• Journal of Korean Academy of Nursing Administration
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• v.10 no.2
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• pp.243-254
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• 2004

Purpose: The purpose of this study was cross-mapping unique nursing statements which were identified in the nursing records of patients with six most common cancers in Korea with the standardized nursing languages of NANDA, NIC, NOC and ICNP. Method: The subjects were 72 nursing records which covered 1,502 admission days from August 1, 2003 to June 30, 2003. They were the records of the patients of six most common cancers who were treated at the six 3rd level general hospitals in Busan and Daegu. The unique nursing statements were identified by dividing the statements from the nursing records into the single statements according to their meanings. For cross-mapping, identified unique nursing statements were classified as 'Data(D)' for the subjective, objective data of the patients and the other data such as treatment, admission, discharge, and residence of patient, 'Problem(P)' for nursing problem or diagnosis defined by the nurse's decision, 'Intervention(I)' for nursing intervention for problem solving, and 'Outcome(O)' for patient reaction and results of the provided nursing interventions. Unique nursing statements classified to D, P, I, O were cross-napped by using Microsoft Excel 2000. The statements of D were cross-mapped with ICNP Nursing phenomena, P with NANDA nursing diagnosis and ICNP nursing phenomena, I with NIC and ICNP nursing intervention, and O with NOC and ICNP nursing phenomena Result: The results of this study were as follows. 1. Number of unique nursing statements were 506 in the records of lung cancer patients (18.12%), 480 in stomach cancer(17.19%), 458 in liver cancer(16.40%), 456 in colon cancer (16.33), 457 in breast cancer (16.36%) and 436 in cervix cancer (15.60%). 2. The range of percentage of cross-mapped unique nursing statements with the standardized nursing languages were as follows: P with NANDA nursing diagnosis $87.50{\sim}100%$, I with NIC $59.72{\sim}74.43$, O with NOC $61.05{\sim}72.64%$, and D, P, I and O with ICNP $60.92{\sim}69.95%$. 3. Number of the standardized nursing languages identified in this study were 21(12.66%) from 155 NANDA nursing diagnosis, 76(15.64%) from 486 NIC Nursing interventions, 54(17.47%) from 260 NOC nursing outcomes, and 343(13.03%) from ICNP 2,634. Conclusions: By the results of this study, NANDA, NIC, NOC and ICNP were found that they can be used as the language systems for nursing record and nursing information system for cancer patients. But, further study on the unique nursing statements which were not cross-mapped with the standardized nursing language systems will be necessary.

• Proceedings of the Korea Water Resources Association Conference
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• 2005.05b
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• pp.1001-1005
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• 2005

현재 평화의 댐 배수터널은 직경 10m 원형 x 4 련의 콘크리트 라이닝 터널로 구성되어 있다. 배수터널내의 흐름특성은 터널직경, 모양, 터널결사, 조도계수 및 입구부와 출구부의 기하학적 성질, 터널의 상류수위와 하류수위 등에 따라 개수로 혹은 관수로의 흐름특성이 나타난다. 따라서 터널내의 흐름은 각각의 경우에 따른 수리학적 해석이 달리 적용되어진다. 화천댐의 수위와 연계하여 평화의 댐 방류량을 산정하기 위해서는 상$\cdot$하류 수위에 따른 관로내의 흐름특성이 다양하게 변화하는 바 이에 따른 수리학적 검토가 필요하게 된다. 본 연구에서는 배수터널의 흐름별로 계산 방법을 도출하였으며 상$\cdot$하류의 수위와 단면형태를 고려하여 먼저 배수터널내의 흐름특성을 규명한 다음 그에 합당한 유량산정공식으로 배수터널 내에서 유하하는 흐름의 유량값을 산정할 수 있는 방법을 제시하였다. 본 검토에서 구축된 계산절차에 의해서 평화의 댐 수위가 급격하게 변화하는 시점인 2002년 1월, 6월 그리고 2004년 8월 시점의 평화의 댐, 화천댐의 수위를 검토하여 방류량을 산정하였다. 평화의 댐에서는 방류량을 결정하기 위한 계측시설이 없기 때문에 가장 가까운 하류부의 화천댐 유입량과 비교를 수행하게 된다. 강우가 지속되면서 화천댐의 유입량이 증가를 하게 되는데 화천댐 유역의 국지적인 호우에 따른 유입량으로 판단되는 부분을 제외하고는 화천댐 유입량과 계산된 평화의 댐 방류량에서 유사한 결과를 도출하고 있었다. 이와 같은 산정법을 바탕으로 하여 강우에 따른 평화의 댐 방류량을 정확히 산정함으로서 댐유역의 비상사태 발생 또는 임남댐의 방류 등을 추정하는데 크게 기여할 수 있을것으로 판단된다.2$으로 나타났다. 밸브 개폐도가 $100\%$일 때가 밸브를 $60\%$와 $80\%$ 개폐시켰을 때보다 $0.3kg/cm^2,\;0.29kg/cm^2$ 낮게 나타나 밸브를 전체 개방 했을 때 관로내의 수압이 상수설계기준에 적합한 수압을 유지함을 알 수 있다. 상수관로 설계 기준에서는 관로내 수압을 $1.5\~4.0kg/cm^2$으로 나타내고 있는데 $6kg/cm^2$보다 과수압을 나타내는 경우가 $100\%$로 밸브를 개방하였을 때보다 $60\%,\;80\%$ 개방하였을 때가 더 빈번히 발생하고 있으므로 대상지역의 밸브 개폐는 $100\%$ 개방하는 것이 선계기준에 적합한 것으로 나타났다. 밸브 개폐에 따른 수압 변화를 모의한 결과 밸브 개폐도를 적절히 유지하여 필요수량의 확보 및 누수방지대책에 활용할 수 있을 것으로 판단된다.8R(mm)(r^2=0.84)$로 지수적으로 증가하는 경향을 나타내었다. 유거수량은 토성별로 양토를 1.0으로 기준할 때 사양토가 0.86으로 가장 작았고, 식양토 1.09, 식토 1.15로 평가되어 침투수에 비해 토성별 차이가 크게 나타났다. 이는 토성이 세립질일 수록 유거수의 저항이 작기 때문으로 생각된다. 경사에 따라서는 경사도가 증가할수록 증가하였으며 $10\% 경사일 때를 기준으로 $Ro(mm)=Ro_{10}{\times}0.797{\times}e^{-0.021s(\%)}$로 나타났다.천성 승모판 폐쇄 부전등을 초래하는 심각한 선천성 심질환이다. 그러

