• 제목/요약/키워드: Discharge criteria

검색결과 255건 처리시간 0.029초

Safe Discharge Criteria After Curative Gastrectomy for Gastric Cancer

  • Guner, Ali;Kim, Ki Yoon;Park, Sung Hyun;Cho, Minah;Kim, Yoo Min;Hyung, Woo Jin;Kim, Hyoung-Il
    • Journal of Gastric Cancer
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    • 제22권4호
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    • pp.395-407
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    • 2022
  • Purpose: This study aimed to investigate the relationship between clinical and laboratory parameters and complication status to predict which patients can be safely discharged from the hospital on the third postoperative day (POD). Materials and Methods: Data from a prospectively maintained database of 2,110 consecutive patients with gastric adenocarcinoma who underwent curative surgery were reviewed. The third POD vital signs, laboratory data, and details of the course after surgery were collected. Patients with grade II or higher complications after the third POD were considered unsuitable for early discharge. The performance metrics were calculated for all algorithm parameters. The proposed algorithm was tested using a validation dataset of consecutive patients from the same center. Results: Of 1,438 patients in the study cohort, 142 (9.9%) were considered unsuitable for early discharge. C-reactive protein level, body temperature, pulse rate, and neutrophil count had good performance metrics and were determined to be independent prognostic factors. An algorithm consisting of these 4 parameters had a negative predictive value (NPV) of 95.9% (95% confidence interval [CI], 94.2-97.3), sensitivity of 80.3% (95% CI, 72.8-86.5), and specificity of 51.1% (95% CI, 48.3-53.8). Only 28 (1.9%) patients in the study cohort were classified as false negatives. In the validation dataset, the NPV was 93.7%, sensitivity was 66%, and 3.3% (17/512) of patients were classified as false negatives. Conclusions: Simple clinical and laboratory parameters obtained on the third POD can be used when making decisions regarding the safe early discharge of patients who underwent gastrectomy.

EFFICACY OF HAMῡL OF MARHAME DAKHILYUN AND ROGHANE SAUSAN IN CERVICITIS (ILTIHAB-E-UNUQ-UL- REHAM)- AN OPEN OBSERVATIONAL CLINICAL STUDY

  • HUMA;PROF WAJEEHA BEGUM;KOUSER FATHIMA FIRDOSE
    • 셀메드
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    • 제13권6호
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    • pp.4.1-4.10
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    • 2023
  • Background and objective: Cervicitis are an inflammatory condition of the cervix. This may be acute, chronic, active & specific or non-specific, which may cause various sign & symptoms. Abnormal vaginal discharge, lower abdominal pain, lower backache, post coital bleeding. If not treated timely it causes various complications viz PID, infertility, endometritis, ectopic pregnancy etc. Hence it has been decided to conduct a clinical trial for its management. Method: This study was an open observational study. The entire patients were allocated by considering the criteria of inclusion & exclusion. Marhame dakhilyun with roghane sausan is given 10 mg as ḥamūl at bed time, after menses for 21 days. All the patients were assessed by primary outcome of abnormal vaginal discharge, lower abdominal pain, lower backache, post coital bleeding & secondary outcomes of vaginal symptoms scale score (VSS) which score the vaginal discharge with QOL in cervicitis patients and vaginal analogue scale (VAS) for pain. Result: In this present study, marked improvement is observed in cervicitis. The mean ± SD of vaginal discharge before & after treatment is 2.57±0.050, 0.33±0.48 respectively which is highly significant with p value of<0.0001**. VSS score before & after treatment is 21.27±6.12, 7.47±2.48 respectively with p<0.0001** which is highly significant. VAS score used for LAB & LPA before & after treatment is 6.63±1.09, 1.90±1.29 respectively with p<0.0001** which is highly significant. Interpretation & Conclusion: The study revealed that the formulation has been found effective in healing congestion, hypertrophied of the cervix and discharge and relieving the others associated symptoms of cervicitis. It is useful and provided immediate and effective treatment for cervicitis. Hence, the trial drug can be recommended for its management.

