• Korean Journal of Adult Nursing
• /
• v.13 no.2
• /
• pp.291-304
• /
• 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.

• Journal of Korean Public Health Nursing
• /
• v.15 no.2
• /
• pp.376-386
• /
• 2001

I. Background The problem of discharging patients from hospital have been well documented in the literature over the last 20 years. They included poor communication between hospital and community, inadequate notice of discharge, over-reliance on informal support and lack of statutory support, inattention to patients needs before leaving hospital, and wasted or duplicated visits by community nurses. Most patients discharged from hospital are able to return home with little or no support, while others will require a 'package of care' to support them back to good health. Patient with complex care needs, including the frail elderly and those with mental health problems, may require continuing care in special housing, residential, or nursing homes. With this population,effective discharge arrangement is needed and the study on this problem is urgent in Korea because the Medical Reform Project is on suspension of success. II. Results of the Study: 1. Discharge service needs assessed on 360 elderly patients who were hospitalized during the survey period at four university hospitals. Patients want to know the information on disease management after discharge. Follow-up telephone service is the most frequently checked service. 2. Multidisciplinary Discharge Planning is recommended at the hospital level to reduce the readmission and decrease the length of stay. 3. Further research is needed to validate and test the assumption of the solution which is developed in this research.

• Journal of the Korean Society of Safety
• /
• v.27 no.6
• /
• pp.166-171
• /
• 2012

This study aims to analyze the hydrological characteristics of downstream areas by the dam discharge of Soyanggang dam by using HEC-RAS Model. As a result of analyzing the data of dam discharge divided into hydropeaking discharge and total discharge, it as found that the maximum hydro-peaking discharge and the maximum total discharge have been 254.4 CMS and 1567.7 CMS respectively for the past 11 years. When the hydro-peaking discharge was applied to HEC-RAS Model, there occurred some sections where the water level rapidly changed, but the velocity of moving water was quite stable in the range between 0.23 m/sec and 1.16m/sec. Besides, when the total discharge was applied to this model, the submersible bridge along the dam downstream was flooded, and in some sections, the water level increased over the flood plain. Accordingly, this study judged that it is required to necessarily consider all the influence made by an increase of Soyanggang Dam's discharge when waterfronts are installed or used at dam downstream areas.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.31 no.1B
• /
• pp.63-70
• /
• 2011

To install the side weirs in inlet of washland construction, it is necessary to calculate more accurately the discharges over side weir. In this study, the hydraulic experiments were performed in broad crested side weirs that installed trapezoidal channel and that considered more applicable to the actual river. Upstream Froude number in the main channel and weir height, length, width and slope of main channel were considerd for estimation of discharge coefficient of broad crested side weir. Experimental results show that the discharge coefficient of broad crested side weir depend on, and. New estimated equation for the discharge coefficient are suggested through the multiple regression analysis and its applicability is confirmed by comparing estimated and measured discharges over side weirs.

• Proceedings of the KIEE Conference
• /
• 1995.07c
• /
• pp.1382-1384
• /
• 1995

In order to study the structure of RF glow discharge driven at 13.56MHz in argon, the discharge voltage, current and phase shift between them will be measured over a wide range of discharge parameters(gas pressure between 1mTorr and 50mTorr with discharge power between 20mW and 200W). In this paper, the dc glow discharge characteristics and plasma parameters of both FTS and CPMS systems are studied experimentally. It is found that for CPMS system discharge is stablized under wider ranges of magnetic field and pressure than for FTS system. The plasma density and electron temperature of the plasma for these two systems are in the range of $10^{10}{\sim}7{\times}10^{11}[cm^{-3}]$ and $3.5{\sim}6.5$[eV], respectively.

• Journal of The Korean Society of Agricultural Engineers
• /
• v.54 no.1
• /
• pp.109-114
• /
• 2012

Stage-discharge relationship is applied to convert water level into discharge at the auto-measuring station in many irrigation canals. The stage-discharge curve is very important for reliable application for the agricultural water management system. We made results of discharge measurement at 18 stations in the irrigation canal nearby the Idong reservoir from 2010 to 2011. Stage-discharge relationships for each 18 stations were drawn considering of different hydraulic and geometrical characteristics at each stations. R-squared over 0.91 at each stations show high reliability for application of these relationships.

