• 제목/요약/키워드: multilevel analysis

검색결과 331건 처리시간 0.027초

입원 중증 손상 환자의 사망과 전원에 영향을 미치는 요인에 관한 다수준분석 (Multilevel Analysis on Factors Influencing Death and Transfer in Inpatient with Severe Injury)

  • 최영은;이강숙
    • 보건행정학회지
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    • 제23권3호
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    • pp.233-243
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    • 2013
  • Background: This study was conducted to evaluate the individual and community level factors which were influencing the severe injury patients' death and transfer at discharge. Methods: Analysis data is based on Korean National Hospital Discharge In-depth Survey Data released by the Korea Center for Disease Control and Prevention from 2006 to 2008. Study subjects was 11,026 inpatients with of severe injury. For multi-level analysis, socio-demographic characteristics, injury related characteristics, hospitalization related characteristics were used as individual level factors, and socio-environmental characteristics and health care resource characteristics were used as community level factors. Results: As to community level factors affecting mortality of severe injury, the possibility of death was also high in cases of less numbers of surgeons per a population of 100,000 and more number of operation beds. As to community level factors affecting transfer of severe injury, vulnerable areas with higher social deprivation index and low population density had higher possibility of transfer. Conclusion: Both individual level factors and community level factors affected clinical outcomes of treatment for severe injury. In particular, since there happened higher death and transfer of severe injury in socioeconomic and medical vulnerable areas, special efforts for establishing preventive policy and care system for injury in national and area level should be directed toward such areas.

노인 기분장애 영향요인에 관한 실증적 연구: 지역사회 특성의 영향을 중심으로 (An Empirical Study on Factor Associated with Mood Disorders in Elderly: Focusing on the Influence of Community Characteristics)

  • 장미승;심익섭
    • 보건행정학회지
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    • 제27권2호
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    • pp.177-185
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    • 2017
  • Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

Voltage Source Equipment for the Grid Fault Testing and Analysis of Total Harmonic Distortion According to PWM Methods

  • Gwon, Jin-Su;Kim, Chun-Sung;Kang, Dae-Wook;Park, Jung-Woo;Kim, Sungshin
    • Journal of Power Electronics
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    • 제14권6호
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    • pp.1081-1092
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    • 2014
  • Renewable energy is being spotlighted as the electric power generating source for the next generation. Due to an increase in renewable energy systems in the grid system, their impact on the grid has become non-negligible. Thus, many countries in the world, including Europe, present their own grid codes for grid power conversion devices. In order to experiment with these grid codes, grid fault test equipment is required. This paper proposes both equipment and a control method, which are constructed with a 7-level cascaded H-bridge converter, that are capable of generating various grid faults. In addition, the Pulse Width Modulation (PWM) method for multilevel converters is compared and analyzed. The proposed structure, the control method, and the PWM method are verified through simulation and experimental results.

Advanced Small-Signal Model of Multi-Terminal Modular Multilevel Converters for Power Systems Based on Dynamic Phasors

  • Hu, Pan;Chen, Hongkun;Chen, Lei;Zhu, Xiaohang;Wang, Xuechun
    • Journal of Power Electronics
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    • 제18권2호
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    • pp.467-481
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    • 2018
  • Modular multilevel converter (MMC)-based high-voltage direct current (HVDC) presents attractive technical advantages and contributes to enhanced system operation and reduced oscillation damping in dynamic MMC-HVDC systems. We propose an advanced small-signal multi-terminal MMC-HVDC based on dynamic phasors and state space for power system stability analysis to enhance computational accuracy and reduce simulation time. In accordance with active and passive network control strategies for multi-terminal MMC-HVDC, the matchable small-signal stability models containing high harmonics and dynamics of internal variables are conducted, and a related theoretical derivation is carried out. The proposed advanced small-signal model is then compared with electromagnetic-transient and traditional small-signal state-space models by adopting a typical multi-terminal MMC-HVDC network with offshore wind generation. Simulation indicates that the advanced small-signal model can successfully follow the electromechanical transient response with small errors and can predict the damped oscillations. The validity and applicability of the proposed model are effectively confirmed.

