pregnancy outcome in adolescent mothers at maharat...
TRANSCRIPT
2 0 s.n. 2$32
n'l1u $illnfiailtacdnflllnnao
' r-'-'-' 1rrtr{tutl'ut'1nilil'lrldunrtliartr n il'rl' 253oTout'lro1'ltJl[
PREGNANCY OUTCOME
tN ADOLESCENT MOTHERS AT MAHARAT MKORNRATCHASIMA HOSPITAI4
n?nn fiorfiaind"/
afi#umu1n1ta1n
^t A q ct ,A_-fimmlrutg:
.
ine'IftflCfi rfildruufi.rto tnr:flnsrorMfinantrl?rgrXrinarornglrilu'lfuflPl
6t'r11fl 'r: r a?rgfiu{unvrt snauilru{'lnt
fiufininerfifl aurinsrfis$fion
1t.6, Z53Z
1? s68
t --4??18'n&fl.lfrd
I TA\tlr.ua
R1?cunZfriaurau0tnfl 1?naae !a{il11e 119 iu'lu1r.ruatn,ta$wrrlfunlfldtyr il u.c. 25s
rvl- ,)-^ ---
oli'ntt ,fonl;pis,a!....4 ...44.1...
A to ---/f,1011 aAn?fl?flC
I
9f?14!|
I-qe.qJiun SrrJ:vsir!, u.r.r.', M.P.H.
ilrssrun zrun,r fn ?uaxins rt ndt
1$r,l^ .f ^\xv.lrr 5.
stf,nd afi*rlrrf, s.u.., r. r. tffi-uilr/)
I
nldr''; Q - -
ual-onrni lndIa, u.u., Ph.D.t-{mtrn!---o-t3tn2ng,Iat rnm"n8,laSrlna
-tafl ztf m.l?n?tnil ?n8'nnoril
I
fizrailrnrnir{fi *r*n {-ui r rtr}na T
fl u.arunad,taq{Tz.rug ru,taa,r$fi6
f mirOund
r*ro
Rrtvun:nffou[acanfl ,tmaaota {il'lror SgTr
'tu1z..ruaruraunrrt'rmurdihn il u. a- zsgo
lfiifiq.lrrrar$fi'tfifii r fi^dn*riloaasnrrfrrnn nu#rgor'tiggrinardrdnuminfotru rnr r r etgfir{uas rxumnl zvdtnz
iud aa qruntuf 2632
Ilr- sat118I
t
:ht tL.t'Jr,<. -........
I mnd
nrtrtnrldauinertnd
f,"rJruil?a errnrvnnila,u. u',1.'t.c{fi-uirrdln:zilnrrdalinantnd
fiunr duRa, $.u',il.ft$ c$-uired), l,t.P.H'
nrrrnrrdauinsrtct#
.Al,i:.:........... .P:.9f:. .....I
Sr&t qagia,'U.U., Ph.D. Arznlrf trddrilrv, U.B. '8.S.'F,RI.C.P'
dfina
.n i. ;... .l.ll:t ... l:riLqC:snm 'Hunial#
.ttu) e-€
ni{n firrFuffi, u.tt., u.P.H.
drsrrtfl r$n r rgauina rfr lrd
,Ju J",.f *v;^rs+ s ,
...f ....r' ''"'
elfind $*fi*F, rr.u., r.e. t$-uttad)'Dip in Field EbideniologY
ilrfininarda uninarfialfua mpuunarfrdsfltcuarura:rmitfi
{t
dTO
UdAAlil toail iltflo
nnrtdrfio
il:c{finr:flnu'l
r Ua DAUilTs?nal2cg
A , O O.Jd.tslt''t aan?R?not
z ftntrgu lr'fl' e4s|q
iwiomrn{flm
rFrgryruur u'r am dntfiBficl(ae6
ffucilfl 1 il'r nfl 1 dsl: ilill?nfl 'lnstJilon
il.6. e5Z6t
aunmcElt
ldiunu ortrfin-fl?inlq
6A6Ailnll811tf'tsuoT
le adflls$m8fl 'ldnt lt{t}t€t'llJ'lnTlil1s'lJn
ilurinsrfieilfion
druudruncdn'lti{fi''r{1x u€rru'lait1?u s
t: wsr ur nmf 'lll trttnrr1tfl il1
drfinsrurlfiflflTsnrl{ fltcnr?{td'rs'1:sdt
a
C
.|}
t
frnfinrrrdrgnm
diigraromnuns o',ns'rrqrrri ursuuilEiinr tonnlnu{ nlnnncrrEiTt.T
n'rflr$mdfiruus erqr6uor ro{rflldnlrqrrEi u'reuilrd4ria 6rnllrurn?5 Bnu
nmqrrd nrnitrnfinrnn{-tirT tinsr priru dt'finm{durfirrurrrmrttnrrririnsr-
furuC raroln{runs ra{rrl1dor1.1rd uraun*tiifin fiT rhufirJ rasfllanrrcrrd
uTsumfi$flnd 4finrtr:'$ {dTanranrrmrd ursumrfihefind lorlrs,ra?Xnlnd
arqrrtlursunmrirtrurro .'.trnrrnutu iilfinr*l ror'[c'[d'ltidruus{rilinu'lrnsdas r?R.r
dufirirtunr:fl:rqu'fiht unrinounon.rl{.rinnlA"ui ronaililrcn$ frdrsRrdn:rqr:Ei
rrsuuil€istsfit tunfind dnTnfincufiltunfifl donrmdr nqr mut^rrrruuunesrf, sflunr
eirqn dn1url'fi'fiofio lflnn" r $rn:rrnrraouinnrfiurdn{.ti
Etttofl qlmniiflfi sldiun?1rnts1.r1 n oiiirursnrrtrfisru'lorllr'lr1{rnrr1dflrt1
at!tiorqrrtiureuunriururufio ufi orcrrduunffior.raor grnflu rrguuntiurrrtcr q0-
ra?rgnm itldaruurnunuiirilrsnmmcornlunrrrfiu{op quflnrn# fimon.qi#
ryrfrunt mfi#ffina uncr{rufir'rnrri.uo.untrc rfinu]afifi lro,nnillailrlrl;?1{Am dldtrinerdrilfiounsdre rufialunrr r fi mru:'ldatn d3dsromuurenmnndru
dEl"B illlo?tl
,lglr,aadflon1g$lonoiluTBn$ fulctluilg-1.rEt'tu1n flnil{t'lildn-I5 t'ldnttil tf{1d811j'ln-Itt!
ttu1r1dilntr1lflm rnrao, inti nrri nuurir6u'cnr rfiflnflnn dun",iiou nnonilrHtttitiY-!tf -D--'- .dYll a d o u o os a I8o d o b b dH tnfln1?l1iln tox2s rfina$nc rilllfllnd te tufl1rflnr1nt{tild'l r51r5€tljfogazgn
+
a6onrt
t
, o uJaonlflldcr
eJo a I{o1ilEl'l1l1.m0 s1'lc$nrfl{ail $nsa,nfl1rnaon m{il'rraliErru httwtnurn
r,tlt111dilnfl11flm fl U.tl. 2530
Fis qtnr doniniad
ffiruur insr fl r nnrun fofur < nrt r e?rgfit{unctr {turt'nilrcir nr I
t6a(
n$s nlf tJfl 'l ffi? iln|J?nfl 1 $l,lllff'q-
.l
nrrflnr, n{r{fiisrnfi cnrr{itqrflnrrfr sfinruum:im?nrr n1?uunrfl{ot uncI
sJnn'lrnnootro surrnrisiu r rfreu lfreufiumrororfl zo-go fl lnsifinrrflnu'l$oludo'tq
rt'1fl6tlofllgd'11rfl1?nnonuas r1{rc rfigl| o1nu.ro.dnnoou9n5llr$fn ottri,dun 'luIt
lruusrura$u'r:1{rrn:rffim r"u'ir.riuii I ilflrlnil zsso fisiuii sr f,trrnil asgo
loflfinaiilf,nrrrfitu,rmriElduorfl ls-ls flnnrrs'iruru zzs ns ununafuldiErutfrsuiltqq
(aau.aaI- il'Ifl$lmfl'rlln ]nilfuosx, to$fl1flnt1q11El
ffrcurmsel'lar'{lr.rrnrT uranurf;rfi rmrinsrd€|xfinn
- uruuundadnd afinrirrrfr, rosR.nnrr.rtri,tc6aoea
5l$stt1.lYlfl61d$lT lt{tl,ftl'1il1nT1il1ff'1jn $f'l?tlB'lng$ilOn
- meuunElilrcfi# tar]rcrnisaiad, {dranrnn:rqrrdle aa6uo
fllcttl.fitEttl'tdnT tt{1{911j'lafllil161to ilfll?nfl ngililoa
- rlrsil?a a'ltnfcnafig, tr'ltrum€it,u
tt sus'l ur nmrl r1{ilnrr1 dfl il'l
in?idrr€qnrrfinul zB nunrfilC zssz,
uluilnn80
+
a
dnuflcnrrftutnrrdrnnrtfuo.rnrililrroriedu uuirldlfiatrnn:td fatnc
drutuqfinafrnnrrr{tulnril1dn1il losnc 43,5 $asflzrqnrrd{'lrlu 1 n{o mn
frno{aeasrt
zt ai'urnrilu.lisutfisu urhtildohnn:trf toens e' r druluqfurnlrnnrtr{
t 'lulsrrnraiidos {asnu gs.e rnunr?entt,{{'',uru a n{s mni{4r, {oflns to,s rns
uufinrlilucrnsircodr{fifiedrfirynrsafifr lnnrrdrnntrr{ orqnrli,t'nlrafrnatttiofostn
uncdrurun{wotntr:drnnrrr{ uuo*t.to.{{dodn.iil
ntsunrn{ou$auilnnlinnao wrirndoo.ro'tiurufidnrrCrldn tn'irn{l rrl?alttiq
rfisu r?isrfiunr':uRmlfittafind{mufioafir{ tfosne 11.3 $nc s.o) r"undf,aonoo
fll:naongltmtr (fasAs 6,3 rtnc 4.8) ntrcfildud{naoo <ioenc 1.? $au o.7)
ns$rtdnlumrnufionnoorir tiosa" 8,5 rtoa 1'o) n1tfl[tflnnocrrirrfinfioa <fosas
ts.1 unu 2.6) uncnrrnrfiolfiilu <iosnc o,9 Bas o,7) qrnnrrfinr.o ofi uU
-lns$umn'lmltnuR(lnnaflfl 1
jc e D O I s | !- ---l--€lu c o- -----l-.--r€ d
$aunlTflurnnnoo{rr{nflog-lunnilmrorialu $nfln'l {to?Jl ililttldlafg elflflnil tilrfllJ ll1gu
usililunmiluonsirradr.rfirierdrftprl\rdfifi lmrrsunrniorrcsunnon$ncfllrnd0o^norln'sl
no rnrimrroriaiuununeil uJisu rfisu ua" tdoorunildreflqianr tdru r rtruXfrr-fl.rnl
godln'Iil $nsfl'l5tull:fl'ltI
AAdnsr
annrrfl nrrn{rfinrrt"tf ir uonruiiocrnorg dofiflq{snrtdrurrtrrSflc-dtn$
drnllt uaenr:iilutn.t i{fiBnfin asiontlcunrn{o ttacalafl lrnnanno d il'r roriedttt
urirfinr: uliieruilat r Snfiaetm.trilunnsir.!odr.rfifiEldrfirunr o
nrrlfinrrfinrrrnun'rrouaodrs lumcd$ ,druro.'r"unrn{ol uaca,nnrtndutdltifio
nmsunrnfiorr"urfirorrd nr?suntndautcfleufi onaon
+
re(l
I
,fi1lr|rrerra'Ifl eo-3o fl {rutr 1'550 11s tneduuuJ"iltslrul1fltrlrn'I0lq zo-3o fl
{tnlfisfit s,Gso rls
10.1
,Corsliltsf, {n tilnailil'15011811t
tThesis Tltle Pregfrancy OuLcone in Adolescenb Mobhens sb llahanat
NakornnaLchasina HospiLal .
Nane Sr.rchibna . Lactaweesewat
Deglree Mssben of Science (Hurmn Reproduct ion and Populat lon
Plenningl)
Thesis SupenvisonY Corunitbee
- WiniL Phuspnaditf M'D.r M.P'H.
Assoclate Pnofessonr Faculty of Medicine
Rernathibodi Hospital r Mahidol tlnivensiby
- Somsak SuthuLworarruL, M.D; F'C'O.G,T" Dip tn Field
Epideniologlyr Associebe PnofessoPg
Fsculty of Medieine RamaLhibodi Hospibalr
Mahidol UnivensibY
- PnaLak O'PnasertsawaL, M.D.r F.C.O.Gl.T.
Assisbant Professorl Faculty of Medieine
Ramebhibodi Hospitel r Mahidol tlniversity
- Pramusl Charutnagulchair M.D'e F.C.O.G.T.
Mahara! Nakorruratchas i meL
.
Dete of Graduebion February 28' 1989
t
o
I
e
rt
The ob.iect of thts h
ABSTRACT
sborlcgl pnospecbive sbudy wes to oomparei
lcEtlons arrd ddllveny ouLcona arongbhe anbenatal, GBFer comp
adolescenL nobhens wiLh wlpse agle wBs bebreen Z6'ga yedns old.
Itel neconds of singlleLon prtilipanibyData were collected flom
rnorbhens who had delivened eL Meherab Nakornnatchaslna Hospibel duning
Januany lr 1987 bo Decenben 31, 19g?. The'sLudy gnoup consi*ted of
775 edolescent rpbhers Egle were beLweern 19-19 years oldl The
1r55O rpbhers who were systendbicallyconbrol group consisted
sanpled flon 3165O mob
duning the sars peniod.
il
whose agre wene beOween ZO-3O yelins old
+
ResulL
1O,1 pencent of ado
pencerrb first'l attened in
only oDC€r ln conLnol
percent firsL gttended in
least four bires. The
fnaqu,errcy of af,tendant were
Hhen Uhe conplicebl
rpthens group were
rsbhens had hlghen inci
and 5.O Percbnt,) r Prlo
pencerrb) r puerPeriun fever
end 1.O percehL)r low bl
i,i
noLhers had no entengLal ce+er 43.5
ind briresLen end 2l'0 pencent Sbtended
2.1 pencenU had no arrLeinatal car6r 35.8
trinester and 16.3 pencenb etfened at
I csner glestebional age at booklng and
igrrificanbly diffenence in bsth glFoups'
and dellvery outconre of the edblescenL
to bhe contnol groupr the adolescenbI
of pnegtrancy lnduced tvpertenstoh (11.3
second stagl'e of lsbour (6.3 Fnd 4,8
1.? end O'? pencerrL)e low ep$er scpne (3.5
endI
I
I'
C ighb (15.1 end 7,6 pEncenb) stttl
t|
birLh (O,9.and O'7 Pencenl).
low apEfar scone and low bi
between bhe adolescent and
difference in inLneparturn
factors of socioeconomle
wene conLrolledr bhe si$nifi
The concluslon wes'
Antenatel cBt€r postparbun conpl iceLionse
ighL wene sigtnificenLly difference
contnol gnoupr bub nob siglnificanbly
liceblons arrd abnorrnl deliveny. lfhen
, natennal heelLh snd antenatel cane
dlffenence wBs only sliglttbly altered'
, nob only age socioecononic statust
I care affect Lhe conplicatlons end
rpthensf appnopriaLed educaLion and
bhe rrndesireble preg|nsncy oubcore in
matennal healbh and
deliveny outcone in
care will elso help
adolescenb noLhers.
adol
to
I
.tti
I
g
tf,1'fir!
mderriont'r1ns
rmfiodanrurdsnqr
,'lfu'l
fl
{t
I
7
1
1
3
4
4
4
5
5
5
5
l1
30
30
30
30
30
31
31
32
33
Ia11iln
?
I
Z,
3.
g.
drzfirgnr:rs
d''tIfiru$1ll
unti z
ilnfi 3
oilnu'l
1.
2,.
3.
4,
5.
6r
7.
o
9.
nilil,)ll?lTlllfltl$ uas{'lu
ifinrrdr riunrri{e
1. fllumnr:finmn
Ir
m'liltfiumunsfl? .:ilrgur
flrgrr'[unrri{e
aoTOil[XSlfl1i1efl
bDdbtoelfino t1losflll
] o u o9T;J'E'1flOtO{fl'l514fl
6 c CJetilfl1rJnunil t
tl, I
flnil0'log1nt
rniorfiaitl{'lrnr: rD
?uT'lilxoilan
6a D e o6l'rsnT1{t InTo{ilo t
fl1rrfiilr')il1'1ilfr0il4
fllr In?8illasi lni1
firr$hd'ldhnrri&t
{nndrsasg{nrfi{e
arrfiSrunrtiio
rh"letddnro'irqg
nriililtexrnrfifinrr
+
L
6Ut'I1fl
{
enrrfirg coior
und a ilnn,ri{fl
unit s ofiilrrfl!,rnnrri{e
uoii e a:rjnrri&tuac{otf,llottils
lIrTS',lUflttJ
fl'Iflalillfl fl.
n'laatil?n t '
Dlfll't
35
89
116
tzz
131
138]
d1lUrgnl:1il
nmsunrndomr lul,roriaiu
fieraooilsnatrurnqe
3lnt'l
16
22
3B
47
nr:rsfi tI
nrntfl a
nrrlsfi s
s|'rraofi e
d_n1T1$n b
druriluactosnut r uaunrilrd?eurfieu
rirIunqr tdrurnru5ficraef,tnil
,iruruuncioflacno{t 44
t
unsntiil ril?eu tfisu
o.t'lllilflsl tdrudtntlq
riruruunciogncxo r rncnaiutd?flurfieut
.ir[unfl1ilnrufinusun sdrunrrfuffinrt
fiu rsu'irtnaixfinur uncgrrtru'n o a:rjnrufins&riiucneir9t
srrt'l{fi z
nai$ujieurfisil
tiruruuactosavno r uncnaisttrFeurfisu
{ruunsltilnrtcu
srrr,$fl e ,iruruuncf,ognsno r unsnriutrJieurfrsu
dtuunmrHaranr
ndnrr tilitlutfi€runq
r c un:n{ouunsanfl llnnaot
ndulr.l?euufisu
50
5S
63
*
nrntfr s
rgf irrn.ierfrnsrq
*
C
tt1{ (gl0)
n'lr{ii 10 nrilnrrtiltgutfisunr '[uroe"fisnrtt{
rguirrneilfinm rl6eutfieu BAstilA
neilnildrsf,e{eeirt",
c,rtrsii tt d:ilnrrtiltflul n:nfiou1u:sssnaofl
:cu'ir,$ndilfinrr rlFeutfrsil nnr,fio
rrrilnilfi?flflc{eeiro",
rsunrn{otrsssfifi{nnoa
ilrrjieulfieu unc lila
ronoefioilnfi tsu'irin.i!fiflrr
j
l,nt'1
67
7A
7A
113
115
nrrrrfi ta nrilnrr tlFsu tfiErunq
rsu'ir.tn6i$flnrrt
nrunilfiref,r{sgir,o',
srr:rrd tg nrilnrrtiliguti
$nsnriiltiltsutfiEruI
nr:'lr"n ta nrilnrrtil?$Itf,lsut
rsu'iisnriilfinrrt
nruqlfi'luflcfgeirt",
nlln,tuJtsutfreu
rgu'irsnciuflnurq
nrilnild'1flflc{ssirt',t
flrrlofr re dluruuacd'l [lfstflt
lunailmrorriedtru
druliluncaT rufinr
74
ua, tfion.unildrsf, q{flei'l s",
rnufitnnaosir
rrl?flurfieu unc [ilo
? ootnnaonulilllfluog
rilieutfieu uottiin
osm:nufi.:nnaot
rujisutfieu
82
tflrtrtfr rs
srrrrafi tz
87
rfin ruu'i't,,rnairf,nur
{ uurfiomileao
Jl,aa
BncflniltiltgulnBUI
ar:ftgntr
29
{ unfi to
111rtl'l
trfirfirdtrau udslufiru?oilrgmsfiritmlrfit
. tz fiufiunu 'ltfl u.fl. e54s dod, lruotiaiu
rnsfirioenv z3,z uioilrsilrm eoo firilRu tu
s. t raodrudrnrfiturr, t, n.tiilltcrfifldhfisftmr
rs'l'r{[d'lfln
r" n?rgfu{itat ltofindroufiontntutann{odnul
un rfinu.n..r ufilaftprds nrirr o I dnrrnlrhsdrt'Ifi
,i,ia, f,un.tnru{tlfihutrn rtanld
nruufinfr tnmdr ftlto.ritdu rfin{eiudrfio rw?rgoti
OI'18f1[
t fia drtalercil-irt tg-rg fl drufiurresii-$nr:rdlneuuiln.r flnifl r6n
lrr{toflur$ qrndnrtdt}t'rnln ,tjdnnlilfintounntdtnrro{t nrtd'lfireqsfr
nrr r rtrg rfi utgttrilfi tteiluoitns lufinrusuiolqcfi r unfiilfiil#uo"fi ont:dld
uu'i T nn?isdtfi t nr:r{n o u. ndu nmrdr:rqmtatrinrrailrftttnn ltfl u'rl'
r,nrirnnideiufrrtnnfi qsnrioua r g
rda.r qrndmrnrrfi rurtflrrfilC'luat
rfilfiuot,6
tJlflXll
,d€t'l{T?otl'l
z fl fisianay At(u n.tdieritfioottr{rd*{r,fiu
,du{u unsflq{s{{reio'irrderdosfia dT *rlieiuddarillltilo{t frnmilfiunfiEl fi64:snrt lurrfufiuC
Tanner(B) rsio'ir,iiuo.r
ttuqfrn:lrnr o tud t{r{u. t,
,#uooto t-.z fl lou^nrir o rnftJru..i't t fiouaoatqrn
oouddldrxfin nn?fin'r: tA c. dE
rsut lsltl?T1r finmrnrtalnrtn?rcurn{il 'io
{n'r s{xn'ruuarlndurnrt fi s-ilBneunsiatlT t rdrtfil
ludr.,r so flddT ul. u'turfiurdilfirtrcd'l rfioutos
rflu tz.s fl "[u
nrrf,rd*Cto${1?J
n{u{aiu irnr:'tdfunrrilnrlqr
I
flqqfitt$sfitj:cdrn:
ilrssrnt{sdu dsnrodrar rt',rtrrfiut
lufl u.d. zszg to.!il:st
,*riitlt r r nrtftitr udrfi rfi s t iosnu
au I o , 3ndodlilto{l,)sTm{ltil t
uasfio$lm{fl1T?1 { ua,untouni't
firldrlrcn'lelhfl u,6.zsze 1fi r
61d
25?-7
3
rrirfiu tz,s-:, fl<qt
tq.zs fl lu nin' e+ae
r,nn.. nfuo.1 ardl x1 Tfl lilc"r?r{tdaore ra fl fit{lnrtrt?rgfu{'lu
, iino qrn, $un.:fi oorr,{tumrddr snrffirfi t
&ult tl,il
C
tr?rgrfrutn do Neeyetsr t rrillieitf, rrloprufi r rfi r nrirfl atinlg#uasfi rldfufuCftroo{fu tra r f rti rdd.gl
6r rilmrr rfle.ldunrefi {siamrorun"nT rrfiunrrrf
8Cq'n1tfl $nTTn tltflnilil'lTo'l
I
vdgaCfin ritunrrddorrdftrlofllr?1 {rnffir unsfilld
a Q o I qD a q I aente e{olcnotilrnolrumn\ln't{n'lTttung
unu tnruXfic-flsnil nlrnlotonl 0nlrfifls'lnas1fi nufircnfi nr sdrtrrlretrffiqcfrlfi
C
rda't8rufolmeuollntfltlffiTfl n{n1€T
asdoTs8sfl'lT[QTnMilou',lll 111 fl unsxil'lonromirtnr1i fiHarir'lfidnrnnlrrd$l
, Jt ot'ln1Tnnu1filnn'rnn'i1 e500 flix
ir
o Vo{il'rtnlunsnltfl fltunt?{rd1f''rfuff{qd loultct
o
no{drud1nrf,sftr a1nfl!
fi,rllrrs"fioilnflan rssB
UGInn00 BacTs8sun{naoo lotflflr'l'tn
u6inrrt? s Bnf n50ue1 nfl'l To d nTf fl 'lgT[as$1nfl?'l flnilm to1Iti
o1srfir zo fl drcurds{eiadrn: rlrqi-roauhunlrfio( 6) nl?cm1ilfiil1nfrrutts"fi.tI 3Ju, o E Arfrtnrzlifrrlil [ncdffi1n'ltlq'rnn'l?c-nrrurilrar?r{ ufiofifinrrarrfiunorrritD
s.b t?i'l mrltroritfrolstfim'i1t fl rjrcnrrdnar fio nrr'trilddodruasnrrnh
gaodo0itl5{rflf'llt oltqsruiloc|:'ltq
oSrufoluasnlTn afnm{o'l[n11fl1llr un'uJ'lt9t1'l8lI qbo a B
TBee tilfl'l I ltolllTfluTflnaoolrI
ir zsoo niil unsnr?nnaoflfiollri'rusador$ildor
rdrrorarrnlalsmnf ir zo flt rfitnr runtf r6n rfls?in1$ruu'irm,rrnnanuasfidde.doBna00 tofl'rnnil1Tn$tflrflFllr rfleffisn'lglutruflurnnfi{naoo qcdsl$rnril
bblooraor1l1t0{n1tnu'Iilltnilfln ttasn'lTflil nfinrta€Jcsfiftprlt rio {o1lilfiflilnfim srsuuilrsd'ln
o1fl1r{n ilult?fl stlilorl!
ddoI $O I lJltfl'l Tl,tflll'l nxn 1laut
o Qo. aB C orr ruansn{rflTTn rudrrare zo- a"l 6rdrJil T{e1flft1f6nr,lmn1rilil{lna1gilnril1udil$as
ilnoofie tonldrirnunl dil'rrn'rfi?od1 { rda'[d rfiffir?m {5lm'lrtSfi'or
dnu$au t illl t lJ1iltf 'lfj10{n1t!mu'l d 1ilall
tosdrcrnd sfiilfr 5 (il.Fi' z5z5-
I
a
td6rtBrortlactofl tFrfllf{rrulsl{ttfluafu}rnrldlfi"lTBdnrlt
a3
unsnlrlnffu$iotj:crnfllng fl u'h. zsag
rfrcrfifutrurrnrnimrsoirn'ir ao fltt
tZ.3t tZ,7t t2,9t I2.6t 12.5 unc 1U'7
, z5zlz unu 25eB nruirdu ituanpunor'r'lfr
{d{ ori lltgri{dnrT r fi ofifi ucrnil'l ro1n6h*ttjnon s
ttrhctnfllffil
mi'rfiiaiua'rg t3-le
elnd'rils
' d8 s|,lncn'lo'l'l [ 8toflll$illllnu'l I
10,z filttott(?) dsrlrrl'ru#.rud
nrrr{llnsincfl usi
as s.a tlilfl \r,6, z52z r$u
'lufl u.d' ebzg, z4z4r z'zs,
rfitfi .r uurtfilm tnT :fi o ott,{{ed
rufiofoeac ta.e tufl u.d' 2528 )
fl {urn z drunu frorfitiosns 1s.4 totilrgtrnrfiwuot
snludotr^gr afiufi e rufirfinitriurfsfiurf,u
rfitan? uf irqsldfrnfi'nuritolfit{trufisdritfitdr,
tuile'lfltoE
i
a
o
lut1. nnilil1to']?gillqirV
oEJ'r{ tT
z, nriilmroriei[
,tano{rfl'rT!,f -rfl$ntn $auo1qnTrn I
lrsugruramrr
rufio do'lfi]?nrrurirlrssrtillut
uufiuo. u, iigrfi udnrunl l r$uc?.tl'o
Slorlau6qdanann1fn{nfin?gis anegc{nil tcnesflfltr'l
rtrflm unv{ru{ertnfirfiet usifilsro{o
fiu1rsufitn{au unca,anro I d 6 a o 6 dq t
ro1igtr t llo rljtglt lllguflilfl 'l?cltflTln lilflnilo1g'rlt
zo-so fl unsflcisurdo
ttaffi 'tiln {n?1iltutlt{ uas
xou rtsrxo{fuur unu,fiatirrtnr 1,fi1
Ioaurdrrl
ttn'lrftrul {r'ltrutmrourfe$riunu lSnsio lil
z. lrUntunrflg
de I r do o dI llll ll dl,ltl'l il'lnfl [gtnf {ilUd liln'ln0c?ltO0fl t Og n
Traf'rnnrtd [flflei1,lc1nndtlrror eo-go fl
r, t
BABAntO itn'lTnaofl $nnsir uo-so fl oeirolr
3. u o'r?u rmdroqjordu ilrcrnntotdrltdrttlr
nr:inmusura tJtsffinr:f,$t oorr,{ nrrr6uilrffiurfioortd drurun{.r
nrnfioulut"sofi .!nrrr{ isssnnoo rcsc|Rd,$nnoel
ag'lflRTTflRT{ltt?fllsl6t
fl nilil'l Ta1?gTilQsilB1'l u lt1Ttfl noItt
lrncdafl'lrRnoo unnsil0 'ls uo-go fl ufra1d
C
B. innil:cnrr{rasnlridsrl
rfufinm rr.F$rlfitluI
I
I rmrdoqiorfia ilrurnmasrirl{irstr
nnrr6utJrs!*rfirarrri {ilru#'r
unucn'ul1rrur sm sfuurnrrfi r nrrr{iniu
udcrfiaurdt E itq"lfirfuumnrtlm,tflnuriigfirfin?{o.rz. nltttoilnuultt
ulrnr slmrnla tfirt ufilmlgurnrrfi onrtdiaildare rfrofr
s. lfiar,fir{o4nnfiunqnlfian? rfionrrfiontrr{uarnaoo'lu{fldtrruil1q,dil nlsr
nufinr$utoturrorfirari'ro .u.g ao-so fll
1. firruugnrrfiru?nrmfrnrntrim.rnriltrrcrT iait fiun{llrtn'la'ls fo-oo
fl
z. nrrsufirn{olrrerfitntrr{ rsssnnorr tses[fi{nnao nrtnnonfintlnfi
n'rrfl$innnaorirufinfrog nrtnrfiolfitu
nriurrora'lst zo-sb fl
B, nlleurrndatt
gofl
unsdnlrm'lrnndrnaacr lmriunrnrlEit fiu
$nsanmrnaoomsniumror{sdu fiunriurro'ro'la zo -Ittt
4. nu$fiqaunxiig
-
r. ni$rirmrftrdlfiorsffir,{riiaaral, nnrt,i#ootn uns{rrrsn*rtuon'tttl tt
afrnn:fifustflrirrqrnndilmro'lo'rs zo-so fl
Z, ?sgsnnon rugsfidrnnoo
nrrnnanfioilnfi nrrnur*"uoti'rtrtnfiosl nrrnrfioli?u snsocnurdnrunrrnufiqnaoodr
unnshternndrmrorals eo-go fltt
B. rt'nqrilaildrgflqiflnrrfirr arflu
nrrinrrusrura rlruifinrrgltfltrq'lnnrrfimr:r{
b, rhststrffinrfl'lrqsldirqrnnr:flnrr
r, nrlildnlun?rilrfiuc?{ loilrnn
, a a; , I I r u t o ntndalxo{n1faf1nntrn unso1gnT5ntiloil1af1flnfTnnt{$tn nnil$1ln1lgfr ilfl'l?ctt
BncalafllTnnoo unnsirrcrnnilar:nro'lg eo-so fltt
t
t
t
tttusrurn*',rltiiort1trflm ntelttusutml I fl rurrjrsili{ I rnr1nil z53orl^
fi.r er dutrnu'zfeo $aurfirnlrfinrrrsmcannrrfimtrr{rdtndfiorqnrtr{fi[uoi zB
flrlorrf niorlrufinto{ln'lifl 1,0@ nilfillrt uasfit'lttt'llfilfinadT tmufiiu
.]
r,i4b7, Xonnn{tilo{nil
i
t CaD - .€t---.-ql 4 t D
6om-n -tdnrfldilot1th!'11tfl lfnnoa $nu t?its llnrflil?g na?lQfltlo {l
ninn nt{tn1il;
l
nmarfirq?r rdofrald uacldilrnfiUtlmrrgrn*Etm1illatftnfir
l, o U AU8, noe1no3odfl1t?eg
riiosqrn]i firnr:frrrrrfiounfi tr, nulufiufinioryaI
finrr flnnn
ot,e'ln
a
nqrnfioilnfifrilfi!
ntrrrrft rfiqrrrirfir uasnrrdrannrri{glill{ hrrrirfio
firn$firroucrasilrcsrnriifr"rr,*"lndr6safiunilfirotirt racrgss trarlunrthncrd:e
r, ilr:frrifliu fiil1sfis snrn'lolq 1s-le flrfu <fiufitiunnoor1hr, iill't
nnootnrnrutnit*iholu nfi-u?tT rnta lrsugrillnilillr1stlnrrrtrflm trol[o{ud trrl t
e. drirficrnlil'unsflflr$fiufifi tams'liln'lrid€t
ilfl51n$ - st fiiarnil 2530
i
z. mrhris eo-so fl umsfis il'llo1o'lg zo-so flr6u
Uor ) iio^uoq*nuutniin4uolu 4fr-u? ruflrril trumrurn$t'rnduffi ntflm ludr t
' ' .cfi sfifi crirfier rfierftfiluu:n
I
a
I
-J-(l$JfldlUnnOO
4,lihiifiuur,rnrrlnnrdfurjrt frmrt'lrlFmmrlfisuriuast'I
I$nllmollnt?
l
I.;. aD 16. TOUtnnfllf.)rtg
t:
finr.r#"o.ro.u.urirndr so fl nnanqffimuln dn{lsrn$-l?]f.t*tn
I rmrffingr
t
i'
5
C tl ro o & |tof, $nlril${?'lqco3. nltnnonilntfflulfl ilil'lgnd flltanaoilsltnut1n
-t-
Id g 3 'trlnrfllrn{rnrrnurnilionttdndo udfiorqnt:,{fitrui ae flr]or#fiutJ
b
fruflnmnn'ir tooo nir
u?onr:[u:nrfier
4,
riou", ltiluri
-rtqo5. tnnnogolnfl ilil'lgnd
-n-t riioo dsumsfi umdr rno rfio{too{w{om:r'lsAill tts$on tfro{t
dt"l en r{uiir mo rfiotmtituiomrntfl$r uns{orio6t", fiilrsfi ,!
{ruiounrntflur
6. rlrsrnmo,,rirJiirelmrtfnulusrmn ilil'lsfin fins$snrfdrrcrir
tnr,tlm'rurnlffiuttu$rura $sfiflinmuerura'lulrsusrurma s{iuu?nrr losuti.t
nnnrfir a il:srnn "tdufi
rlt"rnni{, r irerirfnnmrurald r fu {truiilr sugruradruuertri
t ,fiupa# trnrr r'un ttrrirfnnmrumc D u s Yl d o
uianuadflo rornuq'lu?u rrir drnmrr
rjrcdr unrdu.l
ldiunr rarrudorlunr dr rsririflsrwt'rtt1n
,Hud..nT u'rrudr o'rn1dfinrd'lr1r$dt
qrnudrerrtrm{fl'n
u66blx?nlilnl anil'l{l
rriu fia{nrqnnrllrlrgtnnd g
I
rltcrnnii 4
--
T
d ad"rf,{ tnTlcu hmil
t|
r rcriiodardslt:rsnfi snrrt{{
drcffinrfisllt6fJl]malfijoItd-i-t bIan1f$ndU0ir O{tfllltlll0fltl0dflrtn
umefis rlrufnnrrqrurflarprhlunrrrf3 dgr,ndFrrrfl tfliln'lofl
a
rduil{oontil.lt ttgl
uansfir tfindrrno. oC DQflf'loalt3, flflt'l8
loeai'lrudredrufisaaolwr'DDootC, .se
lloTd d t nf 1 silal$r'lg louoEmf allfi ll'1 8 to$lltfl nillll
r, nrdrnnrrri flil1sfid n.rru.ffifi,gnrrt{ fismirusofi,$nrrt{eufi,$rses
naao tersuu# lnt'ru'la u?or{rrrtrtnn'rn'rrtuot ti,irfio'iraut$unrrahnnrrt{dli
cdq-6d"lrrila'lilrnEff1r'ldtntrldArtr u?onnruuTn'lrdul
oHtda.o.rn.irsririnrrilgrrrald s or
a
t8. itriun{.rmtnrdrnn:rri fitl'lsfin {rurln{
l
a o od dq- -t--^--.-{-t4 ,.- -------!l,rs1ll'ra f,Tol{'1il[1md'rf1T0ldt tEo5ilfl1fgn1et1,0fl'lgn? tiluncnt?qnltnli r
rfimn'rtdtrtr{wturailulrl{rnrrliAm u?onnrtu?nrtdu't1i
aJ a89, olgnttn ttroil1nT?eaftnnt{uIn-i-
ilr'rsfi! rstrct?n1fisudi{ru:nma
f,u r fi u{lnrr r fimo.rflrto'iirf
ro, g.uf,rr,{rfiuonor, ilil1sfi{ rcautxn'lfiousiilu:nsoillrs{rrfipua{qo
fire crfitimnan' firrfiudrururdr$atflrktrr{ uiltaonrfiu
nr:fi rj:cC'r rdoln{tnorfi rflqufr tiur'rermmrrt{nf o utn
t
to.I n'linnoofiourillmo
10,e nrtnnaontudrnmr
to.b nrrnnaorfirfirum
f,rJard
flilorrf
+
a
uilrsfis n.toouotiiuorsn:rt{ ea-bo flrlerrrftat
n$rsfir nrrnnaotfioorsnttd s?'Az_i
umflfi{ nrronno,fiuorsnrtdtfiB qzt
r I I a D---------.o-----d e-t-11. nl1sunffl50urssBfi{n5rd lril'lgn{ n1?uuntfl{a$n'l{nnflTt8nlflonlt
A 6 Ja u vD I u 6 a,-- - g----! ----- i- - u
lTo{e1nn'lTfi{n1ffli]e1ii$ [6Un nlrua?1ilo[ tnilndtnsusl{nifn tnlfl1u0l'l 1flnoflEl')
riordruuo unr6u,l
!2. nl2uunrflfattr,ssnaofl umgfis nncunrn{oudrfiofllqpscnnoo
q*ofofi ftud qr,firnfr$nnrionlilrfilcrr roqmofofirfioa, drgncfiafias,,rurdno.ttt!
ta otodfl'lfRnoog'l?u.llt uncouT
rs. nlrr{uilrsmu$oarrr{ rillsfi.! t:auionnu^!0oilnfid1drdnnfilnrt
D -c- '-d e-''l'nrorlurs"fimrrr{ 'lfiud nrrulafrnqro t:nfrle turrinu t:ao1ltanfltlililtnnflilil'lTn'l tilnssn{nTTfl tflttfl n'l?u lnunq'l
fior{a lrnfiosionr.r rwrfllfiuCun"dullnnrrdilccfiu lne'tridrfirfis'irttnfic"frr,iBn6nnru
daunrrfiwrr:i u?s rdu rfiulum"fi o.rr,{fi
?I
14. fl:lrnnao fiil'rsfi{ rhrnnnrmiiirnofiTrrt'ratuli nrrn tn itr'[.of.oancrntur{ilonnmrol Cnreruonnrrdarnnon toelufiat-rorqnrtr{fiouoi ep flrlorrf
n?ofirurinnlrn r0oo nir{l1rt 1drfrfi$r'i.n.rnfu.rfiitnu?otifinril nri[onn,$u
14.r nrranoarlnfr uillsfi{ nrtnnoodnrrnoon{nrauon fioafiflruu
rfitdrlri, Bnsnaoonl sriornnao 1ne1il1{4frdrngr{fir,nn.: en t{unrrfiofl rdlrdrsnaotl
!4.2 nrrnaoofrnilnfr uu.uno
- tr-.^-*rnoondnr$Fntoflfiaftns&t uonqrnflrs"tfiu
drurlr unennoonlsdaraaoo rriu nrtnnoodrfiudr6aaC,tol
nlfnnoonn1fnoonnnlgrofl trFjilfliDct1l1t6l11t1t'l ntr00N11r
nlrdornnao usdost{r#oofiod?enaoo rds nrt1d6lfio (Fonceps extlpecbton)
ob J$aufl 1t td tnSo.lsltldqrylflltl ( Vacu.un ext neeL i on )
nrrrirfin tor t6noonnr gnirfio o ( caesereen sectl i on )
lb, Nnfllrnnoo umsfio arndrfrcrfiumr6llunsnlrno.nnlrfioattr{o{0fi
lduri finsflcnrtnnao rlrlrfinu:nnaonta{tn1rfl unudlrm'ltnufi{naoor
16, ntlcunrn{orufirnaan ilmefi.r nmsfioilnfrtatmtorufitnnoognrfit
rcss,irildrsoanqrntrdtflluln l,fiud nmcnnrfioeufitnnao filfi nmsfior{aufi.tlgqnnoo uilail'tslougfl $ncotl"
'.1
6!7. dnrmrrnurnnnoo fimgfro
ftJoT # u?a'firrflnnrrnfisugi rooo nirf;tlrja
l?.1 nr:nfiflin umsfrt nrrnfitfior,fiiilin ( I ive
!7.2 nr:nrfinlfiiu uilrefir n."ndoouoaonmnfir
t
+
dnlilradnlrndnaae,.riioordarrd za
birtih)'
+
r aaa rtD . vr Q u.l !t! D --!----t-q-r--d--.v - qa-.4r..rrtr{Isr l,6un lnil'ls te fi? le utnx fln'lillua Htnnoll trl fl0nlng?l
)t,stoilfi 1lo {slon'lTfl:Ic glu
q
hirtrnnrornrr
$nuti'nnrr
i
9
r)
1?.s n'unnlgufi{naon uil1afis'
nrnrdrnaon lunrrfinrro{of,fiufiorrs, nnrh za
CoDaaan'l1fln tfloil'lua?I!'lgl
Iunl|'rn'lg
{rfuru:rmfi{naoo rrirfil
t:
uilrefir nrrndfi'fi'rnflnornoauoti.n'ir zsoo niil log18.
e
+
a
V ro o c atrnlr{n{a1flntfnI
le, dnrufiorlflfllasnrrn nx1sfi$ nrrsfindflfrTo{mrnlursssnaonqtfr.t
nfirnnao
lg. t Febal dtstress lrx1gfi{ nmrfinrrnlunr:irflfrfl1ts1o
oanflril drilrcrfiilldq'rnnrrflo rflssfi'rlqrdnldfinrtnfi riioflo rfle{firlqrfinldsirn'ir
rzo a{sdolrfi u?orfrn'ir rso.n{wiorrfi n?ordrldf,airrclo irrirt,€pfiro
t9.z Asptryxte uil1efir n'l?sfl1ru'lstqnnnncrnfllTnndn qufrt'm
rlrtfinsuuunnrunrrnmfitnaoodt (Apgan Scone rrirfiu u?adrn'ir zl
rg.s Btnuh tnJury ilil,tgfir dusrrr€firfrofiunrrnnlnn'lrnaao
I i a J vD a d v rvr r u r 9---r ---- -- -^-q-fi.rfrufinrhesldunuufinrdgtlrild rdl d$ntleeiotdrilrsa'ln nrconfrnI
19.4 Congtenitel rglfonrgbion umgfit nrrrfinr:tusirirrfiofi
d'rrlrfl$o{rr#ruiont,rflil ua"r"ildlrtmetruftire ldud ilrnuu'it rr,n'rutu'j
Eauil?gt9rflil l
2c,. (Apgen Scone) ttx'lgfi{ n1fl.hctfiUnrfo u Q r a f qD- .d^.-g^-rir {rusoili'l-tquavilonao{n1tn$1fl [Ro -tngmT lfinuuilttfllTttdodoonxo{n1fltl lRg'lnil
flfir fluq: nlrnrslc rirdrnfirlrfiu ourn.tnoildro{tgiad,rnru{l tos'lfinsuuutril'tt-r o a I E q! - o i - .^e -.-r-----d-rstnl{r o-1o tltn,lTflflrlnT{u t{Rc$$tldn1]m,lTfffionnuol,fio s urfi udraoorilu
ao,t nsutrtrnnltm'lrff[fi{nnonilnfi unrsfit n"uutnn'Junlin[Tflt..!
nnao rrirfiu B-1o fluoilu listidrriiufiasldiilnlrildrstnfiofitetril
t,1l
n.2
c
t;
t
I
j't
I
.I
{i ll.
