The Impact of Breastfeeding on the Total Duration of the Third Stage of Labour among Women Attending Maternity Teaching Hospital in Sulaimani City

Background: The majority of pregnancies and births proceed without complications. However, all pregnancies present risks of complications that could endanger the maternal prognosis. One of the most serious of these complications is the bleeding during delivery. It’s often unpredictable nature, when it occurs, involves an urgent obstetric situation which requires early diagnosis and rapid and effective follow-up. The general objective of this study was to assess the impact of the introduction of the active follow-up care of the third phase of childbirth in the prevention of bleeding during delivery with our place of study, the obstetrical gynecology department of Kindia regional hospital (Konacri Guinea), with the aim of optimizing the follow-up care of pregnant women during their childbirth. Methodology: We carried out a case-control study with both retrospective and prospective data collection on the records of participants with cases of hemorrhage during delivery in the gynecology department of the Kindia regional hospital. Retrospective data collection covered a period of 25 months before the active follow-up care of the third stage of childbirth and concerned the control group of study participants, while the one of prospective data covered a period of 19 months after the introduction of the active follow-up care of the third stage of childbirth from the 1st January 2019 to 30th September 2020 and concerned the cases group. The criteria for matching these two groups of study participants were the diagnosis and the follow-up of the delivery hemorrhage. Results: During our study period in the gynecology department of the Kindia regional hospital, we identified 223 cases of delivery hemorrhage out of 2198 deliveries before the period of introduction of the active follow-up care of the third stage. This represents an incidence of 10.14%, compared to 73 cases of delivery hemorrhage out of 2714 deliveries during the period of the active follow-up care of the third stage. For an incidence of 2.68%. We found that the hemorrhages during delivery did not spare any age group and were observed for all parities. There were common reasons for admission before and after the integration of the active follow-up care of the third stage of childbirth namely vulvar hemorrhage and physical asthenia, which were reflected in the clinical picture of all cases bleeding from the issue. In addition, headaches, dizziness, and thirst were found, but in different proportions and significantly less frequent since the introduction of the active follow-up care of the third stage of childbirth. This sign were in this context the consequence of the state of shock with respective frequencies of 46.63% and 28.76% before and after the introduction of the active follow-up care of the third stage of childbirth and anemia was present in all cases of delivery hemorrhage. Conclusion: The introduction of active follow-up care of the third stage of childbirth has reduced the frequency of delivery hemorrhages and may therefore help to reduce maternal morbidity and mortality.

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Results of staged reconstruction for hypoplasia of the left heart: an experience of 12 years from one institution

Cardiology in the Young ◽

10.1017/s1047951103001094 ◽

2003 ◽

Vol 13 (6) ◽

pp. 509-518 ◽

Cited By ~ 9

Author(s):

Wolf-Ruediger Thies ◽

Thomas Breymann ◽

Dietmar Boethig ◽

Ute Blanz ◽

Hans Meyer ◽

...

Keyword(s):

Left Ventricle ◽

Fontan Procedure ◽

Fontan Circulation ◽

Left Heart ◽

Second Stage ◽

The Third ◽

Third Stage ◽

Staged Reconstruction ◽

The Impact ◽

Standard Risk

Background:We reviewed our 12-year experience with staged reconstruction for hypoplasia of the left heart, examining the results of each surgical step and the impact of the year of the Norwood operation on survival. We compared survival of patients with hypoplasia of the left heart subsequent to completion of the Fontan circulation to survival of patients with a dominant left ventricle undergoing a Fontan procedure.Patients:Between 1989 and 2001, we performed a first stage procedure in 89 patients. Their median age was 9 days, with a range from 2 to 140 days, and the median weight was 3.4 kg, with a range from 2.4 to 5.4 kg.Results:Survival at 1, 4, and 10 years was 55%, 49%, and 49%, respectively. We experienced 23 early deaths (26%), and 12 deaths between the stages of the Norwood cascade. Of our patients, 42 underwent the second stage, and 30 the third stage. Prior to the first stage, symptoms of necrotising enterocolitis, and of obstructed pulmonary venous return, influenced survival significantly. The latter was eliminated as risk factor when surgery was performed within the first week of life. During the later part of our experience, survival at the first stage operation improved significantly, with survival at 3 years increasing from 42% to 75% for the patients at standard-risk (p = 0.017), and from 17% to 42% for those deemed to be at high-risk (p = 0.1). No deaths occurred in 23 patients older than 3 years of age, all of whom had proceeded through the third stage. After completion of the Fontan circulation, the survival of the patients with hypoplasia of the left heart at 4 years was comparable to the survival of patients undergoing the Fontan procedure with a dominant left ventricle (88% versus 90%, p = 0.8).Conclusions:Early and intermediate survival has improved significantly over the period of 12 years. Late death has been uncommon, and none of our patients are listed for cardiac transplantation.

