• 제목/요약/키워드: Delayed interval

검색결과 210건 처리시간 0.018초

Successful delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a twin pregnancy

  • Koo, Yu-Jin
    • Journal of Yeungnam Medical Science
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    • 제35권1호
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    • pp.135-139
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    • 2018
  • There has been a significant increase in the number of multiple pregnancies that are associated with a high risk of preterm delivery among Korean women. However, to date, delayed-interval delivery in women with multiple pregnancy is rare. We report a case of delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a dichorionic diamniotic twin pregnancy. The patient presented with vaginal leakage of amniotic fluid at 16 weeks of gestation and was diagnosed with a preterm premature rupture of membranes. Three days later, the first twin was delivered, but the neonate died soon after. The second twin remained in utero, and we decided to retain the fetus in utero to reduce the morbidity and mortality associated with a preterm birth. The patient was managed with antibiotics and tocolytics. Cervical cerclage was not performed. The second twin was delivered vaginally at 34 weeks and 5 days of gestation, 128 days after the delivery of the first-born fetus. This neonate was healthy and showed normal development during the 1-year follow-up period. Based on our experience with this case, we propose that delayed-interval delivery may improve perinatal survival and decrease morbidity in the second neonate in highly selected cases.

Birth Patterns and Delayed Breastfeeding Initiation in Indonesia

  • Tama, Tika Dwi;Astutik, Erni;Katmawanti, Septa;Reuwpassa, Jauhari Oka
    • Journal of Preventive Medicine and Public Health
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    • 제53권6호
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    • pp.465-475
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    • 2020
  • Objectives: This study was conducted to examine the association between birth patterns (defined in terms of birth order and interval) with delayed breastfeeding initiation in Indonesia. Methods: A cross-sectional study was carried out using data from the Indonesian Demographic and Health Survey 2017. The weighted number of respondents was 5693 women aged 15-49 years whose youngest living child was less than 2 years old. Multivariable logistic regression was conducted to evaluate associations between birth patterns and delayed breastfeeding initiation after adjusting for other covariates. Results: This study found that 40.2% of newborns in Indonesia did not receive timely breastfeeding initiation. Birth patterns were significantly associated with delayed breastfeeding initiation. Firstborn children had 77% higher odds of experiencing delayed breastfeeding initiation (adjusted odds ratio, 1.77; 95% confidence interval, 1.02 to 3.04; p<0.05) than children with a birth order of 4 or higher and a birth interval ≤ 2 years after adjusting for other variables. Conclusions: Firstborn children had higher odds of experiencing delayed breastfeeding initiation. Steps to provide a robust support system for mothers, especially first-time mothers, such as sufficient access to breastfeeding information, support from family and healthcare providers, and national policy enforcement, will be effective strategies to ensure better practices regarding breastfeeding initiation.

조경종옥탕(調經種玉湯)의 투여(投與)가 여성(女性)의 성선자극(性腺刺戟)호르몬 및 성(性)호르몬의 동태(動態)에 미치는 영향(影響) (Effect of Jokyungiongoktang on the Fluctuation of Gonadotropin and Sex Hormone Concentration In Serum of Women)

  • 배종국;김길훤
    • 동국한의학연구소논문집
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    • 제1권
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    • pp.15-54
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    • 1992
  • The present study was accomplished to investigate the relation between menstrual cycle and ovulation by studying the fluctuation of FSH, LH, estrogen and progesterone concentration in serum samples of selected senior high school women with normal and delayed menstrual cycles after administration of Jokyungijongoktang which was a widely used herb medicine for controlling abnormal menstrual cycles. The obtained results were summarized as follows : 1. There was a significant increase of FSH concentration in women with delayed menstrual cycles after administration of Jokyungjongoktang during the preovulatory phase. 2. Jokyungiongoktang produced a significant elevation od LH concentration in women with normal and delayed menstrual cycles, respectively, during the critical interval of ovulation. 3. Estrogen concentration was significantly decreased in women with delayed menstrual cycles after administration of Jokyungjongoktang during the critical interval of ovulation. 4. Peogesterone concentration significantly increase in women with delayed menstrual cycles after administration of Jokyungjongoktang, respectively, during the postovulatory phase. According to the above results, it can be considered that Jokyungjongoktang restore menstruation and pregnancy-related hormones to normal serum levels of women with normal menstrual cycles by activating maturation of ovum and action of estrogen during the preovulatory phase, ovulation and progesterone synthesis during the critical interval of ovulation, and nidation and endometrium sufficient for the continued pregnacy during the postovulatory phase in women with delayed menstrual cycles.

