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Journal articles on the topic 'Discharge process'

Author: Grafiati

Published: 4 June 2021

Last updated: 2 February 2022

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1

Beardsley, James R., Regina H. Schomberg, Steven J. Heatherly, and Beth S. Williams. "Implementation of a Standardized Discharge Time-out Process to Reduce Prescribing Errors at Discharge." Hospital Pharmacy 48, no. 1 (January 2013): 39–47. http://dx.doi.org/10.1310/hpj4801-39.

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Background To reduce prescribing errors occurring on discharge from the hospital, a standardized discharge time-out process was implemented on a general medicine service at Wake Forest Baptist Medical Center. In the time-out process, the multidisciplinary care team reviewed the patient's medical records together to determine the optimal discharge medication regimen. This regimen was recorded on a time-out form and then was used to develop the patient's discharge documents. Objective To evaluate the impact of a standardized discharge time-out process on prescribing errors that occur as patients are discharged from a general medicine service. Methods The medical records of all patients discharged from a general medicine service during 60-day periods before (“pre-group”) and after (“post-group”) implementation of a standardized discharge time-out process were retrospectively reviewed by an internal medicine physician to determine the presence of discharge prescribing errors. Results There were 142 and 124 evaluable patients in the pre- and post-groups, respectively. Compliance with the time-out process was 93% in the post-group. At least 1 prescribing error was detected in 49 (34.5%) of the discharges in the pre-group and 17 (13%) of the discharges in the post-group ( P < .0001). All of the errors noted in the post-group occurred in discharges in which a clinical pharmacist was not involved. Conclusions A multidisciplinary, standardized discharge time-out process was associated with a dramatic reduction in prescribing errors when patients were discharged from a general medicine service. The time-out process is one strategy to improve patient safety at hospital discharge.

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Alghzawi, Hamzah M. "Psychiatric Discharge Process." ISRN Psychiatry 2012 (September 4, 2012): 1–7. http://dx.doi.org/10.5402/2012/638943.

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Background. Integration of research evidence into clinical nursing practice is essential for the delivery of high-quality nursing care. Discharge planning is an essential process in psychiatric nursing field, in order to prevent recurrent readmission to psychiatric units. Objective. The purpose of this paper is to perform literature overview on psychiatric discharge planning, in order to develop evidence-based practice guideline of psychiatric discharge plan. Methods. A search of electronic databases was conducted. The search process aimed to locate different levels of evidence. Inclusion criteria were studies including outcomes related to prevention of readmission as stability in the community, studies investigating the discharge planning process in acute psychiatric wards, and studies that included factors that impede discharge planning and factors that aid timely discharge. On the other hand, exclusion criteria were studies in which discharge planning was discussed as part of a multi faceted intervention and was not the main focus of the review. Result. Studies met inclusion criteria were mainly literature reviews, consensus statements, and descriptive studies. All of these studies are considered at the lower levels of evidence. Conclusion. This review demonstrated that discharge planning based on general principles (evidence based principles) should be applied during psychiatric discharge planning to make this discharge more effective. Depending on this review, it could be concluded that effective discharge planning includes main three stages; initial discharge meeting, regular discharge meeting(s), and leaving from hospital and discharge day. Each stage of them has requirements should be accomplished be go to the next stage.

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Maramba, Patricia J., Samantha Richards, Amy L. Myers, and June H. Larrabee. "Discharge Planning Process." Journal of Nursing Care Quality 19, no. 2 (April 2004): 123–29. http://dx.doi.org/10.1097/00001786-200404000-00009.

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Kulkarni, Anjali V. "Electrochemical Discharge Machining Process." Defence Science Journal 57, no. 5 (September 21, 2007): 765–70. http://dx.doi.org/10.14429/dsj.64.1812.

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Jones, Caroline, David Riley, Amy Morris, Jeremy Michael Sen, Alana Ferrari, Joshua Humphrey, Jenna VanHoose, et al. "Reducing length of stay for patients with acute myeloid leukemia receiving inpatient high-dose cytarabine consolidation chemotherapy." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 257. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.257.

