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On the Feasibility of a RUG-III based Payment System for Long-Term Care Facilities in Korea (한국의 장기요양서비스에 대한 RUG-III의 적용가능성)

  • 김은경;박하영;김창엽
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.278-289
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    • 2004
  • Purpose: The purpose of this study was to classify the elderly in long-term care facilities using the Resource Utilization Group(RUG-III) and to examine the feasibility of a payment method based on the RUG-III classification system in Korea. Method: This study measured resident characteristics using a Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. Data was collected from 530 elderly residents over sixty, residing in long-term care facilities. Resource use for individual patients was measured by a wage-weighted sum of staff time and the total time spent with the patient by nurses, aides, and physiotherapists. Result: The subjects were classified into 4 groups out of 7 major groups. The group of Clinically Complex was the largest (46.3%), and then Reduced Physical Function(27.2%), Behavior Problems (17.0%), and Impaired Cognition (9.4%) followed. Homogeneity of the RUG-III groups was examined by total coefficient of variation of resource use. The results showed homogeneity of resource use within RUG-III groups. Also, the difference in resource use among RUG major groups was statistically significant (p<0.001), and it also showed a hierarchy pattern as resource use increases in the same RUG group with an increase of severity levels(ADL). Conclusion: The results of this study showed that the RUG-Ill classification system differentiates resources provided to elderly in long-term care facilities in Korea.

Preventive Effect of LS-RUG-com-a Mixture of Rubus crataegifolius, Ulmus macrocarpa, and Gardenia jasminoides-on Gastric Disorders in Animal Models (산딸기, 유백피, 치자 추출물의 임상용 복합제제의 동물 실험모델에서의 위 질환 억제활성)

  • Young Ik Lee;Ahtesham Hussain;Md Aziz Abdur Rahman;Ho Yong Sohn;Hye Jung Yoon;Jin Sook Cho
    • Journal of Life Science
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    • v.33 no.11
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    • pp.923-935
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    • 2023
  • Rubus crataegifolius (RC), Ulmus macrocarpa (UM), and Gardenia jasminoides (GJ) are well-known folk medicines in Asia used to treat various gastrointestinal disturbances. The present study evaluated the gastroprotective effect of LS-RUG-com, a mixture of commercially prepared powders of RC, UM, and GJ with a ratio of 3:1:2(w/w/w) against HCl/ethanol-induced gastritis, indomethacin-induced ulcers, and esophageal reflux-induced esophageal mucosal damage and Helicobacter pylori infections. In addition, TNF-α and IL-1β expressions were also determined and measured in esophageal tissue. As to HCl/ethanol-induced gastritis, the LS-RUG-com treatment at a dose of 150 mg/kg showed a remarkable anti-gastritis effect. Regarding indomethacin-induced gastric ulcers, the LS-RUG-com treatment had a significant anti-gastric ulcer effect. Furthermore, in the gastroesophageal reflux disease (GERD) model experiment, the LS-RUG-com treatment resulted in the histological recovery of stomach damage and mucosal injuries. Furthermore, the LS-RUG-com treatment led to an increase in gastric content pH, an increase in mucus protection, and a decrease in gastric pepsin output with a significant decrease in TNF-α and IL-1β. As to the Helicobacter pylori infected animal model, LS-RUG-com had a notable inhibitory effect on Helicobacter growth. The use of RC, UM, or GJ in isolation or the LS-RUG-com treatment as whole had good effects in terms of anti-oxidation, anti-neutralization, gastric acid secretion inhibition, and anti-lipid peroxidation, which supported the use of natural products as systemic gastric protective agents. Our results suggest that the LS-RUG-com might be a significant systemic gastroprotective agent that could be utilized for the treatment and/or protection from gastric disturbances and related damage.

