• 제목/요약/키워드: twins

검색결과 293건 처리시간 0.029초

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.

에너지 디지털 트윈을 위한 요구사항 분석 및 AAS 설계 (Requirments Analysis and AAS Design for Energy Digital Twin)

  • 박기식;오성진;강창구;성인모
    • 스마트미디어저널
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    • 제9권4호
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    • pp.109-117
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    • 2020
  • 최근 디지털 트윈은 제4차 산업혁명의 도래와 더불어 물리적 시스템과 사이버 시스템을 연계하고 통합하는 중요한 기술로 부각되고 있다. 본 논문에서는 에너지 분야의 전력기자재 디지털 트윈화를 위하여 필요한 디지털 트윈화의 절차에 따른 요구사항을 분석하고, 또한 이러한 디지털 트윈을 구축하기 위한 핵심 구성요소라 할 수 있는 인더스트리 4.0 기반의 AAS(Asset Administration Shell)의 개념과 기능 및 특성 분석을 기반으로 구체적인 설계를 하였다. 하지만, 아직까지는 국내·외 적으로 디지털 트윈구현을 위한 공통된 플랫폼이나 실증 모델에 관해서는 많은 연구가 이루어 지지 못하고 있는 상황이므로, 본 논문에서는 에너지 분야의 전력기자재 디지털 트윈화를 염두에 두고 디지털 트윈 플랫폼 구축하는데 필요한 핵심 요구사항을 분석하고, 실제 디지털 트윈을 구축함에 있어서 핵심적 역할을 수행하게 될 AAS의 기능과 특성을 기반으로 실제로 전력기자재를 대상으로한 AAS의 설계를 함으로써 향후 스마트 에너지 디지털 트윈을 구축 및 실증을 위한 절차와 구체적 기능들을 제시하고자 하였다.

일란성 쌍생아에서 혈액 및 종양 질환 치료 후 성장 및 정신신경학적 발달에 대한 비교연구 (Comparison of growth and neuropsychological function after treatment for hematologic and oncologic diseases in monozygotic twins)

  • 김기환;국훈;백희조;한동균;송은송;조영국;최익선;김영옥;김찬종;우영종;양수진;황태주
    • Clinical and Experimental Pediatrics
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    • 제50권2호
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    • pp.182-189
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    • 2007
  • 목 적: 소아에서 혈액 및 종양질환 치료가 성장 및 신경정신기능에 미치는 영향을 알아보고자 본 연구를 시행하였다. 본 연구에서는 대조군을 일란성 쌍생아로 하여 여기에 영향을 주는 많은 인자들은 배제하였다. 방 법: 1995년 1월부터 2005년 6월까지 전남대학교병원 소아과에서 혈액 및 종양질환으로 치료받은 일란성 쌍생아 7명을 대상으로 하였다[급성 림프구성 백혈병, n=2; DBA, n=2; 중증 재생불량성 빈혈, n=3]. 이들의 진단 시 정중 연령은 5.2세(0.3-15세)이었고, 정중 관찰기간은 7.2년(4.9-10년)이었다. 대조군은 건강한 일란성 쌍생아 형제이었고, DBA를 가진 쌍생아는 1살 어린 동성의 동생을 대조군으로 사용하였다. 환자에게서 신장, 체중을 반복적으로 측정하여, 백분위수 통로를 평가하였다. 인지기능은 K-WISC III를 이용하였는데, 5쌍에서 비교가 가능하였다. 결 과: 성장은 환자와 건강한 쌍생아 간에 비슷한 양상을 보였다. 진단 시 3명의 환자에서 3-10 백분위수, 2명에서 25-50 백분위수, 그리고 나머지 2명에서는 50-75 백분위수를 보였다. 비만아가 된 1명을 제외하고 나머지 환자들은 추적관찰기간 동안 자신의 백분위수 통로를 유지하였다. IQ 검사 결과를 보면 행동성, 언어성, 전체 지능 지수의 평균치는 각각 88.0, 93.8과 89.8이었고, 대조군에서는 각각 92.2, 97.0과 91.8로 차이가 없었다. 하지만 급성 림프구성 백혈병으로 치료받은 두 명의 환아는 부분적 인지기능 저하가 나타났으며 그 중 방사선조사를 받은 환아에서는 인지기능 저하 외에도 심리적 장애인 주의력결핍 과다행동증후군이 나타났다. 결 론: 신장과 체중으로 본 성장은 환자나 일란성 쌍생아 형제나 비슷한 소견을 보였다. 환자의 IQ 지수는 쌍생아 대조군과 비슷하였다. 하지만 중추신경계 예방요법을 시행한 백혈병 환자에서는 IQ 지수가 낮아 질 수 있었다. 이러한 치료가 성장 및 정신신경 기능에 미치는 연관성을 정확히 알기 위해서는 더 많은 쌍생아에서의 전향적 연구가 필요할 것이다.

