• 제목/요약/키워드: 병상

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Length-of-Stay Prediction Model of Appendicitis using Artificial Neural Networks and Decision Tree (신경망과 의사결정 나무를 이용한 충수돌기염 환자의 재원일수 예측모형 개발)

  • Chung, Suk-Hoon;Han, Woo-Sok;Suh, Yong-Moo;Rhee, Hyun-SiIl
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.6
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    • pp.1424-1432
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    • 2009
  • For the efficient management of hospital sickbeds, it is important to predict the length of stay (LoS) of appendicitis patients. This study analyzed the patient data to find factors that show high positive correlation with LoS, build LoS prediction models using neural network and decision tree models, and compare their performance. In order to increase the prediction accuracy, we applied the ensemble techniques such as bagging and boosting. Experimental results show that decision tree model which was built with less number of variables shows prediction accuracy almost equal to that of neural network model, and that bagging is better than boosting. In conclusion, since the decision tree model which provides better explanation than neural network model can well predict the LoS of appendicitis patients and can also be used to select the input variables, it is recommended that hospitals make use of the decision tree techniques more actively.

Spatial Analysis Modeling for the Development of Evaluating Model for Hospital Location (공간분석모델링을 이용한 병원의 적지평가 모형 개발)

  • Lee, Kwang-Soo;Lee, Jung-Soo
    • The Journal of the Korea Contents Association
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    • v.9 no.10
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    • pp.258-267
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    • 2009
  • This study purposed to develop GIS model for evaluating hospital location in a metropolitan city. Secondly, the suitability score of hospital was compared with the number of outpatient/inpatients of hospitals. This study used administrative data collected from the annual report of the 5 ward offices from Daejeon in Korea in 2004. 7 Acute care hospitals operated in Daejeon in 2004 were selected for the analysis. The suitability of hospitals in a metropolitan city was evaluated by the economic factors which were assumed to influence the health care demand. Each criterion was measured from each Dong. Correlation coefficients between the suitability score of hospital and the number of patients were varied depending on the buffering size. The relationship showed positive relationship with the number of inpatient (0.15) and outpatients (0.10) on the 0.5km buffering size. However, the correlation coefficients were changed to a negative direction or decreased when the buffering size was increased to 1.0km, 1.5km, and 2.0km.

Factors Affecting Nursing Productivity of Clinical Nurses: Focused on Emotional Intelligence and Burnout (임상간호사의 간호생산성 영향요인: 감성지능과 소진을 중심으로)

  • Cho, Hoe-Kyung;Choi, Yun-Jeong;Jeon, Mi-Kyung;Jung, Gye-Hyun
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.307-316
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    • 2015
  • The purpose of this study was to investigate the relationship between emotional intelligence, burnout and nursing productivity, to find the factors for nursing productivity need to the efficient management of nursing organization. 255 nurses were collected a structured questionnaire by convenience sampling with 300 beds, Nov. 12-Dec. 26 in 2013. Data were processed SPSS 17.0, using t-test, one way ANOVA, Scheffe test, Pearson's correlation coefficient, and enter multiple regression analysis. These results showed a significant negative correlation between emotional intelligence and burnout, a significant positive correlation between emotional intelligence. Emotional intelligence, total clinical experence, burnout and position had a significant influence on nursing productivity, Nursing productivity explained 43.4% of the variation. Therefore, it demanded that to build the infrastructure for the nursing organization of carrer management, to improve emotional intelligence, to design diverse intervention program for the nurses, to reduce burnout, and to increase work productivity.