Validation of Analytical Methods for Unriped Rubus crataegifolius, Gardenia jasminoides and Ulmus macrocarpa Marker Compounds for Standardization of Natural Complex LS-RUG-com Preparation as Functional Ingredient (천연복합소재 LS-RUG-com의 기능성원료 표준화를 위한 산딸기 미숙과, 치자 및 유백피 지표성분의 분석법 검증)

  • Young Ik Lee;Su Jin Pyo;Hee Jin Lee;Hye Jung Yoon;Ho Yong Sohn;Jin Sook Cho
    • Journal of Life Science
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    • v.34 no.1
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    • pp.59-67
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    • 2024
  • LS-RUG-com preparation in a complex extract from mixture of three natural plants. Rubus crataegifolius/unriped, Gardenia jasminoides and Ulmus marcrocarpa that have been widely used in traditional functional health food. This study was conducted to establish the HPLC analysis methods that can be used to establish quantitative analysis of R. crataegifolius, G. jasminoides and U. macrocarpa for standardization of LS-RUG-com preparations. HPLC analysis methods for simultaneous determination of ellagic acid and geniposide and single determination of catechin-7-O-β-D-apiofuranoside were established for the quality control of natural plants complex (LS-RUG-com). Validation of HPLC analysis were performed by checking specificity, accuracy, precision, limit of detection and quantitation, and linearity following ICH (International Council for Harmonisation) guideline. As the result of quantitative analysis, the contents of ellagic acid, geniposide and catechin-7-O-β-D-apiofuranoside in each plant extracts were 11.2 mg/g (ellagic acid) and 72 mg/g (geniposide) and 10.2 mg/g (catechin-7-O-β-D-apiofuranoside). The contents of ellagic acid, geniposide and catechin-7-O-β-D-apiofuranoside in LS-RUG-com were 4.62~6.82 mg/g (ellagic acid), 19.2~28.8 mg/g (geniposide) and 1.36~2.04 mg/g (catechin-7-O-β-D-apiofuranoside) respectively.

The Reflection of Persian Gardens in Persian Rug Design: A Comparative Study

  • Hirbod, NOROUZIANPOUR
    • Acta Via Serica
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    • v.7 no.2
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    • pp.109-132
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    • 2022
  • Two of the main elements of Persian tangible heritage are rugs and gardens, which have evolved together from the dawn of Iranian history. Emerging from the same system of thought and geographical location, together they represent the Persians' world views, desires, dreams, and design paradigms. In this study, the Persian Garden's patterns, elements, typology, and meanings are introduced and compared with the same aspects of Persian rugs. This paper uses a qualitative comparative methodology to analyze rugs' designs and patterns in relation to Persian Gardens' design principles. Data is collected primarily through library study and observation. The author uses two categories for comparison: meanings and forms. First, the author identifies underlying meanings common to the two art forms and then introduces form, function, and general principal patterns into the analysis. There is a type of rug pattern, known as Chahar-Bagh (literally, "four gardens"), that mirrors a garden design, down to the details, which is the focus of this paper. Additionally, other representations of Persian Gardens in rug design, such as Shekargah ("hunting pattern"), are discussed, as are other rug patterns with fewer elements borrowed from garden design. The paper also considers several motifs that represent flora common in gardening on the Iranian plateau, some of which have symbolic meanings dating to the Zoroastrian era. By comparing these two mediums of art (garden and rug) in the context of Persian history and geography, it becomes clear that the Persian rug design, in its roots, is an attempt to bring a garden into interior space. The study shows that the forms, patterns, and meanings reflected in Persian rugs render the study of their designs incomplete without considering the history of gardens.

Resource use of the Elderly in Long-term Care Hospital sing RUG-III (요양병원 입원노인의 환자군 분류에 따른 자원이용수준)

