• 제목/요약/키워드: Day length

검색결과 1,650건 처리시간 0.032초

재원일별 진료비 변화 및 재원일수 단축의 의료수입 중대 효과 (An Analysis on the Effectiveness of Hospital Revenues Per Bed by Shortening Length of Stay)

  • 이해종;김영훈;이은표;김성우;정병한
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.100-120
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    • 1998
  • Tertiary been increasing rapidly. There has been shortage of beds in hospitals and effective management of beds had to b considered. For the efficient utilization of the exsisting hospital beds, bed turnover rate ha to be high and their length of stay in hospital has to be shortened. The sample of this study was in-patients admitted in 13 clinical departments of a tertiar hospital in Wonju. Daily medical fees through length of stay in hospital were observed an we analyzed the increase of hospital revenues per bed for the shortening of length of stay. The results of the analysis were as follows: 1. The average length of stay by dept. was 11.0 in dept. of internal medicine. 12.4 in dept. of general surgery, 7.1 in dept. of gynecoloty, 6.8 in dept. of pediatrics, 26.1 in dept. of nervous surgery, 21.6 in dept. of orthopedic surgery, 25.5 in dept. of plastic sersury, 7.6 in dept. of ophthalmology, 7.1 in dept. of E.N.T, 8.1 in dept. dermatoloty, 9.0 in dept. urology. 2. The trend of daily medical fees of in-patients was the highest from the first day to the third day. Because most necessary examination and various treatment or operation took place in these period. 3. The estimative model for medical fees by the length of stay at each clinical department was inferred. 4. The increased revenue per bed by shortening the length of stay was calculated by the estimative model. Shortening one day would increase 305,999 thousand won in dept. of internal medicine 232,138 thousand won in dept. of general surgery., 177,795 thousand won in dept. of gynecology medicine, 69,031 thousand won in dept. of pediatrics 360,381 thousand won in dept. of nervous surgery 211.339 thousand won in dept. of orthopedic surgery, 100,249 thousand won in dept of plastic surgery, 10,569 thousand won in dept. of ophthalmology -814,122 thousand won in dept. of E.N.T, 1,582 thousand won in dept. of dermatology, -5,821 thousand won in dept. of urology. It is expected that they can improve their profitability by shortening the length of stay of the in-patients.

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수도의 묘대일수가 절간신장에 미치는 영향 (Effect of Seedling Age on Internode Elongation of Rice Plant)

  • 갼 랄 슈레스터
    • 한국작물학회지
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    • 제30권2호
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    • pp.190-194
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    • 1985
  • 네팔에서 보급단계로 진전된 수도 3계통 IET 7251, BG 400-1 및 B 44 b-50-2-2-5-1 을 6월 5일 파종하여 10일, 20일, 30일, 40일, 50일 및 60일 묘를 이앙하고 그들의 출수일수와 절간신장을 조사하여 다음과 같은 결과를 얻었다. 1. 간장은 30일묘 이앙구에서 가장 길었고 그보다 묘대일수가 길어짐에 따라 현저하게 간장이 단축되었다. 2. 육면으로 감별이 가능한 절수도 30일묘 이앙구에서 가장 많았는데 40일묘까지는 큰 차가 없었으나 그보다 묘대기간이 길어지면 유의하게 절수가 감소 되었다. 3. 간장은 40일묘 이앙구에서 가장 길었다. 4. 출수 및 성숙까지의 일수는 이앙이 늦어질수록 증가되었다.

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병원중심 가정간호사업 관리대상범위 확대를 위한 기초연구 (A Preliminary Study for Expending of Hospital-Based Horne Health Care Coverage - Focused on Accident Inpatients Who has the Workers Compensation Insurance -)

  • 이숙자;이진경;유호신
    • 가정간호학회지
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    • 제6권
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    • pp.5-18
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    • 1999
  • This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

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병원중심 가정간호관리대상 범위 확대를 위한 기초연구(II) - 자동차보험가입 입원환자를 대상으로 - (A Preliminary Study for Expending of Hospital-Based Home Health Care Coverage - Focused on Car Accident Inpatients Who has the Compensation Insurance -)

  • 박은숙;이숙자;박영주;유호신
    • 가정간호학회지
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    • 제7권1호
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    • pp.58-72
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    • 2000
  • This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

