• Title/Summary/Keyword: Discharge destination

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Utility of Korean Modified Barthel Index (K-MBI) to Predict the Length of Hospital Stay and the Discharge Destinations in People With Stroke (뇌졸중환자에서 재원기간과 퇴원장소 예측을 위한 K-MBI의 유용성)

  • Noh, Dong-Koog;Kim, Kyung-Ho;Kang, Dae-Hee;Lee, Ji-Sun;Nam, Kyung-Wan;Shin, Hyung-Ik
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.81-89
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    • 2007
  • The purpose of this study was to utilize the K-MBI (Korean Modified Barthel Index) and subscales of K-MBI in predicting the length of hospital stay (LOS) and the discharge destinations for stroke patients. The study population consisted of 97 stroke patients (57 men and 40 women) admitted to the Seoul National University at the Bundang Hospital. All participants were assessed by K-MBI at admission and discharge after rehabilitation therapy and the information available was investigated at admission. The data were analyzed by using the Mann-Whitney U test, the stepwise multiple regression and the logistic regression. The median LOS was 30 days (mean, 32.8 days; range, 22 to 43 days). The K-MBI score at initiation of rehabilitation therapy (p<.001), the type of stroke and living habits before a stroke were the main explanatory indicators for LOS (p<.05). Within the parameters of K-MBI measured at initiation for rehabilitation, feeding and chair/bed transfer were the explanatory factors for LOS prediction (p<.01). Confidence in the prediction of LOS was 20%. Significant predictors of discharge destination in a logistic regression model were the discharge K-MBI score, sex and hemiplegic side. Dressing in items of discharge K-MBI was the significant predictor of discharge destination. The K-MBI score was the most important factor to predict LOS and discharge destination. Knowledge of these predictors can contribute to more appropriate treatment and discharge planning.

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Factors Influencing Discharge Destination and Length of Stay in Stroke Patients in Restorative Rehabilitation Institution

  • Gyu-Bum Lee;Jee-Sun Lee;Jeong Soo Kim
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.48-54
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    • 2024
  • Background: Promoting patients' safe return home at discharge and reducing length of stay in hospital is key for Restorative Rehabilitation Institution (RMI). Objects: This study was designed to identify the factors influencing the return to home and length of stay among various factors. Methods: A total of 120 stroke patients (76 males and 44 females) who were hospitalized in an adult inpatient unit of a RMI for more than 2 months were retrospectively analyzed for this study (multivariate logistic regression analyses, p < 0.001). As predictor variables for assessing the return to home and length of stay, demographic data (sex, age, duration between onset and admission, length of stay, caregiver after discharge, occupation after discharge, reason for discharge, and household type after discharge) were collected. Additionally, following measurements were selectively collected from patient's medical records: scores of Mini-Mental State Examination Korean version (K-MMSE), modified Barthel Index Korean version (K-MBI), Berg Balance Scale and Functional Ambulation Category were obtained at admission and discharge. Results: The K-MMSE at admission and K-MBI at discharge were found to be the predictors of return to home. Additionally, K-MBI at admission influenced the length of stay. Conclusion: This study suggests cognitive functioning at admission and the level of activities of daily living at discharge predicted the return to home and length of stay.

A Study on the Revision of Transport Documents under ISBP 745 (ISBP 745에서의 운송서류 개정 사항 연구)

  • Park, Sae-Woon
    • International Commerce and Information Review
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    • v.15 no.2
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    • pp.261-283
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    • 2013
  • ISBP745 has new provisions about sea waybill, road, rail or inland waterway transport documents which ISBP681 did not have provisions about. The main revisions of ISBP745 which were not existent or different from ICC Opinion are as follows: First, where B/L is required when multimodal transport is used as a modes of transport, the revisions stipulates that it is subject to UCP600 article19. this differs from previous ICC Opinion. Second, when a credit requires a transport document to indicate the name, address and contact details of a delivery agent, for the place of final destination or port of discharge, the address need not be one that is located at the place of destination or port of discharge or within the same country as that of the place of destination or port of discharge. Third, in case there exist a number of shippers and a consignee, multiple transport documents are issued. This rule has a clear stipulation on this case. Transport industry regards the indication of "LCL/FCL" or "CFS/CY" common in this case as that requiring multiple transport documents. However, ISBP745 does not regard it the case as that requiring multiple transport documents. This may cause some confusion in examination of documents. Forth, when partial shipment is allowed, and more than one set of original transport documents are presented as part of a single presentation made under one covering schedule and incorporate different dates of shipment, the earliest of these dates is to be used of the calculation of an presentation period.