The Variation of Factors of severity-adjusted length of stay(LOS) in acute stroke patients (급성 뇌졸중 환자의 중증도 보정 재원일수 변이에 관한 연구)

  • Kang, Sung-Hong;Seok, Hyang-Sook;Kim, Won-Joong
    • Journal of Digital Convergence
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    • v.11 no.6
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    • pp.221-233
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    • 2013
  • This study aims to develop the severity-adjusted length of stay(LOS) model for acute stroke patients using data from the hospital discharge survey and propose management of length of stay(LOS) for acute stroke patients and using for Hospital management. The dataset was taken from 23,134 database of the hospital discharge survey from 2004 to 2009. The severity-adjusted LOS model for the acute stroke patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of acute stroke patients were acute stroke type. The difference between severity-adjusted LOS from the decision making tree model and real LOS was compared and it was confirmed that insurance type and bed number of hospital, location of hospital were statistically associated with LOS. And to conclude, hospitals should manage the LOS of acute stroke patients applying it into the medical information system.

Bird Fauna at Taegosa Area in Pukhansan and Kamapong Area in Inje-gun, Korea (북한산 태고사 일대와 인제군 가마봉 일대의 조류상 비교)

  • 박병상
    • Korean Journal of Environment and Ecology
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    • v.7 no.1
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    • pp.29-34
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    • 1993
  • This study was conducted to investigate to compare avifauna at Taegosa area in Pukhansan with Kamapong area in Inje-gun, Korea. The observed birds at Taegosa in Pukhansan and Kamapong area were 35 individuals on species and 113 individuals on 29 species respectively. In Pukhansan area, there was severely avifauna diminishing in July in which users were concentrated. Pica pica sericea and Streptopelia orientalis orientalis were observed the dominant species in Pukhansan area and Kamapong area respectively. There were two species of national monument in these surveyed area, Otus scops stictonotus in Pukhansan area and Falco tinnunculus interstinctus in Kamapong area. Cuculus saturatus horsfields, Cuculus micropterus micropterus and Eurystomus orientalis calonyx were found out in Kamapong area to the rare bird. Species diversity and avi-ecosystems in Kamapong area were seemed to good, whereas in Pukhansan area, there was relatively poor avifauna caused by isolating with surrounding ecosystem, overusing by visitors beyond capacity and heavy acid rain. Therefore avifauna protection plans sould be made and carried out for Pukhansan National Park by thorought study with experts.

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Etiology of a Half Stem Rot in Sesame Caused by Fusarium oxysporum (Fusarium oxysporum에 의(依)한 참깨줄기반쪽썩음 병상(病狀)의 병원학적(病原學的) 연구(硏究))

  • Cho, Eui-Kyoo;Choi, Seong-Ho
    • Korean journal of applied entomology
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    • v.26 no.1 s.70
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    • pp.25-30
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    • 1987
  • An unusual disease syndrome, partial stem rot and final blight of the whole plants was observed in sesame, Sesamum indicum L., cultivar Pungnyeonkkae and Kwangsankkae grown in the field. Symptoms progressed from water-soaking continuous banding lesions on one side of stem to producing abundant Fusarium growth on the lesion at late stage of pathogenesis. Although wilting of plants was most frequently observed in sesame seedlings when infected with Fusarium oxysporum, reproduction of the partial stem discoloration and rot was possible by soil inoculation, and wound inoculation in old plants. The disease occurred from late July. Mycological characteristics of the isolate Fusarium oxysporum compared with those reported in sesame suggested that the isolate might be F. oxysporum f. sp. sesame.

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Design and Implementation of The Blended General Talent Recording System (혼합형 종합재능기록시스템 설계 및 구현)

  • An, Byeong-Sang;Ma, Dai-Sung
    • Journal of The Korean Association of Information Education
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    • v.14 no.4
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    • pp.637-649
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    • 2010
  • Now the school is in mass production to keep pace with the changing times to identify individual students to develop the talents of various attempts have been investigated. However, a student in the field to identify individual talents to help develop the system is not being utilized. In this study, students identify and develop individual talents to help the mixed recording system designed and implemented a comprehensive talent and the effects were examined. Teacher and parent observations, tests, prize-winning history analysis, analysis methods such as after-school activities for students' individual talent was recognized. Students through the multiple intelligence test was to identify their talent. This system is developed and applied the results, teachers have found the individual child's talents. The students' parents, who helped identify the individual talent. In addition, various educational activities utilizing multiple intelligence which has been developed.

