• Title/Summary/Keyword: Early discharge

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A Study on the Pressure Ulcers in Neurological Patients in Intensive Care Units (신경계 중환자의 욕창발생에 관한 연구)

  • Im, Mi-Ja;Park, Hyoung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.190-199
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    • 2006
  • Purpose: To provide basic data and to identify the risk of pressure ulcers among neurological patients in ICU. Method: The participants in the study were on 78 neurological patients in the ICU of 3 hospitals. Data were collected every other day from 24 hours after admission, for up to 40 days or until discharge. The total period of data collection was 3 months. The risk assessment scales used for pressure ulcer were the Cubbin & Jackson(1991) scale and the National Pressure Ulcer Advisory Panel(1989) skin assessment tool. Results: There was a significant relationship between having a pressure ulcers and weight, skin condition, mental status, respiration, hygiene and hemodynamic status compared to not having a pressure ulcer. The incidence rate of the pressure ulcer was 28.2%(n=22). Of these patients the mean number of hospitalization days until pressure ulcer development was 5.2 days. The most common pressure ulcer site was the coccyx(39.3%). Based on a cut-off point of 24, 9 patients with risk scores <24 on admission also showed risk score for development of pressure ulcers, 10 patients with pressure ulcer scores ${\geq}24$ were older, hospitalized for a longer time, had low serum albumin, low hemoglobin, diabetes mellitus and surgery. Conclusion: In order to make the Cubbin & Jackson risk assessment scales more useful, there is a need to determine the reliability of the upper cut-off point 24. The result also showed a need to assess other risk factors and for early identification of at-risk patients in order to provide preventive care from admission to discharge.

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Neurodevelopmental outcomes of very low birth weight infants in the Neonatal Research Network of Japan: importance of neonatal intensive care unit graduate follow-up

  • Kono, Yumi
    • Clinical and Experimental Pediatrics
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    • v.64 no.7
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    • pp.313-321
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    • 2021
  • Here we describe the neurodevelopmental outcomes of very low birth weight (VLBW) infants (birth weight ≤1,500 g) at 3 years of age in the Neonatal Research Network of Japan (NRNJ) database in the past decade and review the methodological issues identified in follow-up studies. The follow-up protocol for children at 3 years of chronological age in the NRNJ consists of physical and comprehensive neurodevelopmental assessments in each participating center. Neurodevelopmental impairment (NDI)-moderate to severe neurological disability-is defined as cerebral palsy (CP) with a Gross Motor Function Classification System score ≥2, visual impairment such as uni- or bilateral blindness, hearing impairment requiring hearing amplification, or cognitive impairment with a developmental quotient (DQ) of Kyoto Scale of Psychological Development score <70 or judgment as delayed by pediatricians. We used death or NDI as an unfavorable outcome in all study subjects and NDI in survivors using number of assessed infants as the denominator. Follow-up data were collected from 49% of survivors in the database. Infants with follow-up data had lower birth weights and were of younger gestational age than those without follow-up data. Mortality rates of 40,728 VLBW infants born between 2003 and 2012 were 8.2% before discharge and 0.7% after discharge. The impairment rates in the assessed infants were 7.1% for CP, 1.8% for blindness, 0.9% for hearing impairment, 15.9% for a DQ <70, and 19.1% for NDI. The mortality or NDI rate in all study subjects, including infants without follow-up data, was 17.4%, while that in the subjects with outcome data was 32.5%. The NRNJ follow-up study results suggested that children born with a VLBW remained at high risk of NDI in early childhood. It is important to establish a network follow-up protocol and complete assessments with fewer dropouts to enable clarification of the outcomes of registered infants.

Study on Decomposition Gas Characteristics and Condition Diagnosis for Gas-Insulated Transformer by Chemical Analysis

