• Title/Summary/Keyword: 95% confidence level

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Analysis of Factors Related to Mortality in Adult ICU Patients: Focusing on Nurse Staffing Level (성인중환자실 이용 환자의 사망률 관련 요인 분석: 간호등급을 중심으로)

  • Lee, Jeong Mo;Lee, Kwang Ok;Hong, Jeong Hwa;Park, Hyun Hee
    • Journal of muscle and joint health
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    • v.29 no.1
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    • pp.41-49
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    • 2022
  • Purpose: The purpose of this study was to assess the influence of nurses staffing level on patient health outcomes in intensive care units (ICUs) in Korea. Methods: The study was retrospective in nature. Information on patients and their outcomes, as well as nurse cohort data, were obtained from Korea's National Health Insurance Service Database. The observation period was from January 1, 2008 to December 31, 2018, and data for 2,964,991 patients were analyzed. Independent variables included patient' age and sex and hospital type, intensivist, and nurses staffing level. Results: The mortality rate in ICUs was significantly higher at tertiary hospitals with a level 3~4 (HR, 1.21; 95% confidence interval, 1.19~1.22) or level 5~9 nurse staffing (HR, 1.31; 95% confidence interval, 1.27~1.34) compare to that of tertiary hospitals with a 1~2 level. 28-day mortality rate was also higher at general hospitals with a level 3~4 (HR, 1.13; 95% confidence interval, 1.12~1.14), level 5~6 (HR. 1.34; 95% confidence interval, 1.32~1.36), level 7~9 nurse staffing (HR, 1.38; 95% confidence interval, 1.38~1.42), using level 1~2 as reference. Conclusion: Nurses staffing level is a key determinant of healthcare-associated mortality in critically ICUs patients. Policies to achieve adequate nurse staffing levels are therefore required to enhance patient outcomes.

The Development of Capacity Estimation Methods from Statistical Distribution of Observed Traffic Flow (관측교통량의 통계적 분포에 의한 도로교통용량 산정 기법에 관한 연구 -이상적인 조건하의 고속도로 기본구간 대상-)

  • 김용걸;장명순
    • Journal of Korean Society of Transportation
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    • v.13 no.1
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    • pp.167-183
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    • 1995
  • The objective of study is to evaluate highway capaicty estimation alternative and to develop capacity from statistical distribution of observed traffic flow. Speed-Volume relation is analyzed from vehicle's headway distribution eliminating the long headway by confidence intervals 99%, 95%, 90%. Capacity estimate alternatives were evaluated from 95% , 90%, 85% level of cummulative distribution of observed hourly traffic flow adjusted to confidence intervals. The result of investigation revealed that maximum hourly rate of flow is 2, 130pcu at confidence interval of 995, 2, 233pcu at 95%, 2, 315pcu at 90% respectively. Compared to the capacity of 2, 200pcu per hour per lane used in HCM and KHCM(Korea Highway Capacity Manual), capa챠y appears to correspond to confidence interval of 95%. Using the traffic flow rate at confidence interval of 95% the maximum hourly flow rate is 2, 187pcu at 95% of cummulative volume distribution, 2, 153pcu at 90%, 2, 215pcu at 85%. The study suggests that raional capacity esimation alternative is to take the 95% of cummulative distribution of observed hourly traffic flow at 95% confidence headway interval eliminating 5% long headway.(i.e. 95-95 rule)

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Applying Novel Mean Residual Life Confidence Intervals

  • Guess, F.M.;Steele, J.C.;Young, T.M.;Leon, R.V.
    • International Journal of Reliability and Applications
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    • v.7 no.2
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    • pp.177-186
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    • 2006
  • Typical confidence intervals for a mean or mean residual life (MRL) are centered about the mean or mean residual life. We discuss novel confidence intervals that produce statements like "we are 95% confident that the MRL function, e(t), is greater than a prespecified $\mu_o$ for all t in the interval [0, $\hat{\theta})$)" where $\hat{\theta}$ is determined from the sample data, confidence level, and $\mu_o$. Also, we can have statements like 'we are 95% confident that the MRL of population 1, namely $e_1$(t), is greater than the MRL of population 2, $e_2$(t), for all t in the interval [0, $\hat{\theta}$)" where $\hat{\theta}$ is determined from the sample data and confidence level. We illustrate these one and two sample confidence intervals on internal bonds (tensile strengths) for an important modem engineered wood product, called medium density fiberboard (MDF), used internationally.

