• Title/Summary/Keyword: Over discharge

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A Preliminary Study for Expending of Hospital-Based Home Health Care Coverage - Focused on Car Accident Inpatients Who has the Compensation Insurance - (병원중심 가정간호관리대상 범위 확대를 위한 기초연구(II) - 자동차보험가입 입원환자를 대상으로 -)

  • Park, Eun-Sook;Lee, Sook-Ja;Park, Young-Ju;Ryu, Ho-Sihn
    • Journal of Home Health Care Nursing
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    • v.7 no.1
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    • pp.58-72
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    • 2000
  • This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

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Analysis of Loop-Rating Curve in a Gravel and Rock-bed Mountain Stream (자갈 및 암반 하상 산지하천의 고리형 수위-유량 관계 분석)

  • Kim, Dong-Su;Yang, Sung-Kee;Yu, Kwon-Kyu
    • Journal of Korea Water Resources Association
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    • v.45 no.9
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    • pp.853-860
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    • 2012
  • It is well-known that loop effect of the stage-discharge relationship is formulated based on many field observations especially for the sand rivers. Theoretical understandings of the loop effect for the sand rivers have been widely provided, based on the facts that it is driven by the flood wave propagation and bed form changes over the given flood period. However, very few theoretical studies or field observations associated with loop-rating curves in the gravel or rock-bed mountain streams have been attempted so far, due particularly to the difficulties in the accurate discharge measurement during the flood in such field conditions. The present paper aims to report a unique loop-rating curve measured at a gravel and rock-bed mountain stream based on the flood discharge observation acquired during the typhoon, Muifa that passed nearby Jeju Island in summer of 2011. As velocity instrumentation, a non-intrusive Surface Velocity Doppler Radar to be suitable for the flood discharge measurement was utilized, and discharges were consecutively measured for every hour. Interestingly, the authors found that the hysteresis of the loop-rating curve was adverse compared to the typical trend of the sand bed streams, which means that the discharge of the rising limb is smaller than the falling limb at the same stage. We carefully speculate that the adverse trend of the loop-rating curve in the gravel bed was caused by the bed resistance change that works differently from the sand bed case.

A Study on the Permeation Properties of Permanent Gases and condensable Vapors through Hexamethyldisiloxane Plasma-Polymerized Membranes (Hexamethyldisiloxane 플라즈마 중합막을 통한 영구기체 및 응축성 증기의 투과특성에 관한 연구)

  • Oh, Sae-Joong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.699-706
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    • 2018
  • The permeation properties of plasma polymer membranes were studied for permanent gases such as He, $H_2$, $O_2$, $N_2$, $CH_4$ and condensable vapors such as $CO_2$, $C_2H_4$, $C_3H_8$. The plasma polymers were prepared by the discharge of microwave or radiofrequency(RF) wave. Hexamethyldisiloxane (HMDS) vapor was used as a monomer for plasma polymerization. In HMDS plasma-polymerized membranes prepared under microwave discharge, the permeability coefficient was dependent of the kinetic molecular diameter of the permeate gases. Additionally the membranes showed higher $O_2/N_2$ permselectivity compared to the plasma polymers from radiofrequency discharge. On the contrary, in the HMDS plasma-polymerized membranes prepared under radiofrequency discharge, the permeability coefficient was dependent of the critical temperature of the permeant gases. The membranes showed high selectivities of $C_2H_4$ and $C_3H_8$ over $N_2$. The permeability coefficient of plasma polymerized membranes prepared under microwave discharge was dependent of the molecular diameter of permeant gases because of high crosslinking density of the membrane. However, the crosslinking density of the plasma polymerized membranes prepared under RF discharge was lower because the energy density of RF wave is weaker than that of microwave. Hence, the permeability of RF plasma polymerized membranes became dependent of the critical temperature rather than molecular diameter of the gases.