  • Kim, Ah-Reum;Kwak, Byeong Sub;Jun, Tae-Hyun;Park, Hyun-Joo
    • KEPCO Journal on Electric Power and Energy
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    • v.6 no.4
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    • pp.447-454
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    • 2020
  • Since SF6 gas was discovered in the early 1900s, it has been widely used as an insulation material for electrical equipment. While various indicators have been developed to diagnose oil-immersed transformers, there are still insufficient indicators for the diagnosis of gas-insulated transformers. When necessary, chemical diagnostic methods can be used for gas-insulated transformers. However, the field suitability and accuracy of those methods for transformer diagnosis have not been verified. In addition, since various types of decomposition gases are generated therein, it is also necessary to establish appropriate analysis methods to cover the variety of gases. In this study, a gas-insulated transformer was diagnosed through the analysis of decomposition gases. Reliability assessments of both simple analysis methods suitable for on-site tests and precise analysis methods for laboratory level tests were performed. Using these methods, a gas analysis was performed for the internal decomposition gases of a 154 kV transformer in operation. In addition, simulated discharge and thermal fault experiments were demonstrated. Each major decomposition gas generation characteristics was identified. The results showed that an approximate diagnosis of the inside of a gas-insulated transformer is possible by analyzing SO2, SOF2, and CO using simple analysis methods on-site. In addition, since there are differences in the types of decomposition gas generation patterns with various solid materials of the internal transformer, a detailed examination should be performed by using precise analysis methods in the laboratory.

Changes in the Winter-Spring Center Timing over Upper Indus River Basin in Pakistan

  • Ali, Shahid;Kam, Jonghun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.372-372
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    • 2021
  • The agriculture sector plays a vital role in the economy of Pakistan by contributing about 20% of the GDP and 42% of the labor force. Rivers from the top of Himalayas are the major water resources for this agriculture sector. Recent reports have found that Pakistan is one of the most vulnerable country to climate change that can cause water scarcity which is a big challenge to the communities. Previous studies have investigated the impact of climate change on the trend of streamflow, but the understanding of seasonal change in the regional hydrologic regimes remained limited. Therefore, a better understanding of the seasonal hydrologic change will help cope with the future water scarcity issue. In this study, we used the daily stream flow data for four major river basins of Pakistan (Chenab, Indus, Jhelum and Kabul) over 1962 - 2019. Utilizing these daily river discharge data, we calculated the winter-spring center time and the summer-autumn center times. In this study Winter-spring center time (WSCT) is defined as the day of the calendar year during which half of the total six months (Jan-Jun) discharge volume was exceeded. Results show that the four river basins experienced a statistically significant decreasing trend of WSCT, that is the center time keeps coming earlier compared to the past. We further used the Climate Research Unit (CRU) climate data comprising of the average temperature and precipitation for the four basins and found that the increasing average temperature value causes the early melting of the snow covers and glaciers that resulted in the decreasing of 1st center time value by 4 to 8 days. The findings of this study informs an alarming situation for the agriculture sector specifically.

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SPECIES OF CULTIVATED PORPHYRA IN KOREA (한국산 양식김의 종류)

