• 한국의료질향상학회지
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• 제30권1호
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• pp.120-131
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• 2024

Purpose: This study aimed to evaluate the impact of implementing a clinical pathways (CPs) on the clinical outcomes and costs of patients undergoing breast cancer surgery. Methods: This retrospective cohort study included patients who were newly diagnosed with primary breast cancer at the Samsung Medical Center between 2014 and 2019 (N=8482; 2931 patients in the pre-path and 5551 patients in the post-path). Clinical outcomes included reoperation during hospitalization, readmission, and emergency room visits within 30 days of discharge. The cost data for each unit were obtained from an activity-based management accounting system. We performed an interrupted time series analysis. Results: The post-path period showed a significantly shorter hospital length of stay (LOS) than the pre-path period (6.3 days in pre-path vs. 5.0 days in post-path; -1.3 days' difference; p=.001), and fewer reoperations during hospitalization and within 30 days after discharge than the pre-path period. After adjusting for inflation rates and relative value scores, the model demonstrated savings of $146 per patient in the post-path for total costs, and $537 per patient for patient out-of-pocket costs (p=.001). Conclusion: CPs can help reduce costs without compromising the quality of care by reducing the number of reoperations, readmissions, and complications.

• 조명전기설비학회논문지
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• 제19권6호
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• pp.9-15
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• 2005

본 연구는 새로 고안된 부정-논리곱 논리기능을 가지는 방전 논리 게이트 플라즈마 디스플레이 패널의 논리 게이트 방전특성을 해석한 것이다. 이 방전 논리 게이트는 방전 경로에 따른 전극사이의 전압을 제어하여 논리 출력을 유도한다. 실험결과 논리 게이트의 방전특성은 두 수직전극에 인가되는 전압들의 상호관계에 영향을 받는다는 것을 알았다. 그리고 대화면 PDP에의 적용 가능성을 검토하기 위하여 전극의 선저항에 의한 방전특성을 평가한 결과, 두 수직전극들의 선저항에 의한 전압강하가 논리 게이트의 방전에 미치는 영향은 미미한 것으로 추론되었다. 실험을 통해 방전 논리 게이트를 구성하는 각 전극들의 펄스전압과 전류제한저항의 최적 값들을 구하였으며 49[V]의 최대동작마진을 얻었다.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2002년도 춘계합동학술대회 논문집
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• pp.172-175
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• 2002

The technique of induced discharge by a pulsed CO2 laser is being applied to control electrical discharge path, material processing, triggered lightning for protecting the power equipments. In this paper, we have investigated about the characteristics of the induced discharge at atmospheric conditions by using a plasma channel, which is produced when a pulsed CO2 laser radiation is focused by a focusing mirror as a trigger source. A plasma channel produced by laser radiation has an effect on decreasing the threshold voltage and inducing the discharge in both needle electrodes. We have confirmed a delay time between a produced plasma channel and an electrical discharge after laser radiation. We provided the decreased voltage lower than the natural discharge voltage between electrode type of needles and was induced the discharge by forming a plasma channel between them. In this research we could understand the time delay of induced discharge by laser radiation, and the characteristics of the discharge cause by the decrease in the threshold voltage, and the polarity effect by changes of plasma channel positions between two electrodes.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2008년도 춘계학술대회 논문집 센서 박막재료연구회 및 광주 전남지부
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• pp.27-31
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• 2008

In this study, The new type of loop antenna which detects the partial discharge was designed based on microstrip line technology. In diagnosis of power cable, partial discharge signal generally occurred at the frequency range lower than 100MHz because high frequency PD signals could be lost along the propagation path in the cable. The new type of loop antenna sensor has been studied by using Simulation software named CST microwave studio version 5.0. In partial discharge measuring experiments, commercial HFCT sensor was used as a reference sensor. Several experiments were made over HFCT sensor and loop antenna sensor in detection partial discharge on MV XLPE cable of 22.9kV. In this study, we have shown our loop antenna sensor can apply as a commercial HFCT sensor.

• 한국의료질향상학회지
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• 제4권2호
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• pp.242-259
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• 1997

This study describes associated factors of readmission of 213 inpatients from an university hospital in Seoul. This retrospective study reviewed medical records of patients who discharged from a hospital stay for general diseases between 1 August 1995 and 31 October 1995, Cases were 68 discharge patients with an unplanned readmission within 30 days of discharge from an index stay. And the other cases are 145 patients who had more than two discharges and didn't have an unplanned readmission within 30 days. Logistic regression model was analyzed and the results were as follows; 1. duration of readmission, rate of unpayed, room, path, and risk of disease were more likely to be readmitted unexpectedly than the expected readmission patients. 2. early readmission, low risk condition group, and inadquateness of discharge plann for patients had unplanned radmissions rather than planned readmissions. Therefore, discharge planning education to health care provider is required and assessement of discharge planning should be evaluated. Readmissions are usually for related problems that arose during the original hopitaliztion and caused cost problems. Especially the unplanned readmissions are frequently preventable. Ultimately, models for readmissions can serve as a valuable clinical tool for target high-risk patients and older patients and with this kind of tools we can reduce hospital readmissions and maintain high-quality of inpatient care.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2010년도 춘계 학술발표회
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• pp.711-716
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• 2010