QoS-Oriented Solutions for Satellite Broadcasting Systems

  • Vargas, Aharon;Gerstacker, Wolfgang H.;Breiling, Marco
    • Journal of Communications and Networks
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    • 제12권6호
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    • pp.558-567
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    • 2010
  • In this paper, we analyze the capability of satellite broadcasting systems to offer different levels of quality of service (QoS). We focus on the European telecommunications standards institute satellite digital radio and digital video broadcasting satellite handheld (DVB-SH) standards, which have recently been proposed for satellite broadcasting communications. We propose a strategy to provide different levels of QoS for the DVB-SH standard on the basis of an extension of the interleaving scheme, referred to as molded interleaver, which supports low latency service requirements for interactive services. An extensive analysis based on laboratory measurements shows the benefits of this solution. We also present a multilevel coding (MLC) scheme with multistage decoding designed for broadcasting communications as an alternative to the existing standards, where services with different levels of QoS are provided. We present a graphical method based on mutual information for the design and evaluation of MLC systems used for broadcasting communications. Extensive simulations for a typical satellite channel show the viability of the proposed MLC scheme. Finally, we introduce multidimensional constellations in the proposed MLC scheme in order to increase the number of different protection levels.

Dental Care Utilization for Examination and Regional Deprivation

  • Kim, Cheol-Sin;Han, Sun-Young;Lee, Seung Eun;Kang, Jeong-Hee;Kim, Chul-Woung
    • Journal of Preventive Medicine and Public Health
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    • 제48권4호
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    • pp.195-202
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    • 2015
  • Objectives: Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization. Methods: Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258). Results: Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model. Conclusions: This study's findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination.

Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention

  • Lee, Sang-Yi;Kim, Chul-Woung;Kang, Jeong-Hee;Yoon, Tae-Ho;Kim, Cheoul Sin
    • Journal of Preventive Medicine and Public Health
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    • 제47권5호
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    • pp.258-265
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    • 2014
  • Objectives: To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses. Methods: Among the 11 731 nurses who participated in the Korea Health and Medical Workers' Union's educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling. Results: Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses' job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses' turnover intention. Conclusions: Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses' job satisfaction. However, the nursing practice environment was not related to nurses' turnover intention.

다치 량자화한 일차 DPLL의 위상과 주파수 스텝 입력에 대한 해석 (Analysis of a First Order Multilevel Quantized DPLL with Phase-and Frquency-Step Input)

  • 배건성
    • 대한전자공학회논문지
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    • 제20권4호
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    • pp.55-60
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    • 1983
  • 입력신호와 비교신호와의 시간오차를 다치 양자화하는 시간 오차 검출기(TED)를 고찰하여 새로운 형태의 디지탈 위상고정회로(DPLL)를 제안하고 성능을 해석하였다. 본 논문에서 고안된 TED는 선형적인 특성을 갖게 되므로 DPLL의 동작은 선형 차분 방정식으로 해석된다. 잡음이 없는 경우에, 유도된 시스템 방정식을 해석하여 제안된 DPLL 입력신호의 초기 시간차이에 관계없이 입력신호의 위상과 주파수를 추적할 수 있는 조건 및 그에 따른 주파수 추적 범위를 구했으며 타이밍 에러 플레인(timing error plane) 방법 및 컴퓨터 시뮬레이션을 통해 앞에서 해석된 결과들이 잘 일치함을 보였다.

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다단 변압기 기반 3$^{n-1}$+2 레벨 PWM 인버터 (Cascaded-transformer-based 3$^{n-1}$+2 level PWM Inverter)

  • 강필순;박진현
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2005년도 추계종합학술대회
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    • pp.681-684
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    • 2005
  • 본 논문은 (3$^{n-1}$+2) 레벨 형성법에 기반한 멀티레벨 인버터를 제안한다. PWM 인버터, LEVEL 인버터와 다단 변압기로 구성되는 이 회로는 양질의 출력전압을 형성하기 위해서 이차측이 직렬로 결합된 다단 변압기를 이용하게 된다. 변압기 권선비의 적절한 선택을 통해 입력전압의 정수비 형태로 주어지는 출력전압레벨을 형성할 수 있다. 제안된 방식으로 11레벨, 29레벨 시작품을 제작하여 실험을 통해 타당성을 검증한다.

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멀티레벨 PWM ac/dc 컨버터의 향상된 단락보호기법 해석 (Analysis of An Improved Short-circuit Protection for Multilevel PWM ac/dc Converter)

  • 강성관;노의철;김인동;조철제;전태원;김흥근
    • 전력전자학회:학술대회논문집
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    • 전력전자학회 2001년도 전력전자학술대회 논문집
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    • pp.193-196
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    • 2001
  • This paper describes an improved short-circuit protection for a multilevel ac/dc power converter The output do power of the proposed converter can be disconnected from the load within several hundred microseconds at the instant of short-circuit fault. Once the fault has been cleared the dc power is reapplied to the load. The rising time of the do load voltage is as small as several hundred microseconds, and there is no overshoot of the dc voltage because the do output capacitors hold undischarged state. Therefore, the proposed converter can be used for a power supply, which requires a rapid disconnection of the load from the power supply in the case of a short circuit, as well as a rapid connection the load to the power supply after the clearance of the short circuit condition.

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