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A study on utilization behavior for hospital injury inpatient in Gyeongsangnam-do (경남지역 입원손상환자의 의료이용에 관한 연구)

  • Nam, Mun-Hee;Kun, Yeong-Chae
    • Journal of Digital Convergence
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    • v.10 no.5
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    • pp.289-299
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    • 2012
  • The study was carried out to provide basic data of improving the accessibility of medical service through identifying the factors that make hospital injury inpatient in non-residential area not in their residential area in Gyeongsangnam-do. This study analyzed not only 8,225 cases of discharged patients with damages from 2008, provided by the Korea Centers for Disease Control and Prevention, but also using a census and a research data on the actual condition from health care system. This study conducted a frequency test, a chi-square test and a logistic regression In result, first, the centralization of medical utilization of patients with damages is apparent centrally the city area. Second, medical utilization of injury patients in non-residential areas were significantly higher local area compared to City area. To improve this, a policy that can not only provide medical centers and sickbed, but also improve the quality of local medical treatments for the localization of medical treatments, for the accessibility of medical services, government is demanded policy for patients with damages in local area.

Effect of Sowing Amount on Seedling Growth and Grain Yield of Automatic Seedling Raising facility (벼의 자동화 육묘에서 파종량이 묘생육 및 수량성에 미치는 영향)

  • 손재근;남문식;권용삼;김경민
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.47 no.6
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    • pp.448-452
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    • 2002
  • The purpose of this study was to determine the optimum sowing amount for raising rice seedlings in automatic facility. four levels of seeding amount, 200, 220, 250 and 300 tray were applied to compare the seedling characteristics according to seeding density. Sowing dates were fixed at May 10 for single cropping and June 10 for double cropping. The seedling height was taller as the increase of sowing amount from 200g to 300g/tray, however the seedling quality was decreased with increasing of seed density. At 40-50 days after transplanting, there was no significant difference in the plant height and tiller number among the rice seedling raised under different seeding densities. Grain yield of 15-day old seedlings transplanted at May 25 was not significantly different among four different levels of seeding amount. However, the yield of 10day old seedling transplanted at June 20 was significantly higher in seeding density of 250g/tray than that of 300g/tray.

Effect of Nutrition Education on Diabetic Management in Diabetic Patients (영양교육이 당뇨병환자의 식사요법에 대한 지식과 실천 및 인지도, 혈당관리에 미치는 영향)

  • 임현숙;천종희;김용성;남문석
    • Journal of Nutrition and Health
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    • v.34 no.1
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    • pp.69-78
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    • 2001
  • The purpose of this study was to investigate the effect of nutritional education on the knowledge and the practice & Perception of diet therapy, and on the level of FBG and HBAlc. The subjects were selected among the patients treated in the Inha University Hospital from June of 1996 until April of 1998. Educated group consisted of 20 patients who visited the diet-counseling department as a part of diabetic treatment. Non-educated group consisted of 20 patients who visited the diet-counseling department ignoring doctors prescription purpose. The knowledge and the practice & perception of diet therapy drinking & smoking habits, regular exercise, and general characteristics including family history were analyzed by questionnaires. FBG and HbAlc were measured before and 4 months after the treatment. The results were as follows : Both groups were composed of 12(60%) male and 8(40%) female respectively. The mean age of subjects was 51.4 years in educated group and 51.9 tears in non-educated group. The duration and %IBW were 5.9 years and 109.8 % in educated group and 5.5 years and 111% non-educated group respectively. There were no significant differences in drinking & smoking habits and regular exercise between groups. The diet therapy knowledge score was significantly higher in educated group(p<0.001, 5.8$\pm$2.3/10.0 vs 3.4$\pm$2.0/10.0). The diet therapy practice & perception score was also significantly higher in educated group(p<0.001, 5.6$\pm$2.3/10.0 vs 2.8$\pm$2.2/10.0). Levels of FBG and HbAlc in both group were reduced at 4 month after the treatment(-74.2 mg/dl and -1.4% in educated group vs -58.7 mg/dl and -2.0% in non-educated group). However, the reduced amounts of them were not significantly different. Therefore, nutritional education seems to be very important in improving the knowledge and the practice & perception of the diet therapy. However, it appears no direct influence in reducing FBG and HbAlc levels. Further studies on diabetic management by using more efficient, consecutive and intensive nutritional education methods are needed. (Korean J Nutrition 34(1):69-78, 2001)

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Development of Mortality Model of Severity-Adjustment Method of AMI Patients (급성심근경색증 환자 중증도 보정 사망 모형 개발)

  • Lim, Ji-Hye;Nam, Mun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2672-2679
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    • 2012
  • The study was done to provide basic data of medical quality evaluation after developing the comorbidity disease mortality measurement modeled on the severity-adjustment method of AMI. This study analyzed 699,701 cases of Hospital Discharge Injury Data of 2005 and 2008, provided by the Korea Centers for Disease Control and Prevention. We used logistic regression to compare the risk-adjustment model of the Charlson Comorbidity Index with the predictability and compatibility of our severity score model that is newly developed for calibration. The models severity method included age, sex, hospitalization path, PCI presence, CABG, and 12 variables of the comorbidity disease. Predictability of the newly developed severity models, which has statistical C level of 0.796(95%CI=0.771-0.821) is higher than Charlson Comorbidity Index. This proves that there are differences of mortality, prevalence rate by method of mortality model calibration. In the future, this study outcome should be utilized more to achieve an improvement of medical quality evaluation, and also models will be developed that are considered for clinical significance and statistical compatibility.

