• Title/Summary/Keyword: Tree hospital

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Changes in periodontal pathogens and chronic disease indicators through adjunctive probiotic supplementation : a case report (보조적 프로바이오틱스 복용을 통한 치주 병원성 세균 및 전신질환 지표 변화: 증례보고)

  • Mu-Yeol Cho;In-Seong Hwang;Young-Yeon Kim;Hye-Sung Kim
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.2
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    • pp.91-98
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    • 2024
  • Objectives: This case study aimed to evaluate changes in periodontal pathogens and systemic disease indicators following the adjunctive use of probiotics for periodontal treatment. Methods: Two adults, a 64-year-old male and 71-year-old female, were selected with ethical approval and underwent comprehensive oral and systemic health assessments before and after probiotic intake with periodontal debridement. Results: There was a significant reduction in the periodontal pathogens, particularly Porphyromonas gingivalis and Treponema forsythia, and no adverse systemic indicators were observed. Moreover, a trend toward improved lipid profiles was noted, suggesting a potential positive impact on systemic health. Conclusions: This study shows the potential role of probiotics in enhancing oral health and preventing systemic diseases, thus highlighting the need for further research and clinical trials.

Legalization of Tree Doctor System and the Role of KSPP (나무의사 제도 법제화에 따른 식물병리학회의 역할)

  • Cha, Byeongjin
    • Research in Plant Disease
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    • v.23 no.3
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    • pp.207-211
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    • 2017
  • In December of 2016, 'The Forest Protection Act' was amended partly in The National Assembly and the socalled 'Tree Doctor Act' was promulgated. Tree Doctor Act will be enforced from June 28, 2018. Under the new Act, none other than 'Tree Hospital' can do disease and pest management work for trees in public living space. The only exclusive qualification for tree hospital is a 'Tree Doctor', the government registered license which is newly established by the Act. To become a tree doctor, he/she must complete the tree doctor training courses in the designated 'Tree Doctor Academy' and pass the qualification test. Currently, Korea Forest Service is drafting the enforcement ordinances and regulations for the implement of Tree Doctor Act. When taking into consideration that the most fundamental and important discipline of the plant and tree health care is the plant pathology, and that the tree health care is a promising business for young plant pathology people, Korean Society of Plant Pathology is ought to be actively involved in the preparation of the enforcement ordinances and regulations, and help the early establishment of the new tree health care system in living spaces of Korea.

Evaluation of Patients' Queue Environment on Medical Service Using Queueing Theory (대기행렬이론을 활용한 의료서비스 환자 대기환경 평가)

  • Yeo, Hyun-Jin;Bak, Won-Sook;Yoo, Myung-Chul;Park, Sang-Chan;Lee, Sang-Chul
    • Journal of Korean Society for Quality Management
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    • v.42 no.1
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    • pp.71-79
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    • 2014
  • Purpose: The purpose of this study is to develop the methods for evaluating patients' queue environment using decision tree and queueing theory. Methods: This study uses CHAID decision tree and M/G/1 queueing theory to estimate pain point and patients waiting time for medical service. This study translates hospital physical data process to logical process to adapt queueing theory. Results: This study indicates that three nodes of the system has predictable problem with patients waiting time and can be improved by relocating patients to other nodes. Conclusion: This study finds out three seek points of the hospital through decision tree analysis and substitution nodes through the queueing theory. Revealing the hospital patients' queue environment, this study has several limitations such as lack of various case and factors.

Tree-based Approach to Predict Hospital Acquired Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • v.7 no.1
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    • pp.8-13
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    • 2019
  • Despite technical advances in healthcare, the rates of hospital-acquired pressure injury (HAPI) are still high although many are potentially preventable. The purpose of this study was to determine whether tree-based prediction modeling is suitable for assessing the risk of HAPI in ICU patients. Retrospective cohort study has been carried out. A decision tree model was constructed with Age, Weight, eTube, diabetes, Braden score, Isolation, and Number of comorbid conditions as decision nodes. We used RStudio for model training and testing. Correct prediction rate of the final prediction model was 92.4 and the Area Under the ROC curve (AUC) was 0.699, which means there is about 70% chance that the model is able to distinguish between HAPI and non-HAPI. The results of this study has limited generalizability as the data were from a single academic institution. Our research finding shows that the data-driven tree-based prediction modeling may potentially support ICU sensitive risk assessment for HAPI prevention.