  • KANG Jae Won
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.3 no.2
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    • pp.77-92
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    • 1970
  • Ueda, in the course of his systematic work on the lavers, Porphyra, in Japan and Korea in 1932, mentioned that most of the cultivated Porphyra belong to Porphyra tenera Kjellman. Then he, dividing the species into two forms, f. typica and f. kjellmani, put Korean cultivated Porphyra under the latter. From the 1930s to the early 1940s, Fujikawa, Kaneko and others worked on Physiological experiments or cultivational experiments of Porphyra in the culture-bed, but there was no mention about the cultivated Porphyra species. However, many fishermen generally recognize that the characteristics of cultivated Porphyra vary depending on their habitat or the picking season, and it is considered that these differences are due to the varieties of the species which are well adaptable to various environments. Recently, I have become aware of the predominant occurrence of P. yezoensis Ueda in most culture-beds of Korea as in the Tokyo Bay or other places in Japan. At present, since artificial seeding for the cultivation of Porphyra with Conchocelis has been carried out and peculiar species can be cultured, a study of the species of cultivated Porphyra has become an important subject. I collected the specimens from a number of culture-beds which are located in the legions shown in fig. 1 from January, 1968 to May, 1970 and found that there are five species, P. tenera Kjellman, P. yezoensis Ueda, P. kuniedai Kurogi, P. seriata Kjellman and P. suborbiculata Kjellman. Among them, P. kuniedai was treated as a round-type, a form of P. tenera, by Kunieda (1939) and Tanaka (1952) and the occurrence of this form is generally recognized by most fishermen. At present, as mentioned above, the most dominant species of cultivated Porphyra is P. yezoensis but the cultivation of P. tenera is restricted to certain culture-beds or the early half of the cultivation period. P. kunieda appears as a mixed species throughout most of the culture-beds, particulary in the later half of the period, while when it was picked in January it appeared dominantly in a place such as Gum-Dang where the 'Bal', splitted bamboo piece mat, was settled during the last of September. This is the first seeding process. The latter two species, P. suborbiculata and P. seriata appear frequently but in small amounts in the later half of the period particulary in the western region of the southern coast. However, it can not be ascertained when P. yezoensis becomes predominant, because specimens have not been available up until recent years but the process can be described as follows: We commonly recognize the ecological characteristics of P. tenera as follows; First, the conchospores of the species develop earlier and the period of its discharge is shorter than those of P. yezoensis; second, the microscopical buds discharge neutral spores which develop into new buds directly and buds develop repeatedly through a short period. Consequently, according to such above ecological characteristics, the species can grow thick on the 'Bal' exclusively. However, buds may disappear when they are harmed by disease such a 'infection by certain parasites or by other unusual environmental conditions. Thus P. yezoensis are enabled to grow on the 'Bal' instead of the former species since they not only develop later than the former but also macroscopical fronds discharge the neutral spore throughout the period from October to May. Likewise, if any disease appears in the culture-bed ill the later half of the period, the former is more severely damaged than the latter because the former have less resistance to the disease than the latter. Thus fewer frond survive and fewer carpospores which are the origin of the next generation can be discharged. However the latter by their nature can continue growing until early summer. In the case of the culture-bed where the above phenomenon occurs repeatedly P. yezoensis gradually may become the dominant species among cultivated Porphyra. In support of the validity of this process we find that according to the description and the plate of Wada (1941), P. tenera, P. yezoensis and P. kuniedai grow together in the culture-bed at the mouth of the Nakdong River where P. yezoensis occurs predominantly and mixed with P. kuniedai.

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Derivation of the Synthetic Unit Hydrograph Based on the Watershed Characteristics (유역특성에 의한 합성단위도의 유도에 관한 연구)