This study selected the promising area of submarine groundwater discharge(SGD) that flows into the sea following unconfined physical aquifer through the electrical resistivity survey of the land and sea. The submarine groundwater discharge(SGD) mostly flows into the sea following fracture zones, and the detection of the fault zone becomes the important guideline of groundwater discharge. Electrical sounding of the land assessed the groundwater flow and integration possibility according to the location of a fault that is a water path between underground reservoir and surface water as well as a rock fracture. In addition, the study conducted sea electrical resistivity to expand the area with high potential and selected the expected water potential groundwater area. The areas of the study were Busan and coastal areas, and for the terrain analysis, the candidates of the ground exploration were selected after analyzing lineaments that is expanded to coast direction.

• 한국항만학회지
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• 제13권2호
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• pp.409-418
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• 1999

Gamcheon Bay has complicated and unique flow pattern which is affected by topography characteristics of a semi-closed bay and warm water discharge from the power plant located at the bay. It is very important to consider warm water discharge with tidal period and wind effects, which are mainly acting on the surface flow patterns in Gamcheon Bay. The results of observation show as follows; i) Because Gamcheon bay has much elongated shape to the north-south direction and narrow entrance with two separated breakwaters, the flow is very weak inside the bay. ii) The main flow path is at the west side of the bay. The direction of flood current is northward along the west side of the bay and the direction of ebb current is southward along the west side of the bay. The southward direction of warm water discharge has curved to the west side of the bay. iii)At the period of flood current for neap tide, the flow direction is southward in the bay, which is thought by the effects of warm water discharge. But at the bottom layer, the effects of tidal current reached to the middle of the bay, and showed features like eddy. iv) The wind effect is very strong, especially, prominent in the west and east side of the bay.

• 전기학회논문지
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• 제57권8호
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• pp.1422-1428
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• 2008

In the current PDP technology, one of the most important issues in AC PDP is improvement of luminance and luminous efficacy. To improve luminance and luminous efficacy, new cell structure of PDP containing long discharge path is necessary. However, it causes an increment of firing voltage. In order to decrease firing voltage of AC PDP having long discharge gap, the protrusion electrode is proposed. To drop the firing voltage, the protrusion electrode is inserted into the forward area of the main discharge gap. This paper presents measurements of detailed optical and electrical characteristics of AC PDP with protrusion electrodes. The experimental results show that the proposed structure with gap 80um has lower firing voltage to 27V than that of the conventional long gap structure. Moreover, the ICCD(Intensified Charge Coupled Device) images of the proposed structure show quick discharge generation by 0.07usec and longer continuation by 0.05usec than that of the conventional long gap structure. Therefore, the proposed protrusion electrodes have higher luminance by 12.5% than that of the conventional structure, as having no decrement of Luminous efficacy.

• 조명전기설비학회논문지
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• 제27권1호
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• pp.85-91
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• 2013

This paper studied surface discharge characteristics by a dielectric constant and diameter of solid dielectrics in $N_2/O_2$ mixture gas. Applied electric field strength at $N_2/O_2$ mixture gas was changed from the dielectric constant and diameter of the solid dielectrics, and insulation performance of the $N_2/O_2$ mixture gas determined surface discharge voltage. In each of the diameter at the solid dielectrics, the surface discharge voltage was increased by lengthening surface distance, whereas increasing rate of the surface discharge voltage was different from gas pressure. Thus, In this paper, main factors of surface discharge are as follows. 1) Insulation performance of $N_2/O_2$ mixture gas, 2) Dielectric constant of solid dielectrics, 3) Surface discharge path. It was clear that the surface discharge voltage depend on the main factors. These results will be applied to useful data for an eco-friendly composite insulation design.

• 한국전기전자재료학회논문지
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• 제34권2호
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• pp.136-141
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• 2021

Heating cables, widely used in office buildings, factories, streets and railways, deteriorate in electrical insulation during operation. The insulation deterioration of heating cables leads to electric discharges that can cause electrical fires. With this background, this paper dealt with a condition monitoring technique for heating cables by the analysis of discharge signals to prevent electrical fires. Insulation deterioration was simulated using an arc generator specified in UL1699 under AC operation, and the characteristic and propagation of discharge signals were analyzed on a 100 meter-long heating cable. Discharge signals produced by insulation deterioration were detected as a voltage pulse because they are as small as a few mV and they are attenuated through propagation path. The frequency spectrum of discharge signals mainly existed in the range from 70 kHz to 110 kHz, and the maximum attenuation of the signal was 84.8% at 100 meters away from the discharge point. Based on the experimental results, a monitoring device, which is composed of a high pass filter with the cut-off frequency of 70 kHz, a comparator, a wave shaper and a microprocessor, was designed and fabricated. Also, an algorithm was designed to discriminate the discharge signal in the presence of noise, compared with the pulse repetition period and the number of pulse counts per 100ms. In the experiment, the result showed that the prototype monitoring device could detect and discriminate the discharge signals produced at every discharge point on a heating cable.