• Title/Summary/Keyword: Delivery mode

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Effect of Postpartum Outcomes in Mother's Upright Position During the Second Stage of Labor: Systematic Review (분만 2기 산모의 직립자세가 분만결과에 미치는 효과: 체계적 문헌고찰)

  • Park, Seong-Hi;Hwang, Jeong-Hae;Choi, Yun-Kyoung;Kang, Chang-Bum
    • Women's Health Nursing
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    • v.18 no.3
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    • pp.209-222
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    • 2012
  • Purpose: The purpose of this study was to determine whether upright position is effective in labor through systematic review in randomized controlled trials. Methods: We established the PICO (Patient-Intervention-Comparator-Outcome) strategy, and reviewed 282 literatures from national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria. We evaluated the quality of references and carried out a meta-analysis. Results: The maternal outcomes showed that the duration of their second-stage labor was 2.29 minutes shorter than that of the women in the recumbent position, and were less likely to have episiotomy. The other outcomes, including the mode of delivery, blood loss, hemoglobin level, use of oxytocin, use of analgesics, and perineal laceration, did not differ between the groups. The fetal heart rate abnormality occurred less than in the control group. The Apgar scores of the groups did not differ. Conclusion: There is evidence that an upright position in the second stage of labor reduces the duration of the second stage of labor, the incidence of episiotomy, and an abnormal fetal heart rate.

Clinical features of Bednar's aphthae in infants

  • Nam, Seung-Woo;Ahn, Seol Hee;Shin, Son-Moon;Jeong, Goun
    • Clinical and Experimental Pediatrics
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    • v.59 no.1
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    • pp.30-34
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    • 2016
  • Purpose: Although Bednar's aphthae are common and regress spontaneously, these lesions may lead to feeding intolerance and are often misdiagnosed, rendering examinations useless. This study sheds new light on the clinical features of Bednar's aphthae. Methods: Sixteen neonates and infants were newly diagnosed with Bednar's aphthae via routine health check-ups in an outpatient clinic. Medical records were retrospectively reviewed, and the following parameters were analyzed; sex, gestational age, birth weight, mode of delivery, and perinatal problems. A physical examination was carried out during the next outpatient visit to examine the healing process and check for the existence of scars or complications. Results: Initial presentation included changes in feeding habits (n=10), longer feeding time, reduced intake, and increased irritability. In 6 patients, Bednar's aphthae were discovered incidentally, without prior symptoms. Feeding posture and method of feeding are important causes of Bednar's aphthae. Eleven patients were fed in a horizontal position, whereas 5 patients were fed in a semiseated position. Fifteen patients were bottle-fed, whereas 1 patient was exclusively breastfed. After correcting the feeding position, the ulcerative lesions disappeared within 1 month of diagnosis. During the follow-up period, lesions did not recur in any of the patients. Conclusion: This study suggests that Bednar's aphthae are caused by mechanical pressure. A diagnosis of Bednar's aphthae should be considered when lesions are found on the palate of infants and when symptoms seem to be feeding related. Proper education of parents can both treat Bednar's aphthae and easily prevent its recurrence.

A Study on Problems and Attentive of Incoterms$^{(R)}$ 2010 Rules (Incoterms$^{(R)}$ 2010 Rules의 문제점과 대안)

  • Oh, Se-Chang
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.51
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    • pp.3-54
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    • 2011
  • The important and main purpose of revision of Incoterms rules are to adapt it to contemporary commercial practice in world trade, and to contribute to great service to foreign trade. Incoterms$^{(R)}$ 2010 revision basically focuses on trade terms to be used for any mode or modes of transport at compared Incoterms 2000 gouping in four basically different categories, and presents trade terms to be used for traditionally seaborn trade. Therefore the former is for trading in manufactured goods involved in containerization, the latter is for trading in community. This study focuses on a motive of revisions and main features of the Incoterms$^{(R)}$ 2010 rules, an outline, the problems and alternative of them. In conclusion, I would like present as follows; (1) Although they only concerned the models of delivery and critical point, they only say a few of the many factors of a sale contract, that is to say for the devision of fuctions, costs and risks between the contracting parties as supplement law, but the guestion of the legal position of Incoterms rules is various in different countries and scholars. in spite of that, it must focus on the practical application and the wide acceptance of Incoterms rules in world trade. (2) Although they present more simple and clear, unfricative, than Incoterms 2000 rules, in order to help users, the need to unify consistently and fully explanate in contents and expression. (3) Introduction and guidance note of Incoterms$^{(R)}$ 2010 rules basically focuses on the understanding of a motive of revisions as compared Incoterms 2000 rules. But it is well advised to do this on the assumption of understanding the various basic meaning of terms. (4) finally, trade concerned regulations take account of the reflection for the application to domestic and international trade according to formally reconization of availability for both trade.

