Fibromyalgia Being Strongly Associated with Manual Labor Among Male Patients Attending Rheumatology Clinic

Introduction: Fibromyalgia is a common chronic pain syndrome, associated with different risk factors, including trauma. Many patients with the current or past history of manual labor attend our rheumatology clinic/s. Should manual labor be considered a risk factor for the development of fibromyalgia? Patients and Methods: A prospective study, where all male patients seen at the rheumatology clinic/s with the diagnosis of fibromyalgia were asked about their present and past type of job/s. Manual job was defined as a job where the participant had a strenuous physical activity of more than 2 hours during the working day. A similar number of Ethnic- and age-matched female patients from the same clinic/s were recruited as a control group. Results: 69 and 40 Arab and Jewish male participants were recruited, respectively. 54% of the Arab male patients and 20% of the Jewish male patients were considered manual laborers. Construction and renovation accounted for 46% of the type of jobs practiced by Arab patients. Only 4% of Arab female patients were considered manual laborers. Conclusion: Manual labor seems to be a risk factor for the development of fibromyalgia among male laborers.

Association of Squatting Activities of Pregnant Women during the Antenatal Period and Labor Outcomes

Aim: To investigate impact of antenatal squatting activities on labour outcomes. Methods: All eligible primigravida women, with singleton cephalic fetuses, who presented to ward 18 of Colombo South Teaching Hospital, Sri Lanka, during the period 1st of February to 28th of May 2017 were invited into the study. Those who were already in active stage of labor (at least more than two moderate contractions per 10 minutes) on admission were excluded. Demographic data such as age, ethnicity, religion, educational level, occupation, latrine type in use, and booking Body mass index (BMI) were collected via an interviewer administered questionnaire. Data related to labor (modified Bishop score at onset of active labor, labor augmentation, pain relief, labor duration, mode of delivery, episiotomy or tears) and neonatal outcome (birth weight, APGAR score at 1, 5, 10 minutes) were collected from delivery notes. A pre tested interviewer administered questionnaire was used to obtain data regarding routine squatting activities during the previous 6 months. Pain visual analogue scale was used on day after delivery to assess the degree of labour pain. Duration of each squatting activity per day and number of days engaged with the activity per week;were used to calculate total squatting hours per week. In the absence of an accepted threshold for adequate squatting, we employed the sample mean as an operational data-driven threshold to define “more” against “less” squatting activities. Women who did not have squatting activities were considered as the controls. We used chi-square and Fisher’s exact tests to compare characteristics and outcomes between those engaging in more and less levels of squatting activity. We fitted a series of logistic regression models with each dichotomized outcome as the dependent variable, more/less squatting activity as the main independent variable of interest, and age, gestation period, BMI and patient’s occupation as covariates. The resulting adjusted odds ratios (AOR) and their 95% confidence intervals (CI) and statistical significance (p < 0.05) were used to draw conclusions of adjusted associations. Results: We recruited 430 women into this study. Overall, 68% of the women were of 20 - 30 years old, 47% had normal body mass index and 65% were housewives. The most frequent squatting activities were for urination/defecation and clothes washing (146 and 62 minutes/week, respectively). Mean total time was 246 minutes per week, of which more than 147 women (34%) achieved above this level of squatting activities. Those with more squatting activities had a greater modified Bishop Score ≥ 6/10 (92% vs 82%;p < 0.01);labor duration of <6 hours (82% vs 56%;p < 0.01), less likely for labour augmentation (39% vs 51%;p < 0.01) and pain relief (53% vs 65%;p = 0.013). Similar results were obtained after adjustments for maternal age, BMI, gestational age and occupation. However, there were no significant differences in the mode of delivery (normal vaginal vs instrumental vs caesarean), episiotomy rate, birth weight and neonatal Apgar scores. Conclusion: Squatting activities of more than 246 minutes per week may improve labor outcome. Women should be encouraged to increase squatting exercises or incorporate more habitual squatting activities antenatally.

Is Induction of Labor with Early Rupture of Membranes Associated with an Increased Rate of Clinical Chorioamnionitis?

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.

