• 대한지역사회영양학회지
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• 제23권1호
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• pp.48-59
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• 2018

Objectives: This study was performed to investigate the effect of active nutrition care on feeding and nutritional status of elderly patients receiving long-term enteral tube feeding. Methods: Subjects included 77 elderly patients who had received enteral nutrition more than one week before admission. Nutrition care was provided to patients supplied less calories than required. Feeding intolerance was examined and managed every day and formula was adjusted to meet nutritional requirement during the first 3 months after admission. Patients were classified into under or over 80% of percent ideal body weight (PIBW) and medical records were used to compare changes in weight,, biochemical indices, and nutritional status during the study. Results: Weight, BMI, triglyceride and total cholesterol in blood, hemoglobin, and hematocrit levels were significantly lower in patients under 80% of the PIBW than in those over 80% of the PIBW at admission. The percentage of supply to required calories was also lower in patients under 80% of the PIBW. After 1 month of nutritional care, supplied volume of formula was significantly increased in patients under 80% of the PIBW. Weight, BMI, and PIBW were increased and there were no differences between groups after 6 months. In addition, the concentrations of triglyceride and total cholesterol in blood, hemoglobin, and hematocrit tended to increase in patients under 80% of the PIBW, leading to no difference between groups after 3 months. Conclusions: Personalized active nutrition care is effective to increase weight and improve feeding and nutritional status in underweight elderly patients receiving long-term enteral nutrition.

• 보건행정학회지
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• 제19권2호
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• pp.71-84
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• 2009

Objectives : The purpose of this study is to analyze the proportion of admission via the emergency room(the rest is ER) in an emergency medical center and to examine the factors related to admission. Methods : This study used 2005 National Health Insurance claims data for admitted patients of 112 hospitals having emergency medical centers in Korea. The study sample had 2,335,610 patients. The data was classified into emergency admission and non-emergency admission. To investigate the factors affecting the type of admission, the following were included as independent variables: type of health assurance_(national health insurance beneficiaries or medical aid beneficiaries), demographic characteristics_ (sex, age), cause of admission_ (disease or injury), whether an operation was performed or not, DRG severity level, the number of beds, and the location of the hospital. Data were analyzed using the Chi-square test for the differences in emergency admission rates for each variables, and multiple logistic regression analysis was used for identifying the factors affecting admission type. Results : The proportion of admission via the ER accounted for 40.6% of the total admission among hospitals having emergency medical centers. The risk of admission via ER was relatively high for patients who were male, the aged, the injured, the surgical patients, the patients having more severe symptoms, and the patients admitted the hospitals located in metropolitan areas, and the patients admitted the hospitals having 300-699 beds. Medical aid patients were more likely admitted through the emergency room than health insurance patients after other variables ware adjusted. Conclusions and Discussion : We analyzed the proportion of admission via the ER for the total admission rate of hospitals having an emergency medical center in Korea. And we explored the factors related to admission via the ER. This proportion may be used as an indicator of the adequacy of medical utilization or low accessibility to hospitals of patients with low socioeconomic status.

• 대한영양사협회학술지
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• 제5권1호
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• pp.48-53
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• 1999

This study was prospectively conducted to investigate any relationship of nutritional status at the time of admission to length of hospital stay and mortality. All patients admitted to the Asan Medical Center between October 13 and November 12, 1997 who met the study criteria were included in the study. Patients were classified as Not-at-risk, At-risk Ⅰ or At-risk Ⅱ based on the levels of serum albumin and total lymphocyte count in a computerized nutrition screening program. Sixty three percent of the patients were classified as Not-at-risk Group, 29% as At-risk Group Ⅰ and 8% as At-risk Group Ⅱ. Significant correlation was observed between nutritional status and LOS (P＜0.01) as well as mortality rate (P＜0.05). The more the patient had the nutritional risk factors, the longer the LOS and the higher the mortality rate were. Further studies have to be done in order to demonstrate cost-effectiveness of medical therapy for the malnourished hospitalized patients.

