• 제목/요약/키워드: Multiple birth

검색결과 282건 처리시간 0.025초

조기진통 임부의 불안과 스마트폰 의존도가 수면의 질에 미치는 영향 (Effects of anxiety and smartphone dependency on sleep quality among pregnant women with preterm labor)

  • 이희정;김혜영
    • 여성건강간호학회지
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    • 제26권2호
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    • pp.191-199
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of anxiety and smartphone dependency on sleep quality in pregnant women with preterm labor. Methods: The participants of this study were 111 pregnant women who were between 20 and 37 weeks of gestation and experienced preterm labor. The data were collected from October 1, 2018 to October 25, 2019. The collected data were analyzed using descriptive statistics (frequency, percentage, and standard deviation), as well as the t-test, Pearson correlation coefficients, and hierarchical multiple regression. Results: Significant negative correlations were found between anxiety and sleep quality and between smartphone dependency and sleep quality. Participants' history of preterm birth, pregnancy method, bowel movements, anxiety, and smartphone dependency significantly affected sleep quality, with an explanatory power of 18%. Conclusion: In order to improve the quality of sleep, which is an important health-related factor for pregnant women experiencing preterm labor, it will be necessary to identify a history of premature birth, pregnancies achieved using artificial reproductive technology, bowel problems, and smartphone dependency in advance and to provide nursing interventions accordingly.

The Formation of Korean-ness and the Advent of the Split-Consciousness: Embracing Multiple Realities in Yeom Sangseop's Mansejeon

  • Capener, Steven D.
    • 영어영문학
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    • 제64권3호
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    • pp.347-360
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    • 2018
  • It is ironic but not coincidental that the loss of Korean sovereignty to Japan roughly paralleled the formation of the idea of Korean ethnic identity. The coalescence of the content of this heretofore amorphous notion of a "pure" and transcendental (in the class sense) ethnic essence was, again ironically, the result both of ideologies taken from (or given by) Japan and resistance to Japanese encroachment. What resulted was the birth of a hybrid (sub) consciousness that was able to accommodate disparate, or even contradictory, realities simultaneously without any sense of contradiction (Christian and shaman for example). If, as Kim Chul has asserted, the colonial period was the most impactful in forming today's Korean society and "giving birth" to today's Korean, it becomes easy to imagine how this formation process included elements of Japanese and western culture. This meant that there was going to be an inevitable cognitive dissonance when these influences collided with the imperatives of ethnic nationalism which became the touchstone for a common Korean identity (North and South). This paper attempts to show how this split-consciousness was manifested in Yeom Sang seop's Manse jeon with the aim of identifying how it affects discourses related to nationalism and identity.

An Overview about Treatment of Gestational Diabetes Mellitus: A Short Communication

  • Maqbool, Mudasir;Zehravi, Mehrukh;Maqbool, Rubeena;Ara, Irfat
    • 셀메드
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    • 제11권3호
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    • pp.12.1-12.5
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    • 2021
  • Gestational diabetes mellitus (GDM) has become one of the major public health problems for both mothers and children globally. Internationally, the frequency of excess weight and obesity has risen dramatically in women of childbearing age. There seems to be a greater risk of having GDM in overweight or obese women, resulting in problems during pregnancy, birth and neonatal development. Hospital management is a problem for obese pregnant females with GDM and places extra burdens on the healthcare sector. GDM can result in possible risks to the wellbeing of the mother, fetus, and infant, as well as clinically significant negative effects on the mental health of the mother. For females and their developing babies, diabetes may cause problems during pregnancy. Unsatisfactory diabetes control enhances the risk of complications and other birth related issues during pregnancy. It may also cause a woman to suffer severe complications. Numerous maternal and fetal effects are associated with GDM and multiple detection and management methods are also pursued globally in order to reduce the burden of health. An overview of gestational diabetes treatment is given in this review.

Assessment of the correlation between various risk factors and orofacial cleft disorder spectrum: a retrospective case-control study

  • Cheshmi, Behzad;Jafari, Zahra;Naseri, Mohammad Ali;Davari, Heidar Ali
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.26.1-26.6
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    • 2020
  • Background: Orofacial clefts (OFCs) comprise a wide range of malformations, including cleft lip, cleft palate, and cleft lip with cleft palate, which can vary in terms of etiology, severity, and disease burden. Objective(s): This study aimed to evaluate the correlation between various risk factors and orofacial cleft disorder spectrum in newborns. Study design: A total of 323 cases and 400 controls were enrolled in this study and evaluated in terms of the maternal history of abortion or miscarriage, child's sex, maternal and paternal age, maternal history of systemic disease, history of medication therapy during pregnancy, birth order, consanguineous marriage, and complications during pregnancy. Results: Analysis of the results suggested that consanguineous marriage, a maternal history of abortion/miscarriage, and complications during pregnancy could potentially increase the risk of OFCs in children (P < 0.05). However, the analyses revealed that the other variables could not potentially increase the risk of OFCs (P > 0.05). Conclusion(s): Multiple cofactors may simultaneously contribute to the formation of such abnormalities; therefore, a comprehensive, multidisciplinary care program is necessary to ensure a successful pregnancy period and the birth of a healthy newborn.