,.1
,i
a
r:ias$lr[f,n1un?1ffifi{naoftd1 ill|'lsfif ftllrraltlllilfiffltttfntrn
rrirffurfad'rn'i1 ? drrfuiod*{'i1 illrnurnrfinfinlrcrdasdodrntlsmstfu{ienrr
i1s {'lrfirfiorldiunlrnuaifltlrsruratfirfi tfi*,
. Y'i.
: :,' .
" *.,. l
., -' .t*.'4irit ,,'
l
!ti
.'j'. ;
;unfr z
t
uanrrfinur
t
udr iasas oe rfiuanistfllnt unsnril'ir anildnr:qcfiUffifiauorq re fl dolr
Machetti end Menaker(1o) $an aii Gallinger ",rr]r"r*,
Hospibal of
washinEton aufXotffinr ltfl u'rl. 2488.-z.4so mnnriulroriaiu o'lEJ 12-16 fl
ilEr aranrrflnrrm'ir iosas sg tfiffio?filn: d.rnfiunluannttfinrrtoou r. Jc - g | ^-^!r--q-e-----. g^
uaufi sru'ir&pr-ndrfturo {nltfi nntrriisdil fio ntrunrudt"lnfind,:sscfi t
dorr?rnnmau ttasnlrnnoo"*..u.u lostaurcllitduo'trJdrn'ir ls flIt
6.r1drdffinr:nu1cflflr1fionts$nrn{oilrnsaf*uon.rfiontt,{ieiu nnaoarflqiflcnfufittd
u I lo I e rv,8flilalaxa{fl'lTn{nfrn?flflt odcro tuu
nSlot1. n'l?uBnfflxoll$asdnfllffldnT1fl'lEllll
Hessan and Fells( 11) finurqrn r rdre tfieuro tan?flrutnnaofl
BooLh Menroriel Hospibal lunuiXorl?fl1 il u'fl.2498-25o5 e1n$''lro'101E! le-
rs f iruu lse t1B ril?flurfisufiumrororfl 22 fl {ruru ?8 T'lg wnilrrfingt
' o ' - lolrdnoonnrourirfiosltlrrorisdu ciasac 5.04) dsn'i'tu,t:et'tl.JlJ?',] 0nT1fl1Thl'l9l6lto1tonoofln1dilu1il t r'
o'rq zz fl c{asaa L.zB, uasrrror'riErirfi.rfidortrrderrfisrfiunrrcnllilfilrlnfinnt
uur#onrrd nlrnnoniiml$lr n.rlrila*rdrutasdarr?tnrru nrrdrfiotalt6naan
nroufirfior uncfinlrinllorotdo{n'r{noo6r tnetrtdrutulrorifliufrrtir {flnrr
r do'i r nr ritur ro'r iujufr n n u un:nfi arn'r d dfi nrrrq o fi u fi iir lf,rfinCfiln. riio{p; nri. o "t
rorrr rnrsflo r e?E r^nutsrld t 6ild riia tfiernrr rridflrilntmwfi {nrrt{
1.1
*
t
ooJJ bfl lrruln1t?lfufltfiluae {1mQgn I ng?ia{l
1ufl g,fl, 2465 Hennis(9)
igilr a1s 12-16 f iruu 5oo'r'ltl
,$ruru ogg
HarrisIntln
t
d ,lof-" Hopkins Hospibel
r6runanurn dfl nur fi s nr:fi s nrrr{lunrilan?
ao{I*nurarfl ''rr r 0J'rhro'rrgltdr snre
6dsc{ruillluomair
tz
?
Bochner( 11)
Lz fl htlu.rl' zsos
n'llnaofEl'l?lltlt (Prolonged leboun)
flnnd chiceso ltauiXo u?n1 qrnffiilm:oriflduorqrfirn'ir
ufioffinr:nwoodat t?{n:1l$ffJ (Pelvic conireebion)
oG6 I I I a un1lsn?1iloil la?nfl{TSundntTn lxlr[6lEj2nr
t
Bntglgs et st. d*naar$n:nf0riidrfirglul'rrorlnnaoilntmrtrn a1s 12-16 fl fio
n1tflflglon$snaon tdurfitnfiu Aznar and BennebL(12) finrrfi Mebnopolitan
Genenal Hospibel and Univensiby Hospibals of Cleveland '[uOui1Otil?n1
flnilltol{giuars to fl unu{firn'ir {rutu I'o8o l'1g tufl u'el. ?.496-25cl2 lJatt
6roEuqa4'q-J-.--^..-sl..-i---t-fl1TnnB1ffiJ'l1rfoilnn1tfl1,)un'I1ilolt tailtrd{ tofitoll'tB tiln6iilo1€] 15 fl unceirn'ir
t{ll
n'riaaaorits'l1t'llr nr:airfiorar rHnoonnrsufirfiotns unsfi.rmrirn'lrnaooriouriruundo'Jn
riiorr.Feurfielfiun{ln, uql S{ardo'ir nrundruaefit?n rfiuflofttd1runno{d'ltoaael
duaauau rritrfrerfiu Mussio(ls) finu'lflnfiufinnrtnfrnrtl d t., Louis Hospibal
fis a rrrit luauiXotil?n'lelnilrror{erilarsdrn'ir rq fl isil'i'l{t 1^1.t1. z4g4-25os
{uru so :'rs [ncuufiafifimtotltnrrnnonder?uru ioens se flaontosldfiild?s
fv r r I o d D D ----r--r-e -----€--.1----.d---!r-.--- e
un trrur-)ln1td'lnnlal rfinoannrsuilrffomvX.rn'itlnfr mlfisftpr l"narfiunr?un'l'lildl
tafinn{no$Sonrrr{, tii{s r:to'irfidrufurhrCfiumr, r ntrXfia-f, tnil uncinlc
{ruru ls? r'rs lrFEJurfisufiunnifilnrnrrdurn o'lgil'rfln'i'r t4 fl danltAfltltruEfi'eliq
nrrrotnirsamilftrlafiqrn*ofirrnrr{ lerpnofofirldfi fildufi.rnaoonoadr,,rfrfiadrfirg
nrrdfifrtum:erriuiu uacii$runlrlfi*fiuCso{n't?ctlfll ,xmrfi on:rr{fi unrt sfi oilnfi
raanrrnufi{flnoo 'lunrrflnrro{o'ffitt lfi rd*rl{if,nr snfifirrnornaunrudtfiuCununT :
Q
Coates( 14)
centen tunuiXort?nr
flnrrqrnfilfrnfl univensiLv - Kings countv
rgfi-jrrfl il.fl.2so4-zsog 'lur:oriaiua'rtl ta fl
l,{edical
3'Bncn'u121
t
ril?su t fifludrsdflril tfiE toeir t rfisr
13
?
technique
flnsr$r'ir
Hospital'[uAniXow?nr rsu'ir',!fl u'fl. 2511-2515 trl?eurfisumtorarpdrnir
15 fl o:tdurn qrz :re fiumrorols rg-25 fl 1ofli6 Paired nethod
tl r iia,osa s r{otrfi unerir l{drelulr usrura r fiufir{{o t flrrl1tc rrnn'lr
tnfina.!ilBcfion:rr{ unsdos r?smruuau atn'irnriltrj?surfisuoti'r.r"tfiadrftp1{dfifi
Iluenholben eb al. ( 15) finffCfnfiUfinmt Parkland MetlFnial
n.rfi onrrr{{edu frnlilunnsir s rfrsrfiuorrJrttn-ilil:cdr r6ou n'l'lun?1ildu'tt
DoLL and Forb(re> fing1fr Louisiana tmrinatl?nr il u'd. eS15 e'ln
ilr:ortrdr arfl!firn'ir rs fl drurt 414 t'ltt rrJ?eurfiaufiil$'lftllo'lstlrnn'ir zo fl
dsldiunr:qrndounnootifun uurrrnritriurdsteionrrtfinnnstnfinqrt nrrwftitafitl
nsm"fionr:r{ rfioooanfinrtnfi noaos'lnunsdo.t t?tn:'lrufll {itenfil'irannrtfisnr:d
dl*ifi fl o.'rrtf,uinrCfiunlrorafiornfloo flc{flnr,!fllinEn unsnrl$fl neil
youngs and Mareentfzl flnrrfr .fon r" Hopkins Hospital tunuinotl?nf
rcu'irrfl u.ft. zs16 -zsrl lul,:oris1mlq tz fl $nudrn'ir tlttfiqlriT nflunnfio$-i - - r
druunfaeas s totlac ae fiooldfiadrelanao
urirfios
unc{osns ro fiosr'irfioro1 tdfloonm{
osbourne eL al,(18) flntffiOUUfiOqrnfiUfinh Duke Sbreeb Hospitel,
Glasgow ilrernddonqr ruu'irrfl u.fl.251a-*szto crnil'lro'liaiunrrr{urn orqeirnir
zo fl rmnrnrrdrfrer {ru?B r1S tlEt ril5eurfieufiilnriilorfl zo-24 fl {ruru aoatl
lrs uunr?s1nfiflmrdrtilmrnriuiuotirsfifisdrfirg usiLluun'lrilusrtii'I.! tfisafiilnns
unrn{aunr.r{fi nrtt un"nlan'r rfi o orrr{f; o u.f nl uasn'un ffi {an1l'i,' n. tfi o ortdluiail
t
a
I
ldrnldsnr r dss$rnliln'irnr rfi tn:rr{frrlrt
L4
O
sukenich eb sl, ( 19) flnnnT rdrfnrCtsil'i1{tl1?u$nrnfol
fioortrf{edu uncnlilufoilnrodltnre crnfttfrnfi Pittsbursh
Hospibal lmuiXoril^tn'l :cu'irsfl u,6, e513-zszo toeuri.rn{lflntrr6u s n{lt (, l- - -t- , - et !--.- - -t-.{fin$trrnliltrn'lTnnoflUffinu$1no'lsn'1fl?'l 16 fl irUtr 449 T'lg ndlfi a nn6ouffiflr i --'-'- ''' q r
urflo'ls zo-24 fl dtr"rl s4? i'ls {urifilneilurn uilil Pair-naLcneu tdmfiur{otrfittt
dnltnlutut:.:rffirurn Iwlrodn'lrn oren:rr{dilrafrnnrrd $nsfl?odnlrnaootudrr
r1m b fl niud g ,fiunr:o^uountnild 2 xa{til'ltorniilurn 'irlru 13s l'lg ndl- ''q a t I
d o rfimrrnaoot1nrnr$Tn nlsufidnlrrdil-nrlrsirrfiorrade 2.6 fl iruu !,o4 r'ltt
uarnriufi s rfittrt, rc,rnriru:nfinnoounrnlsufirn, :rdlfiilru{rtfiortsfis a. r fl {ru, tt||t
roe r1n s,nn'nfint1'trirsarrlunnsiroluflrtcun:ndaut*tfio*t,{ :ou'jr.rfis s ndl
snr{uofifin1rn1lgnr1ildtlafinf,{runfioorrt{ uuarnlurrorieiunnoounrnil$rn ,iio'a - --''-- ---" 'u'-' t t
rrFsurfisufiunrrnaoounroudauo nr.n.rfionrtr{timn, rilunnsirtmsirufinutntfrom,,tI
,l
nlrnragfl'rTnunrn{ou6l.rno{il'rtor fifaqfirmrcrrieiufiarqoim'ir ro fl ufiqc
-ilnr r r q'fiu r fi utsm a r m s n r sn r r dr $a?'lild d un s fi r ufi nfi rtir.rio lsilo nr tfi o otr r{[as nno o
ilnr usiilaro,0nrrfisnrrr{-tdunnsir{qrntrtnrnaim rt za-za flt
3 lo r,lnulnr:dtntrriitli[fi The Roosevelbq
lJnnadfl1T
ObsteLnical
I
UNTt
aDwyer'(20)
o te6n'ltstf i'l.i ut.sl.
15-16 fl .irur[ rsa
HospiLal
{1url sz
lnauiX
T',lEt $ns
hr:fimr
zsas-zlrl elnn'liolisdmrs tz-to flrrr t I l8-----:--11fl ttJuiln?'ltf$slflol1 dno {tilnfl 1tn\lflTtflnddodflail
n{s{ uFeu rfiEruqrn{ru.u, fiu o.T nnrilfirodr s-rtllro r 6n rfil1d fr oldnrmrndflJanm s
OUfl1t'lqEl
KhwaJa eL al.(21, finrrfioutfiternfiufintor! Teachingl Hospibal of
Kingt Faisal lJnivensiLy Saudi Anabie fsU'if.tfl It.(|. ZSZ4-25?;G C'lfltl1t6l'l
ieiuorq tz fl uncffirn'ir iruru s4 i'ra rrJ?ailtfieufiimrorarfl eo-zs fl iruru
l rrhfiu wnnrrfinrruuofifinrrnrrnrlT nrinfioe nr:nnoodrftt $osfl'lrnaoodouriuuo
15
a
a
Xrni'r'lulrrcrriuilodrr"nflfldrfr! drilnmclnfisrcrtlilm:oriajt udoeac as til5eu
rfieufirnrlrnruqr{oaa& 10'6 {jfanfirm:o,iaiuorr,{urn.rfrdnnrda$4-rn'ir
nrdfrilnnrrguariotnnoer nrrtrlnruf rdarfunrtfisorrr{ qutfmrriliurJq$tlamo
8anltnnnlfn
ao ! r a - rvDlc'lflt'lg{11|fl'rT'le8odna'l'l e{ilontil to?'l
-qa,aro rnrrfi { nrrrfiEdildfl nsrfi u'lr
q
sirrilru rnn{u drulurl$mnnnuunrnfiol fi,,rtu:rtlsriornnoo rcsenaao$nsnfionaoo
tos tau'r"ntrunrudutafinn'rmcfi oottr{ nr rana er'aoilnfi uas n m c unrnfi o ufifi d aao rl
nrrfinrrtrrsecurnl{ril?eurfisucrndgnr'lrrceuufis rt'rotdifinrm'rsdfifilrnonalfifi.r
rrunl1uurflsi'l.rodt{o r cu odr.rlrfigrrilfi ur onfl r'rudldruu'irnrrfi oo:rr{deiuq, r dss
''| ' -- - ----s --!fiitifuilrrnrr fio{ororiin{e1flml$nnnsir{m.lniua.ruri'ro rdlna6n10{tfl'lTndntfnn HudutlTnlt1 ll{luo'letllo{e1nn.l'lllu r
irttr nrimrg unuflc{siirfisrfo.r uunornfu steven(zzl fitnunilntrsunrn{ou
tunrrfisnrridflduunr:rs,0rrr1{1rrtl u'fl. zszo l{fi,,r'il
t
I
t6
I
n'lr1dfr I nrrc untn'fraunr.r4fi n::ltulrta, iaiu
tnlnbEafflnu'l!
oa'19il11n1 Q'l1l?11
q
-a-ul(il) nlos1{ (nil)
nrruun:nfiau
l. Clought BosLon
(tl.fl. 25Ol)
<t7
Bochnerl Chicego <15
(l,l.fl. e5O5)
lsnael and <16
Deut schberden.
u.s.A. (u,fl.2506)
Claman and Bellr <16
Vancornren
(l,l'6. 2.507,
Semen and Lerenr (15
U.S, Navsl
(l,f'fl. ZSII>
t
?,
3.
t
4.
5r
tzs rirufinrarmrolrdilmnndrilnfi finrt
rd,wfuro,rnlca:rt{rfiufiu ntudu
lafinn rlilneilfirnr nrrctnfiqer,llu
neirfirrir rasfllrfio !{oudtnaan rd${u
696 nilR1?sflftr{rfirfrBI
darr?rqtrrunua,A6
uaufl 'ltnnaogllt'ltt tuiltll
491 l,rilfl'rrnaooiigrrurutiltfil $aumtfilfi
ufitnnoer fasnu 6'6 ttlfln'irnrimruqt
$ism{aflat a'g
zz4 mlnl?snririrf,ltfir fl'ltnna6H1'lu'uli
1roBAsfl1tnntnofl$1n3[
96 finrr rdlrtutou'l?cntrr{rfiufrr fl'lt
nnaood'l{tTro r{r (PrecipitEte
labour) ttagn1rrdflfrttosfrurln
dnil1 t Steven E. The fetus end
Environnentr t977,
Nwly Bonn Infanb c influence of Pnenetsl
,
druiunrtflnrlhrJrs I ildlns ulllaso dfl1rfi .ratttitrroriaiu ludrrruc r du
rfisrfiusir {il:s t nRfi s t dtt
$ns dililills q{{?ffs(zsl flnrrmrarisdmrs tofl?r,rsri at'ndlsna
u?asirn'irdtro.o#tn.nitrnfinrnsl{# ntinsr lrwerurnf,?rld rcu'ir tfrnnl
ftprm u.6. zble {ruru 146 r'rs riltsulflsufiurnrmnr:r{utno.gfitusi rz fl'fulrl
wrirmrordo.u tu fl u?aeirni, fiqfornrr4r'lunreunrufittafiorXsmrfitnrrr{adrofi
fisdrfirg o.ro'',f;onnrn{ltifiiounngirsfiulu,?uonnonrrnnoofioilnfr nT rairfio ror tdn
aonnrsnfirfiot nrsontfltnt'lttunu $ncfl'lrnaondouiruttrlo
nainei 6n'twnd unsuil$r dmttrfi<zat flnrrfiourfiofrtnrtfi.rnttr{tuu rJ de a
m ro'r ifl f ilir t nno o-n -
H dug'l il 1 an-tndno ong t odtul
nn1nil il.r1. 2523 elnultctrieimrg 13-19Itt
nrlilusnsi'r totir sfln t quro{wltfnfi taa tnilq
tosau z.5o nrmirfierrarlfinaunnrsufirfios fasnc a.gg ffi{enr#rnrtdonooonrr
fionrrdtilldr,nrnr, lfiodnfrod'rrflcrrqu u.q,fiuoo.n'fioptiaqrd frnr:fiufinlirfiu
ilfinnuriaen'irnlil t fiuq? t
ainn rfiflrdidd(eb) finrranfiuCtaon.rfioor:r{lrunmrargftn"ir zo fl
etflil'lrotltffiinnoarorssirn'ir zo fl ,iruru 530 'I'ts ttasillrorufitnnooolq zct-24qq
,iruru 1'oco ,.u fiu',o^oo'lu1r..rr^H'urar:rtifi tvu'irnrqrtifl'ltltt 25e3 filqmTfiuC
zsz4 tersifinrrfrmtd annrrfinutfirir nnsnlldulnfistafi0,tfioo:tt{ uasn'lls
unrn{audrl asn'irnrila'ruqnrfinfiao usilrifinrrilusrntiroodrofiOuU',*u mlfi,rdfl:r
nr:nnaofi nrlnfu o.rf; ma on{#tiunnsir {fir noim'irm:nriaiut'raaaoufl tnnr:n finrr
r dfl ,$sianr raaoofi crrlnfi n tn'irnufi a-s
fl
Q
firusir6o$,$lrtinler
rirtrt 1,660 f'lg
u,i|. ?,6?! frl
wnnrrflficrhiwl
lrun1,tsn?'llfittlnfinnrmrfi snt:d rfiss
]
I
18
t
t
fiaind qurinfiqn uas dflfitd nqaqnnrrrltzar flnrrannr:fisnu1r,rrtt,
itJdr fi1ro*.ulailil1rl{iln: rfisr'lild nrnitrdfrrtrnst{-il? rrtiffir mr"umqnran{
ilurinsrfierfierlud ernmrnrorqrirn'ir zo fl {rtu 258 t'tfl tlf:stltfisufiumrnr
ie zo-slfl {ruru l,zso :rg ruil'i1{tnflr1nu fitduernil asze toeifinrtfrnsr
dorufi{c"rn1fl.rruj:sifisormrnr aranrtflnrruu'jr nr{llrrorriaiufidorndrufoqs
nirndrrrlffeilrftru'lul?ornr:ldlrdrnn:rd nrreunrndoltstfila:rd nrrstnfiflqrs
$nsuiln'r'urunnsir,,tadr tfifitrdrftg
l,Z
1tn, rfion:r,{ietil roflqlneuuuwahifi rdsrfiunrrsun:n{outurrnr dlo,
fiangionrrntuntrridrfl rflo o q.nn .unilu:fso r rT ror qrflrfilCfiunrrntmtrr{ r fifir
lulr:or{silt'rfin, rre?rgrfiulnnr{dr.rnre uncrulruEo{lltfitldfir^ra finqslfidlf,cl
n.rni{lrinlurduo rdl nrrnrlrufinrioe dstrfl.rruidesiolili
Gann and Peilzold(Z7) fl
fl irnru tt,464 flEt ttngolfl zo-zg
glulflrtilnio{flr:fr tntrfiqtnllrorigrlt o1?J 13- 19
fl {ruru zlr4z7 I1Et 'lutnr,,rnrr Netlonal
col labonative PeninaLal PnoJect llauiXarl?nr :su'jroflL
uuofifinrrnaoetriowiruwr unrnrrnfruflnfioslum:errftliqlrtn
o.uuredldootr,nodyllo'l $acurmlildilfiuCreuiT .rfirufinlrtnrrialfitnrrd fiufirufinI
6 EU - rr --d-e- o i d 4- -d--- aurn rfionarnrrn ffrisn::Jirnr:ni rflocrmrroriglttl?uln tdn Luo{e1flTil161n?fl4{rrt
frnrrruanrrfirnttriisdutionr:nlun:td fr Bosuon
1)t.(1.2520-2522, alfwrrOrifldUO',l?J 13-18 fl {rUrU
{ruu 4zs :lllt wnnr:finurlujrnrrnernmrnria{u
)lrf ,6' ZSZL-ZSZ3
dnnofifrnrttsnon{q
rl'lro'r r6n 1d'ldfid1 tilnil1c'lnorefios
Zuckenrnn eb al(28)
citv €ludufXarl?n, tsn'irsfl
z?o :l1s fiumtorars 19-30 fl
l ftnrrauslneir sfiull rFo{lirrfinurnaaoo arirtfififldrfiru tortrilr :ol{srtlfirir r fiemr rn
l9
t
I
4tr 11g reuirtfl u.€r.2514-2517
loeuyirfinrrn'fiTufinfiofl tosau g. t
finsuuu Apgar scone drn'ir e lu
respinatony dl stness sYndrome
s urfi {ogae lg.s fi ceuat distresq unc
ioenc zo 'tt ni"tn injunv iagnu z.g fr
ou . 3v t"l:1€rs'tmrrsiturlu tu rffindil r r.l?eu r"ruu
*
riordruuo uaemrnfilufinrion'ittmrol{siuunuldldiaiu tiiirsafil'ir
irufinu:nnaoerradflfistrn'iro$ ga nirr arnndutrl?eutfisu tirruarrrruonsirtmqmro'l
firnatnil rfierfiuorgn:rr{ rirrafiem{ Apgtar score'lu s urfi $au birbh treuna
fii{enril,irn-rrfirnrrii€rdutildrd,wdn:T rdesluaffiodlnfn nrrfrnnnfsfildsraensfti
furfiunrrfinrrh r"rru,r"kv voung nother's progren(Z9) luauiSaw?nr d'rflrwr
clflrrlro.tisitorq tz-rs l iilailficoncrfisudilrnuncfitfinrr'lu sigrt School {urtannr :fi nsrmnr r rfi nilirfr fi tso s st'lro'l uaufl 1tn
Amniotic fluid dfiar,urndtfiorjnfi iodins ta
Neonabal Jeundice ioflnu a finrrfior{oufisnaao fiiisafil'irolqtfiuJaflNhtrldnu
u?osr uftl'loiit{:ru'ir,,:, $unrrr{unsnl tnnoo
nnchildnnnamr.r dtrnfr fi 6 r rc uldld'irfi muunnsir c ar nn.iam ror frrthiatitt
. Herdy eL al,, (so) frnrralnrornrrfioo:rr{deiuii m" Johns Hopkins
AdolescerrL Pregnancv Pnogfram 'luauiXotffinr ,"*iaon il'6' 2519 -la5:24 q'ln
Hrroriaiuhtn:rnrr orsiirn'ir ta fl druru r44 :.'ta til?sutfisufilmrhrduiut
uonlntnrriruurrirfit alnfi1rfins1ilili'rlurceeurnto.ttnr{tfllt 'tair,runmdtnngi'lt
,oon.rni.uflnrios nrnrfiEnr:rjilrJ:.rler:tnrrutnrr u:rirwanrrfiootrr{{uiu'lub
tnrtnrr tr:orfinrrc[n:ndaunrt{finrmrfioflnirnrtnrirufinriog Low ap9ar scorre
uasdfllflrsno{nlrflisdrn'irn6iilnruqrotir,o-$fisdrdru flq{edrdo'irfinudrffio fiil
muu?nrriifi rncdnliln?. u, fi urgdam o{iuu?n.,
Merritt et al'r(eg) rgtrdufl u'rl' z5z3 'irfrnrtrd,n'fiutuo ffinrr
nrrnriruflnfioslumto'larfl ra fl usi'triilunrril[srtsi'l'0rsu'irtm:orars 15-19 !uarn{d{lilldieiu.riiufioru'lorre,rii-urn*rlrdeo4oounlrt t}uunliluslnsirtluril:nnoot
In'l?n$afl0il
u
a nnoorlilrfissua eciirlnsiorilarosnrrfioottr{u.nn'irtJq{flnrsdrualetadil'lto't
zo
a
Arexender eb et., (31) flntruuT tfirmo{mtfi{nrrd{airolqrirn'il 18fl
llljutl2
t
j
al
q'ann rfie$d{dd(zb) fintrwato'tnrrfisnrtdlul'lfma'lqfini1 zo fl
uudsrnnrtnrtrufinfioedslulrrariodlod,',rfi flud
zo fl drsdudnnn'ltst'lsxonn'lrn ttnsnl'Iilftfl'lr
u'lfru
a
lostddOilne1fl Sout,h Cenoline lffifliXotil?n1 :gU-irt n,A. ZSZI-za*a7
lilmsnr:fioorr,{isdr hrses e il non{odrofifierdrftg qrnnrrtfiopnrsfirlrfin
rfrofiflu dsrrnrflronnlrflunsflrrilrufis riiorrj?$JrfiEruftJil'ltaris re-ga fl unrr
nnaodaudrum turrori€drrfir z rdr xodrlro'l 1B-s4 fl unsdnrlnrmrlrttfinrios
dnnnrfl'rotnrrn'lttrtrroriflrud'lnirodr sfi fledrfrg
ns{rtiiflfifinurludrtil:s tnd drulfifurugl^mln.rfionrrr{iududnmrrnti
fisr3rsnsc{rdufiu tnuraurufuu, ltr*ar nrrnriruflnrloe nnuunrn{au$filnnon unc
dnrnrsufi dnaoo rrir rfierfiunrrflnrrltiltu t nfllng
tl
fl?utrl ainfilsna<zs) Bns6ltnfills qdfllr$ flnrrntanrrfion:trfiuirdnmirt
nnoolutxusrmafl?r1d fl u,fl.esls lflnrrndfifirufinutnnnoosirn'ir ro rrja{rtuef
'tnd riiorfisufiuu.unrrri uia srprl fon sfesbat,ional age ltodT tfrfiedrftg 1u
il1io1a.lq 16 fl unrsirn'i'niiorrJ?eurfisufium:o1a'lsil1nn'i1 16 fl n'lsnnoofiott
druununcdnrlnlsxosn'rrflurflnnao X.rn'ir rfinrios usildfinruunngi'ltfi$odr.rfltadrftx
f,ilcslsl 8nl$rrri $ns ililaf'l ntu{r^n<zal
tr,,:ugrurnnfruaoqaa r otot
n.(t. z5z4 *n.tnfiarfinrioe
t Co u rJfinmnrrfitnrrd"luitnrfi
f,osnu ts.d6 nrrntfinlfilu
e,gz siardnrfiofifru lrooo r'ts
6l c -a4alul:rt{Bril1ntlx1n 1A.d. zsz4
riio r r.lTsu tfl$Jfiumrororemnn'iri
rsidr lfio uu'iT a,,r tunlrerr {edr rrsihifi nr r iluslnsir t odr t fi fiadr ftg
8rsflfl ' rsscrdtanoaltltwglu'lnfi?nt .{rtirnrilnu
- frnugr esaz, ,.rl
r r?ru rfiu1ndoon'irn{ruruo'r eo-3o
rfatnc eo unufognu' 6.4 10
TltlI
ull21
li'
uas" t'9 glrtldr&l
mtnr{ai4lfiirrrii
. ,''a
nnoo I |l1n
fi,Erlrsnrr{ ii'
d;i6fi'l|[n 1
rrFflr dtglrtm 2o-3o fl {.rmrr
lonrrn{ti.,odgnuoilnflnstnrfin ?monl1ilsl
r n{rnruqradr tfiflrCr fug
rns flAfrm{ np4nnrtd taor
rflerhri tttfl u.n.asas
sfufios nrtlfiir rtnnmdfi Apsfer
6 nlroltrromrtntmrrd unenrrlffilt
eo-ls4 il otit$fiadrftgt
trunssirodrctnn 1dunntlfrr r"udlri
7.7
rdn
f
rfuoq
adrunnsir
uacflq{sfitrdur{ao
fl'lr1{fi u a:rln'r:fitntt,{iedtfonnnooufllnurn
fl. u.rl'd
frnr:f,nr,t
}Al^JFlflU'lll
I
2483-2493
?.487-2496
2484-2493
2488-Z4gO
2.4924-?.49,6
2.494-2549
Monnlson
(Baltirnore)
Hofmeisten
end Bungess
Von der Ahe
end Bach
!{anchetti
and Menaker
Pol iakoff
Briggs et al
o?.496-?499
2.496-?,50.2
e498-2505
Clough
(Boston)
Aznan&Bennebte
Hassan and
Fal ls
o
2500-e505 Clenk eb el
?m'l I
o'rg lt.uru lro*"o,ial rrn ltrs le""'"lt.tttl
<flr lfiradrtl t l- lt l*o"'lrt"r'l
-l-l-l-l-t-l-tr.u lro.o I z,t11-15
l2-L5
L2-L6
tz-t6
(miln$) |
zzl10-16
|
zr.o lza,o
I
r1.? lao.s
I
4. b loe.a
I
le.? lae.o
I
tr.7 | t,us.o
lze.o
l
E,r ltt. t16,o
laz'o
I
1o.s I
e.s lzz.z
s.B lzo,
t
I
6.4 lao.e
zs,7 lt"'s
o lu.ol-
I szz
I
I ttu
I
I reo
I
I utoIIIr
o.u lra.e I t,zs
rz-rs I
t"-tu I
(n'lunil) |
25 1
t.-tu I
,oaoo*,, I
299
20L
105
175
lr.o I t.u
l''o | -
llo.o lo.z I,'rl-
I
1,O
3,5
2,6
2.O
3,1
zt-zs I tuu
rz-16 | rott
ra-ls I rut
tlltr.t I t.t
Iro.r I t.ttllu.t, | -
f ro.u | ,.o
7Z
?;9t
o
1.6
AmericBn Journsl obsletnic & Glmaecologly 1964t 15 t e58
az3
HosplLal flunuiX
I
3otn1fflr'llttflu0s
I Adoleseenb Pregnency Prognem lffnUiXO[el?n'l t8lf ilil l{.t1. 2519-2521 m'j't
lrrcrriaiulutnrwr:fi1diunr:oundotnaao6n'i'l qslfiil r'uonrtniT ufinrioe iasns
e.e ril3eilrfifllfiuiosns ro,a lunrsrrftdruontotonrr ds$nneirsfiuodrl'nfiedrftg
l finuranrodnlrfidnr:ri lufl u.rt.zbee lrnlrtnritrit
o1g ro-16 fl i.gru 55 r'rs d-tdiunrrq$nrioilnaoorfirfirnr rufisnTrlfimruf rdu'r, 't -- - ll
fiun.rr$qnrrd n1Tflun{{n'l}r unrnrrrr?rgfiu{ ril?$rrfieufiutJ1ro1o1sn{l qfiarfiud
r o o 6----^^-^---?-g-^ ^^,i,nlrnaoofla$fl,lltllo Fetal distress nrrnirfiotoltfiflaonillturiT fiat nr*notfiao
nfisnaoo nrtnrl, ufinrios raulsss nnrtunrrogi 1u1:'rus r ul nto { n'r tnqudrnt r o fir t fi
mfminr:mrurlnfi {ruru 5s r.ls
z, ilq{siiftrfirdfiuafnro{nrrfi tnrtt{ietl
z, I rJq{Emrcfirilnr:guariounaaet
Hassan and Falls(11) frngffi BooLh Memorlal
orffinr isu'i1.€ 1,t.6. e49B-zbo5 e'uuJ'lfnltsdu rz-ts fl
iruru#sro{rn'lrrhflmrr{rfit s nf.ruioriomlqnitti rg f,dnrd tfilnrtrfinrtuodruiu
nrrouariaunaoo aian'r:flnrT uu'ir{'ril?un'lt0unrialnaaoiitfuun ft-ililaeian?'1il[nflsi'ld|ln
ludrurutosnrrnrtrudnrioe towu'irlrtorfi.rnriuisiu nauora zz fl
ti r fis'lua qsfi dr urimrtnrirufinrioaX rn'i, n{udldiunr rgunodr s tfietsuo
Dobb and ForL(16) frnrrd Louislana llnuiXaru?nr u.6' e515 Q1fl
ur:oriedilorsrirn'ir rs fl uu'irmroriuild'lfiiunrrgundotnaootirftrsua cc1fi
drrfionrrnrl.rufinrioe a-a rdrmrndudlddunrtguariaunnoofi <drtrulrnn'ir s n{ol
rdurfie'lfiu shnanbz(33) rifiesfl$hCfiunlrrfiel
Handy eL el.r(so) frnrUrrordsdrarfJdrn'ir te fl |g Johns Hqpkins's
tos'ldrns{flriiaqrn
dldiunrroun
m'irnrrfror{a'lunr'r tfruflaorts o.rrt.fino.o
e fitrdrfirg r t'ra r rJtEru t fi elfiuneianr uql
24
I
Leppenr, et al(s5) flnrrwnso.tn'ttfionttr{ hil u.6'zszg tasflhrrc'ln
{amiimu:rilcrnan?dillitlfllrrlttariomnao 'lut:.rr?sils1tilEi '$ruru s11 t'ltl u'ir
rl:o1o.ls ls-ls fl frdsnrrds{gianrrnnaodouiruuonaslfiirrflonrtnrlrufin'flos ,iiu
irn:rrrf{ogatoal{ Biveriate analysls ul'iT an?ors eo-36 fl qcfidnflnlrairfio
rn.rr6naonnrsufirfistaln'ir ua"riiold lhrlbiveriate analvsis uU'iT irlt?un{.r
rodnlraflnr$td rfiufl
n.tfioottr{1dfin'ir
c{fldAilfiuCfiuifi nr rnnoamnn'ir ors uacdl il'lroldf rulgwnto,l
Tdrrirnrtfinrrtuilru t ndlns haqo f,ryrscl<aor frnrrilqfuitfiansionrrn
firufinrioe iiisuinsrar rsu'ir{ u.a, zszz--zszs ut'iturrnriildrnedmffitd ccfi
offinrmornrrnirufinriondsn'irndrPrunrfrnntrr{odr,lfrfiudrftg rdlrfitnfiu q?srinr
nilr.rfindrgzr firrorfinunrcrodillro'ltil,fR,trfiernrrnurnrfisr'firufinfiofl 1ilfl u'fl. 25?17
cslfidr rflonrrnfirufin$:n
rfieffiidd(zb) dfrnsrtrfl
uudrrrrrorrrnl*lfu rahnn::dutatT ahnnrrlirioen'ir a nf o
rriutfierfiu utqt ggrfiarfi<ae) ras qintr
unsilu'i'l m ro.'n1*i1fint.norrd,dussianrrlfitir tflonrrnrirnflnfiOal tn'ir
Dnnooilotl
u,A, Z5Z4
m:ordmaf.nn":r{?
