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A Comparisonison of Primiparas' Perception of Delivery Experience and Identity as the Mother According to Delivery Methods (분만유형에 따른 초산모의 분만경험 지각과 어머니로서의 정체감비교)

  • Cho, Sun-Young;Koh, Hyo-Jung
    • Women's Health Nursing
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    • v.5 no.1
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    • pp.5-20
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    • 1999
  • This study was conducted to examine primiparas' perception of delivery experience and identity as the mother("Myself as the Mother" and "My Baby") according to delivery methods such as normal delivery and cesarean section. The result of this study summarized as follows. 1. The primiparas' perception of delivery experience according to delivery methods showed that the primipars who had normally delivered perceives the delivery experience more positively than those by cesarean section(t=4.88, p=0.000). This fact supported hypothesis 1 that "the primiparas group by normal delivery should perceive the delivery experience more positively that by cesarean section." 2. The primiparas who had delivered by cesarean section were more positive in the SD-Self score than those who had normally delivered at the time when four weeks passed after delivered, and there was a significant difference(t=-4.21, p\0.000). Therefore, hypothesis 2-1 that "the primiparas group who had normally delivered should be more positive in the SD-Self 1-2 days and 4 weeks after delivery than one who delivered by cesarean section" was rejected. 3. It was shown that the primiparas who had delivered normally were more positive in the SD-Baby 1-2 days 4 weeks after delivery than those who delivered by cesarean section(after-delivery 1-2 days : t=3.10, p=0.002 and after-delivery 4 weeks : t=2.15, p=0.034). Based on this fact, hypothesis 2-2 that "the primiparas group who had delivered normally should be more positive in the SD-Baby 1-2days and 4 weeks after delivery than those who had delivered by cesarean section"was supported. 4. Primiparas who had delivered by cesarean section appeared to have a positive identity as the mother by showing a more significant difference (t=7.96, p=0.000) 4 weeks after delivery than 1-2 days after delivery. In conclusion, we see that primiparas' perception of delivery experience and identity as the mother were different according to delivery methods. Thus, it is required to devise a nursing in tervention strategy to expand support from the health care system and opportunities to provide pre. post-delivery programs so that primiparas can have a positive perception of delivery experience and a positive identity as the mother. Based on conclusion stated above, the following suggestions are made. 1. As this study compared the perception of delivery experience and identity as the mother between prmiparas who had delivered normally and ones who had delivered by cesarean section, the further study on comparison between multiparas who had delivered normally and ones who had delivered by cesarean section is needed. 2. According to the results of this study, longitudinal study is needed to examine the difference and change in the formation of maternal identity. 3. According to the result of this study, a study is also needed to determine interaction between time for maternal identity and delivery methods.

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The Yields of Volume, Thiamin and Riboflavin from the Milk of Cesarian-Section Women, and Their Ingestion in Infants (제왕절개 분만 수유부의 모유, 티아민, 리보플라빈의 분비량과 영아의 섭취량)

  • 김을상
    • Journal of Nutrition and Health
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    • v.32 no.1
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    • pp.83-89
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    • 1999
  • The present study was conducted to investigate the yields of volume, thiamin and riboflavin from the milk of twenty-five Cesarean-section women, and their ingestion in infants. We measured the consumed volume of human milk of infants by the test-weighing method, and thiamin riboflavin contents were determined by fluorescence spectroscopy during the first 7 days postpartum. Thiamin contents of the milk averaged 24.3, 24.0, 27.4 and 30.2ug/100g. Thiamin and riboflavin contents of the milk both increased during the lactation ps mod(p<0.05). The first secretion of breast milk occurred from the 4th to 5th day postpartum in Cesarean-section women. The consumed volume of human milk was 63, 81, 104 and 133g/day at 4, 5, 6 and 7 days postpartum and the consumed volume of formula milk was 58, 176, 292, 323, 308, 321 and 318g/day at 1, 2, 3, 4, 5, 6 and 7 days postpartum and the consumed volume of formula from the human and formula milk were 26.6, 91.0, 151.0, 172.5, 169.2, 175.9 and 172.9ug/day. Total daily riboflavin ingestion from the human and formula milk were 26.6, 91.0, 151.0, 172.5, 169.2, 175.9 and 172.9ug/day. Total daily riboflavin ingestion from the human and formula milk was 48.7, 166.8, 277.6, 318.2, 312.0, 327.0 and 335.7ug/day at 1, 2, 3, 4, 5, 6 and 7 postpartum. These results suggest that the milk secretion of Cesarean-section women is delayed a few days and the yield volume of milk is less than that of normal delivery women, but thiamin and riboflavin contents of the milk are not different from those of milk of normal-delivery women.

