Delay

延迟
  • 文章类型: Journal Article
    槽型结构是市场需求侧和槽型资源供给侧均衡的结果,而时隙参数反映了航空系统的业务支持能力。时间参数反映了航空系统的作战保障能力。时间结构不仅要反映市场需求的变化,同时也满足了运营效率的约束。为繁忙的机场构建合理的18-24小时时间表,以满足对申报容量和季节性调度的正常期望,是民航时隙管理的挑战。本研究利用机场航班和天气状况的历史数据,采用K均值聚类和偏最小二乘回归建立时间结构的回归预测模型。此外,集成学习用于预测航班延误水平。研究结果表明,随机森林在回归和预测任务中产生了良好的结果,允许将时间曲线的上限(良好天气)和下限(不同天气)与延迟预测作为时间参数间隔进行积分。因此,在这些间隔内的航班达到的平均延误水平小于15分钟,符合正常飞行的预期。
    Slot structure is the equilibrium result of market demand side and slot resource supply side, while slot parameters reflect the operational support capacity of the aviation system. Time parameters reflect the operational support capability of the aviation system. Time structure should not only reflect changes in market demand, but also meet the constraints of operational efficiency. Constructing a reasonable 18-24 h timetable profile for busy airports that meets normal expectations for declared capacity and seasonal scheduling is a challenge in civil aviation slot management. This study utilizes historical data on airport flights and weather conditions to establish a regression prediction model for the time structure using K-means clustering and partial least squares regression. Additionally, ensemble learning is employed to forecast flight delay levels. The findings demonstrate that random forest yields favorable results in regression and prediction tasks, allowing for the integration of upper (good weather) and lower (severse weather) limits of the time profile with delay predictions as time parameter intervals. Consequently, the flights falling within these intervals achieve an average delay level of less than 15 min which meets the expectations of normal flight.
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  • 文章类型: Journal Article
    听力障碍被认为与毛细胞或突触末端的损伤有关,会导致不同程度的听力损失。大量研究表明,人工耳蜗可以平衡这种损伤。人耳主要在复杂的条件下接收外部声音信号,其生物物理机制对人工耳蜗的设计具有重要的借鉴意义。然而,相关的生物物理机制尚未完全确定。利用压电陶瓷中特殊声电转换的特点,本文将它们集成到传统的FitzHugh-Nagumo神经元电路中,并提出了一种具有耦合听觉神经元的综合模型。该模型综合考虑了神经元间突触耦合的影响,信息传输延迟,外部噪声刺激,和内部混沌电流刺激两个听觉神经元的膜电位信号的同步。实验结果表明,耦合强度,延迟大小,噪声强度,和混沌电流强度都对同步稳定性有一定的调节作用。特别是,当听觉神经元处于混沌状态时,它们对同步稳定性的影响是敏感的。数值结果为探索听觉神经元的生物物理机制提供了参考。同时,我们致力于在使用传感器监测信号和修复听力障碍方面提供援助。
    Hearing impairment is considered to be related to the damage of hair cells or synaptic terminals, which will cause varying degrees of hearing loss. Numerous studies have shown that cochlear implants can balance this damage. The human ear receives external acoustic signals mostly under complex conditions, and its biophysical mechanisms have important significance for reference in the design of cochlear implants. However, the relevant biophysical mechanisms have not yet been fully determined. Using the characteristics of special acoustoelectric conversion in piezoelectric ceramics, this paper integrates them into the traditional FitzHugh-Nagumo neuron circuit and proposes a comprehensive model with coupled auditory neurons. The model comprehensively considers the effects of synaptic coupling between neurons, information transmission delay, external noise stimulation, and internal chaotic current stimulation on the synchronization of membrane potential signals of two auditory neurons. The experimental results show that coupling strength, delay size, noise intensity, and chaotic current intensity all have a certain regulatory effect on synchronization stability. In particular, when auditory neurons are in a chaotic state, their impact on synchronization stability is sensitive. Numerical results provide a reference for exploring the biophysical mechanisms of auditory neurons. At the same time, we are committed to providing assistance in using sensors to monitor signals and repair hearing impairments.
