Academic literature on the topic 'Breech delivery'

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Journal articles on the topic "Breech delivery"

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Gibson, D. H. "Breech delivery." Journal of Obstetrics and Gynaecology 10, no. 6 (January 1990): 506–9. http://dx.doi.org/10.3109/01443619009151255.

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Mukhopadhyay, Sambit, and Sabaratnam Arulkumaran. "Breech delivery." Best Practice & Research Clinical Obstetrics & Gynaecology 16, no. 1 (February 2002): 31–42. http://dx.doi.org/10.1053/beog.2001.0253.

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Chaudhary, Rajendra Kumar, Rajan Ghimire, and Deepak Raj Kafle. "Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center." Journal of Nepal Medical Association 56, no. 212 (August 31, 2018): 796–99. http://dx.doi.org/10.31729/jnma.3697.

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Introduction: Breech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup. Methods: Data were collected from record book of Department of Gynaecology and obstetrics, Pokhara Academy of Health Sciences, Kaski, Nepal. Pregnant with breech presentation who had delivery in the centre from 2074 Baishak to 2074 chaitra were enrolled in the study. Data of 174 patients were analysed among which 74 underwent vaginal delivery for breech and 110 underwent cesarean breech delivery. Results: Only 1 (1.6%) of newborn delivered by vaginal route were admitted to NCU vs 17 (15.5% )in cesarean group which was significant (odds ratio= 0.071, 95% C.I 0.009-0.574; p= 0.004). There was only one death of newborn which was delivered by vaginal route. Mean APGAR score at 1 and 5 minute in vaginal breech delivery was 6 and 7 and in cesarean breech delivery was 6 and 8. Conclusions: Though perinatal morbidity was more with cesarean breech delivery but further study with more sample size is needed before reaching conclusion.
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TAHIRA MALIK and MAHWISH NAJAM. "BREECH PRESENTATION: AN OVERVIEW OF PATIENTS VISITING SOUTHERAN PUNJAB." Pakistan Postgraduate Medical Journal 26, no. 3 (June 1, 2015): 81–83. http://dx.doi.org/10.51642/ppmj.v26i3.147.

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Objective: This study was conducted to determine incidence of breech presentation, etiology, mode of delivery and fetal outcome. Methodology: Retrospective cohort study was conducted in Sheikh Zayed Medical hospital, Rahim Yar Khan from period of January 2013 to December 2015. 685 patients with breech presentation in Southern Punjab were included in our study. Demographic data like age, parity, gestational age and previous mode of delivery was determined. Type of breech presentation was checked by ultrasonography. Etiology was determined for breech presentation. Mode of delivery in present pregnancy was determined in the form of vaginal delivery and cesarean section. Fetal outcome was compared in both groups. Results: Incidence of extended breech was higher 98.9%, where flexed breech was in 6.5% and footling breech was in 3.5% of cases. Most of cases with breech presentation was in primigravida (303) 44.2%, 277 (40%) were multi and grand multiparous, 8.6% with preterm breech, 28 women(4%) breech presentation was found in first twin, fetal anomalies were in 1.45%, uterine anomalies in cases and placenta previa in 03 patients. 173 (25.2%) were delivered by vaginal breech delivery and 512 (74.7%) were delivered by lower segment cesarean section. Perinatal morbidity and mortality was lower in cesarean section group as compared to vaginal delivery group. But statistically there was no significant difference. Conclusion: Proper selection of patient for mode of delivery will be helpful in improving fetomaternal outcome. Regular drills in maternity units will enhance expertise and in the presence of skilled personals vaginal breech delivery will be safe mode of delivery.
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Karning, Rashmi Kumar, Bhanu B. T., and Sarojini. "Mode of delivery and outcome of breech presentation: a prospective observational study in a tertiary centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 8 (July 26, 2017): 3409. http://dx.doi.org/10.18203/2320-1770.ijrcog20173453.

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Background: Breech presentation is the commonest malpresentation with the incidence of 3-4% at term. This study was done with the objective of studying the mode of delivery in breech presentation and to compare the maternal and fetal outcome in patients delivered vaginally to those delivered by cesarean section.Methods: This prospective observational study was conducted in Vanivilas Hospital, affiliated to Bangalore Medical College and Research Institute, from June 2014 to May 2015. The study group included 509 patients with breech presentation who were studied with respect to their gestational age, birth weight, type of breech, mode of delivery, maternal and perinatal outcome.Results: The incidence of breech presentation was 2.92% (509) among 17454 total deliveries with the incidence of 3.17% in primi and 2.73% in multies. 193 (38%) patients had vaginal breech delivery and 316 (62%) delivered by LSCS. Apgar score of less than 7 at 1 minute was seen with 21.42% of vaginally delivered fetuses and 9.09% of fetuses delivered by cesarean section. The perinatal mortality was 1.6% (8 cases) in vaginal group 0.8% (4 cases) in LSCS group. The short term maternal complications in LSCS group was 7.62% and in vaginal delivery group was 3.09%.Conclusions: The short term maternal morbidity is higher in patients with cesarean section compared to those with vaginal breech delivery. Perinatal outcome is better in babies delivered by cesarean section. Still vaginal breech delivery can be an option for breech babies with proper selection and when conducted by a skilled obstetrician.
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Naz, Samina. "VAGINAL BREECH DELIVERY." Professional Medical Journal 22, no. 08 (August 10, 2015): 1024–28. http://dx.doi.org/10.29309/tpmj/2015.22.08.1149.

