• 제목/요약/키워드: Birth rates

검색결과 336건 처리시간 0.024초

Physiological Changes and Clinical Implications of Syndromic Craniosynostosis

  • Sakamoto, Hiroaki;Matsusaka, Yasuhiro;Kunihiro, Noritsugu;Imai, Keisuke
    • Journal of Korean Neurosurgical Society
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    • 제59권3호
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    • pp.204-213
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    • 2016
  • Syndromic craniosynostosis has severe cranial stenosis and deformity, combined with hypoplastic maxillary bone and other developmental skeletal lesions. Among these various lesions, upper air way obstruction by hypoplastic maxillary bone could be the first life-threatening condition after birth. Aggressive cranial vault expansion for severely deformed cranial vaults due to multiple synostoses is necessary even in infancy, to normalize the intracranial pressure. Fronto-orbital advancement (FOA) is recommended for patients with hypoplastic anterior part of cranium induced by bicoronal and/or metopic synostoses, and posterior cranial vault expansion is recommended for those with flattening of the posterior part of the cranium by lambdoid synostosis. Although sufficient spontaneous reshaping of the cranium can be expected by expansive cranioplasty, keeping the cranial bone flap expanded sufficiently is often difficult when the initial expansion is performed during infancy. So far distraction osteogenesis (DO) is the only method to make it possible and to provide low rates of re-expansion of the cranial vault. DO is quite beneficial for both FOA and posterior cranial vault expansion, compared with the conventional methods. Associated hydrocephalus and chronic tonsillar herniation due to lambdoid synostosis can be surgically treatable. Abnormal venous drainages from the intracranial space and air way obstruction should be always considered at any surgical procedures. Neurosurgeons have to know well about the managements not only of the deformed cranial vault and the associated brain lesions but also of other multiple skeletal lesions associated with syndromic craniosynostosis, to improve treatment outcome.

달래기 젖꼭지의 제공이 위관수유 중인 미숙아의 생리적 상태 및 행동적 상태에 미치는 영향 (Effects of Non-nutritive Sucking on the Physiological and Behavioral States of Pre-term Infants during Tube Feeding)

  • 정경화;유일영;김희순;김수;이자형
    • 대한간호학회지
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    • 제36권5호
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    • pp.732-741
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    • 2006
  • Purpose: This study was to investigate the effects of non-nutritive sucking on physiological and behavioral state of pre-term infants during tube feeding. Method: This nonequivalent, non-synchronized experimental study included 50 pre-term infants. An attempt was made to match gestational age and birth weight of infants in each group. Infants in the experimental group were given a pacifier 2 minutes before, during, and for 2 minutes after tube feeding. Infants in the control group did not get a pacifier. Both groups were tested at three stages for changes in the physiologic state and behavioral state - 2 minutes before, during, and 2 minutes after feeding. Date was analyzed with SPSS WIN 10.0 using an $X^2$-test, t-test, and repeated measures ANOVA. Result: Heart rates and oxygen saturation levels of the two groups were significantly different(P=.001, P=.000). The behavioral states of the two groups were significantly different during and post feeding(P=.000, P=.000). Conclusion: This result suggests non-nutritive sucking by using a pacifier is an effective intervention for pre-term infants during tube feeding.

분만 동통의 의미 (The Meaning of Pain in Labor)

  • 이미라;조정호
    • 대한간호학회지
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    • 제21권1호
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    • pp.41-49
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    • 1991
  • From of old, labor has been accompanied by pain and much effort has been mode to eliminate or diminish the amounts of pain during labor. Little concern has yet been given to the subjective meaning of pain in labor. Recently, rates of cesarean section in Korea and in some other nations have increased rapidly and some investigators are reporting negative reactions such as anger, disappointment and feeling of loss due to lack of control over labor and its pain. These findings are thought to suggest that control of labor and its pain gives some meaning to the laboring woman. Thus the investigators sought to discover the meaning of pain during labor for Korean women. Specific objectives of this study were to explore the meaning of pain in labor to the mothers, their reactions to the experience of labor add their preference for delivery method. The subjects of this study were 95 mothers who delivered their babies in hospital from September 989 to May 1990 : 45 gave birth by vaginal delivery, and 50 by cesarean section. Data were gathered through direct interviews by the investigators, and questions were focused on five areas i.e. mothers' feelings about delivery and their babies, their feelings about of having more children, the most difficult aspect about this labor and delivery, and what they thought the differences were between vaginal delivery and cesarean section. After interview, mothers' answers were summarized, and classified according to the degree of positive or negative attitude. To ascertain the difference in meaning of labor pains and reaction to delivery experience between mothers delivered vaginally and by cesarean section a Median test was done using an SAS. Results were as follows. 1. More mothers who had delivered vaginally realized that they “have became a mother” than those who had a cesarean section(X$^2$=8.409, df=3, p=0.038). 2. Immediate reaction to their delivery experience was more positive for mothers who had a cesarean section. 3. These Korean mothers expressed preference for vaginal delivery. Suggestions for further research on the meaning for mothers of their experience of labor, and on the meaning of pain for mothers who have a cesarean section were made.