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A WEAKER NOTION OF THE FINITE FACTORIZATION PROPERTY

  • Henry Jiang;Shihan Kanungo;Hwisoo Kim
    • 대한수학회논문집
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    • 제39권2호
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    • pp.313-329
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    • 2024
  • An (additive) commutative monoid is called atomic if every given non-invertible element can be written as a sum of atoms (i.e., irreducible elements), in which case, such a sum is called a factorization of the given element. The number of atoms (counting repetitions) in the corresponding sum is called the length of the factorization. Following Geroldinger and Zhong, we say that an atomic monoid M is a length-finite factorization monoid if each b ∈ M has only finitely many factorizations of any prescribed length. An additive submonoid of ℝ≥0 is called a positive monoid. Factorizations in positive monoids have been actively studied in recent years. The main purpose of this paper is to give a better understanding of the non-unique factorization phenomenon in positive monoids through the lens of the length-finite factorization property. To do so, we identify a large class of positive monoids which satisfy the length-finite factorization property. Then we compare the length-finite factorization property to the bounded and the finite factorization properties, which are two properties that have been systematically investigated for more than thirty years.

소맥에 있어서 온도 및 일장변화에 따른 생육 및 수량의 품종간 차이 (Varietal Differences of the Yield and Growth Characteristics under the Different Temperature and Photoperiod Conditions in Winter Wheat)

  • 조창환
    • 한국작물학회지
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    • 제24권3호
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    • pp.27-33
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    • 1979
  • 소맥에 있어서 온도 및 일장변화에 따른 생육 및 수량의 품종간 차이를 구명하기 위하여 장광 등 8개품종을 공시하여 온도 2$0^{\circ}C$, 14$^{\circ}C$, 24시간일장, 12시간일장을 가각 처리하여 시험한 결과를 요약하면 아래와 같다. 1. 출수일수에 있어서 장광과 Parker는 단일에 의한 출수지연도가 커서 단일에 민감하고 Yecora 70, Bezostaya, 수원 169호는 단일에 의한 출수지연도는 다른 품종에 비하여 적어 둔감하였다. 2. 간장에 있어서 Bezostaya는 단일에 의하여 평균간장보다 훨씬 더 커지고 Yecora 70은 일장에 따른 간장의 변화가 적었다. 육성 003는 저온(14$^{\circ}C$)에서 장간화되며 장광, Yecora 70, Blueboy는 온도에 따른 간장의 차이가 적었다. 3. 단일에 의하여 수장이 길어지는 품종은 Parker, 장광, Sturdy 등이며 저온(14$^{\circ}C$)에 의하여 수장이 길어지는 품종은 Yecora 70, 수원 169호, 육성 003이고 장광은 고온(2$0^{\circ}C$)에서 수장이 짧았다. 4. 주당수수가 단일에 의하여 증가되는 품종은 Blueboy, Parker, 수원 169호, 장광 등이며 Parker, Yecora 70, Sturdy, 육성 003 등은 저온(14$^{\circ}C$ )에서 수수가 많아지나 장광은 오히려 감소되었다. 5. 단일에 의하여 장광은 1수립수가 크게 증가되었고 저온(14\circ C)에 의하여 Yecora 70만이 1수립수가 증가되었으나 다른 품종들은 감소되었다. 6. 간립종은 단일에서 전품종이 감소되나, 그중에서도 장광, 수원 169호, Parker가 심하게 감소되었으며 저온(14\circ C)에서는 고온(2$0^{\circ}C$)에 비하여 간립중이 높았는데 Parker와 Sturdy가 훨씬 간립중이 증가되었다. 7. 수량은 Blueboy, 수원 169호, Parker가 단일에 의한 증가율이 높고 저온에서는 Yecora 70, Parker, 육성 003, Sturdy의 수량증가가 많았다. 수량구성요소중 주당수수와 1수립수는 단일에서, 주당수수와 간립중은 저온에서 각각 증가되어 수량이 많았다.

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개인정보암호화에 효율적인 새로운 형태보존암호화 알고리즘 (An Efficient New Format-Preserving Encryption Algorithm to encrypt the Personal Information)

  • 송경환;강형철;성재철
    • 정보보호학회논문지
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    • 제24권4호
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    • pp.753-763
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    • 2014
  • 최근 금융기관 및 대형 유통업체 등에서 대량의 개인정보유출사고가 연이어 발생하고, 그 피해는 날로 늘어나는 추세에 있다. 이에 따라 개인식별정보를 암호화하도록 강제하는 등 규제가 강화되고 있다. 이러한 개인정보를 암호화하는데 있어서 효율적인 기술이 형태보존암호화이다. 일반적인 암호화방식은 입력 데이터 길이보다 출력 데이터 길이가 확장되며 형태가 변경된다. 형태보존암호화는 입력 데이터의 길이와 형태를 보존해주기 때문에 데이터베이스 및 응용프로그램 수정을 최소화하는 효율적인 방식이다. 본 논문에서는 블록암호 운영모드를 이용한 개인정보 암호화에 효율적인 형태보존암호화방식을 새롭게 제안한다.