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Objective: To determine the obstetric and perinatal outcome of pregnancieswith singleton breech presentation, and to scrutinize the causes of increasing incidence ofcesarean section in breech presentation. Design: Analytical Observational study. Place andduration: Department of obstetrics and gynecology Fatima hospital Baqai university campusfrom Jan 2010 to Oct 2011. Patients & Methods: This study includes 135 patients with singletonbreech presentation ≥ 34 weeks of gestation, were analyzed in detail with help of designedperforma. Patients were categorized in three groups. Groups a, who had elective C-section,group b. who underwent emergency caesarean section or had C-section after failed trial ofvaginal delivery and group c. who had vaginal breech delivery. Elective caesarean section wasdone in those cases that had some other indications for carrying out this procedure apart frombreech presentation. Trial of vaginal breech delivery was planned for all multiparous womenexcept those falling in group A. All antepartum fetal demise, twin pregnancies and placentaprevia of major degree were excluded. Results: Of 135 women, 7(5%) underwent prelabourcesarean, and 128(95%), had trial of vaginal delivery, of whom 117(91.5%) delivered vaginally.Significantly more infants weighing> 3.5kg were selected for prelabour and intrapartumcesarean than vaginal delivery. Two neonates had Apgar score< 7 at 5 minutes but both werenormal neurologically. There were no nonanomalous perinatal death and no case of significanttrauma or neurological dysfunction. Two infants died due to lethal anomalies. Conclusion:Trial of vaginal breech delivery in well counselled patients, still taken as an appropriate optionwithout compromising prenatal and maternal outcome. It also decreases the rate of cesareansection.
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Biswas, A., and M. J. Johnstone. "Term Breech Delivery." Obstetrical & Gynecological Survey 49, no. 2 (February 1994): 93–94. http://dx.doi.org/10.1097/00006254-199402000-00008.

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Escamilla, J. O. "Breech delivery protocol." American Journal of Obstetrics and Gynecology 178, no. 5 (May 1998): 1104. http://dx.doi.org/10.1016/s0002-9378(98)70567-8.

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HERBST, ANDREAS, and KARIN KÄLLÉN. "TERM BREECH DELIVERY." Fetal and Maternal Medicine Review 16, no. 4 (November 2005): 289–322. http://dx.doi.org/10.1017/s0965539505001634.

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In October 2000, Hannah et al published a randomised controlled trial comparing perinatal and maternal outcome between planned vaginal and planned caesarean deliveries of term breech pregnancies. The study was closed after an interim analysis, showing a reduced perinatal morbidity and mortality with planned caesarean section. The result was not unexpected, although a trial like this had been called for over many years to resolve the issue. Many cohort- and case-control studies, and two small randomised studies had been performed since 1959, when Wright reported a reduced perinatal mortality and morbidity with CS. A few large registry studies had shown a better perinatal outcome with caesarean delivery, whereas smaller studies often showed no statistically significant difference in outcome, often with the conclusion that vaginal delivery (VD) is safe.
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Schiff, E. "Singleton Breech Delivery." ACOG Clinical Review 2, no. 2 (March 4, 1997): 6. http://dx.doi.org/10.1016/s1085-6862(97)81014-x.

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Dissertations / Theses on the topic "Breech delivery"

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Leeuw, Johannes Philippus de. "Breech presentation vaginal or abdominal delivery? a prospective longitudinal study /." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1989. http://arno.unimaas.nl/show.cgi?fid=5451.

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Arey, Kelly Marie. "Examination of Birth Outcomes with Mode of Delivery for Breech Presentation." VCU Scholars Compass, 2007. http://hdl.handle.net/10156/1686.

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Bartlett, Doreen Joan. "Early motor development of term breech- and cephalic-presenting infants." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq22948.pdf.

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Grälls, Jenny. "Sätesförlossningar : Handläggning och utfall hos mödrar och barn vid vaginal förlossning och kejsarsnitt." Thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-200521.

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Background: The incidence of caesarean section for breech presentation has reached approximately 90 % in Sweden. In many of these cases, by means of specific selection criteria, it would be as safe to plan for vaginal breech delivery.   Aim: The objective of this study was to investigate differences in management and to compare maternal and fetal outcomes according to delivery mode of breech presentation; vaginal vs. caesarian section. The study included breech presentation in full term singleton pregnancies at the UppsalaUniversityHospital, Uppsala, Sweden (UAS).   Method: The study was based on medical record data with a retrospective, descriptive, comparative design with quantitative approach. The method for data collection was a manual review of patient records using a structured questionnaire.   Results: Of the women with children in breech presentation during the period studied, 11 % gave birth vaginally. Mother's wish was the most common cause of caesarean section. The group with caesarean section included more first-time mothers, longer length of stay at the hospital, increased bleeding and need for pain medication, separation from the child, later lactation and earlier introduction of formula. Vaginally delivered mothers had increased incidence of straight urine catheterization postpartum and of infants with lower Apgar scores.   Conclusion: This study does not support the suggestion that it would be safer to give birth by caesarean section for breech presentation in cases where the woman at full term meets strict selection criteria. Instead of applying medical criteria, the decision regarding mode of delivery was more often left up to the mother.
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Kader, Rahel. "The obstetric outcome of women who had successful external cephalic version for breech presentation at term." Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85562.

