• Title/Summary/Keyword: ENT

검색결과 483건 처리시간 0.031초

상담자 요소가 이명재훈련치료의 효과에 미치는 영향 (The Effect of Different Counselors on Treatment Outcome of Tinnitus Retraining Therapy)

  • 김우진;공지선;박소영;정기환;김래형;여상원;박시내
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제60권5호
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    • pp.209-214
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    • 2017
  • Background and Objectives Tinnitus retraining therapy (TRT) is one of the most effective treatment modalities of tinnitus based on the neurophysiological model proposed by Jastreboff and Hazell. This study was performed to evaluate the effect of counselor factor on treatment outcomes of TRT. Subjects and Method The total of 78 patients who had TRT from three different counselors in a tinnitus clinic of tertiary referral center from Jan 2015 to Dec 2015 were included in this study. Their medical records were retrospectively reviewed to evaluate the therapeutic response to TRT. Results Among 78 patients who were followed-up for more than 6 months, 47, 20, and 11 patients were treated by counselors A, B, C (all ENT specialists), respectively. Counselor A had 15-year-experience of TRT counseling, whereas counselor B and C were well trained but beginners of TRT counseling. Initial clinical characteristics including Tinnitus Handicap Inventory (THI) and tinnitus Visual Analogue Scale (VAS) scores of the patients among three groups were not significantly different. Treatment responses evaluated via THI and most of the tinnitus VAS scores after at least 6 months after TRT were significantly improved in all three groups (p<0.05) with no significant difference between the senior (A) and junior (B, C) group. Conclusion TRT seems to be an effective treatment modality of tinnitus even in this short term follow-up study. Treatment outcomes of TRT may not depend on the counselors once they are well trained and follow the same protocol.

취약성 점검 코드를 자동으로 생성하는 에이전트를 통한 통합 취약성 분석 시스템 (Integrated Security Manager with AgEnt-based vulnerability scanner automatically generating vulnerability analysis code(ISMAEL))

  • 김수용;서정석;조상현;김한성;차성덕
    • 정보보호학회논문지
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    • 제12권2호
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    • pp.111-122
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    • 2002
  • 악의의 침입자는 일반적으로 시스템의 취약성을 분석하고 발견된 취약성을 이용하여 시스템에 침입한다. 그러므로 보안 관리자는 악의의 침입자로부터 시스템을 보호하기 위해서 주기적으로 시스템의 취약성들을 분석하여 가능한 빠른 시간 내에 해당 취약성들을 제거해 주어야 한다. 기존의 시스템 취약성 분석 방법은 주로 네트웍 기반 취약성 분석 도구에 의존해 왔다. 하지만, 네트웍 기반 취약성 분석 도구는 대상 시스템과의 네트웍 통신을 통해 얻을 수 있는 제한된 정보만을 이용하여 취약성을 점검하기 때문에 네트웍 통신을 통해 접근할 수 없는 시스템 내부 취약성에 대한 검사는 불가능하다. 시스템의 모든 취약성을 정확하게 점검하기 위해서는 호스트 기반 취약성 분석 도구를 사용해야 한다. 하지만, 호스트 기반 취약성 분석 도구는 시스템의 운영체제의 종류와 버전에 따라 다르게 구현해야 하기 때문에 많은 호스트들을 관리 해야하는 보안 관리자가 호스트 기반 취약성 분석 도구를 사용하는 것은 불가능하다. 본 논문에서는 에이전트 기반 취약성 분석 도구인 ISMAEL을 제안하여 프로토타입을 구현하였다. ISMAEL에서 매니저는 대상 시스템에 설치된 에이전트에게 취약성 여부를 판단할 수 있는 정보를 제공하고, 에이전트는 그 정보를 근거로 자신에게 맞는 취약성 분석 코드를 자동으로 생성하여 취약성을 점검한다. 해당 취약성의 점검 결과는 다시 매니저에 XML 형태로 전해진다. 이와 같은 구조를 통해 여러 운영체제로 에이전트를 포팅하는 것이 쉬워질 뿐만 아니라 취약성 점검 항목들이 추가되더라도 매니저의 수정이나 에이전트의 수정이 거의 필요 없게 된다. 우리는 ISMAEL의 프로토타입을 구현하고 실제로 적용해 봄으로써 이것이 효율적임을 알 수 있었다.