소수력 발전설비 성능평가 시스템 구축 (Construction of small hydropower facilities performance evaluation system)

  • 김영준;김용열;조용;고재명
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2010년도 춘계학술대회 초록집
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    • pp.193.2-193.2
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    • 2010
  • Domestic hydroelectric power plants has been manufactured as the design condition by the demand. Hydraulic turbine power plants operating at appointed load shall be operate stable in terms of pressure, discharge, rotational speed and torque. A performance guarantees for hydro turbines shall be contain, as a minimum, guarantees covering power, discharge and specific hydraulic energy, efficiency, maximum momentary overspeed and maximum momentary pressure and maximum steady-state runaway speed, as well as guarantees related to cavitation. But, present in Korea, the absence of testing laboratories and technical criteria for the performance test of small hydropower degrades the efficiency of the domestic hydropower machines, and makes it difficult to objectively evaluate the performance of hydro turbine. Therefore We planned making a basis of performance test of small hydropower turbine by using our flowmeter calibration system the largest one in Korea. We planned the maximum measurable power of hydro turbine will be 200 kW in our system.

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반도체금형에서 부속부품의 재료선정 및 개선과 제작에 관한 연구 (A study on material selection for semiconductor die parts and on their modification and manufacture)

  • 김세환;최계광
    • Design & Manufacturing
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    • 제8권1호
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    • pp.27-30
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    • 2014
  • Alloy tool steel such as SKD11 and SKD61 or high speed tool like SKH51 are used as materials for semiconductor dies. Cavities, curl blocks, pot blocks and housings are made from those materials. To make those parts from alloy tool steel or high speed tool, one utilizes discharge machining, and mechanical machining including machining center, milling, drilling, forming grinding and others. In the process of cutting machining and polishing, the die materials become unsuitable for machining owing to bubbles and foreign substances in them, which hinders production process. Therefore, this study focuses on die material selection criteria, and on analysis and comparison of material characteristics to help companies to solve their problems, make die manufacture less burdensome and extend die life.

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소수력 발전설비 성능평가 시스템 구축 (Construction of small hydropower facilities performance evaluation system)

  • 김영준;조용;고재명
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2011년도 춘계학술대회 초록집
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    • pp.206.2-206.2
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    • 2011
  • Domestic hydroelectric power plants has been manufactured as the design condition by the demand. Hydraulic turbine power plants operating at appointed load shall be operate stable in terms of pressure, discharge, rotational speed and torque. A performance guarantees for hydro turbines shall be contain, as a minimum, guarantees covering power, discharge and specific hydraulic energy, efficiency, maximum momentary overspeed and maximum momentary pressure and maximum steady-state runaway speed, as well as guarantees related to cavitation. But, present in Korea, the absence of testing laboratories and technical criteria for the performance test of small hydropower degrades the efficiency of the domestic hydropower machines, and makes it difficult to objectively evaluate the performance of hydro turbine. Therefore We planned making a basis of performance test of small hydropower turbine by using our flowmeter calibration system the largest one in Korea. We planned the maximum measurable power of hydro turbine will be 200 kW in our system.

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응급실 환자의 응급의료센터 체류시간 단축프로그램 개발 및 효과 (Evaluation of Shortening the Stay Time of Patients in an Emergency Medical Center (EMC))

  • 김은주;임지영
    • 가정간호학회지
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    • 제17권1호
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    • pp.21-27
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    • 2010
  • Purpose: The study evaluated a program to shorten EMC stay time. Methods: The subjects were EMC patients, and comprised a control group of 8,477 and an experimental group of 8,378. Data were collected from June 2006 to August 2007, and analyzed concerning stay time for doctor visit, decision making, and discharge. The data were analyzed by $X^2$-test and ANCOVA using SPSS14.0. Result: The stay time of doctor visit, decision making and discharge of the experimental group was significantly less compared to the control group. Using second and third grade triage criteria, the stay time of experimental group was statistically reduced from the control. Conclusion: The implemented shortening program was effective in reducing EMC stay time and increasing EMC effectiveness.

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가속열화에 의한 폴리머애자의 연면방전과 재료분석 (Surface Discharge and Materials Analysis of Polymer Insulators Due to Accelerated Deterioration)

  • 송길목;김종민;정진수;김영석
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2008년도 제39회 하계학술대회
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    • pp.1372-1373
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    • 2008
  • This study investigated the detection of corona discharge on polymer insulators at 13.2kV. Also, It will be analyzed by variety analyzers such as FT-IR, TA, and so on. It carried out an experiment and an actual measurement about corona detection using a UV-camera. This experiment and inspection would need to respect the above criteria. It was required to verify various experimental conditions and on-site inspection afterwards, but it was believed to minimize the measurement error by data-basing research results in a continuous manner and it was necessary to establish diagnosis technologies and standards in various electrical power facilities.