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Patterns of Childhood Cancer Incidence in Saudi Arabia (1999-2008)

  • Al-Mutlaq, Hind M.;Bawazir, Amen Ahmed;Jradi, Hoda;Al-Dhalaan, Zeyad Abdulaziz;Al-Shehri, Ali
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.431-435
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    • 2015
  • Background: Although childhood cancer is a rare disease, 100,000 children younger than 15 years of age die from cancer each year, the majority of them in developing countries. More data need to be gathered and published particularly in developing countries to better understand the scale of the problem. Aims: This study aimed to describe the patterns of childhood cancers in Saudi Arabia over a period of ten years (1999-2008). Materials and Methods: This descriptive retrospective study was based on secondary data from the Saudi Cancer Registry from 1999 to 2008. All Saudi cases (both genders), under the age of 15 years, who were diagnosed with cancer during the study period, were included in this study. Results: Childhood cancer in Saudi Arabia, in the period between 1999 and 2008, accounted for about 8% of total cancer cases. The most common encountered cancers were leukemia (34.1%), followed by lymphoma (15.2%), brain (12.4%), and kidney cancers (5.3%). The overall incidence of childhood cancers increased from 8.8 per 100,000 in 1999 to 9.8 per 100,000 in 2008. The incidence rates of cancers per 100,000 in the years 1999 and 2008 were generally higher among males, (9.4 and 11.5 in males vs. 8.3 and 8.1 in females). The highest incidence rate in the surveyed years was apparent in the birth to age 4 years group. Conclusions: Cancer is an important public health problem in Saudi Arabia and a major ascending contributor to mortality and morbidity in children. More studies are required to describe the patterns of childhood cancers and related risk factors in Saudi Arabia.

유아위치 추적기의 프로트타입 모델 설계 및 구현에 관한 연구 (Design and Implementation of Prototype model of inpant location tracker)

  • 최성재
    • 한국인터넷방송통신학회논문지
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    • 제17권6호
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    • pp.203-209
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    • 2017
  • 전세계적으로 저출산과 고령화 문제가 중요한 이슈로 등장하고 있다. 최근 우리나라의 경우에도 핵가족화와 맞벌이 가구가 증가하고 있어 유아와 치매노인들의 양육과 보호에 어려움을 가지고 있는 것이 사실이다. 사이코패스와 같은 정신 질환자들의 유아 납치 및 살인사건과 같은 중대범죄가 빈번하게 발생되고 있다. 고령화 사회로 진입한 우리나라의 경우에도 치매 환자와 인지능력이 저하된 노인 들의 실종사고 발생 사례와 독거노인들의 고독사가 증가하고 있는 관계로 유아위치 추적기와 노인 위치 추적기의 필요성이 대두되고 있는 것이 사실이다. 본 연구에서는 GPS와 Zigbee/wifi무선 기술을 이용하는 위치 추적기의 프로토타입 모델을 제작하였다. 다양한 형태의 악세사리를 제작하면 저렴한 비용으로 고령화 사회의 노인문제와 저출산 가정의 유아 보호에 효과적으로 이용될 것으로 기대 된다.

