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The Level of Anxiety and Relating Factors of ICU Patients (중환자실 환자의 입원시 불안정도와 영향요인)

  • Han, Kyoung-Shin;Park, Young-Im
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.155-166
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    • 2002
  • This study was performed to figure out the level of anxiety and relating factors of ICU patients as the hospitalization in ICU grows more recently. Data collection was conducted from July 1st to August 31st, 2001. The subjects of this study were consisted of 101 ICU patients who were selected according to the criteria in S hospital, C city. The instruments of the research were consisted of 14 questions of general characteristics, 20 items of STAI, VAS, 24 questions for the anxiety relating factors. And data were analyzed by t-test, ANOVA, and pearson correlation for group difference and correlation with SPSS Win 10.0 program. The followings were the results of the study: 1. In the anxiety level, mean score on STAI was 53.7(item mean $2.69{\pm}.83$), and mean score on VAS was 5.23. It means that the anxiety level of ICU patients was moderate. 2. Among the relating factors of anxiety, the most highest scores were 'by seeing other patient's emergency situation' and 'by seeing other patient's death' figured 3.85 and 3.79 each. And the lowest marks were 'by the unkind behavior of doctors and nurses'(2.13) and 'nurses' or doctors' indifferent actions'(2.21). And the anxiety according to the environmental factor was the highest (3.17) and the anxiety regarding to the human relationship was the lowest (2.53). 3. In the anxiety level STAI according to the general characteristics, the patients who didn't have to take care of their family showed more anxiety than who had to take care of their family(t=-2.38, p=.02). And the variables that shows a significant difference on VAS was sex and women's anxiety was higher than men's level (t=-2.56, p=.01). 4. When the physical anxiety level was compared, the patients who had to take care of their family showed more anxiety than the people who didn't have to take care of their family(t=-1.95, p=.05). In the level of anxiety relating the human relationship, the patients who had religion showed more anxiety than patients who didn't(t=2.43 p=.02). And the married patients(t=2.43, p=.01) and more educated people(F=3.77, p=.01) showed more anxiety. Even though environmental anxiety was the highest factor, it was not significant with general characteristics. 5. The anxiety and relating factors showed positive significant relationship, and physical anxiety factor showed the strongest relation with STAI(r=.21, p<.01). And VAS level showed stronger relation with every factor of the anxiety than STAI. When the VAS level became higher, the anxiety relating to physical factor(r=.72, p<.01), human relationship(r=.63, P<.01), and environment became higher. According to the above result, the environmental anxiety was the highest level than other factors in ICU patient and thus the environmental nursing intervention becomes very important in ICU. Also nurses in ICU have to support the patients who showed higher level of anxiety in this study and try to develop the nursing intervention to relieve the anxiety of patients. And it is recommended that VAS is convenient and practical instrument for measuring the anxiety level in ICU patients.

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Module Multilevel-Clamped Composited Multilevel Converter (M-MC2) with Dual T-Type Modules and One Diode Module

  • Luo, Haoze;Dong, Yufei;Li, Wuhua;He, Xiangning
    • Journal of Power Electronics
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    • v.14 no.6
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    • pp.1189-1196
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    • 2014
  • A modular multilevel-clamped composited multilevel converter ($M-MC^2$) is proposed. $M-MC^2$ enables topology reconfiguration, power device reuse, and composited clamping. An advanced five-level converter ($5L-M-MC^2$) is derived from the concept of $M-MC^2$. $5L-M-MC^2$ integrates dual three-level T-type modules and one three-level neutral point clamped module. This converter can also integrate dual three-level T-type modules and one passive diode module by utilizing the device reuse scheme. The operation principle and SPWM modulation are discussed to highlight converter performance. The proposed $M-MC^2$ is comprehensively compared with state-of-the-art five-level converters. Finally, simulations and experimental results are presented to validate the effectiveness of the main contributions of this study.

Projection of Future Sea Level Change Based on HadGEM2-AO Due to Ice-sheet and Glaciers (HadGEM2-AO 기반의 빙상과 빙하에 의한 미래 해수면 변화 전망)

  • Kim, Youngmi;Goo, Tae-Young;Moon, Hyejin;Choi, Juntae;Byun, Young-Hwa
    • Atmosphere
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    • v.29 no.4
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    • pp.367-380
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    • 2019
  • Global warming causes various problems such as the increase of the sea surface temperature, the change of coastlines, ocean acidification and sea level rise. Sea level rise is an especially critical threat to coastal regions where massive population and infrastructure reside. Sea level change is affected by thermal expansion and mass increase. This study projected future sea level changes in the 21st century using the HadGEM2-AO with RCP8.5 scenario. In particular, sea level change due to water mass input from ice-sheets and glaciers melting is studied. Sea level based on surface mass balance of Greenland ice-sheet and Antarctica ice-sheet rose 0.045 m and -0.053 m over the period 1986~2005 to 2081~2100. During the same period, sea level owing to dynamical change on Greenland ice-sheet and Antarctica ice-sheet rose 0.055 m and 0.03 m, respectively. Additionally, glaciers melting results in 0.145 m sea level rise. Although most of the projected sea level changes from HadGEM2-AO are slightly smaller than those from 21 ensemble data of CMIP5, both results are significantly consistent each other within 90% uncertainty range of CMIP5.