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일산화탄소 중독 후 발생된 지연성 뇌병증 환자의 치험 및 호전 1예 (A Case of Delayed encephalopathy after Acute Carbon Monoxied Intoxication)

  • 김동은;김경훈;김정석;신길조;이원철
    • 대한한의학회지
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    • 제22권3호
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    • pp.169-178
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    • 2001
  • After initial recovery from acute carbon monoxide (CO) intoxication, some patients occasionally undergo severe neuropsychiatric deterioration, which is called postanoxic delayed encephalopathy (sequelae). This is the clinical report about one patient, a 73-year-old man, diagnosed with delayed encephalopathy after acute CO intoxication. The symptoms of the patient were mental dysfunction including memory impairment and disorientation, abnormal behavior, incontinence and mutism. He had completely recovered after an aonxic episode, but the neurological symptoms that developed were preceded by an interval of apparent normality (the 'lucid interval'). We characterized him as suffering deficiency syndrome of the heart and prescribed for him Bokreongbosim-tang and Guipi-tang, and thereafter his symptoms were remarkably improved. For the evaluation of clinical improvement, we use the Modified Barthel Index (MBI), Canadian Neurologic Scale (CNS), and the Korean version of the Mini-Mental State Examination (K-MMSE)

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새로운 적분구간 비례 적분 부등식을 이용한 시간지연 선형시스템의 안정성 (Stability of Time-delayed Linear Systems with New Integral Inequality Proportional to Integration Interval)

  • 김진훈
    • 전기학회논문지
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    • 제65권3호
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    • pp.457-462
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    • 2016
  • In this paper, we consider the stability of time-delayed linear systems. To derive an LMI form of result, the integral inequality is essential, and Jensen's integral inequality was the best in the last two decades until Seuret's integral inequality is appeared recently. However, these two are proportional to the inverse of integration interval, so another integral inequality is needed to make it in the form of LMI. In this paper, we derive an integral inequality which is proportional to the integration interval which can be easily converted into LMI form without any other inequality. Also, it is shown that Seuret's integral inequality is a special case of our result. Next, based on this new integral inequality, we derive a stability condition in the form of LMI. Finally, we show, by well-known two examples, that our result is less conservative than the recent results.

Risk factors of delayed diagnosis of acute appendicitis in children: for early detection of acute appendicitis

  • Choi, Jea Yeon;Ryoo, Eell;Jo, Jeong Hyun;Hann, Tchah;Kim, Seong Min
    • Clinical and Experimental Pediatrics
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    • 제59권9호
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    • pp.368-373
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    • 2016
  • Purpose: This study examined the risk factors of a delayed diagnosis of acute appendicitis in children undergoing an appendectomy. Methods: This retrospective study involved children aged below 18 years, who underwent an appendectomy. After dividing them into a delayed diagnosis group and nondelayed diagnosis group according to the time interval between the initial hospital visit and final diagnosis, the risk factors of delayed diagnosis were identified using logistic regression analysis. Results: Among 712 patients, 105 patients (14.7%) were classified in the delayed diagnosis group; 92 patients (12.9%) were diagnosed using ultrasonography (US), and both US and computed tomography were performed in 38 patients (5.3%). More patients in the delayed diagnosis group underwent US (P=0.03). Spring season and prior local clinic visit were significantly associated with a delayed diagnosis. Fever and diarrhea were more common in the delayed diagnosis group (fever: odds ratio [OR], 1.37; 95% confidence interval [CI], 1.05-1.81; diarrhea: OR, 1.94; 95% CI, 1.08-3.46; P<0.05). These patients showed symptoms for a longer duration (OR, 2.59; 95% CI, 1.78-3.78; P<0.05), and the admission course (OR, 1.26; 95% CI, 1.11-1.44; P<0.05) and C-reactive protein (CRP) levels (OR, 1.47; 95% CI, 1.19-1.82; P<0.05) were associated with the delayed diagnosis. Conclusion: To decrease the rate of delayed diagnoses of acute appendicitis, symptoms such as fever and diarrhea, seasonal variations, admission course, and CRP levels should be considered and children with a longer duration of symptoms should be closely monitored.

일산화탄소 중독 후 발생된 지연성 뇌병증 환자의 치험 1예 (Case of Delayed Encephalopathy after Acute Carbon Monoxide Intoxication)

  • 경혁수;남창규;김동조
    • 동의생리병리학회지
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    • 제19권1호
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    • pp.279-283
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    • 2005
  • After initial recovery from acute carbon monoxide(CO) intoxication, some patients occasionally undergo severe neuropsychiatric deterioration, which is called postanomic delayed encephalopathy(sequelae). This is the clinical study about one patient, a 53-year-old woman, diagnosed with delayed encephalopathy after acute CO intoxication. The patient's symptoms were mental dysfunction including memory impairment and disorientation, aphasia, atrophy and weakness throughtout the body. She had completely recovered after an anomic episode, but the neurological symptoms that developed were preceded by an interval of apparent nomality.(the 'lucid interval'). She was characterized as suffering deficiency syndrome of the heart(心虛) and was prescribed for her an Ansinschungnoi-tang(安神淸腦湯), and thereafter her symptoms improved remarkably. For the evaluation of clinical improvement, we use the Modified Barthel Index(MBI).