산전관호 결과에 대한 고찰(임상 통계적 관찰에 의한) (Review of Prenatal Care on Clinical and Statistical Observation)

  • 윤영숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.131-140
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    • 1971
  • Anions a total of 1,410 women who were taken in th the Ilshin Maternity Hospital in Pusan for child-bearing front January 1 to Hay 31, 1970, review and observation were made on 653 mothers and 661 babies delivered (including twin) who had received parental care, and on 757 mothers and 773 babies delivered (including twin) who had not received parental care. The results are: 1. Out of 1,410 women 653 received parental care, The number is 46.4% 2. Most of them are between 25 and 29 years of age, and it shows the highest percentage. 3. Twenty five % of them visited the hospital care for the first time in the tenth month of pregnancy It was the highest percentage. 4. Those who visited the clinic only once for parental care during the pregnancy were 25.7%, the highest percentage. 5. Those who got parental care among primiparae were 43.7%, and among multiphase were 48.5% The rates are similar to each other. 6. Maturity rate of the babies delivered after receiving prenatal care: mature 91%, Immature- 1% and premature- 8%. 7. It was found that among primiparae were the higher frequency of prematurity. 8. Among babies delivered by mothers after receiving parental care, 8.1% were premature, while 16.1% of babies delivered by those who han't received the care were premature. 9. Mothers between 25 and 29 years of age brought birth to premature. babies most. 10. Frequency of prematurity based on the times of parental care received was: once or twice -8.7% 3 or 4 time-8.9%, 5 or times-10.3%, 7 or 8 times-4.5%, 11 or 12 times-2.7%, 13 or 14 times-3.8%. 11. Percental death rate shows 2.9% among the mothers received prenatal care, and 7.3% among those without parental care. 12. Average weight of a baby boy was 3,114 gm, and that of a baby girl was 3,021 gm. 13. Obstetric complication rate was 63,2% in the babies delivered by mothers with prenatal care, and 85.6% in those delivered by mothers without parental care.

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Quantification of Pre-parturition Restlessness in Crated Sows Using Ultrasonic Measurement

  • Wang, J.S.;Huang, Y.S.;Wu, M.C.;Lai, Y.Y.;Chang, H.L.;Young, M.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제18권6호
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    • pp.780-786
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    • 2005
  • This study presents a non-video, non-invasive, automatic, on-site monitoring system the system employs ultrasonic transducers to detect behavior in sows before, during and after parturition. An ultrasonic transmitting/receiving (T/R) circuit of 40 kHz was mounted above a conventional parturition bed. The T/R units use ultrasonic time-of-flight (TOF) ranging technology to measure the height of the confined sows at eight predetermined locations. From this data, three momentary postures of the sow are determined, characterized as standing-posture (SP), lateral-lying-posture (LLP) and sitting posture (STP). By examining the frequencies of position switch Stand-Up-Sequence (SUS) between standing-posture (SP), lateral-lying-posture (LLP) and sitting-posture (STP) rate can be determined for the duration of the sow' confinement. Three experimental pureblooded Landrace sows undergoing normal gestation were monitored for the duration of confinement. In agreement with common observation, the sows exhibited increased restlessness as parturition approached. Analysis of the data collected in our study showed a distinct peak in Stand-Up-Sequence (SUS, i.e. the transition from lying laterally to standing up ) and sitting-posture (STP) rate approximately 12 h prior to parturition, the observed peak being 5 to 10 times higher than observed on any other measurement day. It is concluded that the presented methodology is a robust, low-cost, lowlabor method for the continuous remote monitoring of sows and similar large animals for parturition and other behavior. It is suggested that the system could be applied to automatic prediction of sow parturition, with automatic notification of remote management personnel so human attendance at birth could reduce rates of sow and piglet mortality. The results of this study provide a good basis for enhancing automation and reducing costs in large-scale sow husbandry and have applications in the testing of various large mammals for the effects of medications, diets, genetic modifications and environmental factors.