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Idiopathic Atrial Standstill in an Old English Sheepdog Cross Dog (Old English Sheepdog Cross Dog에서의 특발성 심방정지)

  • Suh, Sang-il;Choi, Ran;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.330-333
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    • 2015
  • An 1 year old intact male mixed dog (weighing 20 kg) was presented with primary complaints of abdominal distension and severe exercise intolerance. Electrocardiogram found profound bradycardia (46-79 beats/min) with atrial standstill. Laboratory studies found no particular abnormalities. Serum cortisol and T4 concentration were within normal range. Diagnostic imaging studies revealed generalized cardiomegaly, ascites, dilation in all cardiac chambers, absence of atrial contraction, absence of transmitral A-peak, mitral and tricuspid valve insufficiency and normal left ventricular systolic dimension. Based on diagnostic findings, the case was diagnosed as idiopathic atrial standstill. The dog was treated with conventional therapy for heart failure.

Primiparas만 Perceptions of Their Delivery Experience and Their Maternal-Infant Interaction : Compared According to Delivery Method (초산모의 분만유형별 분만경험에 대한 지각과 모아상호작용 과정에 관한 연구)

  • 조미영
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.153-173
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    • 1990
  • One of the important tasks for new parents. especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the healthy development of the child and the wellbeing of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. This study examined the relationships between primiparas pereptions of their delivery experience and their maternal infant interaction. It compared to delivery experience of mothers having a normal vaginal delivery with those having a casearean section. The purpose was to explore the relationships between the mother's perceptions of her delivery experience with her maternal infant interaction. The aim was to contribute to the development of theoretical understanding on which to base care toward promoting the quality of maternal-infant interaction. Data were collected directly by the investigator and a trained associate from Dec. 1, 1987 to March 8, 1988. Subjects were 3 random sample of 62 mothers, 32 who had a normal vaginal delivery and 30 who had a non-elective cesarean section (but without other perinatal complications) at three general hospitals in Seoul. Instruments used were the Stainton Parent -infant Interaction Scale(1981) and the Marut and Mercer Perception of Birth Scale(1979). The first observations were made in the delivery room (for vaginally delivered mothers only), followed by day 1, day 2, day 3, and 2 weeks, 4 weeks, 6 weeks and 8 weeks after birth, for a total of 7-8 contacts(Cesarean section mothers were observed on days 4 and 5 but the data not used for analysis). Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was done by computer using as SPSS program and indulded X² test, paired t-test, t-test, and Pearson Correlation coefficient ; the results were as follows. 1. Mothers who had a normal vaginal delivery tended to perceive the delivery experience more positively than cesarean section mothers(p=0.002). The finding supported the hypothesis I that perception of delivery would vary according to the method of delivery. Mothers' perceptions of birth were classified into three dimensions, labor, delivery and the bady. There was a significantly different and positive perception by the vaginally delivered mothers to the delivery experience(p=0.000) but no differences for labor or the bady according to the delivery method(p=0.096, p=0.389), 2. Mothers who had a normal vaginal delivery had higher average maternal-infant interaction scores(p=0.029) than mothers who had a cesarean section. There were similar higher scores for the 1st day(p=0.042), 2nd day (p=0.009), and the 3rd day(p=0.006) after delivery but not for later times. The findings supported the hypothesis Ⅱ that there would be differences in maternal-infant interaction for mothers having vaginal and cesarean section deliveries. However these differences deccreased section deliveries. However these differences decreased over time . by eight weeks the scores for vaginal delivery mothers averaged 8.1 and for cesarean section mothers, 7.9. 3. The more highly positive the pereption of the delivery experience, the higher the maternal-infant interaction score for all subjects(F=.3206, p=.006). The findings supported the hypothesis Ⅲ that there would be correlations between perceptions of delivery and maternal-infant interaction. The maternal infant interaction was highest when the perception of the bady and deliery was positive(r=.4363, p=.000, r=.2881, p=.012). No correlations between perceptions of labor and maternal-infant interaction were found(p=0.062). 4. The daily maternal-infant interaction score for the initial contact after birth to 8 weeks postpartum had the lowest average score 5.20 and the highest 7.98(in a range of 0-10). This subjects group of mothers needed nursing intervention to promote their maternal- infant interaction. The daily scores for the maternal-infant over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day(p=0.000) and from the fourth to sixth weeks after birth(P=0.000). 5. When the eight items of maternal-infant interaction were evaluated separately, “Expresses feelings about her role as mother” had the highest average score, 1.64(ina range of 0-3)and “Speaks to baby” the lowest, 0.9. All items, with the possible exception of “Expresses feelings about her role as mother”, suggested the subjects' need of nursing intervention to promote maternal-infant interaction. 6. There were positive correlations between certain general charateristis, namely, both a higher economic status(p=0.002) and breast feeding(p=0.202) and maternal - infant interaction. There were positive correlations between a mother's confidence in her role as a mother and the perception of the birth experience(p=0.004). For mothers who had a cesarean section, a positive perception of the birth experience was related to the duration of her marriage(p=0.010), a wanted pregnancy (P=0.030) and her confidence in her role as a mother(p=0.000). Pereptions of birth for mothers who had a normal vaginal delivery were positive than those for mothers who had a cesarean section. The level of maternalinfant interaction for mothers delivered vaginally was higher than for cesarean section mothers. The relationship between perception of birth and materanalinfant interaction was confirmed. Cesarean section has an impact on the mother's perceived experience of birth which, in turn, is positively related to maternal-infant in turn, is positively related to maternal-infant interaction. Nursing intervention to enhance maternal-infant interaction should begin in prenatal classes with an exploration of the potential impact of cesarean section on the perceptions of the birth experience and continue throughout the perinatal and post-natal periods to promote the mother's ability to control with this crisis experience and to mobilize social support. Nursing should help transform a relatively negatively perceived experience into an accepted, positively perceived and self affirming experience which enhances the maternal-infant relationship.

