• 제목/요약/키워드: First delivery

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측두하악관절의 골관절염에 대한 교합안정장치의 치료효과 (Effect of Occlusal Stabilizing Splint for Osteoarthritis of Temporomandibular Joint)

  • 김지현;전혜미;옥수민;허준영;정성희;안용우;고명연
    • Journal of Oral Medicine and Pain
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    • 제37권2호
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    • pp.113-123
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    • 2012
  • 2009년부터 2011년까지 부산대학교병원 구강내과에 측두하악관절장애를 주소로 내원한 환자 중 임상검사와 방사선 검사 및 전산화 단층(Cone beam Computed tomographic view)촬영으로 측두하악관절의 골관절염으로 진단된 76명의 환자를 대상으로 초진 시와 교합안정장치 장착 전까지 물리치료 및 약물치료를 시행하고 교합안정장치 장착 시부터 최종 내원 시까지 월 1회 장치조정을 시행하여 시기별 치료결과를 비교하여 다음과 같은 결과를 얻었다. 1. 초진 시와 교합안정장치 장착 시와 최종 내원 사이에 모든 증상의 변화가 유의한 차이가 있게 개선되었다. 2. 교합안정장치 치료 전까지 치료에서는 급성군에서 통증과 관절잡음이 유의하게 개선되었고, 만성군에서 통증, 관절잡음, 개구제한 및 최대편이개구량이 모두 개선되었다. 3. 교합안정장치 장착 후에는 급성군에서 통증, 개구제한과 최대편이개구량이 유의하게 개선되었고, 만성군에서 통증, 관절잡음과 개구제한이 유의하게 개선되었다.

Publish/Subscribe Protocol in Wireless Sensor Networks: Improved Reliability and Timeliness

  • Davis, Ernesto Garcia;Auge, Anna Calveras
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제12권4호
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    • pp.1527-1552
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    • 2018
  • The rapidly-evolving demand of applications using wireless sensor networks in several areas such as building and industrial automation or smart cities, among other, makes it necessary to determine and provide QoS support mechanisms which can satisfy the requirements of applications. In this paper we propose a mechanism that establishes different QoS levels, based on Publish/Subscribe model for wireless networks to meet application requirements, to provide reliable delivery of packet and timeliness. The first level delivers packets in a best effort way. The second one intends to provide reliable packet delivery with a novel approach for Retransmission Timeout (RTO) calculation, which adjusts the RTO depending on the subscriber Packet Delivery Ratio (PDR). The third one provides the same reliable packet delivery as the second one, but in addition, it provides data aggregation trying to be efficient in terms of energy consumption and the use of network bandwidth. The last one provides timeliness in the packet delivery. We evaluate each QoS Level with several performance metrics such as PDR, Message Delivery Ratio, Duplicated and Retransmitted Packet Ratio and Packet Timeliness Ratio to demonstrate that our proposal provides significant improvements based on the increase of the PDR obtained.

집배부하량 산정 및 평준화를 위한 집배부하 관리시스템 개발 (Development of a Delivery Workload Management System for Measuring and Balancing Standard Workload of Mailmen)

  • 차춘남;선지웅;박문성
    • 산업공학
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    • 제24권4호
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    • pp.435-446
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    • 2011
  • Performance measures play a critical role in formulating mail delivery strategies and evaluating actual results. Nevertheless, the existing method and corresponding system to determine the standard workloads of mailmen is developed without careful consideration of real delivery environments and various requirements of mailmen. Hence, the current system is insufficient for optimal management of workloads and shows substantial gaps when compared to the results of actual work-site. This study considers how to improve the current workload management system of mailmen. We first performed the as-is analysis of the mail delivery service and then developed a prototype of advanced delivery workload management system. The to-be system consists of five subsystems which can be grouped into three categories; master data management, workloads management, performance analysis. Our results can be a valuable guide for the development of real system for measuring and balancing the workloads of mailmen.

The Effect of Delivery Service Quality in Online Shopping Mall on Customer Value, Customer Trust, and Relationship Persistence Intention

  • ENKHTSETSEG ENKHTUYA;Min Jung Kang
    • International Journal of Internet, Broadcasting and Communication
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    • 제16권1호
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    • pp.215-225
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    • 2024
  • This study investigated the effect of the delivery service quality of Mongolian online shopping on the customer value, customer trust, and relationship persistence intention of Mongolian consumers. Through this, the purpose of this study is to understand the priorities of the quality conditions of delivery services (accuracy, economy, information, safety, tangibility, etc.) that Mongolian consumers value. The empirical analysis results of this study are as follows. First, the effect of delivery service quality on the intention to continue the relationship showed partially significant results. In other words, economics, information, and safety, excluding accuracy and tangibility, influenced the intention to continue the relationship. Second, the effect of delivery service quality on customer value was partially significant. In other words, accuracy, economy, safety, and tangibility, excluding informativity, influenced customer value. Third, the effect of delivery service quality on customer reliability was partially significant. In other words, economics, safety, and tangibility, excluding accuracy and informativity, influenced customer reliability. Fourth, the hypothesis of customer value on customer reliability was adopted, followed by the hypothesis of customer value on relationship continuity intention. Finally, the hypothesis of customer reliability on relationship continuity intention was adopted.