Development and Application of a Severity-Adjusted LOS Model for Pneumonia, organism unspecified patients (상세불명 병원체 폐렴의 중증도 보정 재원일수 모형 개발 및 적용)

  • Park, Jongho;Youn, Kyungil
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.21-33
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    • 2014
  • This study was conducted to propose an insight into the appropriateness of hospital length of stay(LOS) by developing a severity-adjusted LOS model for patients with pneumonia, organism unspecified. The pneumonia risk-adjustment model developed in this paper is based upon the 2006-2010 the Korean National Hospital Discharge in-depth Injury Survey. Decision tree analysis revealed that age, admission type, insurance type, and the presence of additional disorders(pleural effusion, respiratory failure, sepsis, congestive heart failure etc.) were major factors affecting the severity-adjusted model using the Clinical Classifications Software(CCS). Also there was a difference in LOS among the regional hospitals, especially the hospital LOS has not been efficiently managed in Gyeongsangbuk-do, Jeollanam-do, Jeollabuk-do, Daejeon, and Busan. To appropriately manage hospital LOS, reliable statistical information about severity-adjusted LOS should be generated on a national level to make sure that hospitals voluntarily reduce excessive LOS and manage main causes of delayed discharge.

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A Predictive Model of Turnover among Nurses in a Tertiary Hospital: Decision Tree Analysis (의사결정나무 분석기법을 이용한 상급종합병원 간호사의 이직 예측모형 구축)

  • Kang, Kyung Ok;Han, Nara;Jeong, Jeong A;Choi, Young Eun;Park Jin Kyung;Jeong, Seok Hee
    • Journal of East-West Nursing Research
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    • v.29 no.1
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    • pp.68-77
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    • 2023
  • Purpose: The purposes of this study were to develop a predictive model and evaluate this model of turnover in hospital nurses. Methods: Participants were 1,565 nurses from a tertiary hospital in South Korea. Descriptive statistics and a decision-tree analysis were performed using the SPSS WIN 23.0 program. Results: The turnover groups were presented in eleven different pathways by decision tree analysis. There were three high-risk groups with a higher turnover rate than the average, and eight low-risk groups with a lower turnover rate. Among them, two low-risk groups had a 0% turnover rate. The groups were classified according to general characteristics such as position, period of temporary position, clinical career at last working unit, total clinical career, and period of leave of absence. The accuracy of the model was 83.2%, sensitivity 63.7%, and specificity 98.1%. Conclusion: This predictive model of turnover may be used to screen the turnover risk groups and contribute for decreasing the turnover of hospital nurses in South Korea.

An Investigation of Factors Affecting Management Efficiency in Korean General Hospitals Using DEA Model (DEA모형을 이용한 종합병원의 효율성 측정과 영향요인)

  • Ahn, In-Whan;Yang, Dong-Hyun
    • Korea Journal of Hospital Management
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    • v.10 no.1
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    • pp.71-92
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    • 2005
  • The purpose of this study is to analyze the efficiency in management of general hospitals and investigate the major factors on efficiency. Specifically, the management of each general hospital is evaluated by using Data Envelopment Analysis(DEA) technique which is a nonparametric statistical method for measurement of efficiency. Then, the influencing factors are investigated through analyses of Decision-Tree Model and Tobit Regression. The target hospitals were general hospitals in which bed sizes are between 200 and 500 among a total of 276 general hospitals. The main data of financial indicators were collected from 48 hospitals, and it was analyzed by using two statistical models. For Model I, three input and two output variables were used for efficiency evaluation. In particular, three input variables were the number of medical doctors, the number of paramedical personnel, and the bed size. And, two output variables were the numbers of inpatients and outpatients per year, adjusted by bed-size. The results of DEA analysis showed that only seven out of 48 hospitals(15%) turned out to be efficient. The decision-tree analysis also showed that there were six significant influencing factors for Model I. Six factors for Model I were Bed Occupancy Rate, Cost per Adjusted Inpatient, New Visit Ratio of Outpatients, Retired Ratio, Net Profit to Gross Revenues, Net Profit to Total Assets. In addition, the management efficiency of hospital is proved to increase as profit and patient-induced indicators increase and cost-related indicators decrease, by the Tobit regression model of independent variables derived from the decision-tree analysis. This study may be contributable to the development of analytic methodology regarding the efficiency of hospital management in that it suggests the synthetic measures by utilizing DEA model instead of suggesting simple ratio-analyzing results.