  • 김은경
    • Journal of Korean Academy of Nursing
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    • v.33 no.2
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    • pp.275-283
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    • 2003
  • Purpose: This study was to classify elderly in long-term care hospitals for using Resource Utilization Group(RUG-III) and to consider feasibility of payment method based on RUG-III classification system in Korea. Method: This study designed by measuring resident characteristics using the Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. The data were collected from 382 elderly over sixty-year old, inpatient in the five long-term care hospitals. Staff time was converted into standard time based on the average wage of nurse and aids. Result: The subjects were classified into 4 groups. The group of Clinically Complex was the largest(46.3%), Reduced Physical Function(27.2%), Behavior Problem(17.0%), and Impaired Cognition(9.4%). The average resource use for one resident in terms of care time(nurses, aids) was 183.7 minutes a day. Relative resource use was expressed as a case mix index(CMI) calculated as a proportion of mean resource use. The CMI of Clinically Complex group was the largest(1.10), and then Reduced Physical Function(0.93), Behavior Problem(0.93), and Impaired Cognition(0.83) followed. The difference of the resource use showed statistical significance between major groups(p<0.0001). Conclusion: The results of this study showed that the RUG-III classification system differentiates resources provided to elderly in long-term care hospitals in Korea.

한국전통 섬유제품의 발굴 I -수제품(Carpet, Rug)을 중심으로-

  • 민길자
    • Journal of the Korean Society of Costume
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    • v.18
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    • pp.21-34
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    • 1992
  • A Research on specialty carpet(Rug) in ancient Kurea. Wool carpet culture takes an important part of ancient textile culture in ancient Korea. This research on specialty carpet culture of ancient Korea has been made form the view point of traditional textile history on the basis of historical documents and the collections.

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Application of RUG-m for Long-Term Care Elderly Patients (RUG-III를 이용한 노인환자군분류의 타당성검증)

  • Yi, Jee-Jeon;Yu, Seung-Hum;Ohrr, Hee-Chul;Nam, Chung-Mo;Park, Eun-Chul;Lee, Yoon-Whan
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.148-166
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    • 2001
  • The purpose of this study is to classify elderly patient in long-term care facilities using RUG(Resource Utilization Group)-III. It is designed by measuring patient medical characteristics and medical staff time. Elderly patients are classified into 7 categories by clinical(medical and behavioral) hierarchical typology of patients. Through the tertiary split, all 44 groups are formulated. This classification is explained by each patient resource(staff time) utilization level which is called CMI(Case-Mix Index). Major findings are as follows; 1. The objects in this study were classified into 35 groups out of 44 groups. The most frequent category is clinical complex category(CCC; 38.9%). And extensive service category(ESC; 18.8%), reduced physical function category(RPC; 13.1%), special rehabilitation category(SRC; 12.8%), and impaired cognitive category(ICC; 0.00%) are followed. 2. The mean of total CMI was $1.02{\pm}0.36$, ranging from 0.68 to 1.44(1 vs 2.12). The mean of CMI of SRC is only 1.17 which should be the highest. The means of ESC and see are equally 1.20. The means of CMI of CCI, ICC, BPC, and RPC were 0.90, 0.75, 0.83 and 0.96, respectively. 3. The validity of this classification was tested. Trend-test using Regression Analysis was done in the secondary split level. SCC, CCC, ICC, and RPC which covered 68.4% of this research objects showed linear trend of CMI in interim classification. This results were statistically significant. 4. In clinical hierarchy, the trend were showed linearity. But the multiple comparison of categories using Scheffe-test showed that SRC, ESC and see had same level of CMI means and CCC and ICC, too. This results were statistically significant. Classifying elderly patients with RUG-III, the results showed partly linear trend in clinical hierarchy and in interim classification in conclusion. But, in clinical hierarchy, it was failed to show the consistent order of CMI. It can be explained by two reasons. One is that this research subjects were overlapped in each clinical hierarchy group. And the other is that the some of the characteristics for clinical hierarchy is not appropriate for them. For the further study, it needs to have proper sample size and to modify RUG-III to K-RUG to consider our.. medical environment.