A Study on the agreement of Principal Diagnosis (주상병 일치도에 관한 연구 -1개 중소병원을 중심으로-)

  • Seo, Young-Suk;Kim, Yoo-Mi;Nam, Moon-Hee;Kang, Sung-Hong;Lim, Ji-Hye
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.123-133
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    • 2009
  • Background : The principal diagnosis has been used in many different fields such as hospital statistics, medical research, insurance claim, national health statistics and so on. Some principal diagnoses have a relatively low level of reliability in the medium-sized hospitals. The purpose of this study is to identify the reliability level of principal diagnoses and to suggest ways to improve reliability of the principal diagnosis. Method : Data were collected from a medium-sized hospital located in Pusan. The discharge summaries on 323 patients who were discharged in January, 2008 and the outpatient summaries on 251 patients who visited the hospital on March 28, 2008 were collected, and descriptive analysis was performed using SPSS version 12.0K. Result : The findings are the followings: (1) the diagnostic consistency rate between medical records and doctors' was 92.0%; (2) the diagnostic consistency rate between medical records and insurance claims was 86.1%; (3) the diagnostic consistency rate between doctors' diagnoses and insurance claims was 80.2%. The evidence seems to indicate that some principal diagnoses have reliability problems in the medium-sized hospitals. Conclusion : The results of this study suggest the followings: (1) employees should be trained and supervision of hospital activities are needed; (2) network systems should be constructed for each department; (3) professions need to be fostered (4) doctors' awareness of medical records should be changed.

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Interpersonal Relationship and the Influencing Factors in Nursing Students (간호대학생의 대인관계 및 관련요인)

  • Lee, Mi-Ryon;Nam, Mun-Hee
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.509-517
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    • 2014
  • The objective of this study was to investigate the degree of interpersonal relationship in nursing students according to their characteristics. This descriptive correlation study conducted visit-surveys with organized questionnaires and sampled 306 nursing students. Data was analyzed by t-tests, ANOVA, Pearson's correlation coefficients and multiple regression analysis using SPSS/WIN 14.0. Findings revealed that; 1) the degree of interpersonal relationship in nursing students according to their characteristics were significantly different in age and grade; 2) Pearson's correlation revealed a significant association among interpersonal relationship, family function and self-differentiation; 3) multiple regression analysis showed self-differentiation and family function significantly influenced interpersonal relationship in nursing students. Based on the findings of this study, nursing professionals should provide proper program of interpersonal relationship related to self-differentiation and family function.

A Study on the Stability of Group Piles Installed in the Deep Sea to the Seaquake (해진에 대한, 심해에 설치된 군말뚝의 안정성에 관한 연구)

  • 최용규;남문석;정두환
    • Journal of the Korean Geotechnical Society
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    • v.16 no.4
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    • pp.31-42
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    • 2000
  • In this study, the stability of group piles installed in deep sea to the seaquake was studied by performing the calibration chamber model tests for open-ended pipe piles, grouted piles under soil plug and close-ended piles installed in the simulated deep sea. For each case (a single pile, 2-pile and 4-pile groups), series of seaquake tests were performed. While, during the simulated seaquake, the compressive capacity of the single open-ended pile depended on pile penetration depth(=7m), were found to be stable. But, a single grouted pile with penetration depth of 13m kept "mobility" state, the one with penetration depth of 20m was stable and grouted pile groups with penetration depth of 7m were stable regardless of pile penetration depth. By grouting soil plug of open-ended piles and soil under the pile toe of open-ended pipe piles installed in the deep sea, failure of soil plugging was prevented. Thus, close-ended piles were more stable than open-ended pile against the seaquake motionake motion.

