• 제목/요약/키워드: Middle-aged female

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의원의 특성에 따른 상병진단군의 분포에 대한 연구 (Chracteristics of Primary Health Practice and Diagnosis-Cluster Pattern in Health Insurance)

  • 윤종률;문옥륜;허정;김창엽
    • 보건행정학회지
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    • 제3권2호
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    • pp.100-129
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    • 1993
  • This study is designed to find out some intra-clinic factors affecting the content of practice provided by primary care physicians in Korea, and proposed factors in this study are characteristcs of each private clinc --- physician-related variables(age, sex, specialty), bfed-related variables for inpatient care, laboratory-related variables for precise diagnosis. We have tried to estimate the difference of disease entities cared by each primary care physician according to above factors by analyzin gdisease data claimed during one month(April, 1992) to National Federation of Medical Insurance. The diagnosis codes by ICD-9 in the research disease data were reclassified to 'diagnosis clusters' by virtue of clinical similarities for effective analyses. We have converted frequent-tsing ICD-9 codes to 86 diagnosis clusters, which incorporated 97.4 percents of all ambulatory visits to private clinics. This result means proposed diagnosis-cluster method is effective tool for analysis of the content of ambulatory medical care carried out by primary care physicians. Comparisons and analyses of multiple diagnosis-clusters made on the basis of presented factors were done and the results were as follows; - Major factors affecting the difference between diagnosis-cluster pattern by each variables were phyusician's age, sex, specialty and bed counts of each private clinic for inpatient care and the size of laboratories of each clinic. - Middle aged(30th to 40th) group physicians are providing more comprehensive care than 20th or above 50th aged groups. Male physicians are more adequate for comprehensive care than female physicians, because woman-doctors are providing narrow-spectrum care. The content of practice of obstetricians and gynecologists shows much difference from primary medical practice, and they cannot be included in primary care physician, this study suggested. Pediatricians are also providing short-spectum acre, and nearly all visits to pediatricians were incorporated only 2-3 diagnosis-clusters. General surgeons' practices are very similar to general practioners' or family physicians' practices, the means they are providing primary care rather than special surgical care. And small number of beds(under 5 beds) and only basic(2-3 sorts of)diagnostic apparatuses are sufficient for primary physicians' clinic to carry out primary care. In conclusion, to reinforce primary care department in Korea, there must be support with health policy to expand office-based primary care practice-- with small number of beds for inpatient care and only basic laboratories-- provided by general practitioner of family physician.

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An Investigation of the Health Foods and Supplements Intake and Its Associated Factors in MiddleㆍOld Aged Adults Living in Seoul and Gyeong-Ki Area

  • Shin, Jeong-Min;Lee, Min-June;Kim, Jung-Hyun
    • Nutritional Sciences
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    • 제7권4호
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    • pp.223-234
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    • 2004
  • The aim of this study was to investigate intake of health foods and supplements and its associated factors in middle and old-aged adults in order to contribute to health promotion of Korean population by providing a guide for proper use of health foods and supplements. About 69% of the subjects reported that they were currently taking health foods and supplements or had experiences of having them in the past, whereas 31.2 % reported they had never taken them. The most commonly used type of health foods and supplements was vitamin C as reported by 41.8% followed by others such as lactobacillus products, multi-vitamins, tonic medicine and cardiotonic drug, artificially processed Ginseng foods, vitamin B complex, enzyme supplement, calcium, aloe, apricot extract products, chitosan products, loyal honey, squalene, refined fish oil and iron products. The major reason for taking health foods and supplements was 'to protect the weak constitution' with 155 (42.1%) responses, and the motive for the intake was the suggestion from family-relatives with 235 (63.9%) responses, and the place of purchase was pharmacy with 140 (38.0%) responses, the average monthly expense was 20,000-40,000 won with 140 (26.2%) responses, and effects after the intake was 'so and so' with 180 (33.6%) responses as the highest. More health foods and supplements were consumed as age and education were statistically significantly increased (p<0.05). For health and lifestyle and the intake of health foods and supplements, perceived health status, the presence of illness, and the presence of health management were statistically significant (p<0.05). Male subjects than female subjects and the 30s than the 405 and 50s were appeared to have poorer dietary behaviors (p<0.05). For the health locus of control and the intake of health foods and supplements, the health locus of control score was 22.82 for consumers and 22.79 for non-consumers, showing no significant difference. Logistic regression analysis was performed to find out major factors that affect the intake of health foods and supplements, in which gender, education, smoking, perceived health status, the presence of illness, and health management were significant to the intake of health foods and supplements. It is shown that subjects with perception and attitude of 'health foods and supplements are useful in health maintenance and disease prevention' and 'the information and variety for health foods and supplements are great' have higher probability of taking health foods and supplements.