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257 Background: For patients receiving high dose cytarabine (HiDAC) at University of Virginia (UVA) Health between 10/2019 and 10/2020, median length of stay (LOS) from time of clinic appointment to hospital discharge was 119.35 hours. Standard treatment time should be 112 hours from premedication to end of chemotherapy. There are no national standards for duration of inpatient stay for planned chemotherapy, but only 50% of these patients were discharged after noon (over 3 hours post-chemotherapy completion). LOS that extends beyond the standard treatment time results in increased cost, overutilization of hospital resources, delayed admissions for future patients, and patient dissatisfaction. Methods: A multidisciplinary team comprised of licensed providers, pharmacists, and nurses was formed. The team focused on percentage of patients discharged by noon as a surrogate marker for LOS due to inconsistency of admission times; the aim was to increase patients discharged by noon to 65%. Reviewing the baseline data revealed an unstable process with a 3-sigma X-bar statistical process control chart. The team developed current and ideal process state maps, a Pareto chart, and a priority matrix to determine an action plan. The most common identified causes for delay in discharge included: lack of standardized discharge checklist, discharge order placed after 10 am, medications dispensed from the outpatient pharmacy after 11 am, licensed providers not prioritizing discharge patients, and medication reconciliation not completed prior to day of discharge. Results: From 10/2020 to 5/2021, the first PDSA cycle focused on standardizing the discharge process to correct the instability in the process. A discharge checklist was created based on the ideal process map, which allowed the providers to have a consistent process at discharge. 3-sigma Xbar chart demonstrated a now stable process and an increase of patients discharged by noon to 58%. During the second PDSA cycle starting in 6/2021, providers completed medication reconciliation the day before discharge, prioritized HiDAC discharges first during rounds, and ensured discharge orders were placed by completion of the last chemotherapy bag. Data collection is ongoing, and will be analyzed by August 2021. Future tests of change are planned to focus on the pharmacy medication delivery service. Hospital LOS has also decreased after the first PDSA cycle. Conclusions: Using quality improvement methodology, a multidisciplinary team developed an action plan for patients receiving HiDAC which to date has increased the percentage of patients discharging by noon and decreased length of stay. This outcome may lead to reduce hospitalization costs and increase bed availability for other oncology patients. Further PDSA cycles are scheduled and continuous evaluation of the process is ongoing.

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Knutsen Glette, Malin, Tone Kringeland, Olav Røise, and Siri Wiig. "Hospital physicians’ views on discharge and readmission processes: a qualitative study from Norway." BMJ Open 9, no. 8 (August 2019): e031297. http://dx.doi.org/10.1136/bmjopen-2019-031297.

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ObjectivesTo explore hospital physicians’ views on readmission and discharge processes in the interface between hospitals and municipalities.DesignQualitative case study.SettingThe Norwegian healthcare system.ParticipantsFifteen hospital physicians (residents and consultants) from one hospital, involved in the treatment and discharge of patients.ResultsThe results of this study showed that patients were being discharged earlier, with more complex medical conditions, than they had been previously, and that discharges sometimes were perceived as premature. Insufficient capacity at the hospital resulted in pressure to discharge patients, but the primary healthcare service of the area was not always able to assume care of these patients. Communication between levels of the healthcare service was limited. The hospital stay summary was the most important, and sometimes only, form of communication between levels. The discharge process was described as complicated and was affected by healthcare personnel, by patients themselves and by aspects of the primary healthcare service. Early hospital discharges, poor communication between healthcare services and inadequacies in the discharge process were perceived to affect hospital readmissions.ConclusionThe results of this study provide a better understanding of hospital physicians’ views on the discharge and hospital readmission processes in the interface between the hospital and the primary healthcare service. The study also identifies discrepancies in governmental requirements, reform regulations and current practices in municipalities and hospitals.

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Steel, Peter A. D., David Bodnar, Maryellen Bonito, Jane Torres-Lavoro, Dona Bou Eid, Andrew Jacobowitz, Amos Shemesh, et al. "MyEDCare: Evaluation of a Smartphone-Based Emergency Department Discharge Process." Applied Clinical Informatics 12, no. 02 (March 2021): 362–71. http://dx.doi.org/10.1055/s-0041-1729165.

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Abstract Background Poor comprehension and low compliance with post-ED (emergency department) care plans increase the risk of unscheduled ED return visits and adverse outcomes. Despite the growth of personal health records to support transitions of care, technological innovation's focus on the ED discharge process has been limited. Recent literature suggests that digital communication incorporated into post-ED care can improve patient satisfaction and care quality. Objectives We evaluated the feasibility of utilizing MyEDCare, a text message and smartphone-based electronic ED discharge process at two urban EDs. Methods MyEDCare sends text messages to patients' smartphones at the time of discharge, containing a hyperlink to a Health Insurance Portability and Accountability Act (HIPAA)-compliant website, to deliver patient-specific ED discharge instructions. Content includes information on therapeutics, new medications, outpatient care scheduling, return precautions, as well as results of laboratory and radiological diagnostic testing performed in the ED. Three text messages are sent to patients: at the time of ED discharge with the nurse assistance for initial access of content, as well as 2 and 29 days after ED discharge. MyEDCare was piloted in a 9-month pilot period in 2019 at two urban EDs in an academic medical center. We evaluated ED return visits, ED staff satisfaction, and patient satisfaction using ED Consumer Assessment of Healthcare Providers and Systems (ED-CAHPS) patient satisfaction scores. Results MyEDCare enrolled 27,713 patients discharged from the two EDs, accounting for 43% of treat-and-release ED patients. Of the treat-and-release patients, 27% completed MyEDCare discharge process, accessing the online content at the time of ED discharge. Patients discharged via MyEDCare had fewer 72-hour, 9-day, and 30-day unscheduled return ED visits and reported higher satisfaction related to nursing care. Conclusion EDs and urgent care facilities may consider developing a HIPAA-compliant, text message, and smartphone-based discharge process, including the transmission of test results, to improve patient-centered outcomes.

