• Title/Summary/Keyword: Cheng I

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Increased Readmission Risk and Healthcare Cost for Delirium Patients without Immediate Hospitalization in the Emergency Department

  • Ma, I Chun;Chen, Kao Chin;Chen, Wei Tseng;Tsai, Hsin Chun;Su, Chien-Chou;Lu, Ru-Band;Chen, Po See;Chang, Wei Hung;Yang, Yen Kuang
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.398-406
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    • 2018
  • Objective: Hospitalization of patients with delirium after visiting the emergency department (ED) is often required. However, the readmission risk after discharge from the ED should also be considered. This study aimed to explore whether (i) immediate hospitalization influences the readmission risk of patients with delirium; (ii) the readmission risk is affected by various risk factors; and (iii) the healthcare cost differs between groups within 28 days of the first ED visit. Methods: Using the National Health Insurance Research Database, the data of 2,780 subjects presenting with delirium at an ED visit from 2000 to 2008 were examined. The readmission risks of the groups of patients (i.e., patients who were and were not admitted within 24 hours of an ED visit) within 28 days were compared, and the effects of the severities of different comorbidities (using Charlson's comorbidity index, CCI), age, gender, diagnosis and differences in medical healthcare cost were analyzed. Results: Patients without immediate hospitalization had a higher risk of readmission within 3, 7, 14, or 28 days of discharge from the ED, especially subjects with more severe comorbidities ($CCI{\geq}3$) or older patients (${\geq}65years$). Subjects with more severe comorbidities or older subjects who were not admitted immediately also incurred a greater healthcare cost for re-hospitalization within the 28-day follow-up period. Conclusion: Patients with delirium with a higher CCI or of a greater age should be carefully considered for immediate hospitalization from ED for further examination in order to reduce the risk of re-hospitalization and cost of healthcare.

A Study on Chu Cheng and His Ideas in the Medicine (저징(褚澄)과 그의 의학사상(醫學思想)에 관한 연구)

  • Kim, Jin-Ho
    • Journal of Korean Medical classics
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    • v.26 no.3
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    • pp.19-32
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    • 2013
  • Objective : Chu Cheng(褚澄) was known as the author of Zayaofang(雜藥方) and Chushiyishu(褚氏遺書). His mentions in the medicine have been sufficiently told in his posterity. However, there have been no studies on Chu Cheng and his work like Chushiyishu in Korea. Here, I seek to investigate Chu Cheng and his ideas in the medicine. Method : I investigate Chushiyishu, known as written by Chu Cheng and his scattered portions. Result & Conclusion : His nom de plume(字) is Yandao(彦道). It was supposed that he was born before the year of 420, the era of Dong Jin(東晉) and died in 483. He wrote Zayaofang and Chushiyishu. However, the former was lost. The latter consists of 10 pieces of medical theories. The contents carved on the stone plate was discovered for the first time before 934 at a place presumed as his grave. Then, it was stored as the inner and outer coffins in the tomb of Xiao Guang(蕭廣) in 935 and written on the paper by Buddhist monk Shi Yikan(釋義堪) in 1127. Then, Liu Jixian(劉繼先) carved on the wood for publication and finally, the work was released in 1201. But, it deeply looks that the book was written by other follower. Chu Cheng was a doctor excellent in the inspection and pulse method and his medical ideas prioritized Huo(火) in Mingmen(命門) and Spleen(脾). He expressed his opinions on the four phases of life, sexes and birth defects through Yangjing(陽精) and Yinxue(陰血). In addition, he explained the human pathology through Qixue(氣血). Unsmooth flow of Qi causes diseases by congestion. The entity circulating Yinxue is Yang and protested using urine to treat the hemoptysis(咳血) instead of medicine with cold features. It was frequently mentioned by his predecessors with the fact that Chu Cheng used different medications on housewives from widows and Buddhist nun monks. In addition, Chu Cheng proposed various opinions on cure, diagnosis, treatment, drug usage, pulse positions and hermaphrodites(半陰陽).

A study on medical thought of Yang Ji Zhou(楊繼洲) through analysis on 《Zhen Jiu Da Cheng-Ce, 鍼灸大成·策》 (《침구태성(鍼灸大成)》<책(策)>편(篇)의 분석(分析)을 통(通)한 양계주(楊繼洲)의 의학사상(醫學思想)에 관(關)한 연구(硏究))

  • Lee, Su-Hong;Yoon, Jong-Hwa;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.17 no.2
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    • pp.69-84
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    • 2000
  • We have known that $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ had been written by Yang Ji Zhou(楊繼洲) in Ming(明) dynasty. And it had been the only textbook of acupuncture & moxibustion for over 300years. This book is composed of 10 chapters dealing almost all the medical theories of that times. This book is so enormous that it is hard to understand essential ideas of the author. But, Yang Ji Zhou revealed his ideas and medical theories in some parts of this book. This part is named that composed of 4 small subjects. These are , , and In this study, I analyze the relation of $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ and $\ll$Wei Sheng Zhen Jiu Xuan Ji Bi Yao, 衛生鍼灸玄機秘要$\gg$ and then I study further by comparing with other parts of $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ and other important oriental medical textbooks.

