• Journal of Preventive Medicine and Public Health
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• 제43권6호
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• pp.523-534
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• 2010

Objectives: We assessed impact of performance reporting information about the readmission rate, length of stay and cost of hip hemiarthroplasty. Methods: The data are from a nationwide claims database, National Quality Improvement Project database, of Health Insurance Review & Assessment Service in Korea. From January 2006 to April 2008, we received information of length of stay, readmission within 30 days, cost of 22 851 hip hemiarthroplasty episodes. Each episodes has retained the diagnoses of comorbidities and demographics. We used time-series analysis to assess the shifting of patients selections, between high volume (over 16 operations in a year) and low volume institutions, after performance reporting (December 2007). The changes of quality (readmission, length of stay) and cost were evaluated by multilevel analysis with adjustment of patient's factors and institutional factors after performance reporting. Results: As compared with the before performance reporting, the proportion of patients who choose the high volume institution, increased 3.45% and the trends continued 4 months at marginal significance (p = 0.059). After performance reporting, national average readmission rate, length of stay were decreased by 0.49 OR (95% CI=0.25 - 0.95) and 10% (${\beta}$=-0.102, p<0.01) and cost was not changed (${\beta}$=-0.01, p=0.27). The high volume institutions were more decreased than low volume in length of stay. Conclusions: After performance reporting, readmission rate, length of stay were decreased and the patient selections were marginally shifted from low volume institutions to high volume institutions.

• Asian-Australasian Journal of Animal Sciences
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• 제8권2호
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• pp.145-149
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• 1995

Validity of use of a Y-maze for determining a foraging strategy of cattle was investigated with the object of establishing a procedure of testing foraging strategies of large herbivores. Cattle were placed in a start box of a Y-maze, forced into either goal arm and allowed to consume half of the feed at the end of the arm. Then, cattle were returned to the start box and allowed to choose either arm in the second half of a trial. This time animals were allowed to deplete the feed in the goal arm they chose. A return to the previous arm was recorded a "stay" Choice of the other arm was recorded as a "shift". Shift strategy was not observed. Rather, their behavior appeared either random or stay. However, it might have been caused by inappropriateness of the application of the apparatus and/or the procedure used in the study of foraging behavior of rats. Although the existence of lateral preference was suggested, further study with an elaborated procedure will be necessary to investigate foraging strategies of cattle.

• 한국임상약학회지
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• 제24권4호
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• pp.240-247
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• 2014

Objective: Undernutrition is common amongst esophageal cancer patients and therefore appropriate nutrition support is critical. Nevertheless, the effectiveness of enteral nutrition (EN) versus parenteral nutrition (PN) is still controversial. The aim of this study was to investigate the effect of EN and PN on the nutritional state and the length of hospital stay for patients who underwent an Ivor-Lewis (IL) esophagectomy. Method: A retrospective clinical analysis was performed that utilized the electronic medical records of patients who underwent IL esophagectomy during a 3-year period between January 2010 and December 2012 at a tertiary teaching hospital located in Seoul, Korea. The EN group and PN group were analyzed by comparing the nutrition supply, postoperative complications, length of hospital stay, and weight variation. Results: After an IL esophagectomy, the complication rate between the EN group and PN group was insignificant and the length of hospital stay was significantly shorter for the PN group compared to the EN group (14 vs. 16 days, respectively; p<0.001). At the time of discharge, those in the PN group lost less weight postoperatively (p=0.003). Conclusion: PN may be considered as safe nutrition support for esophageal cancer patients who underwent an esophagectomy.

• International Journal of Internet, Broadcasting and Communication
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• 제15권3호
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• pp.176-184
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• 2023

Points of interest (POIs) are widely used in tourism recommendations and to provide information about areas of interest. Currently, situation judgement using POI and GPS data is mainly rule-based. However, this approach has the limitation that inferences can only be made using predefined POI information. In this study, we propose an algorithm that uses POI data, GPS data, and schedule information to calculate the current speed, location, schedule matching, movement trajectory, and POI coverage, and uses machine learning to determine whether to stay or go. Based on the input data, the clustered information is labelled by k-means algorithm as unsupervised learning. This result is trained as the input vector of the SVM model to calculate the probability of moving and staying. Therefore, in this study, we implemented an algorithm that can adjust the schedule using the travel schedule, POI data, and GPS information. The results show that the algorithm does not rely on predefined information, but can make judgements using GPS data and POI data in real time, which is more flexible and reliable than traditional rule-based approaches. Therefore, this study can optimize tourism scheduling. Therefore, the stay detection algorithm using GPS movement trajectories and POIs developed in this study provides important information for tourism schedule planning and is expected to provide much value for tourism services.

