• Title/Summary/Keyword: Discharge assessment

Search Result 524, Processing Time 0.031 seconds

Survey on the Discharge Planning of Occupational Therapists (국내 작업치료사의 퇴원계획 개입에 대한 실태 조사연구)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
    • /
    • v.9 no.2
    • /
    • pp.55-71
    • /
    • 2020
  • Objective : The purpose of this study was to investigate the necessity of occupational therapist's involvement in patient discharge planning, the areas that should be considered for discharge screening and planning, and to provide the basic data required for the development of a discharge assessment tool. Methods : We conducted an online questionnaire survey of 60 occupational therapists who were working at medical institutions and had agreed to participate in the study. The questionnaire was composed of 36 questions regarding the general characteristics of the current discharge planning process and the necessity of discharge assessment and planning. Descriptive statistics, an independent t-test, and a one-way ANOVA were conducted using SPSS 20.0. As for the post-hoc test, Scheffe's test was used. Results : The awareness of occupational therapist's role in discharge planning and the necessity of a discharge assessment tool were high, but the occupational therapist's awareness of discharge-related knowledge was low. The difficulties in discharge planning showed high response rate in the absence of adequate fee-for-service in the patient interview and assessment and the lack of team approach and appropriate assessment tools for discharge planning. The high-needs areas for evaluation during discharge were fall risk and BADL, and the low-needs areas were well-being and functional level prior to onset. Conclusion : This study is expected to provide preliminary information necessary for the development of a discharge assessment tool for effective discharge planning.

Discharge Assessment Tool in Stroke and Elderly Patients: A Systematic Review (뇌졸중 및 노인 환자의 퇴원 평가도구에 대한 체계적 고찰)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
    • /
    • v.9 no.3
    • /
    • pp.7-21
    • /
    • 2020
  • Objective : The aim of this systematic review is to analyze the assessment items and tools used for the discharge of stroke and elderly patients and to help select appropriate assessment tools for discharge planning. Methods : The studies included in this review were collected from the PubMed, Medline Complete (EBSCOhost), and Scopus databases from January 2009 to December 2018. A total 22 studies were selected. The research types, the areas and sub-areas of assessment, as well as the assessment tools according to the areas were analyzed. Results : Descriptive research (59.2%) was the most frequent type of research. The 12 main areas of assessment were medical condition, activities of daily living, swallowing function, sensation, mobility, cognition and perception, communication, emotion, home environment, patient knowledge and readiness for discharge, social support, and well-being. Among the assessment tools, the most frequently used tools were Bathel Index; Functional Independence Measure, to assess activities of daily living; Short-Form Health Survey, to assess well-being, and Timed Up and Go test, to assess mobility. Conclusion : This study will help select the assessment areas and tools to be considered at discharge of stroke patients and serve a basis for the development of comprehensive assessment tools for discharge planning.

Water Quality Impact Assessment in Korea - Comparing with the Integrated Control of Pollutant-Discharging Facilities - (수질분야 환경영향평가의 개선방안 - 환경오염시설의 통합관리와 대비하여 -)

  • Lee, Jong Ho;Cho, Jae Heon
    • Journal of Environmental Impact Assessment
    • /
    • v.26 no.5
    • /
    • pp.331-343
    • /
    • 2017
  • The important changes in water environment management in Korea can be summarized as the enactment of Act on the Integrated Control of Pollutant-Discharging Facilities. Therefore water quality impact assessment should be reexamined and be revised. This study examines the present water quality impact assessment items (permissible discharge limits, standards for effluent water quality including Total Pollutant Load Management System) and considers the land use regulation for water quality conservation and NVZs(Nitrate Vulnerable Zones of EU and England). It also considers lately adopted standards(maximum discharge standards, permissible discharge standards, and marginal discharge standards etc) based on Act on the Integrated Control of Pollutant-Discharging Facilities and then compares Korean BAT and its counterpart control technology of U.S.A. And it also compares the items of water quality impact assessment with those of Integrated Control of Pollutant-Discharging Facilities, based on EIS reporting items. This study suggests five improvement measures for water quality impact assessment. First reflection of discharge impact analysis on impact prediction and assessment, second reflection of permissible discharge standards on agreed standards in the EIA procedure, third, reflection of diversified BAT on mitigation measures in the EIA procedure, forth introduction of land use regulation such as NVZs, finally strengthening linkage between water quality items and land use items etc.

