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Determination of Nursing Costs for Hospitalized Patients Based on the Patient Classification System (종합병원에 입원한 환자의 간호원가 산정에 관한 연구)

  • 박정호;송미숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.16-37
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    • 1990
  • A cost analysis for hospitalized patients was carried out based upon Patient Classification System(PCS) in order to determine an appropriate nursing fee. The data were collected from 21 nursing units of three teaching hospitals from April 1 to June 30, 1989. first, all of the 22,056 inpatients were classified into mildly ill(Class Ⅰ), moderately ill(Class Ⅱ), acutely ill(Class Ⅲ), and critically ill(Class Ⅳ) by the PCS which had been carefully developed to be suitable for the Korean nursing units. Second. PCS cost accounting was applied to the above data. The distribution of inpatients, nursing costs, and nursing productivity were as follows : 1) Patient distribution ranged from 45% to class Ⅰ, 36% to class Ⅱ, 15% to class Ⅲ, and 4% to class Ⅳ, the proportion of class Ⅳ in ‘H’ Hospital was greater than that of the other two hospitals. 2) The proportion of Class Ⅲ and Ⅳ in the medical nursing units was greater than that of surgical nursing units. 3) The number of inpatients was greatest on Tuesdays, and least on Sundays. 4) The average nursing cost per hour was W 3,164 for ‘S’ hospital, W 3,511 for ‘H’ hospital and W 4,824 for ‘K’ hospital. The average nursing cost per patient per day was W 14,126 for ‘S’ Hospital, W 15,842 for ‘H’ hospital and W 21,525 for ‘K’ hospital. 5) The average nursing cost calculated by the PCS was W 13,232 for class Ⅰ, W 18,478 for class Ⅱ, W 23,000 for class Ⅲ, and W 25,469 for class Ⅳ. 6) The average nursing cost for the medical and surgical nursing units was W 13,180 and W 13,303 respetively for class Ⅰ, W 18,248 and W 18,707 for class Ⅱ, W 22,303 and W 23,696 for class Ⅲ, and W 24,331 and W 26,606 for class Ⅳ. 7) The nursing costs were composed of 85% for wages and fringe benefits, 3% for material supplies and 12% for overhead. The proportion of wages and fringe benefits among the three Hospitals ranged from 75%, 92% and 98% for the ‘S’, ‘H’, ‘K’ hospitals respectively These findings explain why the average nursing cost of ‘K’ hospital was higher than the others. 8) According to a multi- regression analysis, wages and fringe benefits, material supplies, and overhead had an equal influence on determining the nursing cost while the nursing hours had less influence. 9) The productivity of the medical nursing units were higher than the surgical nursing units, productivity of the D(TS) - nursing units was the lowest while the K(Med) - nursing unit was the highest in 'S' hospital. In ‘H’ hospital, productivity was related to the number of inpatients rather than to the characteristics of the nursing units. The ‘K’ hospital showed the same trend as ‘S’ hospital, that the productivity of the medical nursing unit was higher than the surgical nursing unit. The productivity of ‘S’ hospital was evaluated the highest followed by ‘H’ hospital and ‘K’ hospital. Future research on nursing costs should be extended to the other special nursing areas such as pediatric and psychiatric nursing units, and to ICU or operating rooms. Further, the PCS tool should be carefully evaluated for its appropriateness to all levels of institutions(primary, secondary, tertiary). This study took account only of the quantity of nursing services when developing the PCS tool for evaluating the productivity of nursing units. Future research should also consider the quality of nursing services including the appropriateness of nursing activities.

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DETERMINATION OF CLASS NUMBERS OR THE SIMPLEST CUBIC FIELDS

  • Kim, Jung-Soo
    • Communications of the Korean Mathematical Society
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    • v.16 no.4
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    • pp.595-606
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    • 2001
  • Using p-adic class number formula, we derive a congru-ence relation for class numbers of the simplest cubic fields which can be considered as a cubic analogue of Ankeny-Artin-Chowlas theo-rem, Furthermore, we give an elementary proof for an upper bound for the class numbers of the simplest cubic fields.