Gestation length in Holstein cow depends on the number and sex of fetuses

  • Jeon, Ryoung-Hoon;Rho, Gyu-Jin
    • 대한수의학회지
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    • 제59권4호
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    • pp.181-185
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    • 2019
  • The traditional calculation of gestation length (GL) in Holstein cows relies solely on the insemination day and has a high error rate for actual calving dates. The present study was conducted to develop a more accurate method of estimating GL. Among 3,578 Holstein cows, the number of fetuses had a significant (p < 0.05) effect, with GLs of 282.4 ± 2.5 days for singletons and 276.0 ± 1.6 days for twins. Within the singleton group, the GLs were 284.6 ± 1.9 days for males and 280.3 ± 1.5 days for females, a significant difference (p < 0.05). However, within the twin group, there was no difference in GLs among twin males, twin females, or twins of both sexes. Gestation was significantly shorter for singleton males born from June to August but significantly longer for twin males born in the May to June period (p < 0.05). Neither parity nor housing type was associated with any significant difference in GL. In order to predict the calving dates of Holstein cows accurately and improve their management, calculations should consider the number and sex of fetuses as well as the insemination season.

오스테나이트계 Fe-25Mn-Al-0.5C강의 피로성질에 미치는 Al 첨가의 영향 (Effect of Al Addition on Fatigue Properties of Austenitic Fe-25Mn-Al-0.5C steels)

  • 도정호;전채홍;권숙인
    • 열처리공학회지
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    • 제11권4호
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    • pp.274-282
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    • 1998
  • The effect of Al addition on the fatigue properties of austenitic Fe-25Mn-Al-0.5C steels was studied. When Al was not added to the Fe-25Mn 0.5C steel, the strain induced ${\varepsilon}$ martensites, deformation twins and slip bands were formed during fatigue deformation. When 2wt% of Al was added to the steel, the deformation twins and slip bands were formed during fatigue deformation. When 5wt% of Al was added, only slip bands were formed. In low cycle fatigue test, the alloys containing 0wt% and 2wt%Al showed the cyclic hardening due to ${\varepsilon}$ martensites and deformation twins, resulting in shorter fatigue lives than the alloy containing 5wt%Al. In fatigue crack propagation test, the alloy without Al showed the highest crack propagation rate. The fracture surface of the alloy without Al was flat, whereas that of the alloy with 2% or 5%Al was rough. The ${\Delta}K_{th}$, values of the alloys with 0%, 2% and 5%Al were 16, 17.5, and $20.5MPam^{1/2}$, respectively.

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Severe calcified stylohyoid complex in twins: a case report

  • Kim, Jo-Eun;Min, Jung-Hyun;Park, Hae-Rang;Choi, Bo-Ram;Choi, Jin-Woo;Huh, Kyung-Hoe
    • Imaging Science in Dentistry
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    • 제42권2호
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    • pp.95-97
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    • 2012
  • The styloid process is a cylindrical, long cartilaginous bone located on the temporal bone. The calcified stylohyoid ligament and elongated styloid process can be identified radiographically, and they are associated with a number of syndromes and symptoms. The exact cause of the styloid process elongation due to calcification and subsequent ossification of ligament is unclear. This report presents a case of severely calcified stylohyoid ligament complex occurred in twins who have the same pattern of calcification.

Influence of heritability on craniofacial soft tissue characteristics of monozygotic twins, dizygotic twins, and their siblings using Falconer's method and principal components analysis

