• 임상간호연구
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• 제18권3호
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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.

• 성인간호학회지
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• 제13권2호
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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.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2005년도 학술발표회 논문집
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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.

• 전기학회논문지
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• 제60권5호
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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.

• 한국지하수토양환경학회:학술대회논문집
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• 한국지하수토양환경학회 2001년도 총회 및 춘계학술발표회
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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.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권1호
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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.

• 한국자동차공학회논문집
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• 제24권1호
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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.

• 한국환경과학회지
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• 제20권10호
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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.

• 한국산림과학회지
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• 제105권3호
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• pp.321-329
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• 2016

이 연구에서는 2006년 집중호우 시 산사태 및 토석류가 발생한 강원도 인제군의 기룡산 유역을 대상으로 사면붕괴 및 계상변동을 추정하여 만사 상태에 도달한 불투과형 사방댐이 토사유출 조절에 미치는 영향을 정량적으로 해석하고, 이를 토대로 사방댐의 설계 및 준설기준을 고도화하는 데에 필요한 새로운 인자를 제안하였다. 일반적으로 사방댐은 계획평형기울기 구간과 계획홍수기울기 구간에서 각각 토사유출의 억제와 조절 기능을 발휘하고 있다. 연구대상유역에 시공된 불투과형 사방댐은 계획억제토사량에 해당하는 저사량이 $2,111m^3$로 설계되었지만, 2006년 집중호우로 인한 산지교란 발생 시에는 해당 사방댐 직상부로부터 250 m의 계류구간에 걸쳐 $3,996m^3$의 유출토사를 조절한 것으로 관측되었다. 결과적으로 해당 사방댐은 유출토사 억제를 위한 계획억제토사량보다 큰 규모의 계획조절토사량을 나타내어 만사된 이후에도 유출토사의 조절이라는 사방댐의 기능을 발휘하고 있었다. 이와 같이 사방댐의 토사유출 조절기능은 토사유출 억제기능과 구분하여 평가하여야 하지만, 현재 우리나라에서는 현지에서 유역 특성을 실측한 자료를 기반으로 한 계획억제토사량 또는 계획조절토사량을 사방댐의 설계 및 준설기준 인자로서 고려하고 있지 않다. 따라서 합리적인 사방댐의 설계 및 유지관리 기준을 마련하기 위해서는 사방댐의 토사유출 억제기능과 조절기능을 정량적으로 해석한 현장자료가 축적되어야 하며, 이는 우리의 사방기술이 보다 객관적이고도 체계적인 면모를 갖춘 과학적 기술로 발전할 수 있는 방안일 것이다.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2007년 가을학술발표회
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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.