• 제목/요약/키워드: Stay

검색결과 2,826건 처리시간 0.026초

응급의료센터 체류시간 최적화 (A Stay Time Optimization Model Emergency Medical Center (EMC))

  • 김은주;임지영;류정순;조선희;배나리;김상숙
    • 가정∙방문간호학회지
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    • 제18권2호
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    • pp.81-87
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    • 2011
  • Purpose: The aim of this study was to estimate optimization model of stay time in EMC. Methods: Data were collected at an EMC in a hospital using medical records from June to August in 2007. The sample size was 8,378. The data were structured by stay time for doctor visit, decision making, and discharge from EMC. Descriptive statistics were used to find out general characteristics of patients. Average mean and quantile regression models were adopted to estimate optimized stay time in EMC. Results: The stay times in EMC were highly skewed and non-normal distributions. Therefore, average mean as an indicator of optimal stay time was not appropriate. The total stay time using conditional quantile regression model was estimated about 110 min, that was about 166 min shorter than estimated time using average mean. Conclusion: According to these results, we recommend to use a conditional quantile regression model to estimate optimal stay time in EMC. We suggest that this results will be used to develop a guideline to manage stay time more effectively in EMC.

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Dynamic characteristics of cable vibrations in a steel cable-stayed bridge using nonlinear enhanced MECS approach

  • Wu, Qingxiong;Takahashi, Kazuo;Chen, Baochun
    • Structural Engineering and Mechanics
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    • 제30권1호
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    • pp.37-66
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    • 2008
  • This paper focuses on the nonlinear vibrations of stay cables and evaluates the dynamic characteristics of stay cables by using the nonlinear enhanced MECS approach and the approximate approach. The nonlinear enhanced MECS approach is that both the girder-tower vibrations and the cable vibrations including parametric cable vibrations are simultaneously considered in the numerical analysis of cable-stayed bridges. Cable finite element method is used to simulate the responses including the parametric vibrations of stay cables. The approximate approach is based on the assumption that cable vibrations have a small effect on girder-tower vibrations, and analyzes the local cable vibrations after obtaining the girder-tower responses. Under the periodic excitations or the moderate ground motion, the differences of the responses of stay cables between these two approaches are evaluated in detail. The effect of cable vibrations on the girder and towers are also discussed. As a result, the dynamic characteristics of the parametric vibrations in stay cables can be evaluated by using the approximate approach or the nonlinear enhanced MECS approach. Since the different axial force fluctuant of stay cables in both ends of one girder causes the difference response values between two approach, it had better use the nonlinear enhanced MECS approach to perform the dynamic analyses of cable-stayed bridges.

Design strategy of hybrid stay cable system using CFRP and steel materials

  • Xiong, Wen;Cai, C.S.;Xiao, Rucheng;Zhang, Yin
    • Steel and Composite Structures
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    • 제13권1호
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    • pp.47-70
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    • 2012
  • To enhance cable stiffness, this paper proposed a combined application of carbon fiber reinforced polymers (CFRP) and steel materials, resulting in a novel type of hybrid stay cable system especially for the cable-stayed bridges with main span lengths of 1400~2800 m. In this combination, CFRP materials can conserve all their advantages such as light weight and high strength; while steel materials help increase the equivalent stiffness to compensate for the low elastic modulus of CFRP materials. An increase of the equivalent stiffness of the hybrid stay cable system could be further obtained with a reasonable increase of its safety factor. Following this concept, a series of parametric studies for the hybrid stay cable system with the consideration of stiffness and cost were carried out. Three design strategies/criteria, namely, best equivalent stiffness with a given safety factor, highest ratio of equivalent stiffness to material cost with a given safety factor, and best equivalent stiffness under a given cost were proposed from the stiffness and cost viewpoints. Finally, a comprehensive design procedure following the proposed design strategies was suggested. It was shown that the proposed hybrid stay cable system could be a good alternative to the pure CFRP or traditional steel stay cables in the future applications of super long span bridges.