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Management of the third stage of labor in an Egyptian teaching hospital

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2004.05.013 ◽

2004 ◽

Vol 87 (1) ◽

pp. 54-58 ◽

Cited By ~ 12

Author(s):

M. Cherine ◽

K. Khalil ◽

N. Hassanein ◽

H. Sholkamy ◽

M. Breebaart ◽

...

Keyword(s):

Teaching Hospital ◽

The Third ◽

Third Stage Of Labor ◽

Third Stage

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Expert Approach Methodology as Basis for Sailing Boat Outfitting Improvement – Case Study

Journal of Maritime & Transportation Science ◽

10.18048/2018-00.155 ◽

2018 ◽

Vol 2 (Special edition 2) ◽

pp. 155-166

Author(s):

Tin Matulja ◽

Marko Hadjina

Keyword(s):

Methodological Approach ◽

Optimal Solution ◽

Cfd Analysis ◽

Fourth Stage ◽

Second Stage ◽

The Third ◽

Third Stage ◽

The Impact ◽

Sailing Boat

The market conditions demanded the adaptation of exclusively touristic sailing yachts to specific race requirements. The hydrodynamic aspects of this problem have been successfully solved using modern tools for CFD analysis. But, the practical aspects of outfitting such vessels to meet the highest tourist requirements while respecting specific racing requirements for deck equipment required a different methodological approach. In fulfilling these requirements, the author indirectly participates in multi-year cooperation with the prominent European manufacturer of sailboats. For the purpose of cooperation, a special methodology was developed for the improvement of the equipment of the defined sailing boat in four stages. In the first stage, an analysis of the impact of sailing equipment and deck configuration of the existing B40S model on sailing performance is suggested using RaceQs computing application and expert approaches for different sea and wind conditions. In the second stage, the analysis of the collected data is carried out by expert approach towards guidelines for improvement. The third stage impacts on redesigning the existing model by implementing the obtained results. In the fourth stage, the effects on the upgraded new B41S model are analyzed repeating the first stage. The methodology is iterative and converges to the optimal solution for the defined criteria.

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The impact of the temperature of rapeseed oil methyl esters on nitrogen oxides emissions

E3S Web of Conferences ◽

10.1051/e3sconf/202017101002 ◽

2020 ◽

Vol 171 ◽

pp. 01002

Author(s):

Weronika Gracz ◽

Mirosław Czechlowski ◽

Damian Marcinkowski ◽

Wojciech Golimowski ◽

Patrycja Pochwatka

Keyword(s):

Nitrogen Oxides ◽

Rapeseed Oil ◽

Power Grid ◽

Methyl Esters ◽

Second Stage ◽

The Third ◽

Maximum Value ◽

Third Stage ◽

The Impact ◽

Rapeseed Oil Methyl Esters

The purpose of the tests described in this publication was to examine the effect of the temperature of the biodiesel burned, resulting from the transesterification of rapeseed oil with methanol, on the level of nitrogen oxides emissions. The tests were carried out on a test stand equipped with a 9.5 kW engine. Electricity was transffered directly to the power grid. The measurements were started after the engine has warmed up, when the oil temperature exceeded 85°C. In the first stage, the engine was loaded with the maximum achievable torque (100%), in the second stage the torque was set at 75% of the maximum value, and for measurements in the third stage the torque was 50% of the maximum value. Three tests were carried out, one for each of the three fuel temperatures: 20, 40 and 55°C.

