• 제목/요약/키워드: Discharge Decision

검색결과 151건 처리시간 0.031초

급성 뇌졸중 환자의 중증도 보정 재원일수 변이에 관한 연구 (The Variation of Factors of severity-adjusted length of stay(LOS) in acute stroke patients)

  • 강성홍;석향숙;김원중
    • 디지털융복합연구
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    • 제11권6호
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    • pp.221-233
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    • 2013
  • 본 연구는 뇌졸중 환자의 효율적인 재원일수 관리를 위해 행정자료를 이용하여 우리나라 의료기관을 이용한 뇌졸중 입원환자의 중증도 보정 적정 재원일수 예측 모형을 개발하고 이를 의료기관에서 활용할 수 있는 방안을 제시하고자 하였다. 이를 위해 2004-2009년 퇴원손상심층조사 자료 중 뇌졸중 입원환자 23,134명을 대상으로 데이터마이닝 기법을 이용하여 뇌졸중 입원환자의 적정 재원일수 예측모형을 개발하였다. 의사결정나무 모형에 따라 뇌졸중 입원환자의 평균재원일수에 가장 큰 영향을 미치는 변수는 뇌졸중 발생유형이었으며, 의사결정나무를 이용하여 개발된 뇌졸중 입원환자의 중증도 보정 재원일수 모형 결과, 적정 재원일수와 실제 재원일수의 차이는 진료비지불방법, 의료기관 소재지, 병상규모가 모두 통계적으로 유의하게 나타났다. 따라서 뇌졸중 입원환자의 재원일수 변이를 줄이고 효율적으로 관리하기 위해서는 개발된 모형을 의료기관의 의료정보시스템에 적용하고 관리하는 활동을 전개해야 할 것이다.

중환자실의 입실과 퇴실 기준 개발 (Development of Admission and Discharge Criteria in Intensive Care Units)

  • 장연수
    • 성인간호학회지
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    • 제13권2호
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    • pp.291-304
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    • 2001
  • The purpose of this study was to develop Intensive Care Unit (ICU) admission and discharge criteria that would lead to the appropriate utilization of ICU resources and nursing services. For this study, a conceptual framework was developed through a review of the literature. Then in order to identify the overall health condition of patients in the ICU, and to draw up preliminary criteria, the medical records of 58 patients who were admitted to the ICU of Y Medical Center in Seoul between March, 1999 to February, 2000 of were analyzed. Two expert validity tests were done for the preliminary criteria for admission and discharge with 21 patients over 18 years of age who were admitted patients and for 12 patients who were discharged between May 30, 2000 and June 5, 2000 a clinical validity test was also done. After this process, the final admission and discharge criteria were developed. The results of this study are summarized as follows: 1. After a review of the literature, there were 9 categories for admission criteria cardiologic, gastrointestinal, neurologic, endocrine, post-op care of major surgery, vital signs, laboratory values, and a category of miscellaneous items. Discharge criteria had 3 categories which were vital signs, laboratory values, and a category of miscellaneous items. 2. From the medical records of the 58 patients who were admitted to the ICU, 45 items for preliminary criteria for admission and 17 for discharge were identified. 3. The two expert validity tests showed that of the 45 items 29 admission items received over 75 percent agreement. The 16 admission items which received less than 75 percent agreement were revised or deleted from the admission criteria. Of the 17 discharge items, 11 had over 75 percent agreement and 6 less then 75 percent agreement. These were revised or deleted from the discharge criteria. 4. In the clinical validity test, 14 admission items showed more than 75 percent agreement and 11 discharge items more than 83 percent agreement. 5. The final criteria consisted of 29 items for admission and 11 items for discharge. Since patients being considered for admission to the ICU have complex problems, there is a need to make the decision based on more than a single issue. This tool will insure that the ICU nursing care and treatment resources are appropriately used by allowing a multi-professional health team to make admission and discharge decisions.