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Thesis (MMed)-- Stellenbosch University, 2013.
ENGLISH ABSTRACT: AIM: Review outcome of pregnancies following successful external cephalic version (ECV) for breech presentation at term, particularly the caesarian section (CS) rate. ECV is a safe procedure with a minimal cost implication that can reduce non-cephalic presentation at onset of labour at term. The outcome of pregnancies following successful ECV is certainly of interest. A meta analysis of studies done between 1997 and 2004, found that pregnancies after successful ECV at term were not the same as those with spontaneous cephalic presentations and was associated with a CS rate twice that in pregnancies with spontaneous cephalic presentations. The conclusion was that pregnancies after successful ECV should not be considered the same as normal pregnancies. In a matched retrospective analysis of CS risk after successful ECV, done in the USA, it was concluded that CS delivery and operative vaginal delivery rates following successful ECV, were not increased. To date there are no such studies in South Africa. METHODOLGY: A retrospective descriptive study was done to audit all successful ECV’s done at the Fetal Evaluation Clinic (FEC) of Tygerberg Academic Hospital. The electronic data from the FEC was searched for successful ECV patients. The facilities where these patients delivered were identified. The outcome of the pregnancies was determined from patient files and/or the labor registers. The relevant information of each patient was captured. All file reviews and data capturing was done by the principal investigator. RESULTS: A total of 78 patients were included in the study. The median age was 28.7 years with a range from 17 to 40 years, the median parity 1 and the range 0 to 6 and the median body mass index 27.2 and the range 18.2 to 45.0. The method of determining gestational age is known in 71 (91%) patients of whom 37 (52%) had an early ultrasound examination. The median gestational age at ECV was 37 weeks with the inter quartile range 36 to 38 weeks. The median ECV to delivery time was 2 weeks with the inter quartile range 1 to 4 weeks. Higher levels of care were required at time of delivery by 47 (60.3%) patients. Vaginal deliveries occurred in 49 patients and 29 (37.2%) had CS. The most common indications for CS were cephalo pelvic disproportion 8, fetal distress 6, reversion back to breech presentations 4 and other abnormal presentations 4 (2 face presentations and 2 transverse lies). The mean birth weight of the babies was 3360g and the range 2100 to 4655g. On comparing the groups that had vaginal deliveries and CS, only nulliparous patients had a significantly (p=0.02) higher risk for CS. CONCLUSIONS: Following successful ECV all patients need to be carefully followed up for possible reversion to breech presentation or transverse lie. Nulliparous and gravid 2 para 1 patients with a previous CS need to be delivered in hospitals with CS facilities. Further studies are required to assess whether successful ECV results in more face presentations.
AFRIKAANSE OPSOMMING: DOELWIT: Om die uitkoms van swangerskappe na suksesvolle eksterne kefaliese kerings (EKK) vir stuit presentasies op voltyd, spesifiek die keisersnit (KS) insidensie te bepaal. EKK is ‘n veilige prosedure wat teen minimale koste die nie-kefaliese presentasies op voltyd kan verminder. Die uitkoms van swangerskappe na suksesvolle EKK is van belang. ‘n Meta-analise van studies gedoen tussen 1997 en 2004 vind dat swangerskappe na suksesvolle EKK op voltyd nie dieselfde is vergeleke met spontane kefaliese presentasies nie en gepaard gaan met ‘n KS koers tweekeer hoër as dié met spontane kefaliese presentasies op voltyd. Die gevolgtrekking was dat swangerskappe na suksesvolle EKK nie as normale swangerskappe beskou moet word nie. In ‘n gepaarde retrospektiewe ontleding van die KS risiko wat in die VSA gedoen is, word gevind dat die KS en operatiewe vaginale verlossing koerse na suksesvolle EKK, nie verhoog is nie. Tot op hede is daar geen studies hieroor in Suid-Afrika gedoen nie. METODE: ’n Retrospektiewe beskrywende studie is gedoen om all suksesvolle EKK wat by die Fetale Evaluasie Kliniek (FEK) gedoen is te oudit. ‘n Elektroniese data soektog van suksesvolle EKK by die FEK is gedoen. Die instellings waar die pasiënte verlos is, is vasgestel. Die uitkoms van die swangerskappe is bepaal deur pasiënt lêers en/of die kraamregisters na te gaan. Die relevant inligting oor elke pasiënt is versamel. RESULTATE: ‘n Totaal van 78 pasiënte is by die studie ingesluit. Die mediane ouderdom was 28.7 jaar met ‘n reikwydte van 17 tot 40 jaar, die mediane pariteit was 1 met ‘n reikwydte van 0 tot 6 en die mediane liggaamsmassa indeks 27.2 met ‘n reikwydte van 18.2 tot 45.0. Die metode waavolgens swangerskapsduurte bepaal is, was bekend in 71 (91%) van pasiënte, waarvan 37 (52%) vroeë ultraklank ondersoeke gehad het. Die mediane swangerskapsduurte tydens die EKK was 37 weke met die interkwartiele interval 36 tot 38 weke. Die mediane EKK tot verlossing tydsverloop was 2 weke met die interkwartiele interval 1 tot 4 weke. Hoër vlakke van sorg was nodig ten tye van die verlossing by 47 (60.3%) van pasiënte. Van die pasiënte het 49 vaginale verlossings en 29 (37.2%) KS gehad. Die mees algemene indikasies vir KS was skedel-bekken disproporsie 8, fetale nood 6, terugkeer na stuitpresentasie 4 en abnormale presentasies 4 (2 aangesigsliggings en 2 transversliggings). Die gemiddelde geboorte gewig van die babas was 3360g en die reikwydte 2100 tot 4655g. Wanneer die groep wat vaginale verlossing en KS gehad het vergelyk word, het slegs nullipareuse pasiënte ‘n betekenisvolle (p=0.02) hoër risiko vir KS gehad. GEVOLTREKKING: Na suksesvolle EKK moet alle pasiënte noukeurig opgevolg word vir terugkeer na ‘n stuit presentasie of transversligging. Nullipareuse en gravida 2 para 1 pasiënte met ‘n vorige KS moet in hospitale met KS fasiliteite verlos word. Verdere studies is nodig om te bepaal of suksesvolle EKK meer aangesig presentasies tot gevolg het.
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Guittier, Marie-Julia. "Présentation foetale en siège en fin de grossesse : effet des interventions et des attitudes professionnelles sur le vécu des femmes." Thesis, Université de Lorraine, 2013. http://www.theses.fr/2013LORR0193.