동적원심모형실험 및 응답스펙트럼해석을 통한 포화지반에 관입된 잔교식 안벽의 내진성능 평가 (Evaluation of Seismic Performance of Pile-supported Wharves Installed in Saturated Sand through Response Spectrum Analysis and Dynamic Centrifuge Model Test)

  • 윤정원;한진태;이석형
    • 한국지반공학회논문집
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    • 제37권12호
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    • pp.73-87
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    • 2021
  • 잔교식 구조물은 선박을 안전하게 접안하여 화물을 송수신할 수 있는 구조물로서, 포화된 경사지반에 주로 설치된다. 이러한 잔교식 구조물의 내진설계 시 기준서에서는 예비 설계 방법으로 응답스펙트럼해석법을 활용하도록 제시하고 있으나, 현재 포화지반에 관입된 잔교식 구조물의 모델링 방법에 대한 지침은 부족한 실정이다. 그러므로 본 연구에서는 포화지반에 관입된 잔교식 구조물의 내진성능을 평가하기 위해 동적원심모형실험 및 응답스펙트럼해석을 수행하였다. 동적원심모형실험을 위해 잔교식 안벽 말뚝 중 일부 구간(3×3 군말뚝)을 선정하였으며, 지반 포화 여부에 따라 2가지 모델(건조, 포화)로 분류하였다. 이후 실험 모델에 지반 스프링 방법을 적용하여 응답스펙트럼해석을 수행하였다. 실험 및 해석을 비교한 결과, 건조지반 모델 및 액상화가 발생하지 않는 포화지반 모델의 경우 모멘트 차이가 최대 51% 이내로 발생하였으며, 깊이 별 모멘트를 적절히 모사하는 것으로 나타났다. 그러므로 본 모델의 경우 Terzaghi(1955)가 제시한 수평지반반력상수를 활용하여 모델링을 수행하는 것이 적절한 것으로 판단된다.

Effect of supplementary lighting on nutrient recovery of Ocimum basilicum and fishes in a polyculture aquaponic system

  • Azeezat Adenike Junaid;Mohd Salleh Kamarudin;Wahab Puteri Edaroyati;Quazim Olawale Junaid;Victor Tosin Okomoda;Mohammed Sani Isyaka;Yusuf Adewale Adejola;Danladi Mohammed Umar;Sarker Mohd Nurul Amin
    • Fisheries and Aquatic Sciences
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    • 제26권8호
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    • pp.500-513
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    • 2023
  • The effects of prolonged photoperiod (additional night lighting) were investigated on the production of Ocimum basilicum (lemon basil) and fish/crayfish raised in a nutrient film technique aquaponic system. Hybrid lemon fin barb and red claw crayfish juveniles were co-cultured with O. basilicum and subjected to 12 h of ambient natural daylight and additional 0, 4, 8, and 12 h of night lighting for 14 weeks (two batches of 7 weeks each). The water quality parameters and the performance characteristics of the fish/crayfish/plant were evaluated, and the nutri- ent uptake (nitrogen, phosphorus, and potassium) in the system by the three organisms was also measured. The fish growth performance showed no significant differences (p > 0.05) in all the growth parameters measured across the treatments. The body proximate and nitrogen, phosphate, and potassium (NPK) composition of the fish and crayfish were not significantly (p > 0.05) different across the treatments. Similarly, there was no significant difference (p > 0.05) in the NPK uptake by the fish and crayfish across the treatments. The plant growth performance showed that there were no significant (p > 0.05) differences in the plant growth parameters measured, except for % plant height gained in the 12 h-light treatment (403.2 ± 26.0%) which was significantly (p < 0.05) higher than other treatments and cycles. Hence, this study demonstrat- ed that varying supplementary night lighting has no significant effect on the growth performance of O. basilicum, hybrid lemon fin barb, and red claw crayfish. This study, therefore, suggests that supplementary night lighting should not be considered for O. basilicum production as it does not significantly improve the performance characteristics of the plant nor the fish co-cultured with it in a polyculture aquaponic system.