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$C_4F_6$-Ar혼합기체에서의 Plasma Discharge Simulation을 위한 $C_4F_6$ 초기단면적 결정 (Determination of the initial cross-sections for the $C_4F_6$ molecule from the electron drift velocity)

  • 이경엽;전병훈
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2011년도 제42회 하계학술대회
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    • pp.1544-1545
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    • 2011
  • For quantitative understanding of gas discharge phenomena, we should know electron collision cross section. Processing plasma etching of semiconductor, and research are being used in the etching source $C_4F_6$ gas may be used by itself and mixed with other gases are also used. However, the molecular gas $C_4F_6$ study on the characteristics of the electron transport and the cross-sectional area of the decision is still lacking. Therefore, we understand the electron transport characteristics and analysed the electron transport coefficients. And to understand and interpret physical properties of the ionization coefficient ${\alpha}$/N, and the attachment coefficient ${\eta}$/N in $C_4F_6$ gas.

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Application of Joint Electro-Chemical Detection for Gas Insulated Switchgear Fault Diagnosis

  • Li, Liping;Tang, Ju;Liu, Yilu
    • Journal of Electrical Engineering and Technology
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    • 제10권4호
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    • pp.1765-1772
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    • 2015
  • The integrity of the gas insulated switchgear (GIS) is vital to the safety of an entire power grid. However, there are some limitations on the techniques of detecting and diagnosing partial discharge (PD) induced by insulation defects in GIS. This paper proposes a joint electro-chemical detection method to resolve the problems of incomplete PD data source and also investigates a new unique fault diagnosis method to enhance the reliability of data processing. By employing ultra-high frequency method for online monitoring and the chemical method for detecting SF6 decomposition offline, the acquired data can form a more complete interpretation of PD signals. By utilizing DS evidence theory, the diagnostic results with tests on the four typical defects show the validity of the new fault diagnosis system. With higher accuracy and lower computation cost, the present research provides a promising way to make a more accurate decision in practical application.

A Study on the Correlation Between the PD Pattern and the Type of Electrical Trees Propagation in the XLPE Insulation for the Underground Power Transmission

  • Lee, Jeon-Seon;Kim, Jeong-Tae;Koo, Ja-Yoon
    • KIEE International Transactions on Electrophysics and Applications
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    • 제11C권2호
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    • pp.12-17
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    • 2001
  • In this work, the correlation between the PD Patterns and the electrical tree propagation has been investigated by use of the specimen removed from the insulation of the real 154 kV XLPE underground power cables. As a result, it could be deduced that the PD pattern regarding electrical trees depends on their type which could be classified into three different distinct groups such as branch-bush mixed. Considering the results of our investigation, if the partial discharge magnitude is only considered for the diagnosis of the cable system, it is possible to draw a wrong decision. Therefore, it is possible to propose that the time characteristics of PD pattern should be taken into account for the diagnosis of the cable system in addition to the conventional $\Phi$-q-n characteristics.

타 의료기관으로 이탈한 암환자의 특성 파악 (The Identification of the Characteristics of Cancer Patients Who Defected to Other Medical Institutions)

  • 차재빈;남정혜;안성식
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.1-9
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    • 2013
  • This study intends to identify the characteristics of cancer in-patients and those of cancer patients who defected to other medical institutions based on the summary of hospital discharge information of a university hospital for the purpose of improving work efficiency and maximizing the number of patients. The study used data on cancer patients registered in the database of C University Hospital in Gyeonggi Province for a period of one year between January 1 and December 31. The analysis results suggest that the commonalities of the cancer patients who defected to other medical institutions include no specific job, old age, and hospitalization through emergency room. In conclusion, hospitals need to identify the characteristics of cancer patients classified as patients who are prone to defect and the defection factors through this prediction model.

