• Title/Summary/Keyword: Admission Types

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An Analysis of Clinical Prognosis Factors of Peripheral Facial Palsy and the Effects of Electrodiagnostic Test (말초성 안면신경마비 경과에 대한 임상적 예후인자 및 신경생리검사의 유용성 분석)

  • Ahn, Chang-Beohm;Yoon, Hyun-Min;Jang, Kyung-Jun;Kim, Cheol-Hong;Jung, Kyoung-Keun;Min, Young-Kwang;Kim, Soo-Min;Kim, Jeong-Eun;Cho, Beohm-Gyu
    • Journal of Acupuncture Research
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    • v.24 no.4
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    • pp.209-223
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    • 2007
  • Objectives : Facial Nerve Paralysis is one kind of common diseases and it can be treated by natural therapy and the efficiency of treatment is relatively high. In clinical trial, it is not difficult to find patients who were not completely recovered from Facial Nerve Paralysis, so the symptoms are fixed permanently. This leads many doctors and patients to have interests in the progress and prognosis of the disease, so this study was to analyze clinical prognosis factors and verify the effects of Electrodiagnostic Test. Methods : The 378 subjects were chosen from 987 patients who were suffering from Peripheral Facial Palsy, diagnosed with Bell's palsy and Ramsay Hunt Syndrome and had admission treatment. They got Oriental-Western Medicine Treatment within two weeks after outbreaks of the disease and treated at least over 3 weeks using Oriental-Western Medicine Treatment. Results : 1. There was a significant difference in the results of treatment according to gender, age, types of Facial Palsy, existence of Post Auricular Pain, existence of Labyrinth Symptom, HBGS, and existence of onsets of recovery as clinical prognosis factors of Peripheral Facial Palsy, However, a statistically significant difference was not shown in the results of treatment according to the position of Facial Palsy(left or right), existence of a relapse, and diabetes, hypertension. 2. As a result of overall treatment, 77.2% of patients were recovered almost entirely and 22.8% were not, and the quelae of incomplete recovery were Synkinesis, facial contracture, facial spasm, crocodile tears and scheroma in order of frequency. 3. The results of electrodiagnostic test represented useful correlation to predict the final effects of treatment. Conclusion : Based on the above results, the prognosis factors, the degree of recovery, and the sequelae of incomplete recovery were analysed and the effects of electrodiagnostic test was verified.

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A Comparative Study of Two Survey Methods for Health Services Research Modified Self-administered Questionnaire vs. Interview Survey (조사방법에 따른 의료이용 비교 -보완된 자기기입조사와 면접조사 방법의 차이-)

  • Yu, Seung-Hum;Lee, Yong-Ho;Cho, Woo-Hyun;Park, Chong-Yon
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.2 s.24
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    • pp.431-441
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    • 1988
  • The purpose of this study was to compare the difference of two survey methods for health services research. Data were collected by means of two types of household survey conducted from March 11 to September 19, 1985. A probability sample of 30,613 persons was taken from 180 Enumerated Districts designated by the Economic Planning Board. The sample was divided into two groups systematically. One group was surveyed by the self-administered questionnaire and the other group was interviewed. Response rates were 81.4% and 90.6% respectively. The data were analysed by the ratio of the results of the self-administered survey to those of the interview survey. No difference was observed in sex, age, residence, or occupation between the two groups. However the respondents' characteristics were statistically different between the two groups. The major findings of this study are as follows : 1. The morbidity rate was 142.5 per 1,000 persons during the two week period by the self-administered questionnaire survey and 74.3 per 1,000 persons with the interview survey method. The ratio of the morbidity rate by the self-administered questionnaire to that by the interview was 1.92, and the difference between the two rates were due to the personal characteristics. 2. The out-patient utilization rate was 10.2 visits per person per year by the self-administered questionnaire survey and 5.4 by the interview survey, and the ratio was 1.89; the admission rate was 3.2 times per 100 persons per year by the self-administered questionnaire survey and 1.9 times by the interview survey, and the ratio was 1.68. Differences due to the sociodemographic characteristics were greater in the out-patient utilization rates than in the adimssion rates. 3. Percentages of effective medical care demand were 90.2% in the self-administered survey and 92.3% in the interview survey; the ratio was 0.98 which was less than that of the morbidity rate and medical care utilization. But, differences of effective medical care demand occurred in persons with no occupation, and aged or low educated respondents. 4. Respiratory illness had the highest frequency in the two survey methods. But there was a slight difference between the two survey methods in morbidity composition. 5. It was concluded that data collected by the interview survey were inclined to be underestimated and this problem can be corrected by a modified self-administered survey.