• 보건의료산업학회지
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• 제8권3호
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• pp.13-25
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• 2014

This research was performed to investigate the characteristics and determination factors on tertiary hospital inpatients. The used data was the four waves of Korea Health Panel(2008, 2009, 2010, 2011), and the number of subjects was 4,430 cases of tertiary and general hospital admission. The statistical methodology used in the study is the logistic regression model. The significant affecting factors in utilizing tertiary hospital admission were gender, marital status, education, household income, residence region and ICD-10 classification. Man, graduating college/university, married, high-income were socio-economic affecting factors in tertiary hospital admission. Medical need factor of ICD-10 classification and residence region of inpatients was also significant affecting factors in tertiary hospital admission. The 81.4% of inpatients at tertiary hospital had chronic disease and the 12.9% of inpatients readmitted, the 68.2% had a selecting doctor and the only 26.7% of inpatients reinforced by private medical insurance. This study recommended the Korean government to provide proper rule for tertiary hospital admission in order to improve the equity and efficiency of health care system.

• 대한인간공학회지
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• 제25권4호
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• pp.81-90
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• 2006

Despite the government promoting women's participation in the engineering field, some statistics show that it has yet to be achieved. Potential reasons for this phenomenon include lower level of applications by women, or inherent gender gap in the professional field. Therefore, this study attempted to find impact of gender on college admission from the Lens Model perspective and Signal Detection Theory. This study consisted of three phases: identifying the necessary cues used in the admission process, analyzing existing data, and conducting two experiments to identify the effect of gender on admission decisions. Although the college application consisted of many cues, only five cues, school ranking, GPA, SAT score, resident status, and gender, were used to capture the officers' judgment policies for engineering admissions. Two experiments were conducted to investigate the impact of the gender factor in college admission. The enrollment officers first were presented with the existing data without the gender and asked to make dichotomous judgments. Secondly, the officers were asked to perform the judgment task with the gender cue present. Results showed that the gender did not play an important role in the judgments as expected. However, ideographical analyses on judgment strategies revealed that there were significant differences between the admission officers. Possible training implications are discussed.

• 임상간호연구
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• 제20권3호
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• pp.384-394
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• 2014

Purpose: To improve professional intensive care by analyzing admission causes, causes of death, disease conditions, and treatment processes in patients with hematological malignancies admitted to intensive care units (ICUs) in South Korea. Methods: This was a retrospective study approved by IRB, and conducted on admission with 559 adults, in the hematology ICU of a hospital located in Seoul. The study was carried out from April 2009 to March 2012. Data were analyzed using SAS. Results: Pneumonia was the most frequent cause of ICU admission and death, followed by sepsis. The condition at discharge was death (53.6%), recovery (39.9%), or hopeless (5.1%). Mortality of patients in states of incomplete remission was higher than that of patients with complete remission and of patients with multiple myeloma, severe aplastic anemia, and lymphoma. Conclusion: Results show that pneumonia and sepsis are the most frequent causes of ICU admission and for the death of patients with hematological malignancies. The most frequent status at discharge of patients with hematological malignancies was death (53.6%), with mortality of patients at Incomplete Remission status, of mechanically ventilated patients, and of patients on continuous renal replacement therapy (CRRT) being higher than others.

• 한국의료질향상학회지
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• 제27권2호
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• pp.45-56
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• 2021

Purpose: Repeated hospitalization could be a proxy of unnecessary or preventive admission in South Korea where barriers to hospitalization are relatively low. This study aimed to estimate the current status of repeated hospitalization due to ambulatory care sensitive conditions (ACSC) in South Korea. Methods: Using the National Health Information Database, repeated hospitalization databases were constructed in units of episodes for patients who had been admitted more than twice between January 2017 and December 2018. The number of hospitalizations, total in-hospital days, and total medical expenditure were calculated and compared by patient characteristics in both of the entire patient group and the ACSC patient group. Results: Of total hospitalization episodes, 26.6% reported repeated admission, and 6.7% of repeated hospitalization was due to ACSC. A total of 183,110 patients with ACSC had been admitted an average of 2.9 times and spent an average of KRW5,630,118. In other words, KRW1,309 billion had been spent for repeated hospitalization due to ACSC. The scale of medical expenditure was relatively large in the highest and lowest socioeconomic status. Conclusion: Repeated hospitalization for ACSC can be considered a simple and intuitive indicator when assessing unnecessary hospitalizations or evaluating healthcare policy.