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Geographic distribution analysis of hospital beds by Gini index and Lorenz curve (Gini 계수와 Lorenz 곡선에 의한 지역별 병상분포 양상 분석)

  • An, Byeung-Ki;Park, Jae-Yong;Kim, Key-Hoon
    • Korea Journal of Hospital Management
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    • v.16 no.3
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    • pp.1-18
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    • 2011
  • In this study, population census(2005 & 2008) from Statistics Korea and the statistical data of the number of hospital beds by healthcare facilities classification from Ministry of Health and Welfare were used. For analyzing distribution of hospital beds, hospital beds were classified as acute care beds, long-term care beds and all hospital beds, which is including acute and long-term care beds. Regional areas, which are city(si), county(goon) for the study and district(gu) were reclassified as metropolitan city, city(si) and county(goon). Because there were 165 regional areas in 2005 and 2008, 84 and 81 areas were classified as metropolitan city and/or city and county, respectively. Gini index were calculated for hospital beds from each year, and Lorenz curves were drawn. The following summary presents the findings of this study. Compared to the year 2005 and 2008, the Gini index was 0.24472, and hospital bed numbers increased slightly by 0.80% than in 2005. In case of acute care beds, the Gini index was 0.23797(0.13%), and there was no big difference; however, the Gini index for long-term care beds was 0.41091, and there was a 30.25% decrease, which shows improvement to reduce disparities. It might result from an increase in long-term care beds up to 476.2%. For geographical equality of hospital beds, the Gini index and Lorenz curve, which can be compared the degree of inequality in the distribution of hospital beds reasonably and possibly show statistical data, should be used. Through this study, the distribution policy of hospital beds should be established.

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A study on analysis of factors on in-hospital mortality for community-acquired pneumonia (지역사회획득 폐렴 환자의 퇴원시 사망 요인 분석)

  • Kim, Yoo-Mi
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.3
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    • pp.389-400
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    • 2011
  • This study was carried out to analysis factors related to in-hospital mortality of community-acquired peumonia using administrative database. The subjects were 5,353 community-acquired pneumonia inpatients of the Korean National Hospital Discharge Injury Survey 2004-2006 data. The data were analyzed using chi-squared test and decision tree model in the data mining technique. Among the decision tree model, C4.5 had the best performance. The critical factors on in-hospital mortality of communityacquired pneumonia are admission route, respiratory failure, congenital heart failure including age, comorbidity, and bed size. This study was carried out using the administrative database including patients' characteristics and comorbidity. However further study should be extensively including hospital characteristics, regional medical resources, and patient management practice behavior.

A Convergence Study about the Influence of Job Embeddedness and Nursing Work Environment on Turnover Intention of Clinical Nurses (임상간호사의 직무배태성과 간호근무환경이 이직의도에 미치는 영향에 관한 융합 연구)

  • Ha, Hey-Jin;Kim, Eun-A
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.389-397
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    • 2020
  • This study is a descriptive research to investigate the effects of nurses', job embeddedness and nursing work environment on turnover intention. The participants were conducted in 4 general hospitals with more than 300 hospital beds located in G metropolitan city and targeted 203 nurses who understood and agreed with the purpose of the study, and conducted from october to december 2019. The data were analyzed using SPSS 23.0 program, frequency analyzed t-test, ANOVA, Pearson's correlation, and Multiple regression. The factors influencing on turnover intention of clinical nurses were found to have negative effects on job embeddedness and nursing work environment. Therefore, it is necessary to develop and train programs to increase the job embeddedness of clinical nurses. At the same time, efforts should be made to improve the nursing work environment to reduce the turnover intention of their.