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Sholtes, Joel S., and Brian P. Bledsoe. "Half-Yield Discharge: Process-Based Predictor of Bankfull Discharge." Journal of Hydraulic Engineering 142, no. 8 (August 2016): 04016017. http://dx.doi.org/10.1061/(asce)hy.1943-7900.0001137.

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Duan, Jianjin, Jue Hu, Chao Zhang, Yuanbin Wen, Yuedong Meng, and Chengxu Zhang. "Plasma Discharge Process in a Pulsed Diaphragm Discharge System." Plasma Science and Technology 16, no. 12 (December 2014): 1106–10. http://dx.doi.org/10.1088/1009-0630/16/12/05.

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Kim, Seong Jun, Ji Kyun Kim, Hyeon Seok Lee, Jeong Yeol Kwon, and Heon Yong Lee. "A Study on Improved Characteristics of Electric Charge Storage after Thermal Treatment Using Teflon FEP Film." Solid State Phenomena 124-126 (June 2007): 319–22. http://dx.doi.org/10.4028/www.scientific.net/ssp.124-126.319.

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In this paper, we studied the method of electrets electrode which formed to accumulate negative electric charge by corona discharge. The breakdown voltage sample and damaged sample by various corona discharges have made material stabilization and improved characteristics of electric charge storage throughout the annealing process. After the experiment made material stabilization nearly melting point by many kinds of annealing conditions, we did the corona discharge again by the charged high voltage, a discharge electrode gap, and a discharged time. As we compared it with the best condition, we confirmed that characteristics of electric charge storage were improved.

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Huber, Charlotte, and Mary Blanco. "Cleaning Up the Discharge Process." AJN, American Journal of Nursing 110, no. 9 (September 2010): 66–69. http://dx.doi.org/10.1097/01.naj.0000388270.50252.7e.

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Norrström, Hans A. "Reducing the Discharges to Water – Technical Objectives." Water Science and Technology 20, no. 1 (January 1, 1988): 9–18. http://dx.doi.org/10.2166/wst.1988.0003.

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The main technical objective in reducing the discharges to water is to implement technology to maintain a desired level of priority pollutants. Several investigations indicate that the priority pollutants may be found in the chlorinated material discharged from the bleach plant. Based on this assumption the state of art of production and abatement technology will be reviewed. Oxygen bleaching is in most cases the most efficient first step to reduce the discharge of chlorinated material. With appropriate process design and control the discharge of chlorinated material will be 3-4 kg/tonne (as TOC1). If lower discharge levels are aimed at, the chlorination stage can be modified by applying lower chlorine charge alone or in combination with chlorine dioxide addition. The present Swedish environmental requirements of about 2 kg TOC1/tonne necessitate such measures. Careful process optimization is necessary to avoid changes in product quality. Modified cooking can be one way to create the extra flexibility necessary to maintain top quality. To reduce the discharge levels further, new process technology has to be introduced. The Prenox process, membrane filtration of effluents, partial or complete recycle of bleach effluents, will be discussed and also external treatment methods.

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Coteaţă, Margareta, and Gheorghe Creţu. "ECDM Drilling Process Analysis via Taguchi Method." Applied Mechanics and Materials 657 (October 2014): 337–41. http://dx.doi.org/10.4028/www.scientific.net/amm.657.337.

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Electrochemical discharge machining (ECDM) is based on synergetic action of anodic dissolution with erosive effect of electrical discharges in material removal process. Drilling by ECDM can be applied for hard to be cut materials, when no drilling by cutting or no EDM machine is available.

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Gu, Xiao Wei. "Breakdown Process of Pseudospark Discharge Using the Various Discharge Module." Applied Mechanics and Materials 670-671 (October 2014): 1012–15. http://dx.doi.org/10.4028/www.scientific.net/amm.670-671.1012.