RCPs 기후변화 시나리오에 따른 큰망초(Conyza sumatrensis)의 적합 서식지 분포 예측 (Predicting the suitable habitat distribution of Conyza sumatrensis under RCP scenarios)

  • 김명현;최순군;조재필;김민경;어진우;엽소진;방정환
    • 환경생물
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    • 제40권1호
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    • pp.1-10
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    • 2022
  • 기후변화로 인한 지구온난화는 강수량과 기온에 영향을 주며, 다양한 종들의 서식지와 생물다양성에 상당한 영향을 줄 수 있다. 최근 국제 교류의 증가와 기후변화 등의 원인으로 국내로 새롭게 유입되어 정착하는 외래식물이 증가하고 있지만, 기후변화가 이들 외래식물의 국내 분포에 어떤 영향을 주는지에 대한 연구는 부족한 실정이다. 본 연구는 침입외래식물 큰망초(C. sumatrensis)의 현재 분포와 생물기후 변수를 활용하여 RCPs 기후변화 시나리오에 따른 적합 서식지 분포 변화를 예측하였다. 큰망초는 현재 우리나라 남부 지방에서 제한된 분포를 보이고 있으며, 이들의 분포에는 가장 건조한 분기의 평균기온(bio09), 가장 더운 달의 최고기온(bio05), 등온선(bio03)이 영향을 미치는 것으로 나타났다. 기후변화 시나리오에 따라 큰망초의 미래 적합 서식지 면적은 증가할 것으로 전망되었다. 큰망초와 같은 침입외래종의 분포 변화는 자생식물의 생존을 위협할 수 있으며 생태계 교란을 일으킬 수 있다. 따라서 기후변화에 따른 외래종 분포에 대한 연구는 자생식물뿐만 아니라 생물다양성 보전에 중요한 데이터로 활용될 수 있으며, 향후 서식지 복원과 생물자원을 관리하기 위한 정책자료로 활용될 수 있다.

성대구증 환자의 공기역학적 검사 방법에 따른 치료 전과 후의 평균호기류율 비교 (Comparison of mean airflow rate before and after treatment in patients with sulcus vocalis according to aerodynamic analysis methods)

  • 이승연;최홍식;김재옥
    • 말소리와 음성과학
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    • 제15권4호
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    • pp.61-69
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    • 2023
  • 성대구증은 불완전 성대폐쇄부전으로 평균호기류율(mean airflow rate, MFR)이 높은 것이 특징이다. MFR은 phonatory aerodynamic system(PAS)의 두 공기역학적 검사 방법(MXPH, VOEF)으로 측정하며, 두 검사 방법에 따라 결과가 다르게 나타날 수 있다. 본 연구는 성대구증 환자 30명을 대상으로 PAS의 MXPH, VOEF 프로토콜에 따른 MFR의 치료 전과 후 차이, 치료 전후 변화량 간의 차이가 있는지 비교하였다. 그리고 치료 전과 후의 Voice handicap index(VHI), GRBS 및 기본주파수(F0)를 비교하였다. 연구결과, 성대구증 환자의 치료 전과 후 모두에서 검사 방법 간에 유의한 차이가 나타났으나 치료 전후의 변화량은 유의한 차이가 없었다. VHI와 GRBS는 치료 전에 비해 치료 후에 유의하게 감소하였으나 F0는 치료 전과 후에 유의한 차이가 없었다. 본 연구를 통해 성대구증 환자의 치료에 따른 MFR 변화를 평가할 때, 두 공기역학적 검사 방법(MXPH, VOEF) 중 어떠한 검사 방법을 사용해도 된다는 것을 알 수 있다.