저체중 출생아의 심기형 수술의 성적 (The Outcome of Cardiac Surgery in Low Birth Weight Infants)

  • 성시찬;김시호;이영석
    • Journal of Chest Surgery
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    • 제35권6호
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    • pp.430-438
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    • 2002
  • 저체중은 많은 심기형의 수술에 있어 위험인자로 알려져 있다. 이에 저체중 출생환아에 있어서의 동맥관 개존증을 제외한 여러 심기형에 대한 외과적 치료의 결과를 조사하였다. 대상 및 방법: 1994년 9월부터 2002년 2월까지 31명의 저체중 출생아를 대상으로 하였다. 심폐기를 이용한 개심술 환아(OHS군)가 12명, 비개심술환아(CHS군)가 19명이었다. 이들 환아에 대하여 술 후 중단기 성적을 알아보기 위해 환아의 병력지를 기초로 후향적 조사를 시행하였다. 태내주수는 36.9주(32.3∼42 주)였고 수술당시 평균 나이는 32.1일(0∼87 일), 출생시 체중은 1972g(1100∼2500g), 수술시 체중은 2105g(1450∼2500g)으로 OHS군과 CHS군에 차이가 없었다. 심기형은 OHS군에서는 심실중격결손증(VSD) (n=3), VSD와 대동맥궁이상(n=2), 총폐정맥환류이상(n=2), 대혈관전위증(n=2), 동맥간증(truncus arteriosus)(n=2), 삼심방증을 동반한 단심실증(n=1) 등이었고 CHS군은 대동맥축착증(n=7), 활로 4징증(n=3),활로 4징증 및 폐동맥폐쇄증(n=3), 다발성 근성 심실중격결손(n=1), 양대혈관 우심실기시증(n=1), 온전한 심실중격이 폐동맥판폐쇄증(n=2), 삼첨판폐쇄증(n=1), 대혈관전위증 및 다발성 심실중격결손(n=1) 등이었다. 13명(41.9%)의 환아에서 술 전 인공호흡이 필요하였다. 결과: 전체적으로 4례의 조기사망(30일 이내)이 발생하였다. OHS군에서 1례(8.3%), CHS군에서는 3례(15.8%)였다. 이 조기사망의 모든 예가 폐동맥교약술을 한 환아였고 완전교정이 가능하였던 환아나 폐동맥교약술을 제외한 고식적 수술에서는 수술사망이 없었다. 지연흉골봉합이 3례에서 필요하였고 술 후 7일 이상 장기간 인공호흡이 필요하였던 경우가 OHS군과 CHS 군에서 각각 7례로 58.3%, 38.8%의 빈도였다. 만기사망이 3례 발생하였는데 이 중 2례는 심장과 관련이 없는 사망이었다. OHS군 1명에서 술 후 뇌합병증이 발견되었다. 2명을 제외한 모든 생존자에서 현재 NYHA class I의 상태로 성장하고 있다. 결론: 저체중 출생 환아에서의 심기형은 완전교정술이 가능한 경우와 폐동맥교약술을 제외한 고식적 수술이 필요한 경우 낮은 수술사망률로 교정될 수 있었으며 중기성적도 양호하였다. 그러나 술 후 비교적 높은 빈도에서 장기간의 인공호흡이 필요하였다.

다발성 낭종을 동반한 면포 모반 (Nevus Comedonicus with Multiple Cyst)

  • 김유진;홍창일;이종록
    • 대한두개안면성형외과학회지
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    • 제10권2호
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    • pp.135-137
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    • 2009
  • Purpose: Nevus comedonicus is a rare disease involving abnormal development of the pilosebaceous unit, clinically appearing confluent clusters of open comedones. It is characterized by follicular epidermic invaginations filled with keratin, with atrophic pilose or sebaceous structures which are open to the lower pole of the invagination. We report a child with inflammatory pustules and cysts correlated to the nevus comedonicus. Methods: A 15-month-old girl was referred for treatment of a nevus comedonicus that has been developed since birth. There were periodic episodes of erythema and swelling of the plaque. The patient had treated previously with retinoid cream for 2 weeks without obvious benefit at dermatology clinic. We excised the nevus comedonicus with Y-shape leaving some lesions. Results: When we incised skin, we could see multiple large whitish cysts beneath the nevus comedonicus. Histopathologic findings showed deep invagination of epidermis filled with keratin plugs, keratinous cyst in the dermis, rudimentary hair follicle. Conclusion: We treated rare nevus comedonicus with multiple large cysts as surgical excision.

