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1.

Background

Decreased fetal movements are associated with adverse perinatal outcomes, including stillbirth. Delayed maternal visits to a health care provider after perceiving decreased fetal movements are frequently observed in stillbirths. Informing pregnant women of the normal range of fetal movement frequency is essential in their earlier visits in order to prevent stillbirth.

Aim

To investigate the fetal movement frequency in late pregnancy and the effects of associated perinatal factors.

Methods

This prospective multicenter study was conducted in 20 obstetric facilities in our region of Japan. A total of 2337 pregnant women were asked to record the time it took to perceive 10 fetal movements by the modified ‘count to 10’ method every day from 34 weeks of gestation until delivery.

Findings

The 90th percentile of the time for the maternal perception of 10 fetal movements was 18–29 min, with a gradually increasing trend toward the end of pregnancy. The numbers of both pregnant women giving birth after 39 weeks’ gestation and infants with a birth weight exceeding 3000 g were significantly higher in mothers who took ≥30 min to count 10 fetal movements than in those who took <30 min.

Conclusion

The maternal perception time of fetal movements shows a gradually increasing trend within 30 min for 10 fetal movements by the modified ‘count to 10’ method. Informing pregnant women of the normal range of the fetal movement count time will help improve the maternal recognition of decreased fetal movements, which might prevent fetal death in late pregnancy.  相似文献   
2.
Small area estimators in linear models are typically expressed as a convex combination of direct estimators and synthetic estimators from a suitable model. When auxiliary information used in the model is measured with error, a new estimator, accounting for the measurement error in the covariates, has been proposed in the literature. Recently, for area‐level model, Ybarra & Lohr (Biometrika, 95, 2008, 919) suggested a suitable modification to the estimates of small area means based on Fay & Herriot (J. Am. Stat. Assoc., 74, 1979, 269) model where some of the covariates are measured with error. They used a frequentist approach based on the method of moments. Adopting a Bayesian approach, we propose to rewrite the measurement error model as a hierarchical model; we use improper non‐informative priors on the model parameters and show, under a mild condition, that the joint posterior distribution is proper and the marginal posterior distributions of the model parameters have finite variances. We conduct a simulation study exploring different scenarios. The Bayesian predictors we propose show smaller empirical mean squared errors than the frequentist predictors of Ybarra & Lohr (Biometrika, 95, 2008, 919), and they seem also to be more stable in terms of variability and bias. We apply the proposed methodology to two real examples.  相似文献   
3.

Background

Fetal movement is the most common method to evaluate fetal well-being. Furthermore, maternal perception of decreased fetal movements is associated with perinatal demise. Previously, we showed that perception of decreased fetal movements was the most common reason for mothers visiting the outpatient department among those who had stillbirths in our region. Further investigation of stillbirths with decreased fetal movements is essential to find a possible way of preventing stillbirth.

Aim

To investigate maternal reaction time after their perceiving decreased fetal movements among stillbirths in our region of Japan.

Methods

This is a population-based study of stillbirths in Shiga Prefecture, Japan conducted from 2007 to 2011. We sent a questionnaire to each obstetrician who had submitted the stillbirth certificate. We reviewed and evaluated the questionnaires returned from the obstetricians.

Findings

There were 66 cases (35%) with decreased fetal movements among 188 stillbirths in Shiga during the study period. The number of maternal visits to outpatient department after perception of decreased fetal movements within 24 h was only seven (11%) among 64 stillbirths diagnosed at outpatient department.

Conclusion

We conclude that delayed maternal visit after perceiving decreased fetal movements is frequently observed in stillbirths. Promoting more thorough maternal education on fetal movements, including emphasizing earlier visitation after perceiving decreased fetal movements, may prevent stillbirths.  相似文献   
4.
An analysis of air quality data is provided for the municipal area of Taranto (Italy) characterized by high environmental risks as decreed by the Italian government in the 1990s. In the context of an agreement between Dipartimento di Scienze Statistiche—Università degli Studi di Bari and the local regional environmental protection agency air quality, data were provided concerning six monitoring stations and covering years from 2005 to 2007. In this paper we analyze the daily concentrations of three pollutants highly relevant in such an industrial area, namely SO2, NO2 and PM10, with the aim of reconstructing daily pollutants concentration surfaces for the town area. Taking into account the large amount of sparse missing data and the non normality affecting pollutants’ concentrations, we propose a full Bayesian separable space-time hierarchical model for each pollutant concentration series. The proposed model allows to embed missing data imputation and prediction of pollutant concentration. We critically discuss the results, highlighting advantages and disadvantages of the proposed methodology.  相似文献   
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