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The Influences of Learners' Self-efficacy on Class Satisfaction in Learning Practical Basic Sewing (기초봉제 학습자의 자기효능감이 수업만족도에 미치는 영향)

  • Park, Eun-Hee;Cho, Hyon-Ju
    • Journal of the Korea Fashion and Costume Design Association
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    • v.17 no.1
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    • pp.13-24
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    • 2015
  • The purpose of this study is to examine the influences of learners' self-efficacy on class satisfaction in learning practical basic sewing. Questionnaires were distributed to 181 college women students living in the areas of Deagu Metropolitan City and Gyeongbuk Province. The data obtained were analyzed by using various statistical tools: frequency, factor analysis, reliability analysis, correlation analysis, and multiple regression. The self efficacy of learners of practical basic sewing were made up of five factors: ability to manage interpersonal relationships, ability to deal with assigned tasks, anxiety, challenging spirit, and fear. Class satisfaction was composed of the following factors such as interest in class, professors' ability, achievement of class objectives, connectivity, preparation for class, preference for practices, and perfectibility. This study indicated the correlations between sub-variables of learners' self efficacy and class satisfaction. In other words, the higher were the levels of ability to manage interpersonal relationships, and ability to deal with assigned tasks in self efficacy, the higher were the levels of interest in class, professors' ability, achievement of class objectives, preference for practices, and perfectibility in class satisfaction. The factors of ability to deal with assigned tasks, anxiety, and challenging spirit, in learners' self efficacy were found to have statistically significant effects on the achievement of class objectives. The factor of ability to deal with assigned tasks in self efficacy had a statistically significant influence on professors' ability. The factors of ability to deal with assigned tasks, anxiety, challenging spirit and fear were found to have statistically significant effects on all the factors of class satisfaction.

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Assessment of lower incisor alveolar bone width using cone-beam computed tomography images in skeletal Class III adults of different vertical patterns

  • Lee, Sanghee;Hwang, Soonshin;Jang, Woowon;Choi, Yoon Jeong;Chung, Chooryung J;Kim, Kyung-Ho
    • The korean journal of orthodontics
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    • v.48 no.6
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    • pp.349-356
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    • 2018
  • Objective: This study was performed to investigate the alveolar bone of lower incisors in skeletal Class III adults of different vertical facial patterns and to compare it with that of Class I adults using cone-beam computed tomography (CBCT) images. Methods: CBCT images of 90 skeletal Class III and 29 Class I patients were evaluated. Class III subjects were divided by mandibular plane angle: high (SN-MP > $38.0^{\circ}$), normal ($30.0^{\circ}$ < SN-MP < $37.0^{\circ}$), and low (SN-MP < $28.0^{\circ}$) groups. Buccolingual alveolar bone thickness was measured using CBCT images of mandibular incisors at alveolar crest and 3, 6, and 9 mm apical levels. Linear mixed model, Bonferroni post-hoc test, and Pearson correlation analysis were used for statistical significance. Results: Buccolingual alveolar bone in Class III high, normal and low angle subjects was not significantly different at alveolar crest and 3 mm apical level while lingual bone was thicker at 6 and 9 mm apical levels than on buccal side. Class III high angle group had thinner alveolar bone at all levels except at buccal alveolar crest and 9 mm apical level on lingual side compared to the Class I group. Class III high angle group showed thinner alveolar bone than the Class III normal or low angle groups in most regions. Mandibular plane angle showed negative correlations with mandibular anterior alveolar bone thickness. Conclusions: Skeletal Class III subjects with high mandibular plane angles showed thinner mandibular alveolar bone in most areas compared to normal or low angle subjects. Mandibular plane angle was negatively correlated with buccolingual alveolar bone thickness.