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Contexte : Le management de la présentation foetale en siège est complexe car la littérature scientifique est contrastée. Objectif : Mettre en évidence les effets des attitudes et des interventions professionnelles sur le vécu des femmes. Méthodes : Cinq recherches quantitatives et qualitatives, incluant 311 participantes, ont été menées à la maternité des Hôpitaux Universitaires de Genève. Résultats : Les femmes doivent souvent faire un deuil par anticipation de l'accouchement idéalisé. Elles sont très motivées à tenter de corriger la malposition foetale. 69% des participantes ont recours aux médecines alternatives et complémentaires pour se soigner. 68% des participantes ont qualifié la tentative de version céphalique externe (VCE) de « forte à insupportable. Un accompagnement par hypnose ne réduit pas l'intensité de la douleur, comparé à un accompagnement par une sage-femme (échelle visuelle analogique : 6,0 vs 6,3 /10 respectivement, p=0.25). Pour le choix du mode d'accouchement les femmes ont rapporté des conflits décisionnels majeurs. L'information médicale est souvent perçue en faveur de la césarienne élective. Le sentiment de contrôle, les émotions et les premiers instants avec le nouveau-né sont perçus différemment selon le mode d'accouchement, en défaveur de la césarienne en urgence. Conclusion : Un processus émotionnel et décisionnel inattendu et souvent difficile est associé au diagnostic de siège. Développer des outils d'aide à la décision pour la femme, et des techniques de relation d'aide pour les professionnels faciliteraient ces processus. La prise en charge de la douleur durant la tentative de VCE est indispensable
Context: Management of breech remains complex due to divergence of practices and recommendations reported in the literature. Objective: To highlight the effects of health professionals' interventions on women's experiences. Methods: Five research studies qualitative were conducted at the University Hospitals of Geneva, including a total of 311 participants. Two studies used a method with interviews and thematic analysis, two used a quantitative method with a statistical analysis, and one used a mixed methods' design. Results: Breech diagnosis often requires anticipating a disappointment of an idealized childbirth. Women demonstrate a strong motivation to try to turn their fetus. 69% of women use complementary and alternative medicine (CAM) for their treatment. 68% of participants qualified external cephalic version (ECV) as "strong to unbearable". An accompaniment by a hypnotist compared to a midwife did not decrease pain intensity (visual analogic scale: 6.0 vs 6.3/10, respectively; p=.25). For the choice of breech delivery mode, women reported strong decisional conflicts. Medical information is often perceived in favour of a planned caesarean. Feelings of control, emotions and the first moments with the newborn are perceived differently and, notably, negatively in the case of emergency ceasarean section. Conclusion: A difficult emotional and decision-making process is associated with term breech. Use of CAM should be considered by professionals. Developing tools to assist women, and relationship techniques for professionals could facilitate these processes. Reduction of pain during ECV is necessary
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Faroo, David Joseph. "Curriculum delivery in multi-grade rural schools in the Breede River / Overberg EMDC." Thesis, Cape Peninsula University of Technology, 2009. http://hdl.handle.net/20.500.11838/1972.