Effects of Progestagen and Pmsg on Estrous Synchronization and Fertility in Kivircik Ewes during Natural Breeding Season

  • Koyuncu, M.;Ozis Alticekic, S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권3호
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    • pp.308-311
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    • 2010
  • An experiment was conducted using indigenous Kivircik ewes to evaluate the effect of intravaginal progestagen sponges, containing 30 mg of fluorogestone acetate (FGA), followed by administration of pregnant mare serum gonadotrophin (PMSG) on inducing synchronized oestrus in the season and fertility. Three times of PMSG administration relative to sponge withdrawal (24 h before (n = 30), at (n = 29) or 24 h after (n= 29)) and two routes of PMSG administration (intramuscular (n = 46) and subcutaneous (n = 42) were compared for estrous response, number of multiple births and fecundity rates. There were no significant differences in terms of estrous response, due to differences in the time and route of PMSG administration. Lambing percentage, proportion of multiple births and fecundity were 75.6, 51.6 and 114.6%, respectively. The administration had a significant effect on lambing (p<0.05), multiple birth and fecundity rates (p<0.01). The subcutaneous administration of PMSG resulted in a significantly higher lambing rate (p<0.05) and fecundity rate (p<0.01), compared to the intramuscular injection of the PMSG.

흉부질환을 병발한 Von Recklinghausen's disease -2예 보고- (Von Recklinghausen's disease involving the chest -Two cases report-)

  • 김치경;박재길;이홍균
    • Journal of Chest Surgery
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    • 제13권2호
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    • pp.149-153
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    • 1980
  • Von Recklinghausen's disease is a systemic hereditary disorder with varied manifestations in bone, soft tissue, nervous system, and skin, the most common of which is the developement of multiple, small, cutaneous tumors with a characteristic histologic picture. Tumors develop after birth and before puberty in most cases, and they increase in number until old age. Malignant neoplasms that complicate multiple neurofibromatosis include gliomas of the optic nerve, astrocytomaas of the cerebral and cerebellar hemispheres, and sarcomas of peripheral nerves (femoral, tibial and intercostal nerves) and somatic soft tissues. Little attention has been paid to the presence of cystic lung disease in association with neurofibromatosis. Currently, most think of thoracic involvement in neurofibromatosis in terms of posterior mediastinal neuroma, pheochrocytoma, meningocele or, less commonly parenchymal pulmonary neurofibromas. Author have experienced 2 cases of Von Recklinghausen's disease. One case developed a hyge malignant Schwannoma in the parietal pleura of left 4th intercostal space and multiple benign neurofibromas (two in intercostal spacees and one in the neck) , and the other has several episodes of pneumothorax resulting from diffuse cystic lung disease which required closed thoracotomy drainage.

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조부모-손자녀 유대관계가 노인부양의식에 미치는 영향 - 전북지역 대학생을 중심으로- (Effect of Grandchildren's Solidarity with Their Grandparents on Caring Attitude for the Elderly)

  • 홍달아기;하근영
    • 한국생활과학회지
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    • 제11권2호
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    • pp.107-121
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    • 2002
  • The purpose of His research was to investigate the effect of grandchildren's solidarity with their grandparents on their caring attitude for the elderly. The participants were 311 college students in Chollabuk-Do province. Such statistical methods as factor analysis, ANOVA, Duncan's multiple range test, t-Test, pearson's correlation analysis, and multiple regression analysis were performed for this research. The results showed that the solidarity with grandparents was significantly different according to the college grade, birth order, mother's and grandparents' educational levels, economic status of grandparent, relationship with parents, and grandparents' ages. It was also found that there were significant differences in the levels of grandchildren's caring attitude for the elderly according to the college grade, occupational status of mother, relationship with parent, parents' educational levels, and family atmosphere. Finally, multiple regression analysis results indicated that grandchildren's caring attitude for the elderly was significantly influenced by grandchildren's affectional and contact solidarity with grandparents, relationship with parent, and grandparents' economic status.

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동물(젖소) 건강 Monitoring System 모델 개발 III. 목장에서 빈발하는 질병의 비용 평가 (Development of a Model for a National Animal Health Monitoring System in Gyeongnam III. Cost Estimates of Selected Dairy Cattle Diseases)

  • 김종수;김용환;이효종;김곤섭;김충희;박정희;하대식;최민철
    • 한국임상수의학회지
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    • 제16권2호
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    • pp.428-438
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    • 1999
  • A study was conducted to estimate cost of major dairy cattle diseases. Forty (n=40) of the 167 dairy herds in Gyeongnam (Chinju) area were stratified and selected randomly for participation in the national animal health monitoring system. Gyeongsnag University veterinarians, Gyeongnam Livestock Promotion Institute veterinarians and clinic veterinarian visited each herd once a month for a total periods of 12 months. At a each visit data on disease, production, management, finance, treatments, preventive activities, animal events, and any other relevant events were collected. Monthly and annual cost estimates of disease treatment were in computed in each herd and stratum(including cost of prevention). Results were expressed as cost per head and given separately for cows, young stock, and calves. In cows, the most expensive seven diseases entities (from the most to the least) were : (1) clinical mastitis; (2) breeding problems; (3)gastrointestinal problems; (4) multiple system problem; (5) birth problems; (6) metabolic/nutritional disease; (7) lameness. In young stock, the most costly disease were the multiple system problems, breeding problems, respiratory disease, gastrointestinal disease, and lameness. In calves, the most costly disease problems were gastrointestinal problems, respiratory disease, integumental, multiple system problems, and metabolic/nutritional problems.

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