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A argon Pseudospark discharge is studied and modelled with our developed simulation program. The structure of our code is flexible and transparent. The modular structure is divided into three main parts: electromagnetics module which forms the heart of the model, the neutral gas module, and the chemical reaction module. The above three parts with the plasma module are controlled by the user. The strong modularity makes the code easy to handle and easy to adjust or expand. This project will do in-depth numerical simulation for the study of the inception of breakdown characteristics via a electrostatic particle-in-cell plus Monte-Carlo collision method. The model tracks the trajectories of both electrons and ions, including ionizing collisions in the gas phase by electrons and ions, and secondary electron emission by ions on surfaces. The result indicated the pseudospark discharge breakdown process mainly induced by field emission.The peak discharge current is found to be dependent on gas pressure,electrode borehole diameter. The effect of these design parameters on the peak anode current has been analysed. Simulate the discharge breakdown physical processes for the Pseudospark in order to lay the theoretical foundation for the optimize and improve the pulse power electron beam.

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Manukyan, Anna S., Mikael Belay Seyoum, and Vladimir V. Rybkin. "DECOMPOSITION OF ORGANIC DYES IN THEIR AQUEOUS SOLUTIONS UNDER ACTION OF ELECTRIC DISCHARGES OF ATMOSPHERIC PRESSURE." IZVESTIYA VYSSHIKH UCHEBNYKH ZAVEDENII KHIMIYA KHIMICHESKAYA TEKHNOLOGIYA 64, no. 3 (March 19, 2021): 4–12. http://dx.doi.org/10.6060/ivkkt.20216403.6339.

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This review examines the processes of degradation of organic dyes in their aqueous solutions under the action of atmospheric pressure discharges. These processes are important for solving the environmental problem associated with the purification of water from organic pollution. A brief description of the types of discharges used for these purposes is given - dielectric barrier discharge, pulsed corona discharge, gliding arc discharge, direct current glow discharge, diaphragm discharge, and contact glow discharge electrolysis. The results are given on the degree of degradation of more than 30 types of dyes in different types of discharges. The features of comparing different types of discharges in terms of their energy efficiency of the degradation process - the energy spent on the decomposition of one gram of dye - are discussed. The kinetic regularities of the decomposition process and the influence on them of various factors - the initial concentration of the dye, the discharge power, and the pH of the solution are considered. Possibilities of accelerating degradation using homogeneous and heterogeneous catalysts are discussed. Possible mechanisms of the ongoing processes and the participation in them of active particles formed in solution under the action of a discharge (OH, HO2 and ozone radicals) are analyzed.

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Zahn, Stephanie O., Jennifer H. Tobison, Amanda J. Place, Jamalyn N. Casey, Liz Hess, and Todd Foster. "Impact of a Process Change on Prevalence of Prescribed Unmeasurable Liquid Doses in a Neonatal Intensive Care Unit." Journal of Pediatric Pharmacology and Therapeutics 25, no. 2 (March 1, 2020): 96–103. http://dx.doi.org/10.5863/1551-6776-25.2.96.

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OBJECTIVES Most prescribing through the electronic health record (EHR) in the NICU at St. Vincent Women's Hospital use a weight-based dosing calculator. Prescribers receive no alert if the resulting volume is unmeasurable. Study definition of measurable was a dose volume with a visible hash mark on an appropriately sized oral syringe. The primary objective was to compare the rate of unmeasurable oral liquid doses prescribed at discharge before and after implementation of educational process changes. Secondary objectives assessed patient and discharge medication characteristics in relation to the unmeasurable doses prescribed. METHODS This study was a 2-phase retrospective analysis of patients discharged from the NICU between January 1 and June 30, 2016 (phase I), and between October 1, 2017, and March 31, 2018 (phase II). Patients were included in the analysis if they were discharged on at least 1 oral liquid medication, excluding vitamins. Demographic and discharge medication information was collected. RESULTS There were 58 patients discharged on a total of 118 oral liquid medications in phase I and 63 patients discharged on a total of 111 oral liquid medications in phase II. Following implementation of the process change, the percentage of unmeasurable discharge prescriptions decreased from 27 (23%) to 5 (4.5%) (p < 0.001). CONCLUSIONS The educational process change implemented in the NICU effectively reduced the rate of unmeasurable doses prescribed at discharge from 1 in 4 to 1 in 25. Additional system-level changes may result in further reductions.

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Levine, David. "Improving the process of discharge (1)." Clinical Medicine 10, no. 1 (February 2010): 95.1–95. http://dx.doi.org/10.7861/clinmedicine.10-1-95.

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Leung, Daryl. "Improving the process of discharge (2)." Clinical Medicine 10, no. 1 (February 2010): 95.2–95. http://dx.doi.org/10.7861/clinmedicine.10-1-95a.