Medical Students Understanding of The Scope of Plastic Surgery

  • Mohammad K.H.B. Abdulaziz;Mohammad Al-Jamali;Sundus Al-Mazidi;Sarah Albuloushi;Ahmad B. Al-Ali
    • Archives of Plastic Surgery
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    • 제51권2호
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    • pp.251-257
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    • 2024
  • Background Plastic surgery has developed to benefit in a variety of challenging areas formerly handled by other disciplines. Medical students do not have a clear picture of plastic surgery as a career due to lacking scope, clinical practice, and understanding of plastic surgery as a clinical area of expertise, including general practitioners, nursing staff, medical trainees, and the general public, and misconceptions about the extent of reconstructive and plastic surgery. Methods A cross-sectional observational study was conducted on Kuwait University Medical students (2nd-7th Years) over a period of 1 month. A questionnaire and a consent form were provided to eligible students. The inclusion criteria were Kuwait University Medical students from 2nd to 7th Years with signed consent form. The response was collected via email sent in coordination with the Vice Dean of Student Affairs in the Faculty of Medicine. Using statistical package for the social sciences, responses were statistically analyzed. Pearson's chi-square test was used to calculate p-values, where p < 0.05 was considered statistically significant. Results A total of 244 eligible medical students, 121 males and 123 females, were included in the study, with a mean age of 21 (±2) years. Similarly, 126 (51.6%) were preclinical students (2nd-4th-year students), while 118 (48.4%) were clinical students (5th-7th-year students). About 79.8% of medical students believed that plastic surgery plays an essential role in trauma management, whereas 9.2% did not consider plastic surgery significant for trauma management. This study found that only 15.5% of medical students were interested in enrolling in plastic surgery residency after graduation, while 47.1% of students did not consider plastic surgery residency after graduation. However, 37.4% were uncertain. The two most driving factors in deciding on plastic surgery residency were expected income (61.8%) and lifestyle (14.3%). Conclusion Improving medical students' education quality can enhance their perception and awareness of plastic surgery. Students should be taught the broader scope of plastic surgery. The inclusion of formal training during undergraduation is the essence of time and should be added to or improved during plastic surgery rotations with more emphasis on reconstructive and hand/peripheral nerve surgery. Student-led interest groups can be a useful tool for educating students about their specialty.

이비인후, 안, 치아 및 피부증상의 민간요법에 관한 고찰 (Study on the Herb Remedies of ENT, Eyes, Teeth and Skin Problems)

