• Title/Summary/Keyword: Discharge planning

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Discharge Nursing Needs of Patients having Surgery with Gastric Cancer (위암 수술 환자의 퇴원 간호요구)

  • Lee, Jong-Kyung;Lee, Mi-Soon
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.22-32
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    • 2003
  • Purpose: The purpose of this descriptive study was to identify the discharge nursing needs of patients who received gastrectomy. Method: The subjects of this study consisted of 100 patients who had gastric surgery in 4 university hospitals in chungnam province. The instrument for this study was developed by the researcher based on literature through in-depth interviews. Data was collected from October 4 to October 30, 2000. Result: The results were as follows: Discharge nursing needs were classified in 8 main categories. The 8 categories were 'emotional and spiritual support', 'nutrition and diet control', 'medication', 'treatment planning and follow up care', 'activity level', 'symptom management' 'health seeking behavior' and 'social support'. The total mean score for nursing needs was 3.89. 'Nutrition and diet control' was the highest degree of nursing needs and 'activity level' was the lowest degree of nursing needs. There were significant differences in degrees of nursing needs between different ages(F=2.74, p=.048), level of education(F=2.91, p=.038) and period since diagnosis(F=4.46, p=.037). Conclusion: This study looked at 8 categories of discharge nursing needs. Patients identified 'nutrition and diet control' as the highest need and 'activity level' as the lowest need. Further research needs to be done to identify discharge educational needs for various age groups, educational level and for patients with varing lengths of diagnosis time to surgery.

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A Study of Sediment Discharge and Bed Change Characteristics of the Local Rivers in Korea (국내 지방하천의 유사량과 하상변동 특성에 관한 연구)

  • Son, Hogeun;Lee, Jungsik;Shin, Shachul;Moon, Changgeon
    • Journal of the Korean GEO-environmental Society
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    • v.15 no.6
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    • pp.31-39
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    • 2014
  • The objective of this study is to suggest the proper sediment transport equation and short and long-term bed change for planning and implementing the river management in Korea. To analyze total sediment discharge and short and long-term bed change, existing sediment transport equations, HEC-RAS 4.1 and CCHE2D numerical models were applied in urban and mountainous rivers. The results of this study are as followings; Firstly, the modified Einstein equation showed the most appropriate result for the estimation of total sediment discharge in the local rivers. Secondly, The stage-discharge relation curve and the discharge-total sediment discharge relation curve were suggested to examine the characteristics of river bed change. Finally, it is founded that river bed change of mountainous river has occurred greater than that of the urban river, and the river bed of urban river now tends to be stabilized on the whole.

Experimental Comparison and Analysis of Measurement Results Using Various Flow Meters (유량측정 기기별 측정성과에 대한 실험적 비교분석)

  • Lee, Jae-Hyug;Lee, Suk-Ho;Jung, Sung-Won;Kim, Tae-Woong
    • Journal of Wetlands Research
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    • v.12 no.1
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    • pp.95-103
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    • 2010
  • Discharge data examine the process of hydrologic cycle and used significantly in water resource planning and irrigation and flood control planning. However, it needs lots of time and money to get the discharge data. So discharge rating curve is usually used in converting discharge data. Therefore reliability of discharge rating curve absolutely depends on quality of discharge data. Many engineers who study hydrologic engineering make high quality discharge data to develop reliable discharge rating curve. And they carry out research on standard and method of discharge measurement, and equipment improvement. Now various flow meters are utilized to make discharge data in Korea. However, accuracy of equipment and experimental research data from measurement are not enough. In this paper, constant discharge flowed through standard concrete channel, and the velocity is measured using various flow meters. Also Discharge is calculated by measured data to compare and analyze. The equipment for the experiment is Price AA(USGS Type AA Current meter), flow meter, ADC, C2 small current meter, flow tracker, Electromagnetic current meter. The discharge got form various flow meters which are widely used for discharge measurement. The various depths of water were examined and compared such as 0.30 m, 0.35 m, 0.40 m, 0.45 m, 0.50 m, 0.55 m. The experiment progresses a round-measurement on 6-case. Wading measurement(one point method : the 60 % height in surface of the water) was applied to improve creditability and accuracy among measurement methods. USGS Type AA current Meter, Flow Meter, ADC, C2 Small Current meter got the certificate of quality guaranteed. So the results of experiment were used to compare discharge. The Results showed the difference based on USGS Type AA current Meter at average discharge and velocity. Electromagnetic current meter made differences over $\pm$ 10 % and Flow Meter made differences under $\pm$ 10 %. Also ADC, Flow Meter, C2 Small Current meter made differences under $\pm$ 5 %.