의복구성학 분야의 연구동향 분석 - 2010~2021년 까지 국내학술지를 중심으로 - (An Analysis of Research Trends in Clothing Construction Field - Focused on Korean Journal Publications from 2010 to 2021 -)

  • 이영주;신장희;채희주
    • 한국의상디자인학회지
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    • 제24권3호
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    • pp.73-84
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    • 2022
  • This study aims to present the direction of research for rational clothing design and production and improve the productivity of the fashion industry by analyzing the most recent 11 years (from 2010 to 2021) with regard to the clothing construction field. Analyzing the research trends in the field of clothing construction, which is deeply related to clothing production, will suggest the direction of research for clothing design and production. To analyze the current status of research in the field of clothing construction, research trends were analyzed, focusing on 525 research journal articles from six Korean clothing-related journals with terms related to torso and upper and lower limbs. The analysis results of this study are as follows. First, the rapid development of IT technology requires changes and innovations in all processes of clothing construction, including body shape analysis and pattern design. Therefore, it is believed that both body shape and pattern research should be continuously conducted to produce clothes with an excellent silhouette and fit depending on the body shape through studies, such as developing 3D patterns and converting 3D body figures into 2D patterns, among others. Second, since body shape studies are concentrated on young, middle-aged, and the elderly, it is believed that various body shape studies should be conducted on infants and elementary, middle, and high school students who have significant changes in body shape due to changes in the living environment. Third, if the content of pattern research is expanded to various items and is widely conducted, it will contribute to the production of clothing that has an excellent fit. Fourth, at a time when aging in society is accelerating, it is believed that research on patterns and clothing systems that can increase the fit of clothing by analyzing the body types of elderly male and female consumers should be actively conducted. Because the analysis was conducted only among six Korean academic journals, there is a limitation in the expanded interpretation of the results derived from this study.

전국민을 대상으로 한 한의원과 한방병원 외래이용환자의 이용실태 및 특성비교연구 - 2011년 한방의료이용 및 한약소비실태조사 보고서(보건복지부)중 이용환자의 질병치료방법 및 치료효과를 중심으로 - (Nationwide Study on the Usage and Characteristics of Patients Visiting Korean Medical Facilities - Based on the Treatment of Major Disorders, Effectiveness, Satisfaction and Occurrence Rate of Side Effects From the Ministry of Welfares Report on Usage and Consumption of Korean Medicine in 2011 -)