체계적 문헌고찰과 메타상관분석을 이용한 간호사 재직의도 영향요인 고찰 (Influencing Factors on Nurse's Intention to Stay: Systematic Review and Meta Correlation Analysis)

  • 임지영;신정애;김슬기;이은미;김선희
    • 가정∙방문간호학회지
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    • 제26권3호
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    • pp.265-277
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    • 2019
  • Purpose: This study was performed to explore research trends in the intention to stay of hospital nurses and provide basic data to establish nursing management strategies to increase the intention to stay. Methods: Articles published between 2009 and 2018 were searched. The search terminologies were "intention to stay," "nurse", and "hospital". In the first search, 381 articles were extracted from academic databases. Thirty articles were used in the systematic review, and 29 articles were used in the correlation meta-analysis. Results: Thirty-two variables were explored in relation to the intention to stay. In the correlation analysis, job satisfaction and work environment showed statistically significant positive correlations in many studies. In the correlation meta-analysis, 7 variables including organizational commitment showed statistically significant effect sizes. Conclusion: We suggest that structural equation model analysis to identify causal relations among influencing variables of the intention to stay of hospital nurses may be conducted. This study can be used as a guideline to develop intention-to-stay enhancement programs for hospital nurses.

농촌민박 서비스품질이 고객만족과 추천의도에 미치는 영향 (The Effect of Service Quality of Rural Stay on Customer Satisfaction and Recommendation Intention)

  • 장동헌
    • 농촌계획
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    • 제24권1호
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    • pp.89-97
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    • 2018
  • Recently, interest in rural tourism for urban dwellers has increased, and rural communities are chosen as tourist destinations. Under these circumstances, the study was designed to analyze the effects of the quality of service at rural stay sites on customer satisfaction and recommendation intention. The analysis method analyzes the demographic characteristics of the survey participants and characteristics of participation in rural stay. And the quality of service for the experience of rural stay was analyzed with SERVQUAL'S five-dimensional type, reliability, assurance, responsiveness, empathy, tangible and customer satisfaction, intent of recommendation and regression. Major analysis shows that the survey subjects were found to have an average age of 41.8 years, 49 to 59 years old, and a high degree of university graduation. And as characteristic of participation, the form of company was family and relatives, the form of family meeting was many summer, the reservation was Internet, and payment by cash and card were many. As a result of the hypothesis testing, reliability, assurance, responsiveness, and empathy among the quality of service of rural stay were affected in customer satisfaction. In addition, the quality of service and the intent to recommend it were statistically significant, reliability, assurance and empathy. Therefore, it is deemed necessary to make efforts to improve service quality as the quality of service at rural stay places has relevance to customer satisfaction and recommendation intention.

엑스트라도조교 사재 정착구 시스템에 대한 실험적 연구 (Experimental Study of Extradosed Bridge Anchor System)

  • 김기동;박원태
    • 한국안전학회지
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    • 제25권6호
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    • pp.146-154
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    • 2010
  • In this study the experimental results of fatigue specimen for the Strand Stay Cable Assembly of Extadosed bridges is investigated. The fatigue test and tensile experiment is conducted to 6 kinds of specimens. Test specimen OVM250-31 Strand Cable System manufactured by china OVM B-Machinery Co., Ltd, and OVM250-42 Parallel Strand Stay Cable Assembly manufactured by china OVM B-Machinery Co., Ltd, are passed for fatigue test and rupture tensile test. But Test specimen OVM250-42 Parallel Strand Stay Cable Assembly manufactured by korean A-Machinery Co., Ltd, is not passed for fatigue test conducted according to the "Recommendation for Stay Cable Design. The test result are compared to the fatigue criteria of PHI 2001 for cyclic load, and it is concluded that the current korean design code will be needed for representing the fatigue load in Hot Dip Galvanized Strand Stay Cable. It is verified that the new korean specification and quality criteria of Strand Stay Cable and exact experimental applied process will be needed.

Factors Influencing Discharge Destination and Length of Stay in Stroke Patients in Restorative Rehabilitation Institution

  • Gyu-Bum Lee;Jee-Sun Lee;Jeong Soo Kim
    • 한국전문물리치료학회지
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    • 제31권1호
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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.

Day Stay Anesthesia in Dentistry

  • Lee, Doo-Ik
    • 대한치과마취과학회지
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    • 제1권1호
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    • pp.5-9
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    • 2001
  • Day stay anesthesia should include: rapid smooth onset; rapid recovery without residual side effects; absence of adverse effects (N/V); and providing postoperative analgesia. General anesthesia with multi-modalities (inhalation, intravenous and local anesthesia) may be preferable in day stay surgery. Future studies on new drugs and techniques for day stay anesthesia need comparing the increased coat of newer treatments with the potential financial savings resulting from earlier hospital discharge, reduced supplemental drugs, and earlier return to work.