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  • 文章类型: Journal Article
    手术患者肿瘤的治疗过程通常是迅速而有效的,而非手术患者由于各种因素更容易出现治疗延误。然而,非手术食管癌(EC)患者治疗延迟与生存结局之间的关系研究有限.本研究旨在评估山东省非手术EC患者从诊断到治疗的等待时间对生存结局的影响。中国。经过20年的随访,从2000年至2020年,共发现12,911例确诊为EC且未接受手术治疗的患者.采用Kaplan-Meier方法来确定总生存期(OS)和癌症特异性生存期(CSS)。进行单变量和多变量Cox回归分析以评估治疗延迟对未来结局的影响。使用受限三次样条(RCS)函数研究了等待时间与生存结果之间的非线性关联。从EC症状的初始医疗咨询开始EC治疗的平均延迟为1.18个月(95CI=1.16-1.20)。长期延迟治疗(≥3个月)的患者表现出1-,3-,和5年OS和CSS相比,那些在治疗开始时短暂延迟。EC治疗的长期延迟与各种原因和癌症的死亡风险增加独立相关。等待时间与全因死亡率和特定原因死亡率之间的关联显示出明显的J形模式。治疗开始的延长延迟显著影响非手术EC患者的OS和CSS结果。及时给予治疗有可能提高不符合手术条件的EC患者的生存结果。包括那些没有手术选择的晚期。
    The treatment process of tumors in surgical patients is typically prompt and efficient, whereas non-surgical patients are more prone to treatment delay due to various factors. However, the relationship between treatment delay and survival outcomes in non-surgical Esophageal cancer (EC) patients has received limited study. This study aims to evaluate the impact of waiting time from diagnose to treatment on survival outcomes among non-surgical EC patients in Shandong Province, China. Over a 20-year follow-up period, a total of 12,911 patients diagnosed with EC and not receiving surgical intervention were identified from 2000 to 2020. The Kaplan-Meier methodology was employed to determine overall survival (OS) and cancer-specific survival (CSS). Univariate and multivariate Cox regression analyses were performed to evaluate the impact of treatment delays on future outcomes. The nonlinear association between waiting time and survival outcomes was investigated using restricted cubic spline (RCS) functions. The average delay in initiating EC treatment from the initial medical consultation for symptoms of EC was 1.18 months (95%CI=1.16-1.20). Patients with a long delay (≥3 months) in treatment demonstrated significantly lower rates of 1-, 3-, and 5-year OS and CSS compared to those with a brief delay in treatment initiation. A long delay in EC treatment independently associated with an increased risk of mortality from all causes and cancer. The association between waiting time and both all-cause and cause-specific mortality illustrated a pronounced J-shaped pattern. The prolong delay in treatment initiation significantly impacts the OS and CSS outcomes for non-surgical EC patients. Timely administration of treatment has the potential to enhance survival outcomes in patients with EC who are ineligible for surgery, including those in advanced stages without surgical options available.