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Shear lag effects on wide U-section pre-stressed concrete light rail bridges

  • Boules, Philopateer F.;Mehanny, Sameh S.F.;Bakhoum, Mourad M.
    • Structural Engineering and Mechanics
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    • v.68 no.1
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    • pp.67-80
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    • 2018
  • Recently, U-section decks have been more and more used in metro and light rail bridges as an innovative concept in bridge deck design and a successful alternative to conventional box girders because of their potential advantages. U-section may be viewed as a single vent box girder eliminating the top slab connecting the webs, with the moving vehicles travelling on the lower deck. U-section bridges thus solve many problems like limited vertical clearance underneath the bridge lowest point, besides providing built-in noise barriers. Beam theory in mechanics assumes that plane section remains plane after bending, but it was found that shearing forces produce shear deformations and the plane section does not remain plane. This phenomenon leads to distortion of the cross section. For a box or a U section, this distortion makes the central part of the slab lagging behind those parts closer to the webs and this is known as shear lag effect. A sample real-world double-track U-section metro bridge is modelled in this paper using a commercial finite element analysis program and is analysed under various loading conditions and for different geometric variations. The three-dimensional finite element analysis is used to demonstrate variations in the transverse bending moments in the deck as well as variations in the longitudinal normal stresses induced in the cross section along the U-girder's span thus capturing warping and shear lag effects which are then compared to the stresses calculated using conventional beam theory. This comparison is performed not only to locate the distortion, warping and shear lag effects typically induced in U-section bridges but also to assess the main parameters influencing them the most.

A Study on the Headway bewteen Dongdaegu and Busan by block system length (폐색 구간 길이에 따른 동대구-부산간 운전 시격 연구)

  • Kim, Yong-Kyu;Yang, Doh-Chul;Kim, Jong-Ki
    • Proceedings of the KIEE Conference
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    • 2002.07b
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    • pp.1292-1294
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    • 2002
  • In this study, the block section length of the given area has been analyzed to improve the headway which caused by the mixed operation of high speed trains and normal trains on the electrified railway of Dongdaegu to Busan. After establishing the average length of block section and the adjustable average length of block section of Dongdaegu to Busan, it is possible to perform the headway simulation regarding the signal system based on the established length. Although high speed trains as well as low speed trains including freight trains operate together, the experimental results indicate that the modification of the block section length shows the possibility of the improvement of headway.