The Analysis of Discharge Pressure Noise Characteristics Of Vane Pump for Automatic Transmission (자동변속기용 베인펌프의 토출압 노이즈 특성 해석)

  • Choi, Y.Y.;Choi, H.J.;Lee, S.H.;Jung, W.J.
    • 유공압시스템학회:학술대회논문집
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    • 2010.06a
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    • pp.33-38
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    • 2010
  • As for an oil hydraulic vane pump of vehicle hydraulic systems, the highest of planning technique required by the acquisition of optimum profile data which can be available to predict noises and vibrations. Pressure pulsation may result in considerable vibration and noise of pump component as well as cavitation in hydraulic system. The influences of the discharge pressure and rotating speed of the vane on the dynamic pressure in chamber surrounding a vane have been investigated. It is very important to predict pressure pulsation in vane pump. This paper presents analysis of technique of vane pump for automatic transmission. The predicted result using AMESim model were good agreement with the experimentally obtained results.

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A Multilevel Analysis about the Impact of Patient's Willingness for Discharge on Successful Discharge from Long-term Care Hospitals (퇴원 의지가 요양병원의 성공적 퇴원에 미치는 영향에 대한 다수준 분석)

  • Ghang, Haryeom;Lee, Yeonju
    • Health Policy and Management
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    • v.32 no.4
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    • pp.347-355
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    • 2022
  • Background: Since November 2019, long-term care hospitals have been able to provide patients with discharging programs to support the elderly in the community. This study aimed to identify both patient- and hospital-level factors that affect successful community discharge from long-term care hospitals. Methods: A multilevel logistic regression model was performed using hospitals as a clustering unit. The dependent variable was whether a patient stayed in the community for at least 30 days after discharge from a long-term care hospital. As for the patient-level independent variables, an agreement between a patient and the family about discharge, length of hospital stay, patient category, and residence at discharge were included. The number of beds and the ratio of long-stay patients were selected for the hospital-level factors. The sample size was 1,428 patients enrolled in the discharging program from November 2019 to December 2020. Results: The number of patients who were discharged to the community and stayed at least for 30 days was 532 (37.3%). The intraclass correlation coefficient was 22.9%, indicating that hospital-level factors had a significant impact on successful community discharge. The odds ratio (OR) of successful community discharge increased by 1.842 times when the patients and their families agreed on discharge. The ORs also increased by 3.020 or 2.681 times, respectively when the patients planned to discharge to their own house or their child's house compared to those who didn't have a plan for residence at discharge. The ORs increased by 1.922 or 2.250 times when the hospitals were owned by corporate or private property compared to publicly owned hospitals. The ORs decreased by 0.602 or 0.520 times when the hospital was sized over 400 beds or located in small and medium-sized cities compared to less than 200 bedded hospitals or located in metropolitan cities. Conclusion: The results of the study showed that the patients' and their family's willingness for discharge had a great impact on successful community discharge and the hospital-level factors played a significant role in it. Therefore, it is important to acknowledge and support long-term care hospitals to involve active in the patient discharge planning process.

Inundation simulation in a urban drainage basin considering tidal stage effect (조위의 영향을 고려한 도심지 배수유역에서의 범람모의)

  • Kim, Dae Geun;Choi, Kyung Soon;Koh, Young Chan
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.6
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    • pp.711-717
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    • 2009
  • In this study, SWMM model is used to reproduce the main storm sewer system located in the Nae-Hang drainage basin of the Mokpo city and keep track of flood discharge. Given the outlet of the reaches border the coastline, this paper has taken the dual-drainage approach to perform inundation simulation, considering both the overflows and inflows at the manholes of the sewer system, and at the same time, taking the impacts of tidal stage into consideration. The following conclusions are reached in this study: First, when planning lowland sewer system alongside the coastline or the riverside, the tidal stage or flood stage need to be considered in the planning and design processes. Second, an analysis that fails to consider overflow and inundation at the manholes may overestimate inundation depth of the flooded area. In other words, in order to estimate flood discharge and flood stage in a lowland storm sewer system, it is desirable to analyze the conveyance capacity of storm sewer system and simulate overflow and inundation at the manholes at the same time.