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McGINLEY, SUSAN, ELAINE BAUS, KATHLEEN GYZA, KAREN JOHNSON, SUSAN LIPTON, MARY C. MAGEE, FRAN MOORE, and DOROTHY WOJTYAK. "Multidisciplinary Discharge Planning Developing a Process." Nursing Management (Springhouse) 27, no. 10 (October 1996): 55???60. http://dx.doi.org/10.1097/00006247-199610000-00016.

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Miller, Alicia S. "The Admission, Transfer, and Discharge Process." Hospital Pharmacy 37, no. 1 (January 2002): 96–99. http://dx.doi.org/10.1177/001857870203700111.

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LIU, Kai-yu, Ying ZHANG, Wei ZHANG, He ZHENG, and Geng SU. "Charge-discharge process of MnO2 supercapacitor." Transactions of Nonferrous Metals Society of China 17, no. 3 (June 2007): 649–53. http://dx.doi.org/10.1016/s1003-6326(07)60150-2.

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Bullock, Sally, Charles W. Morecroft, Rachel Mullen, and Alison B. Ewing. "Hospital patient discharge process: an evaluation." European Journal of Hospital Pharmacy 24, no. 5 (May 26, 2016): 278–82. http://dx.doi.org/10.1136/ejhpharm-2016-000928.

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Marriott, Jennifer L., and Tracey L. Bessell. "Investigating the Hospital Discharge Medication Process." Journal of Pharmacy Practice and Research 38, no. 2 (June 2008): 117–20. http://dx.doi.org/10.1002/j.2055-2335.2008.tb00816.x.

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Shelton, Ronald L., and David J. Rissmeyer. "Involving consumers in the discharge process." Psychosocial Rehabilitation Journal 12, no. 4 (April 1989): 19–28. http://dx.doi.org/10.1037/h0099527.

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Sydorets, Volodymyr, Volodymyr Korzhyk, and Oleksandr Babych. "On the Plasma Temperature in the Hybrid Plasma-MIG Welding Process." Applied Mechanics and Materials 872 (October 2017): 61–66. http://dx.doi.org/10.4028/www.scientific.net/amm.872.61.

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In many respects, the advantages of the hybrid welding process Plasma-MIG are explained by the interaction of the arc discharges, which make up it: a plasma discharge and an arc with a consumable electrode (MIG). Knowledge and understanding of the laws of this interaction is very important for the implementation of the process and obtaining good results. The theoretical analysis of the influence of the plasma discharge temperature with non-consumable electrode on the melting of the electrode wire was carried out. The dynamics of the melting of the electrode wire and dynamics of circuit with consumable electrode arc were been investigation. Estimates of the maximum value of the temperature of plasma discharge have been made. These results were used to select welding modes and for carrying out the technological experiments.

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Offord, Natalie, Paul Harriman, and Tom Downes. "Discharge to assess: transforming the discharge process of frail older patients." Future Hospital Journal 4, no. 1 (February 2017): 30–32. http://dx.doi.org/10.7861/futurehosp.4-1-30.

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Wang, Disheng, Lin Du, and Chenguo Yao. "Statistical Study on Space Charge effects and Stage Characteristics of Needle-Plate Corona Discharge under DC Voltage." Energies 12, no. 14 (July 17, 2019): 2732. http://dx.doi.org/10.3390/en12142732.

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The air’s partial discharges (PD) under DC voltage are obviously affected by space charges. Discharge pulse parameters have statistical regularity, which can be applied to analyze the space charge effects and discharge characteristics during the discharge process. Paper studies air corona discharge under DC voltage with needle-plate model. Statistical rules of repetition rate (n), amplitude (V) and interval time (∆t) are extracted, and corresponding space charge effects and electric field distributions in PD process are analyzed. The discharge stages of corona discharge under DC voltage are divided. Furthermore, reflected space charge effects, electric field distributions and discharge characteristics of each stages are summarized to better explain the stage discharge mechanism. This research verifies that microcosmic process of PD under DC voltage can be described based on statistical method. It contributes to the microcosmic illustration of gas PD with space charges.

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Su, Christy P., Levita Hidayat, Shafiqur Rahman, and Veena Venugopalan. "Use of an Anti-Infective Medication Review Process at Hospital Discharge to Identify Medication Errors and Optimize Therapy." Journal of Pharmacy Practice 32, no. 5 (March 13, 2018): 488–92. http://dx.doi.org/10.1177/0897190018761411.