finafl udtJrus: uasn$c(39) frnurnr rdu:suloinsr t?ti tnnsddo$udt
(Llnnatched case-control) rdnflnnfla{s r dasto',turrorlmtdtfirir rflnnrrflnril
druuoruqiirufinfiosqrno.ro',do.oaoounr1tttr{tiltt1u1ncf,tnon:duarttt$flrurffidnflnil
rsu.irr I!,(1, Z5?T-ZsZg ltnti'ttUndilfintr eol tlEl ndilnruqU 54O titl oJA
nrrfinguu.ir uftrdl*lftlrnarrdfitonrnrdsr t.e tritto.rqf,,riilrrJrnnttr{ tnsfl'lf
or,r.orrr{rfrsr a nfr fiiafiotJn'ircsrdsssionrrtfirirrfionrrnrirufinrios z.o [ti't totI
f\n$rt
t
drrroott,{trnn'ir q o{n
- t-r
,E9J
I
I
t
Cenbens 1t utid tsil'i1{ u.11..25?;! lit1^l'lBnfTt{tfr€n gO,O61 flel adnr:frntr
uu.irn.rrnfrufindoflunuil'rrnrfiolfitq{ 00.6 sia r,ooo m{n11fi{nrrdltn{unro'r
{ed$arfldrn.ir zo fl uasftisitfiml$fr$findfio nl?c?Mtnlrl ntfintrdr ltrsl{ililn
o.rfruldurr s ru nrrfimr n{r{t{ u rt?su t-neilel ndnrT tildnoaouner ufufiu#m'odfi 4
at.(48) fimrrannrrfiten:t{laiuargdrn'ir te fl ''iru'llt 1,71e
rr.Eiflurfiflufiumrnrfrrlrl annrrHrrurru* nlrfionmr{tuiulilil
Conry eL
flfl 'lu Australia
t
toanl.lnrroundomnao rfitflq{flduu'ir finlrdufru#fiuntuuntn{bun'rtnfi
nrr$ unsnrr'Ififir ltnnrrnfiT ufinrloe ,$un.ru.ndqcoiurf irn'ltnrnfi0rn^ntt'na qu
t,
nflofifin.lrnrrnrirnflnfogr"lfiodrsl: rdo'rqrnfistiaurtnurar ruqdrrfiq?tm,snrrtfioI
nrrnrirufinfioe usifinmri, nn:rdmsJrnnrtt{tt:ruuurn", uacldiunrrgunriaunhooadro
rfie,lm qn$dnr,lnrrnrlrufinfiaeriou{rtdr Eesunen(38) rda'ir nrtldiilnrroun
riounnonfiqcfl ilfuCfi ufl qienr s drutnlurnrrunsfl t nil
z,z flqiflnrsdru rors5fiq-flsn$
Hgtchins eL al., (41) flrrurdauufirfisdns$stouptorieild Tenple
Univensly Hospitar lunulSarl?nr tuu'iro u.f1.2513-2518 e'lfltJrrorigi[ a1E
rg fl unsdln'i'l irt'lu 4zt r1fl ujieilrfigufiur1ro1o18 zo-sa fl {ruru 4'-73,2
r1s annrrfinuruu'irdtrlur!r$tunrnrieirttun firrir s'lncr unslfililiaon.:fit
orr,{1ri6r^ro rfrmfiunT rsnmilftfifffinXorurfioortt{ nrrnrirufinfiofl dsnrnrflnrrnuin
rfionr usinrtfinulo{o{ r fiun.l rj?eu rfisuqlndn:r ldlfinoaoln, T lfirfiudnl { nfi 'n
Kesse I eL a 1 . < 42, firrsrnmilfl$fiu#mon.,t r q?rg rfiiltffio tnrrnftldsn'lloo
3u 'lU Indonesis qfn{oilndlilfrilTgg The Coondineting Boend of Indonesia
FerLillby Reseanch in Bendrng lndonesia Q'Ifl Medical School MAtenniby
frorlrcnrf{rfis'}ftmrrnrtrufinfiafl low epgtan score dflflnrffia{tn'lffl uncn1lefl?'let
a
d.: unnsir.lotir lfifiadrftg
l
26
unufl citritfierr, ldrtfiuCfia dn'lmllnilrd
Aberdeen Scotlend rderfiurruloingrmtnrrltfi
u.(r. z4g4'z5oz r^nrnT rdrfitCtotorflmtrrnr fiil
offinr:nrrnriruflnfios lnmryirmrororiutfiBrird1u o.q,fion. tilctto{tn'lrnirufin{oe
toa raur cfirntnrutifi unutloto'1u1r dor: r nr:ntrufi nfioaqsd'r1ln:ouni'riinrfifi orflu
rfrsrfiu{riluiurt
Genon i rmrs ( 44 ) r rio.iranih r ts$llljncrfi nT rlflufitCfiuzuaiifi tdrsntrillnrt
fioorrr{ ,fiuo..nu.q1diurinrril1dflllr}r?rtifiot n'ir tmt-rrol nlrtlounntrnnlulad
un uflrgnr nr tdr u I mt!fi c-fl s n$ n'l soluadnn rutifrr^ro
inrislti or?nade(45) flnmmrlfldrC:ru'irsflq{flnr{firurRrunfie uns
fl{nil uasnrlstntu'ln'lr{a$il'lttl'l dfiarasia'fi rufinu:nnaaosa',:nr:n1ns'[til u. rl . zszs
unsrl{ifi iruru Bs4 t1B urirflqisnrto'lnr'l rr.du.ouuodtt tr.Hr mar?rs
rn:rXfia li.,rldnri
-rmrl.lflniudfi urlrufi nutfl naoo{o{nrrnodrsfi fi edrfi rg
nsldro{nramir arflufio.r nr:finrrroul'rro1 finuucdodorfrB
ttttb
nflfiur{ annnnor,0r{<q6) finrrf,cislffinr, dufrrrifilrirufinutflnnonto$n11fl
iidrn-i.rrlnfr firnn"ur*urtran{ltor.,srurnrtm6u-n ruu'irl il.rl.2520-zszz ttuittl'lrrl'l
lumrtuoder nrrf,nrrsi,l orfiu{rrr r{ram ns"ldfiosn'i1 1,ooo urnsiotfior 1fr
dr rfinnrrnirnfinurnnoaofiasn'irrJn'sr tdn:rairuiaad4tn'irm:arn{#iu"r unsfinrril
usnoi'lsodrsfifittdrft! tdrrfierfiuwanrtfinmtat finnfl 1{rlruar $ascurs(oF) tllrll
irufiodnralnfr\ifi1eld n?onrfirirfisogiltrsgs'ir{sru fitanT nrdtr',rtunrrtfirir rio
t
alfitlafinn'omufisn:tfin
I
tan renuXuudr rrnunrr4urYd
Baind(4@) flnurtu
rirtf,onrtnfiTufinrloe rsil'irrfl
l
t
nrrnfirufinfios z. rz rrirro.rufiodararni'rfisrs"ldrirfiumn{u\l uanufrtiiandsodtu
I
n'r {dfinrril $ngmtfifilufinrioa
z,s flq&rn'l,,rfiruq3rrru
Richardson end Dixon(4)
r{rgfi,ftunrrr{u:nr$rutr zlt t'lEt uas6n rg
finmfiotufitcrndn?fi tnr:r{i{no.r liofirhcifi
rrs ftlrcifiufitto{gltmrrltrfi rfil
nriilrl6eulfisil arnflrrfinrrm,irfrnr:nrhilfinrloatuntrr{dno.ramdrsfiflflCrftg trnuioa
e rJo.nc zs,s runqilnilursifinrrr{rufi! nnoffio[ara.orrr{ gz ftlord tlFeut'ffiufipiaenu
gz.s tundlufittosmilt'rtild1fi d.rslrtfitffirg{llttod Fedntck & Adelstein(4?)
r,nrilhsifinr:ufi'rtm:r,{riauT frnmrlfirfit#fiunlrniTufinias ds ni"n""usof' and
Dixon rtio,irn.r:'nrlrnm4nn:8nilfl:s rfiouq'rnnrdrufiln{'rriot orqrfiun't tffEnodfllr
t'fi rir r flErnr:nrl1ufinfio€l
flnnrhu{fisa{nrflirufi ltunrtririol"r dfision.r
fionrr,{ $acilaxo{n.rfio.t:,{'lunrtr{fll1fiudruprrfu ttfl il'fl'2518 t'iu'itnT r
lfirir r^unnr:nfirufin{oe finerlfllfiu#fiuil:sifinr:firufitadrlfifisdrfirg rasnr:tfrsl
nrrnrirufinrioe 'lrndalrreniifirlrrtfrnrrufirXrn'irtrn{urrordlirnsftlrsffinrilfi'!
mnffi nr r t^nonr :nfi T ufi nfiostunniii r 1s loeifinrrtoilonfl n"rfurfitfirfrcrnnul
'lun:rdfio'trjfio z rrir
I:rusrura:urarfi fl il,6.zszz c-rnil11o'ln:rriiiansuacrn$filufittrnrtr{urn irult
14g t,lg trasrnartfittort 315 :re lil?fliltfrsilfiUrlrro.nrrr{ii do rnaaaoop
i
116 nat 16l< Eo) fintrqntatnrrufistpnnr:du:n d'tsiun'ttfion::fifio1rttu
dad
Hanlap and Devis(48))
1.31 rrir rriurfid'rfiu PanLetakis al,(49) finurlt Greace 'lufl u,fl. astseb
onffl
l daasllilT'lgl
za
I
lunru{urn annrrf,nurhiumrrlunngirr'lulirufinurnnoaonnonlrnfimatn{l ldurfiflr
fir finnfr llrhugl
rirutousifirufindos
rfiorlrufinrioe
uncnsc(ser d.rfrnvrflc{ards,rrorm:on'tnud1fiti't uflonrrnntu
uartiuual ufllfiu#rru.i r ulr c{fi nrrXrg r fl an'ltfi onttr{fi ult'lrfl urn
t
qur6 or?16orsu frnrrflq{sdilsrr1sdfifinfiilasio#ruflnurntfiolotnrrntu
tr{uflril,lnou.nrnrd flu.fl.zseo tnenrzflnrrfiotudr'lurtrrorufitonooitl'firi. ttonrrn
,f.rufinsirni,r e,soo nfu drmr zoo rls annrrfincruu'irnrrunrrr6urhet ldrrri lrn
rl,.lu,l.lu tinfirtq trnlsr unvtrnlnfiflqrslunror finrrudltlCnuirutn$rflnnaoto{t
nrrnotirsfiflsdrfut rdurfiEnfiunrrflnrrroo q?Enisn nur.rfindcgzr uu'irurro1itfin'r:
r{urleehruurfionrrr{qslfiir rfronr:nurn rfinrlrufin{os uasaunmrfi tutt tn?rg< szl
udur:nr-iltrnuasnrlcun:n{ounu"fi oottri ccfiintluflilfiuCfiunrt rfiolfihl
iirure noaqnfiu{ r ss r finrrilc{s reintrur srl:rnrri{finT rdlrinrCfiuwnfiu#to.r
n.rrfioorrrirdu. tun:orors gs flfiilil'lufl u.61. 2526 o.n*,.r*.fimf,nru?nr:fi
Iror,r€nurffirtifi wanrrflnrr$rir ntlcnrrr6uilr?$o{til'ttrt'ltsrfisnttri rfiufla{fldfi
anadrnurfirtirfionrrnaoofiorlnfi uncflc{eiifir^nafilnnur{r1fi rfionr:nrfinltlir^r ldnri
ilrsifinrrdo l?lsqrnnrrfi oor# nrr r6lrlreno{tar1:cr1t$"fi oottd tonqrnfiufi'quu'ilnrt
r{uirssoru.rro,ro*rfisorrf l$tflqisdfinllflarfnrCfilnrrnfirufinfioetodrl"nflud, firg
Bair.d(4o) rdoirtrnfinr{aurttfro fiwnsion'lrstnlurnr:to\il,t'lto1 fit
finl'fi riT r tsrnr rnrirufinfioe luilsqfiu r riafi u'i r nr rdn t duto { mxnlelonldl'fi f um : f nrr
.l
u?ainur'tri tfistud fi amlflrfiuddlnrr rfi ernrrnu:n rfi orlrufinfiag t sa I
8adsfufi ouaqrfld.irflafisnr rdruannrudulfiuri rltuifinrrarg lflflqrnnrtfi snrtn
o*rnrr r Srrirsna r urro'm*"fi o orrr{ fi ne T rfl ,lfiuCfi urunilrdta on.,rfi o orrddltifi o tt"" a o d
t
t
t
9. uu1fiotlltfloo
tt| flodun.ofirurrtruXfil-fl.rnr
I
l- oriu
l- rnniioqiarda
| - rtror,nnrirl{irelmrrinm
l--,
| ,u.u.o
l- il,I
rJq{Emrs6irrdxn'r1.1
1.^a| - llrB?on15flr!rf,sa1fln1:
lglI m{n15n
I a r E tI - filr reuulsn$snrnTTn
ldl- our
I
ndunrnrals re-rs fl IBt-,l- fsssq[nTfn
Il- ruevnnooI
lol- fsEtciln{lnaoo
-t l ,asodn'rrnaao I
- &'l?Ft1
- nlrrl
L>
t r>nriurroro'ls zo-3o fl
I o{outn
l- il,I
-
I n'r.ron:niar I
lrua| ilcafln1{fl1Til1n'lfl
I - ri.u.uo{rrasnr:drnnr:riI
I cJ , t| - 018nlTn lenmG,1flnrrfllc
l
aunfi g
I
ifinrrdr rtunrri{e
1. Erluuunrrfinrr
riluuuntrflru.n*sf,lfuuuil Hisbonicel Pnospective nrnn{*lrrnrloit
o1s 1s-1; fl uncn iilil1rn1a'ls zo-3o fl
z, nitlrhsqrnliifrnrr
n{lrhutrnrdflnulo{tfi tfiu.ro.u1s ra-ao fl nntrfrdnnaoltnnil$tn
dn{rtrrqfi-titrtnrr$ t:tusru'1fl$ll1t1drntt'l'dflil'l rsu'ir" 1
fiO Sr fir1m e53O riUet 4t4't5 7lBt
3. nrid'rodrs uriloanrfin z n{l
s,I a{rfinm lfiuri lT:o'ro'lo ls-ls fl itnnaoilsnnilrrfl ,o",rrott,{ldu. fi
nrilsruXfr-u?rr{n:ru 1r{ffinurailil'rr1{Bnrrldflm qnrrulur"rls t?a'l I
fl :cil'jrr 1 etflr1nil fi{ er dulrna zsso dlfi{ruru ?75 r1tt
) s,z nrilrrl?flilrfisu lduri en:a'ta1s zo-so fl {ruu 15so t18 iildu...n
nr:dmtirrfi:cilu olnn.rrlfrnaao1trTnrurn ntrd,fiu. n.g eo-3o flnntra
ludr.r rru'''dflru] druruda',t td'uo'lnrisfrnrr
,aur"atrt{tds.
ilfl'1n$ 2530
4, ro5o.rfiaiilfftunrr rfimrunda{odt,-aCo
rf,uuuUmUrUdam a'lndilef1ad1ilfllfnnafl $nct?ffislijsffiOlltJ1to1 n{g
i{safrr{u 1ffi r{ourntailna$el'ra.rinndrcn{dtosnrri{e uililt'llll1edaila ilrcnaudre
taufi r {apnr'odrrttllrfifie-f,dnil qmrlt uacnrru?ntt
noud a fioualurcflofionttr{
ruud g fioilnlu:uesnnooI
flofn arOotana lutsEtsun{nnoo
l,
31iI
s. if;olrora4o.riiolnnT ri{sr
s, I flnr"rifinrrairouuudounrn
e
s . z nfi ruuu rfiumunltaga toelffi rfioilltnouna$nr${nndrsasdunudllfilrl
agfl'lt'lqg
b.B nlmrlqdounrtmnfio.ttl
fii{srot tcrel{nrlt{nndlfirurlra,t
nrufirt mturru,fiu:runl{amludtrrfiou, dre
rfliar r.r uarui t nrr rdfaun
b.4 fruuurfiumumdapdairtfit lrtlfir{rdardlrgor'}adounrraqnfio$ unu
R'l.ilffi{loo,fiuo.
5.5 nonodr$utolnqrn[?dtutfismas$rrnr dn r onuoinn{H o r unfr -tt | 16fi r?il
tr ougrurnrmlt'lillntrufl lr hfl5.6 ufiltuuunumdorn udrrflrrnuoriansunrt$nltmuauinsrfrwtC,do
flrzqdou uac$fillrC{xufril dolrflrtJrfiururu{om
dt6, n'rrrflllT'llrTl$Ioilo
6,1 rooururnr{rr{rn,rflnrT toeftuf,tfiocrnfi$?Minerfie Mrinsr$silfioa
fi.:fflnanrt Trsmnmntnt'lrldsnrrtflm
6.2 rfiann{trfinrr loenrrqorundnauoufl (Hospibal ntrnber) nodillfiorisdut
nnoonflrlghdr,$rssslra'liifin', rt'torirlrtdu
t.ldfcrfisurorlrroprfiundffinrr,irmnf;wm Ba5 r'lfl drmrndtttrg:crfrettld
artfirr {ruu Tz5 ilEl, . ^J 1A6,8 rfionnrilrrFeurfisu qrnndu'lro'lo1t! zo-so fl finnaeruntnuutnnhtdtds'l'-ii--- t t t
tndtnardflnr. ; toslf;drruuufr:suil,dnul,fi16rurofirodru$u z rriT m.rf-r{lfinm
totnrtqnrntdnreilan ro'til'lzolors zo-so fl oofltJlrissd'lftinn:rs onp{luuufr
rgu tfildniiilrr-Feur-nsu druru 1550 f'ls losfi{ilnaxfissialilf, i
6.3. 1 rftu, ourrirtordlttcu'i, lndlfiratirIg
u.fl.2530
l
(Sanpling intenvatl dqs
rl J . n L^
nnrfranplfiuneiiluJ?surfiflu 1oe1firurilil1rn1olrJ zo-so flqnru fi'lfiri'rfiuoums-ri"--'-'-- -----'i-' t I
3Z
I
rnrl{ufir drrrufitum,d n I D - ! o-.- ---!-.!r--,- !---
s6so r'rtr riludrfitu'ttd':fl e tdr tot,iril?uffiilf,flsr drurul
?zs x.tg au'ldrirdrttvrir.,rn{tfi':ad'r.: trirfiil a'ss 'llnr:rlfiffildrirrrhfiU e
6,3.2 l{ntntrnldl tRanaom nrrnbens) dldrtml, ri;tfl! tla
t
q"l6rfufirodrrurmosnrllr.lliulrfiuu rlnng'ir{llfitat s fi.rfirfirodr.lurt'lcneu rfit
nrilrrl?arrfictu 1fiql il11n101s 2o-3o fl ilil1fltat 5 fisdldrirnuor'liufirqrna{n
qiltf'lg
I
|l drirl,ruld il?ns{'ltilfirrilr1srnr Aronadnolr}fiTruriT r fiT qmdrcgldn{lrrilhuurfieut
aru tbso t'ls fi,rfrfiT odrsnrrdrlrud$ial:Jfi
- il'lrn'ro'lf! zo-3o fl rnrfiufieodrttT sd r fia mrord'lffmerffi s
- rl.rro.ra1E zo-so fl drfirfirodrrlsd e fia mtoli{fi*u.u,* 5 + z = 7
- l.rro1o.'fs zo-so fldrfiufirodrtlredg fio mroniifrulrelol ? + z=sC r-.--r4!----.q-.-. 1-r!-..^--^-.s,6,3,4 tntatnn1smmotndtriltffJuflsu lJfiurrttutfie11sosx1t6ln fi1frn
T'rtJd'rltfl1lnao9l
6.8.3 drufufiradrldo'rtJ r fron'td'lorenir t orrhm t d?,srsu'ir t n{[fiT odr t
:
i
Dil1ffi ?qdouml ilmilfl ilil$acnn.!
t
{oilncrn nitc tfisu aduuui,tlttrl{a4afinfr tfiltro
o ,-- -!o.d
I 7. n'lrtgl5gilunsfl'llllffi'lsilno{oabr,! nrrtnigil{ailn fr{ailncrnuunrutu{o4a'-nios
fiol riolr{rntrnsrfrn uncfirfinnolr nirr"tt" rntsiltiltunru aorfir,nud stttx
(Stabisticel Packagle for Social Science)X orlnt;
i
fc'11 t619[',1
a lv7 .Z n',l11tFTT1sU1oilo
7 .2,! I nfifiU:rgur (Descript,ive sbet isbics)oa
nrtl rerrT#{ailnn'lsf,frA Bdffiontfis z delfisfi
nrr{amnrrfiru tflruXfie flool dinlu unsfl'l
,d"lf,tun.rirnnsdt
StuJTn
t s a 4. -oo6lt !r --9 -J-!,-^ ,. . A -!r-!* lttftlx'llntlsurl'Idnfifrtdtufiufiodrfirg ( level of siglnificance) fi o(= o'o5
33
Lesb
B. fieuilgnuilTn t{ tuflxT?qfl'nlAlurriruU
. ulm1iltds.rflrfinC togtd Relative odds
(Veriables)
( trrdependent variables )B. r #rurJriars
ndilfii drurnt5fic - dtnil
I
nririi z
ilr s innr rdru r fl eq r nnr rfi mttr{
nr:t{lilrflmnfiootr,{UA
fl1rtlru?fl1T
{r urtn{s ta tnrraf rnn::d
u.uottli, iiot'rah nn::dn{ o utn
B.Z fifUilfgl'Ut (Dependent veniables)
nt rc untn{our"erfi onrrd
nr,lsunrnfiail?cgsnao6l
1? 668
nriild s
1r
2,
9.Vatt 4
1.
,2.
-za|r"6*l
rduolilrfiodn1r1\t fo€las riururir rads unedru,iiuo ruril'ltlt1lulotfi'lr,.li:il':l'tu
7.2.2 fifir?tirnrsfanfifi r?ti rffired (Anelvbical stabi st'ics)
- nodoilfl .trflTcq.lsno tqmdmuutun'if 'rnrilfinr, unsn iil uFeil tfieil
Icrenfifr chi - square
rlFisutfreil letst{ t -rrJ?$r rfi$Jtir ladeta {doln r?td?1rn:un'ir tn{lfinrr naundn
rd?su rfieumr ildso tn1 ?Bumnfiouunu6afl 'lrnnon rsui r ond$t
|l firnn unen{lrrJtaurfiau losl{ chi - square Lesb
1, o'lg
z, o'Iflil (6'1fi, ntrEl'l)
B, rrndoEiarfiu
4' rhc tnnxoorirl{oire1unlf,fnrl$tl1u1a
drunmru
1.
Z.
a \ t o+s
..irl
a::
0.' Otlffi4.. ni?urffiflbrtug|trf,rffifi
5r rrfinfioanJr zsoo rfil
6. dn,lrmtfnf,qmon
I
T
.$;:'" . r':'
.. tj. ' , ..:'
: l t l'*":l
,.,1 ..; ' l '1t ,;r.
:'r-: j:
:i!i.*,.ltt"
ld' ,
o
I
l
ndegn:erristu fnrqtsirdAo ta fl <iasns o'a) druturlfrars le fl (fas"{---' r I t
nu ss,B) roda{tJ'160 o'lfJ 18 fl t{oflnu 36.s) orgrade re fl arrorn{uril?eu
unfi a
6Uannlt,lctl
ril?nun1rfrnr.ln,il,luuffifldotr $nuanfllfctaooxonillforfuittorg 13-19 fl
rfiaufi'nrill.rrorord zo-3o fl dnnnaoqerrdn{mrrqfi-litrtnrru Ttsmru..nl'.'"t-
,.nr'r{flm scu.jra 1 $rirlnil fir sr f,urrail asso uvitqrn{rurun1tnofof,ofiu
- r.1il 9,590 r1€r rfiunrrnnoounrnunn ottr{r6grto{ttt'lto1o1s 19-19 fl {rlrt
szs flls u?o{oenc 8,6 na{rfl1rooarfioou, un"rfiunrrnaon{fltilutn cttrd,dsr-rmo
il1rn'Io'lg ZO-3o fl ,irurt 3f 650 tre Uiaiagns 38 no{tnlfnaoofioUlo
nrlud
n.r rfr nur e1{ rfilddn r fi a n ! ou1 u m ro.ii6u t .tt g r fnnrld uau"nfa gafufi rt\{oeir s
ldlrtor{diunnoorprrnilttfl nrt,{,dur <ndlfirmlr irl'ttt ??5 r'ls U?otos
nc es.s mru.rro.liaimnoouflrnrurn n:tti,'oe. f;nooo uanrfirultgl'lo1s ao-go fl
nnonunrailurn *r'drduT tn{trrlimrfieul irurt 1'550 ns u?oiagfls 44'5 to{
l1io.lo1rl eo-so fl nnooqnrn$rrfl .rtr{udur f;oono fierr$tdnndrln{tfin*'rdon{il
rrFgu rfieil trirfiundwiano.r
annrtirnrrd{o{n nritoonrfirr g drr fio
1, nufinc$cfrrltlmtdsctrnriirirarfinm
Z. nttvunrn:ilollttflutJafl1tnnoo so{tndilflnrruncnriilsrJ5fl 1ftru i
s . rr.Fr$u rfisunrrs$nrndatruacanfllinnoo todn{lflnuT unvn{l rrlfiuil rinu
(r)@l. qudnu$"m{fuurdtrIfiq
1,1 019-q
Irfieudrulurlo1tt zo-z.4 fl <fosnc 6s.2) fo$a$il'l fiaarq zzl'zs fl <ioary 31's)
36
t
I
o'lstafis 24 fl||
cnt:rrfi sl
!.2 oren1fi
turnqil$1ifi'l'lapdruluri dr-ilfiarstcu'iro zo-zq fl tfogns 5s.5) ]fotntlr
fia droors zs-zg'fl tioens zz,r, u.ulsds zs fl n.hrrFeurfi$rdrutrirjhrfifia,te
rcu,i'ls zls-zs fl riaenc 4s,6) totnsm fiadr.rorq ?lC'-?.4 fl tfognu 31.7) 01fJ
rodg zo fl ,fiunornounr,lafifirnrfinmilusneirood,.rfifttdrftu (P = o.oooo) lo\to'ltl
loe rodsto,rn, fif;ma'rnri$ cst'ltrtii s,
..;1,i rsflfiodorfle
-sli-
r u r I q I r, Q q -D- ---ffiilar:orierudru'turu ordsrm'tur5io.r tfosau 50.6) TotR{tlt1 fio ttsltt-t.
uanriiot <fatnc 44.s) unu{ffiindr', <iognc 4.G) ndilrrjtsur?raudrtliE$ orfiut
t
rrnsonrflos t{ognc 49,8) totnsmfrorrnlurfios tiaens 45.1) uas{fl{nduo,
c{osnu e . u rruStfrnrtrunnlirratirtfifled, ftg (P = o.osz8) no'tfllrnrrlrutltwt
i{otiordstaor,.ru',fionutnrit <nrr.od t,
t.4 dn1ttn'.lIniltd
nriilHrrmfttdrunsnriil trl?$r rfieil drt'[
unc se.e nluirfiur uoinrillrrnriuiufianun'ludilr6l ndr usn ufiTe qurhn{l
rrl?eilrfieu tiotf-nc q,o Bnu !.2 crradrfiul uu'irfint'uuflnsir.lodr{fifiedrfrU
(p = o,Oool l6nrmrndmdmq,,rrorfioaoandl tnrnrd gl
1,s or?urasdflltn,t----i_l-
n{llr:oriaiu uaun{lt!6eut'nsu deutun!fio, ililtnwlrnrrrr <io$nu so's
6ns aa,o nud,idur tarnsmfia orfruurhirr (iasnc 26.! ttrarv 22,1 Slrildrdul
n'lut1udill6l ri <fosdg 96'0o
, fiuorindr.r ldud orfiuiu{r{ 6rsrs finrriluoncirtfiurfinrias Crntuor?ilf,ilt'ldn'lr
lduiltun{lmrm{riiiu ueirnr'lrrn{ltd?fl1|tfieu ttoenc g'gl
I
lun{llTtoritrin4sn'frn{lrrFaurfiElu (iasaY o." !!ns o' t nudrfiu) uu
ustnsirtagirrfifiedrft! I (p' = o.oool lnorflmoolrrnrf;tnotn{1 <nrtrlii s)
or?utomtfi
nr!ila.rrorf,8diluncnd$rtFsurfiau deutur$drfrfior?uiu{rt <i0flru I e6.e
\av 27.7 gnildrfiul rotatlrfio arflutngslrntril t{oenc 29'? ttau zz'r sl'lfid'lfiul
druorfi#l"r lfiud 6rsrs sriudtrfir tfinngnlra flnunot t{rmofiqnrrl flnfinrr
uns,ir{{r$ m-ildoCnl$srnoirrfirr6nfioe Crriuarfluiut'rdnltxa{tnrfin{Ilr:erniail
ulfioenirn{rrrlteurfiau <foens b ttnu ao'a srrsdrdut udr"rnfllunngirmdrofi
fledrfirg (p = o.ooor lmrrnrueltmonolfumamrfifisnotn{l <r,rfl{d g)
ntiilmrorlflruuncn iil trlisu rfigutt
deuturjdrrsririnrrlnnu, 41fi rfilitnu
flc ss,e $au 53.2 nrildrdul druiudrurnnfi o dlildrulrn
urtun{'*rror{eiurnn.irn{tr1teurflsu <fosns 13'8 unc
u?ailrclnnfi t <tqgnc 55'ed
drrs6iriffi 'tl,tEt1il'ln
s,s nrildrfiur uncilrc,nnii e drnrm:ntfinriTfnrTffirurnldq'rnuri?sorufiilfl.rfio
untun{nrrrorieiurlaan'irn{lrrFsurfrsu t{oens 4 sav ?12,6 orudrftJr m'ir"n
n')r$rflnehggdr$fiedrftg cn = o,ooo) tunrrnrrcrsrotdrs lnnrirli.irglunt:inrrI r . --- d ^ug,lil1n1o{nrrOrfrldagfl68t ( Sl'l51dn 3)
t
O n'111\ld 3
38
'iturutaufosautasn.irflnrr unvnrjrrrjtsurfisil'iruunsrlilfiBfinnuun-lrttt
eilrrrtrugfic[auf,.!RrJ
firuil:nr ldru ro:ugfil-flral o
41ill11Jfognc
t
orqneilfinrr <fl1
l4
l5
16
T7
t8
19
3
22
50
113
286
301
0.4
Z,A
6.5
14.6
36.9
g8.g
:?lt 775 100.o
rir rq6€r
d?urdss ruuil'rsr?I'lr
18, 01
1.05I
QTe!.iiltil?siltfrsu (fl)
zo-24
z5-29
30
I, O1O
489
51
65,2
31.5
3.3
t?tf
t Iton?il r ljg{t t uutJ19156.1ll
fl
1r55O 100.o
rir rodg 23.70
z.Bo
39
tn'lrl{d g (eio)
firuilrnr sdru t rnr3fi l-dtnt ndrflnrr nriilrrj?surfisu-
q-
oa1ll?11
3togRc
oa11l1ll fasnu
I
arsmra'Ifi tflt
ls-19
20-?'4
25-29
30-34
35-39
40-44
45+Vrtilnf1il
111
430
176
43
I
z
z
2
14.ts
55.5
uC,) |
q|i
I.Z
o.3
0.3
0.3
zz
49z-
747
250
54
t7
I
L4
3r,7
.15,6
16.1
3.5
1.1
O,5
f2il 775 100,o 1r550 100.o
trC
n'l tingrdfl?lrils{ rilu1nTn1il
T. Value = -18.5100
?,3,24
4.O7
P = O,OOO
26.66
4.42
a
40
t;
')r9l1T"lit-ll 3 (tlo)
firurJ:nr tdlu t rlrs5fi e-f, tnn
-o{rflnnortul1l iosac
-odlrrj?surfisu{uu foenc
t
llmes:fu1urfio.r
uontfro't
.992
347
36
50.6
44.8
4.6
700
756
94
45,1
48.8
6.1!
{su{ofiu't
775 100,o lr55O 100.0f?11
X'= 6.83482 D.F. = Z P = 0.0328
1r531
19
744
31t
dn'rm1}ldil1d
d
ufirfl' utir, ugn
96.O
4.O
98,8
t,Z
775 100.o 1r55O 100.of'ltJ
x" = 1?.6000 D.F' = 1
i
P = .0.000
I
4t
o
n1i1\:d 3 (qio)
fi'l rrilrnr .r Eiru t R:uXfi e-fl .r nl nairflnur nrilrrl?silrfisu
oc1lt?u
DlAgnc
oc1il'tu
Dtognu
t
olfluxoEtdruil?nr:
uriri, u
UDTile10'
firtrg
riur, ritdtu, rirlit tnuntflTtet)
iu:rtnr:, igin,ufia
or?uu?nrrfitRt
zoz
98
77
391
7
26.L
lz,6
9,9
50.5
o.9
343
227
158
666
154
2
ZZ,l
t4,7
to,z
43.0
9,9
o.1
12tJ 775 100,o 1r550 loo.o
xa = 105.4219 D.F. = 6 P = O.OO0O
?
,
I
42
I sl'lTl{d g toiar
hurl:nr odru rrntlfi n-fi t nn
-odrflnur
--nriil rrj?eu lFtlrlu
o
iu{rs
6rtre
riru't, frdru, rfirld< tflutlTflTftl)
iun{nrt' iliarufie
orflr^rdrttfir
finflnm
'irrsru
1iln:Tu
?'86
65
?.30
39
6
I
134
96.9
8.4
2;9.7
5.0
0.8
1.O
0.9
17.3
4go
93
4ZO
316
l0
z
5
274
27.7
6.O
27,l
zo,4
0.6
o.1
0,3
17,7
775 100.o 1,550 100,oT?Sl
xz = lz9,z4to D.F. = 7
4e'8
31
eo9
107
P = o,0oo
e
rlrstnncn z
ilrutnnfi s
rlrurnnd a
55.2
4.O
?7,o
13.8
8?.4
351
314
61
53,2
22.6
zo,3
3.9
100.o 1r550 100.0t?il
xa = 199'7396
775
D,F. = I P = 0.000
)
43
tz, nufinuuunr':riruqtnru
z.L rlruifinri4@nriur :orr isdunsnsirJ r il?sil t "ileu
fioatrd ttoflns eo'B unu ez.s nr$d'ldul rusiwrnriilm torisittfi ilruifi nr tXr! r fl u
.'lnn"lrfion:tr{riosn'irnriiltrjieutfisu tfotnu s,z unu le's nudrfiut riiofiqr:ur
rau'rrn{liifirhuifinrrXrlrfluornnr:fise,:rr{ uru'irdlrluqiao.:tr:orfitnosn{l lfierq'ln
tiosas 6.4 ttnc 8.1 nruirfiul unufi nruunneir t odr tfi fiudr frP
ltrJrvifinrrargrflaernnr:fitnrrdrow:orfionosndt <nr:.od aI
2,2 fl,tlnl'lq VDRL
1U!flnilil1ro'l'ltt:uunsnd$ rr]?sutfrsu dru'lungfiarnfl'llen2e vDRL ilnail (f,osnc
go.z slrildrfiul [nuwa vDRL rlnuln 'lndrfis.tfiufi.rnotn{il ({osns !'2
nruirfiul lriunllrtnneirsoEirlfifiudrfirg (P = o,2?7e) ludanitn:rq
vDRL i0{rl..,ro..'fionuonaiil (st1l1t'n ol
z,a nrr r6urJrffiasilrror'lunrr,{flqlfiu
$nu
3.1
nriililr:olieduunundt t rjieu rfr suttl
drulunlldfinrrr{ud'ltt tfoflnu e6.e
gz . e nruirfit I uoinrillr:oritdilfin'l: r {uilrfflrnnirnril r r-Fail t'neu < iaflnu
uns e.6 nrldrdu rdafiqr:urrouron{litfinrrr6uilTt u'irmrolfisnosn{l
rfiltrnfiqgionrrrunfllfiuCilln4o <{oenc l.? $nu o'e nrildrfiul fiilttnfinrfiou
.'lundlmroriairunnn'irniilrrl?s:ltfleu {faflns o.8 uau o.e sludrfiul lduilnru
unnoirrotjrrfifiadrdig (p = o,6zqzt l,snrrr6ilrhfloru.ro.fionutnril tnrflod o,
deuluniti r n€lfi ilzsifinrr4CI tfl anrnnr:
tb
n11$n{ lad
(P= 0.0193)
87.6 llnu
llnc O.7
t
)
44
O
mr1.!d 4 druu unciosac monrilflnrrua'snrirrll?flutfieu {lunnurqufinrrucnr.l
druamruq
firurhnr sd'u t nru5fi l-fl tal ---oeilflntr'irtru toenu
-$ilrrj?eur"neu
'irtlu ioeau
I704
7t
49
22
90.8
9,2
6.4
2.8
1,356
194
rz5
'661
2
87.5
lz,5
8.1
4,2
0.1
0.1
- ufis too
- r{rufis
- fion:tr{uonxo1n
- ftnr:r{'trirlarqn
't75 1OO;0 1r55O 100.0t.1
* X" = 5.4309
amflllgl1le VDRL
' ldldnnc
ilnnu
&mlnfl
VrHNTlU
D.F. = I P = O.O193
78
679
9
I
10, I
87.5
L.2
t.2
3Z
1r499
TZ
7
Z,t
96.7
o.7
0.5
t?tl 7?5 100.o 1r55O 100.0
J VDRL Ajnillfl | 0Jnnil X" = l,!?71 DrF. = I P = 0.2779
45
)
nlr,{ii 4 (eio)
firuil:nrsfilrdtn'lll --oqlflnr.r idulEiilrrjiarlrfinilLf rnslj
oe'1il'l1l {ruru , iasnc!
TOSAU
75r
24a
96.9
3.1
o.1
o.3
L.7
o.8
o.1
o.1
1!509
4t
5
I
6
1
13
3
I
7
2
z
97.4
2,6
o.3
o,1
O.4
o,l
o,B
O,2
0,1
o.4
o.1
0.1
- l:nrirlq
- l:nturrru
- l:nnrudulnfinns
- ntslnfinqrs
- lrn-tsl
I
z
13
6
1
I
- lrnfiooianl { nletd$fud
a-aA- ttn00 t50
- l:n rfifl'lfiusioillntoeo{
| -uoufio6aISnqn
ud- 'ltu tTn
;- al|e]
T21l 775 100.o 1,550 100.o
D.F. = 1 P = Q,624?
a
x" = 0.2393
cn-Nonm1-fi!!!!Il:II
46
t3.
