This study aimed to investigate the impact of implementing team-based learning (TBL) in postpartum nursing simulation practical education for nursing college students. Methods: The study design was a non-equivalent control group pretest-posttest quasi-experimental design. 128 nursing students divided into two groups: 61 in the experiment group and 67 in the control group. During the winter break in January 2023, students participating in simulation practicals were assigned to the control group, while students participating in simulation practicals during the regular semester (April 2023) were assigned to the experimental group, to prevent crossontamination between the groups due to experimental treatment. Both groups completed selfdministered questionnaires to assess self-directed learning abilities, collaborative self-efficacy, academic achievement, and learning satisfaction. Results: The experimental group showed significantly better compared to the control group, the experimental group showed higher levels of academic achievement and learning satisfaction. Conclusion: It was evident that TBL applied to postpartum nursing simulation practical education is a pedagogical teaching strategy that enhances academic achievement and learning satisfaction. It is necessary to develop and apply team-based simulation practical education not only for challenging obstetric cases but also for labor and delivery nursing, antepartum nursing, and other related areas in clinical practice.

This study attempted to determine the characteristic features of postpartum dairy cows during their return to estrus. Moreover, it investigated the effects of abnormal ovarian cycles (AOC) on subsequent reproductive performance and the relationship between normal ovarian cycles (NOC) and the blood urea nitrogen (BUN) level postpartum. Incidentally, 56.3% of the Holstein cows and 66.7% of the Jersey cows had NOC, whereas the 43.7% and 33.3% of the Holstein and Jersey, respectively, had AOC. Within 100 days of calving, the cows with AOC had significantly lower rates of artificial insemination (AI) submission as well as pregnancy and a significantly longer interval to first AI, as compared to that in the cows with NOC. Additionally, the cows with NOC had a significantly higher first AI conception rate than that in the cows with AOC. In this study, of the 32 Holstein cows, 8 resumed their ovarian cycle within 20 days of calving, 10 resumed the cycle with 21-40 days of calving, 8 within 41-60 days of calving, while the remaining 6 did not resume their ovarian cycles until 60 days postpartum. Furthermore, the likelihood ratios of incidence of NOC are 0.93, 1.94, and 0.38, respectively, in the groups with BUN levels ＜ 15, 15-19.9, and ≥ 20 mg/ dl. In conclusion, AOC postpartum adversely affects reproductive performance such as AI submission rate, pregnancy rate, interval to first AI and first AI conception rate; moreover, an increase or decrease in the BUN levels beyond 15-19.9 mg/dL leads to the AOC postpartum.

The present study was designed to determine the effect of barn or cycle of grazing on changes of biochemical metabolites in prepartum and changes of milk composition in postpartum of dairy cows. For this purpose, a total of sixteen 25 months old Holstein primiparous dairy cows were allocated in two groups (n=8) with an average body weight of 571.61 ± 35.30 kg (Barn) and 578.10 ± 39.20 kg (Grazing). The study was conducted from June 2018 to October 2018. Results revealed that barn raised dairy cows had a higher increase in their serum albumin and calcium level on day 14 prepartum. However, the level of palmitic acid, saturated fatty acid increased significantly, and the level of fat, oleic acid, γ-linoleic acid, arachidonic acid and unsaturated fatty acids decreased significantly in barn raised dairy cow’s milk on day 14 postpartum. There were no significant differences observed with respect to all other biochemical metabolites, fatty acids and minerals between barn raised and cycle grazing dairy cows during prepartum and postpartum. Our study results could serve to a better understanding of barn raised cow with respect to changes of biochemical metabolites in prepartum and changes of milk composition, fatty acids and minerals content in grazing dairy cows in postpartum for estimating their physiological status.

Purpose: This study was to develop a clinical competence scale to assess competence of nursing students in postpartum bleeding care in the simulation-based clinical situations. Methods: The assessment items developed with 12 items of 3 point scale. An expert panel of 3 maternity professor reviewed the scale for content validity by using the CVI(Content Validity Index). Following the establishment of content validity, 12 items of the checklist were developed. The simulation-based postpartum hemorrhage nursing education that consisted of four sessions for 6 hours lecture and practice was provided to 32 small groups. Result: The total mean score of clinical competence in postpartum hemorrhage care was 17.34. Items with the highest mean score was 1.88 with ‘introduce myself to the patient'. Items with lowest mean score was 0.19 with 'assess the general conditions'. Reliability of between two evaluation using Cronbach's alpha was .86. Conclusion: This results show postpartum hemorrhage access tool developed this study had reliability and validity. Further studies are needed to determine property of tool in postpartum hemorrhage access tool.

