• 중환자간호학회지
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• 제11권3호
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• pp.45-57
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• 2018

Purpose : This study was performed to identify the influencing factors of unplanned intensive care unit (ICU) readmission. Methods : The study adopted a Rretrospective case control cohort design. Data were collected from the electronic medical records of 844 patients who had been discharged from the ICUs of a university hospital in Incheon from June 2014 to December 2014. Results : The study found the unplanned ICU readmission rate was to be 6.4%(n=54). From the univariate analysis revealed that, major symptoms at $1^{st}$ ICU admission, severity at $1^{st}$ ICU admission (CPSCS and APACHE II), duration of applying ventilator application during $1^{st}$ ICU admission, severity at $1^{st}$ discharge from ICU (CPSCS, APACHE II, and GCS), and application of $FiO_2$ with oxygen therapy, implementation of sputum expectoration methods, and length of stay of ICU at $1^{st}$ ICU discharge were appeared to be significant; further, decision tree model analysis revealed that while only 4 variables (sputum expectoration methods, length of stay of ICU, $FiO_2$ with oxygen therapy at $1^{st}$ ICU discharge, and major symptoms at $1^{st}$ ICU admission) were shown to be significant. Conclusions : Since sputum expectoration method was the most important factor to predictor of unplanned ICU readmission, a assessment tool for the patients' capability of sputum expectoration needs to should be developed and implemented, and standardized ICU discharge criteria, including the factors identified from the by empirical evidences, might should be developed to decrease the unplanned ICU readmission rate.

• 한국재난정보학회 논문집
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• 제16권3호
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• pp.586-593
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• 2020

연구목적: 이 연구는 토석류로 발생하는 토사유출량 예측 알고리즘을 개발하고, 이를 활용한 GIS 기반 사방댐 적정배치 의사결정 지원 시스템 구현을 목적으로 하였다. 연구방법:평균 계류 폭과 길이를 이용한 누적 토사유출량 예측 방법에 초기 붕괴량과 이에 영향하는 집수길이를 입력인자로 활용하여 토석류로 인해 발생하는 누적 토사유출량 예측 알고리즘을 제시하였다. 연구결과: 알고리즘을 통해 산출된 예측 토사유출량과 실제 토사유출량은 평균 1.1배 차이가 나타나 정확도는 비교적 높았다. 또한 구현된 프로그램은 사방댐의 위치 및 규모를 결정하는 객관적인 지표로서 실무자의 합리적인 의사결정에 도움을 줄 수 있다. 결론: 사방사업이 매년 시행되고 있는 상황에서 합리적인 사방댐 위치 및 규모 결정을 통해 산지토사재해 방재에 기여할 수 있을 것으로 기대된다.

• 환경위생공학
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• 제1권1호
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• pp.81-96
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• 1986

510 random samples were studied during the months of may through November 1985 at the various industries and conclustions were made as follows; 1. $43.94\%$ of the plants studied operated their plants with semiautomatic control system, and better efficiency were observed at the plants where automatic control systems emplorid and also large industries showed more tendency adopting the automatic plant control system. 2. Overall efficiency of the treatment plants were seen much higher at the first and secand discharge class categories then the lower discharge classes, $80.79\%$ of the plants were see their daily plant operation being controlled by the operator himself. 3. The main causes of the plant stopage and in efficient discharge control were found to be malfunctioning of the plants machineries and equipment or inadequate decision made by the management to save chemicals or electricity. 4. The study showed $60\%$ of the industry treated their wastwater wholly and the rest discharged only with dilution without receiving any further treatment, and this tendency pronounced at the 4th and 5th class discharge category industries. 5. $66.17\%$ of the industry had their storage capacity to accommodate the waste discharge during plants outage while $92.67\%$ of the air pollution discharge industries had no means for the plant outage. 6. $56.77\%$ of the studied industry maintained 24 hour operation of their discharge control systems whill $18.67\%$ of air pollution discharge industries and $10.53\%$ of the waste water discharge industries showed no control effort during the night.

• 물과 미래
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• 제29권3호
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• pp.197-205
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• 1996

상수도 관망시설에서 각 관로는 시간이 경과함에 따라 각종 부식이 일어나 통수능이 저하된다. 그러므로 적절한 시기에 갱생이나 교체 등의 처리를 해주어야 한다. 본는 연구에서는 각 수요절점에서 요구수량, 요구압력 등 수리학적 조건을 만족시켜주며 동시에 최소의 비용으로 노구된 관로를 처리해주는 의사결정모형을 개발하였다. 교체비용, 관파열보수비용, 양수비용, 관 파열율, 연이율 등은 각 관로의 교체시기를 경제적으로 결정하는데 이용된다. 그리고 배수시설의 수리학적 만족여부는 관망계산 프로그램 KYPIPE에 의해 점검된다. 시스템이 수리학적 조건을 만족지 못할 경우 교체시기는 조건이 만족될 때까지 앞당겨진다. 본 모형은 기존 송배수시설인 수도권 광역상수도 제1단계에 적용되었다. 모형을 이용해 산출한 최적교체시키는 수리학적으로 모의해본 결과 문제가 없으며를 알 수 있었다.