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  • 文章类型: Journal Article
    本文研究了乳酸生物传感器的运行稳定性,各种生物医学和生物技术应用中的关键设备。我们详细介绍了为乳酸测量量身定制的安培传感器的构造,并概述了用于经验验证的实验设置。
    建模框架结合了Brown和Michaelis-Menten动力学,集成分布式和离散延迟,以捕获乳酸传感的复杂动态。要确定模型参数,我们提出了一种非线性优化方法,利用布朗模型延迟值的初始近似,用于具有离散延迟的后续模型。
    稳定性分析是我们调查的基石,围绕平衡态进行线性化,并仔细检查准多项式的实部。值得注意的是,我们的发现表明,离散时滞模型表现出边际稳定性,在渐近稳定性和不稳定性之间占据微妙的平衡。我们介绍了基于特征准多项式根验证边际稳定性的标准,提供对系统行为的实用见解。
    模型的定性检查阐明了延迟对动态行为的影响。我们观察到随着延迟值的增加,从稳定聚焦到极限循环和周期倍增现象的转变,使用庞加莱截面的相图和分叉图证明了这一点。此外,我们确定了模型适用性的局限性,特别是随着越来越多的延迟,解决方案积极性的丧失,强调在采用延迟指数函数公式时谨慎解释的必要性。这项全面的研究为乳酸生物传感器的设计和操作特性提供了宝贵的见解,提供一个强大的框架来理解和优化他们在不同环境中的表现。
    UNASSIGNED: This paper investigates the operational stability of lactate biosensors, crucial devices in various biomedical and biotechnological applications. We detail the construction of an amperometric transducer tailored for lactate measurement and outline the experimental setup used for empirical validation.
    UNASSIGNED: The modeling framework incorporates Brown and Michaelis-Menten kinetics, integrating both distributed and discrete delays to capture the intricate dynamics of lactate sensing. To ascertain model parameters, we propose a nonlinear optimization method, leveraging initial approximations from the Brown model\'s delay values for the subsequent model with discrete delays.
    UNASSIGNED: Stability analysis forms a cornerstone of our investigation, centering on linearization around equilibrium states and scrutinizing the real parts of quasi-polynomials. Notably, our findings reveal that the discrete delay model manifests marginal stability, occupying a delicate balance between asymptotic stability and instability. We introduce criteria for verifying marginal stability based on characteristic quasi-polynomial roots, offering practical insights into system behavior.
    UNASSIGNED: Qalitative examination of the model elucidates the influence of delay on dynamic behavior. We observe a transition from stable focus to limit cycle and period-doubling phenomena with increasing delay values, as evidenced by phase plots and bifurcation diagrams employing Poincaré sections. Additionally, we identify limitations in model applicability, notably the loss of solution positivity with growing delays, underscoring the necessity for cautious interpretation when employing delayed exponential function formulations. This comprehensive study provides valuable insights into the design and operational characteristics of lactate biosensors, offering a robust framework for understanding and optimizing their performance in diverse settings.
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  • 文章类型: Systematic Review
    在最佳时间内开始治疗对于患有乳腺癌的女性至关重要。癌症治疗开始的延迟可导致发病率和死亡率增加以及总生存率降低。
    本系统综述旨在调查有关开始癌症治疗的影响乳腺癌女性的因素和信念的文献。
    PubMed,CINAHL,使用乳腺癌的术语搜索PsycINFO数据库,开始或寻求治疗,和信仰。约翰霍普金斯大学循证实践研究证据评估工具用于评估所包含的文章。
    这篇综述包含了16篇文章。所处理的因素分为(1)患者相关因素,(2)疾病相关因素,(3)提供者相关因素,(4)系统相关因素。确定的信念是文化信念和开始治疗的障碍。
    尽管文献报道了多种因素和信念影响乳腺癌女性开始治疗的时间,需要更多的研究来充分了解影响治疗开始的信念.必须解决和筛选被诊断患有乳腺癌的女性的因素和信念,以尽早加强治疗并防止任何可能的延误。可以开发干预措施来克服可能导致延迟开始治疗的因素和信念。倡导新政策应采取行动,以减少与乳腺癌妇女开始治疗相关的差距。
    UNASSIGNED: Initiating treatment within the optimal time is critical for women with breast cancer. A delay in cancer treatment initiation can result in increased morbidity and mortality and decreased overall survival.
    UNASSIGNED: This systematic review aims to investigate the literature for the factors and beliefs affecting women diagnosed with breast cancer with regard to initiating cancer treatment.
    UNASSIGNED: The PubMed, CINAHL, and PsycINFO databases were searched using the terms of breast cancer, initiating or seeking treatment, and beliefs. The Johns Hopkins Evidence-Based Practice Research Evidence Appraisal Tool was used to evaluate the included articles.
