• 제목/요약/키워드: Early discharge

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Development and Its Characterization of Earth Plate for Early Streamer Discharge (조기방전용 접지판의 개발 및 특성)

  • Choi, Sang-Won;Her, Yong
    • Journal of the Korean Society of Safety
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    • v.29 no.6
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    • pp.46-48
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    • 2014
  • This paper compared and demonstrated the performance of the earth plate for conventional type and early streamer discharging type developed a new plate in order to improve the performance of the ground plate for use in grounding. The results obtained are shown below; early streamer discharge earth plate was high 5 kV on DC flashover voltage and corona discharge current was higher than about 2 times under the same test conditions compared to the conventional earth plate. From the experiential result, streamer discharge earth plate had a function of rapid inflow/out flow than the general ground plane because of by corona discharge current to be generated in the sharp serrated in formed the ground plane when strike current occurred. In the future, the newly developed early streamer discharge ground plate would be beneficial for grounding work to be widely used to promote the convenience and economy of construction.

The Outcomes of Early Discharge Program for Extremely Low Birth Weight Infants (초극소미숙아를 위한 조기 퇴원 프로그램의 운영 성과)

  • Lee, Eun-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.4 no.1
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    • pp.25-35
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    • 2011
  • Purpose: The purpose of this study was to evaluate the actual outcomes of early discharge program for extremely low birth weight (ELBW) infants. Methods: Medical records of 122 ELBW infants admitted in the neonatal intensive care unit from January 2000 to June 2006 and those of their 112 mothers were analyzed retrospectively. Results: After being applied early discharge program to ELBW infants' mothers, their infants' lengths of stay, gestational age and body weight at discharge, duration of completion of oral feeding, number of emergency room visits after discharge were decreased and number of breast milk feeding was increased. Conclusion: Early discharge program for ELBW infants can be an effective intervention for parents and their ELBW infants contributing to neonatal nursing practices.

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A Preliminary Study for Expending of Hospital-Based Horne Health Care Coverage - Focused on Accident Inpatients Who has the Workers Compensation Insurance - (병원중심 가정간호사업 관리대상범위 확대를 위한 기초연구)

  • Lee, Sook-Ja;Lee, Jin-Kyung;Ryu, Ho-Sihn
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.6
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    • pp.5-18
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    • 1999
  • This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

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Analyses on the Mean Length of Stay of and the Income Effects due to Early Discharge of Car Accident Patients at General Hospital (3차 병원에 입원한 교통사고환자의 평균 재원기간과 조기퇴원시의 수입증대효과 분석연구)

  • Ryu, Ho-Sihn
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.70-79
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    • 1999
  • This study attempts to encourage the development of a rehabilitation delivery system as a substitute service for hospitalization such as a community based intermediate facility or home health care. We need substitute services for hospitalization to curtail the length of stay for inpatients due to car accidents. It focused on developing an estimation for early discharge based on a detailed statement of treatment from medical records of 109 inpatients who were hospitalized at General Hospital in 1997. This study has three specific purposes: First, to find the mean length of stay and mean medical expenditure. Second, to estimate the mean of early discharge from the mean length of stay. Third, to analyize the income effect per bed from early discharge. In order to analyze the length of stay and medical expenditure of inpatients the author conducted a micro and macro-analysis with medical expenditure records. To estimate the early discharge we examined with a group of 4 experts decreases in the amount of treatment after surgery, in treatments, in tests, in drug methods. We also looked their vital signs, the start of ROM exercise, the time removel, a patient's visitations, and possible stable conditions. In addition to identifing the income effect due to an early discharge, the data was analyzed by an SPSS-PC for windows and Excell program with a regression analysis model. The research findings are as follows: First, the mean length of stay was 47.56 days, but the mean length of stay due to early discharge was 32.26 days. The estimation of early discharge days was shown to depend on the length of stay. The longer the length of stay, the longer the length before discharge. For example, if the patient stayed under 14 days the mean length of stay was 7.09 while an early discharge was 6.39, whereas if the mean length of stay was 155.73, the early discharge time was 107.43. The mean medical expenditure per day of car accident patients was found to be 169,085 Won, whereas the mean medical expenditure per day was shown to be in a negative linear form according to the length of stay. That is the mean expenditure for under 14 days of stay was 303,015 Won and the period of the hospitalization of 15 days to 29 days was 170,338 Won and those of 30 days to 59 days was 113,333 Won. The estimation of the income effect due to being discharged 16 days was around 2,350,000 Won with a regression analysis model. However, this does not show the real benefits from an early discharge, but only the income increasing amount without considering prime medical cost at a general hospital. Therefore, we need further analysis on cost containments and benefits incending turn over rates and medical prime costs. From these research findings, the following suggestions have been drawn, we need to develop strategies on a rehabilitation delivery system focused on consumers for the 21st century. Varions intermediate facilities and home health care should be developed in the community as a substitute for shortening the length of stay in hospitals. In home health care cases, patients who want rehabilitation services as a substitute for hospitalization in cooperation with private health insurance companies might be available immediately.