• Proceedings of the KSRS Conference
• /
• 2004.10a
• /
• pp.685-688
• /
• 2004

Fresh water discharge from the sea floor strongly affects a coastal ecology and the diffusion of contaminants. Much fresh water discharge has been found in the edge of Kurobe alluvial fan, in which annual rainfall is over 4000mm and there is abundant groundwater. However, it is difficult to find the groundwater discharge, thus the search of possible areas with some remote sensing tools is required. Because the temperature of the discharge point is relatively low compared with the surrounding sea water surfaces, there is a possibility to detect the area as an irregular zone of thermal infrared images. Two anomalous temperature zones, which have no surface streams from rivers, are detected by ASTER thermal-infrared images. One of them was verified as the groundwater discharge point by dives. In addition, the distribution of water table under the land side of the two areas is also detected as irregular zones by a ground-penetrating radar

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
• /
• v.24 no.11
• /
• pp.890-894
• /
• 2011

In this thesis, the silicone filler with a sample size of 0~75 phr and void size of 2~4.5 mm is prepared in order to diagnose the defect of void which exists in widely used insulation material, silicone rubber. In this silicone rubber sample, electrodes are connected and whilst the voltage changes, applied voltage 7 kV~9 kV is increased constantly over time and discharge quantity, discharge frequency and applied voltage (T-QNV) were measured. The discharge quantity of the applied voltage (VQ) is measured to estimate inception voltage and extinction voltage. In addition, under the condition of maintaining constant applied voltage, discharge quantity and discharge frequency (QN) are measured, and its characteristics are analyzed.

• Atmosphere
• /
• v.30 no.2
• /
• pp.155-167
• /
• 2020

In order to produce more detailed and accurate information of river discharge and freshwater discharge, global high-resolution hydrodynamic model (CaMa-Flood) is applied to an operational land surface model of global seasonal forecast system. In addition, bias correction to grid runoff for the hydrodynamic model is attempted. CaMa-Flood is a river routing model that distributes runoff forcing from a land surface model to oceans or inland seas along continentalscale rivers, which can represent flood stage and river discharge explicitly. The runoff data generated by the land surface model are bias-corrected by using composite runoff data from UNH-GRDC. The impact of bias-correction on the runoff, which is spatially resolved on 0.5° grid, has been evaluated for 1991~2010. It is shown that bias-correction increases runoff by 30% on average over all continents, which is closer to UNH-GRDC. Two experiments with coupled CaMa-Flood are carried out to produce river discharge: one using this bias correction and the other not using. It is found that the experiment adapting bias correction exhibits significant increase of both river discharge over major rivers around the world and continental freshwater discharge into oceans (40% globally), which is closer to GRDC. These preliminary results indicate that the application of CaMa-Flood as well as bias-corrected runoff to the operational global seasonal forecast system is feasible to attain information of surface water cycle from a coupled suite of atmospheric, land surface, and hydrodynamic model.

• Journal of Korean Society on Water Environment
• /
• v.29 no.4
• /
• pp.514-522
• /
• 2013

The major 24 tributaries in Nam-River mid-watershed were monitored for discharge and water quality in order to understand the characteristics of the watershed and to select the tributary catchment for improving water quality. According to the analytical results of discharge and water quality monitoring data of 24 tributaries, the mean value of discharge below $0.1m^3/s$ was 62.5% among the monitored tributaries and it mostly exceeded the water quality standards of Nam-river mid-watershed ($BOD_5$ = 3 mg/L, T-P = 0.1 mg/L over). According to the stream grouping method and the water quality delivery load density ($kg/day/km^2$) based on the results of tributary discharge and water quality monitoring, the tributary watersheds for improving the water quality were selected. In the Nam-River mid-watershed, tributaries in the GaJwaCheon, HaChonCheon catchment (Group D, $BOD_5$ = 3 mg/L over) and in the UirYeongCheon, SeokGyoCheon catchment (Group A, T-P = 0.1 mg/L over), which have a small flow (and/or large flow) and a high concentrations of water pollutants. The various water quality improving scheme for tributaries, in accordance with the reduction of potential point source pollution by living sewage and livestock wastewater, should be established and implemented.