• Title/Summary/Keyword: 분만방법

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Study of nosocomial rotavirus infection in neonates admitted to a postpartum-care center (서울시내 1개 산후 조리원에서 시행한 로타바이러스 선별검사에 대한 분석)

  • Park, Ji Young;Kim, Dong Hwan;Bae, Seung Young;Choi, Chang Hee;Cho, Eun Young;Choi, Jeong Hoon;Kim, Sun Mi
    • Pediatric Infection and Vaccine
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    • v.14 no.2
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    • pp.145-154
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    • 2007
  • Purpose : Rotavirus is one of the most important etiologic agents of nosocomial infections among the neonates. This study was designed to investigate nosocomial rotavirus infection in neonates who were admitted to a postpartum-care center after birth. Methods : From March 2005 to September 2006, 957 healthy neonates were examined for rotavirus antigen in stool by immunochromatographic method and 216 neonates were rotavirus antigen positive within 24 hours after admitted to a postpartum-care center. We reviewed the nursing charts retrospectively such as characteristics, monthly distribution, birth hospitals, delivery methods, feeding types and clinical manifestations. Results : Among 957 neonates, 216 neonates (22.6%) were rotavirus antigen positive and there were no differences in sex, birth weight, gestational age. Monthly positive rate of rotavirus antigen showed diversity from 10% to 36%. According to birth hospitals, positive rate showed diversity from 3.5% to 53.6%. Out of 957 neonates, 655 cases (68.4%) were born of vaginal delivery and mean hospitalized duration was 2.4 days, 302 cases (31.6%) were born of cesarean section and mean hospitalized duration was 5.7 days. 17.6% of vaginal delivery and 33.4% of cesarean section were rotavirus antigen positive. The positive rate was higher in neonates by cesarean section than vaginal delivery (P<0.001). According to feeding types, positive rate of rotavirus antigen was lower in breast-fed group than formula-fed group (P<0.001). Proportion of symptomatic case among rotavirus antigen positive was 34.7%. Most common clinical manifestation was diarrhea (61.3%), following poor feeding (45.3%), fever (40.0%), vomiting (25.3%), delayed weight gain (12.0%), and decreased urine amount (5.3%). Conclusion : Some neonates were already infected before admission to a postpartum-care center. Without meticulous management, nosocomial rotavirus infection would transmit rapidly in a postpartum-care center spreading to the community. Recommendation of breast-feeding, routine rotavirus screeing test with or without symptom, and isolation of all rotavirus antigen positive neonates in a postpartum-care center seem to be necessary. Also attentive hygiene education and further investigations of rotavirus infection in a postpartum-care center would be needed.

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Factors which contribute to time of first stool and first urine passage in Newborns (신생아에서 첫 태변 배출과 초뇨 배출 시간 결정인자)

  • Lee, Hye Jin;Jae, Hyun Gon;Son, Sang Hee
    • Clinical and Experimental Pediatrics
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    • v.49 no.5
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    • pp.482-488
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    • 2006
  • Purpose : To evaluate the factors which contribute to the time of the first stool and the first urine passage. Methods : We retrospectively reviewed a chart of 1,221 infants ${\geq}34$ weeks of gestational age admitted to the normal newborn nursery of Il Sin Christian Hospital, Busan, from November 2004 to April 2005. We compared the time to first stool and urine according to maternal factors(maternal age, parity, mode of delivery, meconium-stained amniotic fluid, and maternal diabetes) and infant factors (gender, Apgar score, gestational age, type of feeding during first 24 hours, age at the first feeding, number of feeds during the first 12 hours and age at discharge). Results : In total, 95.3 percent of our infants had passed their first stool by 24 hours and 99.8 percent of them had a stool by 36 hours. A total of 95.8 percent of our infants had passed urine by 24 hours of age and 98.3 percent of them by 36 hours. Comparing preterm and term infants, the time to first urine is $6.5{\pm}5.8$ hours and $12.1{\pm}6.6$ hours, respectively(P=0.000). The time to first stool is $20.7{\pm}13.5$ hours and $10.0{\pm}6.3$ hours, respectively(P=0.000) Early-fed infants were significantly earlier in time to first urine(P=0.023) and first stool(P=0.012). There was no statistically significant relationship between the number of feeds in 0-12 hours, mode of delivery, Apgar score, parity, gender, type of feeding, maternal diabetes and the time of the first urine and first stool. Conclusion : Gestational age, birth weight and age at first feeding were significantly related to the time of the first urine and first stool passage. When there is delayed passage of the first urine and first stool, we should consider close observation of other associated symptoms and other factors previously mentioned, to avoid extensive evaluation and intervention.

