation group was significantly better than that of the control group,with statistical differences(P<0.05),and the time of the third stage of labor of the mothers in the observation group was statistically better than that of the control group.There was no statistically significant difference between the time of the third stage of labor in the observation group and the control group(P>0.05),and the time of the total stage of labor in the observation group was statistically better than that in the control group(P<0.05).Conclusion:Body mass management during pregnancy can effectively improve maternal control of weight gain,reduce labor time,and decrease the occurrence of adverse pregnancy outcomes.

Policy options and system supplies on socialization standard management of city agricultural laborers

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.

Uterotonic drugs use for post partum hemorrhage: An audit of the third stage of labor management

Objectives: Worldwide the use of uterotonic drugs has significantly reduced maternal mortality from postpartum hemorrhage. The objective is to audit the use of uterotonics in the active management of the third and fourth stages of labor. Methods: Personal data, diagnostic clinical information, blood loss and uterotonics administered were extracted from a cohort of 634 consecutive parturient. Trend in Shock Index (Pulse Rate/Systolic Blood Pressure) and 48 hours hematocrit changes were computed and analyzed. Results: There were 422 vagina deliveries and 212 caesarean sections. Primiparous mothers were 141 (34.2%), while grand multiparous mothers were 14 (3.4%). The mean visually estimated postpartum blood loss 165.9 ± 80 ml. There was no significant difference in the mean blood loss between the three parity groups of parturient [P = 0.09]. Fourteen parturient (3.44%) had blood loss ≥500 ml. The value of Shock Index (Pulse Rate/Systolic Blood Pressure) in the study ranged between 0.43 and 1.38. Logistic regression analysis of the variables associated with the switch between the three regimens of uterotonic drugs, showed a significant positive correlation between VEBL and uterotonic drugs administered [Pearson correlation = 0.130, P-value = 0.008]. In addition, there was a significant negative correlation between uterotonic drugs administered and Shock Index at 30 minutes and 2 hours postpartum. The correlation coefficient between VEBL and regimens of uterotonic drugs used was positive and significant (P = 0.019). Conclusion: Visually estimated blood loss, with shock are the main Triggers involved in switching between uterotonic drugs regimens used in active management of PPH. Shock index calculation is vital in management decision. We advocate training of all birth attendants on VEBL.

Midwives’ utilization of nonpharmacological pain relief measures for labor pain management: A descriptive cross-sectional study

Objectives:This study sought to examine midwives’utilization of nonpharmacological pain relief measures in labor pain management and to test the relationship between midwives’knowledge and utilization of nonpharmacological pain relief measures for labor pain management in secondary health facility in Calabar,Cross River State,Nigeria.Materials and Methods:A descriptive cross-sectional design was used for the study.The study was rooted in Katherine Kolcaba’s Comfort theory.Totally,67 participants were recruited for the study using the purposive sampling technique.A self-made structured questionnaire was used to obtain participants’information on knowledge,utilization,and predictors of nonpharmacological pain relief measures.Results:Although 41(61.2%)of the participants had knowledge about nonpharmacological pain relief measures,few did not know some of the cognitive-behavioral and environmental measures in labor pain management.There was 35.8%(24/67)for utilization of cognitive-behavioral measures and 55.2%(37/67)for psychological/emotional measures for labor pain management by respondents,respectively.Fifty(74.6%)of respondents agreed that predictors such as lack of knowledge,lack of updates and training,work experience,best practice guidelines,and equipment were hindrances to utilization.There was statistically significance in relationship between the level of knowledge and utilization of nonpharmacological pain relief measures(r=0.6,P<0.05).Conclusion:The utilization of nonpharmacological measures for labor pain management is low,thus it is recommended that frequent education,training updates on effective labor pain management,provision of clinical guidelines on labor pain management,and enrichment of midwifery training curriculum are imperative to ensure quality labor pain management and positive health outcome.

Modern Enterprise Human Resource Management and Labor Standards System --Theoretical Innovation in Chinese Labor Economics

The goal of this paper is to draw a systematical conclusion from relationship between labor standards system and modem enterprise human resource management. The conclusion will be a theoretical gist and provides methodology foundation for analysis of labor standards system with operable characteristics and rules, which will help to carry out the social economic policy design related to labor standards. The argumentation in this paper belongs to system economics analysis.