Does anaesthesia in mothers during delivery affect bilirubin levels in their neonates?

  • El-Kabbany, Zeinab A;Toaima, Nadin N;Toaima, Tamer N;EL-Din, Mona Y Gamal
    • Clinical and Experimental Pediatrics
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    • 제60권12호
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    • pp.385-389
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    • 2017
  • Purpose: This study aimed to assess whether different anesthetic techniques and oxytocin use applied during delivery affect transcutaneous bilirubin levels during the first 24 hours in neonates. Methods: A total of 1,044 neonates delivered by either caesarian section (C/S) or normal vaginal delivery (NVD) were included in the study. They were classified into 5 groups as follows: group 1: born by C/S using general anesthesia, group 2: C/S using spinal anaesthesia, group 3: C/S using general anesthesia after failed spinal block, group 4: by NVD without anesthesia, and group 5: oxytocin-induced vaginal delivery without anesthesia. Transcutaneous total bilirubin levels (TBLs) were measured during the first 24 hours and on the fifth and eighth days of life and the levels in different groups were compared. Results: The TBLs were significantly higher in neonates delivered by C/S using general anesthesia rather than spinal anesthesia (P<0.001), and both groups had higher levels than those born by NVD without anesthesia ($P{\leq}0.001$). However, the group receiving general anesthesia after failed spinal block was found to have the highest bilirubin level. Moreover, TBLs were significantly higher with the use of oxytocin ($P{\leq}0.001$). Conclusions: C/S and general anesthesia adversely affect the bilirubin levels in neonates, and the use of oxytocin during vaginal delivery also increases TBLs in neonates.

설계시공일괄방식 프로세스 성공모델에 관한 연구 (A Study on the Success Model for Design-Build Delivery Method Process)

  • 김정훈;구교진;현창택
    • 한국건설관리학회논문집
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    • 제4권3호
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    • pp.119-127
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    • 2003
  • 오늘날 프로젝트 수행방식 중 설계시공일괄방식은 전통적 수행방식의 대안으로 점차 선호되고 있다. 1995년 처음 도입된 설계시공일괄방식은 아직까지 많은 문제들을 발생시켜오고 있다 초기 선행연구보고서들은 여러 가지 방법으로 설계시공일괄방식 프로젝트 수행을 향상시키고자 노력해 왔으나, 아직까지는 그다지 큰 영향을 미치지 못하고 있다. 본 연구에서는 설계시공일괄방식 프로젝트 수행을 향상하기 위해 4단계에 걸쳐 설계시공일괄방식 성공모델을 제시하고자 한다. 첫째로 연구를 위한 적절한 모델링 방법을 찾고, 둘째로 설계시공일괄방식의 현황을 분석하여 현황모델을 만든다. 셋째로 현황모델과 기존연구들을 분석하여 문제점 모델을 만든다. 마지막으로 해외 설계시공일괄방식을 분석하여 성공요소와 환경을 찾아 성공적인 설계시공일괄방식의 모델을 구현한다.

여성의 건강상태와 산후조리 경험과의 관계 연구 (A study on the relationship between women's health status and the experience of Sanhujori, the Korean traditional non-professional postpartal care.)

  • 유은광
    • 대한간호
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    • 제36권5호
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    • pp.74-90
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    • 1998
  • This descriptive study sought to define the relationship between women's health status and the experience of Sanhujori, Korean traditional non-professional postpartal care after delivery and abortion. A convenience sample of 308 women in 7 provinces in Korea including Seoul were studied from December, 1994 to December, 1996 for two years. Mean age of respondents was 50.5 years and mean number of children was 3. The rate of abortion was 91.5% and mean frequency was 2.2 times per woman. 82% of respondents did not have Sanhujori after abortion. The period and subjective evaluation of experience of Sanhujori after delivery were decreased according to the increment of the number of childbirth. The health status implies both subjective health status women perceived and physical symptom distress women are experiencing presently, The respondents expressed the physical symptom distress as painful one. 56.7% of respondents perceived unhealthy, such as sick and 99.6% complained more than one symptom. The factors related to health status were the first and third experience of Sanhujori after delivery, such as the period and subjective evaluation whether she did Sanhujori well or not; whether or not of Sanhujori after abortion and menopause: the number of child: and age. at the level of 1% or 5% of significance statistically. The factors related to the rate of physical sumptom distress were only two: the first experience of Sanhujori after delivery, especially the subjective evaluation and whether women did Sanhujori after abortion or not. at the level of 1% or 5% of significance statistically. In conclusion. this finding reconfirmed the possible relationship between women's health status and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers .to research further on the effects of Sanhujori on the health status. health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and qualty of care for desirable health outcomes. Besides, it is indispensable to refine and reestablish postpartal caring system by finding universal law through international & cross-cultural research on postpartal traditional care for women's life long health toward the 21C

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Neonatal Respiratory Morbidity in Twins according to Birth Order and Mode of Delivery

