• Title/Summary/Keyword: Safe discharge

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A Study about Discharge Criteria to Determine Patients' Readiness for Safe Return to Home after Ambulatory Surgery (통원 수술환자의 안전한 귀가 결정을 위한 퇴실기준에 관한 연구)

  • Yoon, Ke Sook;Kim, Eun Gyeong;Jung, So Hyun;Lee, Seung Ju;Jung, Mi Kyoung;Lee, Young Mee
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.3
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    • pp.435-446
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    • 2012
  • Purpose: This study was conducted to compare three discharge criteria; 1) discharge criteria of S Hospital determined by nurses, 2) discharge readiness determined by patients, and 3) the Modified Post-Anesthetic Discharge Scoring System (MPADSS). The usefulness of MPADSS as a discharge criteria for the patients'safe return to home after ambulatory surgery was also evaluated. Methods: A total of 370 day surgery cases were investigated. The MPADSS was employed in every 30 min. in parallel with discharge readiness assessment by nurses and patients. The percentage of the patients who were categorized as being ready to discharge were compared according to three discharge criteria. Results: The percentage of patients scored to be as MPADSS > 9 in 30 min, 60 min, 90 min were 96.5%, 99.5%, 100%respectively. Whereas 11.1%, 44.3%, 71.1%of patients rated themselves as being ready to discharge and 2.7%, 23.5%, 54.3% of patients actually discharged by nurses according to discharge criteria of S Hospital. Conclusion: Nurses tend to keep patients longer in the hospital when compared to the patient's own assessment about their readiness to home and to that of MPADSS. Faster discharge in the evening than day time suggests patient discharge can be influenced by nursing factors. This brings out the importance of scoring system to determine the safe discharge. The MPADSS could be a useful tool in evaluating patients for safe discharge.

Fabrication and Characterisitics of Al2O3-SiC Ceramic Composites for Electrostatic Discharge Safe Components (대전방지용 Al2O3-SiC 복합세라믹 소결체의 제조 및 특성)

  • Kim, Ha-Neul;Oh, Hyun-Myung;Park, Young-Jo;Ko, Jae-Woong;Lee, Hyun-Kwuon
    • Journal of Powder Materials
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    • v.25 no.2
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    • pp.144-150
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    • 2018
  • $Al_2O_3-SiC$ ceramic composites are produced using pressureless sintering, and their plasma resistance, electrical resistance, and mechanical properties are evaluated to confirm their applicability as electrostatic-discharge-safe components for semiconductor devices. Through the addition of Mg and Y nitrate sintering aids, it is confirmed that even if SiC content exceeded 10%, complete densification is possible by pressureless sintering. By the uniform distribution of SiC, the total grain growth is suppressed to about $1{\mu}m$; thus an $Al_2O_3-SiC$ sintered body with a high strength over 600 MPa is obtained. The optimum amount of SiC to satisfy all the desired properties of electrostatic-discharge-safe ceramic components is obtained by finding the correlation between the plasma resistance and the electrical resistivity as a function of SiC amount.

Comparison of Classification Rate for PD Sources using Different Classification Schemes

  • Park Seong-Hee;Lim Kee-Joe;Kang Seong-Hwa
    • Journal of Electrical Engineering and Technology
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    • v.1 no.2
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    • pp.257-262
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    • 2006
  • Insulation failure in an electrical utility depends on the continuous stress imposed upon it. Monitoring of the insulation condition is a significant issue for safe operation of the electrical power system. In this paper, comparison of recognition rate variable classification scheme of PD (partial discharge) sources that occur within an electrical utility are studied. To acquire PD data, five defective models are made, that is, air discharge, void discharge and three types of treeinging discharge. Furthermore, these statistical distributions are applied to classify PD sources as the input data for the classification tools. ANFIS shows the highest rate, the value of which is 99% and PCA-LDA and ANFIS are superior to BP in regards to other matters.

Influence on Metal Removal Rate by Material and Size Difference of the Electrode (전극의 재료와 크기가 방전가공량에 미치는 영향)

  • 김희중
    • Journal of Advanced Marine Engineering and Technology
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    • v.22 no.6
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    • pp.809-815
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    • 1998
  • This study has been performed to investigate MRR(metal removal rate) surface roughness with various pulse-on duration using the copper and graphite electrode according to the electrode size on the heat treated STD 11 which is extensively used for metallic molding steel in the EDM. The results obtained are as follow ;a)MRR increases a lot when pulse-on duration is 100 $\mu{s}$ or less but MRR has little difference with pulse-on duration of 100 $\mu{s}$ or more b) According to the increase of Pulse-on duration the large the electrode size the more MRR c) Safe discharge is needed to make maximum of MRR and the metallic organization must be complicated for discharge induction. d) Actual machining time is longer than theoretical machining time at the short pulse-on duration because of skin effect of current. e) Graphite electrode needs the larger electric discharge energy than copper electrode to remove remained chips completely.

