• Title/Summary/Keyword: Bed

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Use of Single Bedrooms versus Multiple Bedrooms: Selection Factors and Comparison of Patient Satisfaction (1인실과 다인실 입원 병상 이용에 관한 병상 선택 요인과 환자 만족도 분석)

  • Lee, Geun-Chan
    • Korea Journal of Hospital Management
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    • v.26 no.3
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    • pp.68-83
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    • 2021
  • Background: It is widely acknowledged that single bedrooms have many potential advantages compared to multiple bedrooms. However, Korea has a reimbursement system that patients have to pay the additional fee if they will use single bedroom or pay-bed (1-3 bedroom). There is little research on patients' bed selection and relationship between patient satisfaction and bed type in the Korean setting. Methods: Using the 2017 Korea Health Panel (KHP) Survey data, we modified bed type by two dichotomous variables: single bedroom vs. multiple bedroom (2+ bedrooms) and pay-bed (1-3 bedroom) vs. reimbursed bed (4+ bedroom). Multivariate logistic regression is performed to determine the factors affecting the patient's choice of room types. Multivariate regression analysis was conducted to examine how hospital room types are affecting patient satisfaction. Results: Single room and pay-bed (1-3 bedroom) use was influenced by patient age (19- years old), male, a person at work, hospitalizing in a clinic, and birth. After controlling variables of the behavioral model of medical utilization, the association between patient satisfaction and use of single bedroom & pay-bed (1-3 bedroom). Cause of hospitalization, major treatment, and recognition of unnecessary care are statistically significant variables on patient satisfaction. Conclusion: Although the single room is about the standard for newly built hospitals in western countries, it remains unclear that single room or pay-bed (1-3 bedroom) has positive effects on patient's outcomes and satisfaction. In this empirical study, the difference in patient satisfaction by bedroom type was not noticeable. In terms of bed management by hospital staff, securing patient credibility in hospital care is an important task. Patients' perception of whether medical staffs have encouraged unnecessary treatment or tests has a significant impact on patient's satisfaction.

Analysis of Bed Shear Stress Distributions in Compound Open Channels Using Large Eddy Simulation. (LES를 이용한 복단면 개수로의 바닥전단응력 분포특성 분석)

  • Lee, Du Han
    • Ecology and Resilient Infrastructure
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    • v.5 no.4
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    • pp.199-209
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    • 2018
  • In river design, consideration of bed shear stresses is necessary to secure stability of levee and floodplain. In this study distributions of bed shear stresses in compound open channels are analyzed through numerical simulation for various width and depth. LES solver in OpenFOAM is applied to 12 cases of compound channel shapes considering secondary flow which effects distributions of bed shear stresses. By the results time averaged velocity distributions, secondary currents, and distributions of bed shear stresses are analyzed. Overall distributions of bed shears in floodplain show that higher shear stresses are seen in left of floodplain and the shears decrease toward right of floodplain. However, high local variations in shear stresses are shown due to the secondary flow effects. In shallow floodplain, bed shear stresses show low value below 0.8 times of averaged bed shear. In deep floodplain, bed shear stresses show high value over 1.2 - 1.4 times of averaged bed shear.

Occurrence of Fusarium wilt and Twospotted Spider Mite under Plastic Mulched and Non-Plastic Mulched Bed in Hydroponic Culture of Strawberry (딸기 수경재배에서 베드 피복유무에 따른 시들음병과 점박이응애 발생 양상)

  • Nam, Myeong Hyeon;Kim, Hyun Sok;Kim, Tae Il;Oh, Sang-Keun
    • Research in Plant Disease
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    • v.24 no.4
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    • pp.257-264
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    • 2018
  • Hydroponic strawberry culture system is increasing annually. Most of strawberry farmers use mulched bed in hydroponic culture and strawberry plants were transplanted in early September. After transplanting, Fusarium wilt caused by Fusarium oxysporum f. sp. fragariae and twospotted spider mite (TSSM), Tetranychus urticae, can increase their occurrence under high temperature condition. Therefore, we conducted for comparison occurrence of Fusarium wilt and TSSM on mulched with green polyethylene film and non-mulched bed. Occurrence of Fusarium wilt on mulched bed was started from early October and more increase than non-mulched bed. Damage rate of TSSM on mulched bed was shown higher than non-mulched bed. Temperature of substrate in mulched bed increased than non-mulched bed, but relative humidity near plants was decreased. As a result, use of non-mulched bed should be effective for reducing of Fusarium wilt and TSSM on strawberry plants.

