• Title/Summary/Keyword: Admission Type

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General Characteristics, Self-Efficacy, and Diet Control of Hypertension Patients at a Diabetes Admission Control Center in the Jeollanma-do Area (전남지역 일부 고혈압·당뇨병 등록·관리센터 이용자의 일반특성, 자기효능감 및 식생활관리 실태 연구)

  • Yeo, Su Jeong;Shin, In Woo;Kim, Bok Hee
    • The Korean Journal of Community Living Science
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    • v.26 no.4
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    • pp.731-747
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    • 2015
  • This study investigates general environmental factors influencing hypertension and diabetes patients and their disease control methods, self-efficacy, nutritional risk, diagnosis of eating styles according to nutritional risk, accountability in eating habit instructions, and nutritional intake and provides basic data for eating habit control in hypertension and diabetes patients. For this, 70 patients who visited a hypertension and diabetes admission center were interviewed using a questionnaire. According to the results, the implementation of self-efficacy in hypertension and diabetes was higher in female subjects. The diagnosis of eating type with nutritional risk was higher in female subjects, and there was a significant difference between male and female subjects (p<0.05). Both sexes had scores above 6 in nutritional risk and were diagnosed to have a "high-risk nutritional status." In the diagnosis of eating habits with nutritional risk, diet quality was higher for female patients (p<0.05), and the nutritional intake of subjects was low for most nutrients. In particular, the intake of calcium, vitamin A, riboflavin, and folic acid was low, indicating a need to improve eating habits for the balanced intake of nutrients because of the increasing importance of eating habits for controlling chronic diseases.

Numerical Analysis of the Effect of Nozzle Shapes on the Performance of a Partial Admission Supersonic Turbine (노즐 형상에 따른 부분 흡입형 초음속 터빈의 성능특성에 관한 수치적 연구)

  • Cho, Jong-Jae;Kwon, Tae-Un;Kim, Kui-Soon;Jeong, Eun-Hwan;Park, Pyun-Goo
    • Journal of the Korean Society of Propulsion Engineers
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    • v.14 no.3
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    • pp.23-29
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    • 2010
  • A supersonic nozzle specially is one of the important part in a supersonic turbine usually adapted the impulse type, because the flow acceleration in the turbine theoretically is done only in the nozzle. The present study deals with numerical flow analysis to investigate the effect of nozzle shapes on the performance characteristics of a partial admission supersonic turbine. The flow analysis was performed for four different nozzle shapes. The shapes of the nozzles are circular, square, straight rectangular and bent rectangular nozzles. The results of the flow analysis showed that the aerodynamic loss of turbine is highly affected by the nozzle shapes, and the partial admission loss is also highly depended on nozzle shapes. Specially, bent rectangular nozzle had the best performance among the nozzle shapes

A Case of Late Onset Group B Streptoccocal Sepsis with the Complication of Subclavian Vein Catheterization (쇄골하 정책 도관법 합병증이 발생한 후기 발병형 B군 연쇄상 구균 패혈증 1례)

  • Kim, Woo Kyung;Kim, Mi Ran;Kim, Duk Ha;Lee, Hae Ran;Park, Chong Young;Hwang, Dae Haen
    • Pediatric Infection and Vaccine
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    • v.5 no.2
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    • pp.289-295
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    • 1998
  • Group B Streptococcal sepsis and/or meningitis is one of the most serious and common diseases in the neonatal period with high mortality and frequent complications. We have experienced a case of late onset type group B streptococcal sepsis and meningitis with a complication of subclavian vein catheterization catheterization. This 29-day-old male neonate was admitted to intensive care unit with the presentation of fever and septic shock. He was born with Cesarean delivery at 36 weeks and 3 days of gestational age. He showed multiple episodes of seizure after admission and group B streptococcus was isolated from blood. CSF profiles 10 days after admission showed the features of bacterial meningitis without organism isolated. Diffuse cerebral infarction was detected on brain CT 24 days after admission. In the 13th hospital day, the complication of subclavian vein catheterization occurred; Guide wire was cut during insertion and the distal portion of it(2.5cm) was retained in the left subclavian vein. We removed the retained guide wire with goose-neck snare catheter via right femoral vein. This case was presented with a brief review of the literatures.