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A Study on a Relative Achievement Index of Foreign Language Ability (외국어능력 상대성취도지수개발에 관한 연구)

  • Heo, Sun-Yeong;Chang, Duk-Joon
    • Communications for Statistical Applications and Methods
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    • v.16 no.4
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    • pp.627-637
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    • 2009
  • Our economic system highly depends on the international trade market and demands high level of foreign language abilities to the young generation. Scores of various internationally authorized language tests are used to estimate students's language ability before giving their admission to universities or high schools. According to increase of unemployment rate of the young people, universities put their strength on the language abilities of their students, and each university uses some authorized language scores before determining students who win scholarships. This study suggests two types of indices to evaluate students's relative achievement of foreign language abilities between two time points considering their current abilities. One, named one-side relative achievement index, is defined as the ratio of additional score between two time points to the remaining score at the base time point to the full score. The second one, named two-side relative achievement index, is defined as the same manner as the first one if the score is improved, and if not, is defined as the ratio of the amount of losing scores to the current score at the base time point. Two-side achievement index is more useful since it has smaller variation than the former and is easier to interpret. However, both indices are useful to compare the achievements of different tests.

Mortality of Stroke Patients Based on Charlson Comorbidity Index (뇌졸중 환자의 Charlson Comorbidity Index에 따른 사망률 분석)

  • Kim, Ka-Hee;Lim, Ji-Hye
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.22-32
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    • 2016
  • As the number of aged population rapidly goes up, the cases of stroke and the related medical expenses continuously increase. The purpose of this study is to investigate the mortality of stroke patients based on CCI(Charlson Comorbidity Index) by utilizing the Korea National Hospital Discharge Injury Survey, analyzing the factors associated with the mortality of stroke patients. We analyzed 21,494 cases which are classified as the death of strokes aged over 20 years by using the Korea National Hospital Discharge Injury Survey between the year 2005 and 2010. In order to find out the mortality based on CCI and status of comorbidity, we used the technical statistics. We performed a logistic regression analysis to examine the reasons for the mortality of the strokes. We found that the independent variables for the influence of the mortality of strokes include age, type of insurance, residence urban size, size of hospital beds, the location of hospital, admission route, physical therapy, brain surgery, type of stroke, and CCI. This indicates that the effective monitoring on the age, types of stroke, comorbidity is needed. In addition to this, more medical support toward medicaid patients are needed, too. We believe that these results will be used positively for the evaluation of the stroke patients, providing the basic materials for the further research on the establishment of the health-related policy.

A Combined Call Control Algorithm based on Moving Speed and Bandwidth in Hierarchical Cellular Systems (계층셀 구조에서 이동 속도와 대역폭을 고려한 복합 호 처리 알고리즘)

  • Park, Jeong-Eun;Chae, Ki-Joon
    • Journal of KIISE:Information Networking
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    • v.29 no.3
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    • pp.299-313
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    • 2002
  • Recently, the demand for mobile communications and multimedia services has rapidly increased so that conventional cellular system cannot fulfill the requirement of users (capacity and QoS) any more. Therefore, the hierarchical cellular system has been suggested in order to guarantee the QoS and to admit large population of users. IMT-2000 adopts the hierarchical cellular structure, which requires a call control algorithm capable of manipulating and utilizing the complicated structure of hierarchical cellular structure with handiness and efficiency. In this thesis, as an improvement of conventional combined algorithm, a new call control algorithm considering the moving speed of terminal and bandwidth is suggested. This algorithm employs buffers and guard channels to reduce the failure rate. Also, this algorithm considers the moving speed of terminal and bandwidth to elevate the efficiency. Furthermore, calls are handled separately according to the moving speeds of terminal and bandwidths to improve the QoS and reduce the handover rate. As an evaluation of the suggested algorithm, a model hierarchical cellular system is constructed and simulations are conducted with various types of traffic. As the result of the simulations, such indices as block rate, drop rate, channel utilization, and the number of inter layer handovers are examined to demonstrate the excellency fo the suggested algorithm.