A STUDY ON THE MAXILLARY DENIAL ARCH AND PALATAL VAULT WITH MALOCCULSIONS (부정교합자의 상악치열궁 및 구개에 관한 연구)

  • Kim, Choong Bae
    • The korean journal of orthodontics
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    • v.10 no.1
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    • pp.45-53
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    • 1980
  • This study was based on the study models of 32 subjects with normal occlusion, 40 with Class I malocclusion, 32 with Class II, Division 1 malocclusion and 38 with Class III malocclusion, aged 12 to 20 years (mean age 16.4 years). The purpose of present study was to define the difference between normal and malocclusion groups in maxillary dental arch and palate. On the basis of findings of this study, the following results were obtained. 1. The intermolar widths and the intercanine widths in Class II, Div. 1 malocclusion group were smaller than in normal occlusion group significantly. 2. The arch lengths measured in both Class I and Class II, Div.1 malocclusion groups were larger than in normal occlusion group. 3. The palates in Class I and Class II, Div. 1 malocclusion groups were longer and narrower than in normal occlusion, but the palates in Class III malocclusion group were shorter than in normal occlusion group significantly. 4. The palatal depths measured at level 1 in Class III malocclusion group were significantly higher than in normal occlusion and in Class II, Div. 1 group they were significantly higher than in normal occlusion at level 2 and 3. 5. The measurements of palatal areas at various levels showed no significant difference between malocclusion and normal occlusion groups. 6. The palatal indies 1 (palatal length / palatal width) measured in both Class I and Class II, Div. 1 malocclusion groups were significantly greater than in normal occlusion and the palatal indice 2 (palatal depth at level 1/palatal width) measured in all malocclusion groups are greater than in normal occlusion. 7. It was determined from findings of this study that the measurements of maxillary dental arch and palate were influenced to a considerable extent by the molar relationship.

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Alveolar bone thickness and lower incisor position in skeletal Class I and Class II malocclusions assessed with cone-beam computed tomography

  • Baysal, Asli;Ucar, Faruk Izzet;Buyuk, Suleyman Kutalmis;Ozer, Torun;Uysal, Tancan
    • The korean journal of orthodontics
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    • v.43 no.3
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    • pp.134-140
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    • 2013
  • Objective: To evaluate lower incisor position and bony support between patients with Class II average- and high-angle malocclusions and compare with the patients presenting Class I malocclusions. Methods: CBCT records of 79 patients were divided into 2 groups according to sagittal jaw relationships: Class I and II. Each group was further divided into average- and high-angle subgroups. Six angular and 6 linear measurements were performed. Independent samples t-test, Kruskal-Wallis, and Dunn post-hoc tests were performed for statistical comparisons. Results: Labial alveolar bone thickness was significantly higher in Class I group compared to Class II group (p = 0.003). Lingual alveolar bone angle (p = 0.004), lower incisor protrusion (p = 0.007) and proclination (p = 0.046) were greatest in Class II average-angle patients. Spongious bone was thinner (p = 0.016) and root apex was closer to the labial cortex in high-angle subgroups when compared to the Class II average-angle subgroup (p = 0.004). Conclusions: Mandibular anterior bony support and lower incisor position were different between average- and high-angle Class II patients. Clinicians should be aware that the range of lower incisor movement in high-angle Class II patients is limited compared to average- angle Class II patients.

Detection of Zymogenic ChsC Activity in Vegetative Hyphae of Aspergillus nidulans. (Aspergillus nidulans 영양균사에서 효소전구체형 ChsC 활성의 검출)

  • 박범찬;박윤희;박희문
    • Korean Journal of Microbiology
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    • v.40 no.2
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    • pp.178-182
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    • 2004
  • In the vegetative hyphae of Aspergillus nidulans, a zymogenic form of the class I chitin synthase activity was successfully measured by the assay condition for Saccharomyces cerevisiae class I chitin synthase, Chsl. The class I chitin synthase activity of the A. nidulans chsC wild type strain was increased about six-fold by trypsin-pretreatment, but that of the chsC disruption strain revealed no increase. Interestingly enough, level of the class I chitin synthase activity of the chsC disruption strain was almost the same as that of the chsC wild type without trypsin-pretreatment. These results indicated that the A. nidulans ChsC activity could be measured by account-ing the class I chitin synthase activity without the trypsin-pretreatment as an internal control. Consistence to the expression pattern of the chsC revealed by northern blot analysis, the activity of ChsC was increased upon reaching the culture time for acquiring developmental competence. Our results shown here also supported the previous report suggesting the possible involvement of ChsC in vegetative hyphal growth of A. nidulans.