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Sleep Disturbance and Related Variables during Hospitalization for Hemopoietic Stem Cell Transplantation (조혈모세포이식 환자의 이식단계별 수면장애 영향요인)

  • Park, Hae-Ryung;Choi, So-Eun;Park, Ho-Ran;Park, Jin-Hee;Moon, Young-Im
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.126-135
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    • 2005
  • Purpose: The present study was to investigate sleep disturbance and related variables in patients undergoing hemopoietic stem cell transplantation(HSCT) on the day of admission, before HSCT, and of discharge, respectively. Method: A total of 52 HSCT patients were recruited from an university hospital from August 2002 to August 2003. The patients were asked to complete a set of sleep disturbance questionnaires. Result: The scores of sleep disturbance-related physical and emotional subscales on the day before HSCT and on the day of discharge were significantly higher than that on the day of admission. However, the score of a emotional subscale was not significantly different during the hospitalization for HSCT. About 10% of the variance of sleep disturbance was explained by the length after diagnosis on the day of admission, and 59.4% was by the type of disease, religion, gender, educational level on the day before HSCT. About 40.7% was by family income, gender, and the frequency of administration on the day of discharge. Conclusion: Nursing staffs should care for HSCT patients with more interest to reduce variables disturbing sleep. Especially, more careful nursing interventions have to be considered at the time of the day before HSCT and the time of discharge.

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The clinical study of the 47 traffic accident victims (교통사고 환자 47례에 대한 임상적 고찰)

  • Kim, Min-jeong;Lee, Su-hong;Kim, Kyung-ho
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.250-264
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    • 2000
  • A retrospective study has been carried out for 47 cases of traffic accident victims which was entered to the Dongguk Bundang O. M. Hosp. from Jan 1, 1999 to May 4, 2000. This study was focused on finding out the distribution, pattern of the traffic accidents, clinical characteristics of the patients, motives of their choosing oriental medical treatments, the kinds of oriental medical treatment. This results were as follows : 1. The highest incidence was shown in the age of twenties to thirties as much as 59.6% and the ratio of male to female was 17:30. 2. 80.9% of all patients was injured by car accidents. 68.2% of all patients was injured as drivers and passengers and 19.2% was injured as pedestrians. The highest type in the collision between cars, was rear impact. 3. The number of patient(61.7%) via other hosp. was more than that of the first visitor(38.3%) to our hosp. 4. In admission motives, The patients who had been treated by western medical treatment, expressed the dissatisfaction of that treatment, so hoped to be treated by oriental medical styles. Also The others wanted to be treated by oriental medical methods in the reason of no deep surgical, orthopaedical lesions 5. C-spine sprain(80.9%) was the most frequent out of all patients's diagnosis and then L-spine sprain(51.1%), contusion(46.8%), etc. 6. Head Cervix(80.9%) was the commonest pain region of all patients. and then shoulder back(70.2%), lumbar region(61.7%), etc. 7. In general, the pedestrian injuries were more serious than those sustained in the car as passengers. 8. After discharge, Duration of OPD treatment was long as much as that of admission treatment. 9. At first stage of admission period, Herb medication was frequently prescribed for hwalhyultonglakgige(活血通絡之劑). but As going to end stage, was frequently used for bogi(補氣) bohyul(補血), gudam(祛痰), ansin(安神).

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COVID-19 Vaccination and Clinical Outcomes at a Secondary Referral Hospital During the Delta Variant-dominant Period in West Sumatra, Indonesia

  • Didan Ariadapa Rahadi;Elfira Yusri;Syandrez Prima Putra;Rima Semiarty;Dian Pertiwi;Cimi Ilmiawati
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.221-230
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    • 2023
  • Objectives: The second wave of coronavirus disease 2019 (COVID-19) cases in Indonesia, during which the Delta variant predominated, took place after a vaccination program had been initiated in the country. This study was conducted to assess the impact of COVID-19 vaccination on unfavorable clinical outcomes including hospitalization, severe COVID-19, intensive care unit (ICU) admission, and death using a real-world model. Methods: This single-center retrospective cohort study involved patients with COVID-19 aged ≥18 years who presented to the COVID-19 emergency room at a secondary referral teaching hospital between June 1, 2021 and August 31, 2021. We used a binary logistic regression model to assess the effect of COVID-19 vaccination on unfavorable clinical outcomes, with age, sex, and comorbidities as confounding variables. Results: A total of 716 patients were included, 32.1% of whom were vaccinated. The elderly participants (≥65 years) had the lowest vaccine coverage among age groups. Vaccination had an effectiveness of 50% (95% confidence interval [CI], 25 to 66) for preventing hospitalization, 97% (95% CI, 77 to 99) for preventing severe COVID-19, 95% (95% CI, 56 to 99) for preventing ICU admission, and 90% (95% CI, 22 to 99) for preventing death. Interestingly, patients with type 2 diabetes had a 2-fold to 4-fold elevated risk of unfavorable outcomes. Conclusions: Among adults, COVID-19 vaccination has a moderate preventive impact on hospitalization but a high preventive impact on severe COVID-19, ICU admission, and death. The authors suggest that relevant parties increase COVID-19 vaccination coverage, especially in the elderly population.

AN ANALYSIS OF LEARNING ABILITY IN CALCULUS BASED ON THE SELECTION OF TEST AREAS IN THE COLLEGE SCHOLASTIC ABILITY TEST

  • RHEE, HYANG JOO
    • Korean Journal of Mathematics
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    • v.23 no.4
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    • pp.643-654
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    • 2015
  • This study analyses the cross-application system, one of the diversified college admission processes, based on the entrance examination system by the reorganization of the education curriculum. In addition, this study suggests an improvement direction of mathematics education for students who cross-apply by comparing and analysing academic results in Calculus for those students entering universities through the cross-application system.