  • 조결자;강현숙
    • 동서간호학연구지
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    • 제1권1호
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    • pp.50-71
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    • 1997
  • The intention of this study is to apprehend the con. tents and methods of herb remedies that are commonly conducted when there are health-problem cases of ENT, eyes, teeth and skin. Methods of this study are divided into two stages : 1) For a period of six months from December 1994 to June 1995, some 40 persons who are believed to be well versed with herb remedies have been randomly chosen, and we made a survey on herb remedies by symptoms: and 2) we have endeavored to make their grounds evident through the studies on literatures with the focus on the basic data collected. Their results are as follows: 1) When one feels a pain in ears, such herb remedies are employed as pouring the vapor into ears, which is made by steaming Alaska pollack, or as applying or wiping with the juices of radish or the ginkgo, or' alum. Applying the radish juice is effective for sterilization and fever removal: and applying the ginkgo juice is effective for cleanliness. But, plastering alum, sesame oil or castor oil, or pouring the vapor of Alaska pollack into ears are perhaps effective but do not have any pharmacologic grounds. 2) When one bleeds at the nose, such kinds of herb remedies are applied as stimulating nose or head with cold water, pressing nose or ridge of nose, or filling up nares with mashed mugworts. In addition, they have utilized garlic or leeks. Such methods as stimulating with cold water or just pressing nose and ridge of nose is based on reasonable grounds, i.e. vasoconstriction and vascular compression ; and applying mashed garlic on the sole of foot is good for the circulation of Qui ; and the use of mugworts and leeks is based upon the pharmacological function of hemostasis. 3) When one feels a sore throat such kinds of herb remedies are employed as gargling or rinsing throat with brine, drinking hot gruel or water, or drinking the juice of mugwort, radish, ginger or Chinese quince. Gargling with brine or drinking the juice of mugwort, radish or ginger is based upon the pharmacological function of pain alleviation, fever removal, and detoxication. 4) When a boil is formed in mouth, such herb remedies are applied as spreading honey, brine or alum water, and taking gall nut, Chinese matrimony vine, lotus root, etc, for drugs. Spreading honey, brine or water that is made by infusing gallnut, Chinese matrimony vine, lotus root is based upon such functions as hematosis, astriction, antibacterial, and antiphlogistic, Alum, eggplant and licorice are said to be effective, but their pharmacological effects have no grounds. 5) When one has conjunctivitis such herb remedies are commonly applied as irrigation with brine and dropping breast milk in eyes. Moreover, such other drugs are used as plantain. shepherd's purse, and purslane, etc. The use of brine, breast milk, plantain, shepherd's purse and purslane is based upon such functions as sterilization, antiphlogistic, disinfection and pain relieving. Eriocaulon sieboldianum, bean stem, bean pod and narcissus leaves are said to be effective, but their pharmacological action have no basis. When one has a stye, such herb remedies are applied as extracting eyelashes, stimulating by a massage of middle finger, third finger or big toe, as well as sear ing with a heated bamboo comb that is fine-toothed. Other than these, plantain and nightshade's nuts are used as drugs for it. Extracting eyelashes corresponds with exclusing suppurative node and draining the stye of pus ; and the use of plantain is based upon disinfection: and nightshade's nuts are said to be effective, however, their pharmacological action has no grounds. 6) For a treatment of toothache, such herb remedies are commonly employed as rinsing mouth with brine and holding cold water or gasoline in the mouth ; and as the drugs that are believed to be effective have been Welsh onion, ginger and castor-oil, plant, etc. The use of Welsh onion is based upon pain killing, antiinflammatory actions, and the use of ginger is based upon detoxication and disinfection ; and seeds of castor-oil plants are said to be effective, but they have no pharmacological basis. 7) When one has hives, such herb remedies are commonly applied as rubbing burned straw in affected parts, exposing to its smoke, rubbing with salt, sweeping down with a broom, and spreading and drinking boiled water of trifoliate orange. The use of cassia tora seeds, walnut, aloe and radish is said to be effective. The use of cassia tor a seeds has the functions of intestinal order, anti-paralysis, etc. The use of walnut has resulted in an increase of blood by invigorating spirits ; and the use of aloe is based upon disinfection, antibiotic, anti-salt, antihistamine and detoxication action. But, the effects of radish juice and straw's smoke have no pharmacological grounds. 8) When one gets a boil, such herb remedies are commonly used as applying a plaster, paste of flour mixed with yolk, soy sauce or honey, as well as spreading pounded elm tree. Other remedies that have been said to be effective are ; heating with mugwort, brine, wild rocambole, aloe, onion, squid's bone, etc. The use of mugwort is based upon pain killing, astringent antiinflammatory and tranquility. Wild rocambole is based upon the generation and maintenance functions of cell-joining textures ; elm tree upon antiphlogistic ; aloe upon fever removal and antiphlogistic ; onion on pain killing, fever removal, antiphlogistic and tranquility ; squid's bone on astriction: and brine or vinegar on sterilization. Pine resin and gardenia seed are said to be effective, but they have no pharmacological basis. 9) When one cuts his skin, such herb remedies are commonly employed as spreading mugwort's juice or squid's bone powder, or pressing the wounds. In addition, kalopanax, onion and fine soil are employed. The use of mugwort, kalopanax and squid's bone is based upon such functions as hemostasis, sedation, pain killing, antibacterial ; and fine soil is said to be effective, but it has no pharmacological basis. 10) When one suffers from whitlow, such herb remedies are commonly utilized as heating with boiled soy sauce, spreading soybean paste, or dipping into eggs, etc. Other drugs that have been employed are onion root, brine, eggplant, potato, loach, etc. The use of onion is based upon pain killing and antiphlogistic functions ; and that of brine upon antiphlogistic function. The use of soy sauce or soybean paste, fomentation, eggplant, potato and loach is said to be effective, but it has no pharmacblogic ground. 11) For the treatment of frostbite, such herb remedies are commonly used as dipping the affected part into frozen soybean sack, using boiled water of eggplant stem, garlic caulis, onion, hot pepper, caulis. Onion is based upon antiphlogistic and tranquility actions garlic upon disintection, metabolic exacerbation, tonic and aphrodisiac actions and the use of eggplant and hot pepper is based upon help blood circulation, dissolution and excretion of waste matters in vein. 12) For the treatment of burn, such herb remedies or drugs are commonly used as cleansing with Korean gin, spreading eggs, cleansing with cold water and soap water ; and as brine, cactus, moss, soybean paste, oil, etc. The cleansing with Korean gin, cold water, soap water, brine, vinegar is based upon cleaning and sterilizing functions ; and the use of cucumber is based upon nu. trition provision, and strengthening of resisting power by adjustment of metabolism. The use of potato, cactus, moss, oil and eggs is said to be effective, but their phamacological functions are not clarified. In view of the above results, we can realize that the drugs that have been employed in herb remedies are quite diverse. However, in regard to majority of herb remedies that have been employed by symptoms, the pharmacological functions of their drugs have not been clarified, and they are merely known as effective. Furthermore, they have not been recorded in the literature as yet ; and we confirm that there have been many herb remedies that were executed without the proper knowlege of their effects. It is now our view that the results of this survey may be utilized for consulting data in regard to the use of herb remedies.