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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.

Application of soil aquifer treatment to secure clean and safe river water in urban watershed (토양/대수층 처리를 이용한 깨끗하고 안전한 도심하천 유지용수 확보 기술)

  • Kim, Jung-Woo;Cha, Sung-Min;Choi, Hee-Chul
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.409-411
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    • 2008
  • Water conveyance from waste water treatment plant can play a role in securing river water quantitatively in urban watershed, but it can also cause more severe contamination of river water due to lack of water quality management. Soil aquifer treatment(SAT) has been introduced to overcome the worsening water quality in the water conveyance system considering the characteristics of Korean urban watershed. The application of SAT to the water conveyance system not only improve water quality of ordinarily discharged water but also prevent accidential water pollution to the urban watershed. Since most domestic urban watersheds are consist of narrow terrace lands and surrounded by roads, SAT is estimated not to be appropriate to the urban watershed with respect to the quantitative efficiency. However, since the upstream of urban watershed in which discharge ports are located usually consists of agricultural lands, SAT can be applied near discharge ports. Therefore, combination of water conveyance and SAT is expected to supply clean and safe river water in urban watershed.

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Safe Discharge Criteria After Curative Gastrectomy for Gastric Cancer

  • Guner, Ali;Kim, Ki Yoon;Park, Sung Hyun;Cho, Minah;Kim, Yoo Min;Hyung, Woo Jin;Kim, Hyoung-Il
    • Journal of Gastric Cancer
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    • v.22 no.4
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    • pp.395-407
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    • 2022
  • Purpose: This study aimed to investigate the relationship between clinical and laboratory parameters and complication status to predict which patients can be safely discharged from the hospital on the third postoperative day (POD). Materials and Methods: Data from a prospectively maintained database of 2,110 consecutive patients with gastric adenocarcinoma who underwent curative surgery were reviewed. The third POD vital signs, laboratory data, and details of the course after surgery were collected. Patients with grade II or higher complications after the third POD were considered unsuitable for early discharge. The performance metrics were calculated for all algorithm parameters. The proposed algorithm was tested using a validation dataset of consecutive patients from the same center. Results: Of 1,438 patients in the study cohort, 142 (9.9%) were considered unsuitable for early discharge. C-reactive protein level, body temperature, pulse rate, and neutrophil count had good performance metrics and were determined to be independent prognostic factors. An algorithm consisting of these 4 parameters had a negative predictive value (NPV) of 95.9% (95% confidence interval [CI], 94.2-97.3), sensitivity of 80.3% (95% CI, 72.8-86.5), and specificity of 51.1% (95% CI, 48.3-53.8). Only 28 (1.9%) patients in the study cohort were classified as false negatives. In the validation dataset, the NPV was 93.7%, sensitivity was 66%, and 3.3% (17/512) of patients were classified as false negatives. Conclusions: Simple clinical and laboratory parameters obtained on the third POD can be used when making decisions regarding the safe early discharge of patients who underwent gastrectomy.

A Stuty of Protection Circuit for Discharge Lamp Ballast (방전등 안정기의 보호회로 기술 현황)

  • Han, Soo-Bin;Park, Suck-In;Song, Eu-Gine;Jeoung, Hak-Guen;Jung, Bong-Man
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2008.05a
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    • pp.133-135
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    • 2008
  • In a design of ballast for discharge lamp, various kind of protection circuit are essential for safe operation. In this paper, overvoltage and current detection, no-load detection, lamp-fault detection, end of lamp detection for protection are introduced. Individual circuit operation and their function are described with the base that all circuit form is similar with overvoltage protection circuit.

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A Study on Pattern Making of Degradation Type Using K-means (K-means를 이용한 열화 형태의 패턴화에 관한 연구)

  • Lee, Deok-Jin
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.27 no.12
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    • pp.877-882
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    • 2014
  • It has been confirmed that the inner defect of transformer and the perfect diagnosis for aging are closely related to safe electric power transmission system and that the detection of accident and diagnosis technique turn out to be very important issues. Since electric power machinery consists of various kinds of components, however, it is very difficult to make a diagnosis for aging by one parameter. Thus, diagnosis for aging is feasible only through the combination of various parameters. Recently, various expert systems have been developed and applied to diagnosis for aging, but they are not yet reliable enough to apply to the real system. In this paper, XLPE which is ultra high voltage cable insulator material were chosen to investigate the influence of void on insulator material using partial discharge. Obtained data have been processed by PRPD (phased resolved partial discharge) distribution function and K-means. And statistical and cluster distribution of partial discharge have been analysed and investigated.