IDENTITIES ABOUT LEVEL 2 EISENSTEIN SERIES

  • Xu, Ce
    • Communications of the Korean Mathematical Society
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    • v.35 no.1
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    • pp.63-81
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    • 2020
  • In this paper we consider certain classes of generalized level 2 Eisenstein series by simple differential calculations of trigonometric functions. In particular, we give four new transformation formulas for some level 2 Eisenstein series. We can find that these level 2 Eisenstein series are reducible to infinite series involving hyperbolic functions. Moreover, some interesting new examples are given.

Basic Characteristic of 5-level Inverter with Different Divided DC Link Voltage

  • Matsuse, Kouki;Matsumoto, Takafumi;Kodera, Yuji
    • Journal of international Conference on Electrical Machines and Systems
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    • v.2 no.2
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    • pp.179-183
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    • 2013
  • This paper report on experimental results of 5-level inverter by DC divided link voltage. We have alreday reported that DC divided link valtage comes to be able to reduse harmonic of out line voltage. So we tested whether DC divided link voltage can reduce harmonics in experimental setup. This paper shows simulation results and experimental results. And we confirmed that DC divided link voltage can also apply in experimental setup.

Antioxidant Status and its Relationship to Plasma Cytokine Levels in Korean Elderly Women Living in Seoul

  • Kim, Mi-Joung;Kim, Jung-Hee
    • Journal of Community Nutrition
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    • v.6 no.2
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    • pp.103-109
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    • 2004
  • Body antioxidant status is an important factor for the prevention of many chronic diseases in the elderly. This study was done to investigate antioxidant status and its relationship to immune response by measuring plasma cytokine (IL-2 and IL-6) levels in elderly women. Subjects were 76 elderly women aged over 60 years, visiting Jangwhi Social Welfare Center of Seongbook-Gu in Seoul. Subjects were divided into 3 groups according to age (< 65, 65 - 74, > 75). Dietary intakes were assessed by semi-quantitative food frequency questionnaires (SFFQ). Plasma vitamin C level was measured by 2,4-dinitrophenylhydrazine method and plasma levels of vitamin E, A and ${\beta}$-carotene were measured by HPLC. Plasma levels of IL-2 and IL-6 were determined with a solid phase sandwich enzyme linked-immuno-sorbent assay (ELISA) using commercial kits. The average intakes of antioxidant vitamins were 96.3mg (137.5% of RDA) for vitamin C and 523.3 ${\mu}$gRE (74.8% of RDA) for vitamin A in elderly women. All of the average plasma levels of antioxidant vitamins were within normal range. However the percentage of the elderly women with deficiency plus marginal values were 7.9% in vitamin C, 9.2% in vitamin A and 7.9% in vitamin E. Plasma levels of IL-2 and IL-6 were 27.1${\pm}$7.1pg/ml and 5.9${\pm}$5.3pg/ml in elderly women. Correlation data showed that plasma IL-2 level was negatively correlated with plasma vitamin C level. In addition, IL-6 level was also negatively correlated with plasma vitamin C, A and E levels, respectively. There was a significant positive correlation between erythrocyte thiobarbituric acid-reactive substance(TB-ARS) level and plasma IL-2 or IL-6 levels. In addition, erythrocyte TBARS level showed a significant positive correlation with plasma total antioxidant status (TAS) level and a significant negative correlation with plasma vitamin C level. Overall results might imply that the decreased levels of antioxidant vitamins result in an increase in oxidative stress and thereby increase cytokine production such as IL-2 and IL-6. However further research is required to elucidate these relationships.

Nitrous Oxide Enhances the Level of Sensory Block by Epidural Lidocaine (리도카인을 이용한 경막외 마취시 Nitrous Oxide가 감각차단에 미친 영향)