The Assessment on the Insulation Condition of Generator Stator Windings by a Novel Parameter PDI(Partial Discharge Index) (새로운 파라메타인 부분방전 변화지수에 의한 발전기 고정자 권선의 절연상태 평가)

  • Hwang, Don-Ha;Park, Do-Yeong;Kim, Yong-Ju;Kim, Jin-Bong;Ju, Yeong-Ho
    • The Transactions of the Korean Institute of Electrical Engineers C
    • /
    • v.48 no.11
    • /
    • pp.735-741
    • /
    • 1999
  • The monitoring and assessment on the insulation condition of generator stator windings have been an important task of utility companies. The interest for the assessment of insulation condition has been increasing due to the need to keep old generating equipment reliable in order to extend the equipment life and to increase the generating capacity. Even though many developments and research activities for the condition assessment of generator insulation have been performed for decades, the assessment criterion in order to consistently predict the actual insulation condition is still in question. In this paper, the correlation between the parameters and the insulation condition is analyzed through the various non-destructive diagnostic tests in order to establish the assessment criterion on insulation deterioration of generator stator windings. By analyzing the correlation, PDI(Partial Discharge Index) as a novel parameter for the assessment criterion on insulation diagnosis of stator winding is proposed and verified.

  • PDF

Evaluation of Applicability for Nonpoint Discharge Coefficient using Watershed Model (유역모형을 이용한 비점배출계수 적용성 평가)

  • Lee, Eun Jeong;Kim, Tae Geun
    • Journal of Environmental Impact Assessment
    • /
    • v.21 no.3
    • /
    • pp.339-352
    • /
    • 2012
  • Total maximum daily load have been implemented and indicated that nonpoint discharge coeffients in flow duration curve were 0.50 of Normal flow duration ($Q_{185}$) and 0.15 of low flow duration($Q_{275}$). By using SWAT, nonpoint discharge coefficients are studied with the conditions of the instream flow and the rainfall in two study areas. The nonpoint discharge coefficient average of BOD and TP for normal flows duration in 3 years are 0.32~0.36 and 0.28~0.31. For the low flow duration, the nonpoint discharge coefficient avergae of BOD and TP were 0.10~0.12 and 0.10~0.11. These are lower than the coefficients of total maximum load regulation. There are big differences between one of regulation and one of SWAT for the normal flow duration. With the consideration of rainfall condition, the nonpoint discharge coefficient of flood flow duration are influenced on the amount of rainfalls. However, the nonpoint discharge coefficients of normal flow duration and low flow duration are not effected by the rainfall condition. Since the spatial distribution and geomorphological characteristics could be considered with SWAT, the estimation of nonpoint discharge coefficient in watershed model is better method than the use of the recommended number in the regulation.

A Stochastic Analysis of the Water Quality with Discharge Variation in Upper Nakdong River Basin (낙동강 상류 유역에서의 유량변동에 따른 수질의 통계학적 분석)

  • Choi, Hyun Gu;Han, Kun Yeun;Choi, Seung Yong
    • Journal of Environmental Impact Assessment
    • /
    • v.20 no.6
    • /
    • pp.833-843
    • /
    • 2011
  • The purpose of this study is to analysis pollutant loading of upper Nakdong River basin according to the variation of discharge. The correlation between discharge and pollutant concentration and between discharge and pollutant loading were analyzed by statistical method, respectively. Regression equation of pollutant loading and discharge was represented as $L=_aQ^b$ in which L = pollutant loading(kg/day), and b = regression coefficients, and Q = discharge($m^3/day$). The correlation coefficient of study area was in range of 0.8428 to 0.9935. The SS was the highest b value 1.2856~1.7730 among water quality parameters because the pollutant loading of SS was much affected by flow. Additionally, the applicability of the regression equations was verified by comparing predicted results with observed value. The correlation coefficient of verification was in range of 0.8983 to 0.9987 and NSEC was in range of 0.7018 to 0.9960. Therefore the pollutant loading was good correlated with discharge. The main result will be used as basic data for water quality management and design of environment fundamental facilities.