    UNASSIGNED: Sixteen articles were included in this review. The addressed factors were classified as (1) patient-related factors, (2) disease-related factors, (3) provider-related factors, and (4) system-related factors. The identified beliefs were cultural beliefs and perceived barriers to initiating treatment.
    UNASSIGNED: Although the literature reported multiple factors and beliefs that impact the time of initiating treatment among women with breast cancer, more research is needed to fully understand the beliefs influencing treatment initiation. It is essential to address and screen the factors and beliefs identified for women diagnosed with breast cancer to enhance treatment initiation early and prevent any possible delay. Interventions can be developed to overcome the factors and beliefs that may lead to late treatment initiation. Advocacy for new policies should be in action to reduce the disparities associated with treatment initiation among women with breast cancer.
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  • 文章类型: Journal Article
    从心肌梗塞症状发作到寻求医疗救助的延迟时间可能会危及生命。女性在寻求医疗帮助方面比男性延迟得多,一旦出现心肌梗塞的症状。
    当前的定性研究的主要目的是探索导致以色列妇女延迟要求医疗救助的社会心理因素,相比之下,鼓励他们这样做的动机因素。
    定性研究。
    总共,12名妇女在经历心肌梗塞后不久接受了采访。对定性数据进行主题分析。
    出现了两个主要主题,描述了寻求帮助的障碍:(1)使用否认作为防御机制和(2)控制的需要。增强寻求帮助的动机因素是“对死亡的恐惧”。
    这些发现可能有助于设计对性别敏感的干预措施,目的是最大限度地减少症状发作的时间,从而防止不可逆转和危及生命的健康损害。
    UNASSIGNED: The delay time from onset of symptoms of a myocardial infarction to seeking medical assistance can have life-threatening consequences. Women delay significantly more often than men do in calling for medical help, once symptoms of a myocardial infarction occur.
    UNASSIGNED: The current qualitative study\'s main aim was to explore psychosocial factors that contribute to Israeli women\'s delaying calls for medical assistance and, by contrast, the motivational factors that encourage them to do so.
    UNASSIGNED: A qualitative study.
    UNASSIGNED: In total, 12 women were interviewed shortly after experiencing a myocardial infarction. Qualitative data were subjected to thematic analysis.
    UNASSIGNED: Two major themes emerged describing barriers to seeking help: (1) the use of denial as a defense mechanism and (2) the need for control. The motivational factor which enhanced help-seeking was \"fear of death.\"
    UNASSIGNED: These findings may help in designing gender-sensitive interventions with the aim of minimizing the symptom onset to call time and thus preventing irreversible and life-threatening health damage.
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  • 文章类型: Journal Article
    在目前的研究中,我们调查了一次协作会话的效果持续影响个体记忆的时间。参与者分别学习了分类的单词列表和散文段落,然后他们被指示合作或单独回忆所学的材料。最初召回后,参与者在延迟5分钟后完成了个人回忆测试,48h,或1周。在最初的召回测试中,我们发现,协作减少了单词列表和散文段落中正确项目的召回(协作抑制),这种合作减少了单词列表和散文段落的错误回忆(纠错)。然而,在延迟后的后续个人记忆测试中,后协作效应的模式在真实回忆和错误回忆中有所不同。对于词表和散文段落,正确召回后的协作福利持续了1周。然而,错误纠正对随后的错误召回没有持久影响。这些结果表明,后协作利益的时间过程可以持久,但是他们对真实回忆有选择性。结果可以通过再曝光和纠错理论进行解释。
    In the current study, we investigated how long the effects of one single collaboration session continue to influence individual memory. Participants learned categorized word lists and prose passages individually, and then they were instructed to recall learned materials either collaboratively or individually. Following initial recall, participants completed an individual recall test after a delay of 5 min, 48 h, or 1 week. On the initial recall test, we found that collaboration reduced recall of correct items on both word lists and prose passages (collaborative inhibition), and that collaboration reduced false recall on both word lists and prose passages (error correction). However, on the subsequent individual memory test after a delay, the pattern of post collaborative effects differed across veridical and false recall. For both word lists and prose passages, post collaborative benefits on correct recall lasted 1 week. However, there were no lasting effects of error correction on subsequent false recall. These results suggest that the time course of post collaborative benefits can be long lasting, but they are selective to veridical recall. The results are explained by theories of reexposure and error correction.