I
ndilil1ror flflduuacffiil t rjtfl u rfi eu dlr'lur!ruriuu?nrrafrnnr:r{ <iosau
Be.s rns sz,g nrilrirfiul uoineium:orieiu'tdmiuuinr:afrnntttilrnn"irn{lrrl?au
rfisu <tosas 10.1 rac z;L struirfiut uu'irfinru[nnsir.!fiuodrtfif,udrfrg
(p = o.oooo) io{rfl-rrmiuuinr:afrnnrrdtooo.ro.fionasnrfu <st'tt.{ii 5)i
s,z nnruii,Jrnnt:d
neiilm:ori'eduuasnriil t il??tu t nfluli!
illf1r'r{ilntfltrfim <fosnu 78.6 Unc ?4'3
r{oeau B,s $as rs.o nrildldut uoinelunrorisdilrfrnnrrr{dnfiflndT ufirriaan'irn{l
rd-reurfiflu ttoeac z.s rns to.o ntildrdul utrirfinruuflnsirlodr.rfiftrdrfirg
(p = 0.ooool lrnnruiiof'lnottr{ooou.ro.filno.:nrfu <n.trod sl
s,a durun{t3o'rnrralrnn:rdrurtqr!
nnilil1To1aslild?il luCIil'lnf ?enTtn'tl
f {ruru r n{o <fosas z!,o) Ta{tn{r'l
fio ,iuu z n{s <iosnc t7,2, unumnmcnttr{toe,ode s n{o
<toflnu tb.s) ttnsillcrtlcottr{tourode a o{o
dtrlurfinnm.orr# iruru o n{t tfoens 16.3) ro,,:armfio {ruru z n{o
,dunonnunr t nfi fir,ru'irfinmilustneir.l
t; , tE018n:f ,i r iloil1411fl RTf nnt{t urfl
ndrrrrsrr{aiu Ceutuqilrafrnntrr{n{o utn,iiunrsnrtt{zl8- 40 drJsrrr{ u:-o
odrrfifisdrftU tp = o,ooo) ravirurrn{rtcreradrltotnrrdrnntt,{1ltn:nrfi,rno.rn{t
,t.tt'tod
3,4
.lsnmnitnrr (fogas 4s.s) rarnwrfia ts-zr flrlerrr{ u?olnnnnno.r <iosns
sz.s) ndlrrJ?aurfitudruluqilrafrnn:rdn{rurnrfioo'tuott,{ ts-l? firJnrr{ u5o
lglrilrnao{ <faanu Bs.B) raca,surfio rfraotfln:ri zs-ao flrjorrf uiolnrlrnnrl
tfasns s?,,2, unuuu'irn{ilm:nrftid*.*'tnorrr{n{o,t:n tdoo'lenr:daT nn'ir ao
de u'lurfu rfuu?nr rah nnttt{dtr oru'', u'lo
nruirdul rasatlrfio nnruuinr:5r'r
a
ndilril?surfieut
I
5)
l. flrlorrf nrn'irneilril?surfiflur5nriofl tiasns o.G uac o,r srrildrfiul tfionodaux'ht
;
',. 47
nfifiumruugtnrir,rad.t.:-afiedrdru (p = o.oooo) 'lunrrnrrqlflm{olqntrr{,iiofronnt.it ,, E r J --ffiTrini{$Tflxa{il1To'lfrtdalnnl (n1T1{n 5)
I
oslri'l$lrnn'lilnflnfltsstct
l
I.u
nrrro'n s {rutrrnciosnc todfl{lflnr, uacnriilril.:siltfi€ru
n"r{dlrfiltiuutnrr
fiT urlrnr trirunt:iuutnr: nrilflnuroe1il1ll
o10fln8
n{rtrJialrfiuu
,iuru doenu
ft
nr:aJrnn::t{
lilahn:
aJrn
78
697
10. I
89.9
32
1t518
I z,t
97.9
775 100.o 1r550 100.0l',lsJ
xl = 21.59?6
f 1,1 . rJll'lfliun:: r tr6h r
nfiflndtrfir
nnrul?nrt6u't
l*in:ru
D.F. = 1 P = O.OO0O
I
609
19
69
7A
?8.6
2,5
8.9
10.o
1r 15e
164
zoz
32
74.9
lo.6
13.O
2rt
775 loo.o 1r55OT',ltl
Xa = 50.1835 D.F. = 2 P = O,OOOO
100.o
a
48
)
fl'rrl.rii 5 (eio)
fi rurj:nr.:fir tnr rful?nr : nrirflnrroe11l?u
Dl0flnu
I
{ur un{,l r o o nr ialr oo::r{
o
I
z
3
4
5
6
7
I
I
>10
7S
163
r33
109
106
57
48
g4
zr
10
16
10. I
zl,o
17,z
14. o
13.7
7,4
6,2
4.4
2,7
1,3
z.o
3Z
164
24t
?.40
2,52
zrr
149
103
7t
38
49
Z,l
lo.6
15.5
15.5
l6,3
13.6
9.6
6,6
4.6
2,5
3.1I
t?3J 775 loo,o lr55O 100.0
rir radg
Cru riier r uurJ'rnr5'ru
3,tz
z,42
- 9.8gOO
4. 16
z.39
P = O.OOOO
i
T - Value
49
Isl,lT1.:dn s <sio)
fi'lurj:nr o61iln1tf!u?n1r
-:qlflnrr-nrilrrjisilrfiflu
tirurt {oenc drurttDTOBNU
a
arenr:d riiolrahnn:tr{n{ou:n < flrjcrrri t
<-lnril1dttTn)
<lsnil1ddos)
<lnrmnarxl
"ldmoJ,nnt:d
ldnru
l-14
t5-27
2e-40
4O+
zl
250
337
5
78
84
2.7
3.2.3
43.5
o.6
.10,I
10. B
91
555
499
z
32
371
5.9
35.8
32.Z
O'1
Z,l
eg.9
tlel 775 100.0 1r55O 100.o
xz = 162.9000 DrFr = 5 P = O,OOOO
I
+
50
I
n1r1{d 6 nfl qudnunsiiunnoirrfiu :su'irrnrllflnrrunundlrrJieurfiou
nsfiffiilrfrr'til nfrfinonau D.Fr P - Velue
1.1 frolnnr rdu r drs6fie-ddnil-uffi
o'l8xo{d1fi
'Jrurnnnogo'lng
anruaiunma
orflurorfiiuu?nrr
arflumsnrfi
ilrs r nnro,rrirld.ir E'[unrr-
innugrilra
{ommrriudsnlut-
I
T-tesf
x"
x'
x'
x"
x'
1658
z
I
6
7
3
I
1
I
1
z
z3z2
5
o.oooo iF
0,0328 t*
o.oooo it
o.o000 t*
o.oooo *
0.0000 ;N
0.0193 *
o,2179
o,6247
0,0000 )l(
0,0000 ;x
o.oooo'*
0.0000 *
t,2
d:s {fi nr rnr! r fl fl e1 nn 1 :fi s n:rr{
arnfllrnr?a VDRL
dt 3 an11t auil'lflxmsnnnttn
DsatailnflltTUurn:lr
nr:afrnn::d
nn'rlddrnnrrd
x"
.x'x"t
1,3
dr lrtn{t ro i fl l rah nnrrr{
o ren:rr{ r iiomdr nn::dn{o otn
x'
x'
T-best
x"
-- du 9 u -oo d s* illlgn'lnr!illlnnn ilTcoil 4- = o.o5
a
51
I(z) fl'l?sBnTniautasufimlnaan
1. n11s$n:ndau
1.1 n11utt,ntn{auruecfirnrrr{
nrlllr:errttrit unun{rrtil3sutfieu dtrlurllri"lrn'ne$nrfl{outrsrfitnr:ttt
<tosau 81.z u,ns gz.a nrrdrdul usiurirnrimrrorriedufrnrrcunlnio[rrsrfionrr
nrn'irnairrrlisutfiflu t{oenu 1s.s unu z.e nrildrdul
nmuunrnfiourruofioorrd fi',:ndlmrorieiuununrir trl?sutfisu Cru'lur!finrrsnmildu
1nfinn.:trucfionrrr{u''nddn (iosns 11.s $ac s.o nrildrfiul to.:nrmfio nlrcnr:t{
rfitdruuernnagt (fogny s.4 ttns z.t nriliirfiuld l, a
ttncn'l'lu t cilnttnflailo 1 gnf f nnTU
so flil0'lrf 'lun{llrroritntXsn'irndilrrJ?surfigu <iaens I'e uns o.4' srrildrdul
uu'jrfrnruunnsir.rotirrfifiadrdrg (p = o,oool 'lunrrcunrniolrus"fitnrrt{, n1?u
u ca 8 I la o I - -' In?1rdll lnilfld{tn$cgh:nT:rl BnsnffntRlln1ililnnnaono{rtJ1Tn1lt{td0{nnil ttnunln?1fl
lduornon'truunrndorrrsrfisnrrd'llnriunrorriedurfirt a,ae rdr rarndrrrl?€rutfisu
<n'rr1{d z)
nriilmror{sir ununairriliEJutfrgu drulnllrifrntruunrn{offissunnoo
<iosnu Bz.! uns B1.g nrndrdul unuuufinrrcunrnfrol Tuscnnoolniirfu':fiu
<iasnu tz.9 $ns tB.z nudrdul rdofiflfl['ngr.,'rsndldfinrrrnnrndarrugux0lc
naoo nriilmrol{edtdruluqifirrsrdnatt0{rfllrnnoos'l?r'lr tiognu 6.st ro{n{il1
fio n'r'lcur{rdrrorurorrlrifiuo <{asas s'B)' ttncfllrnaoofierfrcr tiosnu z.s,
nriilrrlisurfisudrulunhrunr:nnoofiofro <fogu z.tl :oraurfio rrsoddolloltnlrqr
nnong'r?il'tu (fosnu 4.8) [nunl'lcnr{trrirtorurror'trifiuo tfogas a.gl drurru
t
Ifl
In
do ,doI lJOl{Q'l f l[1 t il1.1'1 c nflilnilt
a
a
rnindoil:ceroooo6un?fidn:r'1nfir6fl.rfu tir^runmlusrngirrodl{fifludrfirg (p = o.Ge14)
52
I
a
'lmrrsttnrn{ottrcgunaonro\rm?nrfi,:aosnrir naueirnru,duoroon''truunrndourggc
nnoolunirmror{gdu rfru o.gs ,ri. ,oo,],iilril5eur-nsil usi1.il'irfin'lril$nngir{odrt
'nfiadrdrg (p = o.oooo) 'lunrrunr:nnanfiodoruou'lto'tfiono.rn{r <sn?'tdii 7)
t,s nmcunrn{au:cgsufi{naoo
nrlrrrro, iaiuunundlrf?sufisu drulurjtifinrrcun:ndattctlsuf,{nnotl
<foens sb. I unu go.g nudrdll ughrunrrc$nrn{or:cssufisnnoerlundrlrrcrrisiu
n,,:n'irnrilril?flrfiflu <iosac 4.e unc g.t nriliirfiu riiofrcr:sr,o".nn4udno'li,
unrnfrourcsuufirnnon nai$flrrori'eJruuunrrufi1dufi,,:nnoorarn'irnrir rt13gx gfiux t fas
!
$ac 1.o nrldrdut uono.nfi*r'l"ficrr{aufirnnon $mrsfl unrlnfindodrrlln'luneirt
mrnlieduaon'irn{rrrliflilrfraurfinrios r^,il'irfrnrril$sneir'rod,ofrfifldTfirg<n = o.osss)
'[mrrcun:ndolufirnaoono{rrl1r0rfi',rnotnail unsrirnrrrtrduoroon'',tuuntn{outsErc
udrnnoo ltnriunrnrisiuas,fir t.or rrir rornriilril?surfisu,sr.:r,ld zl
nu 1,? $ng o.z nr$drdul rncn'r,tsnfl rfrooudonnoorfin.rn'ir rdufil t ioens !,2
]
C
I n'rr{fi z druruunufatlau xo{tnrllflnnunun{ltrJiuur"nuu
53
{r[unnrilnms[nfndoil
firurjrnr.:drunr?uuntn{or - nriilflnsrottcltr?u togns
ndlril?eutfis:Jobl',lll?u Tognc
xt P;value
rBln1 ?sttnlfl na1lTugs9]d nTtn
l|taITJIJ
otl
633
t42
81.7
18.3
11429 9Z,Z
tZt 7.8 55.9105 OTOOOO
t
nrrilrdnrflilfin#
775 100.O
2,46
1r550 1OO,O
I
- fl'l'lsn?1ilfiu1afinn.r
E'xt[sn{nTln
la o- nffnrn|lfl1lfttnnnood lt I- t1ilflttnnoltolsnTfn
i
aiil 36 flrjorrflla6ra- lnilnaoflr|ollfl0l
Io
tnlfl']89t1
J.?n'lnuqjnrl
3
I
11 .3
5.4
l,Z
0.3
o.l
z.t
o.4
3 0,2
2 0.1
9o,2055 0.oooo
16.8795 0.0000
1.0?69 O,2500
5.O
s3
6
4Z
lo
i
n1?uuntfl{altlsgsnnorl
il ra'utll
atl
696
139
82.1
17.9
1f260 81.3
?;90 18,7
nrrlrdflrdillinC
o.1576 0.6914
C
775 100.O 1,550 100.O
o.95 1
54
In'lll.lii ? (eia)
firuilrnrrfirmmunnrniol ---nqffintrtirtu ioenc
oiiiluj3eurfiflil
,irru ioeac
x" P-value
- rrsriiaoltto{fllrnnooet'lttt'ls 49
nrrnaonfiofio
ur.: rdttolm:orrlilfi
- :naonfirriouriruuo
- :nfiod'rt,o- Tfltfl'lcgl'l
-Thneabened ULenine
- Prolapse Cond
- PROM
- Chorio Annionibis
22
45
z
3
3
Ruptune -
6,3
2,8
5.8
0.3
0.3
0.3
1.5
0,3
74 4,8
llo 7,t
74 4,8
I O,1
9 0.6
2 0,1
I 0,1
4 0,2
11 0,7
3 O,2
2.0579 0,IOOO
t6,7342 0,0000
D
tz
z
I
n''r x c $ffi ndour ssEldloaoo
Vldu|ll
atl
737
38
95, I
4.9
1r50e 96.9
48 3,1 4,?,397 0.0395
'Tltl 77.5 100.o 1,55O 10o.0
1.61 InrtrtdeJ.!ftdnC
t
55
In'111.!ii ? (gio)
firurjrnr tdtun rtu urFniau nrilflnrr orilrrjtsurfieu
{ruru ioenu {rtru ioenu
x" P-Valuel
D
- nmsfilfiufitnnaet
- irtsnntfionufi.:nnoct
- nmcfio u{on.o tfiudaarrsJ
- nrrcfiotfloufitanoo
- $t|nugfl
- lnfindrd$oln
- EndornebnlLls
13
I
3
3
5
4
I
1.7
trZ
0.4
0.4
o.6
o.5
o,1
11 0,7
16 1.O
7 0.5
z o.1
4 0.3
3 Q,2
5 0,3
]l
3.9404 0,o5
z. !{nnltnnao
z.! olenrrrirfionnorl
t
lflomtnrrnnoo
miurrnriuitunun{l r tfreu tflsu druludnfioo rfu orqnrrr{rcu'ir { 36- 42
flr]nrr{ <{osas Bz.s $au es.o el'ludrdul :ora{x'rfio01qnrrr{rnu'irt e8-35 drJnrrf
rfogns 6.? Bns e,z strildrdill Crunrmnantliun.qen d og-qs flrJnrr{ ntanrrr{
rfiulruuonaao 'ltrnriurT rerrisrmtn'irniilttfrsutfieru (iosnc 5'I unu z.st tll t!
rirfiul orgortiliiunnonlosrade fio ge $ns ss flrlnrrf nruirdu m'irfinru$nnsirt
orjr.r-lrflrdrftu .p = o.o00) luarqnrl{,dnoouounsffirr{rfi$d1ililflna0otrotlil:orf,r
oatndr tsrrn.ld g)
2.2
ndrrllrolittiuunun{lrtFdutfisu drulnrftrnoorlnfr tf,otnu
os't srrildldu) d'lunrrnnooftnrjnfi uu'i'rtnfit6a.:ftt <faanu 31.? Bns
oe.$ uau
34. P 91'.111I
56
t
t
rirfiul rdofiarr$r rqurcnaiilnnoo'wsrrlnfr drulnlnaontorenr:ld,o--oqoqtsu.'n"'n
<foens 15 [nu re ,z str$drfiut :osnrtrfio nr:airfioto.tdnoonnrslrirfios <iae
nu to.b $nc rg,e flrildrdill drmrrnnoolnslfntdrs nnaodrfiu rnrlrdnfldrudn
lnfirfiflrfir liuun-nrunncir.lodrsfifiedrflr! (p = o.14to)'lmrrnnaetfiorJnfimt
E 'l or.u,duoo0tfllrnaoo^wqilnfilundrmroriuiu t$t o.ez trirtolil'lfo'1fiild0{tnail n11illnfl{no{il-lr?n--.'-----'-----"t' -i
ndtril?eutfieu (ct1ilo'n al
z.g tilr$o{n'lrn
. nriililltnrifliuuaunrfurrJ?silrfisu firyrrrurtt'ts fosns 5o.? rnc 5z-'6
slriliirdu druunrrurtufl{ fosas 49.s $ns az.q nrudrdu tluunT uunndrtosirsfi
fiedrfirg (p = o, oael lttuRtofn1ifl ,nou',roafiona,.:ndl ,st.trod al
2.4 dn1iln1tn$tflnnoo
' o 'uuncniiltilteutfieuflRilil',lftl11gt r
nriilmror{siutirir r^unnrrnsrrslunr:ri snsnaoo uacn'lsfifilnaon Xsn'irn{lrdlaltl
rfieilr$nios riiunonuun'l{dfiA lduunrrluslneirlodr.!fifisfidry (P = o'?e6?) 1u
nrrnrfinl#ilmnou.rn.firnarndr n..il,dsonatnrrnrfinlfiilu tlnriulr:mttiurfiurr't,z7 rn'r mrnartrltgutfieu <gl'lrln"n 8)
t
e,5 nsuundrlrmr:nudlnaarl
ndun:oriuiuununrfurrl?surfiflU drrrlunifrauurrdnlilnlrnrdtnnoo ro
nuttrlt <iognc 8514 tlflu ez.o nrrdrfiul :otntll fio
6,g unc 9. t nrildrfiu) ns[il[dnrmr:nufisnaaotofltod
nriilril?eurfigu rg.6s [nu s,zs nuuttu striliirfiul druiunuuiludnllmlrnufio$aonrir
<ioenc 99.1 ltau gg.g mildrfiul
rrJ?eutfieu tfaenu o.9 unu o.?
drutnnjl'frrir r fi onrrnurnnnonfifiin
usirnrnlrn tfinlfiilulrn{rmtoriuit {tn'irn{r
srrild'rdill riiofilrrnntturundmrrndgl.tl uu'irI
a
ncuur I nstlut (ioflnsttulor
0nn$$1'n1?gTltfl1n?1tl
tJ
0
'.1t:
: :..,
O
oiln"ir{luFsur
.3 $nu o.8 nrlrirdul nrrrfimruririT r'unt
rdnfia$ tlosns o'5 ttnu o.g nuCrdul:rl
r.ruirfinruunndr .rfifie&ft! (P = o'ozoe) lnnhrffioilnfitotn'l-t
eornrirr tntn{fi etl
2,8
,11
Abtf {l}f8t1il1ne'lr?lt
I
4-? iu <faene
orl;ild{anannodil1
t:I
'i
ujterulfleu <iosns 4 unc a nrrdldul rdonnnourn
1ftu (P = 0'0152) ll{trtilf; {lrroroqilllr
.nrtlrd el
i:".'l
t:
l
.i
I
ii
:i,I.!i,iir:i.
.lr,:l
I
' ::.
i
I
li
qrt,td e i,{tnl m m{uflnrT unun{l uFarr tftnt
. ,t I
28i35.i
96 -: 42
49 -ii 45
ti
<.ltt I
'j
(LI
I
Ifo'lR{
uncfldiluFeutfreu dtrt
{u <isenc ?9.5 $nu eo'r nrildrdul rasnw fro {rm*
.5rmu rz.s' nrildrdul uefrurrirn{l$1'lfrl'lAtfu
t( l-z ncu,uil I uudsrrrd?llmilmror{ei$ntn'irnriil r rltsu tfieu
srudrfiu I,finnonoun'.r ounjn*'jlno..uunnrlr oarh t'r,fisdr frg
:
<foflns 3.5 rtnc I
(P = 0,016) tA{t
I
ncrttttdnlwrrrnufirnnoolaerafi€,soomtorfirno.rnrir ung-rnruusntir{od'rtfifiadrfirya,
(p = o.00o1) lmrrn:rc'lsncu[ildnrumrnufirnnonsirm{mrorfisnotnil n?1il
,duonooorunildnllJnl:nufirnnaoefir lunrirmrorriarilrfiu g.az trit m{nriiltil?su
rfisu tnrrTod el
D
2,6 frufinnrrn[rnRnao, " r t O ra?nri$ilrror{edr dlr'luqifirirtfinnrrnurnnnoo rcu'irr zsoo-zses nfir
tiosnc 41,8) :otnsmfio 'firufin sooo-s4sg niil <fosnu s6.tl unrtlrufin rooo
-1ses niil <foen y 2.5) niilnltsurfiouCru'lfilfirlrufinnrrnurnnnoo,ru'iri s00o "
-s4se nir <foenv 4r, rosnrmfia rl,ufin zsoo-eese nir <iosns ss.?) $ne
rirufin looo-rsss ntil <ioea v !,4, rtrufinu:nnnoErto€Jradam.rn{lmrorioit rdr
n'irn{rrrJ?flurfisil asBs $nc zgge niil nruirdu uu'ir-nnruunnoi'ttodT t'nfiedrfirg
(p = o.o0o)'lnrlrufinurnnnaolosrofiuonouiro, fisnoonrfu duiumrnrlrufinrloEl
( looo-z4eg nill r^rudnrrCrulmrilmtcrr{aiuqrn'irn4u,,fur,fisil tfoenc lb. I
$au T.G strildrdul uncul"irfinrlilunnsirrod, rfiriedrfir! tp = o.ooo) no{tn1r
nrcq1Billrfl$rnnnoofitdnfiae'hmrorfisno,rnir o..r,tdutro{tn'lrfl[rnnnanrhufln
rlae lmdr$rror{fldurfir a. to rrirt)'rndiluFeutfieu tnrlltd el
z.? antufioilnfimrnr:n
n{un:oriaduuasn.iilrrliiflurfieu dT tluritimanrufiorJnfim$nrrri <ioa
nB gs.E uns gs'l srrilirfiul ugir,JUirnnlffiorjnfuo'rnrrnltndrmrnri#untn'irr rd d -D , Ca- a | 6
nriilrrj?sutfisrl (fosas 6.5 unc 4,9 grrildrdul rfiofiqr:$rrsurcnaiilfifiantu?orjnfirtSturrddrtti
no,$n1rfl firnrirmrori'eiuunundurilisurfiflu drfluqiuunrru Febel Dlslress!t
t{osnc 3.6 [ns s.r nrrJdrdul druRtlc Asptryria lunaiurrorieiuatn'irn.irtttlt
*
t
59
tsnrltd a ttior
fir uilrnr r d1ttllnfl 'lrnaoo rt!nnilnflr'l
ODe1rzu logau
ndluj?eurfiillolq1mlr togau
x" P-velue
dfrotarnrrnnoor
nnoorlnfi
nnocrfiorrlnfi
IrOO9
541
529
246
68.3
31.7
65. I
34.9 2.t669 0.1410t
1?il 775 100.0
o.87
1r 550 lOO.O
Inr, iltde.!flslfinC
- nnooloe'ldrn?aqcrqrlrg1n1fl r t6rudvr,- tJ1nCI [01 tofloonn1dillt'l?lod
nnoorlosldfrildre
naoodrfiu
?,59
?,06
.6016
B2
34
14
15.o
10.5
4,4
1.9
16.7
13. g
3.9
1.O
*
$tfltodnltfl
d1s
u0s
816
734
393
382
50.7
49.3
52,6
47.4 0.6998 0.4028
?
f?tl lOO,O .1r 55O 10O.O
st.lT1,:dil I (gio)
fir nrj:nr s ri'1ililnfl 1 TnRorl
-oqlflnrr ffiilrrjieurfisu
{ruru ioenc {ttru toens
x" P-Value
dfl1rm1Tflllfflnno0
- qrenrslu aa drtt.r
aaa$tr?gl 768
6
7
5
z
99.1
o.8
o,9
0.6
o.3
1, 539 99.3
3 0,2
ll o.7
g o.5
3 0.2
3.1136 0. )616
0.0664 0,7967I
ldfiflin < rfroliilr^rr
- snetuarr,{
- n'lgnnO0
nm$rdetfl$fiilC
775 lOO,O I,550 1O0.O
t.zz 1
tto
I
I
doA
,o
n1
662
49
30
85.4
6.3
3.9
1r358 87.6
l4t 9.1
23 1.5
t-? z7 3.5 16 1.O 15.8200 0'0001
, T?tl 775 lOO.O 1,55O IOO.O
61
?
n1r'rdii e teior
firudrnr rd1[lJnfl ltnaoo
rir rods
':drurilat [rltru'lnr51u
nrrilrdetdilfinC
niirfinur
,irurt iosns
naiilril3eiltfieu
..iuu fosau
I
9,61
l.z8
3,47
9,75
1 .04
1
T-vslue =-2,42OO P = O.O16O
firufinnrtnurnnaoo tnfll
> 4500
4499 -
9999 -
8499 -
2999 -
1000 - 2499
I
2
:1e80
324*
4000
3500
3000
2500
o.1
0.3
6.6
.36.1
41.8
10 0.6
140 9.1
7e8 47.O
554 95.7
ouDil'llfltnilag
tI? 15. 1 118 'l .6 31;0308 0.00OO
1?'J
riladea
drurfieuuun'lnr1'lu
nllrdstdilfitrC
T ' value =
775 100.o
er985.48
431.69
z,t6
-6.1200
I | 55O lOO.O
er998.17
390,97
I
= O.OOOO
Q
Inr:rod e (eio)
fir rnhnr tri1 ttaf nfl 1Tnnoo nrirrflnur
ottc'unlt losnc
nrirrrjtsurfieuODq1r'llt Tognu
x" P*value
dnrunrufiorjnfimur:nVratlttJ 725
50
93.5
6.5
1t474 95.1
76 4.9
i
1l,5791 0.OUO8I
T1il 100,0 1r550 100.O
- Fet,al Distress
- Asptryxia
- lnjury
- CongienlLel Melfonnation
zo
18
4
2,6
2,3
o.5
43 2,8
1g o,B
I O.1
t4 0.9
t1-3
4-7
>8
616
.t2,8
gl
79.5
16.5
4,O
lrz4l
278
g1
80.1
17.9
2.O
8.97 0.0152
t'ltl 100,o 1r 550 100,o
?
i
63
ul [as
I.J
snilnfi s n1J nrrrrJieurfi€lun'lrcttn:n{ou ttasilnfl'lrnaorl ruu'ir.rn{ffin
neiiltrl?sutfieilt
UrAOsr1uilfnflnr1
r&3n1?s$n?fl501lTc8Bn{n:Tn
n1?uInTnfolrSsgunnoFt
n m s [nrn{o ur u guufr '] nnoo
(A01fln:ln til0Ra00
nr:nnoofioilnfi
dn''rlm'lf nItnnnotl
rlrflto{n1rfl
oc ullildn1un'rrnilfi {fl n00
as$tildfl lmrrnufi ': naoodr
nnT ufiorjnfixanillrflDOUil1ltilnmtflufnnnoCI
?ut,n1rfu1lfnflu?flnnanilos
o sd u se 1 tl'l u?lIilil'l:o'lltfl iln ! nao 0
afi^nnoaan D.F. P-value ; uu tn?1il tdtlsdtlunf
rl
r*
a
x"
x'
x'
x^
x"
x=
xt
T-best'
x"
x"
f,-test
x'
x"
I
1
I
z
1
I
1
1goe.95
1
I
1419.71
I
z
o.oooo
o .69 14
0.0394
o.0000
o.1410
o,7967
o.4028
o.0160
o,oool
o.o20B
0.0000
o.oooo
o.ol52
2,46i
0.95
1,61
i
o.8?
t,z7
3,47,
2,!6{
*
It
tk
rx
*
t*
x unnri'htodrtfifiedrftpr.rafifidtgftJ J = o.os
v
64
TUTJil1C90't'1{'tiln?ilFtilI
I qtr O on1 txql g tllfl '1 f tflr'rlfg'l u'ra
al?t*ttosil'lro1 olfiuro{d'l'rt ]tjtr,nnlduri rwrdodoT drl
il: virrnrrnrg r fl eqr nnr rfi o ntrr{ nr r r 6urirstrnrfi r nrr,{
{rurun{.rra r nr rdrnnr:d unra'rsnr:r{ rfiomr.lT nnrtr{n{o urn
a DAOIfl?ilnilo1Etilqego1{9
rtabala
3, I lilon?unilo'lfltnnnoB016g
g.a rfioounldrflor?Mo.,rnrfirerdaaur'!
nniltJ'll5l1?BtulldlilalxunlJQ'l$ n'I1'rfl [flsnTnttSlt9
inrufi l fr nnsrntnfou*snfi ,:nrrda',r n'ir nEir r rjEsu r figil rdailqn!, I
m:onisdu ar?r^riu{r,g rnuonflint nnufrL:rqnlr {sinrufiqqogar,.adtfrta::d ttflnei1{c'lnndilril?EJurfisuodrrfirisdrdrg <p = o,oooo,
i
rur&eo6ar3lflailil'lfol?Btlt 1r{r rxgl tll ttto{rtlasuofl rilon ilnl?BllTnnxoilTsg8n€nTtn d0ig
tlraolnirnall r TJTEJU tiFJil t fiononounr
'rafiflnrufrn?'ulusrnsi'l {rodr sfifiedrftpr rnfifi ( p =q
o.oooo) mlilrdfl.lta$n1?s$nrndour"srfinnirr{ 'lnnrirtrror{sdr rm'lurfio'tunu
uonriio{r tfitr z,zeunc s.ts rrir rasnairrrlieurfisue;rilri'lfiu .n'.trr-rfi rol
g.z rdontmtdrsot?ilxo.:rl'tro'l
ndil$rrflriedu arfluurifiT u il{r.: rirrllr [ncrfltnrnrril finl,tcunrnfautg
I (- , r ra a J - -6a a ! | au e o:urJcfirnt:rinsn'jT nairrrliitlil rfieu riionodoun'l.rdfi^n rrufinruusrnsirrodr,!fiilgnlffu
t'
(P = o,oo4z' o.oooo, o.o113 uau o.oooo nrudrfiul oaauriiuonosn,l'lsuJn:n{ag
,rr,rfionrrdltorflr^rdsnairr rosndumroT {eiilrfiu z,ss} 4.ss, z,sztt
rrir mrnriarrl':nillfiElusnerfrfiu tsnrlrii rorq
BAe 2.27
, unciilt1dfl'lr ig-a6tl0un1itnnfl ilu?lflail
q
fintsun:n{uur"u,
o,ooo3, o,o43zt
a
nrilul?flilrfiern'rildrdu <r,rrod ro,
{
s,.4 liionrr[n$d?silrc rnnrirldri.rslunrrinulus.lurn
nrirm tor ieirnnrJ: u r nn fi n tl u unrndaurrerfi r r,::d6.r n.i r nii$ r ilifl u r fi fl u
tfionnnomrsnfifiuunriililrrorisdu dfirirltfiflilrcrnnfi t, 2 uns s finrrpunrn{ou
t"erfionrrd $slflsiroodr.:fifiedrfirg rrnn{rrrltgrrfigu <p = o.oo1o, o.oszg,
o . oooo strildrdu t usithuntrilusrneir.tadr.rfifladrfirg lrnrillrrondnrirlfiirsilrs r nn
ii a .p = o.eoso) o..u,duoro{tfl1?uuntndaurrerfionrrri lunrigprorfefl rfiu
z,olt g.zrt e.?B Bac r.gs rri't totn{rrrl?gurfieun'uiirdu <grlTroii r0l
nriilmrorftiildlffi unrfirlru{finrrnil r funr nnr:fi o nrrr{
ntn'jrndl r:Jieu rfiflu riionnnamr oafi firufinrrilugrnsi.r rotir,:fifiedrftg{-. --'^-dY -!q-r- 9e- - .- at I t rv I-tmalrfi ldililr cifi nr rdru r 6leqr nnr :fi .: nrrr{ usi lrimJnr r lunngir o odr o
fifiadrfrg ttndldfirjrc{fin'l:dCIrflflqrnnr:firnrrr{ (p = o.o50b) o..ulds,,1oo{n.l?u
unrndottuerfilntlf'lrnrjurrerrtail rfil 2,67 .Lau e.ag rdr mrndlrrlSsur'nsilouJn1!a10il (gtlt'l{R 10)
s. 6 liionruqudrenrrr6uil.lsrosfirn:rr{
-t
ndilm:er1 ieil'nldlnr r r {ilrhsrm;fi o ott,{-r --t-, ra a in?lflntJujtgiltngil tltat un'l{dfifoflfinrrilunnsirradrofifisdrfty tn = p,oooo)
usinaiilm rnr iuiudfi nr : r {uilrerurfi .r nrr,{ nfi ufi n rr s unrnfouru grfi .r nrrr{rioan,i r ndl
til"rflutfisurrnu'triulnruunncirtodr.rfirisCrfiE (p = Loooo) nl$rde,:flagn.l?u
flntlcunrn{ou
*tustfi,!nr:r{
(P = O,O00O)
Lii
I
arr&3l|n'l? s ufl tfl 50ltf ugu 9t{t nT?fl d {t
i
P
66
t$flrndourcurfion:t,{ lunriur:oriail ,fit z.zs uau o.83 rrir mtnrjilril?eutfiEJu
n-ruirdr <sr'lr'lofi tio)
r u t J u a , -!nAilil'1:61'1?Ell$nil1TUUtfl '1ll^f 1 flnTTn
tltl
,rerfi onrrdn tn'irnril t il?gu t fi eu!l
3,7
lr^frnn:ri t-s nft unc 4+ nit fintc$tlrfl{or
r do nonomr,s dfi fi uufi nlilustnoir .: odr sfifid,td, firg
{nttn
Ini{EnT{
(p = o.ooo, nornri*lr:nrigdudtiurdrno:rd fin.rrun:n{au:rflrfi
usilduunrtr$onsir{odrsfifiodrdrg lunritlrrordhimrJrnnrr,{,p =e nril trJ?su rfigil usi'lriwlnrril$onsir.lotir sfif,edrdrg
:"Elo , 9094 ) nl1il tagdro in1lu$ntntolr:sguchlntTn 1 rnrirm ro r iaitdntilr dr nn:rt{'
o6nnrrr{ r-g n{o uo, o o{.: tfiu o.ga, 2.6? $ns z.es td1 msnrilrrJierutfisuIou,a
nuz{rdu (sl1f1{R 10)
s.I dooruqsfu3;Eignr:drdolralrnnrrr{nftrr:n
,ruofionrrd nsn'jrnailrrjieurfisu tiionernounr.rdfiFnnrfinl$nnsir{od, sfifiud, ftg!t
(p = b.o0o) $nsfidilmror{EJd$dtiudrnn:rr{ finr.rsnrn:ilarrcgsfitnrrdsirn'irndil
nriilmrflrisiildlrfuu?nr:rfrnartr{ r-s o{t nn' a* n{'r finrruutrndol
usildunrrilunneiroodrlfifladrfrg'lun{unrordtilrulrnnt:r{ (P =
0.. ur, duoro { fl "t I u utnn{aurnsrfi ': n:rr{ ltndurtorielriildm alr nnrrri,
afrnn::r{ r-g o{{ un, q n{o tfil o.ea, 2.6? unu z.es tdt aoon{lrrl?flutfisu
nruitdu tsrrn{fi tot
ndilm:orisdrCnmdrnnr:r{ lulstftt'Tdutn lstrmnno{unrlnrmnntr fitt
n1?u$ilrflfournsrfionrrdnrn'irnri! uFflu rftru ,donoanunr.rnfrfrul'ir nrlll, rnriuiu
dlrahnnr:dlulrrmndnoonnoa.r finrrcuntn{our"erfitatrr{ unndr.rodrtfifiadrfrg
lrnn{lrrl?surfisu (p = o.oooo) t}urunrTlunntir.todrtfiriodrfirg 1ln{uurtordtr
drn'iT
{ruj?surfrsu
o.9094)
'
67
a. Jov
a,1fln1ln tr lnrlj'lduffl.r. o g ((P = o.z6t6) nllxtfls\:t0dn1tc[nrn{ol-hrcesfrinC:,ilo.t
I u rd , aav d ---naillrrorrieiuimajrnnrr,{h1nr$'ldnifl lmmn'nno0$acfiilr$r 2.o3, 3 rtng 2.65
,rir moniil,rt?uu,ltilsnrli1fiil (n1i1{fi to)
n1:1\:fi 10 arilnrr l il?su rfisun'r'ls[n:ndoucliltrerfi .!n:rr{ItOl
tuu?'r {nnilnflul$nvflRtltt
rrlisu rfieu nor riioorunild?silqissir r",
UOeaEJnnflR?ilnil
ilix' D. F. P-va1ue nru rds':flrurinC*
t'11\:Uutl
-tral. ttstllofla1fl8
Oclillilaila
$0ntilon
55.9105
t7,70ao I
37,4600 I
8,1874
2o.5161
6,4237
19,4731
30.6636
o. 1154
13.0499
3.3960
o.oQoo iN
o,oooo
0.0000
o,oo4z
o.oo00
o.0l 13
o.0000
o.o000 *
0.7940
. 0.ooo3 ,x
o,0,432
rx
x
2,46l
2,?,9
9, 15
2,53
4.93
2.92
2,27lrI
3.98
1.33
2,33
2.94
t
2, 01fiffio{x.|l6t'lr9
BltulI
fu{r':,tn1x'rg
rfltnffl?Tll
D
orfumarnrfisbtilq'liltn'lt1tl
tfrsgrTfltTl
' iuntnrr ilinrufre
68
fl']r1.!d i-o <sia)
flc{€rdnnnrunil
rjrc rnnd t
rjrc rnnti z
il:c rnnli g
il:ctnnit a
rjrsifinrr{ru ffl sq'l nn'',:fi .rnr:r{
1dfi Fo.z5s6 I
fi 9.g269 1
58,4998
o.oo00
Limafrnn:td
10.9097 I
4.5587 I
zL,0672 I
1.6064 1
o.o12g 1
24.0?,26 I
e9.3790 1
0,0920 1
zo,z304 I
az,tzzil I
x" D.F. P-value
o.oo10 *
o.o3z8 ;x
0,ooo0 tfr
0.2050
0,0000 t*'
o.0505
0.0000 *
1.0000
0,9094
o,oooo
0.0000
0.7616
o.o000 tt
o.oooo )*
duulml$la8{f,rnilflf
2,O8
3,27
2.78
I .85
Zr67
2,43
2,75
o,83
o.84
2,67
2,85
2.03
3,00
2.65
5,
1
1
r-gn{o' 4 * o{r
B. u'lrlnrrd,iiomol'.rnorr,{nfourn
lsrrrnnurn
lormanoo
'tnrnnnrn
t[
||r
)
x rnnsir,lod, rfirlodrfirgnl.:dfifr d J = o.o5
69
a
fi':gflq{esirsq
r iianruqufirsflt{snr rdlr r miioEiorfis orflmo {rrlrro'r orflma rdrfi ilrs rnn
mtrirldoirfllun'lrinu'nte'ru'rn ilru{finr:arxrflsq'rnnr:fioarzrf nrrr{lrj.rgtsrfionrrr{
lriularuustntir sod'r.tfi fiadrdrxtunm c unrn{orrcsunnonro om:orfi sno rnrir
tl
+
{lrlrn{.:totnr:olrnnt:t{ rncolsnrrdrdomdrnnrr,{o{ourn r.nrirnriluror{eitt
finrluunrndartseunnoortnnsirsq, nn{l rrl?au rfrgl rfinfioe 0,,nnrilqrfln1rnndaun,r{dfifi
tflerm{nrrc[nrn{au?sssnaoo lundurror{ndlodruu,jrr o,zs-r . ga rdr
rdiElur-nsu asnranfi ll) i I t
n?'ltl
IT0{flnil
t
I
l
e drilnr : r rj?su t fi silnncunrndoulurcs"naoo
70
ruu'ir t ndrflnrl ununrin
r rlieil rfieu un,,daotunloirflflq{ileir {",
.dqeBnnfln'1ilnillll
x' D,F, P-Vetue nlUrdci,:flrdnc
In{ilil61
1, rrndotiorftt
1urfio.:
uantfiot
o.95i
0.?5
l. 13
0.95
o.76
t.a7
l,3z
o.90
1.34
1.30
o,96
1.07
r. ls
o.94
1,02
i
0.95
o.q4
*2. olauna{il'1f01
g, or?utatdr"n
tttu&u1lt
UD1ile1{l
,tn1t'ttl
tflrnlflTltJ
U}:ile1ilDn1n1g
tflEgttfl?rtl+
t
iu:rdnrr ilinrufir
ilrctnnfi t
drurnnfi z
.ciltstnilI 3
I
ilrctnnfi q
s. ilruifinrrdru rfrecrnn'ltfioottr{
-!