An Analysis of Teacher's Perception on Implementation of After-School Computer Class (초등학교 방과후 컴퓨터교실의 운영에 관한 교사의 인식 연구)

  • Oh, Jung-Sook;Oh, Se-Hee;Park, So-Young
    • Journal of Fisheries and Marine Sciences Education
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    • v.25 no.4
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    • pp.781-800
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    • 2013
  • The purpose of this study was to investigate perception of primary school teachers about operation of after-school computer class. Research questions were set up as follows: First, what type is preferred on the operation type for after-school computer class? Second, what is the perception about the adequacy of contents for after-school computer class? Third, what is the perception about instructors' expertise? Fourth, what is the perception about the effects of after-school computer class? Finally, what is the perception about facilities/ equipment and evaluation system of after-school computer class? To figure out these questions, this study conducted literature review and questionnaire survey. The results of this study are as follows: First, approximately 82% of respondents preferred to have after-school computer class operated by outsourced agency. Second, overall, the perceptions about the operation of after-school computer class were positive: The adequacy of contents, instructors' expertise, the effects, facilities/ equipment and evaluation system are seen as mostly positive. Third, its differences between school self-operated computer class and private sector computer class were insignificant. Fourth, its differences among various sizes of the school were significant. The implementaion of after-school computer class was considered as more positive in small schools. Finally, researchers suggested that it was necessary to develop an plan considering school sizes for more efficient implementation of after-school computer class.

A Study on Change in Death Orientation of College Student Nurses -comparison of pre and post hospice care class- (간호대학생의 죽음에 대한 의식 변화 연구 -호스피스 간호 학습 전.후 비교-)

  • Baek Seol-Hyang;Lee Mi-Aie;Kim In-Hong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.357-365
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    • 2001
  • Purpose: The purpose of this study was to identify the death orientation of college student nurses and to evaluate the effectiveness in death orientation of a class on 'hospice care'. this was done by investigating the difference between the death orientation before and after the class. Method: The instrument used in this Investigation was the death orientation scale developed by Thorson and Powell (1988). The subjects of the study were the 47 college student nurses in a 'hospice care' class. The research was carried out between March 2, 2001, when the class began, and June 21, 2001 when the class ended The collected data were examined using arithmetic mean, percentage, t-test, ANOVA. Result: The results of the study are as follows : 1. The average death orientation score of the subjects before the class was 2.80. 2. There were a significant difference in the death orientation scores before and after the class (p<0.001). Before the class, 'hospice care', the students had an average score of 2,80. Their average score decreased to 2.55 after the class. Of 25 death orientation items on the scale, 14 items decreased significantly after the class as compared to before the class. 3. According to personal attributes (religion. the existence of religion, the experience of a death in recently) of subjects, there were no significant statistical differences in death orientation (p>0.05). Conclusion: This study showed that a class on hospice care was effective in changing the death orientation of student nurses.

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Location and shape of the mandibular lingula: Comparison of skeletal class I and class III patients using panoramic radiography and cone-beam computed tomography

  • Jung, Yun-Hoa;Cho, Bong-Hae;Hwang, Jae Joon
    • Imaging Science in Dentistry
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    • v.48 no.3
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    • pp.185-190
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    • 2018
  • Purpose: The aim of this study was to compare the location and the shape of the mandibular lingula in skeletal class I and III patients using panoramic radiography and cone-beam computed tomography. Materials and Methods: The sample group included 190 skeletal class I patients and 157 class III patients. The location of the lingula in relation to the deepest point of the coronoid notch was classified into 3 types using panoramic radiographs. The shapes of the lingulae were classified into nodular, triangular, truncated, or assimilated types using cone-beam computed tomographic images. The data were analyzed using the chi-square test. Results: The tips of the lingulae were at the same level as the coronoid notch in 75.3% of skeletal class I patients and above the coronoid notch in 66.6% of class III patients. The positions of the lingulae in relation to the deepest point of the coronoid notch showed statistically significant differences between class I and class III patients. The most common shape was nodular, and the least common was the assimilated shape. Although this trend was not statistically significant, the triangular shape was more frequently observed in class III patients than in class I patients. Conclusion: The locations and the shapes of the mandibular lingulae were variable. Most of the lingulae were at the same level as the coronoid notch in skeletal class I patients and above the coronoid notch in skeletal class III patients. The nodular and assimilated-shaped lingulae were the most and the least prevalent, respectively.