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An Analysis on Truck Trip Chaining (화물자동차의 통행행태 분석(통행사슬 분석을 중심으로))

  • Seong, Hong-Mo;Kim, Chan-Sung;Shin, Seung-Jin
    • Journal of Korean Society of Transportation
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    • v.26 no.5
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    • pp.7-16
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    • 2008
  • There are unique aspects of truck vehicle movements compared with the personal travel in trip chaining. This paper reports an analysis on the truck vehicle trip chaining which intercity/metropolitan/intraregional trips are classified. Data collected from the travel dairy survey is used the truck trip-chaining analysis. The pattern of trip chaining classes is classified by the GIS mapping based on orgin-destination trip information. The physical index and efficiency index for each trip diary is used to the truck vehicle activity. Truck trips lengths and time differs from its truck type, service type and travel patterns. It is shown that the efficiency of the truck trip chaining depends on vehicle types and its delivery patterns. There are many other topics for research on trip chaining modeling such as the classification of trip chain, time use and mode choice by trip chaining.

Streaming Service Scheduling Scheme in Mobile Networks (모바일환경에서 실시간 데이타서비스를 위한 스케줄링 정책)

  • Min Seung-Hyun;Kim Myung-Jun;Bang Kee-Chun
    • Journal of Digital Contents Society
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    • v.3 no.1
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    • pp.47-57
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    • 2002
  • Recently, wireless networks have been pursuing multimedia data service as voice, data, image, video and various form of data according to development of information communication technology. It guarantees cell delivery delay of real time data in efficient real time multimedia data transfer. Also, it minimizes cell loss rate of non-real time multimedia data. In the wireless ATM, there are based on Asynchronous Transfer Mode(ATM). It implies that there are various service with difficult transmission rates and qualities in the wireless communication network. As a result, it is important to find out the ways to guarantee the Quality of Service(QoS) for each kind of traffic in wireless network. In this thesis, we propose an improved TCRM scheduling algorithms for transmission real-time multimedia data service in wireless ATM Networks. We appear real time multimedia scheduling policy that apply each different method to uplink and downlik to wireless ATM network. It can guarantee QoS requirements for each real time data and non-real time data. It also deals the fairness problem for sharing the scarce wireless resources. We solve fault of TCRM as inefficient problem of non-real data by using arbitrary transmission speed and RB(Reservation Buffer) through VC(Virtual Control) and BS(Base Station).

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A Sensor nodes' Residual Energy based Wake-up Control Mechanism in Wireless Sensor Networks (무선 센서 네트워크에서 센서 노드의 잔여 에너지 기반 Wake-up 제어 메커니즘)

  • Jeon, Jun-Heon;Kim, Seong-Cheol
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.1
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    • pp.187-192
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    • 2017
  • In dense deployments of sensor nodes in Wireless Sensor Networks, the MAC protocol has challenges to solve problems such as reducing delivery delay and reducing energy consumption. To solve these problems lots of protocols are suggested. This paper proposed a sensor nodes' residual energy based wake-up control mechanism, in which each node decides whether it wakes up or stays in sleep mode to save energy consumption by reducing unnecessary idle listening. The main idea of the wake-up control mechanism is to save node's energy consumption. The proposed wake-up control mechanism is based on the RI-MAC protocol, which is one of the receiver-initiated MAC protocols. A receiver node in the proposed mechanism periodically wakes up and broadcasts a beacon signal based on the energy status of the node. A receiver node also adjusts wake-up period based on the traffics. Results have shown that the proposed MAC protocol outperformed RI-MAC protocol in the terms of energy consumption.

Economic Evaluation of Cloud Computing Investment Alternatives (클라우드 컴퓨팅 투자안의 경제성 평가)

  • Kim, Tae-Ha;Yang, Ji-Youn;Yang, Hee-Dong
    • Journal of Korea Society of Industrial Information Systems
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    • v.16 no.3
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    • pp.121-135
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    • 2011
  • We provide an economic evaluation model to help managers make reasonable decision for the investment in the appropriate type of cloud computing. Cloud computing can be classified into public, private and hybrid architecture and we evaluate their attractiveness using traditional NPV and real option methods. We conduct economic analysis by comparing traditional software delivery model with various types of cloud computing. The work compares each mode of cloud computing against each other using passive NPV and dynamic real-option method. For more objective and conservative evaluation of investment alternatives, we eliminate conventional benefits that are often subjective or hard to measure, and count only the reduction of investment cost and maintenance cost as benefit. We argue that hybrid and public cloud computing can be undervalued without their intrinsic options such as abandonment, expansion and contraction.