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A Preliminary Study for Expending of Hospital-Based Home Health Care Coverage - Focused on Car Accident Inpatients Who has the Compensation Insurance - (병원중심 가정간호관리대상 범위 확대를 위한 기초연구(II) - 자동차보험가입 입원환자를 대상으로 -)

  • Park, Eun-Sook;Lee, Sook-Ja;Park, Young-Ju;Ryu, Ho-Sihn
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.7 no.1
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    • pp.58-72
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    • 2000
  • This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

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Performance Evaluation of Early Streamer Emission Lightning Air Terminal

  • Choi, Sang-Won;Her, Yong
    • International Journal of Safety
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    • v.5 no.2
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    • pp.18-23
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    • 2006
  • Studies have claimed that ESE (Early Streamer Emission) air terminals offer a vastly increased zone of protection over that of traditional lightning rods (Franklin rods) by causing the emission of an upward streamer/leader: The upward streamer/leader will propagate towards the tip of the downward leader at an early stage in the attachment process.. This paper shows the results of a performance evaluation test of a particular type of the ESE air terminal (called "ElecHippo") with a simple rod tested at the Korea Electrotechnology Research Institute (KERI). The corona emission current of the ElecHippo made by Yong-Jin Enterprise Corp. has also been measured at the Occupational Safety & Health Research Institute (OSHRI). The results show that the ElecHippo meets the French standard of NFC 17-102-1995. The results also verify the ESE performance by measuring the ion emission current generated in the discharge electrode gap as a function of the capacitance and inductance of the equipped devices. Finally, we propose a new method for grounding the system to reduce the lightning damage by combining the ESE air terminal, the early discharge earth plate, the lightning strike recorder and the surge protection device.

A Study of the Effects of Behavior Contact in Early Mother-Infant Attachment (분만 직후 어머니의 신생아 접촉이 모아애착행위에 미치는 영향)

  • Sung Mi-Hae;Kim Mi-Kyung
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.842-849
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    • 2005
  • Purpose: The main purpose of this study was to establish a nursing intervention data base to improve maternal attachment. Method: The first group of mothers( control group), experienced their first physical contact with their infants after being discharged from the hospital. The second group (experimental group) practiced early initial mother-infant postpartum contact known as the most sensitive period for founding maternal-infancy attachment. The subjects of this study gave birth to normal infants at M hospital from Aug.25 to Sept.30, 2004. During the same time, data was collected through direct observation, with instruments designed by Cropley et al., to assess the behaviors of normal attachment. The statistical methods for data analysis were percentage, mean, standard deviation and t-test with an SPSS program. Result: The group practicing initial mother-infant contact, showed a higher degree of physical and functional bonding than the group experiencing the first contact after discharge from the :10spital (control group)(p<.0l). The group practicing initial mother-infant contact, showed higher degrees of bonding attachment assessments than the group experiencing their first initial contact after their discharge from the hospital(p<.01). Conclusion: The group practicing early mother-infant contact, showed more maternal-infant interaction than the group experiencing their initial contact after their discharge from the hospital. These results show that maternal attachment behavior increases according with an early initial mother-infant contact.