  • Kim, Hyunsoo;Kim, Jiyeon;Ko, Sun Young;Shin, Son Moon;Lee, Yeon Kyung
    • Perinatology
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    • 제29권4호
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    • pp.159-164
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    • 2018
  • Objective: To compare neonatal respiratory morbidity of twins according to birth order related to gestational age and mode of delivery. Methods: We performed the retrospective research of the medical records of 3,224 neonates (1,612 twin pairs) born in a single center from January 2011 to December 2015. Subjects were classified into four gestational age groups: very (<32 weeks), moderate (32-33 weeks), late (34-36 weeks) preterm, and term (${\geq}37weeks$) groups. We investigated clinical characteristics and respiratory morbidity according to birth order related to gestational age group and mode of delivery. Results: We found increased risk of respiratory morbidity in second-born twin than first-born twin (P=0.039). Second-born twin was associated with increased risk of respiratory distress syndrome (RDS) in late preterm group (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.30-5.95), and transient tachypnea of newborn in term group (OR 1.4, 95% CI 1.03-1.81). In vaginal delivery mode, there was no difference of respiratory morbidity between first and second-born twin in each group, but in cases of Cesarean delivery, second-born twin was related with a greater risk of RDS in late preterm group (OR 2.3, 95% CI 1.07-5.09). Birth order and Cesarean section independently increased the risk of RDS (adjusted OR [aOR] 1.69, 95% CI 1.12-2.54; aOR 2.14, 95% CI 1.25-3.66, respectively). Conclusion: Second-born twin and Cesarean delivery are associated with increased risk of RDS, especially in late preterm twins.

Prevalence and risk factors of low back and pelvic pain in women with rectus abdominis diastasis: a multicenter retrospective cohort study

  • Yuan, Sue;Wang, Honghong;Zhou, Jie
    • The Korean Journal of Pain
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    • 제35권1호
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    • pp.86-96
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    • 2022
  • Background: To explore the association between low back pain (LBP) and pelvic pain (PP) and rectus abdominis diastasis (RAD) in postpartum women and identify the characteristics and risk factors. Methods: Women diagnosed with RAD and a history of labor and delivery, between 2009 and 2018, were identified from six hospitals within the Partners Healthcare System. Univariate and multivariable binary logistic regression analyses were used to identify the risk factors associated with pain. Results: Age at onset of RAD in the non-cesarean delivery group was earlier than those in cesarean delivery (CD) group (P = 0.017). Women who underwent CD demonstrated 4.5 times greater risk of RAD than those who had no CD exposure. The cumulative composition ratio of LBP at every age stage of the period from 8 years pre-first delivery to 8 years post-first delivery was significantly higher than the other five conditions (RAD, umbilical hernia, PP, depressive disorder [DD], and strain of muscle, fascia, and tendon [SMFT]) (P for trend < 0.001). Women with DD, SMFT, and PP were more likely to have LBP (odds ratio [OR] = 1.91, 95% confidence interval [CI] 1.06 to 3.47, P = 0.032; OR = 4.50, 95% CI 1.64 to 12.36, P = 0.003; OR = 2.14, 95% CI 1.17 to 3.89, P = 0.013; respectively). Conclusions: In postpartum women with RAD, DD, SMFT, and PP were found to be risk factors contributing to the development of LBP. Race and LBP also played roles in the development of PP.

국내 배달음식 이용건수 분석 및 예측 (A Study on the Number of Domestic Food Delivery Services)

  • 권재영;김시내;박은지;송종우
    • 응용통계연구
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    • 제28권5호
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    • pp.977-990
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    • 2015
  • 우리나라는 세계적으로 배달음식 문화가 가장 많이 발달한 나라 중에 하나로 최근에는 일인가구의 증가와 배달앱 시장의 발달과 함께 그 성장 속도 또한 눈부시게 증가하고 있다. 따라서 배달음식 이용에 큰 영향을 미칠 것으로 예상되는 날씨와 날짜별 변수를 고려하여 시간대별 배달음식 이용건수를 예측함으로써 소비자와 생산자 모두에게 이익을 주는 예측모형을 찾고자 한다. 본 연구의 목적은 다양한 데이터마이닝 기법을 이용하여 2014년도 배달음식 통화건수를 예측하는데 있다. 예측에 사용되는 회귀 모형은 선형회귀모형, 랜덤 포레스트, 그래디언트 부스팅, 서포트 벡터 기계, 신경망, 로지스틱 회귀모형으로 총 6가지이다. 고려되는 배달음식 업종은 총 4가지(족발/보쌈정식, 중국음식, 치킨, 피자)로 크게 두 가지 방법을 이용하여 각 업종별 배달음식 이용건수를 예측하였다. 첫 번째 방법은 총 이용건수와 각 업종별 배달음식 이용비율을 곱하여 각 업종별 배달음식 이용건수를 예측하는 것이고, 두 번째 방법은 각 업종별 모형을 세워 각 업종별 배달음식 이용건수를 예측하는 방법이다. 최종적으로 선택된 모형은 방법 1에서는 신경망 모형과 선형회귀모형이며, 방법 2에서는 신경망 모형이었다. 방법 2보다는 방법 1로 구한 결과가 더 예측력이 좋은 것으로 나타났다.