scholarly journals PROFIL PERSALINAN KEHAMILAN KEMBAR DI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE 01 JANUARI 2010 – 31 DESEMBER 2011

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Angelina Tuange ◽  
Hermie M. M. Tendean ◽  
Freddy W. Wagey

Abstract: Background: Twin pregnancies is the pregnancies with two fetues or more. Nation, heredity, age and parity of mother are all factors affecting twin pregnancies. The main factors that increase the the possibilities of multiple pregnancy is the treatment of infertility. This study uses a retrospective descriptive through medical records at BLU RSUP Prof. Dr. R. D. Kandou in period January 01, 2010 – December 31, 2011. Conclusion: It is already found 97 cases of twin pregnancy deliveries from 7265 total deliveries. There are 85 cases with a history af multiple pregnancies in the family. Best mode of delivery by Sectio Caesarea as many as 47 cases. Perinatal mortality still occur due to complications and complications that occur during labor. Complications can occur at any time, so it is important with the availability of doctor who are experienced in handling complications of twin pregnancies, to produce the maximum infant output and minimize morbidity and mortality. Keyword: Maternity of twin pregnancies, number of incidence Abstrak: Latar belakang: Kehamilan kembar adalah kehamilan dengan dua janin atau lebih. Bangsa, hereditas, umur, dan paritas ibu merupakan faktor-faktor yang mempengaruhi kehamilan kembar. Faktor utama yang meningkatkan kemungkinan terjadinya kehamilan kembar adalah terapi infertilitas. Penelitian ini menggunakan metode retrospektif deskriptif melalui rekam medik di BLU RSUP Prof. Dr. R. D. Kandou periode 01 Januari 2010 – 31 Desember 2011. Simpulan: Ditemukan 97 kasus persalinan kehamilan kembar dari 7265 total persalinan. Paling banyak ditemukan pada umur 21 – 25 tahun. Terdapat 85 kasus yang memiliki riwayat kehamilan kembar dalam keluarga. Cara persalinan yang paling banyak dengan cara Seksio Sesarea sebanyak 47 kasus. Angka kematian perinatal masih saja terjadi disebabkan oleh komplikasi dan penyulit yang terjadi saat persalinan. Komplikasi dapat terjadi kapan saja, sehingga sangat penting akan tersedianya dokter yang berpengalaman dalam penanganan komplikasi dari kehamilan kembar untuk menghasilkan luaran bayi yang maksimal dan meminimalkan morbiditas dan mortalitas. Kata kunci: Persalinan kehamilan kembar, angka kejadian

2019 ◽  
Vol 12 (5) ◽  
pp. 49
Author(s):  
Zamira Gashi Shatri ◽  
Jeton Shatri

Adolescence is a critical age of change and experiencing, so the influence of social factors in it is very important. The main focus of this research is precisely the elaboration of a negative phenomenon that is very expressed to Kosovar youth, such as smoking. The purpose of the paper is to present how much smoking is present, the factors that influence how much they are aware of the damage they cause, and to make a comparison between the students of two high schools about smoking. Quantitative research was conducted in two high schools in Kosovo including students aged 15-18, both sexes. The realization of the research is done directly with the students. We used the method of theoretical analysis, comparative method and statistical method, as well as questionnaire technique. The main factors affecting smoking are the society, the family, and the personal, also other problems. Based on our research, we can say that this phenomenon is not as worrying as a small number of people consume smoking dominating more males than females. The family (parents) according to them are the main responsibility for preventing this negative phenomenon, then health services, and fewer schools and society.


2007 ◽  
Vol 36 (2) ◽  
pp. 37-42 ◽  
Author(s):  
Sima Ajami ◽  
Saeedeh Ketabi

Strategies for improving the patient discharge process have a beneficial effect on many hospital activities. The main objective of this research was to analyse the discharge process at Kashani Hospital in Esfahan, Iran in the fall of 2004. This study took the form of a case study in which data were collected by questionnaire, observation and checklist. SPSS and Operations Research (O.R.) methods were used to analyse data. The results showed that the average time for patients to complete the discharge process was 4.93 hours. The hospital personnel involved identified the main factors affecting average waiting time as patients' financial problems and distance between different wards. The longest hospital stay was 5.7 days in the Neurology ward. Findings showed there was a queue in completing medical records at the nursing and medical equipment stations.


2010 ◽  
Vol 17 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Katarzyna J. Chwedorzewska

ABSTRACTThe geographic position, astronomic factors (e.g. the Earth’s maximum distance from the Sun during winter), ice cover and altitude are the main factors affecting the climate of the Antarctic, which is the coldest place on Earth. Parts of Antarctica are facing the most rapid rates of anthropogenic climate change currently seen on the planet. Climate changes are occurring throughout Antarctica, affecting three major groups of environmental variables of considerable biological significance: temperature, water, UV-B radiation.Low diversity ecosystems are expected to be more vulnerable to global changes than high diversity ecosystems


2020 ◽  
Vol 16 ◽  
Author(s):  
Yu-Wei Cui ◽  
Liang-Yu Chen ◽  
Xin-Xin Liu

Abstract:: Thanks to their excellent corrosion resistance, superior mechanical properties and good biocompatibility, titanium (Ti) and Ti alloys are extensively applied in biomedical fields. Pitting corrosion is a critical consideration for the reliability of Ti and Ti alloys used in the human body. Therefore, this article focuses on the pitting corrosion of Ti and Ti alloys, which introduces the growth stages of pitting corrosion and its main influencing factors. Three stages, i.e. (1) breakdown of passive film, (1) metastable pitting, and (3) propagation of pitting, are roughly divided to introduce the pitting corrosion. As reviewed, corrosive environment, applied potential, temperature and alloy compositions are the main factors affecting the pitting corrosion of Ti and Ti alloys. Moreover, the pitting corrosion of different types Ti alloys are also reviewed to correlate the types of Ti alloys and the main factors of pitting corrosion. Roughly speaking, β-type Ti alloys have the best pitting corrosion resistance among the three types of Ti alloys.


