• Title/Summary/Keyword: Discharge Criteria

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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.

Development of Admission and Discharge Criteria in Intensive Care Units (중환자실의 입실과 퇴실 기준 개발)

  • Jang, Yeon-Soo
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.291-304
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    • 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.

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Comparative Study of Flow Profiles & Discharge due to Rainfall Frequency Analysis (강우빈도 해석을 통한 하천 수리$\cdot$수문량 비교 연구)

  • Seo Kyu Woo;Lee In Rock;Won Chang Hee;Shim Bong Joo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.1533-1537
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    • 2005
  • The recent rainfall has happened to exceed the design rainfall after 1990 often, due to the characteristic of the rain to be changed. So, it is failing the ability safety of flood defense equipments to exist. This study analyzed the rainfall of Busan in 2003 since 1961 through the FARD2002(Frequency Analysis of Rainfall Duration). The result is equal to the thing which the design rainfall increased a little since 1991. The change of design rainfall created the result to be a flood discharge increase. This study investigated about the impact to influence on the river bank according to the change of flood discharge, the rainfall pattern change as well. This study used the program of HEC-RAS with HEC-HMS and calculated flood discharge with flood level of river. The result is equal to the thing which the computation became a flood level which exceed 50year(River design criteria-Korea water resources association 2002) criteria with 30year(River establishment criteria-Ministry of construction & transportation 1993), because of an area of impermeability increased of model basin.

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Design of Erase Waveform for Stabilizing Reset Discharge in Mid-gap AC Plasma Display Panels (중간간격을 갖는 교류형 플라즈마 디스플레이 표시기의 소거파형 연구)

  • Yoon, Su-Han;Seo, Jeong-Hyun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.5
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    • pp.993-998
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    • 2011
  • In this paper we suggest new criteria for the classification of the electrode gap between common and scan electrodes. The electrode gap is categorized as a short, middle, and long gap according to the criteria. Among these structures, we focus on the erase waveform of a mid-gap structure. we report an unstable discharge arising from the erase ramp period in a mid-gap structure. Based on the Vt close curve, we analyze the unstable discharge at various conditions. Our analysis reveals that the unstable discharge is ignited between surface electrodes and caused by un-erased wall charges accumulated on the outer edges of electrodes. By reducing the voltage level of the last sustain pulse, the problem is solved.

A Study on Clogging and Hydraulic Properties for Drain Filters of Tunnels (터널배수재 필터의 폐색 및 수리적 특성에 관한 연구)

  • 문준석;한봉수;장연수;이두화
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2001.04a
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    • pp.111-115
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    • 2001
  • Durability of tunnel drains is important, because the accumulation of groundwater around the tunnel due to clogging of filter or reduction of discharge capacity of drain causes reduction of the life time of tunnel linings. In this paper, clogging and discharge capacity of drain and filter of tunnels are evaluated using a gradient ratio test and filter design criteria. The results of the gradient ratio test showed that gradient ratio(GR) is high when fine content is high in the soil samples and equivalent opening size(EOS) of filter materials is small. Measured GR was less than allowable critical gradinet ratio : 3.0, which is the clogging criteria of U.S. Army Corps of Engineers.

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Clinical Profile and Outcomes of Children with Acute Liver Failure in a Tertiary Care Center in South India: A Retrospective Study

  • Anitha Abimannane;Bobbity Deepthi;Rohit Bhowmick;Narayanan Parameswaran
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.1
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    • pp.43-52
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    • 2024
  • Purpose: In this study, we investigated the clinical profile, survival at discharge, and proportion of children with acute liver failure (ALF) meeting the criteria for, yet surviving without, liver transplantation (LT). Methods: Medical case records of children aged >28 days to ≤15 years over a period of 7 years, identified from pediatric admission and discharge registers, were screened. Children satisfying the criteria for ALF were included in this study. Results: A total of 71 records meeting the pediatric ALF (PALF) criteria were included. The survival rate at discharge was 61% (n=44). A considerable proportion of children satisfied the King's College Criteria (KCC) (56.3%) and the European Association for the Study of the Liver (EASL) criteria (7%) for LT at admission. Nonetheless, the survival rate in the absence of LT was 42.5% in children who satisfied the KCC and 20% in those who met the EASL criteria. Infection (29.5%) and paracetamol overdose (19.7%) were the major identifiable causes of PALF. Hepatitis A was the most common infection identified. No significant predictors of poor outcomes were identified in multivariable analysis. Conclusion: Our study highlights the changing survival rates and the clinical and etiological profiles of patients with PALF. In areas with poor access to LT services, survival in these children could be improved through early referral to centers with adequate intensive care facilities. Preventing ALF and referring patients to LT services are paramount to reducing mortality.

