The decisions on the project delivery method when conducting a construction project are an important part of the process and can heavily influence the success or failure of the project. Many factors have to be considered, however, in determining the project delivery method, and there are no definite criteria. This ambiguity can cause much difficulty. As such, this paper proposes a system based ...

Fetal head progression during labor is difficult to assess. Digital examination has been shown to be an inaccurate method. Utilizing the ultrasound technology in the delivery room can standardize the way we assess head progression. Intrapartum ultrasound is applicable, for the assessment of the progression of labor and assists the obstetrician, in decision making regarding the need for an assis...

background: a qualitative study was carried out on 200 pregnant women attending obstetric offices and imam ali women's clinic in zahedan, iran during january 2010 to august 2011. twenty-nine focus group discussions (fgds) with 5-8 participants in each group were formed. the study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean secti...

INTRODUCTION The Royal College of Obstetricians and Gynaecologists published the "Organisational Standards for Maternity Services" in 1995, in which they proposed that there be a maximum decision-to-delivery time of 30 minutes for urgent caesarean sections (CS). In 1997, our institution established a protocol for extremely urgent ("crash") CS to expedite delivery time and to conform to this sta...

Objective To determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors. Methods A total of 431 pregnant women who were indicated for emergency cesarean delivery were included. Clinical information and timing of process after decision until delivery and pregnancy outcomes were evaluated. Results Mean age was 30 years, and 59.4% were nulliparous. ...

Delivering in health facility under the supervision of skilled birth attendant is an important way of mitigating impacts of delivery complications. Empirical evidence suggests that decision-making autonomy is aligned with holistic wellbeing especially in the aspect of maternal and child health. The objective of this paper was to examine the relationship between women's health decision-making au...

Despite a steadily growing industry of third party providers, IT organizations to date have ventured rather cautiously into this new area of IT function delivery. This paper attempts to explain why this is so by examining the decision behavior and practices of a number of leading edge organizations. From this analysis, four key decision criteria were identified: flexibility, control, knowledge ...