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SWMM과 WASP5모형을 이용한 간척지 담수호의 수질거동 특성 조사 (Behavior of Water Quality in Freshwater Lake of Tide Reclaimed Area Using SWMM and WASP5 Models)

  • 김선주;김성준;이석호;이준우
    • 한국농공학회지
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    • 제44권2호
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    • pp.148-160
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    • 2002
  • Lake water quality assessment information is useful to anyone involved in lake management, from lakeshore owners to lake associations. 11 provides lake water quality, which can improve how to manage lake resources and how to measure current conditions. It also provides a knowledge base that can be used to protect and restore lakes. SWMM was applied to simulate the discharge and pollutant loads from Boryeong watershed, and WASP5 was applied to analyze the changes of water quality in Boryeong freshwater lake. In each model, the most suitable parameters were calculated through sensitive analysis and some parameters used default data. Simulated in SWMM and measured discharge showed the accuracy of 88.6%. T-N and T-P exceeds the criteria in the simulation of water quality in Boryeong freshwater lake, and control of pollutant loads in the main stream showed the most effective way. Integrated water quality management system was developed to give convenience in the operation of SWMM and WASP5 and data acquisition.

Association Rules of Comorbidities in Dementia by Using Korea National Hospital Discharge In-depth Injury Survey Data

  • Kim, Mijung
    • International journal of advanced smart convergence
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    • 제11권1호
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    • pp.127-133
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    • 2022
  • This study aims to find out the associative relationship between dementia and comorbidities. To conduct this study, we used KNHDIS(Korea National Hospital Discharge In-depth Injury Survey) data from 2009 to 2018 provided by the KDCA(Korean Disease Control and Prevention Agency) annually. We used MySQL for data preprocessing and R for data analysis. As a result of applying the Apriori algorithm criteria of support(≥0.01), confidence(≥ 0.6), and lift(>1), seventeen rules related to dementia were discovered. The diseases associated with dementia were diabetes mellitus, hypertension, disorders of lipoprotein metabolism, glomerular disorders in diabetes mellitus, renal diseases, cardiovascular disease, cerebrovascular disease, and other urinary system disorders. This study can be utilized as primary data for the care of patients with dementia and provides implications for improving effective dementia prevention policies.

댐 비상방류 설계기준 선정을 위한 수리수문학적 검토(I) (Hydraulic & Hydrologic Design Criteria for an Emergency Discharge of Reservoir (I))

  • 손광익;이재응
    • 한국수자원학회논문집
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    • 제48권3호
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    • pp.149-158
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    • 2015
  • 비상방류시설은 안전한 댐 운영 및 유지관리를 위해서 절대적으로 필요한 시설임에도 불구하고 국내 댐의 경우 이를 고려한 설계가 이루어지지 않아 각 댐의 비상방류 대응 적정성을 판단하기 곤란한 상황이다. 특히 국내 댐의 경우 비상방류시설규모를 산정하는 기준이 일정치 않을 뿐만 아니라 대부분의 용수댐은 별도의 방류시설 조차도 없는 실정이다. 따라서 본 연구에서는 기존댐 방류시설 현황 분석, 국내외 비상방류시설 설계기준 등의 검토와 함께 국내 댐설계기준을 적용한 가상 댐체와 수어댐을 대상으로 수위에 따른 방류능 분석을 수행하였다. 또한 SEEP 프로그램 등을 활용, 수위저하 속도에 따른 제체의 사면 안정성을 검토함으로써 비상방류 시설의 적정규모 산정기준을 제시하고자 하였다. 이를 위하여 수리학적 해석을 통해 저류수심에 따른 제체에 작용하는 힘을 분석하였으며 수위저하 속도 변화에 따른 제체의 안정성을 검토하여 허용수위저하 속도 범위를 제시하였다. 수위 25% 저감은 하중을 50%까지 감소시켜 초기수위 저감이 중요한 것을 알 수 있었다. 가상 댐체는 물론 수어댐에 수위저하 속도 1 m/일을 적용하더라도 제체의 안전성은 보장됨을 확인하였다. 다만, 방류능과 방류 소요일수는 수위별 저류용량 등 저류지 특성과 밀접한 관계가 있어 초기대응을 위해서는 7~10일 이내에 저류수심의 25%를 먼저 방류시키고 나머지 방류량은 1~2개월 이내에 방류할 것을 제안하였다.