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Objective: The current study aimed to describe the clinical characteristics of mild SARS-CoV-2 infected pregnant women with abnormal liver function (ALF), explore the association between ALF with maternal and fetal outcomes. Method(s): This retrospective analysis included 87 pregnant patients with mild SARS-CoV-2 infection admitted and treated from December 1, 2022, to 31, 2022 in the department of Obestircs at Beijing Obstetrics and Gynecology Hospital. We evaluated patients for demographic and clinical features, laboratory parameters and pregnancy complications. Result(s): 27 Patients in this cohort had clinical presentations of ALF. Compared with the control group, the peripheral blood platelet (PLT), D-dimer quantitative determination (D-Dimer), lactate dehydrogenase (LDH), total protein (TP), albumin (ALB), indirect bilirubin (DBIL), gamma- glutamyltranspeptidase (GGT) and total bile acid (TBA) showed significantly differences (p<0.05). 12 cases (44.44%) complicated with pregnancy induced hypertension (PIH), 14 cases (51.85%) complicated with intrahepatic cholestasis of pregnancy (ICP), 2 cases (7.4%) complicated with acute fatty liver during pregnancy (AFLP) and 5 cases (14.81%) complicated with postpartum hemorrhage in patients with abnormal LFT were significantly higher than those in the control group (p<0.05). Compared with the control group, the incidence of premature delivery (22.22%) and fetal distress (37.04%) in the experiment group were significantly higher (p<0.05), and the incidence of neonatal asphyxia was not significantly different (p>0.05). Conclusion(s): Pregnant women are generally susceptible to mild SARS-CoV-2 and may induce ALF. ALF is associated with increased risk of mother and infant. The maternal and infant outcomes of those who terminated pregnancy in time are acceptable. Therefore, pregnant women with COVID-19 who received antiviral treatment should be closely monitored for evaluating liver function and relevant indicators. The long-term outcomes in the future are worth to further study.Copyright © 2023
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Since the COVID-19 outbreak, the scope and market size of flexible employment in sustainable enterprise development have significantly increased worldwide, yet academic literature offer little information about the outcomes and moderators of flexible employment in China. The paper advances current knowledge and empirically addresses this gap by examining the effects of flexible employment on enterprise innovation input and output, with information technology capability and labor regulation as unexplored moderators. Based on data from 1179 manufacturing enterprises in China, this paper uses the OLS method to conduct empirical tests. The results show that (1) flexible employment has positively contributed to sustainable enterprise development by facilitating innovation inputs and outputs;(2) superior enterprise information technology capabilities and strict labor regulations were significant moderating factors in this relationship. The findings provide credible evidence for enterprises to pursue flexible employment as an inexhaustible impetus for sustainable economic and enterprise development.
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PurposeInnovation for service contributes to service quality and customer satisfaction, and further benefits service-centered organizations to sustain competitive advantages. However, concurrent mediating and moderating mechanisms underlying innovation for service at both the group and individual levels have been scarcely investigated. The purpose of this study is to explore multilevel mediating and moderating mechanisms behind the relationship between dual-level transformational leadership (TFL) and innovation for service at the group and individual levels.Design/methodology/approachData were collected from two countries (i.e. China and Australia). Multilevel structural equation modeling was employed to validate the research model. Bootstrapping with 5,000 replications and latent moderated structural equation modeling were used to respectively examine the mediating and moderating mechanisms.FindingsThe cross-national results showed that task interdependence and creative role identity respectively played as the group-level and individual-level mediating roles between TFL and innovation for service. It was also found that task interdependence played as a cross-level predictor enhancing individual innovation for service. Task interdependence was a moderator on the relationship between individual-level TFL and creative role identity among Australian employees, but not among Chinese employees. The relationship between creative role identity and individual innovation for service was not moderated by task interdependence among both Chinese and Australian employees.Originality/valueThis study contributes to advancing the TFL–innovation research through revealing dual-level TFL as the antecedent of innovation for service at both the group and individual levels. It also extends the understandings of the mediating and moderating mechanisms behind this dual-level relationship between TFL and innovation for service.