  • 이선동;조재국;;박해모;양준모;최성용
    • 대한예방한의학회지
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    • 제17권2호
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    • pp.29-46
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    • 2013
  • A survey conducted on 1,103 patients or caretakers visited Korean medical clinics and hospitals between August 25, 2011 to September 30, 2011 by the Ministry of Health and Welfares and Korea Institute for Health and Social Affairs was analyzed and obtained following results: 1. For sociodemographic distribution, female(813) outnumbered male(290) patients with majority of patients ranging from 30s to 60s. Married patients(793) outnumbered unwed(150) patients and 65.0% with higher than high school education. Statistical significance was seen in gender, age, marital status, and education level but no significant difference for status of employment, income level, and types of insurance between the clinics and hospitals. (P<0.05). 45.1% had less than \2,000,000 in monthly salary and most of coverage was provided by either regional or work insurance. 2. 67.9% of the patients rated health conditions to be better than average and 32.1% listed as poor. People in good health showed tendency to visit Korean medical facilities. Musculo-skeletal conditions such as arthritis, ankle sprain, lumbago, muscular injury, and frozen shoulder were common conditions, followed by gastric disorders, common cold and herbal tonics. No significant difference was observed between the clinics and hospitals for above conditions, but significance was seen in atopic dermatitis, stroke, and sequela from traffic accidents (P<0.05). 3. Ten most common conditions addressed at Korean medical facilities were lumbago, arthritis, muscular injury, back sprain, gastric disorders, ankle sprain, common cold, herbal tonics, frozen shoulder and stroke. Major treatment modalities rendered were herbal medicine, herbal supplements, acupuncture and moxibustion, cupping, tuina, and Korean midical physical therapy. No significant difference existed between the clinics and hospitals. 4. All modalities showed at least 85% effectiveness. No statistical significant difference between the clinics and hospitals except for herbal decoction. (P=0.0452) 5. 88.3% of responses showed treatment satisfaction with significant difference between the clinics and hospitals (P=0.002). The occurrence of side effects was at 2%, mostly corning from treating digestive, skin, kidney disorders and neurological issues. No significant difference was observed between the clinics and hospitals. From the above results, the typical population visiting Korean medical facilities can be summarized as being middle aged female with relatively higher education and moderately low income. The health condition is generally good and the purpose of visit is to receive traditional treatments of acupuncture, herbal medicine, and physical therapy. Treatment efficacy and satisfaction were high with no significant differences between the clinics and hospitals.

초년 성인의 굴절이상과 조절래그 분포의 연관성 (The Accommodative Lag and Refractive Error in Early Adults)

  • 박상배;정연홍
    • 한국안광학회지
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    • 제17권1호
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    • pp.59-65
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    • 2012
  • 목적: 본 연구는 굴절이상에 따른 조절래그의 분포와 연관성을 알아보고자 하였다. 방법: 양안시 기능에 문제가 없는 만18세~25세 이하 초년 성인을 대상으로 우안 49안, 좌안 49안(총 98안)의 굴절이상과 조절래그를 검사하였다. 조절래그는 LogMAR 시력 0.05(소수시력 0.9) 이상 완전교정한 후에 크로스실린더와 근거리 십자시표를 이용하여 단안과 양안을 측정하였다. 결과: 단안의 조절래그량은 우안 $0.64{\pm}0.64$ D, 좌안 $0.63{\pm}0.64$ D로 우안이 많았지만 통계적인 차이는 없었다(p=0.858). 양안에서는 남자가 1.50 ~ -0.75($0.31{\pm}0.44$)로 여자 0.50 ~ -0.75$-0.02{\pm}0.33$) 보다 평균값의 범위가 넓고 크게 나타났으며(p=0.015), 동공간 거리가 멀수록 조절래그량은 많았지만(p=0.003) 연령과 우위안에 따른 분석에서는 차이가 없었다(p=0.800, p=0.402). 굴절이상에 따른 조절래그 범위는 저도근시 0.75 ~ -0.25 D, 중등도 근시 1.25 ~ -0.50 D, 고도근시 1.50 ~ -0.75 D로 분포하였고 등가구면 굴절력과는 y = -0.03953x+0.09205의 관계식을 나타냈다. 결론: 조절래그는 등가구면 굴절력이 클수록 분포범위가 넓고 평균값이 높은 것으로 분석되었다.