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Thesis (DTech (Education))--Cape Peninsula University of Technology, 2009
The phenomena of multi - grade schools has been absent both in educational policy making, educator training and only represented in a few local educational curriculum research projects. However, the practice of multi-grade is common in South Africa and especially in rural and farming South Africa. Our National Curriculum Statements implies that all schools are the same. This study addresses this anomaly. Farm schools, which started as a political means of cheap labour (Act 47 of 1953) presented a further complication to the ministry: public schools on private property govern by section 14 contract failed farm education (Forgotten Schools, 2004; Ministerial report on rural education, 2005; Commission on Human Rights, 2006). The political and ideological shift from People's Education, which, at first envision human rights in line with international treaties such Education For All, Convention on the right of the child, Africa Charter on the Rights of the Child to Human Capital Development has marginalize the farm and rural learner. Curriculum changes since Curriculum 2005 accepted the same political and economic vision. The first world technical National Curriculum Statements mismatch farm education as systemic results since 2004 has shown. The government’s deficit view and national curriculum influence farm and rural teaching and learning negatively. This study focuses on curriculum delivery (intended I implemented) planning. How the educator adapted the curriculum to suit the needs of third world farm learner, its multi-grade context and the ideology of the hegemony. The qualitative paradigm will be that of the critical theory and grounded theory methodology with the goal of uncovering the educators' views and practice. This has been done by holding interviews with various foundation phase educators and looking at the seating arrangements and planning. The sample was from the Breede River District. A focus group of nineteen ACE students with 312 collective years experience has been involved in the coding and analysing. Current practice and planning have been juxtaposed with international multi-grade practice. The research questions were aimed at uncovering how rural and farm educators plan for their multi-grade classes when faces with a national mono-grade curriculum. Various research methodologies were used.
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Anderson, Lynn M. "Delivery of Smoke Toxicants from Cigarettes Made in Developed and Developing Countries: a comparison of U.S. full flavor and ultra light brands with Syrian cigarettes." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd/972.

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Clinical research is needed to understand how cigarette toxicant yield affects smoker toxicant exposure. While there is much clinical research on yield and exposure in developed countries, there is little in developing countries. Forty smokers completed one, 4-hour session to compare yield and exposure of different cigarettes. Participants smoked three cigarettes under controlled topography conditions: one U.S. 111 flavor, one U.S. ultra light, and one Syrian cigarette, with 90 minutes between cigarettes. Sessions differed by Syrian brand; 21 participants smoked Alhamraa while 19 smoked A1 Sham cigarettes. Blood nicotine and breath CO samples were obtained, HR was monitored and subjective withdrawal and cigarette effect questions were asked. Results suggest that Syrian Alhamraa and U.S. full flavor were similar in exposure while Syrian A1 Sham and U.S. ultra light were similar. Though U.S. full flavor and ultra light cigarettes differed in toxicant yield and exposure, subjective ratings of withdrawal were similar.
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Petrovska, Karolina. "Choosing vaginal breech birth : discourses of breech birth in contemporary society." Thesis, 2017. http://hdl.handle.net/10453/102736.

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University of Technology Sydney. Faculty of Health.
[Aim] Most breech presenting babies are born by elective Caesarean section. Very few are born vaginally, with even fewer accounting for planned, rather than unplanned, vaginal birth. Despite maternity services in middle and high income countries offering limited support for planned vaginal breech birth, some women continue to seek this option for birth. Little is known about these women and how socio-cultural views impact on their decision-making for birth. The aims of this research were to understand how social discourse in contemporary society impact on women’s decisions for vaginal breech birth; explore how and why women make decisions for this birth option; and identify strategies for clinicians to support women considering vaginal breech birth. [Methods] A multi-methods study was undertaken in which four different approaches were employed to gather data for this project. The approaches were taken in four parts: 1) semi-structured interviews with 22 women who opted for a vaginal breech birth in Australia; 2) an international online survey of 204 women between April 2014 - January 2015 who sought a vaginal breech birth; 3) an analysis of internet forum discussions; and 4) a content analysis of online news media to explore how breech presentation and birth are portrayed. [Findings] Social discourse in contemporary society holds a strong belief that Caesarean section is the safe way to manage the birth of a breech baby. Planned vaginal breech birth has a limited profile in society and is seen as a high risk option. These views may be the result of limited clinical support for this birth option. Despite this resulting in anxiety for women when decision-making for this mode of birth, women seeking a vaginal breech birth feel strongly about bodily autonomy and their ability to give birth. They are able to transcend negative views of others and display a determination in finding supportive care for birth. These findings are presented in Chapters 4-8, which outline the results and conclusions arising from this study. [Conclusion and implications] Clinical recognition of vaginal breech birth as a legitimate option for women may address socio-cultural perceptions of risk relating to this birth option. Strategies to increase the profile of vaginal breech birth in clinical settings include the development of high level policy supporting this birth option, increasing availability of vaginal breech birth services and targeted training programs for clinicians. This in turn may normalise the option of vaginal breech birth in socio-cultural contexts and facilitate a more positive experience for women seeking this mode of birth.
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"Quantification of force applied during external cephalic version." Thesis, 2005. http://library.cuhk.edu.hk/record=b6074169.