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Background: Medication reconciliation is a major patient safety concern, and the impact of a structured process to evaluate anti-infective agents at hospital discharge warrants further review. Objective: The aim of this study was to (1) describe a structured, multidisciplinary approach to review anti-infectives at discharge and (2) measure the impact of a stewardship-initiated antimicrobial review process in identifying and preventing anti-infective-related medication errors (MEs) at discharge. Methods: A prospective study to evaluate adult patients discharged on anti-infectives was conducted from October 2013 to May 2014. The antimicrobial stewardship program (ASP) classified interventions on anti-infective regimens into predefined ME categories. Results: Forty-five patients who were discharged on 59 anti-infective prescriptions were included in the study. The most common indications for anti-infective regimens at discharge were pneumonia (22%, n = 10), bacteremia (18%, n = 8), and skin and soft tissue infections (16%, n = 7). An ME was identified in 42% (n = 19/45) of anti-infective regimens. Seventy percentage of ASP team recommendations were accepted which resulted in an avoidance of MEs in 68% (n = 13/19) of patients with an ME prior to discharge. Conclusion: This study describes the outcomes of a stewardship-initiated review process in preventing MEs at discharge. Developing a systematic process for a multidisciplinary ASP team to review all anti-infectives can be a valuable tool in preventing MEs at hospital discharge.

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Lu, Xin Yun. "A New Index to Evaluate the Severity of Discharges Based on Energy Calculation." Applied Mechanics and Materials 716-717 (December 2014): 1217–20. http://dx.doi.org/10.4028/www.scientific.net/amm.716-717.1217.

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Discharges in the transformer are important symptoms to assess degration of its insulating structure. The indexes of q, φ, n and dissolved gases have been used for many years for diagnosis discharges of oil filled transformers. In this paper, one discharge experiment for needle-plate model is performed. To investigate the difference of indexes to evaluate the severity of discharges, a new energy index is proposed and all the indexes including maximum apparent discharge (Qmax), average apparent discharge (Qave), frequency of apparent discharge (Qfre), phase position of apparent discharge (Qpha), total hydrocarbon concentration (THC) and the new energy index are analysed. It is found that the best performance of all these indexes to evaluate the severity of discharges is W which rises with discharge process and increase rapidly in the end.

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Peng, Yue Ping, Nan Zou, and Hai Ying Wu. "Study on Dynamic Characteristics of the Hippocampal Neuron under Current Conductance's Changing." Applied Mechanics and Materials 195-196 (August 2012): 868–73. http://dx.doi.org/10.4028/www.scientific.net/amm.195-196.868.

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The hippocampal CA1 pyramid neuron has plenty of discharge actions. In the thesis, the dynamic characteristics of the hippocampal neuron model are analyzed and discussed by the neurodynamic theory and methods. Under a certain amplitude currents stimulation, the change of (the maximum conductance of the transient sodium channel) and (the maximum conductance of the delay rectification potassium channel) can cause different dynamic characteristics of the neuron model. The transient Na+current () caused by is indispensable in the discharges formation process of the model. The model can generate the discharge process only when reaches a certain threshold. In the discharge process of the neuron model,s changing affects little and the ISIs approximate to a straight line. The delay rectification K+current () caused by isnt indispensable in the discharges formation process of the model. Buts changing affects much in the discharge process of the neuron model. Withs changing, the neuron model undergoes different dynamic bifurcation process, and has plenty of discharge patterns such as the chaos, period, and so on. This investigation is helpful to know and investigate deeply the dynamic characteristics and the bifurcation mechanism of the hippocampal neuron; and it provides a certain theory assist to investigate the neural diseases such as the Alzheimer disease by neurodynamics.

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Kumar, Sudhanshu, Harshit K. Dave, and Keyur P. Desai. "Application of Radial Tool Movement in Electrical Discharge Machining Process for Boring Operation." International Journal of Materials, Mechanics and Manufacturing 5, no. 3 (August 2017): 178–82. http://dx.doi.org/10.18178/ijmmm.2017.5.3.313.

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van Baardwijk, Frans A. N. "Preventing Accidental Spills: Risk Analysis and the Discharge Permitting Process." Water Science and Technology 29, no. 3 (February 1, 1994): 189–97. http://dx.doi.org/10.2166/wst.1994.0097.

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The contribution of accidental discharges to the total emission of contaminating substances in surface waters is relatively increasing, as regular discharges are reduced. In The Netherlands a program has been started to develop a quantitative risk analysis method to be used within the discharge permitting process. The methodology takes into account the type of activities and related accident scenarios in terms of failure frequencies and source sizes, correction factors according to specific circumstances, as well as the nature of the receiving system (types of surface waters, but also public sewage water treatment plants). The methodology will provide an indication of the risk reduction needed in terms of reducing the frequency and/or the volume of possible spills. The method itself, the use of it within the legal framework and the relation with the EC-Directives are discussed.

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Li, Lun, Xiaoyu Ju, Xiaodong Zhou, Yang Peng, Zhizuan Zhou, Bei Cao, and Lizhong Yang. "Experimental Study on Thermal Runaway Process of 18650 Lithium-Ion Battery under Different Discharge Currents." Materials 14, no. 16 (August 22, 2021): 4740. http://dx.doi.org/10.3390/ma14164740.