성인 여성의 기성복 치수를 위한 체형 분류 (Classification of Body Types for sizes of Ready-to-Wear-focusing on Korean female aged from 18 to 24)

  • 김경화;남윤자
    • 복식
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    • 제53권6호
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    • pp.145-159
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    • 2003
  • The purpose of this study was to classify body type for ready-to-wear sizes. The subjects were 300 women ages of 18-24. they were measured direct anthropometry. The body types for sizing system were divided by Rohrer Index. KS drop value and ISO drop value. The results of this study were as follows. 1. By adapting the Rohrer Index. we classify 3 types from anthropometric measurements. The thin type covered 39.3%, the standard type 51.0% and the obesity type 18.7%. The characteristics of clusters were as follows. Thin type was characterized by tall. slender type and slim. The standard type was characterized by middle sized. The obesity type was characterized by short. fat type. and large bust. 2. By adapting the KS system drop value. we classify 3 types from anthropometric measurements. The H type(drop 0) covered 25.6%. the N type(drop 6) 65.2% and the A type(drop 12) 9.2%. Type H was slightly tall large bust. and curved from waist to hip. Type A was slightly thin. large hip and smaller bust than type N. Principal factor components were bust size. The height could be divided into three groups. The Petite(l50cm) covered 5.5%. the Regular(l60cm) 64.7% and the Tall(l70cm) 29.8%. Through the crosstab of height and body type. we extracted regular height by N type 46.2% the largest cell. The body type was the higher order of N type. H type and A type. The tall was the higher order of Regular. Tall and Petite. 3. By adapting the ISO system drop value. we classify 3 types from anthropometric measurements. The H type(drop 0) covered 15.0%. the M type(drop 6) 41.0% and the A type(drop 12) 44.0%. Type H was slightly short. slightly fat and large bust. Type A was slightly tall. slight thin than type M. The height could be divided into three groups. We adjust the height section after allow for height distribution. The Short(152cm) covered 12.8%. the Regular(160cm) 66.9% and the Long(168cm) 20.3%. Through the crosstab of height and body type, we extracted regular height by M type 29.3% the largest cell. The body type was the higher order of M type, A type and H type. The tall was the higher order of Regular, Long and short.

중고령자의 은퇴 만족 유형과 삶의 만족도 : 성별에 따른 차이를 중심으로 (Types of Retirement Satisfaction and Life Satisfaction among Middle and Older Adults: Focusing on Gender Differences)

  • 조규영;전혜정;이은지
    • 한국산학기술학회논문지
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    • 제20권4호
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    • pp.371-381
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    • 2019
  • 본 연구는 은퇴를 주로 부정적인 생애사건으로 분류하였던 기존 인식에서 벗어나 보다 긍정적인 관점에서 다루고자 하였다. 취업자를 참조집단으로 하여, 은퇴자의 은퇴 만족 여부(만족 은퇴, 불만족 은퇴)가 삶의 만족도에 어떠한 영향을 미치는지를 살펴보고, 성별에 따른 차이를 검증하였다. 연구대상은 1~2차년도 고령화연구패널조사(KLoSA) 참여자 중 45세 이상의 취업자 1,886명, 은퇴자 723명으로 총 2,609명이며, 은퇴자는 1~2차년도 지속적 불만족 은퇴자와 만족 은퇴자로 구분하였다. 연구방법은 SPSS 21.0을 사용한 중다회귀분석을 실시하였으며, 남녀 집단 간 차이를 보다 명확히 하기위해 성별에 따른 회귀계수의 차이를 Mplus 7.3을 사용하여 다집단 분석(Multi-Group Analysis)을 통해 검증한 뒤, Wald-Test를 실시하였다. 본 연구결과에 따르면, 불만족 은퇴자와 만족 은퇴자의 삶의 만족도는 상반되는 것으로 나타났다. 즉, 은퇴에 불만족할 경우 취업자보다 삶의 만족도는 낮은 반면, 은퇴에 만족할 경우 오히려 취업자보다도 삶의 만족도가 높다는 결과가 도출되었다. 또한, 남녀 모두 불만족 은퇴자는 취업자보다 삶의 만족도가 낮았고, 이 효과는 여성에게서 더 큰 것으로 나타났다. 그러나 여성의 경우 만족 은퇴자의 삶의 만족도는 취업자보다 높은 반면, 남성의 경우 이러한 영향력이 유의미하다는 증거가 발견되지 않았다. 본 연구결과를 바탕으로 은퇴자 집단의 이질성 및 생애과정에서의 성차에 대한 논의가 이루어졌다.