Contribution of the MERISE-Type Conceptual Data Model to the Construction of Monitoring and Evaluation Indicators of the Effectiveness of Training in Relation to the Needs of the Labor Market in the Republic of Congo

This study proposes the use of the MERISE conceptual data model to create indicators for monitoring and evaluating the effectiveness of vocational training in the Republic of Congo. The importance of MERISE for structuring and analyzing data is underlined, as it enables the measurement of the adequacy between training and the needs of the labor market. The innovation of the study lies in the adaptation of the MERISE model to the local context, the development of innovative indicators, and the integration of a participatory approach including all relevant stakeholders. Contextual adaptation and local innovation: The study suggests adapting MERISE to the specific context of the Republic of Congo, considering the local particularities of the labor market. Development of innovative indicators and new measurement tools: It proposes creating indicators to assess skills matching and employer satisfaction, which are crucial for evaluating the effectiveness of vocational training. Participatory approach and inclusion of stakeholders: The study emphasizes actively involving training centers, employers, and recruitment agencies in the evaluation process. This participatory approach ensures that the perspectives of all stakeholders are considered, leading to more relevant and practical outcomes. Using the MERISE model allows for: • Rigorous data structuring, organization, and standardization: Clearly defining entities and relationships facilitates data organization and standardization, crucial for effective data analysis. • Facilitation of monitoring, analysis, and relevant indicators: Developing both quantitative and qualitative indicators helps measure the effectiveness of training in relation to the labor market, allowing for a comprehensive evaluation. • Improved communication and common language: By providing a common language for different stakeholders, MERISE enhances communication and collaboration, ensuring that all parties have a shared understanding. The study’s approach and contribution to existing research lie in: • Structured theoretical and practical framework and holistic approach: The study offers a structured framework for data collection and analysis, covering both quantitative and qualitative aspects, thus providing a comprehensive view of the training system. • Reproducible methodology and international comparison: The proposed methodology can be replicated in other contexts, facilitating international comparison and the adoption of best practices. • Extension of knowledge and new perspective: By integrating a participatory approach and developing indicators adapted to local needs, the study extends existing research and offers new perspectives on vocational training evaluation.

江苏省部分公立医院医生情绪劳动及情绪智力现状研究

目的:了解江苏省部分公立医院医生群体情绪劳动及情绪智力现状,为引导医生情绪、改善患者就医感受提供参考。方法:对江苏省12所公立医院开展医生情绪劳动及智力现状开展问卷调查,并对相关数据进行独立样本t检验、方差分析等描述性分析。结果:男性医生在情绪劳动表现方面优于女性医生(P<0.05);不同职称医生对情绪相关认知存在差异(P<0.05);大部分科室医生对情绪不同认知具有一致性(P<0.05);不同收入医生群体对情绪相关认知具有差异(P<0.05)。结论:男性医生情绪劳动能力略高于女性医生,但是院方需要加强医生情绪劳动深层扮演素质能力,正高职称相比其他职称医生而言情绪治理能力更加突出,院方今后在引导医生情绪、提高其满意度上,需要将不同科室、收入等特征纳入考量,有针对提高医生情绪劳动及智力能力,为患者提供优质服务,改善就诊体验。

Analysis of the Impact of Off-farm Employment of Agricultural Labor on Grain Production in Shandong Province and Henan Province

[Objective] This study aimed to investigate the impact of off-farm employment of agricultural labor on grain production. [Method] Impact of off-farm employment of agricultural labor on grain production was investigated based on path analysis by using data from 200 counties and cities in Shandong Province and Henan Province in 2000 and 2008. [Result] Off-farm employment of agricultural labor affects grain production through agricultural land use patterns, off-farm employment of agricultural labor has negative impacts on grain production through multiple cropping index and positive impacts through the proportion of grain planting area. The positive impacts were greater in 2008. [Conclusion] Prerequisite of the positive impacts of off-farm employment on grain production is the substitution of agricultural mechanization development and agricultural technology advancement for agricultural labor. Orderly land circulation and scale land use should be promoted to avoid the lack of agricultural labor due to off-farm employment.

人力资本扩张如何影响企业生产效率——基于工资扭曲异质性视角的实证研究

在经济发展方式转变以及世界经济形势发生深刻变革的现实背景下,重新审视人力资本扩张对企业生产效率的影响,对于促进中国经济高质量发展具有重要现实意义。基于中国劳动力市场普遍存在劳动力工资负向扭曲事实,借助高校扩招这一外生政策冲击构造准自然实验,以中国工业企业作为研究样本,系统考察工资扭曲异质性情形下人力资本扩张对企业生产效率的影响。研究结果表明,随着工资负向扭曲程度的增加,高校扩招引致的人力资本对企业生产效率的影响逐渐变小。针对工资扭曲程度较大企业的机制研究表明,人力资本扩张加剧了企业的劳动密集度和生产率偏度,抑制了企业的创新动力。研究结论为中国在高质量发展阶段深入实施人才强国战略提供了新的视角和经验证据。

Local Transfer of Surplus Labors and Protection of Intangible Cultural Heritages in Fenghuang County of West Hunan Province,China

The significance of local transfer of surplus rural labors in regions of minorities for the protection of intangible cultural heritages was discussed from 3 perspectives:definition of intangible cultural heritages,significance of protecting and inheriting intangible cultural heritages,and the role of local transfer of surplus rural labors in protecting and inheriting intangible cultural heritages.By taking Fenghuang County(Phoenix County)in west Hunan Province for an example,local transfer of surplus rural labor forces was proposed,and it was suggested that such a transfer could be realized from the following aspects:promoting industrialization of agriculture,developing tourism industry in rural regions of minorities,supporting rural labors to start their own business,attracting university graduates to return to their hometowns for founding their own undertakings.Moreover,relevant strategies were elaborated to increase income of rural residents,guarantee the efficient inheritance and protection of intangible cultural heritages in regions of minorities.