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External cephalic version (ECV) involves turning a fetus in utero by manipulation through the maternal abdomen and the uterine wall.
Many clinicians and patients, however, still decline ECV in favour of Caesarean section. This could be due to the lack of experience of ECV, and fear of complications or pain during the version.
Summary. The force applied during ECV can be measured and analysed using a customized pair of gloves incorporating piezo-resistive pressure sensors and suitable analytical software. The degree of force required for a successful version is highly variable. Failure of version is not usually due to insufficient force. Uterine tone is the most important factor affecting the degree of force applied during a version attempt. The degree of force applied is associated with the changes in fetal cerebral blood flow after ECV, and the amount of pain perceived by the patients. (Abstract shortened by UMI.)
The lack of information in this area is primarily due to the lack of a suitable device that would allow measurements of the force applied without interfering with the ECV. A suitable device would therefore have to be sufficiently robust so that it could be worn on the hands, durable so that it could be used repeatedly, incorporate multiple individual sensors, each of which is capable of making dynamic and mutually independent measurements during the version procedure.
There is no report in the literature on quantification of the force applied during ECV. It is also unknown whether the degree of force applied is related to the version outcome. In particular, it is unclear whether a failed attempt is related to insufficient force, or whether an increase in force may help to achieve version after a failure. Furthermore, it is also not known if any patients' factors may influence how much force is applied through the operator's hands. Although the chance of successful version could be predicted by some clinical factors, whether these factors may also affect the degree of applied force is not known.
This thesis reports on the design and development of a suitable measuring device fulfilling the requirements described above. In addition, it will test a number of hypotheses relating to the degree of force applied during ECV and clinical feto-maternal parameters and outcomes, in a study cohort of 92 patients.
Leung Tak Yeung.
"April 2005."
Source: Dissertation Abstracts International, Volume: 67-07, Section: B, page: 3717.
Thesis (M.D.)--Chinese University of Hong Kong, 2005.
Includes bibliographical references (p. 155-174).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
School code: 1307.
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Books on the topic "Breech delivery"

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Shepherd, Francis J. Note by Dr. Shepherd on his case of congenital dislocation of the head of the femur ... [S.l: s.n., 1985.

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Video, Birth Gazette. A breech birth and shoulder dystocia. Summertown, TN: Birth Gazette Video, 2005.

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Research Group on the Existing EC Private Law., ed. Contract II: General provisions, delivery of goods, package travel and payment services. München: Sellier, European Law Publishers, 2009.

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Parashchenko, V. N. Dogovor postavki produkt͡s︡ii. Minsk: "Belarusʹ", 1989.

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Eberstein, Hans Hermann. Haftung und Gewährleistung bei öffentlichen Lieferaufträgen (VOL/B). 2nd ed. Tangstedt/Hamburg: Jank & Partner, 1993.

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Karl, Kai-Uwe. Die Haftung des Dienstleisters für anvertrautes Gut: Ein Beitrag zum Verhältnis von vertraglicher und deliktischer Haftung. Tübingen: MVK, 2001.

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Filho, Raul Luiz Ferraz. Energia elétrica: Suspensão do fornecimento. São Paulo: Editora LTr, 2002.

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Rocha, Fábio Amorim da. A legalidade da suspensão do fornecimento de energia elétrica aos consumidores inadimplentes. Rio de Janeiro: Editora Lumen Juris, 2004.

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Breech delivery. Paris: Editions Scientifiques et Médicales Elsevier, 2002.

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Devlieger, Roland, and Maria-Elisabeth Smet. Obstetric management of labour, delivery, and vaginal birth after caesarean delivery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0012.

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This chapter describes the events surrounding normal and abnormal labour and delivery with particular relevance to the anaesthetist. The first two sections explain the course of a normal labour, delivery, and third stage. Subsequently attention is paid to obstructed labour, delivery, and prolonged third stage. Since induction of labour has become common practice in many pathological conditions, several methods of induction and their complications are then discussed. Next, some basic knowledge about intrapartum fetal monitoring is presented, followed by some specific and potentially complicated situations such as shoulder dystocia, operative vaginal delivery, caesarean delivery, breech delivery, twin birth, and vaginal birth after previous caesarean delivery.
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Book chapters on the topic "Breech delivery"

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Yeomans, Edward R., and Larry C. Gilstrap. "Breech Delivery." In Queenan's Management of High-Risk Pregnancy, 424–28. Oxford, UK: Wiley-Blackwell, 2012. http://dx.doi.org/10.1002/9781119963783.ch50.

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Gimovsky, Martin L. "Breech Delivery." In Protocols for High-Risk Pregnancies, 509–12. Oxford, UK: Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444323870.ch63.

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Lalwani, Astha, Neharika Malhotra, and B. Aruna Suman. "Breech Presentation." In Labour and Delivery, 75–97. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-19-6145-8_5.

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Grant, Simon, and Emma Ferriman. "Vaginal Breech Delivery." In Medicolegal Issues in Obstetrics and Gynaecology, 179–83. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-78683-4_32.

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Bouganim, Joseph, Fatima Estrada Trejo, and Kfier Kuba. "Breech Delivery and Updates in Simulation for Breech Vaginal Delivery." In Practical Guide to Simulation in Delivery Room Emergencies, 363–79. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-10067-3_20.

