• 제목/요약/키워드: Long term discharge

검색결과 337건 처리시간 0.021초

질병군에 따른 요양병원 노인 입원환자의 의료이용 현황: 건강보험심사평가원 고령환자데이터셋(HIRA-APS)을 이용하여 (Status of Medical use of Elderly Inpatients in Nursing Hospitals According to Disease Groups: Using HIRA-APS)

  • 장윤정;박초열
    • 보건의료생명과학 논문지
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    • 제11권2호
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    • pp.351-360
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    • 2023
  • 건강보험심사평가원 2018년 고령환자데이터셋(HIRA-APS)을 이용하여 요양병원 입원환자 33,821명을 주요 질병군별로 구분하여, 의료이용 현황과 특성을 파악하여, 요양병원의 기능정립에 효과적인 정책 기초자료를 제공하고자 하였다. 첫째, 질병군에 따라 의료이용 특성에 차이를 보이고 있어, 환자의 질병군 특성에 맞는 치매 전문, 재활 전문, 호스피스 전문, 회복기 전문 등 특화된 요양병원 설립과 운영이 필요하다. 둘째, 요양병원 입원환자의 연간 입원일수에 영향을 미치는 요인 중 주상병별로는 마비군, 뇌혈관질환군, 치매군이 가장 길었으며, 환자분류군별로는 인지장애군이 가장 길어, 질병군별 장기 환자에 대한 의료 수요 및 질 관리가 필요하다. 셋째, 요양병원 입원환자의 치료결과 중 정상 퇴원에 영향을 미치는 요인 중 질병군별로는 근골격계질환군에서 가장 높았고, 마비군, 뇌혈관질환 순으로 퇴원 후 재가 프로그램 지원이 요구된다.

Long-term Fistula Formation Due to Retained Bullet in Lumbar Spine after Gunshot Injury

  • Jeon, Se-Il;Im, Soo Bin;Jeong, Je Hoon;Cha, Jang Gyu
    • Journal of Trauma and Injury
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    • 제30권2호
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    • pp.51-54
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    • 2017
  • We here report a case of long-term fistula formation due to bullet retention for 30 years in the lumbar spine after a gunshot injury, and describe its treatment. A 62-year-old male visited our hospital due to pus-like discharge from his left flank. The discharge had been present for 30 years, since his recovery from an abdominal gunshot injury. A spine radiography showed radiopaque material in the body of the third lumbar vertebra. Foreign body was removed using an anterolateral retroperitoneal approach. The postoperative course was uneventful. The patient was discharged 7 days after the operation and was followed-up for 8 months, during which time, the fistula did not reoccur. A bullet retained long term in the vertebral body may cause obstinate osteomyelitis and fistula formation. A fistula caused by a foreign body in the spine can be effectively treated by surgical removal.

문산천의 유사특성 및 장기하상변동 예측 (Sediment Properties and Long-term Bed Change of Munsancheon)

  • 이재근;안재현
    • 한국습지학회지
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    • 제13권2호
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    • pp.329-341
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    • 2011
  • 본 연구는 경기도 파주시에 위치한 문산천의 유사량을 직접 실측하여 유사특성을 분석하고, 이를 수치모형에 적용하여 장기적인 하상변동을 예측하였다. 직접 실측된 유사랑을 이용하여 유량-총유사량 관계식을 유도하였으며, 기존의 추정공식을 통해 산정된 총유사량과의 비교를 통해 적절한 유사량 추정방법을 평가하였다. 실측에 의한 문산천의 연간 총유사량은 5,478ton/year, 비유사량은 29.23ton/$km^2$/year로 나타났으며, 기존의 공식과 비교한 결과 Ackers & White공식이 실측치와 매우 유사한 값을 산정하였다. 실측된 유사량 및 지형, 수문자료를 입력변수로 하여 HEC-6와 GSTARS 모형을 비교, 평가하였다. 이를 통해 HEC-6 모형이 문산천의 장기하상변동 예측에 적합한 모형으로 신뢰할 수 있는 결과를 도출할 수 있다고 판단하였으며, 본 연구의 장기하상변동 예측에 적용하였다. HEC-6 모형을 이용한 장기하상변동 예측결과 문산천의 경우 하류부에서는 지속적으로 퇴적이 나타나고 상류부에서는 전반적으로 침식이 발생하였으며, 향후 20년 후의 하상상태로 안정화 될 것으로 판단되었다. 하상 변동량은 20년동안 1m 이내로 유의한 수준에 있다. 그러나 감조부의 영향을 받는 하류부에서는 유출구로부터 2,000m~7,000m 사이의 구간에 퇴적이 지속적으로 증가하고 있어 향후 하천관리계획 수립시 고려해야 할 것으로 판단되었다.