Left to Right Ratio of Autopneumonectomy State in Pulmonary Tuberculosis Patients (폐결핵 환자의 편측 전폐 파괴에 대한 좌우 비교)

  • Shin, Cheol-Shick;Jeong, Jae-Man;Im, Young-Jae;Kim, Young-Jun;Koh, Seok-Shin;Kim, Moon-Shik
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.4
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    • pp.343-347
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    • 1992
  • Background: There are several causes that the total destruction of unilateral lung can occur. Pulmonary tuberculosis of these causes may lead to destruction through chronic inflammation and fibrosis. In such circumstances, the left to right ratio is supposed to be different. We performed the study with 224 cases for total destruction of unilateral lung, who were admitted at National Kongju Tuberculosis Hospital for recent 4 years. Method: On admission chest film, radiologic pattern was classified into 4 types. And we analyzed patients' age, sex, duration of illness, sputum AFB smear and culture. Result: 1) The male to female ratio was 2:1 and 74% of the patients were between 31 and 60 years of age. 2) One hundred and ninety eight cases(88%) had the duration of illness over 3 years. Namely, most of patients had long history. 3) Sputum AFB smear and/or culture were positive mostly (80%). 4) As for the radiologic pattern, 181 cases (81%) had the total destroyed lung in left and partial lesion in right lung, 31 cases (14%) total destroyed lung in right and partial lesion in left lung, 11 cases (5%) total destroyed lung in left only, and 1 case total destroyed lung in right only. 5) In the radiologic pattern, there is no significant difference in terms of age, sex, duration of illness and sputum examination. Conclusion: From these results, we found that the total destruction of unilateral lung in pulmonary tuberculosis occurred generally in the left side.

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The Present State of Occupational Injuries and Prevention on East Side of Korea Fishing (동해안 연근해 어업의 산재현황과 예방대책)

  • Song, Jae-Seok;Choi, Hong-Soon;Seo, Jong-Chul;Kwak, Youn-Hee;Park, Woong-Sub;Kim, Sang-Ah;Yoon, Yi-Yong
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.8 no.2
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    • pp.78-82
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    • 2005
  • Fishermen have higher risk of occupational injuries and disease due to frequent machine usage and direct contact to live biological materials. Moreover, growing elderly workers makes the susceptibility to occupational injuries and disease higher. This study was performed to investigate the occupational safety and health status among fishermen. The interview was carried out at Jumunjin and Geojin ports which were representative port at North East side of Korea. The structured questionnaire were used to interview the fishermen from AM 6:00 to PM 11:00 and total respondent were 97 workers. The results were followed; 7 fishermen of all respondents experienced occupational injuries during their work, 5 fishermen were needed to admission longer than 4 days. The injury types were contusion(4 persons), fracture(1 persons) and amputation(2 persons). The cause of injury might be the lack of caution and the unstability of working condition. These results suggested the ergonomical evaluation of working condition and proper management. But there was limited concern and studies on the policy on occupational safety and health on fishermen. So, further study was required to establish the sound policy of fishermen's occupational safety and health.

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A Case of Coronary-Pulmonary Artery Fistula (관상동맥-폐동맥 누공 1예)

  • Lee, Kyung Hae;Wang, Joon Kwang;Shin, Sung Joon;Kim, Mi Ok;Kim, Tae Hyung;Son, Jang Won;Yun, Ho Ju;Shin, Dong Ho;Park, Sung Soo;Kim, Kyung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.4
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    • pp.420-425
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    • 2004
  • Fistula between coronary artery and pulmonary artery is a type of coronary artery anomalies. It can cause atypical chest pain and fatigue, angina pectoris, endocarditis, finally myocardial steal can result in heart failure and myocardial infarction. But only 0.1-0.2% of coronary angiographic studies reveal the communications between coronary artery and other spaces. (heart chamber, pulmonary artery etc.) It is frequently congenital, but acquired types are increasing because chest and heart manipulations such as opertion of tetralogy of Fallot, endomyocardial biopsy, radiation therapy, or penetrating blunt trauma are increasing. There are reports about repair of fistula using thrombogenic tips, coil embolization and surgical intervention. We report a connection between coronary artery and pulmonary artery in 79 years old female. She was 30 pack-years smoker and suffered from dyspnea several years with chronic obstructive pulmonary disease. She presented with atypical chest pain and palpitation after admission. Electrocardiography showed ST-T wave abnormality. Emergency coronary angiography and chest CT scan revealed coronary-pulmonary artery fistula. Transcatheter embolization was performed and she was relieved from discomforts.