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Hofmeyr, G. Justus. "Protocol 51: Breech Delivery." In Protocols for High-Risk Pregnancies, 423–27. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781119001256.ch51.

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Menakaya, Uche A. "Breech Presentation and Delivery." In Contemporary Obstetrics and Gynecology for Developing Countries, 193–201. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75385-6_17.

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Padumadasa, Sanjeewa, and Malik Goonewardene. "Assisted Vaginal Breech Delivery." In Obstetric Emergencies, 278–98. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9781003088967-25-25.

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Myerscough, P. "Some selection factors for breech delivery." In Problems of the Pelvic Passageway, 73–81. Berlin, Heidelberg: Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-72952-2_9.

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Stegeman, Kristin, Sapnalaxmi Amin, Anton A. Wray, and Joseph A. Tyndall. "Breech Delivery in the Emergency Department." In Atlas of Emergency Medicine Procedures, 675–80. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2507-0_117.

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Conference papers on the topic "Breech delivery"

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Klein, O., and B. Tschan. "Vaginal breech delivery – still an option?" In 28. Deutscher Kongress für Perinatale Medizin. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1607752.

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Christiaens, G. C. M. L. "DIAGNOSIS AND MANAGEMENT OF ITP DURING THE PERINATAL PERIOD." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644762.

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Although maternal and perinatal mortality and morbidity in pregnant patients with ITP are lower than previously assumed, they are not negligable. Significant postpartum hemorrhage occurs in 7% of the mothers with ITP. Thrombocytopenia is found in 51% of the newborns born from mothers with ITP and 6% of these have serious bleeding problems. Tests which predict which fetuses are at risk, are not yet available. Thrombocyte counts in a fetal blood sample are falsely low in 40% of cases.A prospective controlled randomized study done in the Netherlands failed to show an effect of antenatal corticosteroid treatment on neonatal platelet counts. Elective caesarean section has not been shown to protect against intracranial bleeding in thrombocytopenic newborns. The choice between vaginal delivery and caesarean section in ITP patients should be made on obstetric grounds with one exception: no other assisted vaginal delivery than the easy outlet forceps should be done. All cases of slow progress of the second stage of labour with insufficient descent should be terminated by caesarean section as well as breech delivery with suboptimal progress. Newborn thrombocyte counts should be done daily during the first week of life, since lowest platelet counts are often found between the 3rd and 5th postpartum day. Newborn thrombocytopenia is transient and does not warrant splenectomy, but can necessitate treatment with corticosteroids and/or high doses of immunoglobulin 6. Current data do not justify to dissuade breastfeeding.The recurrence of neonatal thrombocytopenia in subsequent patients is unknown.
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Kim, Jinho, and Jim S. Chen. "Effect of Inhaling Patterns on Aerosol Drug Delivery: CFD Simulation." In ASME 2008 International Mechanical Engineering Congress and Exposition. ASMEDC, 2008. http://dx.doi.org/10.1115/imece2008-66685.

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Inhaled Pharmaceutical Aerosols (IPAs) delivery has great potential in treatment of a variety of respiratory diseases, including asthma, pulmonary diseases, and allergies. Aerosol delivery has many advantages. It delivers medication directly to where it is needed and it is effective in much lower doses than required for oral administration. Currently, there are several types of IPA delivery systems, including pressurized metered dose inhaler (pMDI), the dry powder inhaler (DPI), and the medical nebulizer. IPAs should be delivered deep into the respiratory system where the drug substance can be absorbed into blood through the capillaries via the alveoli. Researchers have proved that most aerosol particles with aerodynamic diameter of about 1–5 μm, if slowly and deeply inhaled, could be deposited in the peripheral regions that are rich in alveoli [1–3]. The purpose of this study is to investigate the effects of various inhaling rates with breath-holding pause on the aerosol deposition (Dp = 0.5–5 μm) in a human upper airway model extending from mouth to 3rd generation of trachea. The oral airway model is three dimensional and non-planar configurations. The dimensions of the model are adapted from a human cast. The air flow is assumed to be unsteady, laminar, and incompressible. The investigation is carried out by Computational Fluid Dynamics (CFD) using the software Fluent 6.2. The user-defined function (UDF) is employed to simulate the cyclic inspiratory flows for different IPA inhalation patterns. When an aerosol particle enters the mouth respiratory tract, its particles experience abrupt changes in direction. The secondary flow changes its direction as the airflow passes curvature. Intensity of the secondary flow is strong after first bend at pharynx and becomes weaker after larynx. In flow separation, a particle can be trapped and follow the eddy and deposit on the surface. Particle deposition fraction generally increases as particle size and inhaling airflow velocity increase.
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Topaloğlu, Mustafa. "Avoidance of the Contract at International Sales of Goods." In International Conference on Eurasian Economies. Eurasian Economists Association, 2015. http://dx.doi.org/10.36880/c06.01258.