  • Goo, Young-Gwon;Woo, Soo-Young;Cho, Kang-Hee
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.43-47
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    • 1999
  • Backgroud: Systemic administration of opioid can prolong the duration of epidural anesthesia. The authors examined the effect of nitrous oxide ($N_2O$) on the level of sensory block induced by epidural lidocaine. Methods: Twenty minutes after epidural injection of 2% lidocaine (below 70 years : 20 ml, 70 years and above : 15 ml), the level of sensory block was assessed (2nd stage). Patients were randomly assigned to receive either medical air (control group, n=15) or 50% $N_2O$ in oxygen ($N_2O$ group, n=15) for 10 minutes, the level of block was reassessed (3rd stage). Pateints were given room air (control group) or 100% oxygen for 5 minutes and room air for 5 minutes ($N_2O$ group), and the level of block was reassessed (4th stage). Results: At the 3rd stage, $N_2O$ group showed 4.3 cm cephalad increase in the level of sensory block (p=0.005), but control group revealed 1.43 cm regression. After discontinuation of gas, the level of block regressed in both group (p=0.000). At the 4th stage, $N_2O$ group revealed 3.5 cm cephalad increase (p=0.048) and control group 1.97 cm regression (p=0.001) as compared with the 2nd stage. Conclusions: The level of sensory block induced by epidural lidocaine was significantly increased cephalad by concommitant use of 50% $N_2O$ for 10 minutes.

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A Study on Robust Design of JIT System in Uncertain Environment (불확실한 환경에서의 JIT시스템 강건설계에 관한 연구)

  • 조용욱;박명규
    • Journal of the Korea Safety Management & Science
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    • v.2 no.2
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    • pp.29-40
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    • 2000
  • In this paper, under JIT kanban system designed by Moeeni, each performance measures (service level, inventory level) identify the robust optimal level at a uncertain environment, and when there are multiple performance characteristics, it propose the optimal design-method and the optimal level decision-method, which consider multiple performance characteristics.

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Difference Analysis on Application Level of Programming Language in Major : focused on non-business administration group and business administration group (계열별 프로그래밍 언어의 활용도에 관한 차이분석 -경영계열을 중심으로-)

  • Park Jae-Yong
    • Management & Information Systems Review
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    • v.2
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    • pp.237-266
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    • 1998
  • The purpose of this study was to analyze the differences of application level the computer programming languages in major. The method of this study is the empirical method based on theoretical one with the previous bibliographical suduies. The sample consists of 268 listed university disclosing over the period of Dec. 1. 1997 to Du. 15. 1997. The samples were 10 university in university of Seoul, Pusan, Masan City, Korea. The data were collected by questionnaire research through interview with each person. The analysis data was carried to 268 samples by using SPSS/PC for Windows Version 7.5 statistical package. Statistical methods such as frequency analysis, chi-square test, ANOVA test, correlation analysis were used to test the research questions. This paper focuses on the design of the hypothesis test show that the 2 type are significantly different in major of university students. Before the test of research questions performed it frequency analysis by using the factor score that bring each items. The research type of 2 guoups, that is, BA Group(business administration group) and NBA Group(non-business administration guoup). To summarize the result of this study is as follows ; (1) Hypothesis 1 : Concerning about computer programming language in major, the significant difference is application the present condition. (2) Hypothesis 2 : Concerning about computer programming language in major, the significant difference is application level. (3) Hypothesis 3 : Concerning about each application software in major, the significant difference is application level. According to the results of this study, it is found that (1) Hypothesis 1 related In application the present condition of computer programming language was accepted its all at 0.05 % significance level. (2) Hypothesis 2 related to application level of computer programming language was accepted its all at 0.05 % significance level. (3) Hypothesis 3 related to application level of each application software was rejected its all. at 0.05 % significance level.

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A Study on the Cost Impact of Additional Construction as Rating G-SEED Certification of Medium-Sized Office Buildings in Korea - Based on G-SEED 2016-2(Effective September 1, 2018) - (국내 중규모 업무용 건물의 녹색건축인증 등급별 추가공사 비용 영향에 관한 연구 - G-SEED 2016-2 기준으로(2018년 9월 1일 시행) -)

  • Lee, Du-Hwan;Kim, Jae-Moon
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.10
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    • pp.225-234
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    • 2019
  • The purpose of this paper is to analyze the additional construction cost of G-SEED certification for domestic office building reflecting the latest standard(G-SEED 2016-2), and to derive cost impact by category and level. Therefore, it is intended to provide quantitave cost data according to G-SEED certification at the planning phase of the project, estimate the additional construction cost per level according to G-SEED Certification of similar project to be carried out in the future, and encourage G-SEED certification by supporting the decision of the owners. Method: The Process and method of this study are summarized in five steps, 1) Review of previous research, 2) Selection of target project, 3) Scenario setting by level, 4) Additional construction cost for each evaluation category, 5) Extraction of additional construction cost ratio by level. Result: This paper analyzed the cost impact by deriving the additional construction cost of detailed category for level improvement according to the revised G-SEED certification(G-SEED 2016-2). In conclusion, an additional construction cost(ratio) of G-SEED projects to the reference building is drawn as good level; 157,426,241 KWN(+0.43%), very good level; 321,907,802 KWN(+0.88%), excellent level; 999,371,478 KWN(+2.74%), and outstanding level; 1,467,047,718 KWN(+4.02%).