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Historic Development of Navajo Textiles - Focus on the Regional Style Rug Period - (양탄자시대 Navajo직물의 발달에 대한 연구 -지역적 스타일 양탄자시대를 중심으로-)

  • 정미실
    • Journal of the Korean Society of Costume
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    • v.51 no.1
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    • pp.97-104
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    • 2001
  • 본 연구의 목적은 양탄자 시대 Navajo 직물의 특징을 살펴보고, 특히 시간의 흐름에 따른 양탄자의 발달을 고찰하는데 있다. 연구방법은 양탄자 스타일의 특징 및 변화에 대한 문헌을 중심으로 조사하였고, 아리조나 주립박물관과 역사박물관을 견학하였으며 박물관 안에 있는 전문가들의 조언을 듣고 연구의 자료를 보완하였다. 또한 Navajo 직물 전시회에서 실제로 직물을 관찰하였고 주요직물들을 시각적 자료로 제시하였다. 양탄자시대는 20세기 초에 서구인들의 요구에 따라 새로운 형태의 Navajo 직물이 출현하면서 시작되었고 초기, 부흥기, 지역적 스타일시대로 구분되며 1940년대 이후 지금까지 지역적 스타일 양탄자시대에 해당한다. 즉 현재 Navajo인들은 거주 지역에 따라 스타일, 색상, 염색 방법, 디자인이 서로 다른 양탄자를 생산하며 대표적인 것으로는 Crystal, Chinle. Wide Ruin, Two Grey Hills, Tees Nos Pos. Ganado, Storm Pattern 양탄자의 일곱 가지를 들 수 있다.

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The Origin and the Development of the Hooking Technique and 'Hooked Rug' in America (미국에서 Hooking 기법을 이용한 'Hooked Rug'의 기원 및 발전에 관한 연구)

  • Kim Ok-Hyun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.9 no.3
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    • pp.63-69
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    • 1985
  • Hooking 기법은 역사적으로 아주 오래된 기법으로 기원전에 이미 에집트 및 스칸디나 반도의 국가들에서 사용되었다는 기록이 있으나 본격적인 발전은 19세기 초반을 전후하여 미국의 서민층에서 수직양탄자를 제작하는데 사용함으로써 이루어지게 되었다. 이러한 hooking기법은 근래에 들어 섬유계에서도 특수한 목적으로 가끔 사용하여 왔는데, 섬유에 사용하면 시각적인 입체감을 나타내게 되고 독특한 촉감을 얻을 수 있기 때문에 앞으로 섬유계의 다방면에 이용될 수 있는 가능성을 갖고 있다. 본 논문에서는 이러한 hooking기법의 역사적배경을 이해하기 위하여 미국에서의 hooked rug의 기원 및 발전에 대하여 문헌을 중심으로 고찰하였다.

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The Effects of Patient and Facility Characteristics On the Resource Use by the Elderly in Long-term Care Services (환자 및 시설 특성이 장기요양서비스 이용 노인의 자원소모량에 미치는 영향)

  • 권순만;김홍수;김선민
    • Health Policy and Management
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    • v.12 no.1
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    • pp.21-53
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    • 2002
  • The purpose of this study is to measure the resource use of the elderly in long-term care services and to examine the effects of patient and facility characteristics on their use of resources. The data were collected from 510 old people over sixty years of age, residing in five long-term care hospitals and two skilled nursing homes during the period between December 1, 2000 and February 28, 2001. For a full sample, when the first level of RUG(Resource Use Group)-III categories were employed as the proxy of patient severity, facility characteristics, such as location, size and ownership, have large effects on the resource use measured by service intensity, whereas patient characteristics such as severity have little or no effect. The resource use is significantly high if the facility: (1) is located in rural areas (gun): (2) has mare than 200 beds; (3) is a long-term care hospital; (4) is private; and (5) has a low percentage of medical aid patients. The analysis of the resource use in each RUG-III categories, for which ADL(Ability of Daily Living) were employed as the prosy of patient severity, shows a similar result. The loose relationship between the needs of residents and the resource use seems to be closely associated with the ineffective reimbursement system for providers. The current reimbursement system has no provision for quality improvement and reimburses facilities simply according to their types: fee-for-service for long-term care hospitals, and monthly-flat-rate or full-coverage-national-aid for skilled nursing facilities. It will be necessary to develop a more reasonable reimbursement system that takes patient's severity into account and gives incentives for long-term care providers to offer cost-effective services.