• Journal of Korean Biological Nursing Science
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• 제26권2호
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• pp.136-143
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• 2024

Purpose: The purpose of this study was to investigate the associations of obesity and clinical characteristics including interleukin-6 (IL-6) with hospital length of stay (LOS) in coronavirus disease-2019 (COVID-19) patients in Korea. Methods: A retrospective descriptive study design was employed to analyze medical data from a government-designated hospital in a city of Korea. Clinical data were collected from 256 patients with COVID-19 in negative-pressure isolation wards in 2021. The following parameters were analyzed: body mass index (BMI), IL-6 levels, age, sex, comorbidities, healthy habitsat the time ofadmission, and LOS. The statistical package SPSS 26.0 was used for descriptive statistics, the independent t-test, the chi-square test, and partial correlation coefficients. Results: The age of COVID-19 patients was positively correlated with BMI (r = -.16, p = .012), IL-6 levels (r = .14, p = .022) and LOS (r = .26, p < .001). Obesity, non-drinking, hypertension, and older age were associated with longer LOS. Conclusion: These results suggest that age, obesity, and hypertension in COVID-19 patients are related to LOS. Studies investigating other factors that can affect long-term hospitalization in COVID-19 patients are suggested.

• 교육시설 논문지
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• 제19권4호
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• pp.3-10
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• 2012

This study is carried out to understand spacial characteristics, actual condition and behavior of use about homebase managed in variation type. Observation about moving line of students and questionnaire were tried to satisfy this purpose. As a result, classroom used as variation type for long time stay and homebase outside the classroom for short time stay were paralled managed in most schools. Density of school furniture in homebase of observed schools was about 36-37%, occupying area of each student was about $0.3-0.6m^2$. It was relatively low with the results of 45-54% and $0.94-1.15m^2$ observed in Japan schools, respectively. By the analysis about behavior of use through cross section of observation, the difference of staying time and personnel exchange between the students was higher at the school having homebase composed with various corners more than the school used it only as a locker room.

• 한국시뮬레이션학회논문지
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• 제26권3호
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• pp.125-139
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• 2017

최근 응급의료 서비스의 질 제고에 관심이 높아지고 있는 가운데 응급의료 프로세스의 혁신에 많은 노력을 기울이고 있다. ICT기술의 급속적인 진전에 의해 응급의료 프로세스의 자동화 또는 지능화가 가속화되고 있다. 본 연구는 자원 활용 최적화, 인적오류 최소화 그리고 진료 예측가능성 제고를 고려한 실시간데이터 기반 응급실 운영 방안을 제안한다. 응급실 운영지수-응급 케어지수, 체류 단축지수, 인적오류 유발지수, 대기 인내지수-를 개발하고, 이를 기반으로 한 응급실 운영규칙을 제시한다. 가상의 축소 응급실을 대상으로 시뮬레이션을 실시하여 제안한 운영규칙의 효과성을 검증하였다. 시뮬레이션 결과 응급실 체류시간에서 우수한 성능을 보였다.