Considerations on the Long-term Reliability of On-line Partial Discharge Ceramic Sensor for Thermal Power Generators and its Demonstration in the Field

  • Sun, Jong-Ho;Youn, Young-Woo;Hwang, Don-Ha;Kang, Dong-Sik
    • Journal of Electrical Engineering and Technology
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    • 제7권1호
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    • pp.103-108
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    • 2012
  • The present study describes the considerations on the long-term reliability of the on-line partial discharge (PD) ceramic sensor for thermal power generators. Voltage acceleration aging tests were carried out under continuous and impulsive thermal aging at more than $100^{\circ}C$, considering the practical service environment. Experimental results show that the sensors have a life that could last for more than 100 years, excellent dielectric characteristics, and insulation strength. In addition, the ceramic on-line PD sensors were installed in a thermal power generator in Korea for demonstration. The results of the PD calibration and test voltage application prove that the on-line ceramic sensors have satisfactory performances for on-line PD measurement.

형산강 수계 최적 유사량 공식 선정을 위한 연구 (A Study on the Optimal Sediment Discharge Formula for Hyeongsan River)

  • 안정민;류시완;이남주
    • 한국수자원학회논문집
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    • 제43권11호
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    • pp.977-984
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    • 2010
  • 본 연구에서는 실측 유량-유사량, 하상재료, 하천측량자료들을 바탕으로 HEC-6모형을 이용한 형산강의 장기하상변동 모의결과들의 비교를 통하여 형산강유역에 적합한 최적유사량공식을 선정하고자 하였다. 이를 위하여 다양한 통계적 특성치들을 기준으로 Ackers와 White (1973), Duboys (1879), Laursen (1958), Laursen (modified by Madden, 1993), Laursen (modified by Copeland, 1989), 그리고 Yang (1973) 공식과 같은 유사량공식들을 비교 검토하였다. 각 유사량공식을 이용한 장기하상변동 모의결과의 실측치에 대한 상대오차, 평균제곱오차, 상대제곱근오차, 불일치율, 그리고 S/N비를 비교한 결과, Laursen 공식(modified by Copeland)이 대상유역에 가장 적합한 것으로 분석되었다.

장기 재원 조현병 환자에서 재입원 혹은 탈원에 따른 사회적 및 임상적 특징 차이 (Differences in Social and Clinical Characteristics between Readmission and Dehospitalization in Long-Term Inpatients with Schizophrenia)

  • 김민선;박선영;최진숙
    • 대한조현병학회지
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    • 제23권1호
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    • pp.38-44
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    • 2020
  • Objectives: Dehospitalization of long-term inpatients with schizophrenia can be difficult because of complex factors such as chronic symptoms and low family and social support. The aim of this study was to identify factors related to dehospitalization and readmission of long-term inpatients with schizophrenia. Methods: This retrospective study reviewed the medical records of patients discharged from a psychiatric hospital in Yongin, South Korea, from February 1, 2016, to July 31, 2017. Patients who were hospitalized for over 3 months were divided into two groups: readmission (n=47) and dehospitalization (n=55). Differences in sociodemographic and clinical factors were analyzed between the two groups. Results: Regarding sociodemographic characteristics, female sex, familylessness, discharge to nursing homes, and discharge after symptom improvement were more prevalent in the dehospitalization group, whereas male sex, having a sibling as next of kin, and discharge because of other problems were more prevalent in the readmission group. Among clinical characteristics, hospital stay was longer in the readmission group. Conclusion: In this study, patients without a family showed a tendency to not be readmitted when they were discharged to nursing homes after symptom improvement. Expansion of social welfare support may encourage dehospitalization of long-term inpatients with schizophrenia.

