• 제목/요약/키워드: Admission

검색결과 3,122건 처리시간 0.034초

고려인삼이 비루스성 급성간염의 치료효과에 미치는 임상학적 연구(1) (Clinical Study on the efficacy of Panax ginseng C. A. Meyer on Acute viral(B) Hepatitis- (1))

  • 구국회;주충노
    • Journal of Ginseng Research
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    • 제7권2호
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    • pp.115-124
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    • 1983
  • The effect of ginseng administration on the patients of acute viral (B type) hepatitis has been oberved and the results were as follows. The albumin/globulin ratio of the ginseng administered group has significantly improved 4 weeks after admission while that of control group has not been improved suggesting that the ginseng might be effective in improving the protein metabolism. The thymol turbidity test again gave a similar result. Recovery of the disorder of bilirubin metabolism was also accelerated in the ginseng administered group compared with control group. The raised bilirubin value of the former returnedto the normal value 2 week after admission while that of the latter reached to normal 4-5 weeks after admission. However no significant difference of the bilirubin level between ginseng treated and non-treated groups could be observed. Cholesterol metabolism is also stimulated in ginseng administered group. The lowered cholesterol level of the ginseng group returned to normal 3-4 weeks after admission while that of latter reached to normal 5-6 weeks after admission. The raised S-GOT and S-GPT levels of the ginseng treated group returned to the normal value 3-4 weeks after admission while those of control group rehimed to normal in 5 weeks after admission suggesting that the ginseng improved impaired liver function. The improvement of the raised transaminase level seemed to be accelerate6 by the ginseng administration, however, no significant difference of the transaminase level between the ginseng treated and non-treated group could be observed. A significant effect of ginseng on the raised alkaline phosphatase level was observed. From the above results, it seemed that ginseng might stimulate the improvement of the disturbance of liver function, particularly at the early phase of its development of acute liver disease suggesting that panax ginseng might play a significant role in preventing the disease developing to be chronic.

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중환자실 환자의 입실 시 욕창 유병률과 위험요인 (Pressure Ulcer Prevalence and Risk Factors at the Time of Intensive Care Unit Admission)

  • 곽혜란;강지연
    • 성인간호학회지
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    • 제27권3호
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    • pp.347-357
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    • 2015
  • Purpose: This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission. Methods: We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by ${\chi}^2$-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21. Results: The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72). Conclusion: The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.

LTE-Advanced 시스템에서 M2M 통신의 최대 지연시간을 고려한 호 수락 방법 (Maximum Delay-Aware Admission Control for Machine-to-Machine Communications in LTE-Advanced Systems)

  • 전경구
    • 한국통신학회논문지
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    • 제37B권12호
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    • pp.1113-1118
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    • 2012
  • 에너지 소비의 효율화를 위한 그린 기술로서 스마트 그리드와 지능형 교통 시스템 등이 주목받고 있다. 이러한 기술의 구현에는 다수의 센서, 액츄에이터 (actuator), 그리고 컨트롤러들이 필요하다. 이러한 구성요소들 간의 machine-to-machine (M2M)통신의 중요성은 높아지고 있다. M2M 통신의 특징은 다수의 machine-type-communication(MTC) 디바이스들이 참여하고, 통신 트래픽 패턴과 QoS 요구조건이 다양하다는 것이다. 이러한 M2M 통신을 효율적으로 지원하기 위한 호 수락 방법들에서는 동일한 시간관련 QoS 조건을 갖는 MTC 디바이스들을 클러스터 단위로 그룹핑하고, QoS 조건 만족여부에 따라 호 수락을 결정하는 방법을 제안하였다. 하지만 이 방법은 데이터 전송주기와 최대 전송지연 시간이 같을 경우에만 적용 가능하다. 본 논문에서는 이러한 제한 없이 사용할 수 있는 방법을 제안한다. 또한 전송 주기와 최대 전송지연 시간이 특별한 관계에 있을 때 최적화할 수 있는 호 수락 제어방법을 제안한다. 제안방법의 QoS 만족 적합성에 대한 증명을 제시하였고, 시뮬레이션을 통해 실제 동작 가능하고, 기존 방법들보다 호 수락 확률에서 우수함을 보였다.

대학입학전형별 학업성취도 분석을 통한 입학사정관제 개선 방안 -A대학 사례분석- (The Admissions Officer system of improvement plan through the analysis the Grade Point Average of University Admission Track)