• 법제연구
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• 제54호
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• pp.7-37
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• 2018

본고는 현행법상의 탄핵관련 규정을 검토하고 그에 대한 입법적 개선방향을 제시하는 것을 내용으로 하였다. 이를 위해서 본고는 우선 현행법상의 탄핵제도와 관련된 규정의 의미를 분석하고 이를 사건에 적용함에 있어서 제시된 법리를 검토하였다. 이러한 검토는 법규정의 구체적 적용에 있어서 흠결이나 불명확성으로부터 야기되는 문제를 파악하는 것이 주된 목적이었으며, 그로부터 다음과 같은 규정의 문제점이 도출되었다.: (1) 탄핵소추사유에 관한 규정, (2) 탄핵소추사유의 구별에 관한 규정, (3) 탄핵소추사유에 대한 국회의 조사의무규정, (4) 탄핵소추의결에 따른 권한정지에 관한 규정, (5) 탄핵결정에 있어서의 파면선고에 관한 규정, (6) 파면결정요소로서의 '국민의 신임을 배반한 행위', (7) 탄핵심판에 있어서 심판정족수에 관한 규정 본고에서는 이들 문제를 해결하기 위하여, 미국의 경우와 독일의 경우를 검토하는 비교법적 방법을 동원하였다. 그리고 또한 그 법체계가 이질적인 경우에 있어서는 우리헌법체계에서의 헌법적 이념 내지 가치를 고려하여 그에 대한 입법개선 방안을 제시하였다.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2007년도 정기총회 및 학술발표대회
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• pp.591-594
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• 2007

The purpose of this study is to estimate the critical flood discharge and flash flood trigger rainfall for alarm system providing for a flash flood in mountainous. This study was effectively estimated a topographic characteristic factor of basin using the GIS. Especially, decided stream order using GIS at stream order decision that is important for input variable of GCIUH. Result that calculate threshold discharge to use GCIUH, at the Mureung valley basin, flash flood trigger rainfall was 16.34mm in the first 20 minutes when the threshold discharge was $14.54\;m^3/sec$.

• 한국지능정보시스템학회:학술대회논문집
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• 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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• pp.352-357
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• 2001

This study presents an analysis of healthcare quality indicators using data mining for developing quality improvement strategies. Specifically, important factors influencing the inpatient mortality were identified using a decision tree method for data mining based on 8,405 patients who were discharged from the study hospital during the period of December 1, 2000 and January 31, 2001. Important factors for the inpatient mortality were length of stay, disease classes, discharge departments, and age groups. The optimum range of target group in inpatient healthcare quality indicators were identified from the gains chart. In addition, a decision support system was developed to analyze and monitor trends of quality indicators using Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. In the future, other quality indicators should be analyze to effectively support a hospital-wide continuous quality improvement (CQI) activity and the decision support system should be well integrated with the hospital OCS (Order Communication System) to support concurrent review.

• 대한간호학회지
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• 제36권4호
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• pp.652-661
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• 2006

Purpose. The purposes of this study were to apply data mining tool to nursing specific knowledge discovery process and to identify the utilization of data mining skill for clinical decision making. Methods. Data mining based on rough set model was conducted on a large clinical data set containing NMDS elements. Randomized 1000 patient data were selected from year 1998 database which had at least one of the five most frequently used nursing diagnoses. Patient characteristics and care service characteristics including nursing diagnoses, interventions and outcomes were analyzed to derive the meaningful decision rules. Results. Number of comorbidity, marital status, nursing diagnosis related to risk for infection and nursing intervention related to infection protection, and discharge status were the predictors that could determine the length of stay. Four variables (age, impaired skin integrity, pain, and discharge status) were identified as valuable predictors for nursing outcome, relived pain. Five variables (age, pain, potential for infection, marital status, and primary disease) were identified as important predictors for mortality. Conclusions. This study demonstrated the utilization of data mining method through a large data set with stan dardized language format to identify the contribution of nursing care to patient's health.

• 한국지능정보시스템학회:학술대회논문집
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• 한국지능정보시스템학회 2000년도 추계정기학술대회:지능형기술과 CRM
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• pp.289-299
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• 2000

This study provides an application of datamining approach to CQI(Continuous Quality Improvement) using the discharge summary. First, we found a process variation in hospital infection rate by SPC (Statistical Process Control) technique. Second, importance of factors influencing hospital infection was inferred through the decision tree analysis which is a classification method in data-mining approach. The most important factor was surgery followed by comorbidity and length of operation. Comorbidity was further divided into age and principal diagnosis and the length of operation was further divided into age and chief complaint. 24 rules of hospital infection were generated by the decision tree analysis. Of these, 9 rules with predictive prover greater than 50% were suggested as guidelines for hospital infection control. The optimum range of target group in hospital infection control were Identified through the information gain summary. Association rule, which is another kind of datamining method, was performed to analyze the relationship between principal diagnosis and comorbidity. The confidence score, which measures the decree of association, between urinary tract infection and causal bacillus was the highest, followed by the score between postoperative wound disruption find postoperative wound infection. This study demonstrated how datamining approach could be used to provide information to support prospective surveillance of hospital infection. The datamining technique can also be applied to various areas fur CQI using other hospital databases.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.259-266
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• 2012

Objectives: This study aims to determine the risk factors predicting rehospitalization by comparing three models and selecting the most successful model. Methods: In order to predict the risk of rehospitalization within 28 days after discharge, 11 951 inpatients were recruited into this study between January and December 2009. Predictive models were constructed with three methods, logistic regression analysis, a decision tree, and a neural network, and the models were compared and evaluated in light of their misclassification rate, root asymptotic standard error, lift chart, and receiver operating characteristic curve. Results: The decision tree was selected as the final model. The risk of rehospitalization was higher when the length of stay (LOS) was less than 2 days, route of admission was through the out-patient department (OPD), medical department was in internal medicine, 10th revision of the International Classification of Diseases code was neoplasm, LOS was relatively shorter, and the frequency of OPD visit was greater. Conclusions: When a patient is to be discharged within 2 days, the appropriateness of discharge should be considered, with special concern of undiscovered complications and co-morbidities. In particular, if the patient is admitted through the OPD, any suspected disease should be appropriately examined and prompt outcomes of tests should be secured. Moreover, for patients of internal medicine practitioners, co-morbidity and complications caused by chronic illness should be given greater attention.