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A Study on Emperor′s Costumes during the Reign of Gun-Ryung in Qing Dynasty (청조 건륭 43년" 천대당안"복식연구)

  • 최경순
    • The Research Journal of the Costume Culture
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    • v.12 no.1
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    • pp.73-89
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    • 2004
  • The following is a summary of comparative study on costumes between 『Cheng-Hoe-Jeon-Do』 and 『Chen-De-dang-an』 in Gun-Ryung 41st, 42nd and 43rd yew to find out costume situation actually worn by Emperor Gun-Ryung in Qing dynasty. In Gun-Ryung 41st year, Emperor's costumes showed a sign of royal tour robes. In 42nd year, a phase of mourning robe system came out and a plain side of costumes was shown owing to the mourning. In 43rd year, it showed costume situation worn by Emperor in peaceful year without any particular event. Velvet, material for traveling crown was used in a short time before and after the change of the season besides royal tour and this can be understood as a well-timed and reasonable selection of material. Eventhough robe material, Jik-kyung-Ji-chack-sa(a kind of silk) had been used for summer robes since Gun-Ryung 42nd you. Memorial costumes followed Emperor's court costume system I in 『Cheng-Hoe-Jeon-Do』 and court belt I or II as memorial suit belt was used for the memorial costume of Emperor Gun-Ryung and they properly applied of the costume system in 『Cheng-Hoe-Jeon-Do』 for coats.

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The Problem of Xing and Qizhi in Cheng Yi's Philosophy (정이(程?) 철학에서 성(性)과 기질(氣質)의 문제)

  • Park, Seung Won
    • The Journal of Korean Philosophical History
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    • no.31
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    • pp.7-32
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    • 2011
  • Cheng Yi(程?, 1033~1107) understood that nature is full of "changes(易)". And he noted that human being as part of nature also exists only in a series of changes, i.e. birth, growth, extinction and death. All things including human being arise from the same principle, or "Heavenly Principle." Hence human being can fundamentally be one with all other beings, or nature. It is called "Unity of all things(萬物一體)" and "Unity of heaven and human(天人合一)." This philosophical perspective cannot be regarded as being unique to Cheng only; neo-Confucian predecessors called "the five masters of the Northern Song(北宋五子)" anticipated Cheng's vision already. Nevertheless, Cheng elaborated on the shared vision, revealing his philosophical uniqueness. Cheng maintains that only human being receives the principle in the unstained form, and thereby is capable of being one with nature. The one who realizes her/his potential to be one with nature is a sage(聖人); for Cheng, the order and pattern found in nature is nothing other than moral principle that human beings have to live up to and vice versa. Cheng's idea on the principle which human being receives from Heaven no doubt relates to Mencian notion of the innate goodness of human nature(性善); the innate goodness of human nature is no other than Heavenly Principle, and to become a sage depends on whether one can realize her/his potential - human nature, i.e. Heavenly Principle in her/himself. For Cheng, human nature tantamount to Heavenly Principle has no evil quality; all the evil in the world comes from imperfect "physical endowment(氣質)," or "capacity(才)" which is various from person to person, making various personalities. Accordingly, the task of moral cultivation in Cheng's theory can translate into the matter of rectification of one's physical endowment.

QoS Buffer Management of Multimedia Networking with GREEN Algorithm

  • Hwang, Lain-Chyr;Ku, Cheng-Yuan;Hsu, Steen-J.;Lo, Huan-Ying
    • Journal of Communications and Networks
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    • v.3 no.4
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    • pp.334-341
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    • 2001
  • The provision of QoS control is a key of the successful deployment of multimedia networks. Buffer management plays an important role in QoS control. Therefore, this paper proposes a novel QoS buffer management algorithm named GREEN (Global Random Early Estimation for Nipping), which extends the concepts of ERD (early random drop) and RED (random early detection). Specifically, GREEN enhances the concept of "Random" to "Global Random" by globally considering the random probability function. It also enhances the concept of "Early" to "Early Esti mation" by early estimating the network status. For performance evaluation, except compared with RED, extensive simulation cases are performed to probe the characteristics of GREEN.

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A Single-Stage LED Tube Lamp Driver with Input-Current Shaping for Energy-Efficient Indoor Lighting Applications

  • Cheng, Chun-An;Chang, Chien-Hsuan;Cheng, Hung-Liang;Chung, Tsung-Yuan;Tseng, Ching-Hsien;Tseng, Kuo-Ching
    • Journal of Power Electronics
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    • v.16 no.4
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    • pp.1288-1297
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    • 2016
  • This study proposes a single-stage light-emitting diode (LED) tube lamp driver with input-current shaping for T8/T10-type fluorescent lamp replacements. The proposed AC-DC LED driver integrates a dual-boost converter with coupled inductors and a half-bridge series-resonant converter with a bridge rectifier into a single-stage power conversion topology. This paper presents the operational principles and design considerations for one T8-type 18 W-rated LED tube lamp with line input voltages ranging from 100 V rms to 120 V rms. Experimental results for the prototype driver show that the highest power factor (PF = 0.988), lowest input current total harmonic distortion (THD = 7.22%), and highest circuit efficiency (η = 92.42%) are obtained at an input voltage of 120 V. Hence, the proposed driver is feasible for use in energy-efficient indoor lighting applications.

2.2 inch QCIF+ Active-Matrix Organic Light-Emitting Diode Display With High Performance and Mass Productive Ability

  • Tsai, Cheng-Hung;Chiu, Chen-Lun;Chen, Cheng-Ming;Shih, I-Cheng;Tang, Shun-Jyun;Huang, Chun-Yao
    • 한국정보디스플레이학회:학술대회논문집
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    • 2005.07a
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    • pp.799-802
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    • 2005
  • This paper described a 2.2" $QCIF^+$ ($176{\times}RGB{\times}220$) active matrix organic light-emitting diode display (AMOLED) using low-temperature poly-silicon (LTPS) technology. We have designed the OLED pixel to match the OLED material characteristic with COG specification and optimized pixel structure to improve color gamma adjustment and simplify signal complexity.

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