• 공학교육연구
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• 제22권4호
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• pp.50-60
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• 2019

This study aims to examine the differences between groups through the results of the core competency diagnosis, and to find out the differences in core competences depending on engineering education accreditation, gender, admission types. To this end, we analyzed the differences in K-CESA results on self-management capabilities, resources & information use, global competency, higher order thinking competency, and interpersonal competency in 2017 for the fourth graders of S University. An ANOVA of major field showed that the humanities had high overall competencies. The results of t-test of engineering students showed that accredited students had relatively low "flexibility" of their global competency, and that the "analysis" of their higher order thinking competency was relatively high. There were no statistically significant differences between groups depending on the admission types. Through these analyses, we presented suggestions such as the provision of specialized programs based on differences among different groups, the development of comprehensive thinking skills such as capstone design, the need to secure flexibility in engineering education accreditation, and the enhancement of female students' resources & information use.

• 비교교육연구
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• 제26권4호
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• pp.1-30
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• 2016

이 논문은 프랑스 대학입학제도의 주요 특징을 분석하고 우리나라의 대학입학제도 개선을 위한 시사점을 도출하는 데 목적이 있다. 이를 위해 이 논문은 문헌연구 방법을 주된 연구방법으로 사용하였으며, 문헌 자료의 확인과 자료 분석 해석의 보완을 위해 면담조사를 활용하였다. 분석 결과, 프랑스 대학입학제도의 주요 특징은 첫째, 프랑스에서 대학 진학을 위해서는 기본적으로 대학입학자격시험(바깔로레아)에 '합격'해야 한다. 바깔로레아는 고교졸업자격시험이자 대학입학자격시험이라는 이중적 성격을 갖고 있으며, 절대평가에 의해 합격 여부를 판정한다. 둘째, 학생 선발권이 없는 대학(모두 국립)은 개방입학제를 채택하고 있으며 학생 선발권이 있는 고등교육기관은 고교 내신 성적(20점 만점의 점수제), 지원서를 토대로 학생을 선발한다. 셋째, 대학별 시험은 학생을 선발하는 고등교육기관에 한해 제한적으로 실시되며 여러 전형요소 중 내신 성적이 가장 중시된다. 넷째, 대학지원은 정부가 운영하는 온라인 사이트(APB)를 통해 체계적으로 이루어지며, 대학지원 관련 다양한 정보가 제공된다. 프랑스 대학입학제도 분석을 통한 시사점으로 우리나라 대학수학능력시험의 성격 재검토(고교 졸업자격시험의 성격 강화), 학생의 부담, 진로를 고려한 시험체제 개발, 시험 출제 관리에서 고교 교사 역할 확대, 서술형 시험 확대 등을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제53권5호
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• pp.381-386
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• 2020

Objectives: Few studies have been published regarding the relevance of the admission diagnosis to the smoking cessation rate. We studied smoking cessation rates in relation to admission diagnoses in our inpatient smoking cessation programmes. Methods: This retrospective study included all patients recruited into our inpatient smoking cessation programmes at 2 institutions in Singapore between June 2008 and December 2016. Patients were given individualized intensive counselling and were followed up via phone interviews for up to 6-month to assess their smoking status. Multivariable logistic regression was used to analyse potential associations between admission diagnoses and 6-month abstinence. Results: A total of 7194 patients were included in this study. The mean age was 54.1 years, and 93.2% were male. In total, 1778 patients (24.7%) were abstinent at the 6-month follow-up call. Patients who quit smoking tended to be of Chinese ethnicity, have initiated smoking at a later age, be better educated, and have lower Fagerström Test of Nicotine Dependence scores. After adjusting for these factors, patients with a cardiovascular admission diagnosis had a significantly higher probability of quitting tobacco use than patients with a respiratory or other diagnosis. Conclusions: In patients acutely admitted to the hospital, a diagnosis of cardiovascular disease was associated with the highest quit rate. Smoking cessation interventions need to be incorporated into all cardiovascular disease treatment pathways to leverage the patient's motivation and to improve the quit rate. In addition, patients in groups with lower quit rates may benefit from more intensive programmes to increase the rate of successful cessation.