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  • 文章类型: Journal Article
    背景:A型主动脉夹层(TAAD)是一种需要立即干预的紧急情况。外周动脉疾病(PAD)是一种在各种心血管手术中与不良预后相关的普遍疾病。然而,目前尚不清楚PAD是否会影响TAAD修复的结局.本研究旨在进行基于人群的分析,以评估PAD对TAAD修复后住院结局的影响。
    方法:在2015年第四季度至2020年的全国住院患者样本中确定了接受TAAD修复的患者。多变量逻辑回归用于比较有和无PAD患者的院内预后。根据人口统计进行调整,社会经济地位,主要付款人身份,医院特色,合并症,和转学/入学状态。
    结果:1525例PAD患者和2757例非PAD患者接受TAAD。PAD患者死亡率较高(18.62%vs13.17%,OR=1.287,p=.01),AKI(51.41%vs47.48%,OR=1.222,p<.01),感染(10.69%vs8.02%,OR=1.269,p=.03),血管并发症(7.28%vs3.77%,aOR=1.846,p<.01),但心包并发症的风险较低(15.21%vs19.95%,OR=0.696,p<.01)。此外,PAD患者从入院到手术的时间更长(1.29±3.95vs0.70±2.09天,p<.01),LOS更长(14.92±13.98vs13.41±11.66天,p=.01),和更高的医院费用(499,064±519,405对409,754±405,663美元,p<.01)。
    结论:PAD与TAAD修复后不良预后独立相关。死亡率上升可能归因于手术延误,这可能与PAD患者常见的术前外周灌注不良综合征有关。术前管理和立即TAAD修复之间的平衡可能对于防止PAD患者因治疗延迟而增加的死亡风险至关重要。
    BACKGROUND: Type A aortic dissection (TAAD) is an emergent condition that warrants immediate intervention. Peripheral artery disease (PAD) is a prevalent disease associated with worse outcomes in various cardiovascular procedures. However, it remains unclear whether PAD influences outcomes of TAAD repair. This study aimed to undertake a population-based analysis to assess impact of PAD on in-hospital outcomes following TAAD repair.
    METHODS: Patients underwent TAAD repair were identified in National Inpatient Sample from Q4 2015 to 2020. Multivariable logistic regressions were used to compare in-hospital outcomes between patients with and without PAD, adjusted for demographics, socioeconomic status, primary payer status, hospital characteristics, comorbidities, and transfer/admission status.
    RESULTS: 1525 patients with PAD and 2757 non-PAD patients underwent TAAD. PAD patients had higher mortality (18.62% vs 13.17%, aOR = 1.287, p = .01), AKI (51.41% vs 47.48%, aOR = 1.222, p < .01), infection (10.69% vs 8.02%, aOR = 1.269, p = .03), and vascular complication (7.28% vs 3.77%, aOR = 1.846, p < .01) but lower risks of pericardial complications (15.21% vs 19.95%, aOR = 0.696, p < .01). In addition, patients with PAD had longer time from admission to operation (1.29 ± 3.95 vs 0.70 ± 2.09 days, p < .01), longer LOS (14.92 ± 13.98 vs 13.41 ± 11.66 days, p = .01), and higher hospital charge (499,064 ± 519,405 vs 409,754 ± 405,663 US dollars, p < .01).