Vtoutll
ail
0.1576
2.8704
0.3880
o,otz1
o.4561
0.3495
z;oo5z
o.1640
o,450u
0.9809
o.0336
0,0453
o,o103
0.6034
0.0000
0.10u 1
o.0000
I
1
1
1
0.6914
0.0902
0.5333
o.9100
o.4994
o.5544
o.1568
o,6855
o,50zz
o,3220
o.8545
o.83 14
o.9139
o.4373
t.0000
o,7492
1.0000
In'lr'l\tit 11 (eio)
ilqieiinnnrilnil!l
xt D.F. P-value nrrilrde,tflilfm#
6. fl:lIl {urJrsmrfi.tn:rdVtotlnl
aIJ
o,1841
o,oooo
o.oooo
o,1969
o,1076
1.3075
o,to1z
a,?,572
o.6679
1.OOOO
1,0000
o.6572
o,7429
o.2528
o.7433
o,6leo
o,941l
1. tr6
0.88
l.09
0,93
o,2z
o,9l
1.09
7,illdlrslrnn:rr{
r-gn{oa + nf.t
lnrmnurn
lgrrmnna.:
lsnilrndrn
1
1
1
I
I
I
o - -&--' -^:--r- . . --!e1r?ilnt sx0 il fl 'llt^J1 fl fl 1Tfl
* * rnnsi'lloth,,rfifltldrfiryn1sdfifi d "f = 0,o5
B , rilieil rfieunrnsunrniourussfidsnaofl ruu'i'r.lndilflnuruaundil r rj?eu rfisu rdo
nfln$d?sflcigriri"-t-
s,1 rt'anrunilrire,ffidogodg
n'irninrrlieurfisur6nrias uau'lduntmlilunnth{otiro"lrfiEdrfrX tn = o.o75z, o.soso
nahmrorftriu rrnttriiat unuuofrriiat finmcunrn{orrcsuufi{nnao {{
nrrrt, tttloul?c[ilTrifloursssudtnaaoltndlmtollsdl rfiu 1'83 ttnu
Inrildrdut
t.ab rdr sorn.irrtj?susfisunr$iirdu tnrrsfi tzlq
7Z
'
t.
t
t2,)
naiilm :or irldudnrfi arfi r^r il{r',: 6rsre rnuflrnr:ll unciu:ldnrr u?o
iXia'rufir fintuun:ndouteusudsnaoeunneh oarnndr riltsu rfiEru rfinrios rfionnnou
YltrasovtilljuFt'l 1 tJunfl n1 {og1 dilllgf, 1 nr!
o,zg4g I o. 47zz srrtldrdulfatdnajulrroriglt tih 1,47, o.95, 1.os $nc z.tt ttit lo,,:ndtr:Jigutfigljn1ildrfiuIrit-'
J(9t'lt1{fr 12)
3.4t e t Ja, ql, e u
nnilil'r?otiginfr-trir -tf i'ls-[un'lrfnylutrlul Rnflil:u r nnrtt finrrcunrndolut)E;dt
tsgciln {naonunfln1 {.1'lnfln8J I iltgil I nfl u t nfllloI
t danonounr mfi ^nlfuum 1 ilrnneil ir
odrsfiflad'rfirg (F = o,6248, t.oooo, o,z|Zzt 1,ooo nruirfiul nrutrdgsmt
n11u$ntnfaffiusuufi{naaolunrillr:origru rfiu r.4o, o.B?r 1.55 uns tos ttitmtnrfu til?eurfisunr$drdu <snrrsd tat
finmufrnindolnri&m:nrisiu'n'tdnun"fi rJrc{fi nrr{CIrfl alrnnrrfi ,:n::r{
tsflsrfi\:anaoatndrndiltil?surfisu riionnnounr,rafifruu'ir nrjlmroriuiudllifirtru{a
nrrafl tflsq-,nn',tfionrtt{ finrtrunrnfiau:utJcud',!nnaornnsirsqrnnril rrJieu rfifluodr.rfi
lunnnrimr?uga,onrfi (P = o,F3zs,
nr ril t ds olo {fl llsunrndoilreesufi .: nnoorll
3.5
e
a,z _rfionrgqildrearflmounrnrr qr I cl tb g D t,nriurroriuiu or?u uriiiru fuirr drns lnuflrnrril finrrsrnrndoutt
rssuufitnnood,,rn,irndiltilieurfrsilrSnfios rfinnonounl.tdfi^nldulnrril$stnsiroadr.r'lrfielnt
drfirg <n = o.5368, 1.oooo, o't?65, o,zrt4 ctrildrfiul oa'tilrde{loul?s[ntfl.r-
lf,tl t.44, 1.09, 4,zl uRv 1,49 ttirtotnrin{ailr ussud.: nao olrndilm rnr iedurt
r:J?eu rfieusrriliirdu t n1rr.rfi
s,s riionrrnldreor?uro{ar-il
aan1{f,osl
1.OOOO,
fisdrdru (P = 0.0316)
rflscrnnrtfioo::d (P
m:ortsdu i{ldfiuaufirfudfinrt4r1tflsqrnn'l:fion:td,fil r.71 $ag 1.eo
nriil r rlteu tfisunrilirduI
r(nr:rrfi rzl
himnl rusngir mdr t-nflsdrfiru 1un{ur:nrdfirrr{ft nr qru
= o.9913) nlilrdetltrnl'lcunrndaurugsufilnnoo'ilo.rnrjll
{rirto.r
ndilm ro tiaitdlrinnr r t 6urhefir, fi .: n:tr{ -ilnr rs umndaurcsvufi I ilaocr{ s
n,jrncfurrl?surfisu rfiunrtnoun'rtafi'nuu'irfinmrtttstnsir.:odr.rfrilEldrfirX tn = oiot27)
. usihhun?ril$glngir sodr rfifiudrfirg'lunrjlmrorii-nnr: t 6urJruo*rfiontrr{ t p = o . 3685 )
o..r,,6ig,on0{rn1'rsuflrndor:srsudrnnoErlunrilm:errteiu d"trilun"finrr r{uilrflr*tfio
nrr,{ rfiu t.sl uau o.zs ttit to.:nriurrjieutfisunlilii,fiil tnr1tf, tal
B .? -rrnanruqldrsdrurun{{toInT rfilrnn:rt{
n{ur:or{eildldmqfrnntr,{, alT nn:tr{ r-a n{.r un, o* n{t frnms
unrn{ourusuufi.tnndnq.:n'irn{lul?surfieurfin'fioe ,iionoaaunl{dfifi1durunlilltnnsi'l.l
odrs-ilflgd'lfir! <p = 0,2496r O,gzSZ, O.4959 slrild'Ifiil1 m1l,tdgoro{nlluuntfl
doursesufi{nnon lunriur:oriaiur$l e.6o' 1'41 uas t.se r?irtomrilrr$eutfieu
nril.irfiu .n'ltrod tr.,
nillmrErtirJdudlrajrnnrrrfhlnrlldurn lnrmnnot $nclnrmddtl finrtl
rcunrn{ourussufirnnoo6.rn'irn{r rd?su tfisu rSnrios ,dontnoum{dfifildutlnt1il$nn
drrotirrfifiudrftg (P = d.eooli o.5641r o.'0?36 nruirdulcd
n?1iltf,B\t tiln'l?s
unrndourcflrufi.lnnii,e, lundlmroriflduiimilrnarir{1u1ntil'ldddo'luou.t1rt rfi{ o. ozttl
t
attnu 1.ee tdttoondilrrj?eurfiflu enuildil <st1r'lsfi tzl
t74
ttdtsil?'l\:flqilnflU1 ttRcmr"l{fi 12 nTJnrrrrl-rsilrfisu n'r?s$nrfl{oilruguilfi{nnon
n{p rrJ?uu rfisu unu rdonrunld'leflcdesir'0',
0deegnnfln?ilnil x' D. F. - 4 qu aP-Velu€ n?1iltn€J{drnlnd
n{ililnI
1. ttnfiodordtlQotil tila{
ouon tilof
4,2-397
3,1647
0.4486
0.3823
o.oooo
t.8270
l,zag7
o.3895
o,ooo0
1.0997
0.5168
o,0752
0.5030
0.5363
l.OOOO
o,1765
o,z7L4
0.5325
l.OOOO
o.?p.43
o,4722
o.6243
l.oo00
o,2722
l OOOO
l.83
1.95
l,'44
L03
4,2t
1.49
0,0395 t* 1.61
t
1
t
tD'rtsJllln
s!tile1it
!n'lT1Et
tflrfl?flTttJ
t,n1t1rl
rnunln?Til
I
I
I
1
g. orfiffiordrfie3tual{
D
o.2398
o.oooo
1,2055
o.oooo
|,47
0.95
1.65
z.+l
1.40
o,q7
1.q5
1.05
1
1
I
I
iurrtntr igin,ufir
e, ilrg rnntowirH.irslunrriffirffirurn
drurnnfi t
ilrrrnnd z
ilrurnnfi s
*
rjru rnnd q
75
I
st1f1,:d tz <sial
flqisdnnnruflst x' D.F. P-Value nrrilrdg.ld$finC
t
s. ilruifrnr:duarufurd
-tt-
Vtatil1l
il
^ d r I I6, fl',lftQumgnils0{niTn
VtoIlJIJ
aTJ
' 4,6t7'l
o.0001
6.ZOgg
0.8096
.
1.3e55
0.9678
0,4636
1. 1666
0.8326
3,UO18
o.o316 t*
o.gg13
o.0127 t[
o,3685
o.2496
o,3252
0.4959
o. ggol
o. 564 I
0.0736
1,71
1[90
1 .81
0.25
2,65
1.41
1,39
o,62
1 .66
timnfrnnrrr{
r-gn{.1
a + n{,r
lmrmdurn
lsn$rnnos
lnrudnrn
1
1
I
DI
I
I
a; , ag0'lgnTTn t ilail1af ''tfl nf f nnt it lt?n
x rnngi'l{odrofifiadrfirgn'l'tnfifi fi o{ = o.os
ilq{Eleir.r"l
.lrCro4, I lriofLlunilo1g r?onago1rlg
reloo6ndurronialu t tot'lu t ilor naaoftarjnfi fioen'irnril r rl?eu rfieil riiailodailnl {rItq
+
dfrfi uufinrrilusrrisir',rad'l'0fifiEldrfr! (p = o.oots)
n r nir neir r r.lisu r fi su r $nriosfV t 2 | | ao o u
$sr ttn{un?1ilu0fl n1 {09'],$ Ilrgd't nr!
4arafltu,dan1'ril lng { no { fl ltnnootajoilflfl tufl nilil'] ro'l?rlt[ r 1n I n0 { $acllon r ilo {
1.oe l?i1 ra{niiiltilirJutfiEJilnlilrirdu <nrr.:fi rsl
nnoofierdnfi
o.5615)
0.64 ttnu
trR2r tnnron rilo{
lutnailillTct1?gT1ltt
(P=
rfiu
orflu uriri'ru iu{rr 6rrre [nc tflserrflrmt nnoEr^anilnfi
rnnsi'r o cr nnriu r il?su r fieu r finfiotr "l - -aatl I r l du o ut ilano60u?r'r \1f,fl sl t8Jilun?1ilugtnn1 {rog1 {nlgdlnrJ
(P = O. tt7g, O,!77g, Q.5Z4Zt O,O59O nf$dffiUl ofUrdutto{n.nndogt^ruonjnfi
lunrirmroriuiu n.rrfil 0,z61 0,68, o.Bo udc l.sz
rirdu tsrr:roii rslr
4.2 rfrontunldrsorflflto{ilr:or
4.3
U'T6t',l'tgtlt
lEonrunildrsar?uso rarfi
llaatil1to{flnil r uttjil tn8uqlil
I
nrjllrrnn{triudnrfi arfir,r iu{rr firmfl !nBnrflTTil unuiumlnrr itd
rinrufiq nnoo^anrjnfinrn'irnrir til?surfirlu r6nfios rdonenounlidfrfildunlnrrilunnsi'r,!
adf.rfifitrdrdrg <n = 0.?388' 0.g041 t Q,Q74?t o.?dl? gtfildfdUl mrilidg,:tot
nrrnaaefinrjnfilsniiunroriflrudnrfioriudsnirr rfiu o.9s, o.6zr r.4a ttns t.16
trir msnd$d?surfisu nruirdu tgtrrofi rgl
't4,4 dianrunil'nreilrrmffio{ri1lfi . n{ll.rrorrt}liudnAr. J ^ ^! . - )l{ire rj:urn# rr nnonfiorlnfidrn'irn{lrrl?rurfiuu liiononoumndfiAnflnrr{uorndrs
I r t
r l olar e lr .todr'rfrfiedrfirg <n * o.oooe) drtndllrrol'ls1ilmnl tdels rjrsrnnd z, 3 trac 4
nnaofioilnfi urrngii rqrnnriil rrj?su rfisu rFnfiod iohlwunrT unngir rod'r.rfi fiudrdrg
(P = o. a4tzt o,$gzz, o, tos6 nriliirftJl n?.il,dssto{fl1?nRoofiorjnfilundilm?01u ] dar 6lrr I t ''lulr Riln'll{e1flilTcrnnii r,2,3 [nu q rfiil o,sl, !,2a, 1,oz [nc r.zz trirro\:t-
c nairrrrliflurfisil nT Hzirdu <n.trofi ts)
77
I4.5
nrirmrorietudlilfi rnufi rJrcifinlrXru rf,aernnrrfi rnrrr{ nnoofiorln'slunngir r
arnn{ltrl5eilrflsurfinfias tfianonamr'rnfifi1dr^ruarr$usrnsirrodrrfifiedrfrg ( p =
o. 1152, o.9891 nriliirfiul n?'lo,drroro{n'lrnnoofiorjnfi lunrirtrtrrorrfg?uiildfiunsIt
firhcffinr:{r!rflmrnn'r:fion:tr{ rfiu o.es $ns r,os rilrta{ndilrrlisurfieumrildrfiu
,srrn!fi tsl l
t 4.6 danruqildrsnrrr{uilremr#rnrr,{
--q-nrirmrortedudldfiuncfinr: r (uilrflrilrfi rnrrr{ naoofiail
rln'l{q1flnnil
rt
trJ?eurfieur6nrios ,donnnoun'rrnfifi tir^runT rurnneitoEirsfiriodrfrg (p F o, tsazl
T
I . oooo ) nrril ,dsrro dfllinnon'arnrjnfillndil$r:oliedt dLifiunrfin'rr r SuriT emrfis
arrr{ rdt 0.86 Kns o.s6 rdr rornriilr:J?eurfiau nruirdu csrr:rod rg}
:
4,7 tdanriuQldrflririlrun{rra{nr:alrnn::,{ 1
-i-rn{urrrnr{uild'tdlrr^lrrmr:d, drnnrrrf r-g nfr rnu a+ n{q nnonfio
rlnfi uonsi't{crrinfu rrj?gu lfiflu r$nfatl tiiononomr r ofifi1fuunrrilBnnsi.i,:odr sfifie
drfirU (P = o,9525' o.gsgg' o,rzrq nrildrdul o.1,,dgoro{tfl17nn0nficrr1nfi1nrutdrrnellmzoriattrill 1. 13, 1.01r o.zg rrirrorn{lrrltaurfieunr$irdu cnirlod tgl
4. I rijryq$.uurrJ*t,i,iiuoff n*tdnirm-----rr-l-rurC.JorrJ
niilm:or{siufirrahnnrrr{ lulnrrnnii r, z unu g nnooftoilnfi rnnrira
crnndilrilinurfieur6nrias,ii{lultaurfiupr$nfioa,iionnnounr.rnfifi"tdr.run'luunnsirmtirrfifiudrffx (p
o,9307, o,gztlh o,dezt gtrildldul
t
rfiu o'ze, o's4f o.Bz rdr mrnilrrjtsurfrEiunrildrdil tqrr:rrd tgl
t78
.rta_tradrcil?1 \: nnilfl nu1ttacflail I ilTgil r nEJilst1t1{fi 1s dldn'lr r:ltElu rfisunrrnnoofioilnfi
I
unu t fianunildrfl flq{eeir { ",,t
rrgatuaeEJ?rnflRlilnil
!9 x" D.F. P-Value aT rilrderfufiXC
snsulfo
Jrui&qnaHonffl
'[trfio.:
lan rfia\:
oriluto':lrror
udfiru
fu{T.r
firtre
tnuntfltfit
z,1669
10.3 lg I
o.3370
1.8146
1,7990
o,4057
3.5657
o,11ZO
1.0560
3,7767
o,0767
0.0013 tx
o.5615
o.64
1.09
0,76
o.68
0.80
t.3e
o.gg
o.67
l.4a
1. 16
o, 14 10 o, 87
Ir
J
2,
3. olfiilio{dl"il
t4.t473
o,zt7t
o.oo00
2,5739
o.1779
' o.1799
o,5242
o.05go
o.7388
o.3041
o,o747
o,781?
o.oooz
o,6412
Q,9977
o.1086
Ivb:ilc1{bn1n'tg
rnsntfllT&l
1
I
I
Ifu:rsnrz f5inrufie
q. ilrg rnnnordrldirehnrriffirusrurn
rlru rnnd tI
ilrurnnfi z
rlrc rnnii a
1
I
I
I
51
2n
n2
77
t?
I
O.
1.
1.
1.
f
ilrsrnnfi a
79
tI
n111nfi 13 (si0)
flq{efinnor!nilITx" D.F, P-value nrrlrderflilfinC
1
I
1
1
l
s . rlrcifinrrf,ru rflgcrnn.tfi oot:,{
-{
VtatLtil
d
IJ
- d r I I6. ftltteuil,]gnilsnnflttn
"-util
ail
Or85
1;05
0r86
oi96
1, 19
1 .01
o,79
o,76
o.B4
o. 87
8.
I
7 . riru':tn{.rtar{fl1lohflnl:ti
hhrd,nn:rr{
r-gn{.1a+n{s
orsnrr,{ riiail'rBhnffi rr{n{ srrn
ln:r,ra,,tn
lsnmnno.l
lsrrmnnril
2,4730
o,oooz
2.1981
o.ooo0
o.oo35
o.oo31
u,3ggl
o.oo75
o.8001
1. 1567
1
1
I
I
I
I
o.l15B
0.9891
o.1382
l.OOOO
0.9525
o.9533
o,t2t4
o.9go7
0.371 1
o,u'gat
n( rnnsi'htodr.rfifltldrfirgn'l{nfifi d / = o,ou
n?iln$drflflc{edrwr
5.1 riionrunldrsrrnfiodorftl
I nliililrtorifliurrfl'hrfiasuncuanriio.: fiauuuudnlrmlTfllrfirnaoorrir {,:
ICtt,aI ilAnlilnilO?go1XU3A { il1T01
I o r a rlflnilil1T6r1?gT[ O',]Il^t uJu',llltt
I
n'rrnufi{naooair n.:n'irnriil r il?gu rfieuttrr d - u 3IUJlJlU rJFtcnltilflnlu?l',]Tfliln{nnoogn
n'irn{rrrJteurfieu rfionodaun'l{dfifiuu'irfinrril$slneirsfiroti'r'rfifisdrfirx tn E o.o1le,
o.o1oz nrildrfiul n.rorduoratnrrfrnuuilttdnlrmlrnufirnnaoeir rfiu s,zo [ns
z.bs rilr sornri*lril3flurfiflu <sl'ryr'rfi la)
UDVfuir,,r rirtrg [nutflngnflTttl "ilncuuudnru
d6arroltiianoraornr':4fifir^ru'irnriilflrrorisru orilu
r I au o 0ltnnfl 1 \] Otll d ltltfjn'lffU qrnn.iil ril3gr rfigu
I
P = o.o3o1) usilduunrr$unneir.rotir.:fifisdrdru'lunairurtoror?uiu{'r.: rirtts nnu,t
rfltcfrfltfrJ (p = o.ogzot e,zoL3e 0.zose fludrdut nrrr,ldtlota{nuuttuf,n1il
nr:nufitnnoe'sir lrndrrlrrorifliu orfiu udritr fu{rr uRsfiur firnru
4,2o, g.69, 6.g6 uRu 4,g trir tornaiiltrj?giltfieiln'liliirdu ,n'ltaoiit
ADaa5.3 rfraRrlnldrgorTuio{nrl..-t-
drld rfit
14)
*
nriurrorigitdnrfiorflr,r iu{r.r rirms rflsnrnrrl unufuntnrt uiaiX
iarufii fincruudnrunr:nudrnonod. asn'irnrhrilteurfieu,t'"nrnnunl'tdfifi 1dilu
nrril[sfnsir{odr{fifiedrdrglilpn{mrfiu (p = o,rz4s, o,szr4t o.basz uns
o,srzz slrildrdul o..u,duoro{nc$ilildnrunrrnufi,onnoosir lrndlm:orterudnrfi
orflu fu{T { rflsnrnrril unclurrtnll {5iarufil tfi:u z,at, l.su uau g.s6 rrir
to.:neiltrj?errfisu nrildrdu,s'rrr,,:fi tqlI
naiililr:orieitdmrltfie ilrs,nnfi r , z, B unc 4 finuuuudnrunrznufirI
nnoodr n,ln'irnrir ril?sil rfisul|t , donoanrnrtnfifi r.ru'ir naiilmror{sdidfi d11{drsilrs r nn
fi r fins[rildn1]m-lrnnfirnnaosir $nneiroodrrfifiadrfirglrnnrirrrl?uurfisutp = 0.014?)
5.4
usitiuunrT ilusrnsir sodr.:fifiudrfirghneiurrordfi*, r nnrirld.irs ilrut, nnd t, .t
81
1.53 uRs
+
t
4 (P = 0.1929, 0,4474 Unc 1.OOO n,lildldil) n?,.tiltflEhtto{nu$Utrf,n.t!,m1Tflild{
d q I u r Jor cr,r I
nnandl -lrnailtrt'r:o'l?gr1rfliln1tta'ulilturnilfi 1, z, B $ne 4 tfiilit
trir ro,rnrilrrjitlurfiflustrildrfiu (n1r1{d 14)
naiililr:oriairdldfiunrfirJruifinrr{ru rfloarnnrrfi ,rnrrr{ fincurrunnrlmlrn
ufirnnandr n.rn'irnril rrlisu rfiflu rfiononounttq r r nfi fiuu'i r nriilm :orr {niutiltm r€utc?n
nrr4rurfuarnn.tfioott,{ fins$urnnlunrrnudrnnaersir unngirtodr.:fifiudrfirglrnnnil
rr-Esiltfiflu (P = o.ooo5) ugililuilnrril$nnsir.rorirrfiriadrfirg lrnrirm:ordfiilrs?'fi
nrrqrlrfieernnrtfionrtr{ rp = o.ssoz) o..r,rduooo{rnsuilildnrunrrnufionnoorirll
naiutror{sdu tfu z.zo rns t,ez rdr aosnejruJigurfieu snildrfiu (sr1t.l,!d 14)
s.G ldrooronldrsnl:r{lrilremrfioar:r{
nriur:orrisdudldfi nr r r {urJrsmrfi on:td fi neurmnrunrrnud.: adoodr gs
n'irnritrrl?flutfiflu rfianonaunrsafifir.ru'irfinturunndrsodrlfirisdrfrg <n = o.ooo1)
$sinriilmrodeitdfinrrt{urJrsmrfioorrr{ ndufrns$uffinrwnr:nudooourui. fioen,ir
nriilr:J?eurfieu rdanof,oilil'l$dfi^ntiuunruunnsi'rrodr{fifiadrfirg (p = r,846) n?.ril
,duoouonrriludnlunlrnufirnnaosir lundilm:ori'edudtifiuncfrnrrr{u:irernlrfionrri
rfit a.B4 uns o.qo rrir m.:niilril?eurfisu nrildrdu ,nrrofi rol
s, z lfron, gqildrst$rilrunfrrornrrafrnnrr,{
nri&mrorisildldlrutrnn:rd, drnmrr{ r-g n{o unu a+ n{5ailflcttilt
dn1lln'ltflttd,:nnoorirXtn'i, n{l uJtsu tfisu tdononamrtnfifiurdrnriil&rrorrfisdliitrr t "'- - '-'i-'-- i--"-' '
drnntrr{ o* o{o fincuiludnrmr:nudlnouori.', usrnei'r sadr':fifladrdrgarnnlfu r rlieu
tfrsil (P = o.ooso) usilduilomunndrrotiro"rfiadrfrg llniiur:errd"trimntrnnr:rf
4,77 t
I ttauafrnn:rd r-e o{o ,p = t.oooo, o,z44z flr$rirdul oau,,duonadncll[ttflfl,ur
a82
nr:nufuanoosir 'ltnEilurorrdt driildilrohnn:rd, a,lrnarrr{ r-, o{o udc 4+ o{o
rfiu r.zb' .r'6e unc g.og rrir rornailrrj?Elurfrsunriliirfiu <nrrsd rol
5.8
naiurronisduiiilldrnn::d lo:il'rddo{r un"lnrmadu froruuuanlfln.rrfl
ufitnnonoir nsn'irneil rrJieu rfi$J rfianonomrsafiSnnlir naiil$1ror{eiuiiurahna:rr{
ltlm:lrniidrel fincruudn'rlrn'rrfludrnnaodrunnsir,:otirofiflfldrdrx crnn.iilr:Jieurfisil
(P = o.oo68) Lhunrrlrrnnsir.:odr{fifludrfrg tunailmrorfimalrnnrrdtlln:gnii
do\: (P = 0,3312) oa'.tutdgooa{ncutrttdnrunr:nufi,,:nnongir lmriur:ori'gtufim
alrnn::r{1u1fliil1ddo{gnud'trl sfiu r.87 [nc z,sz ti-t ouonriu,,ttur,fiuur.r]ri.du
,srr:rofi to,
nr:rlii ta nlJnrrrrJ?sutfiau nvrrilf,nlwtrtnudrnnoodr ruu.irrnrilfinn Bns
naiilrrJisurfisu un", fronrunilfirfl ilqise,ir r"l
+
rJqdsfinnnrunl x' D.F, p-Velr.re nrrlrdg{flxfinCa
thrlftjo
r. rtniioliorde
1lrfio.r
uontfio.r
l
tr,[ilu']l| ]
U3tlJQ','t{r
trn1t1g
lnuflTnlfil
15.8200
6.3277
6.5149
4,70t1'
3.0.241
1.6391
I .6004
o.oo01 *
o.ol lg
o.o107
0.0301
o,oBz0
o.zo18
o.zo5B
,t
x
I
1
I
3,'47
3.eo
2.63
i
4,TO
3.63
6.06
q. do
z.
t
83
tn'lT1':fi 14 (9io)
'90elg?tnfFr,)ufil|
'I ri,itx' D,F. P-Value arilrdsldxfinC
g.0lft^$aof,rfi
iu{T.r
firnE
TflU{ITflfTIJ
fu:rsnr: igiarnfil
drurnnfi z
rlrcrnnfi s
rjrc tnnfi c
s. ilrufnnrr{rI rflsmnnrrfi ffirr,{\||toIIIJ
fi
2,3549
o.9591
0.4036
0.7963
5.9497
I .6949
o,5770
o.oooo
12. 0651
o.3569
t o,@ol tt,-;':l -: -*. .
;* S E1,.,l.B4do .':"i1.
,:. ,, .-1 J... ' r. .l
*i-.,
. .:i
2.47
1.5e
3,36
3.37
4.77
1.53
1.b3
2,70
1 ,8?
2,94
0.{ol
ti,ti'1..4s
1.62
3,ffi.- [
rr.,ril
";,.. .d:':, '
I
I
o.le49
CI,-3,274
o.5252
o.3722
o.o147
o.lggg
o.44?4
t.0000
o.ooo5 t*
o.550eJ
s. nrt t{urhmnvfi'lnrr.li
\,1
'lsi;"-._i
I
4
rilrdrrrrta
-3nf0.' .:
,Et,.nt\|
l4.9le5' ' .:,
0sr14ll*|'
!":-1^ ,. :
l ...ri. '+ ' ':., ',
!i"-''j. i .. ..
Oi
f .i3559..-g. g lge
'.j.:
' . t:.:.:i rr:''"i..
l"': . t..
T.
tij
84
tsl'1T1{fi 14 (eio)
fla{efinnnrunil x' D. F. P-Value nf filtflEJ.l
e . oren:r:{ riiolralrnn:rdn{,rurn
1fl:mnurn
'tnrilrdna.l
lnrmanu
o.9443
7,3310
0,33 12
o. 0068 t(
1 .87
2,52
1
I)
a
x rsrnsirrodrrfifisdrfiruill{dfi'n fi / = o.os
6' ril5siltfrsmrrn[tnnnooirufinfiofl :su'jrrndlfinnruasndrrrj?slrisu rfionrrq4
drflflcinsirw
6.1 rfronrrnrdr€Jrrnfiodordflqr-| --u-,!- Q c o a ? . t - r I
naatm:or igru r tn-[u t fio $ u,auuofl r fia s fi nr rnurnnaoodr uilniotl d \: n'nnnrJlqljq
ta o d oo a | | du o uttf:flut-n€!u rfrononaunrrnfifiuufin?lslnflnsil{adrofiritldrdry <p = 0,00r1, o.o0oo)
t',.urdgoto{tnlTn[Tnnnoorhufinfiosllnaiumrerrieru rf,tt z,oa uRv z,ze rilrrorqt
nrilrdtsurfieun'udrdil,s'rlrofi rsrt
n unrorrtuit orflu urirJru iu{rr drrre rnulnrnrflrrrJ fr.nrrflurn
E.z rfiontuntoitaolflrlla{il1161'r.-l-
(P
(P=
-tsD,ttad;/.6arrordetaoodruiln{oflRsn'irn4rtrJ5ulrfisil rfiononoiln1.,tRfifiul'jrnaiuTrorifl:u orflr^r{r.r{rrtttt
trnurfl$nrflT:r finrtnurnnnaorirufinrtos rsrneir.: oEir sfr fiudrdrpr nnril r il?stt i fi EJu
,o,zszr' o. tzgg srrilzirdul or.utdt otonnlT rfiqnrrnrrrno^ooril
l,uaunnnlfl
ufin'riotr lu
= o,oo0?) lilumrunrnneir,,tad'ltfiriadrfiq'lunaillr:orarfluurifirt
t
,l
tutdfloilil1To1?uTlttillt 1,44t 3.37, U. 19tt
I(nrrrrfi rst
ItRu 1.9? tdrtoondltrlfisurfi$l
85
a
nruirdl
t
G,s tdanrunilfirflorfiuro.rarfi
naiilmror{fliudnrfi arfiufu{r.: rirrla rnuflrniril unuiuntnrr irtt-'-
inrufiq'llnrrnurnnaaorlrufinriag X.:n'irnrirrrJieilrfisurSn'flost,iiononaunl,rdfifiuu'jrnriurror{tritiiarfiorfir^riu{1{ lrnc rnrnrflr:lJ finrrnurnnaaorirufinfioflunngirr
odr.rfififldrfrgr,nnrfurrjieurfis:J (p = o.oor4, o.o1z4 srriliirfiill ldurntrurnnrir,rt au o u 6l r 'odrsfifisdrdrg "lunailm:nrfinr"lrorfir^lrirtr€J unuimrtrnrr iXinrufil <p = o.zoss,
o. soo8 slrerirdul n?ril tiiu.:totnrr rfionlrflurflnaaorlrurinfiotJtlneiurrori'fliu rf,r!t
e.3of 2,47, !,zr rdrtornailrilss:Jrfisu nrildrdu rflr:r.tfi rsl
ndrmtoriuiuiifi rtru r nnrirtidrsilru r nndtrOUD-llraAll1illnilog ditfl'llnarJrtj5gurileilIt tframaounl.ldfifi
rjrgrnnd t uhus fimrnurnnaoorhufin'fiosrnneir'rodr,:fifiadrfirgrrnndlrfltsurfisu
(P = 0.OO03, 0.0096 gtfiliirdUlI
ilrstnnfi z atav 4 (P = o.9636, 1.oooo nr$zi.ldul nr1rrdfl,lraonrfrfionrrn
usi-lduunr luronsir.rotir.:fi fiadrfirglunirtrtrrorr
b-urnnnonfruflnrioetunri$$r:orisil rfit z,ro, !.2s, e.4o ttns r.og tilll rornailtl .r
rrl?eurfisumruirdu <nrrrofi rsl
nriilmrqrigiil dldfiuacfiilruifiirrrgurfleqrnnr:firott,i finrrflurnnnoo
rirufindosarn'irnnil r rjieu'rfiElu r fionrao unr,,r nfi fruudrfi nr r lusrnsi.r I od,r sfi fifldr fi1qr ( p
= o.ooo, o,0006 strildrfiul nrrattdflonaitnl:rfionrrnurnnnoofirufinrioglilnriilm:or
zr
6.4
l, 2, 3 uns q finrtnu:flnnoa
uu'ir neiun ror ieiriifi rir lddr nIt
a
t urd.--littju tilu 1.ee las a.os rdrromrilrr1iflurfreu nriliirdu <st.l1l.tfr ts)r - '-' a-'
":86I
a:
J t d r 8 I6,6 $onfllqilet?sn1lr{urhflnBs
ndilurrolteducnldfi nr r r {uilrsmu fi o n:rr{ fi nr rnnrnnnoorlr ufinria$4 s n'i rr], tnI d a ;l - ^a6 | a | | du
nailrd?flurfiflil rfionodornrrafifit.tu'irfrn?rilrnnd'l.rorj1{frlind,drg <P = o,ooo) ttgi
Y.l-.-.--rriuunttlttslflgil\tagl{-aIodrf,rg lilflnilil1'o1fiiln1t Iiilil'lElrotcfi{ntrn ( P = I . oooo)
yr*rriirl.rso{n'rr rfifln'rrflrrflnnoorirufinfioglunaiur:origdrrfiu z. zs uns o.ss rrir
msnriilriligilrfisu nruirdu (sntl{fi 15)t
? E,'t riion':unloire{lnun{uocnrralrnn:rd
-tndrmr:oiitriuiilhrt^trnnrrd, ahnn:r'd t-s .{t rRc 4+ n+'r 'rnrtn
Zu, - | | .d a d - -o6 t I rr, J-$xflflnoott1truflllorl drn'irnril rilteu rfiflu rfrilnof,o!n1{ilfrfruuilnaillrtorifliu fiarqtqtl
drnnrrr{ t-a n{o $au a+ 6{6 finr:nu:nnaoorirufinrioEr $nnti'l{odrrfifisdrfirgmn
ndilrrjisurfis:l (p a o.ooo4r o.olzs nrildidul usitiuunmilunnrir,0otjrs"nfifld'rdr!I
lrnriu'r:ordhimqlrnn:rr{ <p = 1.oooo) o..urduoro{n1trfinn'rln$tnnnoa'firoiln
dlfurs,Jrnnt:d, drnnr:r{ r-s n{s unu a+ n{.r tfiu t'to,'l.AaCU;
xo,$nail rilSsurfiEru fllilii1du (sl'u'l{t-n 1s)t
t
D' q t u tilos lilflnilil116r'1?srrtl
a,ol unu t,gz tdr
q6.8
ndlrtrro'lisriuiim0lrnott,{o{outn 1u1srr!'r6tnrfl , lsrrmnno{ uauln:mn
au finrrnurnnnonilufinrioensn'irnrilrrl?flilrfiGJil rdoncroom'l,Jnfifi r,nrirnejrtmrnr
.rot.JsrvDirllilfilrafrnarrriltlmilldab{r$ncd1il fin1:nurnnnoorirufintofl unr-rsi'I.!odr,,rfiflsdtfrU
..nniurrltsurfiflu (lp = o.otzsr o.oooz nruirfiul ugilduln?lriunnshsa{r,rfiflo'
drfirg tunniurrordlrd,nnrrrin{.ru:n 'lllstrmnutn ip = o.6265) m1iltflg{xo{
nrr r fiomrnurnouuotirufinfios luniu'rzo'r{Eldniimahnnrrr{'lu1o?il'rdurfl , "lnril'lntt
do{uncd'l$tfi'r z.oo', 1.95 $ns 1,98 rrir ro.rn{lrrfreurfiflrnradrdu tmrt.od ts,
l}
a1'.&?
:
r*r:irr{drur*#@1$ar "
IOOqtgn$fnluatl
tt xt DrF. P-valua nlrlrdasdlfind
fionln
r. rprdoliqrdu.
lrrfmo
mntln.t
a' .a3it+lowttfirrl'
$ltu'lB
93?uq'I0
tfl1t19
rntffntt$
31.0309
10.595e
17.5843
l;1O97
1 1 ,5569
1.8491
I 1,6eO5
lo.2616
L6029
5.6549
o,ol55
o.ool l
o.oooo
o.z9zl
o.ooo7
o. 1739
o.ooo7
o.o014
o.eo55
B,Ol74
o.9009
o.0003
o.9636
0.9036
l.oooo
z,a3
z,e9
t,44
3.3?
e,19
1.9?
2.3,O
e,47
2r00
L.Z7
2.10
1.eE
2.40
r.o3
o,oooo il z,tg
*
*l
t
1
I
I
a
g. oriunotlffrfi
. il{rr.l
R'Mt
tflts?n?!il
z
s
13,z7n
o.ooeo
8,4711
o.o@o
iurrlnrr i$nrnfia
c, rj:r rnffi offir1{ire1{nrt{fllrffirurn
dtrnnfr t
il:c tnnfi
,Juf8tnnn
ilrurnnfr c
I
' 't.' , "r-.
15 (riA)
J'.i' "r': ,
njlrl{t
,J5,
o,' nrt r{ud'la$sfi$nrli
T
t
*i
*
IV lG.uJll
oIJ
I
I
I
8.
{I
I
I
z.'irulun{{lolnrtlt1fnrrr{
lrilrdrnarrd
r-gnfoa+#r
u@lnrmnu:n
lnrmaRo.r
ln:mnRru
ti ., 't':
zt,7232
I L7963.
3?.7460
o,@oo
o.oooo
1e.3go3
6.1879
o,2368
6.26e7'
1g,6799
I
I
0.oooQ
o,0006
o.omo. *
l.ooQo
LOOOO
o.ooo4 ,*
o.olug tx
o.6e65
o.ol23
o.oooz
isti1,:1, t:, .'
:h;
I i99
4,O5
z,z5
Or'93
1. 10
z,ot
l.8e
7,OO
I .95
1.99
,t $nffil{adrffifitr{rfrgm.rdfrA ii J = o.os
I
C
i
{
I
cunfr 5
ofiilnsnnnr:t{s.:
nriafirhrearonrrt{s uri.raon rfnnord,rttlunri"r
- d acraqI . Tu [Uglf10?1El
z., ranrrl{eununrrdrlilld
1. rg.lfiediiist. grjnuunt:5{E
rfitnr:finmfiouufirqrnruqlilurt^n (Htstonicet prospecstve study)
toslduuufllfin{oilnqrnaflot1slt1rfl'rrnnon raur?xrc rfiux{rha figfi{a{rfiord€nfiu
fir[rlr uncrisastdsordflrfiufrrurhdfinn rriu dnlutdrd5fiqd{nil 1eld rsdJJnrr
frnrl ntr t{urJrem,ofitnr:d nrtgunriolnouruurdu.l d.rlftrmrnfinrrlurflnu r6eon-sooarrdlftrCtnflq{gsir{'rl6adrtnrufiT l rfiorqrnhildfinrm,rsualufiufintornmriau
dlo, qqruriltldlersrfirnrrflnnuuu pnospecbtve sbudy tarsfioorlfinrrfiousircsrIt
filarEdeufisudonnan qsdrlfinrrnfitannrrfr.rnrrr{ uneflq{sdrdsr,floo1furnd.rr8u usi
F{sfiAottlfioltudm.rtrso nn.dacfionrilflflrrniilmrerrftfiru nnunr odruru1ruilm
adr.:ltfigtril, nr:5isn{ofi rfiunrrflnmdagnrfooftrrds?fiuhrrs$nrn{ar unca.nnl?
n0oo?o{ltflro'r{aiu lltrulsrrulnilu'r?'rilrnrr1{flm ri,rltirnflfinr:finrrmdou t.nt-
nrtfinrT dldtrn'froXndfiufinlif, durrndcfiollf rftnrur.rer $nuflouaufrgruloin:uriru
tofi n'lrt r utr cn$druiunr fi {gn{,rf,
z, ilrutrn:unsnriilhodrs
rJrrtrnrdfinnt6tutrrqlare ts-go fl do.*uog*lttr,rusru.rn$nr.r{-
nntflsflrur rouluunrnuorn orrd,du. o-,u*rr{firusi ae frtorr{fulu,u?afirufin
6'np
nlrn rooo nfuf,llrt ruudr{ r ilnr1ru fio sr durrnn
nrjrflnrr rfiundllrrariaiu ore rg-rs fl
2530i
I118',1[
l
I
tosudsoanrfiu
775 r,lg
90
,
fi r unliifu o { rj:c gr nr16i
t tersnlr rislrirdl rntdn'lstlofl tin-nq^roofiiuu?nT r alndtlollls{l'lrfl1rnn06l
d,,: r?e{drfiunr$iudnnaoliudrurironnrfiu neilllrrtnT {eduununrjuil'lto1o1tl zo-so fld
fiqnfimmumlu'nldriluuoraT 1{1udr': rrnrffinur druiun{urtorttr'.ru1drir,*finruuon
lrJdurrsrrrfiuqntrr{ruru Bzs i1u loen1mrndiltfirsrfiEruldirr"lufiofiu ?75 ?1El
Crrnriurro.lola zo-so flfl lfi'lfiufinnrrildrqrtfiudluulfituulloorlttl lfidn:rdru
nrinfinr.rsianriilrl6surfieu rrirfiu t t z ud'rriT lrtfiur?drstfiflu,irurr 1,550 r'ls
uiodruu z tdr tosneitrrl3flurfisu i,,r rfl r'l,fifi nT tnir r riofiolunrt
t fi unmtr{oua
-q- -- - d- -'o rnrr r fiummrr{orn fio lttur r:rs"lsildfiufin r atdn'tsuonu5ofiufin' ufgulnuu t .l'
ldf,o r qu ldnnfia'r'luauanrs{'lufl linnao rfirtifio t r fl s t rn'l lunr:iiqteio sduu, ufinXru
ad,rrdtrdlrfil rdu niloncrfrsuohhs u?alnsnrrmr?qdoile'lnnaJilflt,tdfutfisu il'l{
nstiarmrnfirrrd:c r-usuld lunrrflnrro{o'tltinrurrnriutr"drutflrflra{nriur:or
{edulddrrril so rlr1 fiorfiu{aErns 6 m{nritdnorfiouuo d,rorqtfinqlntltrrutfiEl$
ur,:dru{ruu'rs rnuul$drrarn, rflauratcnnruuanhipfial uto tfionrt rrJdEruriln't rntit
n1flilofllunreilfi,l lunr:ufihld'lrirrtru r-usuflndrtn.rgtytt'tufiu orqfir"tdleuuunti
fiiu'antat nrrd1ilnurrufiufifi{rurirsriilrrl rfiod.:fiunarufl I'ld:s rfifluttfi r{riiqoriaunrrartl
{ruurs druiunrrn,tnc tfisu t atdnrsuonfildgnfia',:fir r {r u',flriiiiiufi o{oun? r r t'*nm n
rcfio:uis rfiufrrrrs tonqrnfiulu:rsii$rfunrrnno.{ssio1ilufir finrr rrjdeuurlns tnli{
t
I
- n{uuliaurfisu rfiun{unrol '.lE
eo-so fl {Tutr lr55o rlEJ
iildl'',.'r nnr :dilodr': fi rcuu
nrr rfiannridradrlfiu l{ufinn,'udrcc tfiuunsfidnnd,rr n{lrrl?eurfluu
d1p1r$u z rrir sarnrirflnn fi.rrir'lridam,fiuiiti.rdofio lunrl:uurninflr unot$u
1;g, nrrtfiumuru{a{
nrfluon'lud m:1ffinr:ufiltda r ntfrn.suon rdrlfinrsfiu1nrltt
91
I
V
4, nrr?rn:rurffiailo
-'ttnfi'n T-rest lunrmoaouo?'rilunnsi'r,0 rcu'irodrrodflmlfirurjrt?t
rl?mm rdl {ru'run{tmrnrratrna:rr{ nu[ilrdnltmrrnufilnaart
-'t{afifi chr-ssuane nndaufl'nnrcelfl tlrfrou lu'fiouafrrlildriietfiuqufinulu
tosnrldratirrfirnor uor rflin rrltsil rfieilnT urdrasdnXufiouuon4u ,du.fiun..c$ntfl
fuuuirronltnaoo'irunnsi'l.rfiluia1d
ntruilromnrrirn:rr#{am a1quilrilnluflharnriilBqneir,,!tuu'irlnT rud
mlfi .:ao.:nit n?o'luphaoo.'',oAumCfi't;'io,i'.rr^n.rnodailn1.tdfiFruu'jrnrrufiunn
gi.rsfilotirrfifiadrdry unos'ir firurlr6n:cfrnlldlfilCfiufirurJrmu rnsdrhhnneir.l
fitodrrfrfiudrdrg unol'ir firurJr6ntc lriiinll&lfitCfiufrrurJrglrilEu r,loc u -.-rq^.-..g-.-.^^--^d-'^-ronqrnfidslfir{rnr:nruqdru:lr6aru rfiagwata snrr t il?flu tfrsunlilfr irqs
firn.:unnsirw?ofllrfiuCfirrrdur6ru?o'td ltior,fiunr:r'fit'Ifirfilfin*ndfin{olotdo4nlrn
dotfiu ua, rdorfir'lf r fi lnl HflrrrilC r'ol'tdn:r,ir,,rds fiu
- 1{ n"t"Live odds .nru,dgofllfinCl rf,unr:tfluj?surfisunltniyqls
nrufimrfiruilr rdnafiuarlunmrnrfinudum,,:nufiXrr uionrudlfiuCruu'iT .:d1 tiln
unst:nld
nr:ndran drrdunrurtin*u tut firrirnrurdflrdilfin#firir r ogjruu'iT-r
dr,lfl uaEr.:'irtififiadrfirgnronfifi rdu rirrcu'ir{ o.B-1.5 usifirfifirmnn'il 1,5
runo r "i rfi fi ed'r firynr,,:afr fr
z. qrnnrri{flunsnr:fr'till{
e
t. fra4aqrufinurucnirfirurfl:u$fiq-fi'toril tirrri ors orflu dnlilnlild:Jrd ttsl
do{orfie Baciltc r nnm t rir'ttirfllunr :inurusrurn
r. r uq nirmrordeiudfinr'rn{ri fiarg:ru'irt
fio{u ezs r'le finrfilfaeaE 8.6 to\tfl1?nnoofiouoo d1il
o11lt?lr
I aurrnfir rrtru rfieulddaln
92
a
nrufifl ?zs r1a tunfl'ltfiffi1uu'ir ne.iul,toTiuiudru'luri o'lq ls fl <tasau 38'8)
t
uncdrfim.rnriltrrorieiu d'ruluqifiarercu'irs ts-za fl tfoenu 6s.8) ndr.ltr-l?sru
rfiuuCfu'lu$ orqruu'irt 2o-zz fl ttosns 4o'1) unua'lfifiars ruu'ir{ 25-s4 fl
*r.niiqo tioenc 61.?)