복합표본분석을 적용한 한국 대사증후군자들의 건강관련 삶의 질(EQ-5D) (Health-Related Quality of Life (EQ-5D) among Korean Adults with Metabolic Syndrome using Complex Samples Analysis)

  • 임현정;김응준
    • 한국엔터테인먼트산업학회논문지
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    • 제13권8호
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    • pp.357-365
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    • 2019
  • 본 연구의 목적은 대사증후군을 가진 사람의 성별, 연령에 따른 건강관련 삶의 질(EQ-5D)의 차이를 확인하는 것이다. 국민건강영양조사(KNHANES VI-2)에 응답한 5,021명의 자료를 이용하여 대사증후군 판정을 하였으며, IBM SPSS STATISTICS 25.0의 복합표본분석을 적용한 빈도분석, 교차분석과 Complex Samples GLM과 Complex Samples t-test를 사용하였다. 연구결과 EQ-5D 지수에 있어서 남성이 여성보다 다소 높았다(p<.001). 연령별로는 청장년(19~39세), 중년(40~65세), 노년(65세 이상)의 순서로 높게 확인되었다(p<.001). 대사증후군 여부로는 대사증후군에 속하지 않는 경우가 대사증후군을 가진 경우보다 추정치가 높게 나타났으나 통계적으로 유의하지는 않았다. 대사증후군 여부로는 대사증후군이 있는 경우에 그렇지 않은 경우보다 건강관련 삶의 질이 추정치에서 낮음으로 나타났으나 통계적으로 유의하지 않았다(p>.05). 한편, 전체 모집단(population)에서 성인을 대상으로 복합표본을 적용한 독립표본 t 검정(Complex Samples Independent t-test)을 통해 성별 간 대사증후군 유병여부에 따른 EQ-5D는 여성의 경우 대사증후군에 속하지 않은 경우가 대사증후군에 속하는 경우 보다 높은 지수가 확인되었으며 통계적으로 유의한 차이가 확인되었다(p<.01).

여대생의 체질량지수와 식습관에 따른 골밀도 비교 (Comparative of Bone Mineral Density according to the Body Mass Index and Eating Habits of Female U niversity Students)

  • 이인자
    • 대한방사선기술학회지:방사선기술과학
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    • 제40권4호
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    • pp.581-587
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    • 2017
  • 16세에서 26세 정도에서 총 무기질 함량이 99% 정도 형성된다는 자료를 토대로 골 형성에 중요한 20대 초반의 여대생들을 대상으로 골밀도에 영향을 미치는 식습관의 요인을 알아보고 차후에 생길지도 모르는 골다공증을 예방하기 위한 자료를 제공하고자 본 연구를 하였다. 20대의 여대생 100명을 대상으로 BMI에 따른 골밀도를 DEAX로 측정하였고, 본인이 직접 작성한 식습관 10개 항목과 골밀도 측정 결과를 Microsoft office Excel 2010을 이용하여 pearson상관분석과 다중회귀분석으로 분석하였다. 그 결과는 신장은 $161.08{\pm}4.70cm$, 체중은 $52.43{\pm}6.43kg$, BMI는 $20.22{\pm}2.48$로 나타났으며, 이들은 BMD와 유의한 상관관계를 가지고 있다(p<0.05). BMI에 따른 분류를 해보면 저체중이 20명, 정상체중 이상은 80명 이었으며, 정상체중 이상에서 BMD가 $0.20{\pm}0.41$로 높았다. 또한 동일한 성별에서 젊은 성인집단의 골밀도와 비교한 T-score의 평균은 $-0.04{\pm}0.99$, 같은 연령대의 골밀도와 비교한 Z-score의 평균은 $0.02{\pm}0.93$로 차이가 없었다(p<0.001). 골밀도에 영향을 미치는 식습관은 본 연구에 의하면 1일 3끼 식사, 1일 커피 1-3잔, 짜지 않은 음식섭취는 p<0.05로 유의한 관계를 나타내 가장 영향을 많이 미치고 있었으며, 그 외에 음주, 1달에 6-9회의 유제품 섭취도 p<0.05로 유의하지는 않지만 p=0.066, 0.054로 영향을 미치는 것으로 나타났다. 따라서 20대 여대생들이 중장년이 되었을 때 골 질환을 막기 위해서는 젊은 시절 골 형성이 잘 될 수 있도록 식습관을 바르게 가져야 할 것으로 사료된다.