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Lithium-ion batteries (LIBs) subjected to external heat may be prone to failure and cause catastrophic safety issues. In this work, experiments were conducted to investigate the influence of discharge current on the thermal runaway process under thermal abuse. The calibrated external heat source (20 W) and discharge currents from 1 to 6 A were employed to match the thermal abuse conditions in an operational state. The results indicated that the key parameters during the failure process, such as the total mass loss, the onset temperatures of safety venting and thermal runaway, and the peak temperature, are ultimately determined by the capacity inside the battery, and the discharge current can hardly change it. However, discharge currents can produce extra energy to accelerate the thermal runaway process. Compared with the battery in an open circuit, the onset time of thermal runaway was reduced by 7.4% at 6 A discharge. To quantify the effect of discharge current, the total heat generation by discharge current was calculated. The results show that a heat generation of 1.6 kJ was produced when the battery was discharged at 6 A, which could heat the cell to 34 °C (neglect of heat loss). This study simulates the failure process of the LIB in the operational state, which is expected to help the safety application of LIB and improve the reliability of the battery management system.

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Straka, Ľuboslav, and Slavomíra Hašová. "Study of Tool Electrode Wear in EDM Process." Key Engineering Materials 669 (October 2015): 302–10. http://dx.doi.org/10.4028/www.scientific.net/kem.669.302.

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Technology of Electrical Discharge Machining (EDM) uses thermal energy in material removal, in which is the electrical energy transformed, generated between the electrodes (tool and workpiece). The material removal occurs through the rapid periodic repetitive electrical discharges in the presence of dielectric fluid. By the action of electrical discharges occurs to decline not only particles of a metal workpiece material, but also to decline in a certain proportion of metal particles in tool electrode. The paper deals with the diagnosis the size of the electrode wear of tools made from copper and graphite used in EDM machining.

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Gan, Zheng Ning. "Simulation of the Discharge Path in Discharge Process from Thundercloud to Ground." Applied Mechanics and Materials 389 (August 2013): 948–52. http://dx.doi.org/10.4028/www.scientific.net/amm.389.948.

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Based on fractal theory and WZ model of gas discharge, The spacial temporal behavior in discharge process from Thundercloud to Ground was simulated efficiently. Moreover, we discussed the probability index and the field intensity of the discharge path and their influence on the fractal dimension and the discharge path., and pointed out that the research should focus on the relation between the probability index and the fractal dimension.

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Hernandez, Natalia, Dinesh John, and Joan Mitchell. "A reimagined discharge lounge as a way to an efficient discharge process." BMJ Quality Improvement Reports 3, no. 1 (2014): u204930.w2080. http://dx.doi.org/10.1136/bmjquality.u204930.w2080.

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Khassenov, A. K., U. B. Nussupbekov, D. Zh Karabekova, S. S. Kassymov, M. M. Bolatbekova, and M. Stoev. "Investigation of the effect of electro-hydraulic pulses on the combustion process of phosphorus sludge." Bulletin of the Karaganda University. "Physics" Series 100, no. 4 (December 30, 2020): 71–77. http://dx.doi.org/10.31489/2020ph4/71-77.

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The article considers the influence of electro-hydraulic pulses on the combustion of phosphorus sludge. Electric discharges in the environment of phosphorus sludge are sources of shock waves, which destroying the structure of phosphorus sludge and contribute to the intensification of the combustion process. A distinctive feature of the electro-hydraulic effect is the ability to control the parameters of pressure waves over a fairly wide range using the characteristics of the electric discharge circuit. For determine the optimal productivity and purity of the final product of the electric discharge unit’s operation mode, experiments were conducted on the effect of the discharge energy on the efficiency of the electric discharge method for extracting phosphorus from phosphorus sludge. The efficiency of the electric discharge process was estimated by the amount of phosphorus that was released after settling and expressed as a percentage of the total amount of phosphorus in a phosphorus sludge’s portion. The experiments were conducted out for sludges of different structures, with different phosphorus content and were conditionally divided into three groups: “rich” with phosphorus content — 70 %, “medium” — 50 % and “poor” — phosphorus content — 30 %.

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Paul, Lijo, P. V. Pradeep, and Donald Antony. "FEM of ECDM Process on Semi Conducting Materials." Applied Mechanics and Materials 877 (February 2018): 87–91. http://dx.doi.org/10.4028/www.scientific.net/amm.877.87.