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Quantitative Trait Loci Associated with Functional Stay-Green SNU-SG1 in Rice

  • Yoo, Soo-Cheul;Cho, Sung-Hwan;Zhang, Haitao;Paik, Hyo-Chung;Lee, Chung-Hee;Li, Jinjie;Yoo, Jeong-Hoon;Lee, Byun-Woo;Koh, Hee-Jong;Seo, Hak Soo;Paek, Nam-Chon
    • Molecules and Cells
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    • 제24권1호
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    • pp.83-94
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    • 2007
  • During monocarpic senescence in higher plants, functional stay-green delays leaf yellowing, maintaining photosynthetic competence, whereas nonfunctional stay-green retains leaf greenness without sustaining photosynthetic activity. Thus, functional stay-green is considered a beneficial trait that can increase grain yield in cereal crops. A stay-green japonica rice 'SNU-SG1' had a good seed-setting rate and grain yield, indicating the presence of a functional stay-green genotype. SNU-SG1 was crossed with two regular cultivars to determine the inheritance mode and identify major QTLs conferring stay-green in SNU-SG1. For QTL analysis, linkage maps with 100 and 116 DNA marker loci were constructed using selective genotyping with $F_2$ and RIL (recombinant inbred line) populations, respectively. Molecular marker-based QTL analyses with both populations revealed that the functional stay-green phenotype of SNU-SG1 is regulated by several major QTLs accounting for a large portion of the genetic variation. Three main-effect QTLs located on chromosomes 7 and 9 were detected in both populations and a number of epistatic-effect QTLs were also found. The amount of variation explained by several digenic interactions was larger than that explained by main-effect QTLs. Two main-effect QTLs on chromosome 9 can be considered the target loci that most influence the functional stay-green in SNU-SG1. The functional stay-green QTLs may help develop low-input high-yielding rice cultivars by QTL-marker-assisted breeding with SNU-SG1.

의료정보를 활용한 허혈성 심장질환의 재원일수에 영향을 미치는 요인 분석 (Factors Influencing the Length of Stay Ischemic Heart Disease Utilizing Medical Information)

  • 박지경
    • 한국산학기술학회논문지
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    • 제18권10호
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    • pp.354-362
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    • 2017
  • 인구 고령화와 서구화된 생활로 인한 허혈성 심장질환이 지속적으로 증가하고 있으며, 우리나라는 OCED 국가 중에서 허혈성 심장질환의 재원일수가 높은 국가에 속한다. 재원일수 증가는 진료비 상승의 주요 원인이므로, 허혈성 심장질환의 재원일수 관리방안 마련이 필요하다. 이에 본 연구는 허혈성 심장질환자의 재원일수에 영향을 미치는 요인을 파악하여 재원 일수 관리에 필요한 기초자료를 제공하고자 시도되었다. 연구대상자는 일개 상급종합병원의 2015년1월1일부터 12월31일까지 순환기내과의 퇴원환자 중에서 주진단명이 허혈성 심장질환인 환자 566명이다. 자료분석은 IBM SPSS ver. 23.0을 이용하여 빈도분석, 교착분석, Fisher's test, One-way ANOVA, $Scheff{\acute{e}}$ test, 더미변수를 이용한 다중회귀분석을 실시하였다. 연구결과는 첫째, 흉통을 주호소로 입원한 환자가 가장 많았다. 둘째, 평균 재원일수는 4.89일이었으며, 허혈성 심장질환 종류별로 재원일수에 차이가 있었다. 셋째, 75세이상, 당뇨병, 호흡곤란 증상이 재원일수를 증가시키는 요인으로 나타났다. 따라서 허혈성 심장질환의 적정 재원일수 관리를 위해서는 당뇨병을 동반한 허혈성 심장질환자의 경우에는 혈당조절을 통해서 질병의 진행을 막는 것이 중요하며, 증상이 나타났을 경우 빠른 시간 내에 의료기관을 방문할 수 있는 체계마련이 필요하다.