터빈 발전기의 부분방전 신호 중 노이즈 제거 방법 (A method to reject noise signals in partial discharge signals of turbine generator)

  • 박영훈;박부견;김성현
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 학술대회 논문집 정보 및 제어부문
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    • pp.240-242
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    • 2005
  • It is well known that the PD (Partial Discharge) signals are generated if insulators have some defects such as voids in electrical facility and various PD detection methods are developed for preventing electrical troubles. So, an interest for the PD signals is higher and higher according to the high concern for the defects detection method of the aging electrical facility. When the equipment to detect PD signals installed at site and it works, a lot of noises flow in the equipment from surrounding situation and it will be mixed with original PD waveform. So we can not get the desired PD waveform. Therefore, there are many trial to reject or suppress the noise from the PD signals from long times ago. The greater of them used the hardware such as bridge circuits and frequency filters to suppress the noise. This paper proposed a novel noise rejection method in acquired data from PD detection equipment. The noise has the irregular phase and higher signal level than real PD, and noise decision is performed after inspection of pulse distribution in ${\Phi}$-q-n graph of acquired data from PD detection equipments. By experimental results on high voltage electric equipments, it is shown that proposed method has good performance. It is expected that this noise rejection technology is useful in numeric calculation and trend management of PD level.

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ASFM을 이용한 수차유량의 측정 (Turbine discharge measurement case study using ASFM system)

  • 김응태;정용채;박장원
    • 유체기계공업학회:학술대회논문집
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    • 유체기계공업학회 2006년 제4회 한국유체공학학술대회 논문집
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    • pp.49-52
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    • 2006
  • should be in English, A make out an economical, reliable and easy to adoptable instrument in turbine discharge measurement was restricted from lots of it's foundational condition. Not with standing the brilliant progress in new technology of these day, useful instrument for flow measurement in turbine is still ongoing. Nowaday, the increasing importance of renewable energy makes it more important that the measuring turbine efficiency as a decision making index of old turbines' replacement. In Turbine performance diagnosis, Kwater(Korea Water Corporation) got an enough ability and decent reputation for who has invested lots of time and effort for buildup and development. In Korea as a public corporation who should take a crucial roll in Turbine business, Kwater has introduced some developed new technology for other domestic concerned one. With this writing, I'd like to introduce ASFM system as a newly developed instrument that can cope with lots restriction in discharge measurement in turbine. Kwater adopted the system in 2005, and performed 2 times of trial test. The test result was good enough to use the system as a reference test method.

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산악지역 돌발홍수 기준우량 결정에 관한 연구 (A Study on Flash Flood Warning Trigger Rainfall in Mountainous Area)

  • 전계원;오채연
    • 한국안전학회지
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    • 제24권1호
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    • pp.89-94
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    • 2009
  • 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 area. The flash flood need non-linear approaching method, because rainfall-runoff is nonlinear and it is difficult to explain the existing linear rainfall-runoff. Hydrological characteristics would be utilized to apply such as hydrologic modelling or basin management. 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. A flash floods defined as a flood which follows shortly after a heavy or excessive rainfall event, with a few hours. In this study, we gave a definition that a critical flood for alarm is the flood when valley depth judging dangerous depth is over 0.5m depth from the bottom of channel. Result that calculate threshold discharge to use GCIUH, at the Mureung valley basin, flash flood trigger rainfall was 16.34mm in the first 20minutes when the threshold discharge was $14.54m^3/sec$.

대용량 몰드변압기 정밀절연진단 결과 고찰 (A study of Insulation Diagnosis for Large-Capacity Mold Transformer)

  • 이은춘;김재철
    • 조명전기설비학회논문지
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    • 제28권10호
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    • pp.75-81
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    • 2014
  • When the large-capacity Mold type Transformer was passed through rain, after it was dried and it's parts were changed, Insulation Diagnosis was made to evaluate the condition of it and decide to recharge. Using the evaluation of Insulation Diagnosis, the urgent decision-making for recharge made blackout time minimum. In this study, it was considered that Insulation Diagnosis for the large-capacity Mold type Transformer is applied to decision-making for reuse of high voltage electric power equipment by analysis of the case study.