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
    • /
    • v.18 no.3
    • /
    • pp.435-446
    • /
    • 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.

Assessment of Insulation Condition in Operating Large Turbine Generator (운전중인 대형 터빈발전기에서 절연상태 평가)

  • 김희동
    • The Transactions of the Korean Institute of Electrical Engineers C
    • /
    • v.53 no.6
    • /
    • pp.324-329
    • /
    • 2004
  • Six stator slot couplers(SSC) and a flux probe sensor installed on the stator winding slots of large turbine generator. Assessment of insulation condition has been based upon the measurements of partial discharge(PD) of stator windings and shorted-turn of rotor windings in operating large turbine generator. The maximum PD magnitude(Qm), normalized quantify number(NQN), PD pattern and shorted-turn were measured using on-line insulation condition monitoring system. The NQN and Qm of slot PD side in the phase A are indicated the highest value in six SSC sensors. Monitoring system results showed that discharge at conductor surface and internal discharge were detected at the surface of stator winding and in voids of the groundwall insulation. Insulation of stator and rotor windings in large turbine generator was judged to be in good condition.

Assessment of Physical River Disturbances in the Namgang-dam Downstream (남강댐하류의 물리적 하천교란 평가)

  • Kim, Ki-Heung
    • Journal of the Korean Society of Environmental Restoration Technology
    • /
    • v.11 no.3
    • /
    • pp.74-86
    • /
    • 2008
  • To assessment the disturbances of the Namgang caused by dam construction, upstream area was selected for the reference reach and downstream area was selected for the comparison reach. And these reaches were surveyed and analyzed according to the assessment criteria of the river disturbances.The artificial factors of river disturbances were classified as river improvement works, dam construction and aggregate dredging. The indexes were physical factors as like epifaunal (bottom), embeddedness, velocity/depth regime, sediment deposition, channel flow status, channel alteration, frequency of riffles, bank stability, vegetative protection, riparian zone etc.The assessment results showed 46% of the assessment criteria which was serious status in dam downstream area and 89.5% of it which was excellent status in dam upstream.Finally, the results showed that physical river environment in downstream area was disturbed by the discharge control and the interception of sediment discharge by dam, consequently this disturbance give rise to impact of ecosystem in river.

Effect of the Freshwater Discharge on Water Quality Variation and in Haechang Bay, Korea (해창만의 수질환경변동 및 담수방류의 영향평가)

  • Lee, Dae-In;Cho, Hyeon-Seo;Lee, Moon-Ok
    • Journal of Environmental Impact Assessment
    • /
    • v.12 no.5
    • /
    • pp.341-348
    • /
    • 2003
  • Seasonal characteristics of water quality and effect of the freshwater discharge during open the tide embankment in Haechang Bay were evaluated. In the freshwater, where interior of the tide embankment, COD and Chl-a exceeded about 4mg/L and $10mg/m^3$, respectively, independent of season, while in the seawater they showed high values in April and July in contrast to the other period due to input of freshwater and increase of phytoplankton, respectively. The content of seawater inorganic nitrogen maintained a relatively high level at inner part of the bay, whereas high values of inorganic phosphorus content was distributed at all over the bay. The limiting factor for algal growth was nitrogen with respect to the N/P ratio. The compass of influence by the freshwater discharge in April was quite different with water pollutants. As a result of the salinity variation with time, the freshwater extended strongly to offshore from the surface layer without mixing with depth when open the tide embankment, and reached within about one hour at a station which is 3.5km from the tide embankment. To effective water quality management of Haechang Bay, discharge rate and pollutant loads should be controlled.