• Journal of Korea Water Resources Association
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• v.32 no.1
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• pp.71-81
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• 1999

The objective of this study is to develop a model which can design an optimal pipe network system of least cost while satisfying all the design constraints including hydraulic constraints using a genetic algorithm technique. Hydraulic constraints interfaced with the simulation program(KYPIPE) checked feasible solution region. Genetic algorithm(GA) technique is a relatively new optimization technique. The GA is known as a very powerful search and optimization technique especially when solving nonlinear programming problems. The model developed in this study selects optimal pipe diameters in the form of commercial discrete sizes using the pipe diameters and the pumping powers as decision variables. The model not only determines the optimal diameters and pumping powers of pipe network system but also satisfies the discharge and pressure requirements at demanding nodes. The model has been applied to an imaginary and an existing pipe network systems. One system is adopted from journal papers which has been used as an example network by many other researchers. Comparison of the results shows compatibility of the model developed in this study. The model is also applied to a system in Goyang city in order to check the model applicability to finding of optimal pumping powers. It has been found that the developed model can be successfully applied to optimal design of pipe network systems in a relatively simple manner.

• Journal of Korea Water Resources Association
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• v.42 no.7
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• pp.537-546
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• 2009

Determination of optimal pressure monitoring location is essential to manage water distribution system efficiently and safely. In this study, entropy theory is applied to overcome defects of previous researches about determining the optimal sensor location. The previous studies required the calibration using historical data, therefore, it was difficult to apply the proposed method in the place where the enough data were not available. Also, most researches have focused on the locations to minimize cost and maximize accuracy of the model, which is not appropriate for the purpose of maintenance of the water distribution system. The proposed method in this study quantify the entropy which is defined as the amount of information calculated from the pressure change due to the variation of discharge. When abnormal condition is occurred in a node, the effect on the entire network is presented by the entropy, and the emitter is used to reproduce actual pressure change pattern in EPANET. The optimal location to install pressure sensors in water distribution system is the nodes having the maximum information from other nodes. The looped and branched networks are evaluated using the proposed model. As a result, entropy theory provides general guideline to select the locations to install pressure sensors and the results can be used to help decision makers.

• Journal of Digital Convergence
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• v.13 no.2
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• pp.215-225
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• 2015

This study was conducted to develop a severity-adjusted LOS(Length of Stay) model for knee replacement patients and identify factors that can influence the LOS by using the Korean National Hospital Discharge in-depth Injury Survey data. The comorbidity scoring systems and data-mining methods were used to design a severity-adjusted LOS model which covered 4,102 knee replacement patients. In this study, a decision tree model using CCS comorbidity scoring index was chosen for the final model that produced superior results. Factors such as presence of arthritis, patient sex and admission route etc. influenced patient length of stay. And there was a statistically significant difference between real LOS and adjusted LOS resulted from health-insurance type, bed size, and hospital location. Therefore the policy alternative on excessive medical utilization is needed to reduce variation in length of hospital stay in patients who undergo knee replacement.