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Development of antibiotic prescription guidelines for antibiotic prescription quality management (항생제 처방 질 관리를 위한 항생제 처방 지침의 개발)

  • Kim, Hyesung;Oh, Jeongkyu
    • Journal of Korean Academy of Dental Administration
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    • v.5 no.1
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    • pp.45-54
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    • 2017
  • The purpose of this article is to cope with the abuse of antibiotics in the clinic, to determine the necessity of antibiotic administration, to share information on the selection and proper use of appropriate antibiotics, and to increase the appropriateness of antibiotic prescription through continuous monitoring. In line with the latest research and guidelines trends of various agencies, we will supplement the antibiotic prescription guidelines and use them for the treatment in Apple Tree Dental Hospital. Specially, by history taking and the penicillin allergy test, amoxicillin is prescribed as a primary selective antibiotic for 1 day. The complaints and treatment effects of the first antibiotic should be evaluated at the next visit. If the primary antibiotic was ineffective, we replaced it with a broad-spectrum antibiotic. If there was no improvement in symptoms, the patient would be referred to upper grade hospital. The staff of the Apple Tree Dental Hospital regularly monitored and educated antibiotic prescriptions. The current guidelines should be supplemented continually and positively affect the abuse of antibiotics and the habit of dental practice.

Length-of-Stay Prediction Model of Appendicitis using Artificial Neural Networks and Decision Tree (신경망과 의사결정 나무를 이용한 충수돌기염 환자의 재원일수 예측모형 개발)

  • Chung, Suk-Hoon;Han, Woo-Sok;Suh, Yong-Moo;Rhee, Hyun-SiIl
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.6
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    • pp.1424-1432
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    • 2009
  • For the efficient management of hospital sickbeds, it is important to predict the length of stay (LoS) of appendicitis patients. This study analyzed the patient data to find factors that show high positive correlation with LoS, build LoS prediction models using neural network and decision tree models, and compare their performance. In order to increase the prediction accuracy, we applied the ensemble techniques such as bagging and boosting. Experimental results show that decision tree model which was built with less number of variables shows prediction accuracy almost equal to that of neural network model, and that bagging is better than boosting. In conclusion, since the decision tree model which provides better explanation than neural network model can well predict the LoS of appendicitis patients and can also be used to select the input variables, it is recommended that hospitals make use of the decision tree techniques more actively.

A Study on the Hierarchy in Spatial Configuration of Geriatrics Hospital (노인전문병원 평면구조의 위계에 관한 연구)

  • Lee, Heang-Woo;Kim, Suk-Tae
    • Korean Institute of Interior Design Journal
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    • v.18 no.5
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    • pp.183-190
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    • 2009
  • Increase in the elderly population has given rise to various social problems throughout Korean society, and what is more, although the greater demand of medical treatment, its development is still in its early stages. Given that Specialized Geriatrics Hospital has stood amid a range of spatial complication and it should faithfully reflect the needs of elderly population, we need a better understanding of Specialized Geriatrics Hospital. This study suggested the foundation to plan of Specialized Geriatrics Hospital through analyzing and evaluating spatial configuration of Specialized Geriatrics Hospital by "Space Syntax" and "J-Graph" The study focused on Specialized Geriatric Hospitals existing in Korea which owned more than 100 beds. The result of this study is summarized as follows; First, the rate of separated convex showed that the portions of the Treatment of outpatients and Supply have increased, but onthe other hand the portion of the The ward has been on the decrease. Second, in the case of Treatment of outpatients, it was structured Tree-shaped and the Tree-shaped could be separated with two types: waiting room and wailing room with lounge. in the case of The ward, it was structured Tree-shaped and also Ring-shaped. The more recently opened Geriatrics Hospital, the closer to Ring-shaped. Third, the access to the Ccentral treatment was low though the access to the core of the each floor was high. Fourth, in the progress of intelligibility, the fact that its value has decreased is becoming a serious problem of medical development for the elderly population finally, according to J-graph's analysis, the hallway made the spatial depth of rooms and public space more deepened. This caused by scattered arrangement of public spaces. As the only planning were considered in this study, It therefore needs more diversified approaches considering physical factors such like real distance and area.