The Needs for Discharge Education and Educational Performance of Nurses Perceived by Premature Infants Mothers In the ICT Medical Service (ICT 의료시설 기반에서 미숙아 어머니의 퇴원 교육 요구도와 간호사의 교육수행 정도)

  • Kim, Soo-Heui;Choi, Seong-Woo;Ryu, So-Yeon;Han, Mi-Ah
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.7
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    • pp.707-716
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    • 2016
  • The current research focused on the needs for discharge education and the educational performance of nurses perceived by mothers of premature infants. The subjects for the current research were 54 mothers of premature infants hospitalized in the neonatal intensive care unit at K general hospital in G metropolitan city. The data was collected between June 9, 2014 and September 30, 2014 through self-recording surveys. The needs for discharge education were $4.21{\pm}0.60$ and the perceived educational performance of nurses was $3.95{\pm}0.73$. There was a significant difference between the needs for discharge education and the perceived educational performance in abnormal symptom monitoring and management ($0.55{\pm}0.97$, p=0.001), excrement management ($0.45{\pm}1.11$, p=0.004) and growth development ($0.41{\pm}1.08$, p=0.007). The needs for discharge education was significantly different according to delivery type (vaginal delivery: $4.41{\pm}0.47$, caesarean section: $4.03{\pm}0.47$, p=0.040) and birth order (first: $4.37{\pm}0.53$, second: $4.25{\pm}0.51$, over third: $3.75{\pm}0.72$, p=0.031). Perceived educational performance of nurses was significantly different according to baby sitter (yes: $4.15{\pm}0.66$, no: $3.48{\pm}0.67$, p=0.002). ]

Water Repellent Finishes of Polyester Fiber Using Glow Discharge (글로우방전을 이용한 폴리에스테르섬유의 발수가공)

  • Mo, Sang Young;Kim, Gi Lyong;Kim, Tae Nyun;Chun, Tae Il
    • Textile Coloration and Finishing
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    • v.5 no.4
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    • pp.29-41
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    • 1993
  • In order to surface Hydrophobilization of Poly(ethylene terephthalate) (PET) fiber samples were treated in the atmosphere of CF$_{4}$ or $C_{2}$F$_{6}$glow discharge. The sample used in this study was PET film which is 75$\mu$m thick made by Teijin, O-Type(Japan). The cleaned samples were placed in plasma reactor made of pyrex glass cylinder, and plasma processing was carried out by glow discharge of CF$_{4}$ or $C_{2}$F$_{6}$ gas, being continuously fed by gas flow and continuously pumped out by a vacuum system. Electric power source for generate plasma state was sustained alternating current(60Hz) and voltage was sustained 600 volt. The duration of plasma treatment varied from 15 to 120 seconds except special case, the monomer gase pressure varied from 0.02 to 0.3 Torr and power range was 10 to 90 watts. The hydrophobic features of changed PET surface were evaluated by contact angle measurement and surface chemical characteristics were analyzed by ESCA. Results can be summerized as follows. 1. The most favorable setting position of substrate was the center area between the two electrodes. 2. $C_{2}$F$_{6}$ discharge current was lower than that of CF$_{4}$ when same voltage was sustained. Treated efficiency between CF$_{4}$ and $C_{2}$F$_{6}$ did not revealed significant differences under same electric power(wattage). 3. When monomer pressure is very low below 0.02 torr, as though substrate is exposed to CF$_{4}$ or $C_{2}$F$_{6}$ plasma, it tend to be hydrophilic through a little of fluorine bond and a great deal of oxidizing reaction. 4. There brought good hydrophobilization when monomer pressure was more 0.1 torr and duration of glow discharge treatment was over 45 seconds. When monomer pressure was too high, discharge current became low. Although prolong the duration, there was no more high hydrophobilization. 5. According to ESCA analysis, there were a little CF bond and a prevailing CF$_{2}$ bond in CF$_{4}$-treated substrate. There were CF$_{3}$, a little CF and a prevailing CF$_{2}$ bond in $C_{2}$F$_{6}$-treated substrate.d substrate.

