• 제목/요약/키워드: day length

검색결과 1,662건 처리시간 0.029초

수련병원의 평균재원일수에 영향을 주는 요인에 관한 연구 (A Study on the Factors Affecting the Length of Hospital Stay in Teaching Hospitals)

  • 서순원;박일환
    • 한국의료질향상학회지
    • /
    • 제1권2호
    • /
    • pp.34-43
    • /
    • 1994
  • Background: The average hospital stay in most Korean teaching hospitals is longer than that of hospitals in developed countries. The investigation of average hospital stay of teaching hospitals is considered as an important measure to evaluate the effectiveness of hospital management. In this article authors analyzed the relationship of several variables (hospital ownership, number of beds, location of hospitals, number of physician) to length of hospital stay in each clinical department. Methods: The average hospital stay of each clinical department of 184 teaching hospitals was investigated. Authors reviewed the papers of teaching hospitals, that was reported to the Korean Association of Hospitals. Results: The means of hospital stay day of hospitals were not significantly different according to the number of hospital beds and location of hospitals. Only the difference of hospital stay according to ownerships was significant. The length of stay was the highest in public hospitals and the lowest in juridical hospitals. Conclusions: The number of beds and location of hospitals were not associated with the average hospital stay. But ownerships affected the average hospital stay. The national or public hospitals had the longest length of hospital stay. Number of specialists and number of all physicians were closely related to the average hospital stay.

  • PDF

바윗굴, Crassostrea nippona 유생기의 사육조건과 성장 (Culture Condition and Larval Growth of the Oyster, Crassostrea nippona)

  • 유성규;박흠기
    • 한국양식학회지
    • /
    • 제10권2호
    • /
    • pp.97-103
    • /
    • 1997
  • 바윗굴 유생 사육의 기본문제가 되는 먹이 공급시기 및 사육용기의 용량과 깊이에 따른 유생 사육을 수온 $23^{\circ}C$ 조건하에서 실시하였다. 그 결과는 다음과 같다. 바윗굴 유생의 성장에 따른 형태변화는 D형 유생기에는 각장이 각고보다 크게 나타났다. 그러나 각장의 크기가 $121.7\mu$m일 때 각고의 크기가 같게 나타났으며 이 이후 각고가 각장보다 큰 것으로 나타났다. 각장 $360\mum,\;각고\;385\mum$ 내외인 성숙 부유유생은 18일경부터 일시적으로 부착하는 개체가 나타났다. 사육용기에 따른 바윗굴 유생의 성장은 사육용기의 용량보다도 사육용기의 깊이에 많은 영향을 받았다. 유생에게 먹이를 공급하는 시기는 수정후 만 1일에 공급하는 것이 좋은 성장을 보였다.

  • PDF

마사지 요법이 시설 영아의 신체성장에 미치는 영향 (Effect of Massage Therapy on Growth Parameters of Instituted Infants)

  • 김태임
    • Child Health Nursing Research
    • /
    • 제8권2호
    • /
    • pp.204-216
    • /
    • 2002
  • The purpose of this study was to investigate the effect of massage therapy on weight gain, length and head circumference in instituted infants. This study utilized nonequivalent control group with repeated measuring by quasi experimental design. Fifty eight instituted infants in Daejeon city were selected for the study. Fifty eight infants were randomly assigned two groups, one served as the control group and the other was experimental group to whom massage therapy was given. For the experimental group, massage protocol(developed by Field, 1986) was applied 2 times a day, mid-morning and early evening, for 4 weeks for each infants by researcher and trained research assistants. As a weight weighing instrument, electronic indicator scale (Cas Co., Korea) was used. The result of this study were summarized as follows; 1.A repeated measures ANOVA identified a significant group by time effect over the four weeks of intervention(F=14.69, p < .0001). Infants assigned to experimental group gained more weight than control group infants. 2. T-test identified that significant differences in length(t=2.60, P=.013) and head circumference(t=4.27, P=.000). Infants assigned to experimental group had more length and head circumference than control group infants. In conclusion, Massage therapy improved weight gain, length and head circumference of instituted infants. Therefore, it is recommended to utilize massage therapy as a nursing intervention for instituted infants.