The Theme of Labor in Robinson Crusoe

The fiction, Robinson Crusoe, has achieved great success and it manifests the reality of the 17th -18th century. The writer, Defoe, because of the book, became the father of English realistic novel. All these achievements are contributed to its eternal themes, such as the qualities of individualism, the colonialism of bourgeoisie, the struggle with the nature. But I think the human labor which saves Robinson from despair, gives him pride and happiness, and makes him survive on the isolated island is the most important part in Crusoe’s character.

Effect of prolonged second stage of labor on maternal and neonatal outcomes

Objective:To discuss the effect of prolonged second stage of labor on maternal and neonatal outcomes.Methods:A total of 101 primiparas with the length of second stage of labor longer than 2 h were selected and pregnant women with the length less than 2 h served as control.The maternal and neonatal outcomes of two groups were observed and compared.Results:A total of 62.1%(18/11) with the length of second stage of labor between 120 min and 180 min,46.7%(28/32) between 181 min and 240 min and 12 longer than 241 min underwent vaginal delivery.The longer the length of second stage of labor,the lower score of Apgar scale for infants in 1 min,and the higher the incidence of asphyxia.But there was no difference in scale in 5 min.As second stage of labor prolonged,the incidences of cesarean section and of postpartum hemorrhage increased. Conclusions:Almost half of puerperas with the length of second stage of labor longer than 2 h underwent vaginal delivery.The prolonged second stage of labor can decrease the score of Apgar scale in 1 min,increase the incidence of asphyxia,but has no effect on scale in 5 min.It still need more evidence from evidence medicine to definition of time and treatment of second stage of labor.

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.

Agricultural Land Use Responses to the Rising Labor Opportunity Cost in Sui County,China

Rising labor opportunity cost is one of the most important characteristics of farmers' economic environment in present China,and brings great agricultural land use changes correspondingly.Based on the stratified random sample of rural households in Sui County,this paper estimates the opportunity cost of farm labors,and then analyzes its effect on farmers' agricultural land use decisions.The findings show that the households with higher labor opportunity cost are more likely to reduce labor intensity and increase labor-saving input in their land use decisions.From the descriptive analysis,we also find these households always prefer grain crop planting,reduce yield-raising input or even rent out their cultivated land.As labor and yield-raising input are two essential positive factors for grain production,continuous declining of labor input and yield-raising input caused by rising labor opportunity cost may influence the grain yield per unit area in the future.

Effects of Ropivacaine-sufentanil Epidural Analgesia on Labor and Maternal and Neonatal Outcomes

[Objectives]This study aimed to investigate the effects of ropivacaine-sufentanil epidural analgesia on labor and maternal and neonatal outcomes.[Methods]A total of 180 primiparas in full-term pregnancy were selected.They were randomly divided into treatment group(n=90)and control group(n=90).The primiparas in the treatment group were injected epidurally with ropivacaine and sufentanil for analgesia,and the primiparas in the control group were subjected to vaginal delivery.The VAS scores at 5,10,30 and 60 min of analgesia were observed.The vaginal bleeding amount,total labor duration,neonatal Apgar score and vaginal delivery rate of the two groups were compared.[Results]Compared with the control group,the VAS score in the treatment group differed insignificantly after 5 min of analgesia(P>0.05),and decreased significantly after 10,30 and 60 min of analgesia(P<0.05).The vaginal bleeding amount of the treatment group was significantly smaller than that of the control group(P<0.05).There was no significant difference in the neonatal Apgar score between the two groups(P>0.05).In the treatment group,the vaginal delivery rate increased(P<0.05),the second stage of labor was prolonged(P<0.05),and the first and third stages of labor did not change significantly(P>0.05).[Conclusions]Epidural analgesia with ropivacaine and sufentanil has a good analgesic effect and good safety,and is worthy of clinical promotion.