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Water Quality Modelling of Daechung Lake - Effect of Yongdam Dam (용담댐의 영향분석을 위한 대청호 수질모델링)

  • Seo, Dong-Il;Lee, Eun-Hyoung
    • Journal of Korea Water Resources Association
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    • v.35 no.6
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    • pp.737-751
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    • 2002
  • Water quality in Daechung Lake was predicted for various discharge conditions of Yongdam dam. The same scenarios were applied as in the previous paper by the authors for Keum River water quality modeling. Effects in water quality due to changes in discharge conditions from Yongdam Dam were less distinct to the Daechung Lake than to the inflowing Keum River due to sink processes in the lake. For the minimum flow year, it is appropriate to maintain Yongdam dam discharge rate to 8.9 $m^3$/sec considering the current field conditions and future predictions of TN and TP concentrations of Yongdam dam. Effect of Yongdam dam discharge conditions to the Daechung Lake water quality were stronger for drier years. However it should be noted that the effects were dependent upon the water quality of Yongdam discharge at the same time. Therefore, water quality management effort should be emphasized before the discussion over the discharge volume of Yongdam dam. The input data sets for simulations in this study were formulated using the available data and assumptions based on authors experiences for the fields. Therefore, continued data collection effort will ensure the validity of this study.

Clinical Observation on C.V.A with Diabetes Mellitus (당뇨병(糖尿病) 환자(患者)에 병발(倂發)된 뇌졸중(腦卒中)의 임상적(臨床的) 고찰(考察))

  • Yoon, Cheol-Ho;Seo, Un-Kyo;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.15 no.1
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    • pp.22-44
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    • 1994
  • Clinical observations were done on 67 cases with Diabetes Mellitus in CVA patients who were confirmed by CT scan and observed for over 1 week, admitted to the Dept. of Internal Medicine in Oriental Medical Hospital of Dongguk University from January 1992 to December 1993. The results were as follows; 1. 86 patients (15.3%) with Diabetes Mellitus were found in 561 CVA patients, the 6th decade of age was 40.2%, the ratio of male to female was 0.72:1. 2. The local distribution of CVA was similar to common CVA, and occlusive CVD was 83.6%, cerebral hemorrhage was 16.4% in this study. 3. The association between blood glucose and years were not significant. The largest ratio of fasting blood glucose were 140-199 mg/dl (44.6%) in admission, below 139 mg/dl (51.8%) in discharge in case of occlusive CVD. In cerebral hemorrhage, that were 140-199 mg/dl(45.5%) in dmission, below 139 mg/dl (45.5%) in discharge. The largest ratio of pp2hrs blood glucose were 200-299mg/dl in admission and discharge both occlusive CVD and cerebral hemorrhage. 4. The total sensitivity of urine glucose was 71.6%, and sensitivity of urine glucose in cerebral hemorrhage (81.8%) was more higher than that of occlusive CVD (69.6%). 5. Below 4 years had the highest prevalence(44.8%) in duration of diabetes mellitus. Patients usually used oral hypoglycemic agents(41.8%), insulin injection(23.9%) treatment and non-therapeutic was 17.9% in this study. 6. Predisposing factors and symptoms in admissin were similar to common CVA. The conscious disturbance on attacck was 41.1% in occlusive CVD, and that was 63.7% in cerebral hemorrhage. 7. The most common ratio of the season's attack was spring (44.8%), 8. The frequency of post history was as follows, hypertension (44.8%), heart disease (10.4%), and they were in below 199 mg/dl (83.3%) of fasting blood glucose. 9. The family history of CVA was 46.3%, and they was higher than nondiabetic patients. 10. The recurrence rate of CVA was 28.4%, and that of occlusive CVD(28.6%) was higer than cerebral hemorrhage's (18.2%). 11. The smoker was 52.2%, the drinker was 38.9%. 12. The complications was occured in 10 cases (14.9%) after admission, and they frequently occured than common CVA. 13. In admission, the ratio of systolic blood pressure in over l60mmHg was 42.9%, that of diastolic blood pressure in over l00mmHg was 12.5% in occlusive CVD. In cerebral hemorrhage, the ratio of systolic blood pressure in over l60mmHg was 54.5%, that of diastolic blood pressure in over l00mmHg was 27.3%. 14. The average beginned time of physical theraphy was, generally lated, 8.3 days in occlusive CVD, 11.2 days in cerebral hemorrhage. Average admitted period was longer than common CVA, and was 29.2 days in occlusive CVD, 11.2 days in cerebral hemorrhage. 15. The degree of recovery were 82.1% in occlusive CVD, 72.7% in cerebral hemorrhage. 16. The herb medications were various Sunghyanggeonggisans, Sopungtang, Ganghwalyupungtang, Yanggyuksan etc. were used most frequently, and Yukmijihwangtang, Gamidaebotang, Mangeumtang etc. were used as discharge.