nrrflnrrn{,:iuun{llr:orieiu naonilnlnilu:n nrrftfisr {osat e-6 xoi
nlTnno6l fiouuor d.: rfiudnr?ia':n'jrnr:finurtot dttislli nrurinfina unu flAfiud dqa
qmrrrlrzor 'iufl u,et,zszs iitro"u.u'lnilfi11'ldun:tflettusi ii.ruunrillrroriaiu
als 15-te fl {rutr 258 TlEl uiotoeas 4.84 no{il.:olfioout rrnslnfirfi
finsrrot Ailiglqi ?stlfl!:d unutldtl't durudrfitzal'lufl t.rl.zlar-zszsdAnflflt'l
runslnfi rfissfiunrr
qrnmrorifldu o1u l3-1e fl ruu'jTfidrurufiofiu l'660 r1s uiofasau 14's no$
,,.ro.fiouuor fitufi'jrlso'tnc.nfi{ao{nr:flfftriqtflnurq'lnl'rroriaiun{mrg rfiurfiu
usild:?$fi{nlrnaonun, nrrr{u:nnn"n::r{ufiofioutt 6.rtiarlr:nrtf,o{trt?lslrrnnsir{1d
adrrflorqr riiarlrnl{rurfisuifinrriis nnruii u^,lrn'li{Anu'l iirrslneirtfiuaonlrj
rdurfrsrfiurlsn''rufl1rfinrrc'lnsirrd:crnd iiuufilr:oriailXtfilfosac ae lufl il.d'
z5ls-zbtg Jn rempte untvensiby Hospiter lunuiSotffinrcart rrncrrio'irflqdgii
fifinf;unsionrtfioo:t,{i'€tdudao fio flq{grdsrfiud{urofiail a'rrJ rsdunrrfiffl rac
g
nlt'I1{[alltn:ounr?
druorgto,tnrfi uu'irnr"lrmmriunrerriuit Ctr'luqifiarflfiosn'i1nr"lm',rnrin
rd?Eturfisu drrfiufinuscrdurderfiilduu'lun,rflnurto{t dsinf qrrninfiqn uasdAfiril
dqn{norrritzor
{alarfiflrfiuorstrnrrfinnrr'{ai fiu'ir rtiofiold tfio{qrnn'l€Ttsilflrurnld!t
nrrqdouufinSruarnfinrilrcgrguununc rfisu:irxlnrls iimdrnnrtr{iitt'ruflru'lailil'trld
unrlnfig dru'lurreiialrnnrrdqrnno.ui{6u.1 fiq"firnrr$trmauudnSrur$oiu1{1u
t:.:usrurn rdor4, nrfl:?caoufiilnfifisnqrnudrsnu tflsuto{t tndula isuiotun:rltflm
r^ru'ir{aXnn1,lfiruars ou',rrodoutfistfoenv a fiofirirqurfioernndl'nltlaafrno:rd
t
t ttauil1naoenth {fl:sfiufiil 6.:1dd1mrnn:1cf,ouilfin1T llfi
93
Ir.z sdodufunriurtoriududtrlunlarfle'h tm r fio t iogas 50.6 d.:snngirsq, nn{*r
t
rilieiltfieu ddrulurloT fistonrtmtfios tosns ae'e uRcmrfrnlilunnsir sod, sfififl
drfirglunrrnrsq,lsxosrrndodorfieouou.ro.fisao.rnri' (P = o'oaza) tiio{crnnr:
'lu
1{.51 'flnu.rn{rfiudtrrstrfias u$refis drrnotfias uns*nuonrfrat u*sfic drrnaS*"t
iwiounr:1{Am ilrfir'l'fiwanrtf,nrr$slngir{qrn:rs*t nlrdlilut*ilrutlnr fl
esrs( ssl iir,rudflr.n.rfioorrr{'lun{rm:or{eittuunntn'i, '[lr"na': usi'lffimil{rununu
.lurfio{qrn rxsr rrflilla usi0lnnrrfln".o{oinuocrfiarfiunr:finrrmr rjflrtilnri il:udrnla
unun$s ( se r lufl u. rl, zsso ituudtnuielrufi r1l rrfl rfio{fi tuflfrdlCmnn'ir{aiuufl o
tnrsffium rdsrrirfir fioiu.oriio,,:crnflrnrlneiirildsruilaolrjod, llrn iaiu'luran
rfios finrr rfiuuouuoucfianrcnra innfinu.niu rtncfiormrorrfirlnnroofirrnr'lnfi?ouio
tririruusfr$riugnunrufiosnr uano.nfunrrflnrrn{sirfiunrrflnurtutrsrfirurarruddo
rfiunntru?nr:llrtgliir rna rfior {uiounrtrtflur {iuu?nr:druluri6slrqrndr tna
rfias drcnoufiu1lflacfiurfitfi',:n:rr{arlrtntJiuu?nrrqrnl:$erurmi, rnoldnniir tno
durduulsulsn:cersu?fl1td1s1f'lat{pt' no{nrcnl?nd1ff1tntdr fiorfirtiflodunrin
mrorisdu 1ttrtn rfiosnsn'ir tsnuon tfiol
1,3 dn1ltn1udil1d
nrilmrsrrfi sf,o tfidnrunrunrnn{ rfiudellun! uduu'irn{llrrnriailfidn'lun1}l
dilTd urlta uer llgn.Duil1fl
I
ilrl1 'ludnrrdXsn'irn{t uJ?su t figu <toflaso0t,z n1ila'lnll
uncfrnlrurmnsi.r,,rodrr'lrfiodrdrg flg{n'rrflrsqrs'ludnrilnlu6ilidxa{il1to1 fisnolntiil
annrrflnurnooerfio,:fiunr:finurta,: fltulr{ niafillnn unsdillttl'Ig
dsutdnlnr:utirir I iaens e . g .lunfiu*r:oriedu unoll'fi rfiufr 'rilrgur
lunrrn:ot r?ar drorqrfiocrnnr:firurtfilfiuC{rntm,dnoornnr{infiltifim uns
rfrnrrsrornrfi-nrrsrfioldnrpni uioernflrgu'ro?'r*Enner ahfirei.ltifufroqa'lu
t
(P = 0.00O)
n{n?Tfll(23)
t n.t rfiuoq unrfi on'tttnrouerirlfifiu*rorieiualrs r6sr
94
I
R
nliru{dn1rail a.lnn1raflr.o{oi {o4arrnurrrutfrsufiu'irrdofiolfi riioo
qrni.rnrrn:rmauufi n5r rqr nfinrilrs{'ld[ dr r[rnc r'uatfiru uaufiot"aufinXlrfiufiu
lu:1E dld"tdcons r -uauamnlnre fi r $gin{s u:nto',:nrrqf rnntrri durfiulteulstroit
1r!ilerurndrilfiuurired'ulto{fllsnm t$urolne
!,4 o13u
nrlurr:errir{uununril uJtsurfigudlr'lu{fiar?utnrnrnrtil ro{tndmfiorrririT u
uio'jrrgu druiuorflutu:rsnrr u?ailinrunqdlrir,rultndsmroriedu usil^tuluffiil
rrlteil rfisu tognc g. g $nuuuorfluu?nr:fi rrtu'lundllrroriuiu{ln'irneiil ttliEJu rfisu
<{oens o,s unB o. r srrildrfiul uufiniril[slngi'rsodrt'tlfiadtfrX 'lunrrntrc'lsxoit
, or?umsm:orfirno.rn{l (p = o.ooo) nrrilBsndrwarorflui unarttirfufi..ldnl}t
rol1firflool du.nourosn{rur, roriuiu rir'lfiuuolonrnltnrr t?slufioflouncilrunou
orfiud*un,g urrrreirfiorfinorfluuftru?nrtfirrt ,fiou.neldrfietfiuu?o r$drrr$cnrr
fioorrr{1ou'[1rq0$r 'lunrrflnrrei{s'iluun{unroritriu fis z :re d-norfiuu?nlrfitRr
mcfiil:uifiuduau riiarqrndrfi.rod'lunltJnuaxa{tdnruffiqr6nuac ls'l?Iu unsdfl'ltt
nr ro:rndnn?rirumiaind fisufiiT ccuilrfilrfistdrtruudo rriT ft usiosfioulfirfiu'ir'lu
dnlun?.uJ rfilq?r orequfinnf,{edufioorfiil'il6nmn uacii',rnt rfilflrplrfisnlsio'til
nrfimlndlm:erriuil uncn iiltiliuiltfisrufiorfluriu{rs :atntlrfio lfluslr
nr:rdrufuar?uiunrnr: u?oilinT ufia uu'tunriunroriuiuoirn'irn{lrrlisurfiflil
riaflne b unc eo.q srrrJdrfiur $acorflr,rfinhnurirtsru m'rnrfrnrillrroriuiufir,ru
nrn.jrndlrrj?flurfisu uu'irfinruunnsirtodr,,:fifiudrdrg'lunr:nttqreto.:orfiucrfito,:tt
na:o'rfi.:a0,gndu tp = o'o00) annrrflnrruno.:fi.t or?r.rdfiosn'i rm.: nrfr nriur ror
t
I
iedr $ns r fi ufinsrBrth{olqufi Urt, iio 0.. nfi I o gilunnrudrfi-t firlnn:o.r
95
o
t
l.s ilrstnnm,lrir'l{,i'lelunr:inrrilsrtlra, E I q r- o -r-u .--',lP-4-.-" | | |
naillrrorfi{dad d1flurld'lmtnd'lfcdl5nr1u81uln t0tslile'lu'Iil usMtJ?'IflRilt
-"-J--'-- i
gio.r{sduhinurrndr:sririnuluflruraldtos uioilrc rnnd a q.rn'i, nifurrFsur"ileu
<iaeng rs.B 11au s.e sr1ild1dil) druiundudd''uJlinr'unririnurus'lulaldlfiliruru
alnud?s{.rlfilflsfio uiodrurnnd z uu'lunriltr:origttsi,n'irnrhtiliuurfisu <fos
ac 4 $ns ez.o grudrfiul uuirfinrril[nneiriodrsfirigdtfirg 'lunrtflts.l'ltlxosilrgtnn
rirl{drelunrrinuluelula (P = o.ooo) o,lnnrrfinrr unoll'firfiufilnrrclfltr5fre -
dsnil ddaen'irmrndrm:orindil riiofrqrr$ritrfiunrmfrnnrrdlrrofifindT udr drfin
oria, l',4qcuu lunnilRil t tltlrx'lllc noilx1 {t o
ct
rncnrrflnurn{rfiuufaflau z.b'lunriurrorftldlrt
nne{oens to.o'lmriiltd"rflutfie!
loenfldoganrtdurrnuSfie-fl':nl mtnaiurrorieduuasndlrrlfreurfieu
finrrilunneirrodrrfiflndrfirg rdurfiu arqmrnrfi or?u rwriio{orfltr dn'lun'l}t6lfrtd
runv il:c r nnrir lddrfl 'lunr :inurlrs1 u1n un uuu'i r ndlur tor {aiudrutaifi an ru t rtruXfi a
-fi rrw dosn'irnriil t ilfrau tfisu duunolfi ,'rftp'ln21ils1nqr nrulddunnnl{ trns$fia
runrodluanrudsfi,r{rtnnror ds r$unr: rds.rsianr:fitn::d nrr$t tuntlunr:finur nrr
firsrt xtlonroilnir nrnu,ruruuron'iifi
z. domnrrdrildnn'ru
z.r [email protected] o nu mrfu dT ulur!'tdfi rlrsifr nrr4CI rfl ulrnnrtfi o nrr,{ uotwrirlrrn{rld
firhyihnrratytflaornnr:fisnrrtf ndutroriailfilrfitfosnc e.8 !i,:sirn'irnrit
ril?flurfieud*fuuo, 4.2 unuiimrursrneir'lodrtfifisdrdr! (P = o.ole3). lunrt
nrrorsr,durfi:llrcifi nrrqrx rfluernn.rfi onrrdtaomrorfimo tn{l wnnrtflnuuu'i't
ndxmrorisdufiil:unun'rrn{rirufi,,ril1madiln?r nfiaufiarqriaun'i, n{l tr.lteu tfiuu $ao,t
.ir1dfinrrusrgrililfinrdtlonrtfioor:r{thJ:T :nurmriou risnflunyrnrrfinurta,l n?srr
rr:$r'0r{, gzr iiuuirnrium:arrisdufrf,srdrurotnrtfioort,{ l0flfildfi.t'tq Hoiasns
t
t
96
t
*
z!,4 uncioenc s qrn{rmui,os*rs'rilrirn'lenr:nlrnrrr{lrdat dnnnrtfir$fi',t
lunrrfrnrro{riXrn'irnrrfinrrro.:rrruigrd {ltr$ ( b? ) duudffi rnrrr{rnfi .r'lurJru rnrt
1ns tnel{,fiogntoolnrsnrrdrnqdnmuquirr'uoluilzcrnRlne toud g fl n,ft,252?
rflfoeac t,s fio'iln'ro,fino..nrrrfiEruifiiifl nnrud unclssurT ardrildsulil
lrro.fionorndlClrlunj ldfin, rr6urJ'rgsrurfi.!flfitf uasldulntlilttstnei'l.t
odr,:fifiadrfirg (p = o,6zazr 1un{tdfinrrr6urjrsonufi.rn::t{orufoens 3.1 ltnril
mroriedu unuiasas z.e'lundlr:l5rlutfifliltt
toe r om cm ror fi r no o neiil'lrttnfi ersio
m{ rufldxfilClrnno tdafiqrrurfr sannr:nt1q vDRL
urn iasnu t,a rfiudsnriin,rn'irndrujtflurfieudilufogns o.? runnrrflnur'lnfirfie,,t
fiil:rfl,,lrunrrflnrrror flgi$ld nsrinfinn unu nflfud ann{noror{,zel duuala vDRL
lfiwnurnlunriilar:oriedu fuuoJ r., uas{agns r.o tundutdisutfieu nrtflnyt
o{oiruunT .ulafinqr rro sndunroriflduunrnriu ufrsu rfisufidflnlnd rfislfir < iosau
o.s uau o.a fl'lildrdul donslnsir,lqrnnrrflnsrsot fuind nnninfien duilnrrulnfisl
nrrclnfrnqrr 'q'lnrsdunru r{r{urot tfioerirn'jT to niil rrja{rrug{
q'r.rluffiilmrordsdu iaenc s.t uaundiluj?rlurfisu foflae z's lott'ldrn$Tinr:fi0flIrtt
uncnr:flngttar
ununriruJ?aueb el. (Bo) iirrunrrrtafinqrslunriilm:nrisdu fogau tg.s
iognc tg.g ugil{rnnrrimrdoflunnutnfioqrtqrnruduflmtna?st sirn'j'l sot
ras tftwsJa eu er ,(zr) iir.runrrslnfistqlrlilnriililTrorieiu iosnc as njisurfiBil.
fiundmrunilduuiosa, ro. o f,o'ilo.q rdn.rqrnnrrl{rmrdnr:fiofluntctnfiq.rodnnn
sir,rfiutuugincnrrflnur a'ls unudnrudflnor tsrffJnfiilrsd'rnrm{tn'rn6arudlr'ludeufi
aro!6tli'n1?sxoilf Bl1no {nltofl $41
rofi r ufinrtflnrin{r'iatrnrhn1 olt fl,tttT urnldldtiu?nrt
srmqlafinfiutidmiuuinr:drnnrrdnrnre usiqsldiunrrirllnfisfliliuilrunrufisrsin{s
ru:ntimalrnn::d rfilnr:rJorriruauinrrtiodudr 6rmur:ord:rs.:ru'irtnfirrqr',rufi
:isurirn{lr, rnriuiufiiln vDRL
t
Herdy
rfieu
t 'do4o1csdr ueirr ccumsfi t r1flilfi nrrs lnfr ctcr {orir {Tltt: {
I
97
;
tounl,rl,fia4nnrsqmru r^nrirn{ur, :erriuilfirlruifin, r{r!tflgq'lnflr:fimrrli
$slnei.lrqrnn{lrrlteu rfitruodrrfifiudrfirg usilduflnoir{odrl-nfisdrfirgllnrrunlt r6ilri?s
xo{tnlrel.lnrnrfi.rn::r{firnorntir fioiu.o r$utilr'lu rfiunrtfinrr'lun{ldnnooqnrnrrtn
o.rsldrfu so fl durfiuintiulnfinrrlsfi4rn't"u6o,rmfitno.rnfu 6othu'iT qcfin?ril
usrneir rodr..r{o r qulffinnlil?o{w'rro.fi oooon4il Bncalq tfino..nmnr:flnurrntid'1il1:n
m'lurlsas risoto,: ioila1u:redldlfu rafrnn::r{!
3. ioXnnrriuu?nrr
g. r nr:rlrnnrtr{
ndurroriaduuaunril rdieu rfieu drllnr$miuu?nrrdrnnfili tiasas 8e.s
uns s?, e st'udrfiur dn:rdrurarnriurror{uildthtalrnnr:r{1on'irni*lrrJ?eu tfisu
<{as1ns to.t uau z.t nrldrdul uacuu"irfinrrilusrnsi'ltodr{fifiedrflrg lunrtflTcels
rornrrahnnr:,{tatu'',rorrfisnoonriru (P = o'ooo) tlanrrflnnn{t{ uu'ilmtorfi'r
nosnriuriuu?nr*frnnrr,{dno.uu?nrrnror:uqt ntn'ir riio rrl?eurfiElufiulstrmrr
finrrm,s naoorrfisntounfr flrcnrhtd'lnrruat<sel fl u,fi,2526 duu'irnnifisnr:r{
rrdrnnrrdfo sav 77 uncnrrfinurm sdeind nurin'erqn unc flflfiud nqaqnor,: r{< ao l
dr^nrir $r:ortedildldmolrnn:rr{ fon^o zg.g drunr$rrJ?eurfieu1d1d$rcJrnat:,{
iiogau z.z fioinroriio{te1nr1tr{lmrrflnsrn{o{rfiunrtuttnflnm tarnun{urrordlr
naanqnrnil$rfl o'rs rg-go fl lirfinrrmuleoioqtn,rufiuan?t ununr:flns.#o'il1ti1a
{rfin'ircv tfilnrrafrnnr:dtaurriit,o*lu.a$mI1drn::rtflm u?oe'lnnnruu?nrrdu'l
' unshil'1.:msfi1ri1dflMfin5ruarn1ilfiufin:rs,:runrrahnnrrd rfut rfitmdnfinqrndr
uonrdrrorgiuu?nrr fif irldtunrrafrnnrrr{ufiT unsfi.: rfildslrm':{nnaaofiwln
tanrrnfulurrr,rifio rfiufluri.:n, rru:rri rds?fiunrrafrnnrrdlrnnfiotdlto.t{luterunr-
:rrflm loran{lr{ruflrd'dfuaosoil aln1dfinr unsuiflT adr.r rtiolfinsttfi,,rnrrrfififu
nrrgundounnaorori'r,l rfiuwro fri rrlruu'radrirulororl{ drunnlriiiuu?nrruu'ir dru
t
I
I
98
o
t
lurlhaslrroriaiuunun{ruFaurfieilil1hJlnnrrrldlroils1il1nilil1r1dilnrr1tflm (iotl
av 7g.6t 74,s nrildrfiill lit'aftrsuuustn0irrqrnnrtfinurto{nosailrfitlEnoilnir<se)
cr$ru.irnntfilnrrdl,dTnn tiu.nqErdnnrflolrfis unedrfin$1ffi,q\tnfrr{ tfoent 6u '8)
f, ofi n.., do s qrn r fi unrrfl nu.r{oXnlrt:.rusr ilr nrlrs dr i tuiounrl tfl m i rldr^rndunnsir t
lrnnrrflnrlqlnliltr
s.z {rlrun{stasnr:drnnrtd
nriilmroliniurafrnn:rr{{rurl t o{o orndqo <iognu 21) Bacilln1le
orr,{tru,ods g o{o drundurl?eut-tlsumif,nnrrr{{'luru o n{o lrn'nqo <iosnu
16.s) $ncil1ni?enrrr{lrurodu a o{o uu"irf,ntuunneirtotirs-lrfiedrftfltdrrada
ms,irtrun*.:mrnrrdrnn:rrfuosytrarf;onosndt <p = o.o0o)^ r,nnrrflntrdoondas
fiunrrflnurr0{r DoLr end ForL( rol drorirnriilmtorieiuralrnnrrr{'fiosn'i'lndil$11o1
frrlrt uacl.nnrrflnrrfiwu'it {oflns 52'2 xo{tfleiurtorftriu unufaaau 41'6 non
nriilril?eurfiglmnnqnrrr{rioen?'. o n{o dtunnsir.lcrnnrrflnurlot dflfnd qurinfi
nn uncalflfirr{ Cnnanmor{<zol duu'irfoeatY L?,r msnriur:orisdu unuiognu I's
mrnrfu til3sutfiflu ttrg|r?enlidriaen'ir a n{o
]
I A-- --,-- ---!^g
dd.u, .
s.s uqnrrdrfiomahnnt:d
n{rmroriadldrlturfurdr nnrrr{n{o urn,iioorqnrrd zs- 40 flrlorrf t lnrlrntl
.rioenc ag.s CtrndluFsiltfifluil'lt^hnnrrdn{.rurnriioorqntrd ts-ez
a
flrjorr{ <lsrrxmddo.!) ulndqo iognc gs.e dtnoonfio.:fttnrrflnrlmr nasarrilEl
' nmmfrrsel iiwJ'irnn?fionr:r{onnnrrrilorillttuiflr lnrmnnasraudlil tosnu 35,
4st zo srrildrdu munr!f,nr1no{ disrl .rtunor{<tzl 'nunrirlrto.f,onotndl dru
lurjrdlafrnnrrr{trlnrlrndnotnasdllxo{tfl1:fi'rndrr{ usi$nneir"ernnrrflnrrxo{t zr:c-
kenmen eb et,(zs) duu'irfosau 59,7 msn{urrorlail uaslosas ze.g latndl
lr:errfrT tjmnf rnnrtd'lu1n:mnr:n
I
99
t
t
loaqrJ{o gnnr riuu?nr:ro s nriur ro'r iuiu umnsir mdr tfi fi sdr firfl u, iio o on s
nrrmqhnn:rd nntrdohnnrrnd drurun{ltornrmfrnnrrt{ rasolsntrr{riiomalrn
nr:,{n{.rurn a.rnn{lulisurfieil drannr:fimnaonfiacfiunltfrXrrr{orrrnit'i. o'lq
orr,{riior,.''ahnnr:rin{rurnunu,iru.uo{oouonr:dtnntrri'lun{unrn, iuit uslneiltcrn
nriusrorolq uo-so fl wnnr:flnrr unnrti r$uirn{ulrroriuiudrulurhriuu?fl 1lora"t-'-'--''-'i q
dounnaorfio€Jn.irndilril?eurfreu unstirfieu.rodriiriruuerl{'luuaruftlurttoillfiEluriuns
,6n tasuruutnurnr:rrnrSficunsdrniludrlr^sr sfiud 6 (tt.rl,z53o-2534) drirunell'fifi
nr:afrnnrrd lurrsrurnnoon.rfionr:r{ loedrutorflrnenfliosns zo lowfi':fin::r{
nrrldiunrrgunriounnooodrrfiofl q nfr qrnt{rufirfidro1r$ffi,ugl n'''tdnrillrtetr
iaiufifinmrsnrriuu?nrrounriaunnoorfiaen'irnril rrJ?au rfrau orq tiiotqrniaiudru'lur!
fioorrr{lou'nldfir1q u?oldfinrmrruruunriou unufincunnrirnutotfioottr{{.
ruruao.irorgfios tisoriuir rfionrrfi rnrtr{ ortJ tbomrtttt,,*rl' u?oorc tdo.! q1n
.rfin1cfir[inurnl rrornrrui nrrilnl'lq'lul.rrq[antto.tttasilltntunrrr{ u?oorqi'--"- ----'-'-'n- t t
,finoo.'1nor1r€nflqr durfiurlc{snrsfirurrtruX'ne-fltnl c'lnnrrfinurnf.rfitru'irnril
grorriedurdrnn::r{fr{ioens eg.g uoidru'lurjlrahnnrrt{n{tutn'lulsltu.nd 3 unu
at.rnn:rdrfie,:n{r rfisr drfuir rfirrdns$srj?il1$dd usitronsnru' nrrafrnn::r{io,6u
finu$snr:qo r rfifl suionnruiinoot r ri'rfu
s, nrrsuffiniouunswnntronatl
nriilurnriflilfin'nuunrnfiaurcrrgfiootrdqon'irn{trrJ?autfisu <iosas
lI.s uas z.e n'lild'ldul uncul'iTfimrlusnsi'r{odrr"nfledrdrg m,rnrmruqrelltn1'ls
unrndorrserfionr:,{ (p = o.oool tosssl^r'r'cntsn'lrildtlnfiq.rmtfisnttti 1ln{l
mroriedilfidnrdrudatn'iT ntilrrj"rsut-nsu tfasau 11.s ttnu s.o nrildrdul ttnr
uonsir{orirsfifidrftg ri.r'lnfirfisrfiunrrfrnsrmt fl3md aindltnn unc drlfrllsl
In{d?riil(zs) -nuun1'lcnr,ufillnfisrnoo*rfioottd'llndlmrerriu{u fognu 12.33
I
t
il
100
$nstosav 6 1un{lrr.Faurfitru udunneirtqrnnrtflnutma fltlind qrurfln'onn rrnu
nflfi*d nqnanrxrl<zor d*un.rro.trfiutnfisrnttl"fionttr{1un{lutoriui[ foenc
6.6 uns s.r lundl*l?silrfigu uasnrrfln'rmt n*ingi Anlrq:d rrnu*lon dil1tt
i.fiitzat drunr."o.'rlrfillnfiorloqrurfioorrr{tln{ur,rorieiu iasau z'5 rdlrds')
fiu nfistrr rfiflunindtzsl utuiosnu z.ge lilndilmroriedu foenc 1's 1un{l
rrJ?flur-neu riioul?surfieufiunsnunrrfinrrrlnsirtil:ct?tfl ilnmtflnffin{sf,naonfiol
fiilnrrfing1xo$ coaLes(14)r Hardy(3O)r Hubchln eb 41.(41), Ihrenhoelte' et
at. ( tb) r Clenk(34) r Marchettl ( 10) Unc Goldbengi(60) dnnffrnff$dUlnfint
q r mrfi r nrtr{ tmrilurror{aiqm'ir nrlur rnr frrtl
tanr n r fr onrr snl ildrtnfr n6 ruuufi l amd'ldlT nn'i T n{llr tor ft lrJ nrr?lnurn{o{ut
dglln.r: rfianmsnrurdulnfingoo*rfioorrririol{rsqt o'l.,itooo.n tfitnrrflnrl l$u1c
n1 rnnoff{nrouurnd,rfi uurlfudqu r da o1.r n'ir ntrdufi s aqiufir
drudiln rr snr:r{ r fi lrirmncnoolun{un :or{uil uu'ir 4
t n'i rn{l r r'Fau r fl un
<{osau s.4 unu z. r nrildrfiul unsunngir.rodr.rfifludrfirg donocrnfiotfiunrrflnflms
flefnd Erinfiqn uau flafui{ dpqnm{r{(26) drurfosa, e's lmdilmrenieiu
snciosas e,g lm.i$irr1ig:urfisu unsdfild{*'ssrun'l:fifls1nad Clough(511 dnnr.!
a 'irm :ordsiunnooqn:nurzfl qsnnaoufi rimrudruuonaann t n'ir nril r r.Fsu r fr eil
or. riiu o.rnn{umrnriairunalrnnr:r{{T nonrui unutildnu'lqdqu{rfutllflto {t
n.r:firrgn{.r{ffia rioufirnrrri rffiT s1dldfir1eeufir1err iarfirtfinrrnlonutwiruro
nnonlrur,strmnro rndoild
4.1.1
ril?sutfrflu
rdolrildnruqldruflrielm uudrnttiunrndolrrsufi .lnrr,{tun{llrrnriuit
a..rnirnrirurrJ?surfisu uncunneirrodrsfifi€rdrftU tp'= o,oooo) uaurirmrnrds-tdilfmd9t
2.46 <sr.r1!d ro) dsannrrflnrldfiilf,trdilufrl,u{od a uno.r'iroripfilflqisdfr
uno r tf r $l'irnoto rgrlaeqcfi
tEEn{u
I nrrlfiufiudfitnrru unrn{aurrerfi tnrr,{
101
t
{
riionrunrdrefll{e rfisrfiu rsniiodorfrfl orflu ilrsrnnto.trirtddre'lm'lr
fnmugrilrn il:sinnr:drurflsqrnnr:fitot:r{ n'rrr{uilrsr*rfioot:d drtrun{tmt
nrrfrnnrrd unrorgn::r{rfliolrd, no:rr{n{rutn runnr:i ror'',rrffogadruluqidtuuir
r, I dq r- -.- --^-u I
nttuun:n50lrTc€tcf, {nTtn lilflo8JtJ1:611?Eltllqq rsngi'r taElr tfifiedrfrglrnn{l r r.Fuu tfisu
sn r{r arfiaT ?uiur1tfl1r r firhu{finrr$CI rfiurrnnrrfitnr:r{, finrr r 6urlrsffrtfirnt:t{,
firirldire1ilnr#nurusr.urnilrurnnd e qldtunrmttnnrdrhlnurugrural, "td$'l
afrnnrrrf uaudrnnr:,{'lu1srril.nurn nnoviruon tufioqlnolrJ fi.:fr6nir,rnto,rflq{e tffiri
dflufiuCfiunl: rfionrrc$nrndorrserfion:r,{ riioficr:rurr, rfiurirnrrl rdstflilfin#fiul
.irsir loefidrruu'jrr o. Bs-l,84 unuuanfl'td'irrfiuflqienrtd,ttttrtrulfie-fi':nloir
m n rrm to rtifi ldiunr rqnnriounnoolri r fis't l^to
nnnrrf,nnnaonfio tfiurltl{lllna{t Hutchln et
Bnu Baird<aol dr,ru'j. u.rmd,ntolrtrd. ntnT uld6
n{ntTfl [ng Poliekoff(6u ), Leppenb eb at ' (35) ttu'itnrrqlundaunnoodfiq"
dlillrnannmcun:nfiou:retrfisotrr{1d DotL end Fonb(16) uu'irntrentrildttnfisl3 tt tu i
d.:rrucfi rnrrrifilodfru 0'rrl, fl'rrqundo$naan Baudnlil I flruXfi n-fitnll|otr0'
odrtlrfin'u nrrfinrrxod Hessan and Falls(11) nrrfl{'ir uf irmror
isiuqsldiunrrouariounnaorfiuodr.rfr usiarqquldnurrnilosfiilnrrsunrndouqrnnrt
fi o nrrr{ld douilr sfi ':
o r g r fi urlqitffdoddltr,Cnun rru untnfau:"tlrfi t orrt{
4,2 nrtsun:ndo[tsgsnnoo
nrirlrror fi sda {'iln r ru unrn{olruesnaaolnd r fi s l fiu rroutir,runl il[nneir tlduooar!-rrtde
odr.:fifisdrdrg 'Llnrrntuclgxodntrgum:nfallcgcnnao (P = o.6914) druiunrllfif
nrruunrnfio$ruflcnnon uu'irrrsoddo{rfla{nlrnnons'l?u'ln1un{untoriuiu frdnn
drudqsn'iT n{luJieurfi€Jil (fCIBnu 6.3 $ac 4.8 srriliirfiur drnoonfio,rfiunrtflnrra1
no{ qtnrl rfisuf,idd(esl fir,rufosnu 14,s1 lundumtor{eiu unufosnu s.a 'ln
nei$trj?sutfiflu rdrrfierfiu Hassen and Fal r=irtt, u,r=iio( tB) r Aznar and
. :i'
al. (.41) r' Conny et al. (43)
cs"ilwngian r r u un:ndaut c gs
?
o
toz
tBennebt ( 12) r
siln'ir t? fl
Marchebtl and
Bochner( 11)r Isnael and Woutensz(l
fi nr:nnoofl 'l?11'1ffi sn'i1il'1101fr?1tl
woutensz(63) iintrirm:oriail a1g
usiunneir t q'lnn'lifi fl ulno d
Menaker( 10) UAs CbaLes(14) duu'ir urror {gdlfi nrrnaonsllil'l u
I
lrro.riaiu uuiosns z,e dseirn'irn{lurlsuusfiEludiluiosnc ?.1 rns$slnsirsodrsfi
601m:Eitzalfitrdrdrg (p = o.0ooo) annr:finsrnaondoofiunrrfrnrrm.r dilfisle{ 6or1qr
iiuunT:fioflndril:uuirtnrrnfiudott?tn:ru iotlac a n'qgnr rfiemidd(e5)
l - 5r ' rrorisdil uac{oflns 0.9 1unriilrrl3flutfisu usirrelrunrtfinrrSagau 1.7 t[nailil q e
to{t Masto( tB) [as osbor:nne eb a1. ( 18) ldmn'ffrfuflngi'l{?odflT :fioflodfu
tuu,ir.lnrrnfiudol t?tnru uauunngir.lqrnnrtfinglnod Dtt€nhoelten and Beumsn
( 1b) , Dobb and Font ( 16) , Bochnen( 11) 'n*dUO t?lnrfunUtUn{UlT :Or{AiUXt
wnnr:finprn{t{uurrerfinnomomfnnaosl?uT u'lundlmror{aiuqtn'irn{l
ril?surfisu tersldrnsdm:finfluc'lnrou"frnuoro,$n1rnn0CItt1'lrltttl'i'l z drlls rsi
olqesttelflei1{te'lflr1s{1m1rfins16ils, ,iioo..nnrtdru$oflerilno{fl1Tnnnoul.uaud
usrnoirtftnanlilll$sinudn, td gnf,fis unuiinrtgnadomnoot dl tdunrrflnrrhrsgu
11fnl Hessan ."o ,", , =, , l' , O.ouoruu, ,aoioo{tflltnnang'l?1l1ttf ugo'nudsunrao.r
lrirfiu go drlu{ Clu:rsgiluflqrfufindlililerrssctrnrrrerfiudssntnootirfiu 24
drfur do congr" end Rendetl(64) 1ufl u.rl,esoo rorilfasau 10 no{ffilt{$lneu
perbosram lunrrrdrnnon lur, Etdrlrnmonrfloto{ 2 ttrrfitilnr riourdlr{r{ruuu
naoo t.ttl'irrmrlosrsdtflmrrnnaoilnfrouonrrr{urnilrs$r$ rr drfut uncfiofln'ir o
drtlrttn:r,{ufio qs rfirld'irfuurnrrnnoorflturilfrrfiun.rniinrmmtlaltiunnuufilsld
ornnr:fl nrr o{.rf,*n. tnaoofi odo r iio oo. nnr tfr odErdrurbu'i r t nr tnfiudo.r r ? -r
t
td rrnr'lun'rrnnoomr ni1 zq Jirfu s
cufidumrtlgioillrrllttncnl?nald uns
a
oiT n'irn{ltiltnurfisu
drrnr:nnoofiofio rfio oo.nn.rfioflodutcrrjr'onrtnuncdot tfl on:u lun{l
nflc Booth urirfirn, rnnoolrun'ir go {rlils
srudd(64)'hfl u.rl.asts'[dns',!rufi{n"lf1{
nrru trnriilmroriEduc,irn'irnliil uJtflu rfieu n.o,iiooo'tntu r-ufluif,idg mcnrt tfionqlt
103
I
I
nrildradro r1s{lunlrfinrlruecriou finrurt:oritiun{ilorenirn'ir tz fl frdos r?',:
,dtddu-o-,--Q----t^-----^^?-,'nrlurnl1n{ $srrrlorrlifl!rfieufiuwanrrflnrr'lundun:or{oiuorqdrn'i'r eo fl fineuuu
,;;;tr.;; ;; nrrfinflodrrrslr'i1{nlrnfiudoo,aonr...l lun6uu.rorfirno{lriusrn
sirrfiu riiofiqr:$rfi.:flodrunr:afrnn::r{firnrtatn{llrtoriuiu'rq
drlrlnuu?1sl']fl11nnil
rrlisurfieu <iosac 2.5 unu to.o grrildrfiul doorqorrfitt'fiomnfiild$il'i1n1rortn
rfiufirrtu 'ludngflrrdldiunT rmu'lqqun rfirrui.: iflcdfl unsfioflil'lq'lunrrrir4finTnst{
fiflnnrr ri,iadre rufiofiufiiir^ruoT nr:'rlorjn'sr 1erfl'lsi:o'1fi rfiontrnnoo rduuuruufiri.:'[riaru
rufro dsf,lruanrrfinurn{0f,fi.:r^nrfiodru'lufl'r{tmdfiildrl fio naiumroltffiufirceefinosa
xo{fl1tnaoos't'rurud{ uoiuunl:naaofierfioqrnnrrfiorfloririlno\:?l''l?flfiudos t?':nnudrtl
u.no.nf*rnro *rnrrfinrrfi .:ul'irderdruta tnrrnutnoootlirufinfios tun{unror{fldudtqt
nrn'irndrtrj?eurfie! <fosnu 15'1 [nc z,o flriliirfiul uioumefi.rnr:ndtfioqrn
$r :n r isdufi m o r Snn'i 1 ?r1ifle1 fl neiil r rl?eil r -nfl u fi s a r q r fi uda4nnfi unrluti r fi errhr nn-
nr:nid,,:nrirr1,fi
4.2.t
rrlieur"neu
r iioldldnrlnlfirefl q {nlo", un"riionrunild:nflq{srdsrfiu rtgli{odorfle
orfru ilrs rnnm.:rir1d.irfl1unr:fnurusturR r.lruihnrt6rgtflunrnnrtfitnrt,{ fl1i
r{udrstrurfionrtr{'iruruo{.,rtotnrruhnarrtd(d , t&
r,[Rs 0 1 flnT Tn t ilOll'lfrl'Ifl ni Tnnl d ltlnq
runnr:i r nt'rrt{n''' onfifrtiuunrrmrsneir todr.:fifiadrfirl'lunlsuntntoutsscnaoqxa d
lr:orf,snosnrit,r.r.ofi rrt Bncdlnrrilr?ietflilfinCfidrrsu'i1s o.z2-!.sz'i.r
rlfiraonlrfiXru{o z $as s uasarilld'ir orqldldrfilflq{edfi6n6r.rnsionmcunrnioil
Sugsnaoo d':nonndo.rfilnrrflnnxod sukanich et' el'(19)r tlou Dvwen(zo) dti
uun?'llluonsirrso.Jnrrsun:n{ou:sfl"nnoo'lunafinnroriedrununrfurr.lttJu tfisu
rda'jrnr:Erunriounaoerccfi6nfunmnn'ir [nudfiud[llnrrfrnrrsa{ cornv e!. al. (43) r!q
'nm'ir orqleildrfiuilqierdereionrrcunrnforruscnaoonotm:o, ieit usidilfuCfiil
e
t i r a e o v l,--- r- 4.t- .-., g !rrfrgruudr r{uroflrfiil it'rulg nOsnnlliln(53) llu.)ln.lTleilil?gn0{il1tn1n$cndnTTn
t104
I
tllnuuu'I1
t
rfiuilo{trnfiuArlutirfionrrnnnaofiotlnfi fil erent and Heald(65) ldnu:rlfioln
a1 nunlfldnrfi t r fi0fi nrr arufltfiuC:rui r t o 1 fJ$aun 1?u[nrndourcscnnoo
flc{snr{dlr rdotrfi rn:u1fir-f,{nil fin'li$ddud'luntrcunrn{outcssnaoomnn'jrors
snr{u1un6iefiJ1ro1a1ss,irn'ir rq flqq
rrto.fi onornril drulurltifinrruun:nfiorrceyufi {nnao rrsiuu'jrnriileJlro'l
ifldufrn'lruun:nfiourvrlcufi{nnoo ntn'jrndtrrJ?eurfi€lu (iosnc q.g tlau 3.1 slltli{q
!
rirdlr nnu rfianodounl{dfi'nwld1 n.tfflicqlgro{n'ltc[n:nfiatud,,:noorouooaroafio
na{nriilunnsirrfimdrrfifiudrfirX (p = o.osss) lun{rdfinrrurn:ndouufitnnao uu'jr
lr:orts:ufi1{ufilnnon'ltdstldltiintn'jrnriiltil?flurfisu (fosns 1,7 uau o.? olll
U.,Ur, '
d'lt irnrrrfior{oufioo^olu.rrn,fioord{nnoo 'luneiunrnrtaiuXln'irn{l
r:lisurfiflur6nrioe dtaaoada.rfiunt:finurml fltr,rtrl n{ndl'rnn
g{rd'l?n[(23) fiuunlsflntfiooufitnnoo'luneiu6:o'riaiu {osneqett
z.gs tmrilril?e!rfreu ras d'en:r rfismidd(as) uunriurtorit{lfildufirnnoo
toflac o.ea unciosnu o.rg lundtrrj?eurfisu druiun'ncnntfiooufi.lnnoo ufog
Rs s.ss'lunrilmrolirJru [nciosns s.ea tun{ltil?flurfisu t1sd1iln1lflnsrmt
fleind qrurinfina uac flflfrud nnnqnmsrl(26) rrufllrcontfionud.rnnoo'lldnrrdru
tndrfifl,rfiu dru$r${osav z,z riiorrJf,Eurfiflufiurrgtrmrtflnur'lugirtdrctnn tdt
coebes( ral r^rtt'ju,rnritriufildufisnaoo4.rod, .rfifiudrfrgernnriiltil?eurfigu clougho
( 6 1 ) rflln 1'lu'sln t {aud t naooluniilm:or tsdua.: n'ir ndl t LFsu t fr su'ttlot
annrrflnurel{ti uuirnrruunrndauduluri t$unrT sfio r{a fi0fil{ufi ..:nnaEr
un"ntrrfinr{a tfinrdoildlnnosr fiorfonr,rtfrlilnn'l?E Endomebritis uns[iln[sfl)
,is r f,uar,ordn',n.rnquflo.:fiil1d dsrrtnncunrn{atarnnrrflnrro{sfriar,'fir oti1 o'le
'/.aduarilorqrn 16fl'tr1tilfinta4n nruns rfiso'lunrriiqds flnanerrutt, trarttnrteuamrol
tlnu d$ltJlEl
r,at uacfagnu
I
a ufi rnnogrr,fru o o'lnn. s 1r ousrur nfiutsurfl drurirfl diiluinr:l,fi r {rdryt tounr:zi tsiotfi
?