More children nutrition distribution, less labor incentive: Evidence from Chinese collective agriculture

Distribution system will affect the labor incentive that has been heatedly discussed by recent literatures.Using a unique micro dataset, this paper dem on strates that the equalitaria n distributi on system is one of the reas ons for the in sufficie nt labor incentive during the Chinese Collective Agriculture period. Specifically speaking, in the distribution of basic rations, the proportion for children (aged 1-3 and 4-7 years) was often beyond their nutrition demand, resulting the dissatisfaction of other families with more laborers and less children, thus these households will reduce their labor supply gradually. At the same time, the existence of outstanding accounts makes it a failure to use work points to buy distributions, which is the mechanism of the distribution system and insufficient labor incentive. All the results have been accepted by the robustness tests. The study will help to understand the distribution system and labor incentive, as well as the failure of the Chinese collective agriculture.

Marginalization of Arable Land and its Correlation with Rural Labor Migration——A Case of Tongcheng County,Hubei Province,China

Based on the introduction of the connotation of marginalization,the index of diagnosing the marginalization degree is put forward.According to the 685 copies of questionnaires on peasant households in Tongcheng County of Hubei Province and the statistical data of local government,marginalization of arable land and its correlation with rural labor migration in Tongcheng County are studied by using aggregative indicator method,clustering analysis method and correlation analysis method.Result shows that marginalization of arable land has happened two times in Tongcheng County since 1985.Dry land has severer marginalization degree than paddy field.There is significant correlation between marginalization degree of arable land and rural labor migration;and the correlation between marginalization degree and rural labor migration in paddy field is greater than that in dry land.Marginalization of arable land will advance the rural labor migration,while in response to the poor current circulation of lands;the rural labor migration will further deepen the marginalization degree.Marginalization of arable land is one of the important factors affecting the labor migration in rural areas.

Chinese Rural labors Transfer under the Coordination of Urban-Rural Development

The strategic significance of Chinese rural labor transfer is expounded.It is conducive to solving the three agricultural problems concerning agriculture,rural areas,and farmers and coordinating the urban and rural development;promoting the rational distribution of human resources and realizing the growth of national economy;restructuring industrial structure and improving Chinese market competitiveness.The problems in the transfer of Chinese rural labors are analyzed,which include the low overall cultural level of rural labors;imperfect organization developmental;weak management mechanism and imperfect supporting measures.The rational paths for Chinese rural labor transfer are pointed out,including break the urban and rural dual structure and realize the free move of rural labors;strengthen the organization construction to provide high-quality socialized service for rural labor transfer;perfect security system to foster favorable social environment for rural labor transfer;establish scientific management mechanism to realize the sustainable rural labor transfer.

The New Changes in Rural Labor Transfer Mode under New Urbanization: Based on the Survey of 10 Villages in Guizhou Province

With the full-speed development of economy,the new urbanization has been accelerated in Guizhou Province in order to make the people reach a well-off standard of living by 2020. From the whole society,the key point is the development of the rural economy,and the development of the rural economy depends on the economic development of rural households. The income from rural labor force transfer has become the main income source and accounts for more than half of rural household income,which will play a major role in survival and development of rural households.

Rural Migrant Workers' Welfare and Labor Protection in China under the Labor Contract Law

This paper employs difference-in-differences(DID) approach to evaluate the effects of China's Labor Contract Law's implementation on rural migrant workers' welfare.Our findings suggest that the Labor Contract Law has reduced rural migrant workers' working hours by 23%, and increased their social insurance coverage by 10% to 26%. This conclusion holds true after removal of sample selection bias and policy expectation factor.Further analysis reveals that Labor Contract Law's welfare improvement effect was more significant for migrant workers in regions where workers had poor bargaining power. Other economic factors during the same period of time did not affect the law's labor protection effect. Our findings give a clear answer to controversies over whether the Labor Contract Law can improve labor rights for underprivileged groups, and are of reference value for developing labor protection systems.

Empirical Analysis of Factors Influencing Surplus Labor Transfer in Poverty-stricken Areas: A Case Study of Yimatu Town in Fuxin City

From the microscopic point of view,taking the surplus labor transfer in the Yimatu Town area as study object,we conduct survey of characteristics and transfer of rural surplus labor in Yimatu Town,through questionnaires and field interviews.Then we analyze the main factors influencing surplus labor transfer in rural areas from the personal characteristics of labor forces and family factor of labor forces.The results show that gender,age,educational level,farmland management days and other factors pertaining to the labor forces all affect the transfer of surplus labor, but the size and extent of the impact vary.In accordance with various influencing factors,we put forward recommendations for promoting the effective transfer of surplus labor in rural areas as follows:first,paying equal attention to macroscopic factors and microscopic factors influencing the transfer of surplus labor;second,focusing on the factors concerning the rural households and individual farmers,to find out the factors influencing the rational transfer;third,shifting the employment concept of surplus labor in rural areas;fourth,speeding up the construction of small towns and developing the secondary and tertiary industries.