  • 서승덕
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.17 no.1
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    • pp.3642-3654
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    • 1975
  • The purpose of this thesis is to derive a unit hydrograph which may be applied to the ungaged watershed area from the relations between directly measurable unitgraph properties such as peak discharge(qp), time to peak discharge (Tp), and lag time (Lg) and watershed characteristics such as river length(L) from the given station to the upstream limits of the watershed area in km, river length from station to centroid of gravity of the watershed area in km (Lca), and main stream slope in meter per km (S). Other procedure based on routing a time-area diagram through catchment storage named Instantaneous Unit Hydrograph(IUH). Dimensionless unitgraph also analysed in brief. The basic data (1969 to 1973) used in these studies are 9 recording level gages and rating curves, 41 rain gages and pluviographs, and 40 observed unitgraphs through the 9 sub watersheds in Nak Oong River basin. The results summarized in these studies are as follows; 1. Time in hour from start of rise to peak rate (Tp) generally occured at the position of 0.3Tb (time base of hydrograph) with some indication of higher values for larger watershed. The base flow is comparelatively higher than the other small watershed area. 2. Te losses from rainfall were divided into initial loss and continuing loss. Initial loss may be defined as that portion of storm rainfall which is intercepted by vegetation, held in deppression storage or infiltrated at a high rate early in the storm and continuing loss is defined as the loss which continues at a constant rate throughout the duration of the storm after the initial loss has been satisfied. Tis continuing loss approximates the nearly constant rate of infiltration (${\Phi}$-index method). The loss rate from this analysis was estimated 50 Per cent to the rainfall excess approximately during the surface runoff occured. 3. Stream slope seems approximate, as is usual, to consider the mainstreamonly, not giving any specific consideration to tributary. It is desirable to develop a single measure of slope that is representative of the who1e stream. The mean slope of channel increment in 1 meter per 200 meters and 1 meter per 1400 meters were defined at Gazang and Jindong respectively. It is considered that the slopes are low slightly in the light of other river studies. Flood concentration rate might slightly be low in the Nak Dong river basin. 4. It found that the watershed lag (Lg, hrs) could be expressed by Lg=0.253 (L.Lca)0.4171 The product L.Lca is a measure of the size and shape of the watershed. For the logarithms, the correlation coefficient for Lg was 0.97 which defined that Lg is closely related with the watershed characteristics, L and Lca. 5. Expression for basin might be expected to take form containing theslope as {{{{ { L}_{g }=0.545 {( { L. { L}_{ca } } over { SQRT {s} } ) }^{0.346 } }}}} For the logarithms, the correlation coefficient for Lg was 0.97 which defined that Lg is closely related with the basin characteristics too. It should be needed to take care of analysis which relating to the mean slopes 6. Peak discharge per unit area of unitgraph for standard duration tr, ㎥/sec/$\textrm{km}^2$, was given by qp=10-0.52-0.0184Lg with a indication of lower values for watershed contrary to the higher lag time. For the logarithms, the correlation coefficient qp was 0.998 which defined high sign ificance. The peak discharge of the unitgraph for an area could therefore be expected to take the from Qp=qp. A(㎥/sec). 7. Using the unitgraph parameter Lg, the base length of the unitgraph, in days, was adopted as {{{{ {T}_{b } =0.73+2.073( { { L}_{g } } over {24 } )}}}} with high significant correlation coefficient, 0.92. The constant of the above equation are fixed by the procedure used to separate base flow from direct runoff. 8. The width W75 of the unitgraph at discharge equal to 75 per cent of the peak discharge, in hours and the width W50 at discharge equal to 50 Per cent of the peak discharge in hours, can be estimated from {{{{ { W}_{75 }= { 1.61} over { { q}_{b } ^{1.05 } } }}}} and {{{{ { W}_{50 }= { 2.5} over { { q}_{b } ^{1.05 } } }}}} respectively. This provides supplementary guide for sketching the unitgraph. 9. Above equations define the three factors necessary to construct the unitgraph for duration tr. For the duration tR, the lag is LgR=Lg+0.2(tR-tr) and this modified lag, LgRis used in qp and Tb It the tr happens to be equal to or close to tR, further assume qpR=qp. 10. Triangular hydrograph is a dimensionless unitgraph prepared from the 40 unitgraphs. The equation is shown as {{{{ { q}_{p } = { K.A.Q} over { { T}_{p } } }}}} or {{{{ { q}_{p } = { 0.21A.Q} over { { T}_{p } } }}}} The constant 0.21 is defined to Nak Dong River basin. 11. The base length of the time-area diagram for the IUH routing is {{{{C=0.9 {( { L. { L}_{ca } } over { SQRT { s} } ) }^{1/3 } }}}}. Correlation coefficient for C was 0.983 which defined a high significance. The base length of the T-AD was set to equal the time from the midpoint of rain fall excess to the point of contraflexure. The constant K, derived in this studies is K=8.32+0.0213 {{{{ { L} over { SQRT { s} } }}}} with correlation coefficient, 0.964. 12. In the light of the results analysed in these studies, average errors in the peak discharge of the Synthetic unitgraph, Triangular unitgraph, and IUH were estimated as 2.2, 7.7 and 6.4 per cent respectively to the peak of observed average unitgraph. Each ordinate of the Synthetic unitgraph was approached closely to the observed one.

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Monitoring the Growth of Juvenile Chum Salmon (Oncorhynchus keta) Released to Taehwa River of Korea (태화강 내 연어(Oncorhynchus keta) 치어의 방류에 따른 성장 모니터링)

  • Hur, Jun Wook;Yoon, Ji Woo;Lim, Han Kyu
    • Journal of Marine Life Science
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    • v.6 no.2
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    • pp.106-116
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    • 2021
  • To secure basic data by monitoring the growth of salmon (Oncorhynchus keta) released to the Taehwa River. After discharge, the characteristics of the young salmon distribution and migration rate habitat were investigated for two years. A total of 4 points [Sunbawi bridge (St.1), Guyeong bridge (St.2), Samho bridge (St.3), and Myeongchon bridge (St.4)] were investigated. The survey of 2017 indicating an increase of 10 mm in average length and 0.8 g in average weight, and the survey of 2018 indicating an increase of 10 mm in average length and 0.5 g in average weight. Among 39 species, 10 insectivorous and 12 omnivorous, are believed to compete with young salmon for food. 6, 5, 6 and 8 predatory fish species has emerged at each site, respectively. According to this study, it is believed that St.1 and St.2 points are more proper as discharge location of young salmon because these two points have less varied in depth, flow rate, salt concentration etc. In addition, it is thought that the night or dawn time in early January is the best discharge time of young salmon fish because predatory fish such as Korean piscivorous chub and bass etc. does not eat food actively at that time.