시변 지연시간을 갖는 이산 구간 시변 시스템의 시변 불확실성의 안정범위 (Stability Bound for Time-Varying Uncertainty of Time-varying Discrete Interval System with Time-varying Delay Time)

  • 한형석
    • 한국항행학회논문지
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    • 제21권6호
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    • pp.608-613
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    • 2017
  • 본 논문에서는 시변 지연시간이 있는 선형 이산 구간 시변 시스템의 지연 상태변수에 존재하는 불확실성 안정범위에 관한 것을 다룬다. 고려된 시스템은 지연 없는 상태변수에 대한 시스템 행렬이 구간범위에서 시변으로 변동하고, 지연 시간이 구간범위 내에서 시변인 지연 상태변수에 대하여 비구조화된 불확실성이 시변으로 존재하는 시스템이다. 기존의 많은 연구들이 시변에 대한 부분을 고려하지 못하고 시불변 경우에 대하여 얻어진 것에 반하여, 본 논문에서는 모든 요소를 시변으로 고려하여 새로운 안정범위를 도출하였다. 새로운 안정범위는 적용 가능한 시스템에 대한 제한이 없는 것으로 그 효용성이 기존의 결과 보다 우수하다. 제안된 범위는 복잡한 선형행렬부등식 혹은 리아프노프 방정식의 상한 해 한계를 이용하는 복잡한 과정이 필요하지 않다. 수치예제를 통하여 제안된 결과가 기존의 결과들을 포함할 수 있음을 보이고, 이들 보다 확장성과 효용성이 우수함을 확인한다.

Comparison of postoperative outcomes between early and delayed surgery for pediatric nasal fractures

  • Kang, Won Ki;Han, Dong Gil;Kim, Sung-Eun;Lee, Yong Jig;Shim, Jeong Su
    • 대한두개안면성형외과학회지
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    • 제22권2호
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    • pp.93-98
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    • 2021
  • Background: Pediatric nasal fractures, unlike adult nasal fractures, are treated surgically as early as 7 days after the initial trauma. However, in some cases, a week or more elapses before surgery, and few studies have investigated the consequences of delayed surgery for pediatric nasal fractures. The purpose of this study was to evaluate the postoperative outcomes of pediatric nasal fractures according to the time interval between the initial trauma and surgery. Methods: The records of pediatric patients under 12 years old who underwent closed reduction of nasal bone fracture from March 2012 to February 2020 were reviewed. The interval between trauma and surgery was divided into within 7 days (early reduction) and more than 7 days (delayed reduction). Postoperative results were classified into five grades (excellent, good, moderate, poor, and very poor) based on the degree of reduction shown on computed tomography. Results: Ninety-eight patients were analyzed, of whom 51 underwent early reduction and 47 underwent delayed reduction. Forty-two (82.4%) of the 51 patients in the early reduction group showed excellent results, and nine (17.6%) showed good results. Thirty-nine (83.0%) of the 47 patients in the delayed reduction group showed excellent results and eight (17.0%) showed good results. No statistically significant difference in outcomes was found between the two groups (chi-square test p= 0.937). However, patients without septal injury were significantly more likely to have excellent postoperative outcomes (chi-square test p< 0.01). Conclusion: No statistically significant difference was found in the outcomes of pediatric nasal fractures between the early and delayed reduction groups. Successful surgical results were found even in patients who received delayed reduction (more than 7 days after trauma).

시변 지연시간을 갖는 이산 구간 시스템의 안정조건 (Stability Condition for Discrete Interval System with Time-Varying Delay Time)

  • 한형석
    • 한국항행학회논문지
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    • 제19권6호
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    • pp.574-580
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    • 2015
  • 본 논문에서는 상태변수에 시변 지연시간이 있는 선형 이산 구간 시스템의 안정조건을 고려한다. 고려한 시스템은 시스템 행렬과 지연 상태변수에 대한 시스템 행렬이 구간 행렬로 표현되며, 지연시간도 구간에 대하여 시변인 특성을 갖는다. 제안된 안정조건은 리아프노프 안정 이론에 의하여 유도되며 매우 간단한 부등식의 형태로 표현된다. 기존의 시불변 구간행렬의 안정성 문제를 시변 지연 시간을 갖는 시스템으로 확장한 것이다. 더불어, 새로운 안정조건은 시불변 경우에 대하여 연구된 기존 결과를 포함할 수 있으며, 구간 시변 지연 시간과 시스템의 안정성과의 연관관계를 나타내는 것이다. 제안된 조건은 구간시스템에 대한 교란 변수의 크기를 구하는 문제에도 응용될 수 있다. 수치예제를 통하여 새로운 안정조건의 효용성을 확인할 수 있으며, 기존에 발표된 결과들과의 비교도 이루어진다.