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A Low-Power Single Chip Li-Ion Battery Protection IC

  • Lee, Seunghyeong;Jeong, Yongjae;Song, Yungwi;Kim, Jongsun
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.15 no.4
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    • pp.445-453
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    • 2015
  • A fully integrated cost-effective and low-power single chip Lithium-Ion (Li-Ion) battery protection IC (BPIC) for portable devices is presented. The control unit of the battery protection system and the MOSFET switches are integrated in a single package to protect the battery from over-charge, over-discharge, and over-current. The proposed BPIC enters into low-power standby mode when the battery becomes over-discharged. A new auto release function (ARF) is adopted to release the BPIC from standby mode and safely return it to normal operation mode. A new delay shorten mode (DSM) is also proposed to reduce the test time without increasing pin counts. The BPIC implemented in a $0.18-{\mu}m$ CMOS process occupies an area of $750{\mu}m{\times}610{\mu}m$. With DSM enabled, the measured test time is dramatically reduced from 56.82 s to 0.15 s. The BPIC chip consumes $3{\mu}A$ under normal operating conditions and $0.45{\mu}A$ under standby mode.

Inundation Simulation of Underground Space using Critical Dry Depth Scheme (임계 마름 수심기법을 이용한 지하공간 침수 모의)

  • Rhee, Dong Sop;Kim, Hyung-Jun;Song, Chang Geun
    • Journal of the Korean Society of Safety
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    • v.30 no.6
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    • pp.63-69
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    • 2015
  • In this study, a 2D hydrodynamic model equipped with critical dry depth scheme was developed to reproduce the flow over staircase. The channel geometry of hydraulic experiment conducted by Ishigaki et al. was generated in the computational space, and the developed model was validated against flow properties such as discharge, velocity and momentum. In addition, the water surface profile and the velocity distribution evolved in flow over two layers staircases were analyzed. When the initial water depth at the upper floor was 0.3 m, the maximum velocity at lower floor was 4.2 m/s, and the maximum momentum was $1.2m^3/s^2$, and its conversion to force per unit width was 1.2 kN/m. This value was equivalent to the hydrostatic force with 50 cm water depth, and evacuation became difficult, as proposed by Ishigaki et al. For the flow over staircases connecting two layers, the maximum run-up height in flat part connecting two layers was approximately two times higher than the initial water depth in upper floor, and the rapid shock wave with sharp front and long tail was propagated.

The Effect of Back Electrode on the Surface Discharge of polymeric Materials (고분자절연재료에서 배후전극이 연면방전에 미치는 영향)

  • 조기선;신태현;김영조
    • Electrical & Electronic Materials
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    • v.3 no.1
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    • pp.29-35
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    • 1990
  • 원통형 및 평판형 유전체에 임펄스전압을 인가하는 경우 나타나는 50%의 Flash over전압 (F.O.V)특성 및 Lichtenberg 도형에 미치는 배후전극의 영향을 관측하였다. F.O.V는 배후전극이 있는 경우가 없을 때보다 인가전압을 저하시킬 수 있었고 Lichtenberg도형에서 방전로의 진전상태는 배후전극의 존재로 인하여 크게 신장함을 알았다.

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