연초 품종간 저온단일 감응성의 차이 (Varietal Difference for Cool Temperature and Short-day in Nicotiana tabacum L.)

  • 정윤화;금완수;이승철
    • 한국연초학회지
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    • 제13권1호
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    • pp.69-73
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    • 1991
  • Varietal response to cool temperature(18$^{\circ}C$) and short (8hr.)-day treatment were investigated under controlled conditions of Phytotron in the Suwon Agronomy Experiment Station. Five flue-cured and one burley tobacco varieties (Nicotiana tabacum L.) were used, and the length of treatment ranging from 8 to 32 days at 3-day intervals and also includes continuous treatment up to the plants were flowered. The days to flower decreased significantly than the no treatment when the length of treatment was 11 to 14 days for the varieties NC82, Br.21 and NC22NF, and 17 to 26 days for SPG-28, Mc.944 and TC499, respectively. And also the number of leaves decreased significantly than the no treatment when the length of treatment was 8 days for NC22NF, 11days for NC82 and Br.21, 14 days for Mc.944, and 17 days for SPG-28 and TC499, respectively. The maximum decreasing ratio of the leaf number by the cool temperature and short-day treatment were 47.7 to 58.5% for NC82, Br.21 and NC22NF, and 38.9% for Mc.944, 33.4% for SPG-28 and 29.0% for TC499, respectively.

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간호관리료차등제 등급별 입원 환자의 건강 결과 (Inpatient Outcomes by Nurse Staffing Grade in Korea)

  • 조수진;이한주;오주연;김진현
    • 보건행정학회지
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    • 제21권2호
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    • pp.195-212
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    • 2011
  • Objectives: This study investigates the relationship between nurse staffing levels and differences in patient outcomes in terms of average length of stay, in-hospital mortality rate and 30-day death rate in order to evaluate the effectiveness of a policy that differentiates fees for inpatients on the basis of nurse-to-bed ratios. Methods: We obtained information on inpatients from health insurance claims data published by the Health Insurance Review and Assessment Service(HIRA) in 2008, organizational factors(type of hospital, ownership) from the records of the hospital report system in 2008, and nurse staffing levels, which were graded on a scale of 1 to 7, from data compiled between December 15, 2007, and September 20, 2008. The data were segregated according to type of hospital and quarter and finally 3,517 records of 1,182 hospitals were analyzed using multi-level analysis. Results: The average length of stay in grade 1~6 hospitals was lower than that in grade 7 ones, but the difference was much below one day. No significant difference was found among different grades in tertiary hospitals. Further, variations in staffing levels did not result in any significant difference in the in-hospital mortality rate and 30-day death rate. Conclusions: High nurse staffing levels did not result in better patient outcomes compared with low staffing levels. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving patient outcomes.

온도와 일장이 참깨의 항산화성분에 미치는 영향 (Effect of Temperature and Day-length on Antioxidants in Sesame)

  • 류수노;이정일;이효승
    • 한국작물학회지
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    • 제38권4호
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    • pp.330-335
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    • 1993
  • 참깨품종의 온도와 일장에 따른 항산화성분 함률차이를 조사하여 참깨 재배기술개선에 필요한 기초자료를 얻고자 무분지형 단백깨와 수원깨 및 분지형 안산깨와 한섬깨를 공시하여 작물시험장 인공기상실에서 온도와 일장을 달리 처리하여 시험하였던 바 얻어진 결과를 요약하면 다음과 같다. 1. 일장과 온도처리에 따른 참깨 항산화함량의 품종간 차이가 있었다. 2. 온도의 차이에 따라 20/15$^{\circ}C(주간온도/연간온도)에서 sesamin 0.22%, sesamolin 0.16% 인데 비하여 30/25$^{\circ}C에서는 sesamin 0.28%, sesamolin 0.19%를 보여 저온조건 보다는 고온조건에서 항산화 성분함량이 높았다. 3. 일장의 차이에 따라 11시간 일장에서 sesamin 0.24%, sesamin 0.26%, sesamolin 0.20%와 큰 차이가 없었다. 4. 따라서 참깨 항산화성분 함량은 일장의 길이보다는 온도의 차이에 의해 크게 영향 받는 것으로 생각된다.

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