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Electro Chemical Discharge Machining (ECDM) process has been developed as an innovative machining process for machining non-conductive materials. The various application of this hybrid process is used in many industries like nuclear, medical and automobile industries. The scope of ECDM in micro machining of semiconducting materials is still found to be promising challenge for researchers. Due to many advanced properties of silicon, its use in MEMS industries is enormous. Many researchers have carried out lot of empirical estimation for discharges in ECDM. However very less work has been reported in the modelling of the ECDM process. Present work mainly concentrates on Finite Element Modelling (FEM) of micro holes machined on silicon wafers with ECDM process. A thermal FEM of spark discharge in the ECDM is carried out. The results from FEM are compared with experimental results and are found to be satisfactory. The model developed can be used for prediction of MRR for a particular combination of workpiece-tool arrangement.

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Ackermann, Lily L., Emily A. Stewart, and Jeffrey M. Riggio. "Improved Supervision and Safety of Discharges Through Formal Discharge Education." American Journal of Medical Quality 34, no. 3 (August 30, 2018): 226–33. http://dx.doi.org/10.1177/1062860618794283.

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The goal of this study is to evaluate change in residents’ assessment of supervision and safety of the discharge process after formal discharge instruction education. An educational lecture and workshop addressing high-risk medications, medication reconciliation, follow-up, and handoffs were provided to internal medicine residents. Residents were given a longitudinal survey before and after the discharge education session. Significant improvement in perception was demonstrated in review of discharge instructions ( P < .001), review of new medications/side effects with patients ( P < .001), and review of discharge instructions with and receiving feedback from attending physicians ( P < .001). On review of 40 discharge instructions pre and post intervention, there was an improvement in completion of instructions for high-risk medications ( P < .05 [14 insulin, 26 anticoagulation]). This intervention was viewed positively by residents; more than two thirds of all residents favored a process of formal training over the current model of “training by doing.”

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Chipps, Jackie, Alison Grey, Gill Hilton, JO Linford, Sarah Pearce, and Tracy Thomas. "The discharge process for palliative care patients." Nursing Standard 11, no. 42 (July 7, 1997): 41–44. http://dx.doi.org/10.7748/ns.11.42.41.s48.

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Mesas Cervilla, Mónica, Miriam Colominas, Laura Mónica Perez, Marco Inzitari, Ana De Andres, and Xavier Cleries. "Program to improve the discharge process : TRANSICIONA." International Journal of Integrated Care 18, s2 (October 23, 2018): 168. http://dx.doi.org/10.5334/ijic.s2168.

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Erickson, Amy K. "Project RED: Re-engineering the discharge process." Pharmacy Today 19, no. 1 (January 2013): 8. http://dx.doi.org/10.1016/s1042-0991(15)31576-0.

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Yao, Jiachao, Danni Wen, Jiangnan Shen, and Jiade Wang. "Zero discharge process for dyeing wastewater treatment." Journal of Water Process Engineering 11 (June 2016): 98–103. http://dx.doi.org/10.1016/j.jwpe.2016.03.012.

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TAKAKI, Koichi, and Ken YUKIMURA. "Deposition Process Using a Shunting Arc Discharge." Journal of the Vacuum Society of Japan 51, no. 2 (2008): 75–80. http://dx.doi.org/10.3131/jvsj2.51.75.

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Mohri, Naotake, Masayuki Suzuki, Masanori Furuya, Nagao Saito, and Akira Kobayashi. "Electrode Wear Process in Electrical Discharge Machinings." CIRP Annals 44, no. 1 (1995): 165–68. http://dx.doi.org/10.1016/s0007-8506(07)62298-7.

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Krook, Maura, Marie Iwarzon, and Eleni Siouta. "The Discharge Process—From a Patient’s Perspective." SAGE Open Nursing 6 (January 2020): 237796081990070. http://dx.doi.org/10.1177/2377960819900707.

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Lees-Deutsch, Liz, Julia Jackson, Ariyur Balaji, and Annie Topping. "Developing a Process for Criteria-Led Discharge." Journal of Nursing Care Quality 35, no. 2 (2020): 140–46. http://dx.doi.org/10.1097/ncq.0000000000000423.

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KINOSHITA, Koichi, and Takaaki MORIMUNE. "CFC12 Decomposition by DC Corona Discharge Process." Journal of the Japan Institute of Energy 80, no. 6 (2001): 409–18. http://dx.doi.org/10.3775/jie.80.409.

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Birmingham, Jackie. "Patient Choice in the Discharge Planning Process." Professional Case Management 14, no. 6 (November 2009): 296–309. http://dx.doi.org/10.1097/ncm.0b013e3181c3d3c5.

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&NA;. "Patient Choice in the Discharge Planning Process." Professional Case Management 14, no. 6 (November 2009): 310–11. http://dx.doi.org/10.1097/ncm.0b013e3181cbb888.

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