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소아기 외상 : 발달경로에 따른 보호 및 위험인자 (CHILDHOOD TRAUMA:RESILIENCE AND RISK FACTORS ON DEVELOPMENTAL TRAJECTORY)

  • 김영신
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제13권1호
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    • pp.15-23
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    • 2002
  • 소아기 외상이 아동의 발달에 미치는 부정적인 결과를 예방하는 resilience factor와 부정적인 결과를 더욱 증폭시키는 위험인자에 대한 지식은 이 분야의 전향적인 연구의 부재와 소아기 외상과 발달과정, 아동의 환경 등 다양한 측면들의 유기적인 관계에 대한 이해의 어려움으로 아직은 초보적인 단계이다. 이러한 소아기 외상의 연구에서의 개념적, 연구 방법론적인 어려움은 현재까지 발표된 연구들의 결과가 일관적이지 못하고 때로는 상반적이기도 한 면으로 나타나기도 한다. 이러한 어려움에도 불구하고 지금까지 발표된 연구들을 종합하여 보면 몇 가지 중요한 공통적인 결론을 도출할 수가 있다. 즉 사춘기 전에는 여아가, 사춘기 후나 영아에서는 남아가, 사회경제적 지위가 높은 가정의 아동, 기질적인 문제가 없는 경우, 쉬운 기질, 조기 이별이나 상실의 경험이 없는 경우, 외상을 받은 시기가 어릴수록, 문제 해결능력이 좋은 경우, 높은 자존감, internal locus of control, 우수한 대처 능력, 대인 관계를 인지 할 수 있는 능력, 놀이를 할 수 있는 능력, 유머 감각이 있는 경우, 유능한 부모를 가지고 있거나 혹은 적어도 한명의 보호자와 따뜻한 관계를 맺고 있을 때, 교육 정도가 높거나 조직적인 종교 활동에 참여 하고 있는 아동들은 외상을 경험하였을 때 외상의 부정적인 결과에 대하여 resilient하게 된다. 이러한 결과는 아동기 외상의 위험 및 보호인자가 서로 독립되어 있기 보다는 상호작용을 하는 유기적인 관계이며, 각 요소가 아동의 발달 단계, 아동 자신 및 그들의 가족과 환경에 따라 다양하게 작용하고, stressor의 영향은 그 강도에 따라 다양한 작용을 보이며 일부 위험요소와 보호요소는 상대방의 효과를 상승시키거나 감소시키는 등 복잡한 상호 관계를 보이는 것을 시사한다. 앞으로 소아기 외상과 발달 정신병리와의 관계, 위험 및 보호인자에 대한 포괄적인 이해 및 이를 바탕으로 효과적이며 효율적인 예방 및 치료적인 개입이 가능해지기 위해서는 stress가 정상적인 신경발달에 미치는 영향, 유전적인 소인과 부모의 요인과 같은 개개인의 소인에 대한 차이점, 신경조절의 resilience 연구, 소아기 외상의 예방과 뇌의 plasticity에 관한 연구가 같이 진행되어야 할 것이다.