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In the post-epidemic era, the labor market has become increasingly complex, making it even more crucial to incorporate sustainability into employment demand. As we enter the post-pandemic era, a globalization trend has become more apparent. It is crucial to modernize employability through educational reform in order to assist employees in enhancing their professional skills. This study began by analyzing the importance of financial engineering practice instruction and graduate employability in the post-epidemic era. Second, the study proposed the content and a plan for inter-disciplinary teaching reform to address talent cultivation needs based on labor market requirements. Third, a face-to-face survey and interview were conducted with students affected by changes in teaching, and the results were analyzed and summarized. On this basis, the impact of education reform was evaluated using both the expert scoring method and the analytic hierarchy approach. The results indicated that the suggested financial engineering teaching reform program improved the school's discipline strength, enrollment rate, employment rate, and competition awards, especially discipline strength. This research can be used to inform the teaching of financial engineering majors in various countries, assist job candidates in enhancing their professional skills, and build a formidable talent pool for the labor market.
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ContextInduction of labour (IOL) is a very common medical intervention with current rates variable as 30-35% nationally. The rates are further increasing because of national drivers and maternity units in the UK are under immense pressure with capacity and staffing issues. Delays because of logistical challenges and understaffing have had a severe impact on patient and staff satisfaction. This area is not very well-studied, despite the severe impact the Covid-19 epidemic had on maternity services throughout the country. This QI project was bifold and aimed to explore the experiences of patients as well as staff during their IOL process at Lister Maternity Unit, understand their perspectives and seek improvement and solutions to the current process.Data was collected using paper and online questionnaires for patients and staff. An information leaflet outlining the purpose of the study was provided with the questionnaire. Surveys included both open questions (for example, was there a delay to your induction and if yes, was it explained to you well?) as well as scoring questions (0-10) regarding communication, facilities and overall experience.Surveys identified four main areas to improve: providing information about the process, planning of activity i.e., number of inductions per day, communication issues between clinical areas and managing patient expectations. Importantly, exploring both patient and staff perceptions helped to identify issues and possible solutions at the same time – for example, patients were often unhappy and worried about delays in their procedures and staff raised concerns about patients not being given enough information about the IOL process including the realistic time scale.Overall, analysis of collected information helped us to develop cost-effective solutions: RAG system to help prioritisation of inductions, incorporation of patient-friendly tools, videos and improvement in current IOL information leaflets, a clerking or checklist proforma as a referencing source of discussion and more support from ward matrons and daily morning obstetric consultant ward rounds to aid communication. Information leaflets and videos have been shared with local maternity service networks (LMNS) and maternity voices partnership (MVP) as service user groups. These solutions will be now implemented at Lister Hospital and their efficacy will be continually evaluated and shared within LMNS.
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Background: Pain is the main complaint felt by mothers during childbirth. Pain management can be done with non-pharma-cological techniques, one of which is using the Rebozo technique. Objective(s): This study aimed to determine the effectiveness of the rebozo technique for active phase 1 labour pain in primipa-rous women. Method(s): The study used a quasi-experimental design with a pretest and posttest control group. An accidental sampling technique divided a sample of 30 people into control and intervention groups. The intervention group received Rebozo therapy, a therapy using a traditional cloth wrapped around the pelvis and buttocks with the mother kneeling, then shaking it slowly. The pain was measured using the Visual Analogue Scale (VAS), ranging from 0-10. Bivariate test using Wilcoxon. Result(s): The majority of respondents were aged 21-29 years (56.7%), had high school education (83.3%) and were house-wives (50%). The majority of the control group showed moderate pain (53.3%), while the intervention group showed severe (60%). The reduction in pain in the intervention group was more significant than in the control group (2.27 > 0.73). Both the control group and the intervention group showed p < 0.001. Conclusion(s): The Rebozo technique effectively reduces labour pain in the active phase of the first stage in primiparous women. This technique is easy and inexpensive, so it can be an option for non-pharmacological therapy to treat labour pain.Copyright © 2023 Japan University of Health Sciences.
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IMPACTThis article explores the consequences of emotional labour on UK NHS ambulance staff and their response to the Covid-19 pandemic. It highlights the challenges faced by ambulance crews while dealing with their emotional labour within the context of organizational settings. Research findings also explain the importance of emergency responders' psychosocial wellbeing. The article has clear relevance as to how frontline staff manage their emotional labour in other emergency service settings, such as the police and fire and rescue services.Alternate :Managing emotions are essential aspect of many jobs, and frontline healthcare workers have to manage and control their emotions while caring for critically ill patients and working in an emotionally-charged dynamic environment;this was particularly the case during Covid-19. Ambulance workers are an important group in this respect but they are currently under-researched. Evidence behind this article comes from data collected from an NHS ambulance trust in England. One of the key contributions of this article is to highlight how frontline ambulance professionals manage their emotional labour while working within the stipulations of organizational constraints.
