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        조기양막파수 산모에서 신생아의 예후 예측을 위한 인자

        조희영 ( Hee Young Cho ),박용원 ( Yong Won Park ),김영한 ( Young Han Kim ),임재학 ( Jae Hak Lim ),문여정 ( Yae Jung Moon ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12

        Objective: To study the neonatal outcomes of pregnancies complicated with preterm premature rupture of the membranes (PPROM) and to assess the prognostic factors for poor neonatal outcomes. Methods: We performed a retrospective study of pregnancies registered and managed in Korea from Jan 1st, 2000 to Dec 31st, 2005. The 217 women with preterm premature rupture of membranes in singleton pregnancies from 16 to 36 gestational weeks were enrolled in this study. We investigated respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), and neonatal infection for poor neonatal outcomes. Prognostic variables included for analysis were age, BMI, parity, history of PPROM, history of preterm labor, preterm labor, amniotic fluid index, tocolysis, antibiotics, antenatal steroid, hemoglobin, WBC, CRP, gestational age at PPROM, interval from PPROM to delivery, gestational age at delivery, placental findings, and etc. We compared the characteristics of those who developed neonatal morbidity (n=144) with those who did not (n=65) using the Student t test for continuous variables, and the Pearson`s chi-square or the Fisher exact test for categorical variables. Results: Total of 217 cases of PPROM were registered and treated expectantly during the study period. The majority of cases were delivered within 48 hours of PPROM. There were 64 cases diagnosed with RDS, 21 with IVH, 3 with NEC, 117 with neonatal infection and 8 neonatal mortalities. The gestational age at PPROM (p<0.000), interval from PPROM to delivery (p<0.036), gestational age at delivery (p<0.000), decreased amniotic fluid index (p<0.048), and high level of WBC, CRP (p<0.010, p<0.049) were significantly correlated with poor neonatal outcomes. Birth weight (p<0.000) and APGAR (p<0.000) score at 5 minute were significantly lower in cases resulting in neonatal morbidity. Conclusion: Neonatal outcomes of pregnancies with preterm premature rupture of membranes are related to gestational age at PPROM, interval from PPROM to delivery, and gestational age at delivery. The decreased amniotic fluid index, and high level of WBC, CRP presented before delivery are significantly correlated with poor neonatal outcomes. Birth weight and APGAR scores at 5 minute are significantly lower in cases resulting in neonatal morbidity

      • 企業의 經營成果 決定要因에 關한 理論的 硏究

        趙熙榮,金鍾澤 동국대학교 경영관리연구소 1994 經營經濟論叢 Vol.18 No.-

        This Study is designed to present a model that to approach the factor theoretically which gives an extante effect to the management performance of the enterprise. Since the management performance is generally discussing expost evaluation item or factor, it is used as a concept to measure comparative analysis and effect. But this result indicator has also effective action and it is natural that this effect brings out the result. The result indicator of management performance, undoubtedly, has a lot of problems to complement, examine closely and to research qualitive, subjective, infinancial indicator in the future. However, there are many parts of influence factors that has to be studied as factor to management performance. As the document has been researched up to now, many paper is usually presented that management environment, management strategy, management system are appeating on the stage as an management effect, These papers studies fragmentrily environment and managemant strategy and management performance. Management performance effect has simply not only a few factor but also complex factors that is to say a lot of factors, interaction and reaction etc. such as enviroment(include culture), strategy, system, abillity. This study include positive analysis that can contemplate, arrange and prove these things with per-published document as a central figure from this point of view. it is singificant to set up and evolve following hypothesis. First, Hypothesis about relation management performance and enterprise environment Second, hypothesis about relation management performance and enterprise strategy. Third, hypothesis about relation management performance and enterprise ability. Forth, hypothesis about relation management performance and enterprise strategy, enterprise ability, mutual relation. Fifth, hypothesis about relation management performance and enterprise environment, enterprise steategy, mutual relation.

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