  • 양은목;서창호;홍도원;김종훈
    • 디지털융복합연구
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    • 제14권4호
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    • pp.387-396
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    • 2016
  • 본 논문에서는 기존 연구논문과 달리 성별의 차이, 계열별 학문특성의 차이, 전형유형별 차이 등이 학업성취도에 미치는 영향을 분석하였다. 남자는 인문사회계열에서 학생부위주전형이 우수하고, 자연계열에서는 수능위주전형이 우수했다. 여자는 인문사회계는 수능과 학생부를 모두 사용하는 전형이 우수하지만 큰 차이는 없었다. 그러나, 자연계열은 수능위주전형이 우수한 것으로 나타났다. 예체능계는 뚜렷한 특징을 보이고 있지 않지만, 수능위주전형이 우수한 것으로 나타났다. 인문사회계는 남자와 여자 모두 학업성취도에서 큰 차이를 보이고 있지 않으므로 입학사정관제가 정착되고 성과를 내고 있는 것으로 나타났다. 하지만 자연계는 남자와 여자 모두 학업성취도가 수능위주전형보다 낮게 나타나고 있다. 이는 자연계열에서 중요한 과목이 수학과 과학이므로 나타나는 현상이다. 이를 해결하기 위해서는 자연계열의 입학사정관제는 수학 및 과학의 기초학업능력을 반영하여 선발되어야 하고, 또한 입학 후 수학 및 과학의 기초학업능력을 향상시킬 수 있는 추수지도 방안이 반드시 필요한 것으로 보인다.

DITI 및 전기신경전도검사(EN0G 및 EMG)를 이용한 구안와사(Bell's palsy) 환자에 대한 임상적 고찰 (Clinical Study of Bell's Palsy with DITI and Nerve Conduction Test(EN0G and EMG))

  • 김진만;홍철희;두인선;황충연;김남권;박민철;이상관;정상수;윤준철
    • 한방안이비인후피부과학회지
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    • 제16권2호
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    • pp.189-211
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    • 2003
  • The clinical data and thermographic imaging were analyzed on the 38 cases of Bell's palsy who were treated admission in the Oriental Medicine Hospital of Wonkwang University from January 2002 to May 2003. 38 patients with Bell's palsy were within one week after the onset of the paralysis, and thermal type in the DITI were hypo or hyper generally. Nerve conduction test(ENOG and EMG) examined in two weeks after onset. We studied interaction effect between thermal type and paralysis grade on admission day. We studied each main effect ; paralysis grade on admission day - nerve conduction test, nerve conduction test - thermal type, thermal type - paralysis grade after 4 weeks, paralysis grade on admission day - paralysis grade after 4 weeks, sasang constitution - nerve conduction test. The following results were obtained that interaction effect between thermal type and paralysis grade on admission day showed no significance, each main effect ; paralysis grade on admission day - nerve conduction test, paralysis grade on admission day - paralysis grade after 4 weeks, showed significance, each main effect ; nerve conduction test - thermal type, thermal type - paralysis grade after 4 weeks, sasang constitution - nerve conduction test, showed no significance.

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인터넷 차별화 서비스 네트워크에서의 효율적인 호 수락 제어 및 자원 이용 방안에 관한 연구 (An Efficient Admission Control and Resource Allocation Methods in DiffServ Networks)

  • 조병일;유상조
    • 한국멀티미디어학회논문지
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    • 제7권5호
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    • pp.698-712
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    • 2004
  • DiffServ 네트워크는 기본적으로 명시적인 호 수락 제어 절차를 정의하고 있지 않다. 본 논문에서는 DiffServ 네트워크에서 플로우 기반의 호 수락 제어를 수행하되, 호 수락 제어 후에는 클래스 별 패킷 처리를 수행하는 새로운 메커니즘을 제안한다. 경로상의 라우터들은 클래스 별로 중합되어 있는 트래픽과 호를 요구하는 신규 플로우의 트래픽을 중합하여 도출한 소요 대역을 이용하여 호 수락 여부를 결정 하도록 하였으며 사용자의 다양한 QoS 요구 조건에 따른 소요 대역 계산 방법 및 파라미터 도출 방법을 사용하여 클래스의 우선 순위에 따라 효율적으로 호 수락 제어를 할 수 있는 방안을 제안하였다. 또한 플로우 기반의 호 수락 제어 후에 DiffServ 본연의 클래스 별 패킷 처리가 원활히 이루어 질 수 있도록 클래스 간의 자원을 동적으로 할당하는 메커니즘을 제안하였으며 제안한 메카니즘에 대한 시뮬레이션을 통한 성능 분석을 수행하였다.

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병상 이용의 적절성에 영향을 미치는 요인에 관한 연구 -한 대학병원 자료를 중심으로- (Appropriateness of Bed Utilization in One University Hospital)

  • 이상일;김용익;신영수
    • 보건행정학회지
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    • 제3권1호
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    • pp.1-24
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    • 1993
  • This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.

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한국농수산대학 학생의 입학전형 성적과 학업성적의 관련성 분석 (Analysis of Relation between Entrance Exam Score and Academic Achievement of KNCAF Students)