The Optimization Study on the Test Method of Remanufactured Power Steering Oil Pump by Using FMEA (FMEA를 활용한 재제조 파워스티어링 오일펌프 시험법에 대한 최적화 연구)

  • Seo, Youngkyo;Jung, Dohyun;Yu, Sangseok;Rha, Wanyong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.24 no.1
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    • pp.90-98
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    • 2016
  • Currently government certified test method for an automobile remanufactured products is insufficient. Thus many automotive parts in the remanufacturing market are lacking proper evaluation criteria and production of defective products are causing customer dissatisfaction. In this paper a power steering oil pump, which requires stringent manufacturing standards, is studied by the failure mode and effect analysis approach. The research suggested that the test criteria such as discharge flow characteristic test, tightness test, pulley run-out test, pressure switch operation test, low temperature test and rotation pressure durability test should be performed to evaluate the reliability of remanufactured power steering oil pumps. As a result of tests, the performance of remanufactured power steering oil pump satisfied the evaluation criteria of pressure switch operation test and low temperature test. However, the remanufactured power steering oil pump failed to satisfy the evaluation criteria on discharge performance test, tightness test and pulley run-out test. These performance evaluation tests proved the necessity of standard process for the remanufactured power steering oil pump.

Runoff Characteristics of NPS in Agricultural Area (포도재배지의 비점오염물질 유출특성)

  • Yi, Youn-Jeong;Lee, Jae-Woon;Kwon, Hun-Gak;Yoon, Young-Sam;Lee, Jae-Kwan
    • Journal of Environmental Science International
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    • v.20 no.10
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    • pp.1285-1295
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    • 2011
  • In this study, occurrence status of nonpoint pollutants and characteristics of discharge by each nonpoint pollutants were examined through monitoring on nonpoint pollutants caused when raining in vineyard belonging to the agricultural area of various land use patterns. Also, the first flush analysis limited to studies on the existing non-percolation area was applied to percolation area to ascertain availability and criteria of study. Various water quality and sluice of nonpoint pollutants were analyzed, based on which discharge of nonpoint pollutants in agricultural area was ascertained to be influenced greatly by artificial factors such as period, cultivation, management, etc. Meanwhile, the first flush phenomenon at agricultural area was ascertained to occur, and the first flush was quantified through calculation of the first flush ratio. If MFF30 is based, discharge load by each nonpoint pollutants caused when raining was investigated to include 40.8% on the basis of total discharge. In case of SS in pollutants showed the highest first flush phenomenon of 64.8%. Through such a result, calculation possibility of the initial rain criteria was ascertained, and it was determined that reliability-assured criteria were calculated through further monitoring.

Estimation of Sediment Discharge Controlled by Sediment-filled Check-dam in a Forested Catchment (산림유역의 만사 사방댐에 의한 토사유출 조절 효과 추정)

  • Seo, Jung Il;Chun, Kun Woo;Song, Dong Geun
    • Journal of Korean Society of Forest Science
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    • v.105 no.3
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    • pp.321-329
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    • 2016
  • To estimate the sediment discharge controlled by sediment-filled check-dam and thereby enhancing factor for check-dam design and dredging criteria, we surveyed slope failures and stream-bed fluctuation caused by geomorphic disturbances (i.e., landslides and debris flows) in Inje, Gangwondo. In general, check-dams play roles for restraining and controlling sediment discharge within a section under the design equilibrium gradient and a section under the design flood gradient, respectively. The results in this study showed same pattern: that is, the closed type check-dam, which has a design restraint sediment discharge of $2,111m^3$, estimated to control a sediment discharge of $3,996m^3$ in the stream section within 250 m right upper area immediately after the disturbances occurred in 2006. As a result, a design control sediment discharge of the check-dam was larger than its design restraint sediment discharge. This represents that the check-dam is still having an own function for controlling sediment discharge although it exceeded the designed capacity by the sediment discharged from upstream during the disturbances. Our finding suggests that the sediment discharge controlling of check-dam may need to be evaluated separately from its sediment discharge restraint. Currently, the country, however, does not consider the design control (or restraint) sediment discharges, based on the actual field survey, as criteria for check-dam design and/or dredging work. Therefore, the accumulation of the quantitative data is required to support that check-dam has functions for both restraining and controlling sediment discharge. This would be a way to develop our erosion control technology to the scientific technology equipped with a more objective and systematic aspects.

The Discharge Capacity Test & Vertical Drain Adoption Considering the Ground Condition (지반특성을 고려한 연직배수재의 통수능 시험 및 선정)

  • Jung, Hun-Chul;Shin, Kyung-Ha;Jung, Ki-Moon;Huh, Jip
    • Proceedings of the Korean Geotechical Society Conference
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    • 2007.09a
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    • pp.373-382
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    • 2007
  • In the vertical drain method, discharge capacity is generally one of the most important factor which affect on the estimation of the drain efficiency. However, adopting the drain considering discharge capacity only is not sufficiently considered method so that systematic criteria for adoption is necessary to choose the most suitable drain. Therefore, this study represents the application method considering behavior of the ground and vertical drain which is coupled together and ground improvement efficiency analyzing various cases of discharge capacity test performed in the recent soft ground improvement projects. According to the analysis, most drains tend to satisfy the required discharge capacity. It presents that deformed shape of the drains and well resistance estimation along the ground settlement, improvement efficiency by water content ratio along the depth and shear strength obtained after ground improvement should be considered altogether with the discharge capacity to select the proper drain. Also, appropriate adoption of drain material considering the ground condition is vital through analyzing the field measured data and comparing the result of the discharge capacity test as various vertical drain materials are being constructed continuously.

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