Vitamin D deficiency in infants aged 1 to 6 months

  • Choi, You Jin;Kim, Moon Kyu;Jeong, Su Jin
    • Clinical and Experimental Pediatrics
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    • v.56 no.5
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    • pp.205-210
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    • 2013
  • Purpose: The aim of this study was to recognize the state of vitamin D among healthy infants aged 1 to 6 months in South Korea, and also to identify the risk factors affecting the level of vitamin D. Methods: A total of 117 infants were enrolled in this study for 12 months, from March 1, 2011 to February 29, 2012. Serum levels of 25-hydroxyvitamin D (25[OH]D), calcium, phosphorus, and alkaline phosphatase were measured and data including birth weight, body weight, sex, feeding pattern, delivery mode, siblings and maternal age and occupation were collected. Data was mainly analyzed with independent t-test model. Results: We determined that the prevalence of vitamin D deficiency (serum 25[OH]D<20 ng/mL [50 mmol/L]) was 48.7% in the population investigated. Particularly in breastfed infants, the prevalence of vitamin D deficiency was strikingly high (90.4%). The mean serum level of 25(OH)D in breastfed infants was lower than that of formula fed infants (9.35 ng/mL vs. 28.79 ng/mL). Also female infants showed lower mean serum level of 25(OH)D than male. Mean serum values of calcium and phosphorus had positive correlation with vitamin D state (P<0.001). Conclusion: Vitamin D deficiency was found to be very common in infants aged 1 to 6 months in South Korea, and breast feeding was the most critical risk factor of vitamin D deficiency. Therefore we suggest to start vitamin D supplementation in South Korea, as soon as possible, to all infants, including breastfed and female infants.

A Study on the Functions and Problems of Bolero Bill of Lading in the Days of Global Electronic Trading (글로벌 전자무역시대(電子貿易時代)에서의 볼레로 선화증권(船貨證券)의 기능(機能)과 문제점(問題點))

  • Choi, Seok-Beom
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.14
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    • pp.177-218
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    • 2000
  • Global Electronic Trading means that trading partners trade each other via Global Electronic Trading Network, that is, global business to business electronic commerce. Recently, where the cargo arrives ahead of the B/L, the importer cannot take delivery of the cargo without the B/L. This situation is referred to as the B/L dilemma. But the BOLERO system will resolve this B/L dilemma. Bolero Project is developing a cross industry utility platform for the secure, electronic transfer of commercial trade information world wide. After the successful testing of an original pilot project, The Bolero Association was formed in 1995 by a group of interested cross industry companies. As a joint venture between SWIFT and TT Club, bolero.net is changing the way the world trades by providing a web-based, paperless mode of commerce that is designed to become a global standard. Bolero International Limited published the first edition of Bolero Rulebook in 1999. The Bolero Rulebook as amended from time to time, governing the relationship between Users and their rights and obligations arising from the Bolero system. The Bolero service will be governed by a multilateral contract called the Bolero Rule Book which specifies the rights and responsibilities of Bolero and its users. The Title Registry and Bolero Bill of Lading provide a fully functional equivalent to the paper bill of lading. The Bolero Bill of Lading can be created, transferred, amended, and surrendered by way of designating to order party, blank endorsement, refusal by the transferee etc. Thus, this study deals with the functions of Bolero Bill of Lading and the problems and solutions in the Bolero Bill of Lading in point of definitions and operation under the Bolero Rulebook.

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Dependent Quantization for Scalable Video Coding

  • Pranantha, Danu;Kim, Mun-Churl;Hahm, Sang-Jin;Lee, Keun-Sik;Park, Keun-Soo
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2006.11a
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    • pp.127-132
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    • 2006
  • Quantization in video coding plays an important role in controlling the bit-rate of compressed video bit-streams. It has been used as an important control means to adjust the amount of bit-streams to at]owed bandwidth of delivery networks and storage. Due to the dependent nature of video coding, dependent quantization has been proposed and applied for MPEG-2 video coding to better maintain the quality of reconstructed frame for given constraints of target bit-rate. Since Scalable Video Coding (SVC) being currently standardized exhibits highly dependent coding nature not only between frames but also lower and higher scalability layers where the dependent quantization can be effectively applied, in this paper, we propose a dependent quantization scheme for SVC and compare its performance in visual qualities and bit-rates with the current JSVM reference software for SVC. The proposed technique exploits the frame dependences within each GOP of SVC scalability layers to formulate dependent quantization. We utilize Lagrange optimization, which is widely accepted in R-D (rate-distortion) based optimization, and construct trellis graph to find the optimal cost path in the trellis by minimizing the R-D cost. The optimal cost path in the trellis graph is the optimal set of quantization parameters (QP) for frames within a GOP. In order to reduce the complexity, we employ pruning procedure using monotonicity property in the trellis optimization and cut the frame dependency into one GOP to decrease dependency depth. The optimal Lagrange multiplier that is used for SVC is equal to H.264/AVC which is also used in the mode prediction of the JSVM reference software. The experimental result shows that the dependent quantization outperforms the current JSVM reference software encoder which actually takes a linear increasing QP in temporal scalability layers. The superiority of the dependent quantization is achieved up to 1.25 dB increment in PSNR values and 20% bits saving for the enhancement layer of SVC.

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