    CONCLUSIONS: PAD was independently associated with worse outcome after TAAD repair. The elevated mortality rate could be attributed to the delay in surgery, which may be related to preoperative peripheral malperfusion syndrome that is common in PAD patients. A balance between preoperative management and immediate TAAD repair might be essential to prevent the increased mortality risk from treatment delays among PAD patients.
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  • 文章类型: Journal Article
    性传播感染(STIs)是影响人们健康和福祉的最普遍的传染病。成功预防和控制性传播感染的主要障碍之一是寻求医疗保健的延误,这可能会导致重大的个人和经济损失。然而,在埃塞俄比亚等资源有限的国家,关于性传播感染患者寻求医疗保健的延迟的研究有限.
    本研究旨在评估在HoroGuduruWollega地区的公共卫生设施中出现性传播感染的患者寻求医疗保健的延误和相关因素,奥罗米亚,埃塞俄比亚西部,2022年。
    于2022年3月15日至5月15日在HoroGuduruWollega区的公共卫生设施进行了一项横断面研究。该研究包括507名参与者,并使用连续抽样方法。研究的结果变量是STI患者寻求医疗保健的延迟。在分别分析每个变量后,使用二元逻辑回归模型来识别p值小于0.25的候选变量。最后,进行多变量分析,以确定P值小于0.05的有统计学意义的变量,并报告校正比值比(AOR).
    在HoroGuduruWollega地区延迟寻求医疗保健的性传播感染患者比例为61.3%[95%置信区间(CI):57%-65.5%]。年龄>35岁等因素(AOR=2.23,95%CI:1.26-3.95),高等教育水平(AOR=2.72,95%CI:1.55-4.74),缺乏安全套使用(AOR=1.63,95%CI:1.05-2.55),发现>1h的医疗机构旅行时间(AOR=4.30,95%CI:1.70-10.89)与延迟就医显著相关.
    这项研究发现,寻求医疗保健的延迟幅度高于全国平均水平,并确定了几个促成因素。制定教育计划和改善获得医疗保健服务等干预措施对于支持性传播感染患者至关重要。通过有针对性的社区外展,提高农村地区的医疗保健可及性,促进避孕套的使用,可以减少旅行时间,防止为性传播感染寻求医疗保健的延误。
    UNASSIGNED: Sexually transmitted infections (STIs) are the most prevalent communicable diseases that impact people\'s health and wellbeing. One of the main obstacles to successful prevention and control of STIs is the delay in seeking healthcare, which can result in significant personal and economic losses. However, there are limited studies on the delay in healthcare seeking among STI patients in resource-limited countries such as Ethiopia.
    UNASSIGNED: This study aims to assess delays in seeking healthcare and associated factors among patients presenting with STIs at public health facilities in the Horo Guduru Wollega Zone, Oromia, Western Ethiopia, 2022.
    UNASSIGNED: A cross-sectional study was conducted at public health facilities in the Horo Guduru Wollega Zone from 15 March to 15 May 2022. The study included 507 participants and used a consecutive sampling method. The outcome variable of the study was the delay in seeking healthcare among STI patients. A binary logistic regression model was used to identify candidate variables with a p-value of less than 0.25 after analyzing each variable separately. Finally, a multivariable analysis was performed to determine statistically significant variables at a p-value of less than 0.05, and an adjusted odds ratio (AOR) was reported.
    UNASSIGNED: The proportion of individuals with STIs who delayed seeking healthcare in the Horo Guduru Wollega Zone was 61.3% [95% confidence interval (CI): 57%-65.5%]. Factors such as age >35 years (AOR = 2.23, 95% CI: 1.26-3.95), higher educational level (AOR = 2.72, 95% CI: 1.55-4.74), lack of condom use (AOR = 1.63, 95% CI: 1.05-2.55), and travel time to health facilities of >1 h (AOR = 4.30, 95% CI: 1.70-10.89) were found to be significantly associated with delayed healthcare seeking.