한방안이비인후피부과 입원환자의 특성 연구 -2012년 3월부터 2018년 2월까지 대전대학교 둔산한방병원을 중심으로- (A Study on the Characteristics of Inpatients in Korean Medicine Ophthalmology, Otolaryngology & Dermatology Clinic -From March, 2012 to February, 2018, Korean Medicine Hospital of Daejeon University-)

  • 황미리;정현아
    • 한방안이비인후피부과학회지
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    • 제32권1호
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    • pp.16-31
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    • 2019
  • Objective : The purpose of this study is to analyze the charcateristics of inpatients in Ophthalmology, Otolaryngology & Dermatology Clinic by gender, age, season, and department of medical care after hospitalization from March, 2012 to February, 2018. Method : From March 1, 2012 to February 28, 2018, patients who were admitted to the Ophthalmology, Otolaryngology & Dermatology Clinic of Korean Medical Hospital were classified by gender, age, department, and season, and their relationship, hospitalization period, number of outpatient visits Differences were analyzed objectively using various statistical methods using IBM SPSS 18.0. Results : 1. The number of inpatients was 432, including duplication. Of these, 317 were female and 115 were male. The number of female patients was 2.8 times higher. 2. The average age of the inpatients was 43.9 years and the number of middle-aged 40-50 patients was 48.6%. 3. The number of inpatients in the departments was in the order of dermatology, otology, laryngology, rhinology, and ophthalmology. The most hospitalized diseases were eczema in the dermatology department, sudden hearing loss in the otology department, tonsillitis/peritonsillar abscess, rhinitis in the rhinology department, and dry eye syndrome in ophthalmology. 1) The effect of gender on the difference in the number of inpatients by subdivision was statistically significant. 2) The effect of age on the difference in the number of inpatients by subdivision was statistically significant. 3) The effect of seasons on the difference in the number of inpatients was not statistically significant. 4. The number of inpatients by season was in the order of winter, spring, summer, autumn, and the number of inpatients decreased significantly in autumn. 1) The effect of gender on the difference in the number of hospitalized patients by season was not statistically significant. 2) The effect of age on the difference in the number of hospitalized patients by season was not statistically significant. 5. The average length of hospital stay for inpatients was 10.7 days. 1) The effect of gender on length of hospital stay was not statistically significant. 2) The effect of age on hospital stay was not statistically significant. 3) The effect of the subdivision on hospital stay was statistically significant. 4) The effect of the season on hospital stay was not statistically significant. Conclusion : As a result of this study, the most distinctive feature of the present study was the high rate of inpatients with otic disease like idiopathic hearing loss and Meniere 's syndrome and the high rate of female patients. This may be related to the increased prevalence of the disease and the severity of the disease. In addition, the high rate of female patients suggests that women are more likely to be affected by illnesses, as well as to have more medical use and severe symptoms requiring hospitalization. In the future, it would be better to provide various treatment plans and policies for patients with otic diseases and female patients. Also it would be good if studies on these fields are made in the future.