A High Speed Pitch Extraction Method Based on Peak Detection and AMDF (Peak 검출과 AMDF에 의한 고속도 음성주기 추출방법)

  • 성원용;은종관
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.17 no.4
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    • pp.38-44
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    • 1980
  • We present a high speed pitch estimation algorithm that is based on peak detection and average magnitude difference function (AMDF). A few pitch candidates are first estimated from the low-pass filtered (800 Hz) speech by a peak detection algorithm. AMDF values of the pitch candidatestare then calculated, and the pitch candidate that yields the minimum AMDF value is chosen as the desired pitch period. The new method requires far less computation time than other pitch estimation algorithms, while it yields fairly accurate results.

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Proteomics 기법을 이용한 복제태반 분석

  • 김홍래;이혜란;강재구;윤종택;성한우;정진관;조민래;박창식;진동일
    • Proceedings of the KSAR Conference
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    • 2004.06a
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    • pp.238-238
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    • 2004
  • 세포 내에서 발현되고 있는 protein들의 양상을 분석하기 위한 기법으로 최근 proteomics에 기초하여 2차 전기영동과 MALDI-TOF MS에 의한 protein 분석방법이 개발되었는데, 특정 조직에 또는 특정 발생시기에 특이적으로 발현되는 protein의 발현양과 발현양상을 비교ㆍ분석하는데 매우 효과적으로 이용될 수 있다. 최근 체세포 핵이 식기술을 이용하여 동물의 복제가 성공하고 있지만, 임신 중이나 분만시 유사산이 많이 나타나 전반적인 효율이 크게 낮아 실용화에 지장을 초래하고 있다. (중략)

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Adaptive Coefficients for Hopfield Neural Networks Solving Combinatorial Optimization Problems (최적화를 위한 홉필드 신경망의 적응적 신경계수 결정)

  • Chiyeon Park;Kuinam J. Kim
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.21 no.45
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    • pp.113-120
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    • 1998
  • 본 논문에서는 에너지 함수의 직접적인 평가에 기초해 홉필드 신경망을 진화시킴에 따라 적응적으로 에너지 계수를 결정하는 기법을 제시하고자 한다. 이 기법에 근거하여 구해지는 계수들의 효과를 검증하기 위해 응용 모델인 TSP(Traveling Salesman Problem)에 적용하여, 실험을 통한 계수 값의 변화 추이를 분석하고 그 결과를 기존의 기법들과 비교한다. 또한 제안된 방법에 필수적인 각 단계에서의 에너지 값의 평가를 위한 부가적인 연산을 줄이기 위해 단계적으로 증감분만을 계산하는 효율적인 연산법을 제시한다.

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Schema Matching Based on An Incremental Ontology Update (온톨로지의 점증적 갱신에 기반한 스키마 매칭)

  • 이준승;이경호
    • Proceedings of the Korean Information Science Society Conference
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    • 2004.04b
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    • pp.37-39
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    • 2004
  • 본 논문은 점증적으로 갱신되는 온톨로지에 기반한 스키마 매칭 알고리즘을 제안한다. 스키마 매칭에 사용되는 온톨로지는 전운가에 의하여 작성된 정적인 것으로 모든 어휘관계를 포괄하기는 힘들다. 제안된 방법은 이전의 매칭 결과와 사용자 피드백에 따라 점증적으로 온틀로지를 갱신하여 매칭의 성능을 향상시킨다. 특히, 제안된 온톨로지는 분할, 병합 관계를 기술하고 있어 단순한 애칭관계분만 아니라 복합매칭관계 추출을 가능케 한다. 성능평가를 위한 실험결과 점증적 온틀로지의 적용이 매칭 성능을 매우 향상시킴을 알 수 있었다.