Psychological Contract within Labor Relation and Its Management Strategy

The paper argues that labor contracts between employees and organization includes two facets, i.e. economic contracts and psychological contracts, and along with enterprise competition becoming fierce increasingly and labor force becoming diversified all the more, the psychological contracts have crucial effects on employees＇ attitudes, behaviors and performances. We also argue that, under the challenging organization context, if managers want to make strategic partnership with employees, they must link employees with hearts, pay attention to the management of psychological contracts before, during and after signing labor contracts, and keep dynamic equilibrium of psychological contracts.

Is the feminization of labor harmful to agricultural production? The decision-making and production control perspective

Even today,academics continue to debate the effect of feminization of agricultural labor force on agricultural output.By considering the dimensions of participation in decision-making and production,this study divides the various agricultural production models into three types:(i)the traditional model of decisions made either jointly by men and women or by men alone while both genders participate in production,(ii)complete feminization of agricultural decision-making and the production labor force,and(iii)feminization of the agricultural production labor force only.This study investigates the effects of combining or separating decision-making and production in regard to agricultural development in the context of feminization of the agricultural labor force.Using follow-up data collected from 2004–2008 by the Ministry of Agriculture of China,we built a comprehensive panel data model to test our hypotheses.Our research shows that in comparison to traditional agricultural households and fully feminized agricultural labor forces,partially feminized production resulted in lower grain yield and technological advancement.The feminization of agricultural labor does not necessarily have a negative impact on agricultural output,especially since heavy manual labor is being increasingly replaced by agricultural machinery and outsourcing of tasks.The degree of feminization of the decision-making and production processes should be an important consideration when evaluating the purported negative effects of the feminization of agricultural labor.

Using Alert and Action Expected Times of Delivery in Prevention of Prolonged Labor

Background and Objective: Although globally admitted as the most valuable tool to prevent prolongation of labor, the partogram has failed to be commonly used. This is due to its alleged complexity. Based on the simplified model proposed by Debdas, the so called paperless partogram, we aimed at evaluating the ability of only using the alert and action lines to prevent prolongation of labor. Methods: This was a cross-sectional study including labor records of women delivered at King Baudouin Hospital of Kinshasa (secondary level) from 01/01 till 31/12/2013. The study was approved by the Faculty Ethical Committee. Inclusion criteria were: 1) live singleton pregnancy, 2) cephalic fetal presentation, 3) lack of uterine scar, 4) monitoring in labor ward by 4 cm of cervical dilation, and 5) delivery at term. For every record, the expected time of delivery (ETD = 6 hours after 4 cm of cervical dilation) was considered “Alert EDT” to which 4 hours were added to obtain the “Action EDT”. Irrespective of other fetal and maternal features contained in the traditional partogram Alert and Action ETD were checked a posteriori on Debdas’s model to derive the appropriate outcome of labor. Results: The study included 357 participants, of which 219 primiparous and 138 multiparous. Vaginal delivery took place in 91% of cases. Full cervical dilation was achieved after 8 - 9 hours (9.5 ± 1.8 hours for primiparous and 8.4 ± 1.7 hours for multiparous women), namely 2 - 3 hours following Alert ETD). This duration is close to the Action ETD. For 32 cesarean sections (9%) final decision took place within the Alert ETD. Conclusion: Using only Alert and Action ETD was found convenient to derive appropriate measures for the outcome of labor. So, the paperless partogram is a simplified method to manage the active stage of labor that could prevent prolongation of labor in our setting.

Labor Pain Treated with Acupuncture or Acupressure

Opioid-dependent women have an 80% to 90% unintended pregnancy rate, almost double the overall unintended pregnancy rate: 40% globally and 51% in north America. The prescription drug abuse milieu increases the possibility opioid abusing laboring patients. In 2012, neonatal abstinence syndrome occurred in 5.8 per 1000 hospital births. Non-pharmacological labor pain management (NPLPM) is especially recommended for laboring patients with a history of substance abuse. Therefore, literature review was performed to elucidate the efficacy and safety of acupuncture, noninvasive electro-acupuncture (EA), and acupressure in labor pain management. Compared to standard intrapartum controls, bilateral EA at JiaJin or Sanyinjiao significantly reduced visual analog scale (VAS) pain scores 30-minutes post intervention (p < 0.01) and Stage 1 active phase labor length (p < 0.05). EA achieves shorter Stage 2 labor than patient-controlled epidural analgesia (p = 0.05);and 10-point lower VAS pain scores and reduced cesarean delivery rate than no-analgesia controls, p < 0.05. Current evidence indicates that EA should have a role in NPLPM, and that acupressure may have a role in NPLPM. Nevertheless, future RCTs could strengthen the argument for increased EA and acupressure use in NPLPM.

