• 제목/요약/키워드: HCM

검색결과 220건 처리시간 0.03초

홀로 사는 일상생활 기능제한 노인의 건강 상태 및 사회적 지지 현황 (Health Status and Social Support among the Elderly Living Alone with Restricted Daily Functions)

  • 박영희
    • 보건의료산업학회지
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    • 제12권1호
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    • pp.95-107
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    • 2018
  • Objectives : This study was performed to investigate the health status and social support among elderly living alone with restricted daily functions using the data of the "2014 the Korean Elderly Survey". Methods : Data on 2,407 elderly living alone were drawn and statistically examined using a t-test, an ANOVA, and a multiple regression analysis. Results : The study found that first, the elderly living alone with restricted daily functions comprised 22.1% of the total elderly living alone, and those who were older elderly, illiterate, with low-income, having poor nutrition management, and with a poor health status. Second, among the elderly living alone with restricted daily functions, there was a group with very little support from the family and only 14.0% were covered by long-term care insurance. Third, the life satisfaction of the elderly with restricted functions was lower than that of the non-restricted elderly, and was affected by income, health conditions, depression, access to senior welfare centers, and communication with others. Conclusions : The elderly living alone with restricted daily functions have serious health risks and social support, and hence they should be provided with more proactive support for life, health care and social care to live independently within their communities.

물리치료 관리자의 서번트 리더십이 조직유효성에 미치는 영향 (Servant Leadership of Physical Therapist Supervisor's Impact on the Organization Efficiency)

  • 한용수;임정도
    • 보건의료산업학회지
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    • 제5권1호
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    • pp.111-123
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    • 2011
  • The research tris to provide some basic data for the efficient method of human resources management and the efficiency of hospital organization by drawing how servant leadership of physical therapists has impact on job satisfaction and organizational commitment. As a measuring device the method of self-fill-in questionnaire survey was utilized and the correlation and regression analysis was practiced on demographic property, the relationships of 11 kinds of variables between servant leadership and organizational commitment. Job satisfaction was concerned with internal motivation, autonomy, hearing, altruistic vocation, community sense, sympathy formation, vision in the positive order, while organizational commitment was concerned with internal motivation, altruistic vocation, vision, autonomy, community sense, hearing, and sympathy formation is the positive order. Supervisors of physical therapists should try to strive to fulfill the demands of therapists in their position, suggest the vision and objectives to them, and enhance their community sense. As a result, supervisors of physical therapists can enhance job satisfaction and organizational commitment in the position of their employees.

뇌사에 대한 인지와 태도에 관련된 요인 (The Factors of Related towards Cognition and Attitudes to the Brain Death)

  • 황병덕;정웅재;최령
    • 보건의료산업학회지
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    • 제5권1호
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    • pp.159-170
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    • 2011
  • This study aims at providing basic data on brain death by analyzing factors of influencing toward attitude to brain death subject to citizens of Busan City. The data was collected for 47 days from 14 July to 31 August, 2009. Among a total of 2200 cases of the questionaries, only 2042 cases were used. For data analysis, SPSS 17.0 was used, and for the specific analysis method frequency analysis to understand general characteristics of the participants. In addition, examination on T-test and ANOVA analysis were conducted after analyzing the factors for participants' consciousness on brain death, and logistic regression analysis for understanding of relations between participants' will to brain death and general characteristics. The results of this study are summarized as follows; First, attitudes towards brain death according to general characteristics was high in those with will to donate their organs than those without in the attitude factors, namely, death recognition, acceptive, exclusive and religious attitude factors. Second, Significant variables for effects of attitudes towards brain death were gender, patients or their family's chronic or incurable diseases, religion, occupation and death recognition, acceptive, and exclusive attitude factors.

65세 이상 본인부담 상한 적용 노인의 의료서비스 이용 현황과 특성 (Status and Characteristics of Applying a Copayment Ceiling for the Elderly)

  • 박초열;박영희
    • 보건의료산업학회지
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    • 제14권1호
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    • pp.147-159
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    • 2020
  • Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.

병원산업의 투자효과 실증적 분석 : 외부자금조달액비율과 유형고정자산 중심 (Analysis on Investment Effect in Hospitals : PEFR and Tangible Assets)

  • 이용철;정용모
    • 한국병원경영학회지
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    • 제15권2호
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    • pp.1-14
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    • 2010
  • This study tried to analyze about the investment effects on the spent capital and possessed tangible assets of some hospitals during their hospital management. For this analysis purpose, this study used the financial data of 100 hospitals which presented their financial statements to an finance-information company from 2004 to 2006. The analysis was done with PEFR(Percentage of External Funds Required) and Tangible Asset. The FEPR considered the retained interior fund relating to the investment types in the hospital industry. And the Tangible Asset was related to the possession condition of facilities and equipment. The EBIT rate(Earnings before interest and tax to sales) meaning the management performance and tangible asset turnover were used as the measured variables of investment effect. As the result of data analysis, it was identified that the tangible asset like the hospitals's facilities and equipment was not an agent significantly to influence on the management performance(EBIT rate), the eventual goal of hospital management. But, it was identified that there was some differences tangible asset turnover according to each hospital's main characteristics. And at targeting the all sample hospitals, it was found that the management performance(EBIT rate) had some significant effect on the retained earnings rate, a part of source of PEFR.