저류함수를 이용한 일단위 장기유출모의 모형 구축 (Long term Rainfall-Runoff Modeling Using Storage Function Method)

  • 성영두;정구열;신철균;박진혁
    • 한국수자원학회논문집
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    • 제41권7호
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    • pp.737-746
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    • 2008
  • 강우-유출 및 저수지운영 모형의 최종 개발 목적은 가용한 관측자료를 이용하여 실무자가 하천의 유량예측 및 저수지운영 업무를 쉽고 정확하게 수행할 수 있도록 분석도구를 제공하는데 있다. 본 연구에서는 물관리 실무에서 홍수량 예측업무에 활용중인 단기 강우-유출 저류함수 모형을 확장하여 장기유출에 모의에 기여도가 높은 유효우량 및 침투량 산정기법을 개선하여 장기 유출분석이 가능하도록 저류함수기반의 장기 유출모형을 구축하였다. 개발된 모형의 적용가능성을 검토하기 위하여 낙동강 유역내 3개 댐유역(안동,합천,밀양)을 대상으로 연간 유출모의를 실시 하였으며, 현재 물관리 실무에서 장기유출모형으로 활용중인 SSARR모형과의 성능을 비교하였다. 수문곡선 비교 결과, SSARR 모형이 상대적으로 재현성 높은 결과를 보여주었지만, 본 연구에서 개발한 모형은 관측 가용한 자료만으로도 비교적 신뢰성 있는 장기유출모의가 가능하다는 점에서 향후 실무에서 유용하게 활용할 수 있을 것으로 사료된다.

권선형기기 On-line 부분방전 측정용 6-6kV급 Ceramic Coupler의 신뢰성 평가 (Evaluation of Reliability on the 6.6kV Class Ceramic Coupler for On-line Partial Discharge Measurement in Winding Machines)

  • 강동식;김용주;윤영호
    • 대한전기학회논문지:전기물성ㆍ응용부문C
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    • 제54권2호
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    • pp.69-75
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    • 2005
  • In order to improve the reliability of high voltage rotating machines and mold transformers, it is necessary to understand the breakdown mechanism and life assessment of the high voltage winding parts. Especially the on-line PD test provides the ability to monitor effects, such as slot discharge, internal discharge, and end-winding discharge without interrupting the electrical machines, this method has been proven the major testing technology. Capacitive couplers have been the most widely used sensors for the on-line partial discharge detection in rotating machines nowadays. This paper deals with the electrical characteristics and long-term reliability of a ceramic coupler(CC), which can be easily mounted into high voltage input terminal part, has been developed and tested to continuously measure PD activity during operating condition. This paper presents electrical characteristics (dielectric loss angle, capacitance, PD inception level, breakdown voltage, and frequency response bandwidth) and long-term life test result of the developed 6.6 kV class on-line ceramic coupling sensor. It was found that this sensor had good electrical characteristics to detect PD activity during the operating condition with its detection frequency band is between several and several tens MHz. Also, the voltage life of the 6.6kV class ceramic coupler was calculated over 60 years.