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Manajemen Masalah Teknologi Informasi Berdasarkan Kerangka Kerja ITIL V3 dan COBIT 5

JURNAL SISTEM INFORMASI BISNIS ◽

10.21456/vol8iss2pp43-51 ◽

2018 ◽

Vol 8 (2) ◽

pp. 43

Author(s):

Faried Effendy ◽

Eva Hariyanti

Keyword(s):

Management Strategy ◽

Standard Operating Procedure ◽

Problem Management ◽

Second Stage ◽

The Third ◽

Third Stage ◽

Standard Operating ◽

Three Stages ◽

The Impact ◽

First In First Out

In this study, we attempted to develop Information Technology (IT) document of problem management for the export company. This document used as guidance for the company’s employees to manage IT problem. Not every company's IT division has IT problem management strategy, the priority of problem-solving is usually done by the First In first out (FIFO) method by not considering the impact and the problem urgency. COBIT 5 and ITIL V3 DSS03 related to Problem management were used as standards to review and benchmark on how problem management activities should be done. The output of this research is a Standard Operating Procedure (SOP) document. The Problem management SOP document consists of three stages, the first stage is the preparation of SOP with 5 sub-stages, namely: list activity of ITIL V3 and COBIT 5 DSS03, mapping activity of ITIL V3 and COBIT 5 DSS03, verification of company new activities, mapping of activity actor based on RACI DSS02 and mapping of workproduct. The second stage is the adjustment of SOP documents with 2 sub-stages, namely: interviews for identification of needs and mapping of activity actor with the company's organizational structure. The third stage is the verification of SOP documents. The SOP documents contain 11 procedure with five actors. Overall SOP document can eventually become a reference for the company to manage IT problem.

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Analysis University of Surakarta KIP Scholarship Recipients Using the Fuzzy MADM Method and C-45

SinkrOn ◽

10.33395/sinkron.v7i1.11221 ◽

2022 ◽

Vol 7 (1) ◽

pp. 9-16

Author(s):

Ramadhian Agus Triono Sudalyo ◽

Bayu Mukti

Keyword(s):

Decision Making ◽

Selection Process ◽

The Third ◽

Initial Stage ◽

Scholarship Recipients ◽

Third Stage ◽

Decision Making System ◽

Fuzzy Madm ◽

The Government ◽

The Impact

The impact of the Covid-19 pandemic has forced the economic activity of the Indonesian population to decline drastically, which has an impact on the education funding process. Given these problems, it is necessary to develop a Decision-Making System to assist the selection process for KIP admissions for students who meet the requirements. The purpose of this research is that the provision of KIP can be right on target. For decision making, three stages are used with the method used, the first stage is the C-45 method for student priority decision making, the second stage is the Fuzzy MADM method, and the third stage is ranking according to the total quota. which is determined. The initial selection used the C-45 method with the variables of GPA, parents' income, achievements, parental dependents, and cases. The results of the C4.5 calculation show that the first priority is parental dependents with a Gain value of 0.007822696, followed by a GPA with a Gain value of -0.130011482, the third priority is Parents' Income with a Gain value of -0.702657067 and the last priority is an achievement. The results of the calculation are continued with Fuzzy MADM resulting in 5 rules used to determine student priorities (can) or not. The results achieved from 140 students who applied were accepted by 135 students who passed the initial stage, and out of 135 rankings, 70 students were determined to receive scholarships from the Government with the highest calculation score of 21 and the lowest of 14.4.

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STRATEGIC RENEWAL OF BUSINESS MODELS IN THE LANGUAGE SCHOOLS SEGMENT

Zeszyty Naukowe Wyższej Szkoły Humanitas Zarządzanie ◽

10.5604/01.3001.0013.7247 ◽

2019 ◽

Vol 20 (3) ◽

pp. 165-182

Author(s):

Zbigniew Malara ◽

Paweł Ziembicki

Keyword(s):

Business Model ◽

Business Models ◽

Research Directions ◽

Strategic Renewal ◽

The Third ◽

Third Stage ◽

Language Schools ◽

Study Type ◽

The Impact

The paper presents the results of the third stage of the research on business models of enterprises in the language schools segment. It has an inferential-postulatory character. Results from the two previous stages were used: the first stage of the research on the assessment of the impact of the surrounding elements on selected components of a business model according to the canvas template, and the second stage of the research on the so-called activity packages. In the third stage, the packages, which have a great potential to reduce the gap were selected. Reducing the gap is referred to the renewal of the business model and its importance is connected to the relation between the business model and the strategy of an enterprise. Against this background, the postulates referred to using the concept of lean canvas and the theory of tasks to be performed for the clients. The attention was also paid to connecting the issue of the gap to the known and structured in management question of the strategic renewal of an enterprise. Two further research directions on business models of language schools segment of the case study type and referring to the assessment of the proposition by the same enterprises participating in the research (96 from Lower Silesian Voivodship) have been outlined.

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