• Title/Summary/Keyword: acute bed

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Parabolic Wave Equations Based on $Pad{\acute{e}}$ Approximants - Model Applicable to Incidence Angle $80^{\circ}$ ($Pad{\acute{e}}$ 근사에 의한 포물형 파랑 근사식 - 입사각 $80^{\circ}$까지 적용 모형)

  • Seo, Seung-Nam
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.19 no.4
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    • pp.375-384
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    • 2007
  • Parabolic approximation wave models based on $Pad{\acute{e}}$ approximants are presented of which the $Pad{\acute{e}}$(15, 15) is shown to be applicable to incidence angle $80^{\circ}$ in comparison with the exact solution of a constant sloping bed. After introducing a systematic way of the derivation to the parabolic wave equation, parabolic models are obtained in this study upto the 15th order and several numerical results are given to wave transformation in a constant sloping bed.

Analysis of charges per case by hospital characteristics - In regard to acute appendicitis and NSVD - (병원 특성에 따른 건당 진료비 분석 - 급성충수염과 정상분만을 대상으로 -)

  • Jung, Sang-Hyuk;Yu, Seung-Hum;Kim, Han-Joong
    • Journal of Preventive Medicine and Public Health
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    • v.23 no.2 s.30
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    • pp.216-223
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    • 1990
  • To identify the factors influencing the charges per case of acute appendicitis and normal spontaneous vaginal delivery (NSVD), the personal data-base files and hospital-characteristics-reporting data files of Korea Medical Insurance Corporation were analyzed. One hundred and twenty-nine institutions were selected. The results of this study were as follows 1. The differences of charges per case with respect to hospital ownership, location, and equipment levels were statistically significant. 2. The results of multiple regression analysis revealed that bed capacity was the most significant variable in both diseases. 3. Ownership was significant variable in acute appendicitis. In NSVD, ownership and hospital equipment level were statistically significant. In conclusion, bed capacity was statistically the most significant variable in the analysis of charages per case. And we thought that the results of this study would influence the policy of the hospital bed supply.

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The Evaluation about Effects of the Hard Board on Treating Acute Low Back Pain (급성기 요통의 치료에서 경판의 유용성 평가)

  • Lee, Dong-Yeul;Lee, Soo-Keel;Ryu, Heon-Sik
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.11 no.2
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    • pp.57-64
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    • 2005
  • Objectives The aim of this study is to evaluate effects of hard board applied to acute low back pain patient by using Visual Analogue Scale(VAS) and Pain Rating Score(PRS). Methods From March. 2005 to October. 2005, 20 cases of acute low back pain were divided into 2 groups in sequence. Control group took a rest on the bed(marble-sponge mattress) and sample group took a rest on the hard board. Visual Analogue Scale(VAS) and Pain Rating Score(PRS) were used to assess the change of pain. VAS and PRS were checked 3 times before the treatment, after 3day treatment and 6day treatment. Results 1. After 3day and 6day treatment, there was statistical significance between control and sample group by VAS. 2. After 3day and 6day treatment, there was statistical significance between control and sample group by PRS. Conclusions On treating acute low back pain, it is more effective taking a rest on the hard board than taking a rest on the bed. Further study is needed about effects of hard board applied to acute low back pain patient.

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Geographic distribution analysis of hospital beds by Gini index and Lorenz curve (Gini 계수와 Lorenz 곡선에 의한 지역별 병상분포 양상 분석)

  • An, Byeung-Ki;Park, Jae-Yong;Kim, Key-Hoon
    • Korea Journal of Hospital Management
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    • v.16 no.3
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    • pp.1-18
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    • 2011
  • In this study, population census(2005 & 2008) from Statistics Korea and the statistical data of the number of hospital beds by healthcare facilities classification from Ministry of Health and Welfare were used. For analyzing distribution of hospital beds, hospital beds were classified as acute care beds, long-term care beds and all hospital beds, which is including acute and long-term care beds. Regional areas, which are city(si), county(goon) for the study and district(gu) were reclassified as metropolitan city, city(si) and county(goon). Because there were 165 regional areas in 2005 and 2008, 84 and 81 areas were classified as metropolitan city and/or city and county, respectively. Gini index were calculated for hospital beds from each year, and Lorenz curves were drawn. The following summary presents the findings of this study. Compared to the year 2005 and 2008, the Gini index was 0.24472, and hospital bed numbers increased slightly by 0.80% than in 2005. In case of acute care beds, the Gini index was 0.23797(0.13%), and there was no big difference; however, the Gini index for long-term care beds was 0.41091, and there was a 30.25% decrease, which shows improvement to reduce disparities. It might result from an increase in long-term care beds up to 476.2%. For geographical equality of hospital beds, the Gini index and Lorenz curve, which can be compared the degree of inequality in the distribution of hospital beds reasonably and possibly show statistical data, should be used. Through this study, the distribution policy of hospital beds should be established.