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종합병원의 비보험환자 처치행위 양상과 수가분석에 관한 연구 (An Analysis of Nursing Behavior and Unit of Treatment Cost of Non- Insurance Patients)

  • 오세영
    • 대한간호학회지
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    • 제10권1호
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    • pp.41-55
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    • 1980
  • The medical care insurance system, being put into practice nearly for three years, seem to have brought about some considerable problems as serious for the government as to consider a revision of that system. As one of the most serious problems of present system, the treatment cost of insurance patients is so remarkably low in comparison with than of non-insurance cases that normal operation of hospitals is threatened and care services of low quality are induced. The researcher carried out this survey to analyze and bring to light several aspects of treatment cost of non-insurance patients as a material for a re-assessment of the cost of insurance cases which shows a a considerable difference in amount at the standpoint of hospitals with than of non-insurance cases and further, hoping the significant blind spot of present insurance system(that is, the absence of regulations' for cost assessment by patterns or types of health care treatment) will be mended in near future. The survey was carried out with the treatment invoice sheets of total 902 in-hospital Patients of a general hospital in Seoul during the period of the 2 nd quarter of the year(1979). Among total 902 patients, 694 cases were used for analysis, because those disease or syndromes shared by less than 10% of the patients were put aside before procession. The data were analyzed by kinds or types of diseases, demographic characteristics of patients, hospitalization patterns, types of nursing treatment, etc. The result of analysis was as follows 1. Among all the non-insurance cases, those who received one or more kinds of nursing treatment mounted up to 96. 7 %. The invoice issue frequency per person was 7.2 times, while that frequency per day for a person was 0.8, : the treatment cosr per person was ₩22,650 while its daily average was ₩2,430, due to the average 9.3 in-hospital days per person. 2. As to the nursing treatment types by the demographic characteristics of patients and hospitalization patterns. a. The unit cost female patients was generally more expensive them that of males, and independent nursing service was more given than other types of treatment. As to age, higher age groups received independent nursing service most, while the youngest group received instrumental and integrated nursing services. b. As to room grade, the unit cost of I.C.U. cases was the highest : and the cast of private room patients was higher than that of public room patients. By in-hospital days, the curve of function showed L. type : that is, the longer stay, the lower function. 3. State of treatment types by kinds of disease were ; a. Dependent nursing service showed comparatively high availability in surgical and neurologic disease and independent nursing service was most received by medical, obstetrical and urological patients, while instrumental and integrated services were most available for respiratory disease and obstetrical and neurologic diseases next. b. The invoice issue frequency per day for a patient was highest in obstetrical disease 3.8 times, and the unit cost(per one invoice sheet) was also highest in obstertrical disease(₩10,880) and next in neurologic cases(₩ 4,690 ). 4. As to the pertained departments. a. Cost amount per person was highest in department of Psychiatries daily cost was highest in obstetrical cases : while the invoice issue frequency was highest in obstetrics and next in pediatrics. b. In departments in need of surgical operation, dependent nursing care was highly availabl : while in internal medicine and obstetrics, independent service was higher. Psychiatrics showed the highest the of integrate nursing while pediatrics and obstetrics higher of instrumental services. The variation co-efficien of treatment cost came out to be relatively in high in special surgery, opthalmology and internal medicine. 5. State of treatment cost by types of nursing behavior was. a. The average frequency of invoice issue was 3.5 (times). Among the type four types of treatment, instrumetal service (4.3) and independent nursing behavior(3.9) showed higher frequency than average respectively. But as to unit cost (per invoice). dependent (₩5,200) and integrated (₩5,340) nursing care services were higher than average and considerably higher than the other two types. b. In repect patient distribution. independent nursing behavior(80.3% ) was the highest and depend ent nursing (31.7% ) the lowest. The variation co-efficient of treatment cost appeared highest in dependent nursing be havior as a whole, and among that, doctor's diagnosis showed the highest coefficient value (100.7). In conclusion, the variaty of treatment cost(treatment itself ) by various characteristics and treatment types pro- that treatment various sort of patients and treatment cost of various types of nursing behavior cannot be uniform. Therefore, to attain the equalization of health care service and its cost both for insurant and non-insurant patients, a more specific provision for assessment of cost should be added to the present medical care insurance system and, in addition, the cost of nursing treatment is desired to be inserted into the treatment invoice.

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