• Title/Summary/Keyword: Discharge recommendations

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Derived Limits for Radiological Protection Against ionizing Radiation Based on ICRP-60 Recommendations

  • Jang, Si-Young;Lee, Byung-Soo
    • Nuclear Engineering and Technology
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    • v.32 no.4
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    • pp.350-360
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    • 2000
  • In Korea, the dose limits are reduced and are set at the ICRP-60 iimits. However, derived limits tabulated as MPC in air and water are still specified in Notice No.98-12. There are some discrepancies between the primary dose limits and MPCs in air and water. Therefore, in order to accept ICRP-60 recommendations fully, derived limits such as ALI, DAC, ECL for radiological protection against ionizing radiation based on ICRP-60 recommendations were calculated using modified methods of those of 10 CFR part 20, dose limits and committed effective dose coefficients of the Basic Safety Standards of the IAEA. The derived limits in this study were also compared with those prescribed in 10 CFR part 20 as well as MPCs of Notice No. 98-12 in order to analyze the impact of implementing derived limits on nuclear facilities. ECLs in air and water for the control of radioactive discharge into the environment in this study are shown to have lower values (i.e. more conservative), for most part, than those in Notice No. 98-12. Especially, for uranium elements, ECLs in water are approximately a magnitude in the order of two lower than those in Notice No.98-12.

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Evidence-Based Nursing Practice Guideline: Ostomy Care (근거기반 임상실무지침: 장루간호)

  • Lee, Yun Jin;Park, Hyun Suk;Kim, Min Kyung;Seo, Hui Won;Lee, Mi Ju;Won, Eun Ae;Jo, Gha Na
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.154-163
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    • 2020
  • Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

Energy Consumption and Thermal Comfort Assessment of Conventional Forced-air System According to AHU Discharge Air Temperature (AHU 토출온도에 따른 일반 공조시스템의 에너지 소비량 및 실내 온열환경 분석)

  • Kim, Min Ji;Yeon, Sang Hun;Lee, Kwang Ho
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.30 no.2
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    • pp.51-57
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    • 2018
  • Recently, global warming has been a serious issue on the worldwide, and the importance of energy conservation is increasing. In most buildings, energy consumption increases due to cooling, heating, and ventilation. Because of these issues, researches have been carried out to reduce building energy. However, in most conventional forced-air system, the guidelines for the Air Handling Unit (AHU) discharge air temperature are not fully established. The purpose of this study is to assess the impact of AHU discharge air temperature, which is one of the important control variables, on the overall energy consumption and thermal comfort characteristics by modeling conventional forced-air system using EnergyPlus. In addition, recommendations for energy reduction in conventional AHU is provided.

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
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    • v.9 no.2
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    • pp.55-71
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    • 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.

Comparison of Breast Feeding Trends in Urban Versus Rural Areas: Recommendations to Improve Breast Feeding in Rural America

  • Lee, Connie W.;Willoughby, Deborah;Mayo, Rachel
    • Women's Health Nursing
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    • v.11 no.1
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    • pp.5-11
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    • 2005
  • Breast feeding can play a very important role in the development of strong, healthy children. Many studies over the years have shown that breast milk provides defense against common ailments of childhood such as otitis media, gastrointestinal distress, and atopic diseases (allergies). For these reasons the American Academy of Pediatrics recommends breast feeding for at least the first twelve months of an infant's life. Goals of the Health People 2010 Initiative include that at least 75% of mothers will be breast feeding upon discharge from the hospital and at least 50% will be still nursing at six months post-partum. Currently, about 60% of new mothers initiate breast feeding and about 26% are still breast feeding at six months. However, research has shown that breast feeding trends are below these averages in rural areas of the United States. This may be due in part to lack of breast feeding knowledge and teaching in rural areas. Rural hospitals and birthing centers have not initiated many of the breast feeding promotional programs, such as the Baby Friendly Hospital Initiative and Best Start, that have been successful in improving breast feeding trends in urban areas. Often new mothers who live in rural areas do not have access to a lactation consultant to help them with proper follow up. This paper will examine these concerns and propose recommendations to improve breast feeding in rural areas.

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A Study on the Optimal Selection of Lightning Arresters for DC Electric Traction Vehicles (직류전동차 탑재용 피뢰기의 최적선정에 관한 연구)

  • Kil, Gyung-Suk;Rhyu, Keel-Soo;Song, Jae-Yong;Kim, Il-Kwon;Park, Dae-Won;Han, Moon-Sup
    • Journal of the Korean Society for Railway
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    • v.10 no.2 s.39
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    • pp.112-116
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    • 2007
  • In this paper, we proposed a selection and application recommendations of ZnO arresters for DC electric traction vehicles. To decide the Continuous Operating Voltage($U_C$), the Rated Voltage($U_r$), and the Nominal Discharge Current(In), we measured and analyzed system voltages and surge currents flowing the arrester installed on a DC electric traction vehicle under running state. System voltages measured up to 1,800 V in 1,500 V-system, and surge currents were recorded up to 3 times per a running-service-route and their magnitudes were ranges of $150A{\sim}2kA$. From these results and a standard EN50163, we could proposed $U_C$, $U_r$, and In available for the 1,500 VDC electric traction vehicles.