105
4.3.1
oriuurl?surfiflu
rdohi'ldnrunildrsilq{tl'lo", tlu'irnrrstlllrflfioillcscufitnnao'lunriilmroris
im.:n.jrnril ril?su rfisu rnsuflneir.tfiuod'rt"lfiadrfirgqrnnfiil tilSsu [fisil ( P = o. o3s5 )
ttl
uasrirnlil rdetfrilfin#rritfiu r . or udot'irorefierm#lfiuCfiun..rttntndou :cscud.l
ori'luaT ruqrano {t r {rufirfinro1rnqi iiiufiotolturrsinrftidr,frutfiun.ttsu1e'irutu
{rl, admn tfiunirdrurr rfitrdfrori r iiofiqr fl'tritrfiuirurutui{l, tErrrinfiuufi t naoo'lu
1: suerurnnn ou-1ro. f; r no snrjl r ofi e r ?irfiu z iu d.ror q'tJilnfi r'hhrunT"ttnrnio[:stls
ufi onnooefirn'irnrru r$uc? s
t
nnoo rirr{ltjflrmufi5rudo z d'i1 nrlsrnrn{oilrcssudtnnao'lunriilil1:orifldu
[nnsir{c']nnril zo-go fl
riionrlqdreflq{srdmfiu rmdoqiordu orfru drudfinrrargrflaernnrrfit
a::,{ nr:r6urheuurfisnrr,{ ilrsrnnrirld,irg'lunT rinurusrura druruer{oto\lfl'll
ahnnrrd raso.lgnrrr{rdomdrnnrrr{n{outn wnnrritn:rrtfnrsnfifinfiuuu'ir
urror{sdil-ilnrrcsn:n{ourugcufi$nnocr duludlduornoirsodT t"lrfiedrfirg ernnril riltsu
rfieu en r{u ndlmrordlilfirJru{fiXru rflsqrnnrrfioott,{ uncfinrt t6uilrflgntrfioottt{
,Jesln1nl1ilrns{nilunfl.rrirfiu 1.?1 ltnu r.er n.lildrfiu uioficrrrrmmfl'jrrfiuneiunrarron
fipn-rufi uaovir orq"trildrfiuflc{Etitfifinfiilnsiontsunrndar:uElsud',lnnoorf,H',:flqfti
r6er usifir-edqienrsfirurrndadarde orfiu rlru rnnrirt{drelun'ltfnu1lfirurnfit
a ilrc rnn fiilrs{Anr:{rJrflunT nn'trfilorrli finr:u{urJrsrru,fioort,{ {rtrun{wa'r
nr:rhnnrrr{ rnuolsnrldriiamalrnntt,{o{totn fifiAnf,nnsianrrs$n:ntautugsufil
naoofi?a drafiunurnr:flnrrrat .clerk(34) druu'irnrroundounnaodfiq, rfirtlq{fllilfi
Bniilnsionr?sun:ndorrusuufi{naofl loffirudrlrroriuiut'rldiunrrgrrnriounnoofi fi
nruiltnr:gundxnlux*rfioorr,{ qsfinrryn'rrfior r{ouarstn rfiaoufi{oantd. $nsrcsu
Iflnil
I
J
ar rnr'lunrratitr tusruraufi .: nnonqudr n'jrodr.rfi fiudr drg
106
f
st''tild1du)
$ns o.9
4,4 if;nr:naoer
nriur:orfitnal rilr'luqinnooilnfi uncldilJnrlilunngi'lrodr',:fifitrdrfirg'lu
druirnaaofi orJnfi 'ltn{rm ton {aiufi dsn r
sa.g nrildrdilr unuuu'irnritlrrorisiufi
dflrrnrrfirairfiqtort6noannr':u'fiTfiatdrn'irnnlur:J?autfisl <tosnu 10'6 rns 13's
fl1Tnrul18to,gi6nlrnn0n (P = 0. 14oo)
drn'irnriurrl?flurfisu <f,oflau 31.7 ttnc
rqidffi'rnr:nnoorirfil'lunaitetr:otr{uru4tn'irnliil td?Elu rfisu ( iosn Y | ,6
straiilfiur doannr:flnurlnfirfigrfiunrrfrnrrta.: flsisni qmrinfiqa uac
nfli^nr{ nnnnnoror{t zo I fiumr:t^irfior tar rdnoonnrtufirfio.: lundurtor{s:u{oflau
'[unrfurrlte'utfieu rtsiunngil{qrnnrtfrnrrxon nAnrl tfieu
aind<zsr iiuiltoenr s.g 'lun6i$ilrrorr{s:il naufognu z'g 'lundttrl?eurfiflu rdl
rfisrfiufl3u{r{ nindr,:na rac dililrJ'ls qddlrrr(uB) unrnrtiqei ^qfl'tmrd(za)
uunr:airfiorarrfinoonnrwrirfiar'lunrjlm:orieiu drcmntiottac 4.0 rrl3eurfieufiil,
T1g{t1ufl1tfrnur'lugirtilrctntl Handy eb al<gol finrrfr ;onns Hopkins Hospital
uudnlnr:airfio rar ,6nuonn',.rurirfio,,r ro{il'rroliaiu'hln:tnrtrJiurlltnrronariourqtl
nRaoiosac tg.s uautoflns 14,2 totiaEuuonTnr
iludgr:rnr:airfin r or rdnaonnr surirfio{so r$rrorifliu
totieduuontnrsnrr Young and Meneen(1?)
fogae 10 Hessan and
Falls( 1t) r Azner end BennetL( le) r Duenhoelber( 15) f.run'ff[iffiOtOT t6n
oanmwfirfiar'lunrignrorisru nrn'jrnrhrilisutfisu nr':fiu{T rtfiil Machebti andrqlll
Menaker(1O)r Bniggs eb al.(11)1 Israel and l{oubensz(63)r Leppenb(35)
| | u d, t' t' q- - -r-.--- ----o-..1-. j-^^t-^-l-., -g.-,',,q--,.' I
u'irnr:rirfinrortfinoannr':ufirfio.tltn{unroriuit drn'jrnrilrd?surfreu tlsi
MussIo(rsl ldt^ttlnlliluslneirrsarn'l:EirfiotortfinoanmtufiTfiotooou'lro.fi{do{n.iil
druiunr rnnoorir fitfiu ilufinrilc s du r figrfiun'lrflnylno,r fisffldAA
ff[1'lnnnn
unc flAfird aqnqnorodtzot fir.rufofla, z,z lunailurrnrisdu unsioens t.z ttf.aoQlaoq---- --- 'flnrJrulsurilslr rnnrfielfiunrrflnrrror fl?r^rtrl n{a6ltna unu dillftt'ltl Qlt{?tl$(23)
'lrnrirm:orier'uiu unu{aflau z.og'lunriilrrlteur'nsu Bflnoir{qrntt
t ql
to.e unviognc 15.1
iiuufosnt 2,74 1
nr:flnrrta': nilinsi
I
a isrlurrdtzal fiilurfisofofln" o.gs'lunriilxrrnrtsdil drufu
107
?nrrfinmtusirtilrc tnfl Osbourne( 18) ' Hassen and Fells( l1) r
( z 1 ) uildn:1 d1ln1 rnnoorir fi ul1naiilur rotr ieiudrn"irndil t il-rsu t fi sutti
ilildflrlnltonoorrirfiultnritlrroriflduntn'irnril r rl?ail r fifltl
dnr nr rrirfio t o't r finoonnr turir fio l'lundum:or {edu tunrrfinuro{o'iltinu
fir..:a..: rfiatd?flurflsufiil:rstrunlrfins'l'lutcucrioup rdrt fl?usr{ ndndlrnn rau
d$tillg n{d?ti$(zgt tdufog av 2,74t Aznar and Berrnett( le) uuiogns 3.14
rsiriio rrl3eu rfieufiule..trulurssuufi.: cs1,ru'irod'ludslldruit'lnfi tfiflofir tdunr:flnrru u C a a b .^tat deimd nrulinfrnn uufognu 1o'g Herdv et al.(30)
"Durtogau 13.s fitfi
duriia,,rmqrniinu'tr fia.: mnluilqefiu nr ruhfio, o'l, finoonnr .rurir fi a'o r du,duodr',r lr n
fl1rn1{d'rrnrrairfio iflr$ nfirrfiao uncerrlfiflruu rufionruarmrn'lunr:ificdg
nrrsduflresiom:orunrnT rnldrsr uaunrrfrnu.o{0fifi0*'il dslnnr:d'rfio ror r6n
D D o r e r i t r r€t--,-a..----d- /r-----aann.t{tm'lno{ rilnnilill:6l11gtu snfl1'lflnil tilTertl lnsu Innfioe orq tfiosqrn ti]unrr
9tq
finrrlundlmrcrrigdu o1flmnn"ir tz fl d,,:rratrrtcscufifiil'jrtfinufitirfinurnrt
fioorrrinornnooti drrdunrrfiflul?o{ Goates(14) ttdc Dwyen(ZO) dlti*orlur'&
BSrfl gl1 {n0 {fl niltJ''l To1 n {n0 {lI
4,4.t
rdotildnT unlri'rgrJc{fl't0", uu'irnr:nnao^alorjnfim,lnriurtoT {uiu ldunn
s{roatirrfrfiadrfirgarnneiarrrJ3eurfrsu (P = 0,1410) rirnlurrds$flurinC o.ez [f,o{
,fiua'r. r{.tfiu n:cfln tfi.!nr.ur.ufionrrrir.:rutotitld re?rgunrnu#sfistuo sionr:
U:flr'lilg'rlJ1fl
,.fl'l:l^l'lfln1lfl
ir org1d"ifir$uflqindfrrufiuCfilnrrnnoofro:Jnfi u^rrfiunrrrJfirnonllfiXrudod z ti'ir
n'lrnn0nfiflrjnfituniiun:or{stuunnsir tfl nneiil r rlisu t fisu
riionrunurireilq{erfifl'lfiurmdodarflg orflu drcrnntotrirl{irelunrr
il:sifinrrnrl tflamnnrrfioott,{ nT r r €uriruu,',rfionttri {rurun{.:rot
runs o 1 sni:r{ r iiom af r nort,{o{o otn 6,an'l ti I ffi r sdnr t nfi fi dr u'lud1rlr,ru
nrliluonsir dno{tfl1innoofioilnfr'lulrrorfirno'rnair riT mT il rdsrflilfinCsir o,G4-! .77
Khwaja et al.
Mon i sson( 66)
I
I
at' I J vQ a
gn [?[flnilil1To'rn01nfl tu rnn tilo nt
runrnrirdfirirldrire'lunrtinurugrurn d:e tnndn I
108
t
t
I
r.irfldrinsrusrurnloirfirdrurur u?o rfiufinrownrjriifr trtruSruufir d u rJaolt ulllljQlg?ltl
uu(uarom 1 ilf, r,tl{u$ fl 1rfl 1 lnaonajnilncl fi o{o. o riin,0 e'1nnniui'lror lu r fia t raufi r fl rlr!1ilu61n {t
T1s orqqcldiun"l?oual$ilfitdulenxlunti tpri.,ate case)d6oux{rf,181'ltnolla ?uq$gt
uncfioflu'lc'lunrrfira'slfl1dn{finnnrrilorfiunr?crnin{oul{rioueuraodolnttoti't rfin t qr
6 E r t rd d VDu dt C-, --- | | q I o attaufl176nU1-ll1^iu1'lnAiltiltEillngu t0lllnltO$AtilUl^l[flr n{fl?1nflilil1101?fJiU a{41eiltuntl
amr{rtidn:lnlrnaoofiorln^sl'lrn.ir rrl?sil rfisun.rn'irnaimrro, isdu doafiunuunr:f,nur
rod r{rdx ri'lenortozr iir^ru'ir firhgiildiuflltouarfiufrrrtu (pnivabe case)gq
nrrddudfi:rnr:ai, fiotartfinoonlrwfirfiot IRU Haddad and Lundy(68)
eradt'b!61!de6ost:r1fl1'ra,l9toro't rofloonnl{uu11to{tfl{nu"lu PnivaLe case rdurfigrfiunllanulno{
Lepperb eb el(85) uu'jrnr:ouariounnoodfi cgfufiuCfiuif,nTrnnoner''rfln"j101fl ttac
ninrr rfisuaiadtzsr fir.ru'ir
nn.'uruou.rerrlddmiuCfiunrrnnoqfioilnfi
4,5 nguuudntunr:nudonnoo (Apgan Scone) lu s uT fi
ndllrrorfi',:ao'rn{r riru'tur!frnuuuilnfl1}rlrlrnufirnnoo rdr ro drun{riifi
nurrildnlumtnilfi':naaodl < rrirfiuu?oeirn'ir zr lrnriun:or{sru fio'nrrdrildds
n'irnrhrrj?sulfistt <tosnc 3.5 $ns r.o strildrdul riiononounrrdfifiuunrril[stnsir.]I au e e , ' u I t a
odrt"afledrdrgrareir tafisnc[uldnrunrrnufi{naoflxodrlrrorfirnorndr wnnrrflnurnocr
ndorfiunrtflnurtao firiisni ruurinfinn rnc flflfiild nnnnnnrrdtzol fiuunrnuu
dnllm1:flufi.:nnoodrn'ir e'lil'lunairrrj?gilrfisu ttfl& conry
u', ro'r {urun.r n'ir nrit r il?fl u r frsu
s illfi dosas z l,lnrirm:errisdr rrasfo€ns 4.G
eb el, (48) uuncwudnllml1flilfi{nnoodl 'lunitlt
llnu$nngi'1$c1fln''llflnr1x0s Hay and Boyd(9) ii
wdrnsuillnnrunrrnudooaoodronrnriilmrords:r fidn:rdusirn'irnril rrl?su rfiailqit
dtu zo"L"rrnan(38), Gern end Petzold<z7t lduunrtrtnntiromsncuuildnluntrfl
ufionaoosir tl s uifiroonlro',fionornduI
4,5,1
aqctJ
I1.1111'1
tr4rrca
Dnilflflr'l tlRsfl Ril [ uTgu I n8ilq-
109
Ir iio ld1 dnlrn leir fl fl q ie'l o",
rurd.-j-nailil1 to1afl Tmnc [iludn1un1 Tnl|n { nnonn'l
tl
$nneirsodrrfifirdrfirg crrinliilrrJiieurfisu (P = o.oool) rirnrrlrds,,rdufinC s,47
rudo'.:,jrorfl rfiuflq{eiifinrrufrufiu#fiunsuruf,nlunlrnufiitflaooril dtnonnfiolfiunll'or1ru
{od a ii'i. ornuunnlunlrnilfirnnoodrlrnainm:nrisiil roneilitc'lfln6iilt:lieurfisu
riionrunadrsflq{grfirrrfiu rwriioqlprf,a oriu rlrctnmo{ei,'[drirg'[unr:
inurus'lmn drurun{tro.t
nr:afrnn:r,{ uorolun::d riialral'rnort,{n{ourn dru'luqiamnrti tnrrr#nr tafi^qfilntm
nrlgrnnsir{no{nuuutnnlurlrrlufi.:ernoosir 'lunejltrrorununall til?eurfisu rdur6il
flnr{um:orar?r^#l{r.: drtrs frur rtrntu r4r1d, nrfiorfluiu{.t ,i'lr.tl firilr fir
diu r{r1r iunrnrr fgiarufiq, firhctfinrr{r!rflaarnn.:fionrtd, finrrr{lrire
n*r#oorrr{ rlrutnnrir'l{ti,s'lun1:tnurilsrurn il:crnnfi z, 3 [as 4' l*ilrahn
n:r,{, mahnn:rr{ r-. o{o unumdrnnrrdltlrrrldutn unoo'iruone''tnflq{snrt
r]rsifinrrnq tfluarnnrtfi oottd nrr r {urlrflrutfi onrr,{
t
I dt o . o 3 6l
rnn*oflfllrFruttuilf,n1!m1lflfia{na00sl1 tll
dxn'lltto{til1To'l rdur"oEnfiu Hardy ebt
raa36loltnnailnnoon qu$nuul[xdn1uTl1Tn01 mn
s urfi drn'j,isduuontn:tnrr rou connvt
riruorsudr flcftirudr'f,riufiufle{snrsdrutrlrugfia-fl'rnl qtnTu $ncnr:iu:J?nrr
v a u s ds - !r--- o
Er,ir rJ6r? 1ilnilulrn'nunsuiludn1iln1 tnufi t nnaa|{ir dsnfiunuunr:finnms Gnan and
perzotd(zzr iirur"irurrorieruldlffiansionuru$dnlililrrnufitnnoosil 'lu s urfi rtng
Zuckenman( zB) mdr rdo'[ti6i rnrsdn'l{dfifi uu'i1o''tflna{mio'tfin'lurflilfitCrfutrodJ t d rileegrtta?lrnEl?no{t fio nlTottn
tl
t u r 5l d da - .,l,lll11tJ1fO1igTI til tffi dfl 1f nilfl1t
q
eb e r . ( 4s ) uu'jrilq{Elnr.:dru r etruSrucair fi n'rrdriiuCfirnrurucnftmlrnei'l
j
4.6 ritufinnrrnu:nnnoo
ndun:o'rieiu'lfrrirrflorrrnurnnnoorlrufinr,odu a,ees ni$ dT lnriilril?suqq
rfisu z , gge ndu ,fionrnounr.:nfifruu'irnaiililrror{eduftftrufinn1rn$innnaarlers rodsltt
[grnsiroodrofifisCrfiilcrnnrilril?flurfisil (p = o'0000) ttacuu'j'rnltn$tflnn0ofirnf,n
s urfr
el. (3O)
t rios'lunEilur:nlisdufidnrrdrufiarn'irnait rrltsu rfisu< iosau ls' 1 rnt z. e slrildrdulqqt|lq
a
t
Ortaalilnnil tilTfliltnEJU
q
I
I
rl
drnaondo sfiunrrfinrrxo n d?fl 1,trr*r,lr{ < ga firunr:nornooootiruf,nrlofl'lunrlur:otr
isru foenu zo udviosau ?.2 lundrrrl?sur-neu uau deifld nnrrlnfiqn uacdflfiur{
nnnnnmrr{<aotqqiluiasnc za'e lundilillrotriedu uncfoenu tu.z lunrilrrJ?au
rfisu ain:r rfieudiad(25) uufosnu rz.e 'lunrimn:o'tiflru [acfasns 6'89
110
runrailinei ifllmtd(zat uutosas l0.s'lunrluntor{uiurfiot- I t
r:l?eu rfisufiilrssrunr:finrr'lusir.:dru tnfl ilnfll:flnrrnoonda{fiutrssruno{ Hassan
4.6.1
ruj?surfiau
dvrvb b q gQ I I e r4t-, ----^?--^-.a-rfia ld'tdntlnldrefleirl'tot ul'irn{rtrlrrnriuiufinlrnrrnnnooilrulnfioantt
end Falls(11), Alexander eL al.(31)r Briglgs et dl.e Osbounne(18)'
Zuckernan(eg), Aznar end BenneLb( 12) ltdu Donnelly(69) dSuU'ifdslffdfUmr:
nlrnuinnnoo'firufinfioe'luniiilmror{fldun'rnirnril til?el tfisu rsiumneirtqrnnr:finsr
sos coares ( rq.) frtrumrnuiflnnonrhufinrioe lundartrrorielil'lnd rfia.:fiun1fu rrttulql
rfiEru (iognc t9 nns 18 flrildrdul unc'Infirfifl,lfimrrfrnrlmo Poliakoff (62r'
Monnison(66) u,nc Gtank et, al.(34) fiulntrnu:nnnooritufinfioglundllrrorigdiltl
iaElac !7.4, 16 ttng zo.o mudrfiu
wnfllrfinurn{rfifiruu'ir dnrrdrrto{n''rrnrrflnnaoirufinrioe ({ogns ts. t
'luneimrrerriaiu uau{aflnc z.o lunailrrJisurfisul nrn'irnr:fintrsos utrt.tsl uruflu
uasffis(zo) fl il.fl,aszz duunl:nurflnnaorirufin'floeluiwiounrr.t1flm iosns 6
xo{rn'1rnnoofiouos, fio'f,a'''.riin{a'lnrcrfisuif,iiednuflneir.tfiu $nsn1tflflsro{ofitfiun'rtdtodq6
uflnflnur tou'tc&t1ro'lnnaounrnilttlfl unc rilun{mrafios fflronoolulrsug'tu'larril1l'1tr
rnr?'ldAm usinrtflnurro{ urlr^ln :trnrfiu fu flnurcrnnairfirodrtmnrimrg ntrr{-atltttd Jo e gB | -o--'--q-!!
r'
fi unsan rufr ilrnnoo alanl:f,nyrni rf,uu'iur rorr"fl ru'tririr t fi ornrrnnrn t ^notirufinriofl
il:ulrudor rdrrosnrh ril?flu rfieu d.rnoonfio.rfiurrtl.!'lunrrflnrrfiu", dlrtdnrirtnudr
' dr naeye< sl rdo'i'rfin'rrudrorurrfiu:vuirrrrrorluncnlrn'lun:rr{ 'lunrr ta?rgrfiutsl
r{r tiuun'r rnurnoou orlrufinfio en t
I111
n'i'rn{lrrl?flutfisu Bnsunneir.ladrtfifisdrfrX rrnn{ltrJ?eutfieu tp = o'ooo) rir
arril rdsrdrfind z. ro udor-irorflfrnrrilflrfiu#fiunrrnornouuotlrufinriosdtnonnfiosfiu
n**fr1rufio , ii.i.n.rnurnoooorl.ufinriofllun{ltrlrroriuitt uslfleirtqrnn{ilrr-Ftrutfieu
riionrunld,lErilcienrrdru rrordoqiorflu or?u thutnnmteirl't'iretunrr
fnrrilEtrura ilrcinnrrnrXrflelrnnrrfitorrr{ nr:t{urherntnfitnr:t{ {urunftms
nr:afrnn:r,{$nuarsn:rr{siiomalrnorr,{o{turn dlrludfif,tnuwirnrrflrrflnnoorhufln
fiou l1n{gyrror{eiuunnsirrodlrfiflgdrfiruqrnncirrrJ?eurfieu ent{umtnrorflr^lrriri,u
6rrrs n.rfroriudrrre iurqnrr dXiorufir,'$nrrr{uil'lEmtfitnrtti firir'l{ire
lunrrimuslma rhrrnnit z unudrsrnnfi o,'[rimqlrnn::r{ unsdrnnr:r{11'tslrffia
nrfl rirnrrilrdesfufinC o.ss-a.ls uaors'iruonqrnflqisnrsfiruorq flqierurir'ilfil
rfi1ilc{anrsdtrrrnuxfiq-flsnil qrn1il ununrriuu?n., fifiaof,"usionr"lilfrilfuC'lunrrn
urnoonofi.lufinrtosldrfiu tisnfiuauunrrfrnrrrot inrifl{' ortqn{atasl dr'ru'i,:Ts1d
m.:n:ounir ar?ura.:'uorrfinr, ldlfiudfiuntrnurno.uorl.ufinrias un, nflfiur{ d0n{ns
rtr{raer urir mrororflurnugnnrril flflqr rfilflqisdfluilCfiunrrnurnnnoofirufin
riotr nlr6 ortrSocsrl, qierin: nlufindtez), tlf,B dru?fl noeqafiud<ssl ttll
'irnr?snrr r6urhffi$"firor:,{fio.rdduCfiunitnurnnnonrirnfinrioe fl?nn drgrtd<aor
q?sr{or nm,rfind<g?) Bnu r{td tgltfiar^et<sel, qfin:r rfieuniadtzsl $ns
fiaaf, qtilruu:rssr uu,jurrorLiuruJ'rnnrrdqufioffinllillrnulnnnoorlrufin'floaq.r
n.i,rnrildl,rr^hnnrrr{ nrrflnsrlueiridrs tngl Kessel (42) uu'irnTctnlurnl:dr
orflur'l{ut*nu qudtfiuCfiunr:ntlrnouuorl.ufinrios Cornv(43), HuLchintatl utt'i't
rnrglruud, flduCfiunlTn$tnnnoorirufinfiog Hassan and Falls( 11), Dott End
' Fonb ( r e I uuirnrrounriaunnooti rfissm qs'ilalnsion'lrntt?fl nnoorlrufinrios uncfi odao
n6o sfiulnnrrfrnurms Easinan( 4o ) u'irorqldld r fitflafu rfisldfrAnf; ilnsionrmurn
nnoorrlrufinfiofl usiflq{ercnsrfiur{os, fi rasfl'rr$$niiotnnoofifinlrilfl$fiuCdre d{rrgln
girrfiunr:fiflr1ra{t Donnel ly( 6z) d"rri",n',rnnrno^uttl.fifinfiosqunsqolun{unrorr
N
I
t o'rs 15 fl nnuoirlottnrilors zo-zq fl
rrz
)
finunrsdffi losdiIil.ir nr rn r fi oludfinqs-$irrlrnl rn I ilfl {1 fl m nn'irnr:n t uffi s
fi dsrtrdru rderfiil r udnrtndnsosndrsfiu
'io rfiu
llnc
1nfir6g.rdur1s{1ffififialru1mr tldflr1sl lrwsrilrailu1l'1tr[nfrltflm flu'6'253o<?t I
iiruflndruto{til1tntuflit'ltl r tuetufit rrirfiu 1'o3 t I druilneh r rl5eutfifl mruir
dodrunrrn rueu.lnfldn.ir r5nrioe olqqs riiorq'lni6nr:{lfiT odr,saontrflnrr rrd rfiu{oiln
dnfiunr1ufi r fi rotir I itfi to t rlrcd'l n:dfl nrrl'fi
mrorfioaotnlil drlluritirirtionr:ntrtnnnoofiflin usin{ll,todaitfi
n'rrn rfinlfiilu uacnltflstlflufisnnoonrEIlu 24 JiT fus 4tn'irn{lril'ftlut-ngurdnr1ag
uufoflnc o'g [nufognu o.7 1un{ldnnnrt tfi ornr:n rfio"lffiutund$mrErr{eirtt
rd-rsurfisil tir'lnfirfisrfium:flnrrsa{ ail?nei tnlr,rpdtzal iiuunrtnrfinltfiult
iogns o.B usidrn.i.lnrrflnrrsor dsisnt quTinfiqa unt nflfilt{
dqa{not.rr{teor duun, :nrfierli?ultn{untnrtaiu foenc s.s $nsifosnc 1.1'Ilt
nriilrrj?gutfreu ununonnfiosfiunrrflnrltor! Hassan and Falls( l1)
flr,r'lun{unroriait4tn'irn{l rrl?au tfieu, usi ootnnoe lten ( t 5 ) $as
uu'irmin rfi erliitullnriililltnrisdurdrn'irndil t rltsu t fisiltt||
druiunr tgtr cmfi tnnoolunrjllrtor iaiu uu'i r4.r n'i r n{l r rJ?uu r fi uu
o,e) riia{orusnn{l artuqn'lietltttotnrtnrd{naoo mil$uum{t
quuu'irfififlsrrlu r du rfiedufi .rno tndl dssl'ln'lii t o
4,7 dnlunlTflulflnnocl
ndrmtnrieiiltnundil t il?su tfieuttt
fio dgtlnrrnrilrtdrgsianr:nturgfid 1oo n1 rdrfiu 1oe $ae tro nudrdu
I
nriilmrsrritdu
e
ilmnrmt'nerli
Sukantch( 19)
<fogns
t{tgglleo.8 uas
l{onth(72)
?
a
113
. irmttungffi tilqminrsto snrriiufimaoo6gtiltguliltJll .
i
tln{lmio, tailununql
0
dl t1trnlTsl1gt
l, Nonmal folspd
2' ConglenltEl nalfonnetlofi
3. Condltlon essocleted wlth |tnmgbtlnity
4, Asplryxte developed In labour
z
2
2
I
I
1
rdlfil
Ittrlrofin?n
,tiunndrs
a d rtrr -. u q - -. --!-A -rt. 1c tfflr tn'l'rd1 tilnn1?n18n0{n'}?flilnraa00 tttn1Tflnr1nt{t tlt
dlrrng?nil
n,rzni,rufinfiog,uaunria aspnyrra' d.r rdtnr r
unuufilrlddre usi6n e me dt rfiffi rilqnnnrlffinrtudrill tflofl
qrrlrldgrnfir r rmrufioad, flsrmtrlnddfiunftnrnndr unni
Bacflnlm1?flBrfinnoolmiunrorigflunundil r rFnr rfitru:. '" t .....;,' l' t
,I
;
rdotil'fi nrunildrgilq{slnn,, :'ll'' r,nJ'i'l nlrn r fi otr
orirrfiftrdrfrga'rnn{rnFaurfigu tp = o.?e6?) ri, nrrlrdss&tfinC t,+ dt1$rnn
,j
1, '.'
?
0tfens speclf lc cordltlon
114
onllfiSrudoii z ii'ir nr:nrfiolifiu'ltndur:oriaiu unneir'lqrnnriurr.Feiltfigu Bf,ch!
t
Iolct'tfl1'l
'iro rs 1dld:lciedfinmlfllfiuCfiunrr tfiolfflu
annrrflnnnfludulnrrf,nurto.t qunmfi tut:tl?rgtszl flruu'irmrorarg
zo fl tifinmrflduCfiunr:rfiolfiilu druflc{niil^ru'irfinmlfllfirCfir,nr:lfio"ti
3r,r fio ur:orii1*i*nahnnrtr{, -nnrrr{urJruourfioottd, nnocr'worjnfi, naaorioudrutn
$ncfinlilfinrlrsidrrtq ununr:flnslton 6til1^n qtrndnrfin<zsl lorflnrritntrrd
firurj: l?rdou unuuu'irorsldldilqie rdsreionrrsrrsil?tir rfio $nunoondatfilnrtflnyt
no{ DorL and Forr(16) iiuu'jrnr:onnriounnoo[aulflilt{'ll|u finl,dilfiu#fiun''t:nU
rfio"lifrr,l lrflu Genonimus(44) -nuuirlr:orisrulilldtf,unrtilstroitfl'lrrfier't{fiu rdu
rfisrfiu Kessel eb al .<4?; tluilnrtsnuln{urnr:,a ot d q o du u lo
o'r xu rx nr d vur r uriJq iefi dilfi uf fi unr tnr sd?rir r'uo
qio1il
,frnoo.nnlrn rfiorlf?r,rf irrrufios firfileirirannrilnilflc{e tfiofintrnrrilBslnsirt
nr:flnr, n{tfi,runnrufietilnfitatnttnlrnfinofio fl1lu FeLal disLress tlflu
!i.:rfiem$cnnon n.trfionoonnfiofludrsncuilrdfilmr:nufisnaoo (Apgar
fitrlrlrtafrrtnstudriltodncrurdnr{n'lrnilfidnnooudr uonqrnfiufi.:uu'ir
olufinrlrsirir rtffio rnei$mrorisiufi':ohn'irndu rrl?au rfisu r finfios < fosns o . 5 unc
o.g nrudtdut lonruu'irltnrilmrorfuiufinrrnfinrt 4 t1s usindilrrlSsutfisu"lnrrn
finrr ra :rg fi.::rsnsrfiflnernnrnod tz
I
nrrfinursir il1:o1tnngttun
Asphyxia
Score)
I
t
r15
Iudo { rilmnrnun?rrtfifl rr usidr r flo tgriT r ndlfinrr uncniil t LFflu t fi$J
a lt am1$,ff1'lTttgln'l ttlO nriur, ror{piu
(T'lg)
I
,tAril1n[U?{l r [1,191'lll lil'lA d n iootlfl'lt?ltll'lr tnflOnil
r{oron
Onphelocele
firfirrul s {r.!
3
I
5
5
z
I
I
t
rnrrtfirni$oirir rtnfirumnf; ono rnirfio rjrnnrri { une ruolrtlri ufiqctJ
ttJaldrnurr nsifin'lrldfinrrf,nurmnr rugr rdolfnrflJo rfiusfilmilatl€a!,
ilf$Jtngufltl
Ie UAU
$nu
mrflflmmr ds{ntf nmrtnfinntzol dr,nrirniurror{sitirntfinT tfln 'fosac
s's ununijltrFourfisu fosns t.s nrtlfinrfiuuil1nfro Menl
Anernepha r v fi *uu'jrfifins$uaft sjfir rdo fi rnnrrflnrr#.rfiuu'jr rugiltr tfirl
unurfinlfiilu 3 Tltt tfiu ttyatocephelusa
dnnmrrn, rfinr:usirir rflo orqrgdrnirnrril rfuq?s {q1flfl1?t
t om uhr r em uudmno n'ruuugiurfl nffafl nno r fi urn r lftnr rd r fi uld{n r qr G u V tr,lDlrrsrht t$ tn
tlag!'l'l Ifl 1f gl?? fi 0 n nl|'l lUUmJOfl ffi €
]d*a*.aru
Jaskrn unu
wnnrrflnrrnoErndosfiunlTfinrllos liassen end F'alls(tt)UDUglTdfllt{1l|mtnrufimrugift rfloluffirnrrnr{siuehn'irndl rrjftru rfirxJ
Coates( 14) uun?lrfinlilcirh 1fin1un{urrenieilXrn'irn{l r rFuu rftiu trru rntnu
rdsrftFruilfirlquasunoo rfiosre
o ililfr 6
nrilnrri{s rngio rduou$s
n.rfi onrrr{'lui#lor criol'fl rfiorilryrrsir s", toa t our uflrgulnl {fl 1 r$tmd finq,
.truo,an",rfion::r{tifitrlrrnrrfiorrlt6rl$nsfi1rn fi,,:lttrterriornnofl russnaoo unu
rcElcufi,,:nnoo nrtldn:rufisdnrumtilsfiuc?.! xou ttsl ttaun'11ilIltu:.:nostlrgurnlr
fioottr{iuiu c, rfirfioilnfitxru'lunrr'lrinr:flnvrunuurnrtflo.:fiu ufihfuurda'lqqs
rfiorrillltiqnoior {iiue-rnu'lqflnrrfirnrrcunrn{ail unyrunnhtnnonto{tJ'lloriuit 1u
1.| . ro"u.ulu*'lr'liuorr'lnar,. rfia rfiuuurnro'lunrrr]iurJlsunufimurrul?nr:ourfisnri
un, rHn ttncn1r11{ualunrounirsiolrt
6Aa,nfl1t?qg
nrrfinrrn{sirfiun, rflnsrfioilufirernnrirmrorisdu ors rg-rg fl
'6iu. 'lu1r.:ffirulnemltldllnrlltflm tsu'ilt r mnru fililn1nllBTn nttnl
f,urtnl u.fl.zbgl ,irtru Bzs f'rg uiaiogns 8.6 noitflltnuoetfiouoo (9'59o
durrnfiurrt:urfifluld zzs T1B unctfium:orore zo-so fl nnaoilnlnuttn
naoo
31
1'.]fl)
nr:r{
Irds'l u?ondrrrjiflilrfis:J ,iruru 1,sso t.u iildu.qrnnrrdiluilu'n:suulunnruit un,
a
rugs rrar"nfinrr tfigrfiu
1 . dnuflurrs rrtruSfiqflonil
nrilmrErrisdudflnurn{o'illnrqui.ddn 14 fl <fagac o.er druluqiorq rs flritt
<{osnu 38.8) unsarfifiorffiuu'ir.! za-2,4 fl'mndno <{asau 5s.5) ndlt:J?surfisutll
dru'luqiorq ?o-24 fl tfosns os'z) nnunrfiorgrcu'irs zs-zs fl mnd4n <foeac
4s.6) ndllrrorisiuCti'lurbrflerrnhrfior tioenu Eo.6) drundrulisutfieu
ordarrnuanriro,,:lrndnor <iosns 4B'B) nriilarrnrdedufinnrunrudilra ufire udr
nrlfl asn'irnrirriltsilrfieu tfosnu 4 unc r.e nudrdut
rununrjerrrJieutfieud'ubqior?u1nufl?nrril (foflns 50'5 unu?
alul0 1{u10 { nnilil'llo'l?uf ltti
as.o srr$drdul druiu
LT7
O
o rfiu{r:'r tn r titIilr^rulunaiilu r ror ifl ru trsiilutaaRt,
rTnr:fi r rtu"hnairlr :arr{erun{n'irnEiu njtsu t fieu
s.s'tun6iurilSautfrflu llRcotfiu
<iatlas 0.9 ttns o'r nrudrdul
or?uarfi1unrililr:orrisdruncffilrrJieur'ntlu dru'luqifrorfiuil{r.: <togas 36.e $nc
zz.z mildrfiul druar?uiu:'rtrn'rrno{arfinaiur:orisru tluriosnirnaiilrrltflurfisu
<faflnu b [as zo,a nlildrdul neitlrrarfitna':druluqinu, rndrrcgirinuruu'llJln
ii qr
1dr6l'i,nnu (d:srnnd u rsinriilmror{flduiildnur:n'ir:cdrinurusMn <ilrstnfl
ultnnirneilrrlitrurfisu (iosnc 13.8 unc g.s flrildrfiul rfinntRottnl':nfifi
uuir'tn'lurrflngi'1.:odr.rfiriedrdrg (P = <o'05) xo$olsnotf,rfi, dnlilnludtJfdr O'1flil
ilrc r nnro trir'[{.ir g'ltnr :inuruel u1a ttnc r torda{o r dut
z, dnuusnrsdruq!fl'u.r
I
NU
[nu
n{un rcrriaiufr rhu{fi nr:Xru r fl oer nn. rd ootrr{'fiosn'jrnaiu t il?ert t fieu < f,og
9,2 6Rc tZ,S nrsJiirdul uaudru'luqitfiocrnn'lrufi':slrilsrril1rfi tfoEJac 6,4
e. r mrildrdill uncm'tJn?rilunneirlodrtfifudrdrg (P = o.ole3) lurJrsifinrr
{ru rflua.rnn'lrfirnrrd n{unror{aitfinr: t {urirssstfioott,{o.nn'jrnrfu rrJtflu rfiflu
z,o n1ildrfiill losraulutrnfiosionrtturrflrfiuC <iosau 1.? [au
$nsalnfllTsrr?e VDRL urn fintn'jrrdufiu <iosnc l.z unu 0.7 gl'ltl
ri-rduI [iuumrmmnsir.]adrrfifiadrdrgtunrrr5urhflmtfi.rn::r{ $ns0{an'l5slrle VDRL
'lur:orfi.:natndl (P.= )0.05)
tfogac 3.1 Bau
o.e nrildrd:rl
nrrdiur* t o{o u.niido r{aenc eu olrnnr:r{i{nfiflndrudriosnu z.s unuldtd
nrilm:orieiudeulunhrdrnntrd'lulstrgniiaril tiosns 43.5) il'lsl11q
dagnu 1o. t drunr-hrrlSeutfisudrrlurflratrnnrtd'tulnrmndna.: tioenc
il.1ntlenlr,{61pu a n{unnd4or ttaenu 16's) rlrnnrtr{dnfi'undlrfirioflnu
alrnnr:r{
35.8)
t ro. c nnr'trillrahnnrrr{ rfis{iosn y z, r uu'irfinml[onsir.lodr.:"nfiudT drgt P = o,ooQ)
118
t
?