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Deformation-Based Shear Strength Model for Slender Reinforced Concrete Beams (세장한 철근콘크리트 보의 병형기초 전단강도 모델)

  • Choi Kyoung-Kyu;Park Hong-Gun;Wight James K
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.05a
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    • pp.391-394
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    • 2005
  • A theoretical model was developed to predict the shear strength of slender reinforced concrete beams. The shear force applied to a cross-section of the beam was assumed to be resisted primarily by the compressive zone of intact concrete rather than by the tensile zone. The shear capacity of the cross section was defined based on the material failure criteria of concrete: failure controlled by compression and failure controlled by tension. In the evaluation of the shear capacity, interaction with the normal stresses developed by the flexural moment in the cross section was considered. In the proposed strength model, the shear strength of the beam and the location of the critical section were determined at the intersection between the shear capacity and shear demand curves. The proposed strength model was verified by the comparisons to prior experimental results.

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Numerical study of flow of Oldroyd-3-Constant fluids in a straight duct with square cross-section

  • Zhang, Mingkan;Shen, Xinrong;Ma, Jianfeng;Zhang, Benzhao
    • Korea-Australia Rheology Journal
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    • v.19 no.2
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    • pp.67-73
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    • 2007
  • A finite volume method (FVM) base on the SIMPLE algorithm as the pressure correction strategy and the traditional staggered mesh is used to investigate steady, fully developed flow of Oldroyd-3-constant fluids through a duct with square cross-section. Both effects of the two viscoelastic material parameters, We and ${\mu}$, on pattern and strength of the secondary flow are investigated. An amusing sixteen vortices pattern of the secondary flow, which has never been reported, is shown in the present work. The reason for the changes of the pattern and strength of the secondary flow is discussed carefully. We found that it is variation of second normal stress difference that causes the changes of the pattern and strength of the secondary flow.

Coriolis Coupling Influence on the H+LiH Reaction

  • Zhai, Hongsheng;Li, Wenliang;Liu, Yufang
    • Bulletin of the Korean Chemical Society
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    • v.35 no.1
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    • pp.151-157
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    • 2014
  • We have reported the reaction probability, integral reaction cross section, and rate constant for the title system calculated with the aid of a time-dependent wave packet approach. The ab initio potential energy surface (PES) of Prudente et al. (Chem. Phys. Lett. 2009, 474, 18) is employed for the purpose. The calculations are carried out over the collision energy range of 0.05-1.4 eV for the two reaction channels of H + LiH ${\rightarrow}$ Li + $H_2$ and $H_b$ + $LiH_a$ ${\rightarrow}$ $LiH_b$ + $H_a$. The Coriolis coupling (CC) effect are taken into account. The importance of including the Coriolis coupling quantum scattering calculations are revealed by the comparison between the Coriolis coupling and the centrifugal sudden (CS) approximation calculations.

Kidney Transplantation in End-Stage of Renal Failure with Secondary Hyperparathyroidism (속발성 부갑상선 기능항진증을 동반한 말기 신부전의 치료를 위한 신장이식)

  • Kwak, Ho-Hyun;Nam, Hyun-Suk;Kim, Yun-Tai;Park, In-Chul;Han, Jeong-Hee;Woo, Heung-Myong
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.522-528
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    • 2007
  • A 3-year-old male Maltese dog(weighing 2.5 kg) was referred with an excessive movement of mandible and depression. Comprehensive diagnostic investigation revealed an end-stage of renal disease with secondary hyperparathyroidism. The renal allograft was performed after the condition of dog was stabilized by hemodialysis and medical treatment. After transplantation, the renal function of this dog was returned to normal. thereafter, the dog died suddenly without apparent clinical signs. The subsequent pathological studies revealed the actual etiology of death was not clearly identified However acute pancreatitis caused by abrupt introduction of food after prolonged luting might be involved in the etiology. This case study showed the necessity of pancreatic function test in postoperative management after renal transplantation.