• 문화기술의 융합
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• 제9권3호
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• pp.137-143
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• 2023

이 연구는 어린이(0-12세)손상 환자의 특성에 따른 재원일수의 관계를 규명하여, 어린이손상 환자 재원일수에 미치는 요인을 분석하고자 시행하였다. 조사대상은 퇴원손상심층조사 자료에서 2016년 1월1일부터 2020년 12월31일 까지 퇴원한 환자 중 0-12세 이하이며, 주진단이 손상 및 사고의 외인(S00-T98)인 환자 7,804명이었다. 분석은 빈도 분석 및 독립표본 t-검정, ANOVA 검정을 실시하였다. 재원일수에 영향을 미치는 요인을 알아보고자 회귀분석을 시행하였다. 연구대상자의 평균재원일수는 5.5일 이었다. 학령기(7-12세)기 아동이 학령전기(0-6세)보다 재원일수가 길었으며, 진료비 지불방법이 의료급여 및 기타보험 환자가 재원일수가 길었다. 의료기관 소재지가 수도권보다 비수도권(전라도, 경상도)일 때, 병상규모가 100-299병상인 경우 재원일수가 길었다. 내원경로는 외래인 경우 재원일수가 짧았고, 손상기전이 운수사고, 화상인 경우 재원일수가 길었다. 부진단이 있고, 주수술을 시행한 경우 재원일수가 길었으며, 퇴원후 방향이 사망인 경우 재원일수가 길게 나타났다. 이 연구는 전국 단위 자료인 퇴원손상심층조사 자료를 이용하여 우리나라 어린이 손상환자의 재원일수의 특성 및 결정요인을 파악하였다는 점에서 의의를 갖는다. 또한, 안전교육 및 예방 활동만으로도 발생을 줄일 수 있는 어린이 손상의 관련 요인 대한 적극적인 치료와 다양한 예방정책 마련을 위한 기초 자료를 제공했다는 점에서 의의가 있다.

• 대한간호학회지
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• 제40권2호
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• pp.298-305
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• 2010

Purpose: The objectives of this study were to determine the prevalence, incidence, and risk factors for postoperative surgical site infections (SSIs) after craniotomy. Methods: This study was a retrospective case-control study of 103 patients who had craniotomies between March 2007 and December 2008. A retrospective review of prospectively collected databases of consecutive patients who underwent craniotomy was done. SSIs were defined by using the Centers for Disease Control criteria. Twenty-six cases (infection) and 77 controls (no infection) were matched for age, gender and time of surgery. Descriptive analysis, t-test, $\chi^2$-test and logistic regression analyses were used for data analysis. Results: The statistical difference between cases and controls was significant for hospital length of stay (>14 days), intensive care unit stay more than 15 days, Glasgrow Coma Scale (GCS) score (${\leq}7$ days), extra-ventricular drainage and coexistent infection. Risk factors were identified by logistic regression and included hospital length of stay of more than 14 days (odds ratio [OR]=23.39, 95% confidence interval [CI]=2.53-216.11) and GCS score (${\leq}7$ scores) (OR=4.71, 95% CI=1.64-13.50). Conclusion: The results of this study show that patients are at high risk for infection when they have a low level of consciousness or their length hospital stay is long term. Nurses have to take an active and continuous approach to infection control to help with patients having these risk factors.

• 한국직업건강간호학회지
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• 제15권2호
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• pp.94-103
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• 2006

Purpose: This study was to understand foreign workers' experiences exposed hazard chemical materials in korean industry. Method: The research subjects were 92 foreign workers worked in seoul, namyangju, ansan, suwon, pocheon, incheon, jincheon, and daejeon. It was that grounded theory method as qualitative approach was applied with in-depth interview, recording and dictation, and collected data was analysed line-by-line by research teams. The analysis process of in depth interview data was three phase. Results: The first phase was that find out meaningful data and confronted data for meaningful data was 53 meaningful items. The second phase was coding process of meaningful data, total coding items were 9, difficulty of new environment, existence of health hazard factors originated in work, performance of basic health management, management of hazard materials in work-site, self care of hazard materials in work-site, discrimination of disaster-compensation originated in work, perception of work stress, motivation of leaving position, satisfaction for present life. The third phase was 5 adaptation process, copying phase for new environment, management phase for health hazard factors, health change phase, life change phase, illegal stay phase. Conclusion: In summary, as a results it was concluded that foreign workers was experienced new environment and then has various problems in working site. But these evidences were not different from korean workers basically, undoubtedly reality of a korean small and medium enterprise. And foreign workers with long time stay have had many health problems probably, but they have want to long stay and so reach an unexpected result, illegal long stay. Therefore, we should make efforts for adequate foreign workers' health management at work-site and overall life in governmental and industrial nursing level.