  • 박석영
    • 현장농수산연구지
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    • 제17권1호
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    • pp.101-111
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    • 2015
  • The purpose of this study is to identify any differences in academic records of students after they got into the Korea National College of Agriculture and Fisheries through the entrance exam. The target group was the students of 1,035 who enrolled from the year of 2012 to 2014 by the exams respectively, and this study compared those first year's records. As a result, this study found that their academic achievements have no significant differences statistically. With regard to the result, we could recognize that the average achievements of students are arithmetically high, who were accepted by admission officer's interview(talented students of agriculture and fisheries) and regular admission procedure to which the scholastic test result is applied. Accordingly, it is more desirable that we should rather focus on measures to improve the admission procedure that could contribute to academic achievements of students who are mostly accepted through the nonscheduled admission. It is pointless to focus on discussion that the achievement of students selected by a particular procedure is low. That kind of criticism proved groundless. Secondly, the study of the correlation between their admission records and after admission records of the freshmen in 2012 shows that a significant difference does not exist whereas those of in 2013 and 2014 has a slightly different statistically, though a coefficient of correlation was a mere 0.17. It account for this result that KNCAF has increased the applied-rate of highschool transcript from 33.3% to 50.0.% in admission procedure from the year of 2013. However, lowering the applied-rate of farming and fishing background is not everything as we consider the graduates' easy settling into rural area. It is a well-known fact that after graduation, the majority of students who have applied for a grace period of the delay in performing the obligation of farming and fishing, and of students who have paid the school expenses back came from ones with no sufficient foothold. This means that we should formulate a supporting policy for the students to settle into rural area smoothly after graduation if we keep the regulation of lowing the applied-rate of farming and fishing.

중증 외상 환자의 입원 결정 지연에 영향을 미치는 요인과 공동진료시스템 (Factors Affecting the Delay of a Decision to Admit Severe Trauma Patients and the Effect of a Multidisciplinary Department System: a Preliminary Study)

  • 강문주;신태건;심민섭;조익준;송형곤
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.113-118
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    • 2010
  • Purpose: Prolonged stay in the emergency department (ED), which is closely related with the time interval from the ED visit to a decision to admit, might be associated with poor outcomes for trauma patients and with overcrowding of the ED. Therefore, we examined the factors affecting the delay in the decision to admit severe trauma patients. Also, a multidisciplinary department system was preliminarily evaluated to see if it could reduce the time from triage to the admission decision. Methods: A retrospective observational study was conducted at a tertiary care university hospital without a specialized trauma team or specialized trauma surgeons from January 2009 to March 2010. Severe trauma patients with an International Classification of Disease Based Injury Severity Score (ICISS) below 0.9 were included. A multivariable logistic regression analysis was used to find independent variables associated with a delay in the decision for admission which was defined as the time interval between ED arrival and admission decision exceeded 4 hours. We also simulated the time from triage to the decision for admission by a multidisciplinary department system. Results: A total of 89 patients were enrolled. The average time from triage to the admission decision was $5.2{\pm}7.1$ hours and the average length of the ED stay was $9.0{\pm}11.5$ hours. The rate of decision delay for admission was 31.5%. A multivariable regression analysis revealed that multiple trauma (odds ratio [OR]: 30.6, 95%; confidence interval [CI]: 3.18-294.71), emergency operation (OR: 0.55, 95%; CI: 0.01-0.96), and treatment in the Department of Neurosurgery (OR: 0.07, 95%; CI: 0.01-0.78) were significantly associated with the decision delay. In a simulation based on a multidisciplinary department system, the virtual time from triage to admission decision was $2.1{\pm}1.5$ hours. Conclusion: In the ED, patients with severe trauma, multiple trauma was a significant factor causing a delay in the admission decision. On the other hand, emergency operation and treatment in Department of Neurosurgery were negatively associated with the delay. The simulated time from triage to the decision for admission by a multidisciplinary department system was 3 hours shorter than the real one.

국립공원 입장료에 대한 이용객 의식 조사 - 속리산국립공원 이용객을 대상으로 - (A Survey on the Visitor's Cognition of Admission fee in National Park - The Case Study of Songnisan National Park -)

  • 김용근;조중현;박태희
    • 한국환경생태학회지
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    • 제16권3호
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    • pp.261-270
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    • 2002
  • 본 연구는 국립공원의 실수요자인 이용객들의 현행 입장료 징수체계에 대한 인식을 조사.분석하기 위한 목적으로 수행되었다. 이를 위해 속리산국립공원을 찾은 이용객들을 대상으로 사회경제적 특성, 방문유형과 이용행태, 현행 국립공원 입장료 징수체계에 대한 인식 등을 주요내용으로 설문조사를 실시하였으며, 회수된 345부의 설문지 중 유효표본은 339부였다. 응답자들의 사회경제적 특성과 방문유형, 방문목적 등은 다른 국립공원 이용객 조사에서 나타난 결과와 유사한 경향을 보였다. 응답자들의 대부분은 국립공원 입장료가 인상 여부와 징수된 입장료의 사용처에 대해서 인지하지 못하였으며, 현재 입장료의 수준에 대해서 '비싸다'고 인식하고 있었다. 이들 대부분은 국립공원 입장료에 문화재 관람료가 포함되어 있다는 사실을 인지하고 있었으나 입장료의 합동징수에 대해서는 강한 반대의사를 나타냈다. 국립공원 문화재의 범위를 '사찰경내에 있는 불교문화재'라고 인식하는 응답자와 '사찰과 사찰주변의 문화재뿐만 아니라 울창한 삼림도 포함하는 광의적 개념'이라는 응답자가 비교적 대등하게 나타난 반면 문화재 관람료 징수에 대해서는 역시 부정적인 인식이 강하게 나타났다.