Physical Therapy Effects of Thoracic Outlet Syndrome (흉곽출구 증후군의 물리치료 효과)

  • Kwon, Hyeok-Su;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.3 no.1
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    • pp.17-27
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    • 1997
  • The PT program provides relief to most patients with symptom of TOS. So the purpose of our study is to evaluate a effects of PT program in patients with TOS. PT program included orthopaedic manual therapy with the aim of restoring the function of the upper thoracic aperture is to be recommended, and long-term following is advisable. 1. Mean treatment duration was over an 11.4 day(range 4~24). 2. At the follow-up evaluation, 88.1% of the patients were satisfied with the effects of their therapy. 3. 73% of the patients returened to work after PT and 88% of the patients carried through the recommendations given at discharge during follow up. 4. Normalized grip strength and Tinel' sign predicted patient satisfaction(p< .001) and return to work(p< .001). 5. Return to work was more often successful if the work was sedentary rather than heavy (p< .05).

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A Study on the Selection of Lightning Arrester for DC Electric Traction Vehicles (전기철도용 피뢰기 선정에 관한 연구)

  • Kil, G.S.;Song, J.Y.;Kim, I.L.;Moon, S.B.;Han, J.S.
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.581-586
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    • 2006
  • Selection and application recommendations of lightning arresters for DC electric traction vehicles are presented. To decide arrester specification such as continuous operating voltage(COV, $U_c$), rated voltage($U_R$), and nominal discharge current($I_n$), variations of system voltage and surge currents flowing arresters were analyzed in running-service of traction vehicles. System voltages increased up to 1,800V during anti-breaking. Surge currents recorded 3 times per running-service-route and their magnitudes were ranges of $150A{\sim}2kA$. From the field measurement and consideration of EN50163, COV, $U_c$, and $U_R$ for the $1,500V_{DC}$ traction vehicles were proposed.

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The Estimation of Ecological Flow Recommendations for Fish Habitat (하천의 어류 서식환경을 고려한 생태학적 추천유량 산정)

  • Sung, Young-Du;Park, Bong-Jin;Joo, Gea-Jae;Jung, Kwan-Sue
    • Journal of Korea Water Resources Association
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    • v.38 no.7 s.156
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    • pp.545-554
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    • 2005
  • The detailed interdisciplinary surveys were conducted on the pattern of habitat use of dominant fishes during the spawning and adult stage. The hydraulic parameters of the depth and velocity, discharge, substrate cover streams, and distribution of fish in the Yeonggang, WiCheon, HoeCheon, GeochangwiCheon, CheongdoCheon, DanjangCheon (the Nakdong River Basin) were measured. The Habitat Suitability Criteria was developed for the two fish species (Zacco Platypus and Zacco Temmincki) and life stages(spawning and adult), habitat conditions (depth, velocity and covet). The Physical Habitat Simulation of the Instream Flow Incremental Methodology was applied to calculate for optimal flow and the ecological flow recommendation was proposed by choosing the largest one in the optimal flow. The ecological flow recommendation was $5.0\;m^3/s{\sim}10.0\;m^3/s$ (e.g., $6.5\;m^3/s$ in the NaeseongCheon). Also, the ecological flow recommendations were compared with the existing ecological flow and flow duration analysis.

Physiotherapy Management for COVID-19 (코비드-19와 물리치료적 접근)

  • Han, Yun-A;Roh, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.135-147
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    • 2020
  • PURPOSE: The purpose of this paper is to provide a review of physiotherapy intervention for patients with COVID-19 during their hospital admission and post-discharge. METHODS: The recommendations and guidelines of physiotherapy management, medical management, and general information of the WHO, Australian Physiotherapist, European Respiratory Society, British Thoracic Society, and American Thoracic Society were reviewed. RESULTS: This paper contains general information on COVID-19, including medical management, and the importance of physiotherapy approaches including an assessment of the patients' function, such as the 6-minute walking test, five sit to stand or sit to stand for one minute to measure their function as their recovery journey. The patients' quality of life, anxiety, and depression should be considered. Physiotherapy management should be based on an assessment of the patient's presenting impairments, including inclusion and exclusion of physiotherapy intervention. The paper also approaches step by step with the disease progress, from an intensive care unit, the general ward in the acute phase, through to the rehabilitation ward if needed, and post-discharge as an outpatient.. CONCLUSION: The paper has a limitation due to the unknown factor of the natural history of COVID-19. Depending on the patients' recovery journey and the rehabilitation needed, any physiotherapy interventions should focus on what the patients' need on their journey to recovery, e.g., pulmonary, cardiac, neurological, and general rehabilitation. In addition, applying personal protection equipment for treating physiotherapists is a mandatory requirement because this protects from the transmission of COVID-19.