  • PDF

식물종자의 액상오존처리에 의한 종자 발아 및 초기 성장 증진 (Enhanced Germination & Initial Seedling Development by Liquid Phase Ozonation of Plant Seeds)

  • 양희경;정윤아;최원철;배범한
    • 한국지하수토양환경학회지:지하수토양환경
    • /
    • 제24권5호
    • /
    • pp.1-10
    • /
    • 2019
  • The effects of liquid phase ozonation on seed dormant alleviation and subsequent seedling growth were studied using two plant seeds of Indian jointvetch (Aeschynomene indica L.) and Indian mallow (Abutilon avicennae Gaertn.). At a constant ozone concentration ($80g/m^3$), contact time varied from 10 to 60 min with 10 min interval. Germination rate, root length, and specific root length were compared after 3-day incubation on gel-medium. The germination rate increased significantly (p<0.05) in the 50 min treatment of Indian mallow by 30% compared to the control. Enhanced root elongation was observed in the seeds of 30 min treatment of Indian jointvetch and 30~50 min treatment of Indian mallow. Specific root length, an indicator of environmental change, did not show significant changes, suggesting the level of ozone treatment has no adverse effect on seedling development. The results indicate that liquid phase seed ozonation can be an effective on-site germination alleviation method in the application of phytoremediation.

성견 하악골 절단 후 기계적 골 견인에 의해 형성된 골 신장부에 대한 시기별 조직학적 변화 (HISTOLOGICAL CHANGES IN THE ELONGATED BONE AFFECTED BY OSTEODISTRACTION OF THE MANDIBLE IN THE DOG)

  • 백선호;안병근;박영주;박희건;박준우;이건주;이용찬;조병욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제27권5호
    • /
    • pp.404-416
    • /
    • 2001
  • Purpose : Traditionally, the treatement of choice has been a bone grafting procedure to increase the length of bone in case of actual length discrepancy. But, bone grafting procedure has many disadvantages, for example, graft resorption, donor site morbidity, and so on. So, many trials have been performed to avert the use of autogenous bone graft via introducing new materials or methods. And, one of those trials has been realized by the development of a technique inducing bone lengthening by osteotomy (or corticotomy) and slow gradual distraction of the osteotomized segments. This new technique of bone lengthening dates back to the early 20th century. But, the majority of information concerning the biology of new bone formation during bone lengthening and technical details of the procedure were produced by extensive clinical and experimental studies performed by Ilizarov, a Russian surgeon. According to Ilizarov, with adequate blood supply, preservation of periosteum, rigid fixation of the osteotomized segments, and proper rate and rhythm of distraction, intramembranous bone rapidly develops within the distraction gap in the limb lengthening procedure. In the limb lengthening, many orthopedic surgeons try to observe the biologic and clinical principles recommended by Ilizarov. In the oral and maxillofacial region, however, not a few studies must be performed to apply this surgical technique in the clinical cases. Besides, the mechanism of bone formation in the distraction gap is not clear, yet. The purpose of this experiment was to scrutinize serially the histological changes in the elongated bone affected by osteodistraction of the mandibular body in an adult canine model. In addition, it was performed to confirm the presence of specific region(s) which was important in the bone formation in the gap through the observation of the expression pattern of osteocalcin and osteonectin with the immunohistochemical examination. Materials and Methods : The experimental and control specimens were obtained from seven adult male mongrel dogs weighing over 20kg. The distractors were custom-made linear extraoral devices and bicortical fixation screws were 2.3mm in diameter, 50mm in total length, 15mm in screw length. The distractors were devised to produce a linear gap of 0.75mm between two bony segments every $360^{\circ}$ turn of the rotation rod of the device. The mandibular body of the right side of each animal was corticotomized perpendicular to the occlusal plane and then two bony segments were separated completely by careful manipulation of the segments with bone forceps. The left side of each animal was left intact. This side was served as control. At sixth day after osteotomy and fixation of the segments were performed, distraction of the segments was commenced with a rate of 1.1mm/day and a rhythm of two/day for ensuing 7 days. The animals were euthanized at the 16th. 29th, and 44th day after the osteotomy. The bony specimens were decalcified, embedded in paraffin, sectioned $5{\mu}m$ thick and stained with H&E. The prepared specimens were examined under the light microscope. And, immunohistochemical examinations using anti-osteocalcin antibody (OC1, Biodesign, USA) and anti-osteonectin antibody (Haematologic Technologies Inc., Essex, VT) to locate the expressions of osteocalcin and osteonectin, respectively, were performed. Results : 1. New bone was observed already at the 16th. day after osteotomy. This suggests that new bone formation in osteodistraction was commenced at an early stage of the regenerative process. But, radiologically and microscopically, bony union was not completed in the distraction gap at the 44th. day after osteotomy. Therefore, rigid fixation must be maintained between the bony fragments till the complete bony union is confirmed clinically rather than one month or so after the completion of distraction.