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Competitiveness is a concept that shows up in all aspects of human life, both at the micro level, in personal, social, and professional life, and at the macro level, linked to organizational and national competitiveness with long-term effects on global competitiveness. In this paper, we aim to address competitiveness in Romania in the current context, before and after the COVID-19 pandemic, highlighting its role in reviving the economy. While until the onset of the pandemic Romania's competitiveness performance was growing, more recently, because of the global health crisis, it dropped a few places, according to the Global Competitiveness Index report. In order to have a clear picture of the degree of competitiveness in Romania, we have presented a series of statistical data for the most relevant macroeconomic indicators for our study for the 2017-2022 timeframe: the global competitiveness index, the minimum wage, labor productivity, the evolution of real labor productivity per employed person, the economic growth rate, the unemployment rate, the inflation rate, the European innovation index, gross domestic expenditure on research and development, export of goods and services as a share of GDP, etc. The methodology used involves the use of quantitative techniques, performing an econometric analysis, and correlating how the most important macroeconomic indicators can influence the degree of competitiveness at both the national and international level. For the post-pandemic timeframe, the analysis switches focus, just as the economic reality did, looking at energy costs and energy use as determinants of competitiveness. Since notions like circular economy and sustainable development correlate being energy-efficient with being competitive, however, at the same time, the high cost of investments necessary for individual businesses and countries to switch from polluting energies to clean energies impedes or at the very least heavily impacts their ability to compete with entities that don't make that same switch, it becomes apparent that the energy market impacts competitiveness metrics. Competitiveness promotes valuable contributors and underpins performance at group and company level, and the effects from the micro level will propagate, with an emission effect, to the entire national economy with obvious implications at the international level, through real growth in macroeconomic indicators, increased labor productivity, increased economic performance (market share, export share, return on capital), raising living standards and economic and social wellbeing (life expectancy index, human development index, poverty rate), education (skills, knowledge, abilities, managerial and marketing skills, corporate culture), competitive potential (innovation, R&D, promotion), and in raising the Global Competitiveness Index by focusing on factors of production, efficiency, and innovation, etc.
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In March 2020, a large number of people moved from cities to their homes in rural areas, and a few months later, many returned to cities. These journeys were undertaken not only during the COVID-19 pandemic against the advisory of governments and public health experts, but the circumstances of travel were also under extreme hardship. How may we understand this intense response by people? By drawing on the migration theory and the roles of social ties or social organisation, we can better explain peoples' reactions during this pandemic. Notably, we find non-material values, such as the dignity of labour or responsibilities to family, are significant to decision -making, and there is a desire not to compromise on these values. Further, our analyses find that the distinction between pre-disaster and post-disaster situations may not be helpful.
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Gallstone disease with advanced symptoms is one of the common abdominal emergencies during pregnancy and it is considered to be one of the most frequently reported non-obstetric surgical conditions in pregnant women. This study aimed to evaluate the outcomes of surgical cholecystectomy in pregnant women with symptoms of advanced gallstones. This is a retrospective analysis of 2814 pregnant women who attended various wards in government and private hospitals in the governorates of Diyala and Kirkuk in Iraq for more than 2 years, between February 2020 and June 2022. The hospital database was used to confirm the diagnosis of advanced gallstone symptoms in these pregnant women. The incidence of symptomatic gallstones in pregnant women, diagnosis and method of therapeutic management, cholecystectomy according to the pregnancy periods, and perinatal complications of patients according to therapeutic methods were determined. The results confirmed that out of 2814 pregnancies, only 126 (4%) had symptoms of gallstones. It was found that the majority of cases 67 (53%) were within the first trimester of pregnancy and the least 29 (23%) was observed in the second trimester. Acute cholecystitis was the generality 84 (67%) diagnosed in pregnant women with symptomatic gallbladder disease and only 9 (7%) of the patients had undergone prenatal cholecystectomy versus 117 (93%) who were managed conservatively. A total of 20 (16%) cases with undesirable complications were recorded, where 12 cases with low birth weight were noted, where 4 of them underwent surgery and 8 were treated conservatively. It was concluded that a large proportion of women suffer from symptoms of gallstones during pregnancy. Most cases can be managed conservatively, and intervention should be performed as often as needed.Copyright © 2023, Codon Publications. All rights reserved.