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Predictors of Early Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care Units (신생아중환자실에 입원 중인 미숙아 어머니의 산욕초기 산후우울 예측요인)

  • Lee, Jae-Young;Ju, Hyeon-Ok
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.87-95
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    • 2014
  • Purpose: This study was done to investigate the point prevalence of postpartum depression and its predictors during early postpartum in mother of preterm infants. Methods: Participants were 101 women, 2-3 weeks after delivery whose preterm babies were hospitalized in a neonatal intensive care unit. Data were collected from June 2010 to January 2011. The instruments included 'Edinburgh Postnatal Depression Scale', 'Prenatal depression', 'Subjective health status of infant', 'Medical staff support', and 'Husband support'. Collected data were analyzed using t-test, ${\chi}^2$-test, and multiple logistic regression with SPSS/WIN version 18.0. Results: The point prevalence was 86.1% that postpartum depression occurred during the early postpartum period in mothers of preterm infants. Three significant predictors of postpartum depression in mothers of preterm infants were identified; 'Type of delivery (OR, 5.57; 95% CI, 1.25-24.77)', 'Subjective health status of infant (OR, 0.34; 95% CI, 0.16-0.70)', and 'Medical staff support (OR, 0.52; 95% CI, 0.28-0.97)'. Conclusion: The results indicate that postpartum mothers should be screened for postpartum depression early in the postpartum period and that, medical personnel should pay particular attention to mothers with a caesarean section and should help mothers of preterm babies to develop positive perceptions of their babies.

Effect of Cryopreservation of Sibling 2PN Zygotes on Cumulative Delivery Rates in the Human IVF-ET Program (전핵 시기에서의 수정란 동결이 체외수정 및 배아이식술에서의 누적 분만율에 미치는 영향)

  • Kim, Myo-Kyung;Lee, Sun-Hee;Choi, Su-Jin;Choi, Hye-Won;Park, Dong-Wook;Lim, Chun-Kyu;Song, In-Ok;Lee, Hyoung-Song
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.4
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    • pp.329-338
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    • 2010
  • Objective: This study was carried out to know whether cryopreservation of sibling 2PN zygotes could increase the cumulative delivery rates in the patients who had less than 10 fertilized zygotes. Methods: A retrospective analysis was performed in 138 in vitro fertilization-embryo transfer (IVF-ET) cycles with less than 10 fertilized zygotes during January 2003 to December 2007 in Cheil General Hospital. These cycles were divided into two groups. In Group I (n=86), all fertilized embryos were cultured to transfer on day 3 without cryopreserved embryos at the 2PN stage. In Group II (n=52), among fertilized zygotes, some sibling zygotes were frozen at the 2PN stage, the remainder were cultured to transfer. Clinical outcomes in fresh ET cycles and cumulative ongoing pregnancy rates after subsequent frozen-thawed (FT)-ET cycles were compared. Results: There were no significant differences in female mean age, number of retrieved oocytes and total fertilized embryos between two groups, Number of cultured embryos was significantly lower in Group II ($5.2{\pm}0.5$) than in Group I ($8.4{\pm}0.7$) (p<0.01). Also, number of transferred embryos was significantly lower in Group II ($3.3{\pm}0.6$) compared with Group I ($3.6{\pm}0.6$) (p<0.01). ${\beta}$-hCG positive rates and delivery rates (51.2 vs. 46.2 % and 41.9 vs. 34.6 %, respectively) after fresh ET were slightly higher in Group I than in Group II. However, the differences were not statistically significant. Also, the cumulative delivery rates after subsequent FT-ET cycles were not significantly different between Group I (48.8%) and Group II (50.0%). Conclusion: This study showed that cryopreservation of sibling 2PN zygotes from patients who had less than 10 zygotes in the fresh ET cycles did not increase cumulative delivery outcomes. But, it could provide an alternative choice for patients due to offering more chance for embryo transfers if pregnancy was failed in fresh IVF-ET cycles.