Self-poisoning as a Target Group for Prevention of Suicide (자살 예방을 위한 집중관리 대상으로서의 중독)

  • Kwak, Moon Hwan;Kang, Hyun Young;Lee, Si Jin;Han, Kap Su;Kim, Su Jin;Lee, Eu Jung;Lee, Sung Woo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.93-101
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    • 2018
  • Purpose: The Korean government has tried to decrease the suicide death rate over the last decade. Suicide attempts, particularly non-fatal attempts, are the most powerful known risk factor for a completed suicide. An analysis of suicide attempt methods will help establish the effective preventive action of suicide. Fit prevention according to the method of suicide attempt may decrease the incidence of suicide death. Self-poisoning is suggested as a major method of both suicide attempts and suicide death. The aim of this study was to determine if a self-poisoning patient is a suitable target for the prevention of the suicide. Methods: This was retrospective analysis of a prospective cohort, which included patients who presented to the emergency department (ED) after a self-harm or suicide attempt from Jan 2013 to Dec 2017. The proportion of methods in suicide attempts, psychological consultation, and fatality according to the suicide attempt method were analyzed. The types of poison were also analyzed. Results: Poisoning was the most common method of suicide attempts (52.1%). The rate of psychological consultations were 18.8% for all patients and 29.1% for poison patients (p<0.001). The rate of mortality in poisoning was 0.6%. Psychological consultation was performed more frequently in admission cases than discharged cases. The most common materials of poisons was psychological medicines and sedatives that had been prescribed at clinics or hospital. Conclusion: Self-poisoning is a major method of suicide attempt with a high rate of psychiatric consultation, low mortality rate, versus others methods. The prevention of suicide death for suicide attempts may focus on self-poisoning, which is the major method of suicide attempts. A suitable aftercare program for self-poisoning may be an effective method for preventing suicide if an early diagnosis and management of psychiatric disorders through psychiatric consultation can be made, and early connection to social prevention program for non-fatal patients are possible.

Exploring the Direction of Improvement in Consideration of the Talent Image of Each School in the Science High School Admissions (과학고등학교 입학전형에서 학교별 인재상을 고려하는 개선 방향 탐색)

  • Hwang, Dahyeon;Son, Jeongwoo
    • Journal of The Korean Association For Science Education
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    • v.42 no.1
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    • pp.51-60
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    • 2022
  • This study aims to explore the direction of improvement that considers the talent image of science high schools in the admissions process. To this end, first, the talent image and competencies of science high schools were divided into 'publicity' and 'efficiency,' 'execution' and 'achievement' types, and 'publicity & execution' was predominant in most cases. Next, a total of 28 science high school teachers, education experts, and middle school teachers were surveyed on the degree of reflection of talent image and the direction of improvement in the admissions process of three science high schools. The results of the survey are as follows: first, the evaluation of 'publicity' was very limited in the first stage of admissions process, and selection based on 'achievement' was high. Second, there was a strong tendency to select based on 'efficiency & achievement' in the second stage of interview evaluation. Third, we need to improve the selection of students who fit the 'publicity & execution' type of talent image by introducing 'publicity & execution' type of talent image by introducing 'write a competency-oriented self-introduction letter, reflect other subjects' grades and comparative studies in the school life record, and experts' interviews' to the first-stage of admissions process. Fourth, convergence and open-ended questions that enable divergent thinking should be jointly submitted to reflect the 'publicity & execution' type of talent image in the second stage of interview evaluation. In conclusion, the direction of improvement that considers the talent image of science high schools in the admissions process should be changed to competency-oriented in the first-stage of admissions process and in the second stage of interview evaluation consisting of open-ended questions.