Anestrus is one of the most important production limiting disorders in dairy buffaloes and its underlying causes have been a current topic of studies. The objectives of this study were to explore the causes of anestrus in buffaloes with the application of ultrasonography. Two examinations were performed by transrectal ultrasonography at 12 days apart in buffalo cows that were not seen in oestrus at 60 or more days postpartum. As high as 54.5% buffaloes had silent ovulation and 45.5% suffered from the true anestrus with ovarian dysfunction. The duration of anestrus after calving was 60～90, 91～120, 121～180 and 181～365 days in 27%, 32%, 18% and 23% buffalo cows, respectively. Treatment with prostaglandin of cyclic buffalo cows with a corpus luteum (72.7%) resulted in higher estrous rate as compared with close observation of estrus (23.1%) by the farmer (p=0.021). Acyclic buffalo cows without any corpus luteum on ovaries were successfully treated with gonadotropin releasing hormone (70%), resulting in higher estrous detection rate than those treated with a vitamin-mineral mixture (20%) (p=0.035). In conclusion, poor heat detection due to silent ovulation is the most important cause of apparent anoestrus in buffaloes; however the percentage of the true anestrous is also quite high in postpartum buffaloes.

A study on estrus synchronized dairy cows using progesterone intravaginal device was done to classify each cow's reproductive status from calving to synchronization and to evaluate the reproductive performance according to ovarian and uterine status, and calving season. From calving to estrus synchronization, silent heat or error of estrus detection among ovarian status and endometritis among uterine disorders were exposed in the most distribution (75.4% and 48.3%, respectively). The pregnancy rate of cows with inactive ovaries was lower than those in the follicular and luteal phase. And according to the uterine status before estrus synchronization, the pregnancy rate was similar in three groups; normal, endometritis, and pyometra (70.9, 69.1 and 100%, respectively). The interval from calving to conception was shorter (p<0.05) in cows calved during autumn than in cows calved during spring and winter.

This study was carried out the normal serial ultrasonographic appearance of the postpartum uterine involution with small pet bitches. Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored with ultrasonography in small pet bitches (Miniature Schnauzer, Cocker Spaniel and Shih-tzu). In the Miniature Schnauzer bitches, uterine diameter of the placental sites and interplacental sites were decreased from at 1 day to at 7 day, and at 1 day to at 7 day postpartum. In the Cocker Spaniel, the placental sites and interplacental sites were decreased from at 1 day to at 7 day, and at 1 day to at 7 day postpartum. In the Shih-tzu, the placental sites and interplacental sites were decreased from at 1 day to at 7 day, and at 1 day to at 7 day postpartum. And uterine diameter was no statistically significant difference among bitches (p>0.05). At 67 days, the uterine diameter in Miniature Schnauzer bitches were 6~7 mm both placental and interplacental sites, and the uterine horns showed uniform hypoechoic, tubular structures without enlargement. In present study, the involution of the uterus was completed at 67 days after parturition in Miniature Schnauzer, and 65 days in Cocker Spaniel and the Shih-tzu. There were no significant differences of normal postpartum uterine involution between small pet bitches (p>0.05). In conclusion, the postpartum involution of small pet bitches appeared to be completed normally at 65~67 days after parturition and could be identified by gross findings such as vaginal discharges and ultrasonographic findings of uterine shape and echogenicity.

This study was undertaken to determine the normal appearance of the postpartum uterine involution. Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored with ultrasonography in 8 Miniature Schnauzer dogs. Vaginal discharge was observed visually during the 3 weeks of postpartum. A large amount of viscous dark green discharge changed progressively to a small amount of transparent discharge. In the uterine shape, the transverse images were crescent or polygonal at the beginning, but became circular after 16 days. At postpartum day 24, the longitudinal images of placental and interplacental sites were similar to each other The echogenicity of uterine structure was clearly distinguishable among the hyperechoic serous membrane, hypochoic myometrium, hyperechoic endometrium, and anechoic uterine contents during the first week postpartum, but afterward the interluminal boundaries and echogenicity became obscure gradually. In addition, the anechoic substance of the endometrial cavity was not observed after postpartum day 28. In the uterine diameter, the diameter of placental sites decreased markedly from 24 mm at the first day postpartum to 13 mm at day 7, and the diameter of interplacental sites decreased from 15 mm at postpartum day 1 to 10 mm at day 7. At postpartum day 65, the uterus (6.4 mm) changed little and had a uniform homogenous echo, and thus it was confirmed that uterine involution was completed at that time in Miniature Schnauzer dogs.