A Study on Improvement of Discharge Pressure Measurement of Indoor Fire Hydrant System (옥내소화전설비의 방수압 측정 개선에 관한 연구)

  • Min, Se-Hong;Jeong, Sang-Ho
    • Fire Science and Engineering
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    • v.26 no.3
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    • pp.67-72
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    • 2012
  • Indoor fire hydrant facilities and sprinkler system applied to the initial fire suppression for buildings' interior fire are pivotal roles in extinguishing the fire in the early stage. The roof shapes of recent buildings combined with distinctive local culture and design are being constructed. Distinctive roof forms, i.e. gable roof buildings are planned and built, View point planning with the roof gardens also restricts measurement of the discharge pressure on the indoor fire hydrant, It is too narrow to gauge the water discharge pressure with deploying up to 5 water hoses. To resolve these problems improvement for the efficient management of indoor fire hydrant system and the effective early stage flame extinguishment is suggested.

A Prediction Model for Functional Recovery After Stroke (뇌졸중 환자의 기능회복에 대한 예측모델)

  • Won, Jong-Im;Lee, Mi-Young
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.59-67
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    • 2010
  • Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = $76.12+.62{\times}$(admission FIM total score)-$.38{\times}(age)-.15{\times}$(onset-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.

An Analysis of Characteristic Parameters for the Design of Detention Pond in Urbanized Area (도시유역에서 저류지 설계를 위한 특성인자 분석)

  • Lee, Jae-Joon;Kim, Ho-Nyun;Kwak, Chang-Jae
    • Journal of the Korean Society of Hazard Mitigation
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    • v.6 no.4 s.23
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    • pp.37-47
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    • 2006
  • Urban development results in increased runoff volume and flowrates and shortening in time of concentration, which may cause frequent flooding downstream. Flow retardation structures to limit adverse downstream effects of urban storm runoff are used. There are various types of flow retardation measures include detention basins, retention basins, and infiltration basins. In basic planning phase, a number of planning models of detention ponds which decide storage volume by putting main variables were used to design detention ponds. The characteristics of hydrological parameters $\alpha,\;\gamma$ which are used in planning models of detention pond were analyzed. In this study, detention ponds data of Disaster Impact Assessment report at 22 sites were analyzed in order to investigate correlation between characteristic of urban drainage basin parameter and characteristics of detention pond parameter due to urbanization effects. The results showed that storage volume was influenced by peak discharge ratio $\alpha$ more than runoff coefficient ratio $\beta$ and peak discharge ratio $\alpha$ was influenced by runoff coefficient ratio $\beta$ less than regional parameter n. Storage ratio was mainly influenced by duration of design rainfall in the case of trapezoidal inflow hydrograph such as Donahue et al. method.

Changes of physico-chemical properties in the reclaimed tidal land soils by precipitation (자연강우에 의한 간척지토양의 이화학적 특성변화)

  • Kim, Jae-Young;Son, Jae-Gwon;Koo, Ja-Woong;Choi, Jin-Kyu
    • Journal of Korean Society of Rural Planning
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    • v.8 no.1 s.15
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    • pp.3-14
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    • 2002
  • Changes of chemical properties by times of the reclaimed tidal land soils and soil surface water, underground infiltration water with precipitation-runoff on natural meteological condition in the unripened tidal reclaimed paddy fields were investigated. This study was carried out to use environment-friendly farm land in the reclaimed tidal lands. The soils used in this study were saline-alkaline soils with the high $Na^+$ and $Mg^{++}$ content. As the results of investigation outflow loading of nutriments through outflow water in the unripened tidal reclaimed paddy fields by precipitation during the survey period, nutriments equivalent to T-N $1{\sim}2\;kg\;10a^{ -1}$ and T-P $0.01{\sim}0.02\;kg\;10a^{-1}$ from in the unripened tidal lands were discharged. Besides, the results of comparison losses of cation through outflow water showed $Na^+>\;K^+>\;Mg^{++}\;>\;Ca^{++}$, and the highest appeared water discharge of $Na^+$. In case of saemangeum reclaimed tidal land soils water discharge of cations showed $Ca^{++}$ 1.3 kg $10a^{-1}$, $Mg^{++}$ 1.6 kg $10a^{-1}$, $Na^+$ 17.7 kg $10a^{-1}$, and $K^+$ 3.2 kg $10a^{-1}$ respectively. On the other hand, in case of koheung reclaimed tidal lands soils water discharge of cations showed $Ca^{++}$ 18.1 kg $10a^{-1}$, $Mg^{++}$ 31.2 kg $10a^{-1}$, $Na^+$ 320.8 kg $10a^{-1}$ and $K^+$ 51.2 kg $10a^{-1}$ respectively.