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Nurse Staffing Level Relating Factors of the General Nursing Units, ICU, ER and OR in Acute General Hospitals (종합병원의 일반병동, 중환자실, 응급실, 수술장간호사 확보수준 관련 요인)

  • Kim, Yun-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.404-412
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    • 2008
  • Purpose: To analyse hospital nurse staffing level of the general nursing unit, ICU, ER and OR in general hospitals. Method: The study sample was 105 acute general hospitals which had reported the bed size and number of nurses by the nursing units. Number of bed per nurse was analysed by the hospital characteristics and the staffing levels of the doctors and the nursing assistant personnels using t-test or ANOVA and Pearson's correlation. Results: Number of bed per nurse was 3.86 in general nursing units and 0.95 in ICU. Tertiary hospitals employed more nurses in general nursing units and ICU than general hospitals. Hospitals located in Seoul and public hospitals employed more ICU nurses. OR nurse staffing level was higher in academic hospitals. Hospital size was positively correlated with nurse staffing level of the general nursing unit, ICU, ER and OR respectively. Total nurse staffing level of the hospital was positively correlated with doctor and nursing assistant personnels staffing levels. Conclusion : Differentiated nursing fee schedule was needed to implement in ER or OR. Regulation policy should be needed for the hospitals which violated hospital nurse staffing level of the law.

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Aluminum Coating on A12O3 Powders in Fluidized Bed Reactor at Atmospheric Pressure (유동반응관을 이용한 상압에서의 알루미나 분말의 알루미늄 증착)

  • 강창용
    • Journal of Powder Materials
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    • v.1 no.1
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    • pp.21-26
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    • 1994
  • Aluminum was deposited on aluminum oxide powders using a fluidized bed reactor at atmospheric pressure. The aluminum oxide powders were irregular flakes with acute angles and the average particle size was 26 $\mu\textrm{m}$. The fluidized bed was formed by flowing argon gas at the velocity of 60 cm/sec. The optimal fluidization condition was obtained with the reactor designed to be tapered so that the fluid velocity decreases as the fluidizing gas goes up along the reactor. Aluminum was deposited by flowing TiBA(Triisobutylaluminum) evaporated at$250^{\circ}C$ through the fluidized bed reactor heated to 350~$450^{\circ}C$. The result from the analysis by XRD and EDAX confirmed the coating of aluminum and an SEM micrograph showed the conformality.

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Higher Order Parabolic Wave Equations (고차 포물형 파랑 근사식)

  • Seo, Seung-Nam;Lee, Dong-Young
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.19 no.3
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    • pp.205-212
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    • 2007
  • Parabolic approximation wave models based on $Pad{\acute{e}}$ approximants are analyzed in order to calculate wave transformation. In this study a $Pad{\acute{e}}(2,2)$ parabolic approximation model is developed to increase the accuracy of computation in comparison with the existing models. Numerical studies on a constant sloping bed show that the new model proves to allow for much more successful treatment of large angles of incidence than is possible using the previously available models.

Effects of Korean value incentive program on the in-hospital mortality in acute hemorrhagic stroke patients (가감지급사업 실행 후 급성기 출혈성 뇌졸중의 원내 사망률 변화 분석)

  • Seol, Jin-Ju;Yoo, Ki-Bong;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.27 no.1
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    • pp.20-30
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    • 2022
  • Purposes: This study purposed to evaluate the effect of a value incentive program(VIP) on the in-hospital mortality of acute stroke. Methodology: Study period was from January 2010 to December 2018. This study included 63 hospitals for acute hemorrhagic stroke that the mortality rate per month was more than one during study period. Independent variables were time variables and hospital characteristics such as hospital type, district and bed number. Interrupted time series analysis was applied to analyze the data. Findings: In case of general hospitals, the in-hospital mortality rate per month for acute hemorrhagic stroke tends to be increased by 0.03% in overall study periods but decreased by 0.32% after the implementation of the policy. On the other hand, tertiary hospital changes are not statistically meaningful. Conclusion: This study provides evidences how the VIP was effective in improving quality of acute hemorrhagic stroke care. General hospitals showed higher policy effect compare to that of tertiary hospitals.

Relationship Between Supply Factors of Medical Care and Use of Bed (의료의 공급량과 병상이용량과의 관계에 관한 국제비교연구)

  • 정형선
    • Health Policy and Management
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    • v.5 no.2
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    • pp.18-34
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    • 1995
  • To clarify the relationship between the medical supply(medical persons and goods) and the use of bed, the author has made comparison among OECD 24 countries. Per Capita Bed-days can be divided into Average Length of Stay and Admission Rate, and these three variables were regressed upon both In-patient Care Beds of all medical institutions including acute somatic, psychiatric, special, nursing homes and other long-term care and Share of Total Health Employment in Total Employment. The result of regression analysis shows a statistically significant positive relationship between In-patient Care Beds and Average Length of Stay, and negative relationship between Share of Total Health Employment and Admission Rate. In addition to Ordinary Least Square(OLS) estimation, amended Bounded Influence Estimation(BIE) was also made to adjust the influence of outliers. Japan shows a very large number of In-patient Care Beds and a very low Share of Total Health Employment, and this medical situation is judged to have close relation to her long Average Length of Stay and low Admission Rate.

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A Study on the Architectural Planning for Conversion from Acute-Care Hospital to Geriatric Hospital (일반병원의 노인전문병원으로의 전환에 관한 건축계획 연구)

  • Yu, Young-Min
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.1
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    • pp.49-58
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    • 2008
  • Considering the rapid growth of elderly population and the increase of medical demand for aged, many of geriatric hospitals are needed in Korea. On the other hand, supplies of hospitals for acute care are considered to be excessive. So many of small and medium hospitals facing management problems have been converged to geriatric hospitals. These attempts are considered resonable for efficient utilization of health care resources in Korea. This paper aims to identify the concept of geriatric hospital and to analyze the problems and then to seek the alternatives for architectural planning on the basis of surveying the geriatric hospitals converged from hospitals for acute care.

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