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Prediction of End Bearing Capacity for Pre-Bored Steel Pipe Piles Using Instrumented Spt Rods (SPT 에너지효율 측정 롯드를 이용한 매입말뚝의 선단지지력 예측)

  • Nam, Moon S.;Park, Young-Ho;Park, Yong-Seok
    • Journal of the Korean Geotechnical Society
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    • v.29 no.12
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    • pp.105-111
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    • 2013
  • The standard penetration test (SPT) has been widely used because of its usability, economy, and many correlations with soil properties among other factors. In SPT, hammer energy is an important factor to evaluate and calibrate N values. To measure hammer energy, an instrumented SPT rod was developed considering that stress waves transferring on rods during SPT driving are the same as stress waves transferring on piles due to pile driving. Using this idea, an instrumented SPT rod with a pile driving analyzer was applied as a pile capacity prediction tool in this study. In order to evaluate this method, SPT and dynamic cone tests with the instrumented SPT rod were conducted and also 2 pile load tests were performed on pre-bored steel pipe piles at the same test site. End bearings were predicted by CAPWAP analysis on force and velocity waves from dynamic cone penetration tests and SPT. Comparing these predicted end bearings with static pile load tests, a new prediction method of the end bearing capacity using the instrumented SPT rod was proposed.

A PID Genetic Controller Design Using Reference Model (기준모델을 이용한 PID 유전 제어기 설계)

  • Park, K.H.;Nam, M.H.;Hwang, Y.W.;Chun, S.J.
    • Proceedings of the KIEE Conference
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    • 1999.07b
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    • pp.894-896
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    • 1999
  • PID 제어는 50년의 역사를 갖기 때문에 현장의 사용자는 이 제어방식에 익숙해져 있으며, 제어장치의 구성이 간단하며 제어기의 최적동조가 가능하므로 많은 분야에서 사용되고 있다[1]. 그러나 PID 제어기에 의해서 얻은 결과에 대하여 만족하기 위해서는 많은 시행착오를 겪어야 한다. 또한 만족하는 결과를 얻었다고 할지라도 외란, 플랜트의 동특성이 바뀌는 경우 시스템을 추종하지 못하기 때문에 파라미터를 재조정하여야 한다. 유전 알고리즘은 자연세계의 진화 현상에 기초한 계산모델로서 John Holland에 의해서 1975년에 개발된 전역적인 최적화 알고리즘이며[1][2], 비선형 고차원, 불연속, 다중모드, 노이즈 함수 등에 대하여 강건함을 보여주고, 복잡한 탐색 공간에서 최적 값을 스스로 발견하는 학습 능력을 갖는다. 이 방법은 재생산, 교배, 돌연변이를 통하여 최적해를 찾은 방법으로 1989년에 D. E. Goldgerg에 의해서 체계적으로 정리된 후 여러 분야에서 응용되고 있다[3][4]. 그러나 유전 알고리즘은 목적함수만을 이용하여 해집단을 탐색하기 때문에 숙련운전자가 원하는 제어 특성 명세인 상승시간, 정착시간, 초과량(oveshoot) 둥을 구체적으로 명시하여 제어에 반영할 수 없다. 또한, 유전 알고리즘은 입력 값이 크게 바뀔 경우 다른 시스템으로 인식하여 새로운 탐색을 수행하는 단점을 가지고 있다. 본 논문은 첫째, 기준모델을 도입하여 플랜트의 성능을 기준모델로 표현하여 플랜트가 요구하는 성능지표를 정량적으로 규정하는 것이 가능하였다. 또한, 이것은 미지 플랜트 동특성을 식별하기 위한 신호로 사용되어, 플랜트의 정보를 얻는데 이용되었다. 즉, 기준모델과 플랜트 출력사이의 추종 오차 정보가 적응기구인 PID 유전제어기의 입력으로 사용되며, 구형파 입력의 경우에도 기준모델과 플랜트의 출력차는 크게 변하지 않는다. 따라서, 유전 알고리즘의 목적함수에 기준 모델을 제안 적용하여 안정적이고, 세밀한 제어를 수행하였다. 둘째, PID의 간단하면서 확실한 제어가 가능하다는 점과 전역적인 최적값을 찾을 수 있는 유전 알고리즘을 적용하여 고속제어를 요하는 직류 서보 모터(DC Servo Motor) 운전 시 실시간 파라미터 동조에 적용하였다.

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Development of Severity-Adjustment Model for Length of Stay in Hospital for Percutaneous Coronary Interventions (관상동맥중재술 환자의 재원일수 중증도 보정 모형 개발)

  • Nam, Mun-Hee;Kang, Sung-Hong;Lim, Ji-Hye
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.372-383
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    • 2011
  • Our study was carried out to develop the severity-adjustment model for length of stay in hospital for percutaneous coronary interventions so that we would analysis the factors on the variation in length of stay(LOS). The subjects were 1,011 percutaneous coronary interventions inpatients of the Korean National Hospital Discharge In-depth Injury Survey 2004-2006 data. The data were analyzed using t-test and ANOVA and the severity-adjustment model was developed using data mining technique. After yielding the standardized value of the difference between crude and expected length of stay, we analysed the variation of length of stay for percutaneous coronary interventions. There was variation of LOS in regional differences, size of sickbed and insurance type. The variation of length of stay controlling the case mix or severity of illness can be explained the factors of provider. This supply factors in LOS variations should be more studied for individual practice style or patient management practices and healthcare resources or environment. We expect that the severity-adjustment model using administrative databases should be more adapted in other diseases in practical.