• Korean Journal of Environment and Ecology
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• v.29 no.3
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• pp.353-367
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• 2015

The goal of this study is to analyze the feedback structure of habitat changes of the Whooper Swan in Eulsukdo using system thinking to suggest a management plan for ecosystem health. Using the causal loop diagrams of population changes between Whooper Swan and other bird species in Eulsukdo, we found that the environmental changes in the roosting and foraging area affect the Whooper Swan's population. The causal loop diagrams of the Whooper Swan's roosting area indicated that the environmental changes (e.g., water level, noise, bird watching, and other experience activities) may influence their population density variation. In addition, the casual loop diagrams of the Whooper Swan's foraging area showed that the Whooper Swan's population was affected by various variables that included area factors such as surface area of freshwater, frozen water, salinity, and density of Scirpus planiculmis. Furthermore, through the integrated causal loop diagram, cumulative discharge of Nakdong estuary weir and building activities were identified as the variables that affect the population of the Whooper Swan. Thus, we selected this area as the strategic point to establish a management plan for the Whooper Swan's habitat. The results of this study will help in decision making of a long-term management plan for sustaining the environmental health of the ecosystem in Eulsukdo.

• Quality Improvement in Health Care
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• v.9 no.2
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• Journal of Korean Clinical Nursing Research
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• v.19 no.3
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• pp.432-442
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• 2013

Purpose: The purpose of this study was to describe restraint use in care of patients with psychiatric disorders in an attempt to avoid unnecessary restraint use and provide information for developing standards regarding restraint use as a therapeutic maneuver. Methods: For this descriptive study, discharge records from N National Mental Hospital in the year 2009 were reviewed by trained nurses during Dec. 24, 2010 and Mar. 31, 2011. There were 596 restrains applied on 232 of 1,322 discharges. Data collected include general characteristic of patients, the frequency of restraint use, time since admission when restraint was applied, time of the day when restraint was applied, duration of restraint application, place of occurrence, reasons for restraint use, and degree of damage to the patent. Work experience of nurses who applied restraints, number of workforce at the time of restraint, and season of the year was also identified. Descriptive statistics, Chi-square test, t-test, ANOVA, $Scheff{\grave{e}}$ and Jonckheere-Terpstra were applied using SPSS 14.0 to analyze the data. Results: There were 596 restraint uses among 232 patients. Restraints were applied most frequently on males in their 40s, patients diagnosed with schizophrenia, and patients repeating admissions more than 6 times. Restraints were frequently applied within first week following admission, between 16:00 and 20:00, and the average duration of restraint was 5 hours. There were significant differences according to diagnoses of patients in the season restraint occured, time, place of occurrence, reason for restraint, and duration of restraint. Patients with alcoholism received longer restraint application. Conclusion: In order to avoid unnecessary restraint use in patients with psychiatric disorders, nurses and other health care team members need to acknowledge a group of patients such as patients with schizophrenia and alcoholism who relatively frequently restrained or receiving longer restraint. Reasonable and careful decision need to be made when applying restraint in the care of patients with alcohol problem.

• Journal of Digital Convergence
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• v.14 no.7
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• pp.309-319
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• 2016

There is a need to develop a data quality management algorithm in order to improve the quality of health care data. In this study, we developed a data quality control algorithms associated diseases related to diabetes in patients with hypertension. To make a data quality algorithm, we extracted hypertension patients from 2011 and 2012 discharge damage survey data. As the result of developing Data quality management algorithm, significant factors in hypertension patients with diabetes are gender, age, Glomerular disorders in diabetes mellitus, Diabetic retinopathy, Diabetic polyneuropathy, Closed [percutaneous] [needle] biopsy of kidney. Depending on the decision tree results, we defined Outlier which was probability values associated with a patient having diabetes corporal with hypertension or more than 80%, or not more than 20%, and found six groups with extreme values for diabetes accompanying hypertension patients. Thus there is a need to check the actual data contained in the Outlier(extreme value) groups to improve the quality of the data.

• Journal of Wetlands Research
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• v.23 no.1
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• pp.27-34
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• 2021

In this study, the main influencing factors of the occurrence of cyanobacteria at each of the eight Multifunctional weirs were derived using a random forest, and a categorical prediction model based on a Algal bloom warning system was developed. As a result of examining the importance of variables in the random forest, it was found that the upstream points were directly affected by weir operation during the occurrence of cyanobacteria. This means that cyanobacteria can be managed through efficient security management. DO and E.C were indicated as major influencers in midstream. The midstream section is a section where large-scale industrial complexes such as Gumi and Gimcheon are concentrated as well as the emissions of basic environmental facilities have a great influence. During the period of heatwave and drought, E.C increases along with the discharge of environmental facilities discharged from the basin, which promotes the outbreak of cyanobacteria. Those monitoring sites located in the middle and lower streams are areas that are most affected by heat waves and droughts, and therefore require preemptive management in preparation for the outbreak of cyanobacteria caused by drought in summer. Through this study, the characteristics of cyanobacteria at each point were analyzed. It can provide basic data for policy decision-making for customized cyanobacteria management.