Real-Time Flood Forecasting by Using a Measured Data Based Nomograph for Small Streams (계측자료 기반 Nomograph를 이용한 실시간 소하천 홍수량 산정 연구)

  • Tae Sung Cheong;Changwon Choi;Sung Je Yei;Kang Min Koo
    • Ecology and Resilient Infrastructure
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    • v.10 no.4
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    • pp.116-124
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    • 2023
  • As the flood damage on small streams increase due to the increase in frequency of extreme climate events, the need to measure hydraulic data of them has increased for disaster risk management. National Disaster Management Institute, Ministry of Interior and Safety develops CADMT, a CCTV-based automatic discharge measurement technology, and operates pilot small streams to verify its performance and develop disaster risk management technology. The research selects two small streams such as the Neungmac and the Jungsunpil streams to develop the Nomograph by using the 4-Parameter Logistic method using only the observed rainfall data from the Automatic Weather System operated by the Korea Meteorological Agency closest to the small streams and discharge data collected by using the CADMT. To evaluate developed Nomograph, the research forecasts floods discharges in each small stream and compares the result with the observed discharges. As a result of the evaluations, the forecasted value is found to represent the observed value well, so if more accurate observed data are collected and the Nomograph based on it is developed in the future, the high-accuracy flood prediction and warning will be possible.

Severe hypernatremic dehydration in a breast-fed neonate (모유 수유 환아에서 발생한 심한 고나트륨혈성 탈수)

  • Oh, Yun Jung;Lee, Ji Eun;An, So Hyun;Kim, Yang Kyong;Kang, Sung Kil;Kim, Ja Kyoung;Son, Byong Kwan;Jun, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.50 no.1
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    • pp.85-88
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    • 2007
  • Although it is a rare condition, breast-feeding may result in hypernatremic dehydration. However, incidences might be increasing with more mothers breast-feeding. Although the early detection and management of hypernatremic dehydration from breast-feeding is important, its prevention is even more important on account of its serious complications. In order to prevent hypernatremic dehydration secondary to breast-feeding, it is essential to educate mothers in successful breast-feeding methods. An early follow-up after discharge is recommended. We report a case of hypernatremic dehydration secondary to breast-feeding in a full-term newborn that was corrected without any complications.

Pasteurella anatipestifer infection in ducklings in Korea (오리의 Pasteurella anatipestifer 감염증 발생)

  • Choi, Chung-ok;Kim, Gyoung-nyoun
    • Korean Journal of Veterinary Research
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    • v.33 no.1
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    • pp.93-99
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    • 1993
  • This study was conducted to investigate the cause of a new duck disease occured in southern part of Korea. A meat type duck farm located in Kangjin, Chonnam Province had experienced outbreaks of septicemic disease at around 20 days of age in nearly every batch of ducklings from early spring to early summer in 1989. Main symptoms of the birds were eye and nasal discharge, depression, inappetence, diarrhea and nervous signs such as tremor and ataxia. Some birds died suddenly without any signs. Mortality reached from 20% to 80% in severe cases. The autopsy findings of the affected ducklings revealed consistantly severe airsacculitis, fibropericarditis, perihepatitis and occasionaly enteritis and distended ureter with urate deposit. A rod shaped gram-negative bacterium was isolated purely from brain and liver of the diseased ducks by culturing the specimens on blood agar for 48 hours in candle jar. The isolate neither produced hemolysis nor grew on MacConKey Agar. It formed colony relatively slowly being recognizable at least 36 hours after culturing, reaching colony size of about 1mm in diameter at 48 hours culture. The colony looked iridescent under oblique light and had muddy odor. The isolate did not ferment carbohydrates tested but produced gelatinase, hippuricase and oxidase which were considered as characteristics of P anatipestifer. The isolate induced similar signs and lesions when infected experimentally into ducks of 3 to 38 days age via intraperitoneum or intratrachea. However it did not produce any clinical signs wen inoculated via intranasal route. It produced only mild signs in chicken just injected with a very large dose. The bacteria did not produce any signas or lesions in mice. It was concluded through biochemical and physiological tests and animal inoculation tests that the new disease was caused by P anatipestifer.

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