Nail bed defect reconstruction using a thenar fascial flap and subsequent nail bed grafting

  • Lee, Kyung Jin;Kim, Yong Woo;Kim, Jin Soo;Roh, Si Young;Lee, Dong Chul
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.57-62
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    • 2019
  • Background Full-thickness nail bed defects with significant exposure of the distal phalanx are typically challenging to reconstruct. We describe a novel method of nail bed defect reconstruction using a thenar fascial flap combined with nail bed grafting. Methods Full-thickness nail bed defects were reconstructed in a 2-stage operation involving the placement of a thenar fascial flap and subsequent nail bed grafting. A proximally-based skin flap was designed on the thenar eminence. The flap was elevated distally to proximally, and the fascial layer covering the thenar muscle was dissected proximally to distally. The skin flap was then closed and the dissected fascial flap was turned over (proximal to distal) and inset onto the defect. The finger was immobilized for 2 weeks, and the flap was dressed with wet and ointment dressings. After 2 weeks, the flap was divided and covered with a split-thickness nail bed graft from the great toe. Subsequent nail growth was evaluated on follow-up. Results Nine patients (9 fingers) treated with the novel procedure were evaluated at follow-up examinations. Complete flap survival was noted in all cases, and all nail bed grafts took successfully. Five outcomes (55.6%) were graded as excellent, three (33.3%) as very good, and one (11.1%) as fair. No donor site morbidities of the thenar area or great toe were observed. Conclusions When used in combination with a nail bed graft, the thenar fascial flap provides an excellent means of nail bed reconstruction.

Analysis of Demand-Supply Status for Improving the Effectiveness of Plans for Supply and Demand of Reginal Patient Beds (지역병상수급계획 실효성 제고를 위한 수요공급 현황 분석)

  • Jeong Min Yang;Jae Hyun Kim
    • Health Policy and Management
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    • v.33 no.4
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    • pp.411-420
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    • 2023
  • Background: The purpose of this study was to analyze the demand and supply status of patient beds by type of medical institution, categorized into 70 clinical privilege, in order to understand the regional bed supply situation. Methods: Utilizing the 70 clinical privilege defined by the Ministry of Health and Welfare, we calculated bed demand and supply quantities from 2019 to 2021 using data from Statistics Korea and the Health Insurance Statistical Yearbook. The bed demand calculation formula was based on the detailed guidelines for the medical sector by the Korea Development Institute and the 3rd edition of bed supply basic policies announced by the Ministry of Health and Welfare. Additionally, to mitigate distorted bed supply situations caused by factors such as regional levels and patient outflows, we classified bed supply types using the population decrease index indicator published by the Ministry of Public Administration and Security. Results: Among the 70 clinical privilege, it was analyzed that a relatively balanced bed supply situation exists overall, irrespective of the type of healthcare institution. However, in medical institutions at or above the level of hospitals, regions with bed supply ratios exceeding 20% compared to demand, particularly in institutions at or above the level of general hospitals, showed a relatively high rate of demand diversion. Conclusion: We have identified the bed supply types in the 70 clinical privilege in South Korea. Based on the results of this study, we emphasize the need for bed supply policies that consider regional characteristics. It is expected that this research can serve as fundamental data for future efforts aimed at managing or rectifying bed supply imbalances on a regional basis.

Development of Intelligent Bed Robot System

  • Oh, Chang-Mok;Seo, Kap-Ho;Lee, Ju-Jang
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1535-1538
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    • 2004
  • In this paper, an Intelligent Bed Robot System (IBRS) is proposed, that is a special bed equipped with robot manipulator. To assist a patient using IBRS, pose and motion estimation process is fundamental. It is designed to help the elderly and the disabled for their independent life in bed without other assistants. For this purpose, we use the pressure sensor distributed mattress for detecting the change of motion on the bed. Using that data, we control the robot arm to move to the appropriate position and serve to the user. In addition, we can estimate the user's intention based on the change of pressure and use those data to control the robot arm guide.

