To Leverage the Innovation Capability by Co-creation of Human-Machine

Although a societal consensus has been reached about the partnership between human beings and smart machines, limited research has been carried out to consider advances in its combination pattern, function mechanism, and developing creativity. Based on occurred disruptive changes form theory to practice, a new paradigm of co-creation by synergistic human-machine is proposed, which refers to that interaction of human-machine learning in a holistic system increase complementarity of abilities and integration of wisdom to realize an augmented synergy made up of hybrid intelligences. This augmented intelligence can effectively account for shifts in business logic and the productive solutions to the multiple complex problems during smart manufacturing. It has been discovered that the positive consequences of synergistic human-machine co-creation include not only sustainable labor patterns, but the ability to overcome multiple complexities and steadily increase business value. All this is further elaborated in the Baizhentang Foods case. This paper discusses the main prospects of the theoretical developments presented here for future research on organizational behavior and a synergistic human-machine structure.

In/ter/dependence: An afterword

Our closing reflection on the collection of articles in this issue argues that the modernist bourgeois figure of the autonomous individual, founded from the first on a Promethean fiction, has long hidden the sorts of dependencies, interdependencies, and intradependencies intrinsic to social life everywhere. This is all the more so in the twenty-first century, under conditions in which the relations between capital and labor, patterns of sociality and social reproduction, and Euromodernity itself are undergoing wide-ranging changes, changes that are deepening the tensile coexistence of human autonomy and entanglement.

Poor Uterine Contractility as Maternal Predisposition to Postpartum Hemorrhage Among Low-Risk Women: An Analysis of Large-Scale Database

Background Postpartum hemorrhage (PPH) is a major cause of maternal mortality. Even seemingly low-risk women may suddenly develop postpartum hemorrhage, and these cases are often unpredictable and threatens maternal life. We hypothesized that innate poor uterine contractility may be a risk factor of PPH. In this study, we examined the association between the innate poor uterine contractility, suggested by the characteristics of labor and PPH in obstetrically low-risk women.Methods We used the Japan Perinatal Registry database of the Japan Society of Obstetrics and Gynecology registered in 2013–2016. With exclusion of women with well-known risk factors for PPH (maternal basal disease of hematologic disease, uterine leiomyoma, pregnancy by assisted reproductive technology, placenta abruption, placenta accrete, low-lying placenta, hypertensive disorders of pregnancy, macrosomia, polyhydramnios, or epidural analgesia), we analyzed 174,082 primiparous women who had one live singleton birth via vaginal delivery in cephalic presentation at 37 weeks’ gestation. Information about abnormal labor patterns (hypotonic uterine dysfunction, prolonged labor, and arrest of labor) diagnosed by obstetricians were also used in this study. In order to focus on innate maternal poor uterine contractility, we classified subjects into four classes according to whether they were diagnosed with abnormal labor patterns and whether they had used uterotonics, and Odds ratios and their 95% CI were calculated as well.Results Among the enrolled women, 10,508 (6.0%) had PPH. Abnormal labor patterns, including hypotonic uterine dysfunction (adjusted OR 1.28, 95% CI 1.22 to 1.34), prolonged labor (adjusted OR 1.41, 95% CI 1.30 to 1.52) and arrest of labor (adjusted OR 2.02, 95% CI 1.78 to 2.29) were significantly associated with an increased risk of PPH. Compared to women who were not diagnosed any abnormal labor patterns and did not use any uterotonics, women who were diagnosed with abnormal labor patterns were at a significantly increased risk for PPH regardless of whether they had used uterotonics(adjusted OR 1.23, 95% CI 1.10 to 1.37) or not (adjusted OR 1.30, 95% CI 1.23 to 1.37).Conclusion Our study suggests that innate poor uterine contractility is a significant predisposing risk factor in otherwise low-risk women.Trial Registration: This study is retrospectively registered.

Stability and change in class membership over time

Chapter 7 of the book reports the results of Latent Trajectory Analysis examining stability and change in class membership over time. Using data from Waves 1 and 2 of the NSFH we document change and stability in class membership in the five classes (Ultra-traditional, Traditional, Transitional Husbands, Egalitarian, and Egalitarian High Workload). We describe the couple and individual level characteristics associated with both change and stability as well as the new class profiles in Wave 2. We find great change in housework class over the time period studied with some couples becoming more egalitarian and others more traditional in their division of labor. Patterns in this change over time are presented and discussed.

The Impact of Fetal Anomalies on Contemporary Labor Patterns

Objective To compare labor patterns in pregnancies affected by fetal anomalies to low-risk singletons. Study Design Labor data from the Consortium on Safe Labor, a multicenter retrospective study from 19 U.S. hospitals, including 98,674 low-risk singletons compared with 6,343 pregnancies with fetal anomalies were analyzed. Repeated-measures analysis constructed mean labor curves by parity, gestational age, and presence of fetal anomaly in women who reached full dilation. Interval-censored regression analysis adjusted for covariables was used to determine the median traverse times for labor progression. Results Labor curves for all groups indicated slower labor progress for patients with fetal anomalies. The most significant trends in median traverse times were observed in the preterm nulliparous and term multiparous groups. The median traverse times from 4 cm to complete dilation in the preterm nulliparous control versus anomaly groups were 5.0 and 5.4 hours (p < 0.0001). Conclusion Labor proceeds at a slower rate in pregnancies affected by anomalies.

The Politics of Time in Colonial Bombay: Labor Patterns and Protest in Cotton Mills

This article examines the modes of time and work discipline that emerged through factory industry in colonial Bombay. Based on a wide range of archival sources, it shows that mechanized production did not invariably suggest a transition from task-based, irregular to clock-measured, rationally organized work patterns. Operating simultaneously within temporal orders constructed by the global economy, agriculture, family, and community, cotton mills combined new disciplinary practices with a flexible approach to labor. Gender, marital status, religion, skill, and position in the manufacturing chain influenced the pace and duration of work as well as subjective experiences of time at the factory. By maintaining the diversity and flexibility of time organization, mill owners could adjust production to fluctuations in market demand. At the same time, the strategy facilitated and obscured exploitation. As the industry grew, workers developed a language of resistance that emphasized the value of regular and standard work patterns defined with reference to clock hours and calendar days. In the factories of colonial Bombay, clocks were not just symbols of discipline and subjugation but also instruments of resistance and negotiation.

Partogram and its relevance in modern obstetrics

Background: Normal labor and childbirth is fraught with complexities. In the modern times the child birth has proven to be more challenging than ever. Partogram has proven to be a simple and useful tool in monitoring normal labor. The objective of this endeavor was to site our experiences in using partogram for ‘plotting’ labors, to assess its utility, limitations and cite controversies.Methods: Authors analyzed progress of labor plotted on partograms in parturient women to see whether their labor patterns conform to the standard partogram, and can logical conclusions be drawn from their use to decide partogram’s utility and applicability.Results: The use of partogram was not universal and its charting inadequate due to lack of motivation on part of labor room residents, busy labor rooms. When plotted meticulously they showed a wide variation, and many women did not conform to the rates of dilatation of the graph. The use of partogram did not alter the rate of cesarean section for non-progressive labors with use and non-use of partogram.Conclusions: Philpott’s partogram is a very visual and useful tool to monitor labours and detect labour abnormalities timely. Although it has served as a labour management tool across the labour rooms its use is not universal. There is a plethora of conflicting opinions regarding its utility in modern obstetrics today, ranging from a complete faith in the tool to finding it obsolete and in need of a revision to calling it a medicalization of a natural process.