동결정액의 포장방법이 정액성상과 번식성적에 미치는 영향

  • 김인철;이장희;김현종;김종대;연성흠;정경용;손동수;박창식
    • Proceedings of the KSAR Conference
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    • 2001.03a
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    • pp.77-77
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    • 2001
  • 본 연구는 돼지 동결정액의 번식성적을 개선코자 기존의 maxi-straw와 cryogenic-vial을 이용하여 포장방법에 따른 동결방법과 융해방법별 정액성상 및 번식성적을 비교하였다. 동결방법은 두 가지 포장방법 모두 정액의 양(5$m\ell$)과 농도(5.0$\times$$10^{9}$/dose)가 동일한 조건으로 처리하였으며, LYE(Lactose egg york extender) 보존액으로 희석하여 액체질소 상단 15cm에서 20분간 동결하였다. 융해방법은 maxi-straw는 52$^{\circ}C$에서 45초간 cryogenic-vial은 52$^{\circ}C$에서 190초간 융해하여 $25^{\circ}C$로 가온 된 80$m\ell$ BTS (Beltsville thawing solution) 보존액과 혼합하였다. 정액성상검사는 정자자동분석기(SAIS : Sperm Analysis Image System, Korea)를 이용하였다. 총활력(TM : Total motility)과 정자의 빠르기(VCL : Curve linear velocity)는 maxi-straw가 54.3%와 46.6%로 cryogenic-vial의 35.6%와 36.6%보다 우수하였다(P<0.05). 정자의 직진성(STR : Straightness)과 NAR은 maxi-straw가 53.2%와 32.6%로 cryogenic-vial의 47.3%와 29.8%와 비슷한 경향을 나타내었다. 수태율과 분만율 및 총산자수는 maxi-straw가 77.3%, 68.2% 및 8.0두로 조사되어 cryogenic-vial포장방법의 66.7%, 61.9% 및 7.4두보다 다소 우수하였으나 통계적인 유의차는 인정되지 않았다. 이상의 결과로 볼 때 cryogenic-vial방법이 새로운 돼지 동결정액 포장방법의 가능성을 나타낸다고 사료된다.

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Shape-based Leaf Image Retrieval using Venation Feature (잎맥 특징을 이용한 모양기반의 식물 잎 이미지 검색)

  • Nam Yun-Young;Park Jin-Kyu;Hwang Een-Jun;Kim Dong-Yoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.06d
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    • pp.346-348
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    • 2006
  • 본 논문은 잎맥 특징을 이용한 식물의 잎 이미지 검색 방법을 제안한다. 식물의 검색을 위해 모양 기반의 검색방법을 사용하였으며, 잎의 외곽선 분만 아니라 내부의 잎맥 정보를 이용하여 정확율을 향상시켰다. 외곽선은 MPP(Minimum Perimeter Polygons) 알고리즘을 개선하여 표현하고, 내부의 잎맥의 특징은 CSS(Curvature Scale Space)를 개선하여 주맥과 교차점, 끝점을 추출하여 표현하였다. 특징 점들간의 관계와 거리값을 통해 가중치가 있는 그래프로 표현하고 이 값을 통해 유사도를 계산하였다. 실험에서는 식물도감에서 1000여개의 식물 잎 이미지를 추출하여 기존의 알고리즘인 Fourier Descriptor, CSSD, CCD, Moment Invariants, MPP와 비교하였다.

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