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Biologically Inspired Sensing Strategy using Spatial Gradients

  • Lee, Sooyong
    • Journal of Sensor Science and Technology
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    • v.29 no.3
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    • pp.141-148
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    • 2020
  • To find food, homes, and mates, some animals have adapted special sensing capabilities. Rather than using a passive method, they discharge a signal and then extract the necessary information from the response. More importantly, they use the slope of the detected signal to find the destination of an object. In this paper, similar strategy is mathematically formulated. A perturbation and correlation-based gradient estimation method is developed and used as a sensing strategy. This method allows us to adaptively sense an object in a given environment effectively. The proposed strategy is based on the use of gradient values; rather than instantaneous measurements. Considering the gradient value, the sampling frequency is planned adaptively, i.e., sparse sampling is performed in slowly varying regions, while dense sampling is conducted in rapidly changing regions. Using a temperature sensor, the proposed strategy is verified and its effectiveness is demonstrated.

Gradient based Stereo Temperature Sensor System (구배값을 이용한 스테레오 열감지 센서 시스템)

  • Lee, Sooyong
    • The Journal of Korea Robotics Society
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    • v.14 no.4
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    • pp.258-263
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    • 2019
  • Some animals have special sensing functions in order to find foods, home and mates. Instead of passively sensing, they discharge signals and then extract necessary information from the response. More importantly, they utilize the gradients of the sensed signal in order to find the destination or objects. In this paper this special strategy is formulated mathematically, i.e., the perturbation and the correlation based gradient estimation is developed. A stereo sensor system using temperature sensors mounted on motors is developed for verification. The proposed method can estimate the gradient of the measured value accurately. Using this method, the direction in the maximum measured value can be estimated accurately, and the position of the heat source can be estimated from the intersection of the directions estimated from both sensors.

A Study on the Judgement Criterion of Arrived Ship under Voyage Charterparty (항해용선계약상 도착선의 판단기준에 관한 연구)

  • Han, Nakhyun;Lee, Jaesung
    • Journal of Korea Port Economic Association
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    • v.28 no.3
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    • pp.167-192
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    • 2012
  • The purpose of the study aims to analyse the judgement criterion of arrived ship under voyage charterparty with the Merida Case. A ship is an arrived ship if she is in port and either able to proceed immediately to a berth or in such a position that she is at the immediate and effective disposition of the chaterparty. Identification of the specified destination-whether berth or port-impacts on the incidence of loss occasioned by delay in loading or discharging, when the delay is due to the place at which the vessel is obliged by the terms of the charterparty to load or discharge her cargo being occupied by other shipping. The Merida case is an appeal by the charterers from a final Arbitration award of two very experienced arbitrators, dated 20th April, 2009. The arbitrators held that a voyage charterparty, dated 5th February, 2007, of the vessel, The M/V Merida, entered into between charterers and the owners, was a port rather than a berth Charterparty. The Primary relevance of this distinction does to the allocation, as between owners and charterers, of the risk of delay caused by congestion at load and discharge ports. The question of law arising in this appeal is whether the arbitrators were right to conclude that the charterparty was a port and not a berth charterparty. The arbitrators additionary placed some reliance on a post-contractual e-mail from the agents, which suggested that charterers did not dispute the validity of the NOR-and, hence, that this was a port charterparty.

Groundwater flow Analysis Using MODFLOW in the Tunnel (MODFLOW를 이용한 터널의 지하수 유동해석)

  • Hue, Chang-Hwan
    • Journal of Korea Water Resources Association
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    • v.36 no.1
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    • pp.129-142
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    • 2003
  • In this study, the conduct of underground water flow system with 3 dimensions is interpreted in order to examine closely the actual condition regarding the flow of the underground water which is forecast from the tunnel segment and the interpretation result which selects the design and the construction technique of the tunnel segment was applied. Also, an obstacle to construct that relates with the underground water flow in construction duration in advance will be able to apply with information that is necessary in order to establish the countermeasure. The objective tunnel is the BEOPGI tunnel segment that is 2 parallel tunnels that are a one-way 2 lane and the parameters of the MODFLOW model executing the boring investigation and the permeability examination were presumed. The underground water flow of the excavation tunnel inside was interpreted by the MODFLOW model using the parameters which is presumed and two values which compared with calculated value and observed value are the same almost. Also, when the underground water discharge quantify that followed in tunnel excavation tries to compare, the underground water total discharge quantity from tunnel point of start until destination was presumed as 0.0269㎥/day/$m^2$.

Improved Routing Metrics for Energy Constrained Interconnected Devices in Low-Power and Lossy Networks

  • Hassan, Ali;Alshomrani, Saleh;Altalhi, Abdulrahman;Ahsan, Syed
    • Journal of Communications and Networks
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    • v.18 no.3
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    • pp.327-332
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    • 2016
  • The routing protocol for low-power and lossy networks (RPL) is an internet protocol based routing protocol developed and standardized by IETF in 2012 to support a wide range of applications for low-power and lossy-networks (LLNs). In LLNs consisting of resource-constrained devices, the energy consumption of battery powered sensing devices during network operations can greatly impact network lifetime. In the case of inefficient route selection, the energy depletion from even a few nodes in the network can damage network integrity and reliability by creating holes in the network. In this paper, a composite energy-aware node metric ($RER_{BDI}$) is proposed for RPL; this metric uses both the residual energy ratio (RER) of the nodes and their battery discharge index. This composite metric helps avoid overburdening power depleted network nodes during packet routing from the source towards the destination oriented directed acyclic graph root node. Additionally, an objective function is defined for RPL, which combines the node metric $RER_{BDI}$ and the expected transmission count (ETX) link quality metric; this helps to improve the overall network packet delivery ratio. The COOJA simulator is used to evaluate the performance of the proposed scheme. The simulations show encouraging results for the proposed scheme in terms of network lifetime, packet delivery ratio and energy consumption, when compared to the most popular schemes for RPL like ETX, hop-count and RER.