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The innovations that characterize this digital age significantly affect the situation in the labor market. Digital development also has a fundamental impact on the future of transport and postal services. The aim of this contribution is to approximate the impact of innovations on human resources management in the transport, logistics and postal services sector. Secondary research was focused on the analysis of the current state of human resources, and factors influencing the situation in the labor market in this sector. The forecast for the development of the sector is based on the Strategy of Human Resources Management in the Transport, Logistics and Postal Services Sector until 2030. Innovative trends are identified through a comprehensive investigation, and their impact on individual jobs in the transport, logistics and postal services sector is determined. New methods and work procedures are expected, which require an educated workforce with new professional knowledge. The COVID-19 pandemic had a fundamental impact on the development of innovations, which accelerated the digitalization process in many areas. The pandemic has also fundamentally changed the working life of employees working in this sector, whether it concerns working remotely or developing their digital skills. © 2023 Mariana Strenitzerova, published by Sciendo.
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The Beveridge Curve has been dissected in many ways over the years - by industry, by region, and by state. However, despite the availability of a proxy for a curve for each sex, there have been no estimates of the Beveridge Curve for males and females separately. This paper explains how the Beveridge Curve can be calculated in this way and provides a brief analysis of labor market conditions. Women enjoyed a more efficient labor market than men from 20032014 and in 2018-2019, but the Coronavirus-induced "she-cession" is flashing warning signs of a trend reversal. Policymakers and hiring firms alike should ensure that conditions are conducive to a return to work for women - especially mothers.
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The article focuses on how the actors of industrial relations acted at firmlevel in multi-national company, Danone, in two different institutional contexts (Italy and France), in order to set rules and procedures aimed to mitigate the negative psycho-social consequences of remote working adopted during Covid-19 pandemic. In particular, it examines what was the role of firm-level industrial relations in setting specific oriented actions and what were the relations between these, global policies of the company and national level policies about health and safety and in general the institutional context. It emerges the importance of informality of relations between actors in helping to face an emergency together with the role of global policies of the company that seems to overcomes the different national institutional contexts.
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The shortage of medical personnel is becoming a heavy burden on modern healthcare systems around the world. All countries, without exception, turned out to be vulnerable, regardless of the level of income and available forms of medical care. This study addresses the issue of staffing at the time of transition to a new technological level of the healthcare system in the United States. The paper shows that at the present stage in the country there is a need for fundamental changes in the personnel policy in the medical field. The challenges caused by the COVID-19 pandemic not only exposed all the vulnerabilities of the national health system, but also opened up opportunities considering the lessons learned to rethink the long-term vision of solving the workforce problems directly related to the use of new technologies. Based on the analysis of statistical data and sociological research, the author identified the latest trends of overcoming barriers in the field of training and retraining of personnel in the context of the transition to digital medicine. Overexertion among medical personnel associated with increased workload has exacerbated the problem of their professional burnout. The mass protests of physicians necessitated the development of new approaches to the labor protection of employees in the medical field. Solution of such important social problems will require a long time and financial costs and is possible only through the joint efforts of the state and the entire community as a whole. © 2023, Russian Academy of Sciences.
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This paper attempts to understand the impacts and fallouts of COVID- 19 on health care workers. The effect of social intelligence, emotional stability and optimistic approach are studied on the quality of work of healthcare workers along with identifying how it influenced their job satisfaction. The moderating effect of corona fear is analyzed on the quality of work and job satisfaction. Empirical data derived through face-to-face interactions with 493 health care professionals were used for testing the conceptual framework derived from recent literature. The results indicate that social intelligence, emotional stability and optimism contribute towards quality of life of health care workers. Quality of work shows significant relation with job satisfaction. Corona fear shows the moderation effect, negatively affecting the quality of work.
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The present article addresses the COVID-19 syndemic, that is, the interaction of SARS-CoV-2 with other diseases that interact and are determined by patterns of social inequality. The living and working conditions of migrant farmworkers increases the transmission of COVID-19. Descriptions of the experiences of migrant farmworkers provided by the professionals from different organizations that tend to them allowed the authors to discover the syndical nature of COVID-19. This study is based on qualitative descriptive research. Seventeen workers from different organizations participated in the study, through in-depth interviews between January and June 2022. A thematic analysis was performed to analyze the qualitative data. Two main themes emerged: Non-compliance with the collective labor agreement, and non-compliance with workplace health and safety standards. The results suggest that the adverse living and working conditions of the migrant farmworkers increased their risk of COVID-19 infection, due to the lack of compliance with the health measures decreed. The vulnerability experienced by migrant farmworkers increased work conflicts and prompted their mobilization to fight for their rights. © 2023 by the authors.