  • PDF

Miniature Schnauzer 견에서 혈중 Estradiol-$17{\beta}$와 Progesterone 농도 측정에 의한 배란시기 추정 (Estimating the Ovulation Time Based on Plasma Estradiol-$17{\beta}$ and Progesterone Concentrations in Miniature Schnauzer Dogs)

  • 김정배;김방실;문병권;윤창진;박철호;문진산;서국현;오기석;손창호
    • 한국임상수의학회지
    • /
    • 제25권2호
    • /
    • pp.79-84
    • /
    • 2008
  • For estimating the ovulation time in Miniature Schnauzer dogs during the estrous cycle, radioimmunoassay of plasma estradiol-$17{\beta}$ and progesterone concentrations was conducted on blood samples in 21 pregnant and 13 non pregnant dogs. When Day 0 was that plasma progesterone concentrations exceeded 4.0 ng/ml, on Day 64, parturition day, progesterone declined below 1.0 ng/ml with $0.92\;{\pm}\;0.29\;ng/ml$ and when Day 0 was that plasma progesterone concentrations declined below 1.0 ng/ml, on Day -64, progesterone increased above 4.0 ng/ml with $4.56\;{\pm}\;0.87\;ng/ml$. Gestational length was $63.71\;{\pm}\;1.35$ (Mean${\pm}$S.D.) days from plasma progesterone concentrations exceeded 4.0 ng/ml and was $66.29\;{\pm}\;1.98$ days from first male acceptance. The plasma estradiol-$17{\beta}$ concentrations reached maximum value with $28.20\;{\pm}\;2.86\;pg/ml$ on Day .2, and plasma progesterone concentrations reached $5.90\;{\pm}\;0.36 ng/ml, 5.18\;{\pm}\;0.32 ng/ml on Day 0, and the maximum of 61.58\;{\pm}\;10.47 ng/ml on Day 19 and 56.05\;{\pm}\;8.86\;ng/ml$ on Day 16 in pregnant and non pregnant dogs, respectively. Afterward, plasma progesterone concentrations declined below 1.0 ng/ml on Day 64 with $0.92\;{\pm}\;0.29\;ng/ml$ in pregnant cycles and on Day 58 with $0.95\;{\pm}\;0.63\;ng/ml$ in non pregnant dogs. No difference were found pregnant and non pregnant dogs in plasma estradiol-$17{\beta}$ and progesterone concentrations (p<0.01). Based on first male acceptance (Day 0), the maximum of plasma estradiol-$17{\beta}$ concentrations ($29.31\;{\pm}\;3.61\;pg/ml$) occurred on Day -1 and plasma progesterone concentrations exceeded 4.0 ng/ml on Day 2 in pregnant ($5.37\;{\pm}\;0.76\;ng/ml$) and non pregnant ($4.25\;{\pm}\;0.80\;ng/ml$) dogs. These results suggest that in Miniature Schnauzers, the ovulation occurred when plasma progesterone concentrations exceeded 4.0 ng/ml, 3 days after plasma estradiol-$17{\beta}$ peak and 2 days after first male acceptance.