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EM알고리즘을 기반으로 한 뉴로-퍼지 모델링 (EM Algorithm based Neuro-Fuzzy Modeling)

  • 김승석;전병석;김주식;유정웅
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2002년도 하계학술대회 논문집 D
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    • pp.2846-2849
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    • 2002
  • 본 논문은 뉴로-퍼지 시스템에서의 규칙 선택 및 모델 학술에 대하여 EM 알고리즘을 기반으로 하는 구조 동정을 제안한다. 뉴로-퍼지 모델링에서의 초기 파라미터가 학습과정에서의 모델 성능에 큰 영향을 주고 있다. 주어진 데이터에 근거한 파라미터 추정에는 다양한 방법들이 소개되고 응용되어져 왔는데 이전 연구들에서 볼 수 있는 HCM, FCM 등은 데이터와의 유클리디언 거리를 최소화하는 중심점을 파라미터로 선택하는 등의 방법과 퍼지 균등화 등은 데이터의 확률 밀도함수를 이용하여 파라미터를 추정하였다. 제안된 방법에서는 데이터에서의 Maximum Likelihood Estimator를 기반으로 하는 방법으로 EM 알고리즘을 이용하였다. 초기 파라미터의 결정에서 EM 알고리즘을 이용하여 뉴로-퍼지 모델의 전제부 소속함수 파라미터 추정을 실시한다. EM 알고리즘을 이용한 퍼지 모델의 특징으로는 전제부가 클러스터링에 의하여 생성되므로 입력의 차원이나 소속함수의 수가 증가하여도 규칙의 수는 증가하지 않는다. 이를 자동차 MPG 예제를 통하여 제안된 방법의 유용성을 보이고자 한다.

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A Hierarchical Clustering Method Based on SVM for Real-time Gas Mixture Classification

  • Kim, Guk-Hee;Kim, Young-Wung;Lee, Sang-Jin;Jeon, Gi-Joon
    • 한국지능시스템학회논문지
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    • 제20권5호
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    • pp.716-721
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    • 2010
  • In this work we address the use of support vector machine (SVM) in the multi-class gas classification system. The objective is to classify single gases and their mixture with a semiconductor-type electronic nose. The SVM has some typical multi-class classification models; One vs. One (OVO) and One vs. All (OVA). However, studies on those models show weaknesses on calculation time, decision time and the reject region. We propose a hierarchical clustering method (HCM) based on the SVM for real-time gas mixture classification. Experimental results show that the proposed method has better performance than the typical multi-class systems based on the SVM, and that the proposed method can classify single gases and their mixture easily and fast in the embedded system compared with BP-MLP and Fuzzy ARTMAP.

퍼지 입력 공간 분할애 따른 퍼지 추론과 이의 최적화 (Fuzzy inference system and Its Optimization according to partition of Fuzzy input space)

  • 박병준;윤기찬;오성권;장성환
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1998년도 추계학술대회 논문집 학회본부 B
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    • pp.657-659
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    • 1998
  • In order to optimize fuzzy modeling of nonlinear system, we proposed a optimal fuzzy model according to the characteristic of I/O relationship, HCM method, the genetic algorithm, and the objective function with weighting factor. A conventional fuzzy model has difficulty in definition of membership function. In order to solve its problem, the premise structure of the proposed fuzzy model is selected by both the partition of input space and the analysis of input-output relationship using the clustering algorithm. The premise parameters of the fuzzy model are optimized respectively by the genetic algorithm and the consequence parameters of the fuzzy model are identified by the standard least square method. Also, the objective function with weighting factor is proposed to achieve a balance between the performance results for the training and testing data.

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실시간신호제어 독립교차로 서비스수준 분석 방법론 (LOS Analysis Frame for COSMOS at Isolated Intersections)

  • 김진태;김강휘;이돈주
    • 대한교통학회지
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    • 제26권4호
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    • pp.161-172
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    • 2008
  • 국토해양부는 신호교차로 서비스수준 분석에 도로용량편람이 제시하는 방법의 적용을 장려하고 있으며 실시간신호제어교차로는 지능형교통체계 구축사업으로 그 숫자가 현장에서 꾸준히 증가하고 있다. 도로용량편람은 정주기식 신호교차로 서비스수준 분석방법에 국한하여 제시하고 있어 현장 실무자들은 실시간신호제어교차로 서비스수준 분석에 어려움을 경험하고 있다. 본 연구는 도로용량편람 수준에서 실시간신호제어교차로 서비스수준 분석의 기초가 되는 방법론을 제안하며 향후 추가로 수행되어야 하는 개발방향을 검토한다. 한 개의 신호교차로를 표본으로 세부 요소모형들을 간이 개발하여 검증한 결과 제안된 방법은 실제 현장 자료와 유사한 수준의 서비스 수준을 추정할 수 있음을 확인하였다.

A Sphaghetti Sign in the Abdominal Radiograph Consistent with Spleno-Systemic Shunts in a Cat

  • Oh, Donghyun;Hwang, Jaewoo;Yoon, Junghee;Choi, Mincheol
    • 한국임상수의학회지
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    • 제37권4호
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    • pp.227-230
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    • 2020
  • A 8-year-old spayed female Korean short-haired cat was presented with respiratory distress. CBC, serum chemistry analysis, plain radiography, and abdominal ultrasonography were performed. Besides hypertrophic cardiomyopathy (HCM) suspected by the thoracic radiograph, a tubular, tortuous soft tissue structure was detected at the region of the left retroperitoneal cavity on the abdominal radiograph. On the abdominal ultrasonography, a shunt vessel is identified caudo-lateral to the left kidney region. These findings are consistent with spleno-systemic shunts in cats. Furthermore, portal hypertension and diffuse hepatic lesion were also identified. Although the cause of a shunt vessel is not easy to diagnose, it is important to include spleno-systemic shunt into differential diagnosis list, when convoluted, tubular soft tissue opacity is seen on the digital radiography (DR). This report will allow clinicians to raise awareness of complications of portosystemic shunt (PSS) and better treat PSS suspected feline patients when the advanced modalities such as computed tomography and magnetic resonance imaging are not available.