Spread Patterns of Thermal Effluent Discharged From Young-Kwang Nuclear Power Plant Using Remote Sensing Data

  • Han J. G.;Yeon Y. K.;Chi K. H.
    • Proceedings of the KSRS Conference
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    • 2004.10a
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    • pp.331-335
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    • 2004
  • This study is focused to analyze the movement of thermal effluent dischargeed from nuclear power plant by season, ebb and flow, and before and after foundation of tide embankment using thermal infrared band image of 28 scenes observed from Landsat from 1987 to 2004, which is the early stage of operation of young-kwang nuclear power plant. In diffusion of thermal effluent discharge by seasons, spring and summer is spreading further than autumn and winter. It is considered to distribute widely mixed with thermal effluent discharge and hot water, which is distributed naturally along the seaside. It is known the fact that tidal currents control the direction of diffusion of thermal effluent discharge by the change of ebb and flow. Namely, it is distributed widely on the Southwest direction along the seaside by tidal currents when ebb and, it is moved widely on the Northeast direction along the seaside by tidal current when flood. However, in the early stage of flood current, the mainstream of thermal effluent discharge is spread on Southwest direction and, the direction is changed on North­east way when the latter period of flood current. Similarly, in the early stage of ebb current, the mainstream of thermal effluent discharge is spread on Northeast direction and, the direction is changed on Southwest direction when the latter period of ebb current. As the result of comparing to the diffusion pattern of thermal effluent discharge before and after the foundation of seawall, discharged thermal effluent from the drain of plant by the foundation of dike is shown as curved circle pattern on Northeast to West direction from the ending portion of the seawall.

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Performance Analysis on Early Detection of Fault Symptom of a Pump with Abnormal Signals (오신호 입력에 따른 펌프의 고장징후 조기감지 성능분석)

  • Jung, Jae-Young;Lee, Byoung-Oh;Kim, Hyoung-Kyun;Kim, Dae-Woong
    • Journal of Power System Engineering
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    • v.20 no.2
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    • pp.66-72
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    • 2016
  • As a method to improve the equipment reliability, early warning researches that can be detected fault symptom of an equipment at an early stage are being performed out among developed countries. In this paper, when abnormal signal is input to actual normal signal of a pump, early detection studies on pump's fault symptom were carried out with auto-associative kernel regression as an advanced pattern recognition algorithm. From analysis, correlations among power of motor driving pump, discharge flow of pump, power output of pump, and discharge pressure of pump are exited. When the abnormal signal is input to one of those normal signals, the other expected values are changed due to the influence of the abnormal signal. Therefore, the fault symptom of pump through the early-warning index is able to detect at an early stage.

A study about computer diagnosis that apply fuzzy algorithm and PRPDA accumulation detection of PD signal (부분방전 신호의 PRPDA누적 검출과 퍼지 알고리즘을 이용한 컴퓨터 진단에 관한 연구)

  • Kim, Jin-Su;Park, Keon-Jun;Oh, Sung-Kwun;Kim, Yong-K.
    • Proceedings of the IEEK Conference
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    • 2005.11a
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    • pp.1015-1018
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    • 2005
  • In this paper, we introduce about a new class to analysis of partial discharge signal based on Fuzzy model. We can early diagnose life of power cable through detection of partial discharge signal. However, partial discharge signal detector is difficult because of partial discharge signal is very non-linear. Also, it is very difficult work that separate partial discharge signal from noise. We constructed partial discharge accumulation detection system that use Labview for detection of non-linear partial discharge signal. And analyzed partial discharge signal that is detected by Labview system utilizing Fuzzy model.

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