SAGE Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 215824402198925
Author(s):  
Isidoro Guzmán-Raja ◽  
Manuela Guzmán-Raja

Professional football clubs have a special characteristic not shared by other types of companies: their sport performance (on the field) is important, in addition to their financial performance (off the field). The aim of this paper is to calculate an efficiency measure using a model that combines performance (sport and economic) based on data envelopment analysis (DEA). The main factors affecting teams’ efficiency levels are investigated using cluster analysis. For a sample of Spanish football clubs, the findings indicate that clubs achieved a relatively high efficiency level for the period studied, and that the oldest teams with the most assets had the highest efficiency scores. These results could help club managers to improve the performance of their teams.


Processes ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 741
Author(s):  
Doinita-Roxana Cioroiu Tirpan ◽  
Ancaelena Eliza Sterpu ◽  
Claudia Irina Koncsag ◽  
Alina Georgiana Ciufu ◽  
Tănase Dobre

The aim of this study is to evaluate the potential of dried Cystoseira barbata alga for ethanol production through alcoholic fermentation. The influence of the main factors affecting the fermentation are studied in the frame of a 23 factorial experimental plan. The main factors influencing the process are the fermentation temperature (t from 25 °C to 35 °C), the solid to liquid ratio (S/L from 0.040 g/g to 0.080 g/g), and the cellulase ratio (R from 8 U/g d.m to 16 U/g d.m.). The maximum volatile compounds yield of 0.2808 g/g d.m and ethanol yield of 0.0158 g/g d.m were favored by the following experimental conditions: process temperature of 35 °C, solid to liquid ratio of 0.0415, and enzyme ratio of 16 U/g d.m. A statistical model was used to correlate the product yield with the process factors. Additionally, 19 interesting bioactive compounds were found in the enzymatic hydrolysis and alcoholic fermentation broths which seem likely to maintain natural defence mechanisms against diseases and physical disorders.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Gong ◽  
Aikmu Bilixzi ◽  
Xinmei Wang ◽  
Yanli Lu ◽  
Li Wan ◽  
...  

Abstract Background It’s necessary to investigate the serum β-trophin and endostatin (ES) level and its influencing factors in patients with newly diagnosed polycystic ovary syndrome (PCOS). Methods Newly diagnosed PCOS patients treated in our hospital were selected, and healthy women who took physical examination during the same period as healthy controls. We detected and compared the related serum indicators between two groups, Pearson correlation were conducted to identify the factors associated with β-trophin and ES, and the influencing factors of β-trophin and ES were analyzed by logistic regression. Results A total of 62 PCOS patients and 65 healthy controls were included. The BMI, WHI, LH, FSH, TT, FAI, FBG, FINS, HOMA-IR, TC, TG, LDL, ES in PCOS patients were significantly higher than that of healthy controls, while the SHBG and HDL in PCOS patients were significantly lower than that of healthy controls (all p < 0.05). β-trophin was closely associated with BMI (r = 0.427), WHR (r = 0.504), FBG (r = 0.385), TG (r = 0.405) and LDL (r = 0.302, all p < 0.05), and ES was closely associated with BMI (r = 0.358), WHR (r = 0.421), FBG (r = 0.343), TC (r = 0.319), TG (r = 0.404, all p < 0.05). TG, BMI, WHR and FBG were the main factors affecting the serum β-trophin levels (all p < 0.05). FBG, TC and BMI were the main factors affecting the serum ES levels (all p < 0.05). The TG, β-trophin, ES level in PCOS patients with insulin resistance (IR) were significantly higher than that of those without IR (all p < 0.05). Conclusion Increased β-trophin is closely associated with increased ES in patients with PCOS, which may be the useful indicators for the management of PCOS.


2012 ◽  
Vol 170-173 ◽  
pp. 706-709
Author(s):  
Zhao Lin Jia ◽  
Shu Wang Yan ◽  
Zhi Liang Huo

By means of laboratory tests and theoretical calculation, the physical, mechanical properties and compaction mechanism of the wind-blown sand are studied to deal with the problem of how to use the wind-blown sand as roadbed materials. It is revealed that water content doesn’t affect the compressibility and the shear strength of the wind-blown sand obviously and the wind-blown sand can be compacted both in dry and wet conditions. The compaction curve of the ordinary fine sand is consistent with that of wind-blown sand and the main factors affecting the compaction properties are the grain composition, water content and compaction work.


2011 ◽  
Vol 21 (2) ◽  
pp. 420-431 ◽  
Author(s):  
Paula Vera ◽  
Margarita Aznar ◽  
Peter Mercea ◽  
Cristina Nerín

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