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A Development of Combustion Model for the Investigation of the Waste Bed Combustion Characteristics in a Waste Incinerator (소각로내의 폐기물층 연소특성 파악을 위한 연소모델 개발)

  • 전영남;김승호
    • Journal of Korean Society for Atmospheric Environment
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    • v.19 no.4
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    • pp.427-436
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    • 2003
  • This study is to establish a waste bed combustion model that can be available to assist the design of incinerators for efficient operation control of municipal waste incinerators. An unsteady one -dimensional bed combustion modeling was developed which incorporates the various sub-process models and solves the governing equations for both gases and solids in the waste bed combustion phenomena. The combustion characteristics and the properties of the combustion gas released from the bed were investigated by using a developed model. Besides, a sub-model which predicts the formation and destruction of nitrogen oxides in the waste bed was also developed as a post-processor for the waste combustion model. It is found that the reduction rate of nitrogen oxides is enhanced in the char layer.

The Design and Dynamic Characteristics Analysis of the Grinder Bed using Epoxy-Granite (에폭시-그래나이트재를 이용한 연삭기 베드의 설계 및 동특성 해석)

  • 박영일
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.8 no.2
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    • pp.62-72
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    • 1999
  • In this study, the griding machine bed was designed and analyzed by using epoxy-granite. Finite element technique was employed to design and analyze the composite bed structure. Von Mises stress and relative displacements between a tool and a workpiece were checked to compare a cast iron bed structure with a composite bed structure. Dynamic features of structures were also studied according to the process of modal analysis through natural frequency and mode shape measurement. Another improved model was also designed using the accumulation of knowledge based on the use of the structural analysis and experiments. Comparing with the cast iron bed structure, the composite bed structure maintains better functions.

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A simple and rapid approach to modeling chromium breakthrough in fixed bed adsorber

  • Chu, Khim Hoong
    • Advances in environmental research
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    • v.7 no.1
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    • pp.29-37
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    • 2018
  • A simple mathematical model for predicting fixed bed adsorption dynamics is described. The model is characterized by a linear adsorption isotherm and a linear driving force expression for mass transfer. Its analytic solution can be approximated with an algebraic equation in closed form which is easily evaluated by spreadsheet computation. To demonstrate one application of the fixed bed model, a previously published adsorption system is used as a case study in this work. The adsorption system examined here describes chromium breakthrough in a fixed bed adsorber packed with imidazole functionalized adsorbent particles and is characterized by a nonlinear adsorption isotherm. However, the equilibrium behavior of the fixed bed adsorber is in essence governed by a linear adsorption isotherm due to the use of a low influent chromium concentration. It is shown that chromium breakthrough is predicted reasonably well by the fixed bed model. The model's parameters can be easily extracted from independent batch experiments. The proposed modeling approach is very simple and rapid, and only Excel is used for computation.

Prediction of Combustion and Heat Transfer in the Sintering Bed of Iron Ore (제철 소결공정의 철광석-코크스 베드에서의 연소와 열전달 해석)

  • Yang, Won;Ryu, Chang-Kook;Choi, Sang-Min
    • 한국연소학회:학술대회논문집
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    • 2001.11a
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    • pp.161-168
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    • 2001
  • Sintering bed of iron ore in the steel making process is one of typical applications of solid fuel bed, which has relatively uniform progress of fuel and simple processes of combustion. The sintering bed was modelled as an unsteady one-dimensional progress of fuel layer containing the two phases of solid and gas. Cokes added to the raw mix of which the amount is about 3.5% of the total weight was assumed to form a single particle with other components. In the early predition results presented in this paper, the flame propagation within the bed was not sustained after the top surface of the bed was ignited with hot gas. It suggests that the model should be extended to consider the multiple solid phase, which can treat the ore particles and the coke particles separately.

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