Shin-tzu견에서 혈장 Progesterone과 Estradiol-$17{\beta}$ 농도 측정에 의한 배란시기 및 교배적기의 추정 (Estimation of Ovulation and Optimal Breeding Time Based on Reproductive Hormone in Shih-tzu Bitches)

  • 김방실;이순애;고진성;황순신;박철호;오기석;김종택;박인철;김영홍;손창호
    • 한국임상수의학회지
    • /
    • 제22권3호
    • /
    • pp.253-258
    • /
    • 2005
  • The aim of this study was to estimate the time of ovulation and mating derived by plasma progesterone and estradiol-$17{\beta}$ concentrations. The 11 pregnant Shih-tzu bitches were investigated the plasma progesterone and estradiol-$17{\beta}$ concentrations from proestrus to parturition. Gestation length in the 11 pregnant bitches was $61.9{\pm}1.1\;(mean{\pm}SD)$ days when Day 0 was timed from the day that plasma progesterone concentration was first increased above 4.0 ng/ml. The litter size was $3.8{\pm}0.3$ pups. Plasma progesterone concentrations were increased at the first day of vulvar bleeding and showed at Day 0 with $5.2{\pm}0.3$ ng/ml. It was gradually increased to reach a peak at Day 15 with $42.6{\pm}3.7ng/ml$, thereafter it was gradually decreased to below Day 62. Plasma estradiol-$17{\beta}$ concentrations were increased above 1.0 pg/ml at the first day of vulvar bleeding and showed a peak at Day -2 with $33.5{\pm}8.0$ pg/ml, thereafter it was gradually decreased. When Day 0 was timed from the day that plasma progesterone concentration was first increased above 4.0 ng/ml, plasma estradiol-$17{\beta}$ concentration reached a peak at Day -2. In conclusion, these results indicated that ovulation was estimated to occur the day when plasma progesterone concentration was first increased above 4.0 ng/ml after the first day of bleeding. It was estimated that mating time was the day when plasma progesterone concentration was between $3.0{\~}8.0$ ng/ml.

3차 병원에 입원한 교통사고환자의 평균 재원기간과 조기퇴원시의 수입증대효과 분석연구 (Analyses on the Mean Length of Stay of and the Income Effects due to Early Discharge of Car Accident Patients at General Hospital)

  • 유호신
    • 지역사회간호학회지
    • /
    • 제10권1호
    • /
    • pp.70-79
    • /
    • 1999
  • This study attempts to encourage the development of a rehabilitation delivery system as a substitute service for hospitalization such as a community based intermediate facility or home health care. We need substitute services for hospitalization to curtail the length of stay for inpatients due to car accidents. It focused on developing an estimation for early discharge based on a detailed statement of treatment from medical records of 109 inpatients who were hospitalized at General Hospital in 1997. This study has three specific purposes: First, to find the mean length of stay and mean medical expenditure. Second, to estimate the mean of early discharge from the mean length of stay. Third, to analyize the income effect per bed from early discharge. In order to analyze the length of stay and medical expenditure of inpatients the author conducted a micro and macro-analysis with medical expenditure records. To estimate the early discharge we examined with a group of 4 experts decreases in the amount of treatment after surgery, in treatments, in tests, in drug methods. We also looked their vital signs, the start of ROM exercise, the time removel, a patient's visitations, and possible stable conditions. In addition to identifing the income effect due to an early discharge, the data was analyzed by an SPSS-PC for windows and Excell program with a regression analysis model. The research findings are as follows: First, the mean length of stay was 47.56 days, but the mean length of stay due to early discharge was 32.26 days. The estimation of early discharge days was shown to depend on the length of stay. The longer the length of stay, the longer the length before discharge. For example, if the patient stayed under 14 days the mean length of stay was 7.09 while an early discharge was 6.39, whereas if the mean length of stay was 155.73, the early discharge time was 107.43. The mean medical expenditure per day of car accident patients was found to be 169,085 Won, whereas the mean medical expenditure per day was shown to be in a negative linear form according to the length of stay. That is the mean expenditure for under 14 days of stay was 303,015 Won and the period of the hospitalization of 15 days to 29 days was 170,338 Won and those of 30 days to 59 days was 113,333 Won. The estimation of the income effect due to being discharged 16 days was around 2,350,000 Won with a regression analysis model. However, this does not show the real benefits from an early discharge, but only the income increasing amount without considering prime medical cost at a general hospital. Therefore, we need further analysis on cost containments and benefits incending turn over rates and medical prime costs. From these research findings, the following suggestions have been drawn, we need to develop strategies on a rehabilitation delivery system focused on consumers for the 21st century. Varions intermediate facilities and home health care should be developed in the community as a substitute for shortening the length of stay in hospitals. In home health care cases, patients who want rehabilitation services as a substitute for hospitalization in cooperation with private health insurance companies might be available immediately.