Analysis of the Prediction of Operation Processes based on Mode of Operation for Ships: Applying Delphi method

  • HyeRi Park;JeongMin Kim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.10
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    • pp.267-275
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    • 2023
  • The digital transformation of the shipbuilding, shipping, and logistics sectors is predicted to lead to the introduction of autonomous ships and changes in the way ships are operated. The co-existence of various operation forms, such as autonomous operation and remote operation, with the existing operation methods is expected to lead to the transformation of the ship operation process and the emergence of new stakeholders. This paper studies the future ship operation process according to the change in ship operation method, predicts the change in the operating environment of future ships, and derives functional requirements by major tasks and stakeholders. The Delphi technique is applied to construct a ship operation scenario from the planning stage of voyage and cargo transport to the stage of arrival at the final destination port and discharge of cargo, and to predict future work changes by task and actor. Seafarers' activities are expected to be minimised by remote and autonomous operation, and experts in each field are expected to have responsibilities and tasks in different aspects of ship operation.

E-Commerce in the Historical Approach to Usage and Practice of International Trade ("무역상무(貿易商務)에의 역사적(歷史的) 어프로치와 무역취인(貿易取引)의 전자화(電子化)")

  • Tsubaki, Koji
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.19
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    • pp.224-242
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    • 2003
  • The author believes that the main task of study in international trade usage and practice is the management of transactional risks involved in international sale of goods. They are foreign exchange risks, transportation risks, credit risk, risk of miscommunication, etc. In most cases, these risks are more serious and enormous than those involved in domestic sales. Historically, the merchant adventurers organized the voyage abroad, secured trade finance, and went around the ocean with their own or consigned cargo until around the $mid-19^{th}$ century. They did business faceto-face at the trade fair or the open port where they maintained the local offices, so-called "Trading House"(商館). Thererfore, the transactional risks might have been one-sided either with the seller or the buyer. The bottomry seemed a typical arrangement for risk sharing among the interested parties to the adventure. In this way, such organizational arrangements coped with or bore the transactional risks. With the advent of ocean liner services and wireless communication across the national border in the $19^{th}$ century, the business of merchant adventurers developed toward the clear division of labor; sales by mercantile agents, and ocean transportation by the steam ship companies. The international banking helped the process to be accelerated. Then, bills of lading backed up by the statute made it possible to conduct documentary sales with a foreign partner in different country. Thus, FOB terms including ocean freight and CIF terms emerged gradually as standard trade terms in which transactional risks were allocated through negotiation between the seller and the buyer located in different countries. Both of them did not have to go abroad with their cargo. Instead, documentation in compliance with the terms of the contract(plus an L/C in some cases) must by 'strictly' fulfilled. In other words, the set of contractual documents must be tendered in advance of the arrival of the goods at port of discharge. Trust or reliance is placed on such contractual paper documents. However, the container transport services introduced as international intermodal transport since the late 1960s frequently caused the earlier arrival of the goods at the destination before the presentation of the set of paper documents, which may take 5 to 10% of the amount of transaction. In addition, the size of the container vessel required the speedy transport documentation before sailing from the port of loading. In these circumstances, computerized processing of transport related documents became essential for inexpensive transaction cost and uninterrupted distribution of the goods. Such computerization does not stop at the phase of transportation but extends to cover the whole process of international trade, transforming the documentary sales into less-paper trade and further into paperless trade, i.e., EDI or E-Commerce. Now we face the other side of the coin, which is data security and paperless transfer of legal rights and obligations. Unfortunately, these issues are not effectively covered by a set of contracts only. Obviously, EDI or E-Commerce is based on the common business process and harmonized system of various data codes as well as the standard message formats. This essential feature of E-Commerce needs effective coordination of different divisions of business and tight control over credit arrangements in addition to the standard contract of sales. In a few word, information does not alway invite "trust". Credit flows from people, or close organizational tie-ups. It is our common understanding that, without well-orchestrated organizational arrangements made by leading companies, E-Commerce does not work well for paperless trade. With such arrangements well in place, participating E-business members do not need to seriously care for credit risk. Finally, it is also clear that E-International Commerce must be linked up with a set of government EDIs such as NACCS, Port EDI, JETRAS, etc, in Japan. Therefore, there is still a long way before us to go for E-Commerce in practice, not on the top of information manager's desk.

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