본 연구는 젖소의 분만 후 난소 주기 재개의 이상이 번식 성적에 미치는 영향을 구명하기 위해 수행하였다. 정상적인 난소 주기가 진행이 되면 배란된 날에 난소 주기가 재개된 것으로 간주하였다. 공시우의 58.8%(114/194)가 정상적인 난소 주기의 재개를 하였고 41.2%의 소에서 난소 주기의 재개가 지연되었다. 배란 후 황체기가 20일 이상 유지되는 난소 주기의 재개지연 Ⅰ형(17.5%)과 분만 후 40일 이전에 첫 배란이 나타나지 않는 난소 주기의 재개지연 Ⅱ형(22.7%)이 난소 주기 재개 지연의 일반적인 형태였다. 정상적인 난소 주기를 가진 개체와 비교해 보면, 황체기가 연장된 소들의 분만 후 100일 이내의 인공수정 공시율, 수태율과 임신율은 더 낮고(각각 84.2 대 40.0%; p<0.01, 24.0 대 21.4%, 20.2 대 11.1%) 분만 후 첫 수정 일수와 공태 일수가 더 길다(각각 64.7±2.79 대 105.7±7.48일; p<0.01, 105.1±7.16 대 133.7±11.17일). 정상우와 무배란우를 비교해 보면, 100일 이내의 수태율과 임신율이 낮고(각각 24.0 대 20.0%, 20.2 대 16.3%) 분만 후 첫 수정 일수과 공태 일수가 더 길다(각각 64.7±2.79 대 72.6±4.45일, 105.1±7.16 대 120.8±12.33일). 결론적으로 젖소의 분만 후 비정상적인 난소 주기는 인공수정 공시율, 임신율, 첫 수정 일수와 공태 기간을 포함하는 번식 성적의 저하를 유발시킨다.

본 연구는 젖소의 분만 후 난소 주기의 재개, 난소 주기 재개와 PUN과의 관계를 구명하기 위해 수행하였다. 정상적인 난소 주기가 진행이 되면 배란된 날에 난소 주기가 재개된 것으로 간주하였다. 공시우의 58.8%(l14/194)가 정상적인 난소 주기의 재개를 하였고 41.2%의 소에서 난소 주기의 재개가 지연되었다. 배란 후 황체기가 20일 이상 유지되는 난소 주기의 재개지연 I형(17.5%)과 분만 후 40일 이전에 첫 배란이 나타나지 않는 난소 주

본 연구는 젖소에 있어서 분만후 난소 활동의 재개 및 분만후 40일째 BCS가 (PPC) program 적용에 미치는 영향을 구명하기 위하여 2002년부터 2003년까지 2년간에 걸쳐 축산연구소 및 천안 소재 전문 경영체 젖소농 장에서 사육중인 홀스타인 착유우를 대상으로 분만 후 난소 활동의 재개를 조사하기 위한 착유우21두 및 분만후 40일째 BCS가 PPC program 적용에 미치는 영향을 구명하기 위한 착유우 40두를 공시하여 수행한 결과 다음과

정상적으로 자연 분만한 Cocker spaniel 개 8두를 대상으로 분만 후 자궁의 수복상태를 관찰하기 위하여 육안적 질 분비물의 배출 및 초음파 진단장치를 이용하여 자궁의 형태, 에코 정도 및 크기의 변화상 등을 검사한 바 8두 모두 자궁의 수복이 정상이었다. 분만 후 자궁의 형태는 초음파 종단면에서 착상부가 비착상부에 비해 종대되어 나타나는 염주상을 보였으나 분만 후 25.602.51일 이후에는 착상부와 비착상부가 유사한 크기인 관상으로 관찰되었다

다양한 발정유기 방법의 반복처리에 따른 분만율은 평균 로 나타났고 생시체중에 있어서 자연 발정구와 발정 유기구에서 차이를 거의 보이지 않았으며 송아지 육성율은 농가의 사육경험이 많을수록 우수한 경향이었고 발정 동기화의 반복처리가 차기번식에 미치는 영향은 확인할 수 없었다. 1. 발정 유기구와 자연 발정구에서 출생한 송아지의 생시체중은 암송아지에서 각각 23.9kg, 24.0kg이었고, 수송아지에서 26.2kg, 24.9kg로써 처리간 차이가 없었다. 2

Many pregnant women have experienced low back pain (LBP) during pregnancy and after delivery, and it has been an important component in women health. This study was designed to investigate the characteristics and management of the LBP in postpartum women. Eighty-five postpartum women were participated in this survey. Mean age of 85 women was 28.1 years. Of 85 postpartum women, 55.3% (n=47) had LBP after pregnancy. Thirty of 47 women had pain on lumbar region, 17 postpartum women had pain on sacroilium region. Of 85 postpartum women, 74% (n=54) had LBP before pregnancy and 71.8% (n=61) had LBP during pregnancy. Of 47 postpartum women who had LBP, 83% (n=39) had not received medical management for LBP, 12.8% (n=6) took medication, and 4.3% (n=2) performed self-exercise. None of postpartum women had received physical therapy during pregnancy and after delivery for treatment low back pain. The pain in SI region was more severe than in lumbar region after pregnancy according to VAS (visual analog scale) (p<.05). However, there was no significant difference in VAS scores between SI pain and lumbar pain before and during pregnancy (p>.05). Pain region after delivery was related to pain region of pre-pregnancy and during pregnancy (p<.01). Pain level after delivery was related to the pain and night pain level during pregnancy (p<.01).