라인강 유량의 추계학적 수문분석에 관한 연구 (네덜란드의 Lobith지점을 중심으로) (The Stochastic Hydrological Analysis for the Discharge of River Rhine at Lobith (For River Rhine at Lobith in the Netherlands))

  • 최예환
    • 한국농공학회지
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    • 제23권4호
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    • pp.46-52
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    • 1981
  • The aim at this study has the stochastic hydrological analysis for the annual mean discharge and monthly discharge which were observed at Lobith of River Rhine in the Netherlands from 1901 to 1972. After this study was analysed by computer IBM 370 and Hewlett Parkard 9800, the results were as follows; 1.When 72 data was divided into two groups of subsample data as 36 data, they do not have their properties to be non-homogeneous and inconsistent due to F-test and t-test. 2.The credit limits of the serial correlation coefficient was fluctuated $\pm$0. 231 which was shown in Fig. 3. at significant level 99% by Anderson's test. 3.The correlogram at short term was shown to be no short-term persistence as Fig. 3. 4.Since the correlogram at long term has displayed that Hurst's coefficient was 0.6144 between 0.6 and 0.7, it was to be no long-term persistence. 5.The stochastic model with annual discharge of this River Rhine was shown with $\chi$t=2195+483. 8 $\varepsilon$t as $\chi$t=$\mu$+oet and $\varepsilon$t=$_1$ø$\varepsilon$t-$_1$+ζt where t=1,2,3,..., ζt is an independent series with mean zero and variance (1-ø2), $\varepsilon$t is the dependent series, and 4' is the parameter of the model. 6.The serial correlation coefficient of monthly discharge was explained as $\chi$$_1$ = 0.34 . sin(6-$\pi$t+$\pi$) as Fig.4. and the River Rhine has no large fluctuation and smoothly changed during that time.

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장기유출의 수문적 모형개발을 위한 주요 수계별 단위도 유도 (Determination of Unit Hydrograph for the Hydrological Modelling of Long-term Run-off in the Major River Systems in Korea)

  • 엄병현;박근수
    • 한국농공학회지
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    • 제26권4호
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    • pp.52-65
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    • 1984
  • In general precise estimation of hourly of daily distribution of the long-term run-off should be very important in a design of source of irrigation. However, there have not been a satisfying method for forecasting of stationar'y long-term run-off in Korea. Solving this problem, this study introduces unit-hydrograph method frequently used in short-term run-off analysis into the long-term run-off analysis, of which model basin was selected to be Sumgin-river catchment area. In the estimation of effective rainfall, conventional method neglects the Soil moisture condition of catchment area, but in this study, the initial discharge (qb) occurred just before rising phase of the hydrograph was selected as the index of a basin soil moisture condition and then introduced as 3rd variable in the analysis of the reationship between cumulative rainfall and cumulative loss of rainfall, which built a new type of separation method of effective rainfall. In next step, in order to normalize significant potential error included in hydrological data, especially in vast catchment area, Snyder's correlation method was applied. A key to solution in this study is multiple correlation method or multiple regressional analysis, which is primarily based on the method of least squres and which is solved by the form of systems of linear equations. And for verification of the change of characteristics of unit hydrograph according to the variation of a various kind of hydrological charateristics (for example, precipitation, tree cover, soil condition, etc),seasonal unit hydrograph models of dry season(autumn, winter), semi-dry season (spring), rainy season (summer) were made respectively. The results obtained in this study were summarized as follows; 1.During the test period of 1966-1971, effective rainfall was estimated for the total 114 run-off hydrograph. From this estimation results, relative error of estimation to the ovservation value was 6%, -which is mush smaller than 12% of the error of conventional method. 2.During the test period, daily distribution of long-term run-off discharge was estimated by the unit hydrograph model. From this estimation results, relative error of estimation by the application of standard unit hydrograph model was 12%. When estimating by each seasonal unit bydrograph model, the relative error was 14% during dry season 10% during semi-dry season and 7% during rainy season, which is much smaller than 37% of conventional method. Summing up the analysis results obtained above, it is convinced that qb-index method of this study for the estimation of effective rainfall be preciser than any other method developed before. Because even recently no method has been developed for the estimation of daily distribution of long-term run-off dicharge, therefore estimation value by unit hydrograph model was only compared with that due to kaziyama method which estimates monthly run-off discharge. However this method due to this study turns out to have high accuracy. If specially mentioned from the results of this study, there is no need to use each seasonal unit hydrograph model separately except the case of semi-dry season. The author hopes to analyze the latter case in future sudies.

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