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Background: Since 1990, the maternal mortality significantly decreased at global scale as well as the North Africa and Middle East. However, estimates for mortality and morbidity by cause and age at national scale in this region are not available. Method(s): This study is part of the Global Burden of Diseases, Injuries, and Risk Factors study (GBD) 2019. Here we report maternal mortality and morbidity by age and cause across 21 countries in the region from 1990 to 2019. Result(s): Between 1990 and 2019, maternal mortality ratio (MMR) dropped from 148.8 (129.6-171.2) to 94.3 (73.4-121.1) per 100 000 live births in North Africa and Middle East. In 1990, MMR ranged from 6.0 (5.3-6.8) in Kuwait to 502.9 (375.2-655.3) per 100 000 live births in Afghanistan. Respective figures for 2019 were 5.1 (4.0-6.4) in Kuwait to 269.9 (195.8-368.6) in Afghanistan. Percentages of deaths under 25 years was 26.0% in 1990 and 23.8% in 2019. Maternal hemorrhage, indirect maternal deaths, and other maternal disorders rank 1st to 3rd in the entire region. Ultimately, there was an evident decrease in MMR along with increase in socio-demographic index from 1990 to 2019 in all countries in the region and an evident convergence across nations. Conclusion(s): MMR has significantly declined in the region since 1990 and only five countries (Afghanistan, Sudan, Yemen, Morocco, and Algeria) out of 21 nations didn't achieve the Sustainable Development Goal (SDG) target of 70 deaths per 100 000 live births in 2019. Despite the convergence in trends, there are still disparities across countries.Copyright © 2022 Academy of Medical Sciences of I.R. Iran. All rights reserved.
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In Sri Lanka, womens labor force participation has never exceeded 35% in over three decades. As of 2022, the country was ranked 110 out of 146 countries in the World Economic Forums Gender Gap Index. The gaps in womens participation in the formal economy alongside womens limited political empowerment are two leading causes for the country to be lagging in such global gender equality indicators. At a large cost to the economy, the existence of archaic gender norms that promulgate womens unpaid care work often exclude women from the formal labor force. This paper dissects the socio-economic and socio-political factors that lead to the invisibility of women in Sri Lankas economy, while seeking to understand how such underlying causes have been aggravated within the precarity of the post-pandemic context. It is important, now more than ever, to recognize the invisibility of women in Sri Lankas formal economy, while bringing about a transformative vision with a multi-pronged approach to address existing gaps and challenges. With reference to key principles of feminist economics, including the theoretical foundations of Claudia Goldin, Nancy Folbre, and Diane Elson, among others, the paper will make a case for inclusivity and intersectionality in policy recommendations aimed at encouraging womens entry, active engagement, contribution, and retention in Sri Lankas economy. The paper reaches a conclusion that when women lead, participate, and benefit equally in all aspects of life, societies and economies will thrive, thereby contributing to sustainable development and inclusive economic growth.
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This article highlights the relevance of the two important Indian labor legislations in relation to migrant workers. A few observed gaps in these legislations are discussed. The article addresses the research questions and objectives through an understanding of both the laws. ISMA and the Occupational Safety, Health and Working Conditions code (2020) (OSH). The identified gaps in these legislations could be a reason for their ineffectiveness at critical situations like the crisis caused by the Covid 19 lockdown. The study takes a timely review to bring some suggestions to enhance the applicability and effectiveness of the upcoming Occupational Safety, Health and Working Conditions Code 2020.
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Notwithstanding the wealth of research on migration and subjective wellbeing, the issue of moonlighting and its welfare implication among migrants has not been thoroughly explored in empirical literature. Using rich individual-level panel data from the University of Cape Town's National Income Dynamics Study (NIDS), this study established a number of interesting findings: (a) there is moonlighting among international migrants;(b) hours spent on the primary job and financial motive, among other socio-demographic factors are key predictors of moonlighting;(c) international migrants are more likely to have more than one job, very often to meet contingencies, but mostly to help smoothen consumption over the life cycle;and (d) individuals who spend more hours on their primary job are less likely to moonlight. Regarding wellbeing and happiness, it is evident that moonlighting and hours spent on primary jobs negatively influence self-reported wellbeing and happiness. Given the ravaging effects of the COVID-19 pandemic, and the potential change in the dynamics of the post-pandemic migration trajectory, job search strategies and economic activities, gaining a deeper appreciation of moonlighting and its implication on the wellbeing of migrants is essential to national and international policy rethinking in order to achieve a triple win for the migrant, the host and origin countries. © 2022, University of the Western Cape. All rights reserved.