Analysis of the Predictive Validity of College Entrance Criteria

  • Bae, Hyun-Wung
    • Journal of the Korean Data and Information Science Society
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    • v.18 no.4
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    • pp.973-983
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    • 2007
  • Korea Military Academy has been using College Scholastic Ability Test(CSAT) and High School Grades(HSG) with other measures such as an Essay-type Test(ET), Physical Test(PT) and Personal Interview(PI) as criteria for entrance. The purpose of study is to investigate the properness of the criteria in admission decisions by examining the relationship between the college GPA and criteria, and the prediction of academic performance. The study showed that CSAT and HSG are significantly correlated with the college GPA, and these two criteria are better predictors for academic performance. Regression analysis also provided an important message that HSG is a better predictor than CSAT.

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A Study of Adenovirus Pneumonia: Early Summer Outbreak in 1996 (1996년 초여름에 유행한 Adenovirus폐렴의 검토)

  • Kim, Chang Keun;Chung, Churl Young;Kim, Jung Suk;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.3 no.2
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    • pp.145-153
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    • 1996
  • The incidence of Adenovirus(AV) pneumonia in children is estimated at 8%. Long-term complications reported with type 7 include hyperleucent lung syndrome, bronchiolitis obliterans and may require several months to recover. We reviewed 8 case of AV pnemonia confirmed by AV culture and sero-diagnosis among selected 19 AV pneumonia suspicious cases who were admitted to the Sanggye Paik Hospital of Inje University due to clinical pneumonia from May to July 1996. From 19 children, nasal aspirates or trachial aspirates were collected: viral agents were detected by virus isolation and virus antigen was detected by indirect immunofluorescent staining. Serologic diagnosis for type-specific AV antibody was done by neutralisation test. The results are as follows: 1) Age of the patients ranged from 6 months to 47 months with a mean of $24{\pm}9$ months. 6 were male and 2 were female(M:F= 3:1). 2) Monthly distribution showed 4 cases on June, 2 cases on May and July, respectively. 3) The mean duration of admission was 20.4 days and mean duration of fever was 11.3 days 4) Peripheral leukocyte counts were elevated in 4 cases(50%) and findings of shift to left were showed in 4 cases(50%) and serum aminotransferase activities were elevated in 6 case(75%). 5) Radiologic findings include linear and streaky infiltration(1/8 cases), patchy and lobar consolidation (7/8 cases), pleural effusion(2/8 cases) and hyperleucency was seen in 3/8 cases at time of admission and increased to 6/8 cases on hospital discharge. 6) The AV serotypes were type 7, type 3, and type 1. 7) Oxygen supply was done in 4 cases(50%) and all 8 patients include 2 cases of type 7 treated with artificial ventilator were survived. In conclusion, the serotypes of AV pneumonia outbreaks in early summer of 1996 were type 7, 3, 1 and, as showed severe clinical course, continued follow up surveillance is necessary to the long term pulmonary complications.

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Clinical Experience of Head-Injured Patients in the Rural Area (농촌지역에서의 두부외상 환자의 임상경험)

  • Kim, Il-Man
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1050-1054
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    • 2000
  • Objective : The incidence of head injury has been increasing in the rural area. The author investigated the clinical features and difficulties in care of the acute head-injured patients in this area. Method and Material : The authors performed a retrospective review of radiological data and clinical records in patients with mild to moderate head injury. Cause, type of craniocerebral injury, delayed intracranial lesions, complications, its relation to alcohol abuse, and outcome were analyzed. Results : In total of 68 cases, 20(29.4%) victims were associated with acute alcohol intoxication. Motor vehicle accident was the leading cause of head injury and the most common craniocerebral lesion was basilar skull fracture. Eight(11.8%) patients showed delayed radiological and clinical deterioration and 40(58.8%) were followed-up regularly after discharge. The subdural hygroma was commonly noted in the elderly and alcoholics. Causes of thirty events that resulted in an atypical and difficult neurosurgical practice were as follows : delayed admission, premature discharge against doctor's request, refusal of radiological studies and admission, misunderstanding of disease entity, and unreasonable desire of transfer to tertiary hospitals. Inaccurate initial diagnoses were made by emergency doctors in twenty patients. During the course of treatment, there were a few complications such as alcohol withdrawal, acute otitis media, cerebrospinal fistula, facial weakness, and posttraumatic seizure. Outcome was good in 60(88.2%) patients. Conclusion : Most of minor head trauma patients in this series have shown good results, but we have to consider some possible complications and delayed intracranial lesions in these patients that should be managed with special cautions with various kinds of treatment difficulties.

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