  • PDF

큰가리비 (Patinopecten yessoensis) 치패의 양성지역에 따른 성장 특성 연구 (A Study on the Growth of Juvenile Patinopecten yessoensis from Different Aquaculture Regions)

  • 김영대;이주;심정민;김미경;김기승;최재석;안원근;남명모
    • 한국패류학회지
    • /
    • 제30권4호
    • /
    • pp.321-331
    • /
    • 2014
  • 현 시점에서 동해 북부에 한정되어 양식이 이루어지고 있는 큰가리비 양식생산량 확대를 위하여 동부 북부에서 남부까지 양식시험을 통하여 성장 특성을 분석하여 생식생산량 확대를 위한 기초자료를 활용하고자 한다. 조기 종묘의 성장 특성으로 2014년 2월에 채란 및 채묘한 치패의 평균 각장, 각고는 $0.23{\pm}0.002mm$이였다. 고성장군의 경우, 6월에 평균 각장, 각고는 각각 $4.11{\pm}0.08mm$, $4.28{\pm}0.09mm$이였다. 10월에는 $23.63{\pm}3.4mm$, $24.19{\pm}4.5mm$이었다. 저성장군의 경우, 6월에 평균 각장, 각고는 각각 $2.23{\pm}0.7mm$, $1.99{\pm}0.9mm$이였고, 10월에 $1.99{\pm}0.9mm$, $17.59{\pm}4.5mm$로 성장하였다. 일간성장률은 고성장군은 0.037 mm/day, 저성장군은 0.027 mm/day 이었다. 8월에 지역별로 큰가리비의 성장을 보면 양양군, 강릉시, 영덕군, 포항시의 평균각장은 $7.93{\pm}0.2mm$으로 지역별로 큰가리비를 양성 시험한 결과, 포항 지역에서 각장 $26.90{\pm}3.6mm$로 가장 성장이 양호하였다. 이어서 영덕 지역이 $23.56{\pm}3.4mm$으로 나타났다. 이러한 결과로는 포항, 영덕 해수온과 식물플랑크톤이 큰가리비 성장에 적합하게 형성된 것으로 판단된다.

운동치료와 관절가동술이 하지길이 차이에 미치는 영향 (The Effects of Joint Mobilization and Therapeutic Exercise on Difference for Length of Lower Limbs)

  • 정연우;공원태;김병곤
    • 대한정형도수물리치료학회지
    • /
    • 제13권2호
    • /
    • pp.55-68
    • /
    • 2007
  • Object: to evaluate the effects of two different treatments-joint mobilization and therapeutic exercise on difference for length of lower limbs. Method: The subjects were participated twenty six who has difference for length of lower limbs more 10mm. All subjects randomly assigned to Joint mobilization group(n=13) and therapeutic exercise group. Joint mobilization group received joint mobilization for 2 minutes, Therapeutic exercise group received for 15 minutes per day and 3 times a week during 4 week period. Tape measure method was used to measure the difference for length of lower limbs. Biodex was used to measure the muscle power of lower limbs(Knee flexion, extension). Finger to floor test was used to measure the mobility of spinal column. All measurement of each subjects were measured at pre-experiment, after 2weeks and post-experiment. Result: The result of this study were summarized as follows : 1. Both treatment decreased difference for length of lower limbs while joint mobilization more decreased difference for length of lower limbs than therapeutic exercise. 2. Both treatment increased mobility of spinal column while joint mobilization more increased mobility of spinal column than therapeutic exercise. 3. Joint mobilization increased muscle power while therapeutic exercise decreased muscle power. Conclusion: in a group-wise comparison joint mobilization is more effective than therapeutic exercise.

  • PDF