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Avoidance the Contract is a kind of legal system arrangement which is adopted as a private law enforcement applied effortlessly, in the context of not to be performed delivery of goods in accordance with the contract. Merely, International Tendency in 20th century have fronted that avoidance of the contract is the “ultimum remedium” in the case of any breach of the contract. In several of modern sale law systems, for instance in German Law and Scandinavian Law systems, avoidance of the contract is a process which should be applied in the case of other enforcements are inadequate. The “Convention on International Sale of Goods (CISG)” which has stipulated the same solution way, has an important role in the formation of this modern tendency mentioned below. In accordance with the CISG enforcement of avoidance of the contract shall be exercised in the case of essential breach of the contract. Besides, In case of insubstantial breaches, the buyer is enabled to refer a possibility “the avoidance of the contract” as if the breach is a kind of material breach of the contract by giving additional period to the seller who the party in breach. Despite the additional period of time fixed him, in the case of the seller does not perform delivery of the goods the buyer shall have the right to avoidance of the contract.
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Nagel, M., R. Ali, C. Doyle, and J. Suggett. "Comparing Breath Actuated and Breath Enhanced Jet Nebulizers for the Delivery of Tobramycin." In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a4880.

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Özel, Çağlar, and Dila Okyar. "The Liability of Seller for the Conformity of the Goods in Contracts of Sale According to United Nations Convention on Contracts for the International." In International Conference on Eurasian Economies. Eurasian Economists Association, 2015. http://dx.doi.org/10.36880/c06.01217.

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In practice, breach of contract cases mostly involve controversies over the failure of the seller to deliver conforming goods in accordance with the contract. Article 35 CISG defines the obligation of the seller to deliver conforming goods in a very broad and uniformed manner as it states that, the seller must deliver goods which are of the quantity, quality and description required by the contract and which are contained or packaged in the manner required by the contract. CISG provides two criteria for the assessment of the non-conformity of goods. One of them is called “subjective” criterion of non-conformity. It goes without saying that the goods delivered shall be in conformity with all specifications agreed upon by the parties whether explicitly or implicitly. The other one is called “objective” criterion. If the agreement of the parties does not involve any specifications at all– like in the case of routine and quick orders of purchase, or if the agreement of the parties is insufficient in this respect, conformity of the goods will be decided according to the objective criterion. In accordance with Article 35 CISG, Article 36 CISG establishes the responsibility of the seller for any lack of conformity which exists at the time when the risk passes to the buyer, even though the lack of conformity becomes apparent only after that time. Regarding this, Article 67 CISG defines the moment at which the risk passes to the buyer and thus, divides the responsibility between the seller and the buyer.
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Smaldone, Gerald. "Aerosol delivery during high flow nasal oxygenation: breath enhanced nebulization." In ERS International Congress 2023 abstracts. European Respiratory Society, 2023. http://dx.doi.org/10.1183/13993003.congress-2023.pa3609.

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Toddywala, Ronnie, Akanksha Hande, Vijay Shukla, and Michael Newhouse. "Comparison of aerosol delivery of AccuMist and AeroEclipse II using a breath simulator." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.2019.

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Martin, A. R., and C. Christianson. "Nasal Pillows Interface for Improved Breath Detection and Oxygen Delivery from Portable Oxygen Concentrators." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4964.

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Nagel, Mark, Rubina Ali, Cathy Doyle, and Jason Suggett. "Consistency of Medication Delivery with Breath Actuated Technology when Simulated with Differing Inhalation/Exhalation Ratios." In ERS International Congress 2023 abstracts. European Respiratory Society, 2023. http://dx.doi.org/10.1183/13993003.congress-2023.pa3614.

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Reports on the topic "Breech delivery"

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Brännström, Mats, Ylva Carlsson, and Henrik Hagberg. Obstetric outcome after uterus transplantation. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0052.

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Review question / Objective: Is delivery by elective cesarean section as safe for the mother and the neonate after uterus transplantation as after delivery by elective cesarean section for reasons such as breech and psychological indication regarding stillbirth/neonatal mortality, neonatal morbidity, maternal mortality, and morbidity? Rationale: To compare pregnancy, obstetrical and neonatal complications at delivery by cesarean section in patients that have undergone uterus transplantation and in a normal groups of women.
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Rao, Menaka, Kushagra Merchant, and Shantanu Menon. danamojo: Sustaining a relational platform. Indian School Of Development Management, May 2023. http://dx.doi.org/10.58178/2305.1023.

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This case study takes the reader through the journey of Dhaval Udani and danamojo, a social enterprise founded by Dhaval in 2016, that is looking to harness digital technology to expand the space of charitable giving between individuals and nonprofits in India. In so doing, it is also trying to strengthen its underlying idiom: that of trust, transparency and commitment. danamojo is representative of an emerging breed of organizations, and individuals behind them, that are trying to bring highly specialised expertise in a form relevant to civil society at large without affecting its core ethos. The case is unusually detailed for a seven-year-old organization. But in detailing the motivations of its founder, the digital platform that danamojo has built, the challenges of sustaining quality with thin resources, and the pressures of nurturing a culture centred on integrity, the case seeks to highlight that it takes much more than a sound idea, funds and expertise to sustain an enterprise that is relevant and delivers value day on day. In the case of danamojo, it is the likes of diligence and determination, integrity and intensity, creativity and commitment that have been the source of its real enterprise value.
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