Dazed and Confused:The Impact of Multinational Firms on Local Labor Markets

In this high-speed globalization era,the opportunities for multinational companies(MNCs)have become vast.In such situation,these companies can obtain maximum profit only if they know how to use workforce properly.This paper aims at analyzing how these MNCs can use international workforce without violating ethics,universal labor rights,and human resource rules.For this purpose,two most favored countries i.e.,China and Indonesia have been taken and compared throughout the paper.The first part of this paper deals with the introduction of the profile of above mentioned two countries and opportunities to the MNCs.The second part deals with the roles of institutions in dealing with labor workforce.The third part indicates divergent paths and the convergence of the globalization with its impact over host countries.The final part concludes the entire discussion in a few paragraphs.The entire paper has been developed keeping the scholarly work,journal articles and critical analysis factor under consideration.

分娩镇痛:舒适与安全并行,教学与质控并举

分娩镇痛是以遵循产妇自愿和临床安全为原则,通过实施有效的分娩镇痛技术,以最大程度减轻产妇产痛的医疗服务。2018年,北京协和医院成为我国分娩镇痛首批试点单位,近年来在分娩镇痛高质量发展的各项工作中取得了满意成果。本文主要介绍北京协和医院分娩镇痛相关经验,具体包括:(1)合理调配人员安排,多学科联动制定标准化诊疗流程,为安全分娩提供舒适度保障;(2)完善危重孕产妇、新生儿救治方案,为安全分娩保驾护航;(3)传递先进的教学理念,将分娩镇痛培训与救治演练落到实处;(4)开展教育与科普讲座,帮助产妇树立科学分娩镇痛观。希望该经验分享可为我国各级诊疗机构提供参考和借鉴。

心理弹性支持结合疼痛管理在行水疗助产初产妇中的应用效果

目的 探讨对开展水疗助产的初产妇实施心理弹性支持结合疼痛管理的效果。方法 选择2020年5月至2022年5月百色市人民医院接收的86名初产妇作为研究对象,根据随机数字表法将其分为2组,即对照组和观察组,各43名。对照组在开展水疗助产的基础上实施常规护理,观察组在开展水疗助产的基础上实施心理弹性支持结合疼痛管理。比较2组初产妇在孕期各个阶段的心理弹性、产时疼痛程度、产后2 h出血量、新生儿Apgar评分、分娩控制感、各产程时间,以及护理满意度。结果 观察组在孕中期、孕晚期、分娩后的心理弹性量表得分,以及分娩控制量表评分、各方面护理满意度评分均高于对照组,产时视觉模拟评分法评分低于对照组,产后2 h出血量少于对照组,第一产程、第二产程以及总产程均短于对照组,均存在统计学差异(P均<0.05)。2组间新生儿Apgar评分未见统计学差异(P>0.05)。结论 对开展水疗助产的产妇实施心理弹性支持结合疼痛管理可有效缓解疼痛,减少出血量,提升心理弹性、分娩控制感和护理满意度,缩短产程。

“因院制宜”探究公立医院工会经费使用规范性和效力——以北京市某公立三甲医院为例

文章以北京市某公立三甲医院工会2019—2023年工会经费数据为基础,从预决算管理、绩效考核、工会经费分布等多角度开展公立医院工会经费管理的探索和研究,明确了可以提升医院工会预算管理的精确度,建立有效的分工会以及社团经费使用考核绩效管理机制,完善内外部工会经费双重审核机制等具体举措,探究公立医院经费使用的提升路径。

“楚怡工匠”视角下高职院校劳动教育体系的构建探微

劳动教育是教育体系的重要组成部分,“楚怡工匠”精神是经过历史沉淀形成的宝贵精神财富,是湖南省职业教育发展的重要理论指引。在具体实践中,高职院校可结合劳动教育体系构建中存在的问题与不足,充分发挥“楚怡工匠”精神的作用,以构建联动机制、搭建技能模块、加强考核评价管理等策略,使劳动教育体系更加完善,逐步提升人才培养效果。

中国情境下管理者对员工申诉的处理策略及其效应研究

员工申诉机制是劳动关系源头治理的关键,有助于缓解经济下行中日趋紧张的劳资关系。管理者作为基层员工申诉处理的关键参与者,其处理策略对劳资关系的走向起到重要作用。本研究拟探索管理者对员工申诉的处理策略,构建中国情境下申诉处理模型。本研究通过对328位员工的访谈资料进行分析发现:中国情境下的申诉处理策略呈现3种导向、7种策略。其中,报复、强制、说服和回避为维护组织利益导向型策略,折中和合作为利益平衡导向型策略,让步为员工利益导向型策略。使用利益平衡导向型策略和员工利益导向型策略可以有效解决申诉,而使用组织利益导向型策略不利于申诉解决,会导致员工隐忍、员工离职,甚至是申诉外溢。此外,本研究还探索了员工申诉处理的动态过程,分析了不同阶段管理者使用不同处理策略的情境及结果。本研究构建了中国情境下的员工申诉处理策略模型,从劳资互动视角探索了申诉处理的演变过程,拓展了员工申诉理论和管理者行为研究。