a
t
rz,9 ttnu 18.z nliliilfiu) losramsnaiilm:crr{erufi:cecfiao{rxo{fl1in1tnnoos1?tq
ru Rrn'irndlrrj?flurfigu <foflau 6.8 rtas 4.e nrudrfill usinrrnnaofiofio'ltnril
s | 3 , t d a ,b -il1ro'lTgir dhnirnriluj?eurfiflu <fasau 2.8 Bnu z,t nruirfiu)Jqrvb
rfioldldnruqil uncn?uqldrafla{amsd1ilt6lt$Xfic-fl'lnil qnnlurncfl1rilt
u?nrr tir^rmrrmsrneirrodr.rfifiudrdrglunllu[mnflarTsflunnan (P = )0.05) rir.i u a I t | ^ -- J o
n11ilras{dilfindodruu'i1.: o.z2-1.32 ilufio
xo{alsnrrd rfliomsfT nnr::{n{.:urn ,irurun{nro{n'nahnnt:,{ dnlufidlnnrrdrnsnrrq
,JOlsttrddnflflnrrn tlrflailil1f611?g5u$ncnntl tu1il [ruilItl
d,,:noErnfio r fiuaurfi 1r uda nrn
3.1 nt&l
11stln:n50uTsflun{n1'fl
nrillr:erT ieiu finrlcrnrndorrrerfion:rr{arn'irnaiilril?surfisu <tosncIttll
18.s $au z.a flrilitrdur lnsraulcnl?un?1ardutnfina,:n,u"fio.tr,{'luniilm:errifllur|rtl
uua.:n'jrncilril5eurfiflu tiorlRv 11.s [nc s s|udrd:l druitrn:tr{rfiuri'ruuonn0ol!rt
ilufaflnc 5,4 $nc z.t mruirfiu
r iioldldnlrnldr gfl q is'10", ffifinmil[stnsirtadrtfifiadtfirg <n = o.ooo)q
otrBaliln 1 ?c l|ntn1lollT uus ghtn?Tn
UllrdanO \:11'lT6l'l?tl1lt$RsnAil [ UTtlil t flElU
tqeirnrrilrdnrfufinC
2.46 rnsrfion'rmldrsflc{snrrdrurrtruXfic-d{nil din1il unsnrriuil?nr: dru'luri
fi r n ruunrr ilrnnsir r adr.:firiudr fir1 t riu r fu sn r iuarfi a rir.riun gnr: fi rJrsifi nr:nrg t fl u
ernnr:fi.:nr:d -lrnrr r {urhuo*rfioott,{ tin'ruT rndleririnrruerurn timoJT nnrrr{
runc0Jrnn:rd1u1nr$rn$rn u?adnfisildr fia uoncrnflc{gnrrdruors flqierffirifi.tfi
6nf; ilns,ian r1e[fl rfl fior:rstfi tnrrr{
nrirrur:oriaiufinrT uunrnfioilruucnnoo 'lnfi r'nsafiun{l rrJ?uu rfisu ( faflnu
IxSutuflsnaoo
v rvl d , r da,arfl hi'td r iltihiflfiIrSnf;unsian'lrc$nsn
q
119
t3.3 nlts$n:n{attlufluufidnaoo
nriurrnrifl :ttfi nr r c $nrnfroilrcsuudt naoo
4.9 ttac 3.t nuiirdul toEJtour"nrrsfildudtnnao
rrl3silrfisu t{osnu 1'7 tlRE o.z oriliirdul
Rrn'irnrirrrJteilrfiflu <fasau
I
naiililrro1 iaiuuu4sn'iIn{t
riialilldnrilnildrtrflqie'lo"l t{ufimriluslnsir,:adrlfifiudrdrg <r = o.oges)
rirnrrilriin,rfilfinC r.er nsiriion?uardrElflq{flnr',:drurrnulfia-dsnl qin1il tlacfl'lr
fuu?nr: deulur!1duun':rilrnnsir oadr sfifiadrfirg sn t{u nriulT :Enfr'tri"lrrJ:uifinr:4rU
rflncrnnrrfioortr{ uncfinr: r {urirstilrfioe'tt,i uiodnfiflildtfifio ron tufioq1nflq{fl
b01il 019t
orBoaaat4url c isn { no t g { il6 nf ilano n 1 ? s [t n r fl xa ur c I s un { nno 0l
9,4 nrrnaoofiordnfi
I u t a , oJ I r 14. -,q-.----4' -q- -.- .onailurtorifl:il nnonfioilnffdrnirnriiltilSeut-nsutdnfos (foflac 31.7 $aulll
s4.9 elrildrdillt u d o D 5l | -rr-- t--i---t I
$acnt:d1frot01 t6naonnl{ilil1114\l lunnilil1To'1?u1il91'1fl?1flailqtl
u (iogns 10,5 $nB l3'3 gl1iln1nu)
riiold'tdnrunldrfl:lq{s'lot "tdulnllumnsi'l':odrtfifiudtfirg (P = o. 1410)
l3,3 srriliilfiulrrl3surfiuil tiosns
rirnrurrdfl,lflilfinC o,az uoi'rdonruqildrflflq{snrrdrurrlrugfitfitnl dtnlu rncnl:
iuutnrr airuluqitiuunrriluclnsirrotir,:fififldrfirgtotnr:nnoofiorJnfi rdu rfil sn r{unnil
il1ro1rmlurfiar unsirrir'l{.irs'lunr:tnurwtrurnilrc tnnfr r uiofinf,sild^rfioorglri"toi
d q u Coo o | 6 | c ---f-q-rr---{----^-u-.€lQ-Q---l----^^^^g^-t^9. 'rilililaesn$ailrunflon1rnaaarfioilnfi usiflq{efi.tna.:nfiufiEnfiuas{onrrflnao'worjnfrrurnn'ir
3.5
neitmroriedufinc$urdn1uil.ltflltfi{naocreir 'ludnriin.:n'irn{l rrlittu tfieu
rfoeau s.5 $ns t erruirfiul riiobilsinrunusi'tsflq{s10ryru'irndrm:etriaiufinuuluttt
dn'llmltfllrfi.rnnoodr unngirlotirsfifiedrdrg (P = o.ooot crnnairJtrJteurfisu rirnln
rdfl,rfrilfinC a.47 rrir uoiriianruqldredruilrnr,,:drutstruXfia-flrn*r dxnlu [aun'l:
f1xtnr: Ei'ru'lur!firnduilnlrurernsir{odrrfifiedrfi(U en t{uu'lrororir,riu{r,,: d1trfl
a
D
nu uuildnrlm'r tnufi {t nnoo{fi 'r
t1eo
r{rur rirml rfirlr arfiorf,ufl{rr drt'rs rirur firnru rflrl: furxnrr iSiarufir fi
iltcifinrrnqrflalrnnrtfion:rd finrrr{uriruo*"fioorrr{ nt'lnntrr{ t-s o{o $Rsdrn
nrr,{'lu1urril'rdurn uio5nfisild.:fi0 uon rufiocrnflqisnr{druo'rEr flqiedtniir, fiinfir.rn
sionc n[udn rtmr :nufi t nna osir
e,6 nlrnurnnaoorhflfinfioer I r o ? o t - r I rd a .J
flnefiJ'no'l1gtutJnlrntltflnnooltll{ilfluog R{nl'lnnillilTEIiltngil (:o8act'rgt
ilns z.e srrildrfiu riialdlfinruqlfirurhirllo.l uufinlruusrnsirtodr':"tflad'rfirgq
o.ooo) enrilrdflrddnC z. to nir,r^o rfioouqldruft{unr.:drurRruXfrl-t
fl':nr dtnrfl uncnr:iutnrr dtr'lunifion{mlflllurslnsirsadrrfrrisdrdrurdutfiil snr{u
mrororfiuudriru firrrtr nrfrorfrufirrrs iurrtnrr iXinrufia finrrr{urlrur*rfio
n::r{ firir'lddtlunrrinulugrulailrc rnnii e $ac 4V -'o . d o e o DtgtTil1ntlTn iltaonilfluu{no raflQ1nilceE nl{o'illo1EI
q
Limalrnnrrd racafrnnr:tieorEooolilec8 r un'uilonsunnan'l Tfl $Tn
? or,n400il'1u11fl1108
I u r Oso a a Vta Q s a 0 r d o .iflailil'lr6l'rlrj:n tltfil r [nn1Tfl rRo ttnu tnn lns{f,ilnRil ril5gu IREJU ( iagnu o. 9ttt
$nc o,? slriliirdll unuhhunrlsltnneil\:odrs"lrfisdrfiru (p = o.?962) rirn?rilrdg.:
fllfinC t.zz rrir
<taflns o.5 ttnu
? e a ro a O I u r I i r r ra dn "lilTun? 1 ill^tfl 'r fl tnn'l mo tltflnilN1 tfi1 ?gTu]nj?1 9t1fl ? 1 nRil t ilTgil [ nEJUtlt
o.s nreri$rfiul ununrufin.td*uo.niiaofio ilrnurir rtrorltu'j
do rauo[us
t 15. 1
(P=
-O
1, nr:rirdnnrriielil'tfr' nr'iduu?nt:
}
- q! 3 o c i u r Or, d o u )- n?? tiln?ltl? nlrrusll1 unillT9t't?EJTU tutuiln?1ild1nr!fi0ln1T0[nnoilnnaotI
odr{ tfis':ila tfio.:.'''nannrriftmrir firufilr:orisrudril'luqi*uafrnnrrd usifincc
mohnnrrdnfsurnlulflril'rddn1il rnuil1 rftlrn{,r rfisr nncnlls$nrn.ilourueufionrrr{d- | | ra sflR{fl?'tflnil tiltEtlj tngil
llq
tb a s da- a?t t1l1[lltn'lf?1 {ttGtilflTailfit? luuu tflr
I t, d t V rq} Gi129 tllllsEtcfllTilUnfnilqo til tltll'Iilla rilod.lt
unuwnmifi .rnrtrfirifi rrjrunrd nm'irmro'l eo-so
- nrrtfinrrilartc rorlqlC o$nriornnoorsfiufirrtr mnfirnrr
rSffinurwfi s nrrdcufi ,s ufi s nnonurilr rnr{uiu r fra s.rnwnnr ifi nn mriT
dnrr gdsosian'fir tqrfi ssio$rro'r$acnrrn
t nrsdruuiurr| -a Or ,'- fl?rd{t Id5ilfl'15 tun'l'lilf
d qr8 Jo I
rfio-lfifirnrrd"tttrcsu rtnrfi rulr udn
nnu{outnrf, ?'l {r urJtnsounirodr
l
l
- nrrfi:uuud,rsiolunrrqundaunnonoe,ir osio rfio rmsnn?fi rnrrr{
ffinrrdrnrru{ruoinuurit lnssJoulunstrunlrflr?qnrrr{tf rfin
n'r m rnrfirtjf uu?nr rnn r uut nT rodt'rld
nrrfiruigrntr
,$u{aXn r'fia.rfiuCrutunrrflnrriig rdrutln
onr"onr rfi ,r nr:ddIdfi r ilren r 6{
o V.OD D I- r'r uJ tiln?1ilrununn'rnr6t'rs1ttldn unsfi rfiflr{o.rtunrrrimuottt
un, tdn
z, nrrflrrurt{Eleialil
r . flrprurf,e{e rdetmuorntfirrnrriJsdu
z, flnrrararusgs'lrno{fl1rfioffirdisdt fiwrorunen,rrn rdu
mt rdn
B, ?lnrT Bn$unrodnlrounriomaooorhr rfisttndot^nn
onaoo ,fu
sdrurrtruXfir
trflunrr
udagriigdu
,D 4 . flnnurrduulfi rutrvdarlunrrguir r finra..rdn?{eiu
orflll1n11
tz2
trofld1fd1{on
rHniuiu r uq'orn:ttt tfiurfiunlrr, raTrgfiud. qnuilrfl'lirr1. Ul^llTll[ adiflru'r.
:lrc{rnr
I 1-6.
dnrfiilil:ctlnrdldn{ qfialnrniililrins1ds 2530; afiud ge
z, d.rrlq6 rrfrqlnnrnr. ifldul4roc"t:firad. ilrc{rn:[ncn1rftIul anrfiuiiu
ilrudrn:uacflrnrr ilurinflfietfion aszgl flfi z, ofluit r I 1-8.
3, WonbinglLon Robents BSr Rees .lM. NuLniLional
Pregnant' Adolescent, ln I NubniLion in
Lactation. EdiLed by WorLhin3ton - Roberts
Jr Wi lliams SR. 3rd Ed. St. Louis t
Publishingr l9B5 ! ZO7-32,
4. Population Reports. Youth in bhe 1980 s I Social and
Concerns. Population InformeLion pnoslramr The Johns
Univensibyr Series M. No'9 Marylendr 1985 I 350-78.
5. Naeye RL. Teeneged and Pre-beenaged Pnegnancies t Gonsequences of
the Febal - Malernel Compebiblon for NutrienLs. Pediafnics
1981i 67 | 146-50.
fluti
6r flO.
'r. {?fls 6rn:il:stf,?X. nrrfi,:nrrr{tuiedr. '[r o nfinrnn{:ur6u-o.ooclsttitto'l unumtu, uTft['16fl'lT. nT{l?l!1il1t'lllflT ! o.s'
tt
House, 2530 : 511-21.
tNeeds of The
Pregnancy and
BS r Vermeer.sch
Mosby College
Health
Hopkins
t
6. no{ol1fisnroilnil . {fioortr{usi rdn riinrducrlenl . drtou'tfienrouni? .
dzcmn?i''rrd1rfl ''rrolr'lfisarounir ntclttl ndlf ltt[dx zsag r flii
I 8-9,ofl1ulf €
Prlnbing
D
tt?,3
lt IB. rttddamdrldlrdls'tr$dxnn1{. nfifiaro'li$dn. noidfiAdlr''lr$dn drfinr, trldnltnitl
ntuntl{dls'lflndi. flT{rmt$Jlr'lun: r a,te{n1Td{tnr1s#nurthufin,
ZSZB t 3O-5.
9. Hay DM' Boyd JJ. A Sbudy of Lhe ObsLetnic Perfornance of Lhe
Adolescenl Jarnaicen Pnirnignavida, An J Obsteb Gynecol 19731
116 ; 34-8,
lO, Machetti AAr Menaker JS. Pregnancy and the Adolescenb' Am 'J
ObsLeL Gynecol 1950i 5O t 1OI3-UO.
11, Hassan HM' Falls FH. The Younsl Primipare. Am J Obstet Gynecol
1964i 88 l 256-8,
tZ, Aznar Rr Bennebt AE. PreEnancy in the
Obsbeb Gynecol 1961i 81 : 934-9.
13. Mr.issio TJ. Pniniglravidas under Age 14.
84 z 442-4,
Adolescenb Girl ' Afit J
Am J Obsbeb Gynecol 1962i
t4, Coabes JB, ObsLebr.ics in Lhe Veny Yor:ng Adolescenb. Am J ObsLeL
Gynecol t970i lOB : 68-71.
15. DuenhoelLer JH, Jimenez JMr Bsunann Pregnancy Penformance of
Agte. obsbeb Gynecol 1975;PetienLs unden Fifteen Yeans
46 r 49-52.
16, DobL AB, Font AT. Medical and Social Fecbors Affectingl Eanly
Teenagle Preglnancy. Anr J Obsteb Gynecol 19761 lZS t 532-5,
t7. Youngs DDr Manean AR. The pnegnsnt Adolescent PaLienL. ln t
Sciarna Gynaecologiy and Obstebricsr Vol..6. Edibed by
Zatuchnl Glr Daly MJ, Scierna JJ. Revised Ed. Philedelphie
I Hanper & Row Publishersr 1987 : 1-6.'
a
tG.
of
)
l
,}
te4
18. gsboqnne GKr Howat RCL, JOndan l,tl, The Of$tEtric Orbcome of
Teenagle Pnegnency. Bn J Obsbet GynecQl 1981f 88 t 215-21'
lg.SukanichACrRoglersKDrMcDonaldHM'Ph$stcellhbunityend
OuLcone of Pnegnancy in Primiparas Voungen ThEn 16 YearsI
' of Age. PedlaLrics 19861 ?8 I 31-6'
?j0. Duryer JF' Teenagle Pneginency. Anr J ObsteL Gynecol 1974t 118 t
. 373-6.
t ?'1, Khwaia SS; Al-Stbal MHr At-Seleimsn, tO' El-Zikleh
ImplicaLions of Pnegfrancy in Adolesc€lc€r
, 0ynecol Scerd 1986i 55 : 57-61' l
*. Sbeven RE. The Febus and Nerply Bonn lnfant t..,]Pnenabal Envlnorunent, Znd Ed. Sairrb
MG. Obstetntc
Acba Obstet
lnfluence of the
Louis t The C.V.
lfosby Companyr .197V,,a
zs. fl3usd ninfirtnn' d$ilil1u q{{'lr?tr.
zszot fld zg, sfiud 7 r e67-72,
24, dilfud 6qr1ugrd, qrtun dil'rudlfi, nrrfitrnrdtlfiltoq. urlnsdlrm1tolfllfl
2524r ffi zr, otud o r 24e-54, l
zs. {tnn rflsun{#. flq{#lfinrrdrntu#fiunnfiurdrornrtfioorrr{ lnlrtororqoi,
n.i.r -eo fl. inarfumCrfnygringrrlrf,nnmrf$fin (flslnrdlnrnn{l
dlxlowlfirludunut6n. h?niffirfis lurinerdelfion, gJ526.'li
:z6, flsin{ qnrlnfiqn, flflfiild nqnEorod' anfl'ltfisrnrdtowrtnr{eil'
r?estudrrddlr 253or'fld'zo', ofiud z t 86-e?'
ZT, G1arn SMrlPEtzold AS, Chsnestentstics of the i,AoUnen Errd Chtld tn
Teenegie Pneginency. Agt J Dts Chid l988l 13? ! 365-8'
g ta o In'lfn{tnrrnr[?Et7lt' dlfa?T1d
I
f
D
; ?z8, Zuckernan Br Alpenb .JJr Dooltr\{ Er eb at. Neonabal Otitcomell
ls Adolescerrb Pnegrnency e'Rlsk Facbon ? Pedletr.lcs
71 r 489-93.
29. Holtingswonth DR, The Pnegnent AdolesoenL r A Soctologlic Problen
wibh MedicEl Conseguences. tn t idedtcBl Conpllcebion
- dunlng Pnegfrancy. Edlted by Br.rnnocr GlNr Fennls TF. Znd Ed.
Phlledelphlat WB. SEundens CornpEnyr 1988 r 546-57,
30, Hendy JB, King T!!r Repke JT, The Jotrns Hopktiis Adolescent Pneghancyi.
Proglnen r An Evaluat lon. ObsLet GVnecol 198?1 69 I 3OO-5.
31, AlExanden GRr Psbenson DJr Hulsey TCr Glibson JJr Adolescent Sexusl
AcLiviby end pneginEncy in South Ganotirn r Tnendsr Risks,
end Pnactlce Inpllcations, Soubh MeU .l f987i 80 t 581-4.
1e5
t
1983r
Er
B
I
?,
t(611f1:$d1rl1dflf )
26?8,
. AnbenaLal Cane end Educetlon ofl
Beneflclel Effest on Pnegnancy end Ortcome.
95. Leppenb
86. il{finrd qrwrn, fl?qn ftnorl, r{Td rprarfirnfi, n1rflnrrflq{edfiansio
nrrrhlfri, nflnurnrfioriasddffiicrsrnr. ail1fisn?ornir eszsl fld ro
az. n?nr ???sl{rl.- nT rfi'rnrrr{dsiu. tmrflililfiFryrlltnflflldsnrmlfu?Fl
d'Miffinmtrsillcr' fuflerlnerds rmrtnsrde$fion,
33, Kane SH. St$nlftcance of Pnenetal Cere, Obsteb Gynecol 1964t 24
r 66-71
94. Clank AM1 Thomsqn HDr MErrtetl CDr Hutbon in,
99 r 59-62.
PC, Namenow PBs Banken D. Pnegfrericy. Orbcones
AdolescEnb end Olden l{onBn Recelvlng 0ompnEhenslve
Care, .I Adolese Heelth Cane 19861 7 t ll}-7,
OonpnEhenslvE
AdolescenLs I
NZ Med J 1986t
Ar6ng
PnenatEl
t sfiud r r ss-42'
tt26
97. q?grin: flil1,,l86tflr niln1s u1nsfln. nrrfinurfinriluill16t']lilsii'hftil tfiomrnul
u:n r finrlrufinfiofl . r'ts{'l[iisnlFti{'ln'lr1{tllu1nd1s'lrs{nfl'1dn{ n$u
sB. u..illx uusrfisr'fl. flc{eiifiansionlrrfronlrnrirrfinriotJ. inerfiiluCtFrygrinar
flldnrilmfiufin (d'ts.ntrf,xtl'tdq{) R'11'l0u'lfisuiuns t6n. firufininerfis
nulinrJldslfion, g,5?.4,
99. fian"u ulrjtcg:,tllilrggr fi:fifisrnsrn:,
A 6u I a -a-enfif,u?i. rfiilflT drfirrrfiq,
fl c{e r dn r3o o urtor"'it'lririr r fioalinrl xlruqnd, rfltrsl
l^rg1u'] Rtl1dgt{ ilil1inerdgil^uon. fl1{t lm{ilil1lLfil, z5z7 .
drn?
A tu I
a?ton1tfl $Tn t flell11f ufl lag'
775-82,
qtln{nr0ir'}trd1r 253o; fld sr, afilfi to :'
40. Baird D. The Epideniologiy of Premaburity. J Pediebn 19641 65 3
909-23.
HuLchins Flr Kendall Nr Rubino J' Experlence wiLh Teena$e
Pnegrrency, Obstet Gynecol 1979i 54 I 1-5'
Kessel E, SasLnawinabe Sr lrlunford SD. Connelated of Febal Gnourbh
end Snrvivel. Acta Peediatn Scsnd 19851 319 (Suppl 1) 3
rzo-7
Cory JFr Knof PC, Newman NMt Cunnen JT. Adolescenb Pregnancy in
Tesnania. Med J Ausb 19841 141 ; 150-3'
44. Geronimus AT, The Effecb of Racer Residence and PnenaLel Cene on
the Reletionship of Maternal ABe bo Neonebal Mortaliby.
An J Public Heelth 1986; ?6 I l4t6-2t.
or?nnf,s. r dru5fr o-dsnil rnsfl 1'lclnturnrrto {tJlroliifialasiotrufin
$rflnnonra{il'un1ns. inerfumfiI?rygrinrrrtldnrilu'lfiufin <tntu5nfl )
?rT{rQglTTslll.I
41 .
42,
t43.
4s, inrisni
tdrnltni$ifie1, rirufininsrfie ilurindrfisrfion, z5z?.
l
r27
46. flAirud dflndnmid, rJciflfifinrT ldlfiuCfiurlT ufinu:nnaootannrrnfisirn'irilnfi .qq
i ne't'ruuCil?rygr i nu'r rt r nn:ilu r fi $fi n ( n$c ttt^rlsrlr nsl{lt ils u r ar r m 6 ud I
d.1n.rn1 r r e?rgfiu#ttns1r': uwuiltc{1nr . firu?rninfl rfie uurinfl rdelfi on,
2,52,5,
47, Fedrick J, Adelstein P. tnfluence of Pregnancy Spacingl on OuLcome
of Pnegnency' Br Med J 19731 29 ; 753-66'
48. Deniel WA. Pnegnancy. In I The Adolescent, Pebienb' Edibed by
Daniel t,\|A. SainL Louid ; The c.v. Mosby companyr 1970 :
188- 195.
49. pengelekis SNr Papadimibnion GCr Doxiedis SA. lnfluence of lnduced
end Sponbaneous AbonLion on bhe oubcone of subsequent
Pregnancy' Arn J Obsteb Gynecol 19731 116 I 799-905'
t
I
so. il14 nas rAil. c,ano{fl11rfi.:un:nrr,{$rnii-ilei0nrit{fi01il1il11{iltt'lll'ln?1mfittfi.
inu, fiuuCrJ?rygrinurrtldflrilmfirufin (ffrcuilnufl'ldn{lr'lus1il1al'ltJrfrufil
d1r'tn'tf t l?rgfiuCuau?1 dttt^Jilthcg1flt, riru?rflinsrfis rm1inerfifllfron,
2527,
5 r . dil.Ifi or? rda . rlqdflduflrlniifrAnfiungiofirufinrrn rfinso{n1rfl. inflrfluuC
rJ?rggT inurrl, dqiilillti$?m ( d1o'lt$nxdldn{ ) d1t1ns'lu'lnd1f''lrlrdn .
firu?rsrinerfis ilil1inflfie$fion' a,5z'6,
sz, drnlllfi rudrrq?rg, ilciuiifinrldlfiuCfiunrrrfiolffiu' insriffiCil?Wr
SnsrRrnnururrinrfin (d'1r'ltldnntnm{l d1x1oilxfiflnrouni?. ftt?ltt
insrfis ililrinerdfltfion, zszl,
ss. iirure noenafiud.I
allq lltgatatlalt -YUv
flq{a rdfl {ur srjrcnrrfifintrlfrmilCfiuandufi o snr:fi .:nrrr{
r'osr 1uil'r?o'r014 ss fl{uld. insrflffiCd?w1ins1flldnrrm1fi$frsl
(dlmrudrdran{l d'l?1ail1fisnrourti't. finr?rninflrftl ililrinflfiu
tfinn, 25?3,I
lZB
I
e
I
t
54, ndnd nfinrir:rft, drnur cro:iuor. il'rrnurntfiorflufinriafl' n^slnrnnf-rttttl
T'1il'16ilfi. firuur elnrtilnl [ogfl{ugr ur:sl6n1t. flr{tlnutJlf'luntl|1
l O.S. PninLinEl Houser 2530 t 88.
55, drfin.rrmfi'nurirtrfi drfinurani5ilus6. drilutuilrst'lnr[asfllrtnur*t:rt
o'uulifrr uasfllnei'r{r9, il e513.
s6. r]rfu# ilrudrnqn, afitrfi drinqnfirrd, uoutnii rfilrfin, finor
avlaa-saa-rlisrrifluuunrl, ftrnurru 6rtrfin6. uqfin::iln'r{nlflriourrsi.t{ruro.l
iflru'lu r ssr rfio r$ns rrsr{urJr' n1:il:cgilix'lfllflJruilnrfl 'rdfl{uri,otrfi
esgo, 1t.:rr:16ffir?gn, z5go r zg4-g2.
s?. rrrtuisnl d?rrnr, run.rfiootrr{ldrlrr:nrluncfllTnldr rfisrnr€ilfi.rnrrfirnrrr{qq
ldilrrnur m r nsrt r e?ryfiuC'luilre r nfllns. iffinfiffiCd?rygrirur dldgrt
ilurfirufisl ( n$cu!$redras'{1roils1u1nr1il16ufi I drmnrr r l?rgfiu{uau
?1{uar[drsd1nr. finrfrninerfis iluriffirfietfinn, essl,
sB. fitnr eiu6, fl?qn brtrrqind, r^r:flfi omirruJ. ilEtd'turia.:dur3or,luuenlTallnnTTn. fl1{il?ffr r flo{oll1ilgtnoilntl n1ilou1ilg flTcnl'l{t
f,10't?mdt, 2526 | 27.i
s9. nosourfisnrounfr nrunr?{rd10'nr[f,1. ur^ftr{r1lloilrfisnriuacr6n ronnrrdodttur,
ruufttur trt:rXfrlnncdrnilildstrfi sfiud 6, u'11.z5so-45s4 i t-?.
60' Goldberg GLr Cnaig GJ, 0bsbetnic Complicabions in Adolescenb
Pregllrancies. S Afr Med J 19831 22 s 863-4.
61. .Clough l,lS. The Young Pnlmlpere. Obstet Gynecol 1958f 12 s 373-81.
62. Poliakoff SRr Ablanba GA. Preghancy in The Young Prlnigravida, Am
J ObsLeL Gynecol 1958; 76 r 746-51,
63. lsreel SLr Woutersz TB. Teenage ObsLetrics. Arn J ObsbeL Gynecol
1963; 85 I 659-68.
I66aRt?{n $ac g{gn0 tur
!
LZg
luglEl, n1f I aunfrnnRoo lllultlu' 1u'4fiM, TUrJ5fi
u(
nrnn{ruriufi. OAAflll|lt{ e1nlEilO1 llflsnflur UTllltlf'fl'11. fll€t?11'lIt
I
lJl|1ilnT t O.S. Printing Houser 2530 t e51-61.
65. Grant JAr Heald FP. Conplicebions of AdolescenL Pregltrancy t Survey
of the Liberature on Fetal Outcorne in AdolescBDCBr Clin
Pedietn 1972i 11 g 567,
66. Mornison JH, The Adolescent Pnimigrevide. ObsLet, Gynecol 1953i 2
z 297-301,
67 . r{udr drsnar, nrrfrnrr ril?surfrsufiruuuntrnfifrnuned,:nrru1{ilrufl1: tcu'j'r{r
sr''rro'riilhnfio rfi rnnoon{su:nuaunnoorjnfillt:{utr'ru'rn?1il16u4 r }r. 6,
zaz7, int 1fiilrfiJ?rggrinar n't dfl r$il'l fisfifl ( flBc u,msdrnn{t:.!$€Jr ura
nil16il6) d1x1n1rrq?fffiuC$ac?1{u0Jil'thul'tf)r. inufininflrds
tllninsrfisilfion, ebzs.
68. Haddad Hr Lundy LE, Chenglingl lndicaLions fon Ceserean Secbion a
38 Yeen Experience ab a CommuniLy Hospital. Obstet
Gynecol 1978; 51 I 133-7.
69. Donnelly JFr Flowens CE, Creadick RN, Well HB, Greenber.g BG,
Surles KB. Matennalr Fetal and Environmentel FacLors in
PrerraLunity. Am J Obstet Gynecol 1964; 88 I 918-27.
?Q, rJrrl{sr u:rufll, rtn fisnncfl?, ofudfl iindmfiuC, fl1rflnrrflr{flsir.t,,dfi
angiofrufinnlTflrtfl rfio. !'lddlllr\rlrg1il'rn$r'rrltrtnrrliflNl'r z5zB;
fld g, ariud r i 1-8.
nfifidrsnil'rr rldflrrr lrsilsrmailil1TldnFnr1dflill I tsBT,
l
71,
72, druus e1nrAuo1, :Jrcfind lorlru rn?5ni'ad. fllronuro€nrrnil?dr rfio..A- ( a a
nfln'lnntf'1il'161t9t. druu.: clnlaltn'l ununilc, ilrrs1frn'lT. nT{r[m,l!tt
illf1lln: I o.s. Prinbingf Houser 2530 : 6l-71.{
I130
zs. drrur f,trnrfi$fio. ilciedfiwasionrrnreil?firr'no'lui.:uin41tfiu I nr:itntrtd
druilr r ?ldou. inerfimCtJ?rygrinurrtrdslrilu'ui$fin t n$sdrslf$dn-
nrnn{r aT trflrnfifi. ftlfrstinerfie $ilrinerftlilficn ' zszs,
74. frlu 4miad $ otlos1. nfi'sln'lri{e. rrrdrnililr1ilnt ! 'fir.rrildru{rfio
tot toufl'lffilri, zszl
7s, dild1g afiuCrf,t. ufinruu'rrringr. nrdrililillt1ilnr ! 1:sfixr{nrlfinr, zszr
a
l
,il,
I
n
ll
1l
i1
il
ll
ili
jl
i
itJI
,i,
f
nlfsrl?fl fl.
. e -.)Bun$ilnolnt.
;
t
131
Juuufiufrn{o{o
4/rtirr6lqrTal n11uuiltflflotr$Rsanfl''rrnnooio{tilrror{edu 'tu"lrtusru''rnilil1i'r{ttnrtt{flil''l
il u.rl'2530
r fi il{alncr nnilotls {r 1ufl 'rrnnoo uac r ldlu rfi eufi:ire\! r
I
s'auf{ r domnr.:durdrulfie-flrnr drnru $nsnrruintr
l. HospiLal Nunbgr.. 1.. '. | .. o r
z, do. .., o...,... r,...ll'11Ji1flfl....... o r,,
3. iu rfiou fl naaq'r..,,trft,.rr..,r.i'r
4, 01iJ...... r...flq
5' O'lg (dl'il) ......, 'flt
t 6. rmfiodorflErll
Oo( ) 1, tlttilo{t
( ) 2. uonlfio{
'( I g. {tuiodu",
7. f,n1m1udilfd
. ( )1.1f,0( )e.ti
T
( ) 3. uli.tg
( ) 4. utit ngn
( ) 9, ldnr"ru
t--r-rlfirurr:fi lnrou,iii I
dr,ratilnoiln
It-ID
I
2
3
I '-o
I
I
5-6
' 7-8
9
4 10
,{
;
132
r--T--l|firurrriiIn"o'iiiI
B. or?u <fii:.ru?nrrr
( ) 1. rrririru
( ) z, iu{rs( ) g. firttg( ) 4. titut
( ) b. r{rnrl r{r"li
( ) 6. iuntnt: iXiatrfia
( ) r. orfiudrufirI
( ) 8. 5U", fg{..."r..'..r.ro'
( ) 9. ldnrru
or?u <nrfrr
( ) t. iu{r,l
( , z, fittrEl
( ) g. titur
( ) 4. rirnru r{rli( ) s. iurinrr iXinrufrl
( ) 6. arfir.rdrufir:( ) 7. dU", 1t1.....'......o..r'..r
i l g. tinrru
rhu r nnrirld.irelrnr rfnurufl ru'r n
( ) t. ilrulnnfi r
(
(
(
) ?, tJlYtnnfi z
I
9.
)
lo.
) 3. iltstnnfi g
't ) 4. rj:crnnfi a
)
' 11. rhuifinr:4rgrflonrnnrrfioortd
( ) o. 1il'a
( ) r. fi "lduri
( ) 1. nfit to.,t
| ( ) z. firrrfi,:
( ) B. nr:r{uunroon
( ) 4, ottr{tirlo.on
. ( ) B fiUn rrrl'roo..o,,.oro9
( ) 9. hinrrl
rz, nrrafrnn:rd
< lo.him( ) 1. lJ'l
( ) 9. tinlr.rI
13,
t4.
15,
{
drurun{,,:tarnt:shnnrrr{' .,, ., . .n{i
a'lflnrr,{ riiomal, nn:rr{ ,.flilor#
an.udor'nottr{
I t. lrrutg1il1nsJil1i't{[nrr'ldAil'l
l a, nfr'nndrufir
) g. dn1ilr':ntt5u't
l g. 'trinnu
I
10
11
t2
133.
|-_T_-llfirurriil n,rurfii
l
15
t6-17
18-19
zo
134
It-_-r_-llarurrfilarour{ii I
16, fl,I'SITlQ VDRL
( ) o. hi1fin:rq
( ) 1. ajanu
< ) z, l.JRU1fl
( ) 9, "lilnrru
Ytatilila tlD t
rJ to$fl
( ) 1.
()2,
( )3.( ) 4.
trnrfir'la
lrn rururru
l:nnrrldulnfifla.r
ar?etnfincr'.:
at4 22-23
?,4-?,5
( )0.
( ) 1.
l
l5
) t. n1'tsnrufiutnfio,alo*"fionttr{
) z. TfltnrcaJir
,l
!7 , n'r: r {udretorur:nT 'lun::dflqcfi[
I s, l:n'nosionr{ rilflf,$fiild
: o. trnfior{a
I z' 1:nrfiElrnueioilfis:os6{a) 8. 6ui Ts:J.t
srorii e
1s. nrruunrn{ourrsrfion:rr{
( )0.lilfi( ) r. fi lduri
(
(
( ) 3. :nRondrrioudruuor
I
(
(
(
) 4, rfiaeroanfioilnfiernarrun6tt")
) s. r6lnrrdriaildruuonnoo
I g. 6il1 Tu1J.,,,,...,i...,q
a nrrtfi a {onntsar,Eraanll
(
(
(
(
(
(
(
(
(
'zl. d'uototnr:nnoo
19.
ZQ,
a''tgtt:r{ rfionnoo, , . . . . , . . fiilort{
nrrs$n:n{orrsgcnao6t
( ) o, "teifi
( ) r. "r lduri
J
) 1. Prolonged second sbage
) Z. Obstnucted labour
) 3. Placenta previa
) 4. Placent,a abnuptio
) 5. PlacenLe netained
) 6. Poon mstennal efforL
) 7. Cond prolapse
) 8, PROM
}
) z. nnonlertrldfiildrEl
) 91 5111 lglJ.. r......... r r..t
( ) 1, nnofl:lnfi
( ) z, nnoofiodn^m
(
( ) 3. nROotoEJ'l{rnio{oo{rgnn'lrl
l6
17
18
r-T-tlfilur:iilaro*',fii1
26-27
z8-29
so-31
135
t
a
rudo) 4. AJlgIO t01 [Onoofl?llituulna{t
) 5. nnao?ilfru
r e. firnrsrfrnJ
) 8. dilT 18U...... o '... i....I
oU t,tl tfl
qus|flraoniladnnoel
,n1?Efio rflon1.! [fiufldf, ''l1c
J
floufi 4 {oiln:uecufi':nnoorl|
22. n1?suxrniaunoiil'rro'rudsnnoo
( )0.ldfi( ) 1. fi Vl I
t6[tfl
) 1.
)2,
) 3.
t
?,3.
?.4,
?,5,
26.
t
) 4. n1'lufiotflaud.:nnao
) 5, tla,nttfjfl
_i) 8. 01lt 1U11...... .. o o '. '...3
rwlno{n1tfl
( ) 1. d,]g
( ) 2. u0,,:
?o,{ruilntatnlin$tfl!fro. .. . . . .. ..fliil
nuu,1|udfl'll,tn1Tnilfi{tnaoorl1l S il1fi,. o r. ,,.Rctlllll
dn'lilnltfllt:nnn0n
( ) r. fiffisl
( ) z. ldfiflisl
19
zo
zl
22
23
t-T-tlfilur:?ildcoilr{fil
3e-33
35-38
39-40
4t
136
r---T--T
??. nnrdarlnfiro{illrn
( ) z, nrflnreluffirr{
( ) g. nlgflaon
( ) 4, nrrmdrnnonnrelr ze {rfuo
) l. Fefal disLness duning laboun
) 2. Aspl\nria
) 3. InJuny
) 4. Malfonnat,ion
) 5. Fetel disbness wibh Asptylrle
(
(
) o. 1d'lf
) 1. fi
(
(
(
(
(
4?-43
44-45
I
zs . d'u'ultufLnrnrfinfrnr1llt.rffiril1nilfi ,oaaos
l
I
t'' .:,r,:
l l' ' ,,
a
n1floflt')n !.
,aadq r.e a qflnnn r! tllnlr?lg
a
J
138
:
:
tnfi fi ii'ldlunrri r n:r urf,fio{o
xr=Yr=
or, =
Rr=
cr=
n=
E=tl=
2. t-test (24)
1. Chi-square besb (24)
r.1 dnrfr?liltl
z [-l'- |x = ) \ | o"i.j - n(tLJ LJ
i "t'Degnee of Freedom =
I
l.Z ffia r=2tc=Z
(n-l)(c-1)
a', R. c,
Degnee of Fneedon = I
n{mioud i no{fi?$ilT y, i = 1, ,,,,,,di
nx1ilfi?o{nojo *., v, tufirodr,r
atnr?iln?'l&tfitotunrfi i
r
c
*
c
niialdogii i tatfirudt x, i = 1, i..,.,
toenrrldnnr F-tesr riianonol 6,' = 6^^ rrifirfrr'ld r-resu'Ana lvst s ril?su rfiErun?'rr..nflsirsrornc[ilrrsds tersflnnrdrfifia
t =i
I
sP" =l
6la1?rJ3o{n11nfira,!dou{d ixltloto{fi?oEi1! Rr = c,
eirnrouil'rtlrotndrr;xr, v, llnqnufi
' t,
C,
ln
x.-x.----"'-1,/n1+ llnz
xtr? - rcxtr12 , nr, + xztz ' tt*", ). /nz].
Nr+N"-2t,
nrrlrdsof,ufinC tn"taLive odds)
'ir ruro o n{lfl nrrdtiiufl qie r ds,t
iruurotndl ujieu rfieuii'loiiurlq{g rdgs rdu rfierfiu "irmuro rniilflnrrdldiuilqie rdeodu,rd-tdld "{rluta,:n{r r rliuu r fieud't,fifuflq{siiul rdr Gsrfiu "'
1?668
nrfuuJigurfrgu
139
t-, - t, st1
l
+ (n2 - 1) s"z
"r*t"-2
(75)
ilq{srdgs nrirrflnrr
V Dut6lfu b
dV tV t,elsl l6|llj
= grd
b.c
B=
b=
F=
d=