  • Song, Jeongmin;Chae, Hwa Sung;Shin, Jeong Won;Sung, Joohon;Song, Yun-Mi;Baek, Seung-Hak;Kim, Young Ho
    • 대한치과교정학회지
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    • 제49권1호
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    • pp.3-11
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    • 2019
  • Objective: The purpose of this study was to investigate the influence of heritability on the craniofacial soft tissue cephalometric characteristics of monozygotic (MZ) twins, dizygotic (DZ) twins, and their siblings (SIB). Methods: The samples comprised Korean adult twins and their siblings (mean age, 39.8 years; MZ group, n = 36 pairs; DZ group, n = 13 pairs of the same gender; and SIB group, n = 26 pairs of the same gender). Thirty cephalometric variables were measured to characterize facial profile, facial height, soft-tissue thickness, and projection of nose and lip. Falconer's method was used to calculate heritability (low heritability, $h^2$ < 0.2; high heritability, $h^2$ > 0.9). After principal components analysis (PCA) was performed to extract the models, we calculated the intraclass correlation coefficient (ICC) value and heritability of each component. Results: The MZ group exhibited higher ICC values for all cephalometric variables than DZ and SIB groups. Among cephalometric variables, the highest ${h^2}_{(MZ-DZ)}$ and ${h^2}_{(MZ-SIB)}$ values were observed for the nasolabial angle (NLA, 1.544 and 2.036), chin angle (1.342 and 1.112), soft tissue chin thickness (2.872 and 1.226), and upper lip thickness ratio (1.592 and 1.026). PCA derived eight components with 84.5% of a cumulative explanation. The components that exhibited higher values of ${h^2}_{(MZ-DZ)}$ and ${h^2}_{(MZ-SIB)}$ were PCA2, which includes facial convexity, NLA, and nose projection (1.026 and 0.972), and PCA7, which includes chin angle and soft tissue chin thickness (2.107 and 1.169). Conclusions: The nose and soft tissue chin were more influenced by genetic factors than other soft tissues.

마그네슘의 진동감쇠능에 미치는 냉각 속도의 영향 (Effect of Cooling Rate on Damping Capacity of Magnesium)

  • 전중환
    • 열처리공학회지
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    • 제30권6호
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    • pp.258-263
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    • 2017
  • The effect of cooling rate on the damping capacity of pure Mg was studied. Two Mg samples with different cooling rates were prepared by heat treatment at 873 K for 24 h, followed by water quenching and by furnace cooling to room temperature, respectively. The average grain sizes of the Mg samples were almost identical regardless of the cooling rate, but more twins were observed in the sample with faster cooling rate. The calculated vacancy fraction was higher in the fast cooling sample than the slow cooling one. It is noted that the fast cooling sample exhibited lower damping capacity both in the strain-amplitude independent and strain-amplitude dependent regions. Higher values of vacancy concentration and number density of twins in the fast cooling sample are considered to be responsible for the deteriorated damping capacity in the strain-amplitude independent and strain-amplitude dependent regions, respectively.

오스테나이트계 고망간강에서 인장 특성과 피로거동에 미치는 변형유기상의 영향 (The Effect of Deformation Induced Phase on Tensile Properties and Fatigue Behavior of Austenitic High Mn steel)

  • 최상민;권숙인
    • 열처리공학회지
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    • 제7권4호
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    • pp.277-287
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    • 1994
  • The effect of grain size on the tensile properties and fatigue behavior of austenitic high Mn steel has been investigated. The recrystallized austenite grain size of the cold rolled high Mn steel was increased as the annealing temperature increased from $600^{\circ}C$ to $1000^{\circ}C$. Larger austenite grain size decreased the yield strength and the tensile strength, and increased the uniform elongation due to transformation of some austenite into twins or E-martensite phase during deformation. Austenite grain refinement increased the tendency to form dislocation cells, instead. The specimen annealed at $1000^{\circ}C$ with large grain size showed lower fatigue crack propagation rate in low ${\Delta}K$ region due to rougher fracture surface caused by formation of deformation twins during fatigue at the crack tip region.

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{10ī2} 쌍정 특성이 AZ31 마그네슘 합금 압연재의 변형거동에 미치는 영향 (Effect of {10ī2} Twinning Characteristics on the Deformation Behavior of Rolled AZ31 Mg Alloy)

  • 박성혁;홍성구;이정훈;이종수
    • 소성∙가공
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    • 제19권7호
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    • pp.416-422
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    • 2010
  • The $\{10\bar{1}2\}$ twinning characteristics, such as active twin variants, volume fraction of twins with strain, twin morphology, twin texture and angle relationship between twins, were dependent on the activation mode (i.e., tension parallel to the caxis or compression perpendicular to the c-axis). The selection criterion of active twin variants was governed by the Schmid law. This activation of selected twin variants depending on the activation mode consequently caused a totally different plastic deformation behavior in two activation modes. The differences in the deformation characteristics, such as flow stress and work hardening rate, between both activation modes were explained in relation with activation stresses for slips and twinning, relative activities of twinning and slips during plastic deformation, grain refining effect by twin boundaries (Hall-Petch effect), and twinning-induced change in activities of slips.