高职劳动教育生活化的科学内涵与实践路径

高职院校劳动教育的生活化目的是为现代社会培养具备综合素质和专业技能的职业人才,实践育人是其关键和核心。为此,本文从需要根据学生的实际情况和生活习惯合理规划,使劳动素质在学生成长中融入和渗透,并促进学生的学习生涯和未来发展。这就需要高职院校创新劳动教育课程、完善劳动教育观念、建设劳动教育评价系统和保障制度,让学生在日常生活和学习中能够始终感受到劳动教育的重要性,从而促进高职劳动教育生活化的实践和发展。

信息安全管理促进企业数字技术创新研究

党的二十大报告明确指出,以新安全格局保障新发展格局。数字技术创新已成为全面数字化背景下构建新发展格局的关键路径,本文从企业数字安全防护实践出发,实证检验了信息安全管理对企业数字技术创新的影响。研究发现,信息安全管理促进了企业数字技术创新,且该促进作用主要源于信息安全管理能够增强企业技术素养需求、增加企业融资机会。进一步地,二者的正向关系并不会随着《网络安全法》的颁布产生异质性,但是对于国有企业以及未设立董事会风险管理委员会的企业,信息安全管理对数字技术创新的促进效果更显著。

人工智能时代下高职学生情绪劳动教育策略研究——以酒店管理专业为例

在人工智能蓬勃发展的时代,高职学生情绪劳动教育的重要性愈发凸显。通过调研学生情绪劳动能力水平及教育现状,揭示当前高职院校在情绪劳动教育中存在的问题。基于此,提出从情绪意识、情绪调节、情绪管理与沟通、情绪应对与自我保护、创新思维与情绪智能五大关键内容上来实施情绪劳动教育。在此基础上,以酒店管理专业为例,制定有机融合专业课程、多元化教学、教师培训和新技术融入等教育策略,旨在全面提升学生的情绪劳动能力,使其更好地适应人工智能时代的职业挑战。

强国建设两阶段农业劳动生产率目标预测与提升路径

提高农业劳动生产率是建设社会主义现代化强国和农业强国的关键任务。农业劳动生产率的增长来源于农业劳动力劳均经营土地面积的增加、土地产出率的提高与单位农产品价值的提升。改革开放以来,中国农业劳动生产率大幅提高,其中土地单产上升的贡献率持续下降,而劳均经营土地面积增加的贡献率不断上升。2010—2020年,中国农业劳动生产率的增长中19.9%来自土地单产上升,67.8%来自劳均经营土地面积增加。综合考虑按总增长率、按构成项的增长率和按与农业发达国家的相对水平进行预测,中国农业劳均增加值在2035年将超过19000美元(2015年不变价格),在2050年将超过50000美元,达到农业发达国家水平。未来较长一段时间,中国农业劳动生产率的增长将主要来自劳均经营土地面积的增加,在此过程中,要促进新型农业经营主体培育,促进劳动节约型技术进步,促进农地经营权流转并保障经营权稳定,促进以增值增效为导向的农业结构优化调整。

“大国小农”背景下中国农业现代化之路——兼论培育农业领域新质生产力的内在逻辑与实现路径

农业领域新质生产力的提出是新质生产力理论在当代农业实践中的遵循与延伸,符合农业生产的客观规律,它将生产力理论的经典构架与现代农业的发展趋势相结合,形成了生产力理论体系的新维度。培育和发展农业领域新质生产力能够有效提升农业劳动力素质、应对农业经营规模受限导致的相关问题并引领农业现代化进程。农业领域新质生产力主要通过科技创新、劳动力素质提升和农业经营体制创新三个维度加快农业现代化进程。当前,农业领域新质生产力的培育和发展主要面临关键技术研发滞后、数字应用场景不足及高素质农业人才缺乏等问题。为此,可通过完善现代化农业大数据体系、培育数字“新农人”专业队伍等措施积极培育农业领域新质生产力,进而推动我国农业的可持续发展并增强国际竞争力。