    UNASSIGNED: This study found that the magnitude of delay in seeking healthcare was higher than the national average and identified several contributing factors. Interventions such as developing educational programs and improving access to healthcare services are crucial for supporting patients with STIs. Enhancing healthcare accessibility in rural areas and promoting the use of condoms through targeted community outreach can reduce travel time and prevent delays in seeking healthcare for STIs.
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  • 文章类型: Journal Article
    孕产妇和新生儿死亡率是一个全球性问题,在低收入和中等收入国家非常普遍。包括埃塞俄比亚。孕产妇在寻求机构分娩服务利用方面的延误在确定孕产妇和新生儿健康结局方面发挥着重要作用。尽管已经对埃塞俄比亚的机构交付服务利用进行了研究,对于延迟寻求机构交付服务的因素知之甚少。
    本研究旨在评估冈达尔公共卫生机构中直系产后母亲寻求机构分娩服务的延迟和相关因素,埃塞俄比亚西北部。
    于2022年7月15日至9月10日进行了基于设施的横断面研究。采用系统随机抽样的方法共选择391名参与者。数据是通过使用结构化的面对面访谈收集的,预先测试,和面试官管理的问卷。将数据输入到EpiData版本4.6中,并使用社会科学版本26的统计软件包进行分析。拟合多变量logistic回归模型,显著性水平设定为p≤0.05。
    寻求机构交付延迟的患病率为49.10%(95%置信区间[CI]:44.13,54.08)。农村居民(调整后的优势比[AOR]=2.51;95%CI:1.43-4.41),没有产前护理就诊(AOR:2.87;95%CI:1.34-6.13),计划外妊娠(AOR:2.98;95%CI:1.78-5.01),产妇护理服务决策自主性差(AOR:1.98;95%CI:1.15-3.40),出生准备计划不良(AOR:4.88;95%CI:2.79-8.53)与寻求机构分娩的延误显著相关。
    寻求机构交付服务的延迟很高。最好提高妇女在自身保健方面的决策权。此外,最好安排提高妇幼保健服务利用率的方案。
    UNASSIGNED: Maternal and neonatal mortality is a global problem that is highly prevalent in low- and middle-income countries, including Ethiopia. Maternal delay in seeking institutional delivery services utilization plays a significant role in determining maternal and neonatal health outcomes. Although studies have been conducted on institutional delivery service utilization in Ethiopia, little is known about factors for delays in seeking care for institutional delivery services.
    UNASSIGNED: This study aimed to assess the delay in seeking institutional delivery services and associated factors among immediate postpartum mothers in public health facilities in Gondar, northwest Ethiopia.
    UNASSIGNED: A facility-based cross-sectional study was conducted from July 15 to September 10, 2022. A total of 391 participants were selected using systematic random sampling. Data were collected through face-to-face interviews using structured, pretested, and interviewer-administered questionnaires. Data were entered into EpiData version 4.6, and the analysis was conducted using Statistical Package for Social Science version 26. The multivariable logistic regression model was fitted and the level of significance was set at p ≤ 0.05.
    UNASSIGNED: The prevalence of delay in seeking institutional delivery was 49.10% (95% confidence interval [CI]: 44.13, 54.08). Rural residence (adjusted odds ratio [AOR] = 2.51; 95% CI: 1.43-4.41), no antenatal care visits (AOR: 2.87; 95% CI: 1.34-6.13), unplanned pregnancy (AOR: 2.98; 95% CI: 1.78-5.01), poor decision-making autonomy in maternity care services (AOR: 1.98; 95% CI: 1.15-3.40), and poor birth preparedness plan (AOR: 4.88; 95% CI: 2.79-8.53) were significantly associated with delays in seeking institutional delivery.
    UNASSIGNED: Delays in seeking institutional delivery services were high. It is better to promote women\'s decision-making power in their own health care. In addition, it is better to arrange programs that will improve maternal and child health service utilization.
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