GROWTH AND COMPOSITION OF THE OMANI DHOFARI CATTLE 1. BODY WEIGHT GROWTH AND CARCASS COMPOSITION

  • Mahgoub, O.;Olvey, F.H.;Jeffrey, D.C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제8권6호
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    • pp.611-616
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    • 1995
  • A study was conducted which demonstrated that Dhofari cattle responded well to intensive management systems in terms of growth rates and carcass yields. Twenty-four Omani Dhofari bulls and steers (12 of each) were reared from birth until slaughter at 110, 160 and 210 kg body weight (for of each sex at each slaughter weight). Calves were fed ad libitum a diet of concentrate (16.5% CP) and Rhodesgrass hay (8.8% CP). Bulls and steers reached the predetermined slaughter weights of 110, 160 and 210 kg at 154 and 164; 219 and 233; 273 and 310 days of age, respectively. Respective mean pre and post-weaning daily body weight gains for bulls and steers were 581 and 530; 796 and 706 g averaging 645 and 596 g over 36 weeks. At 210 kg, the heaviest weight of the study, dressing-out percentage (DO) was 54.5 and 56.9 yielding carcasses of 115.9 and 118.5 kg which contained 60.4 and 61.5% muscle; 11.6 and 11.4% bone and 24.5 and 22.9% fat for bulls and steers, respectively. Proportion of bone in the carcass decreased, that of fat increased, whereas that of muscle remained unchanged between slaughter weights of 110 to 210 kg. That resulted in increased muscle : bone and decreased muscle : fat ratios. At 160 kg body weight, bulls had less fat and more muscle and bone than steers but there were no sex differences in carcass composition at 210 kg slaughter weight.

세대간 이전: 자녀의 부모부양이 부모의 상속결정에 미치는 영향 (Intergenerational Transfers: The Influence of Children's Support for Parent on Parents' Bequest Decisions)

  • 김순미
    • 가족자원경영과 정책
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    • 제21권1호
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    • pp.19-44
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    • 2017
  • The intergenerational transfer between parents and children is a major concern due to low birth rates and aging society of Korea. This study investigated the influences of children's support for parent regarding parents' decision to bequest, including the influences of parental characteristics, household-related factors, and characteristics of children. The data are the 5th wave of KReIS, a sample of 1,834 married household heads(HHs), which were classified into 142 baby boomers (1955-1963), 534 post-liberation HHs (1945-1954), and 1,158 Japanese-era HHs (-1945). The results were as follows: First, 49.3% of baby boomer HHs, 59.2% of post-liberation HHs, and 59.1% of Japanese-era HHs, were willing to make bequest decision. Second, in the baby boomer HHs, although the children's contact with their parents represented an emotional resource transfer, a child's economic resource transfer to his/her parents did not affect the parents' bequest decisions. However, in the post- liberation HHs, children's contact with parents, and economic resource transfers were significant variables. In addition, in the Japanese-era HHs, only children's contact with their parents was a significant variable. Third, in the baby boomer HHs, the variables that influenced parents' bequest decisions were household financial assets and having a daughter rather than having son and daughter. However, the variables that heavily influenced bequest decisions of the post-liberation HHs were the presence of a spouse, home ownership, household expenditures, and satisfaction of relationships with children. In the Japanese-era HHs, the variables that significantly affected parents' bequest decisions were home ownership, household expenditures, and household financial assets.

Prevalence of Types of Cancers in the Elderly Covered by Insurance of the Islamic Republic of Iran Broadcasting Company in 2015 - Comparison with Younger Groups

  • Roshani, Zahra;Kamrani, Ahmad Ali Akbari;Shati, Mohsen;Sahaf, Robab
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.269-273
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    • 2016
  • Presently, the world population of the elderly is growing. By improving health hygiene and welfare indicators, mortality and birth rates decrease and life expectancy increases, making the present century the century of elderly. Aging is one of the main risk factors for development of cancer, which itself is the second cause of death in old people. This study was conducted to assess the prevalence of cancer in the elderly covered by the Islamic Republic of Iran Broadcasting (IRIB) insurance program and to obtain suitable programs for cancer screening and early detection, increase patient survival, improve elderly care and to reclaim the cost of treatment in comparison to the national and international statistics. This is a cross-sectional study conducted on all elderly patients diagnosed with malignancy based on their pathology reports. In this study, of the total 75,500 patients covered by IRIB insurance, 17.2% belonged to the elderly group, males accounting for 53.3%. The most common cancers in old men were prostatic cancer (61.3%), colon cancer (10.3%) cancer of the hematologic system, bladder cancer (9.6%), lung cancer (9.1%), thyroid cancer (3.9%) and brain tumors (1.3%). In the elderly women, the most common cancers were breast cancer (80.1%), colon cancer (5.1%), thyroid cancers (4.4%), bladder and hematologic system malignancies (3.6), lung cancer (2.9%) and brain tumors (0.7%). In addition, the prevalence of cancer was almost the same as national and international statistics. With the exception of non-melanoma skin cancer no difference was shown in prevalence of cancer between IRIB elderly patients and the other groups of cancer patients in Iran.