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Analysis and Uncertainty Estimation of Zearalenone in Cereal-Based Products by LC-MS/MS (LC-MS/MS를 이용한 곡류가공품의 제랄레논 분석과 측정불확도 추정)

  • Choi, Eun Jung;Kang, Sung Tae;Jung, So Young;Shin, Jae Min;Jang, Min Su;Lee, Sang Me;Kim, Jung Hun;Chae, Young Zoo
    • Korean Journal of Food Science and Technology
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    • v.44 no.6
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    • pp.658-665
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    • 2012
  • A survey of zearalenone contamination was conducted on cereal-based products by using an immunoaffinity column with LC-MS/MS. The calibration curve showed good lineality, with correlation coefficients ($R^2$) of 0.999 in the concentration range from 1 to 250 ng/mL. The limits of detection and quantification were approximately $0.3{\mu}g/kg$ and $1.0{\mu}g/kg$, respectively. The recoveries in the barley tea, Misutgaru and snack ranged from 73.6-107.8%. Zearalenone was detected in 10 samples (11.2% incidence). The highest zearalenone contamination level was $29.7{\mu}g/kg$ in the Misutgaru. This survey was conducted with uncertainty of measurement. The expanded uncertainty for zearalenone was estimated to be $44.9{\pm}5.0{\mu}g/kg$ (k=2, 95% confidence level) and $128.7{\pm}7.9{\mu}g/kg$ (k=2, 95% confidence level) for barley tea, $30.7{\pm}5.8{\mu}g/kg$ (k=2, 95% confidence level) and $173.7{\pm}14.9{\mu}g/kg$ (k=2.26, 95% confidence level) for Misutgaru, and $37.2{\pm}7.4{\mu}g/kg$ (k=2.31, 95% confidence level) and $151.0{\pm}10.4{\mu}g/kg$ (k=2, 95% confidence level) snack at the level of $41.7{\mu}g/kg$ and $166.7{\mu}g/kg$, respectively.

Two-stage Sampling for Estimation of Prevalence of Bovine Tuberculosis (이단계표본추출을 이용한 소결핵병 유병률 추정)

  • Pak, Son-Il
    • Journal of Veterinary Clinics
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    • v.28 no.4
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    • pp.422-426
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    • 2011
  • For a national survey in which wide geographic region or an entire country is targeted, multi-stage sampling approach is widely used to overcome the problem of simple random sampling, to consider both herd- and animallevel factors associated with disease occurrence, and to adjust clustering effect of disease in the population in the calculation of sample size. The aim of this study was to establish sample size for estimating bovine tuberculosis (TB) in Korea using stratified two-stage sampling design. The sample size was determined by taking into account the possible clustering of TB-infected animals on individual herds to increase the reliability of survey results. In this study, the country was stratified into nine provinces (administrative unit) and herd, the primary sampling unit, was considered as a cluster. For all analyses, design effect of 2, between-cluster prevalence of 50% to yield maximum sample size, and mean herd size of 65 were assumed due to lack of information available. Using a two-stage sampling scheme, the number of cattle sampled per herd was 65 cattle, regardless of confidence level, prevalence, and mean herd size examined. Number of clusters to be sampled at a 95% level of confidence was estimated to be 296, 74, 33, 19, 12, and 9 for desired precision of 0.01, 0.02, 0.03, 0.04, 0.05, and 0.06, respectively. Therefore, the total sample size with a 95% confidence level was 172,872, 43,218, 19,224, 10,818, 6,930, and 4,806 for desired precision ranging from 0.01 to 0.06. The sample size was increased with desired precision and design effect. In a situation where the number of cattle sampled per herd is fixed ranging from 5 to 40 with a 5-head interval, total sample size with a 95% confidence level was estimated to be 6,480, 10,080, 13,770, 17,280, 20.925, 24,570, 28,350, and 31,680, respectively. The percent increase in total sample size resulting from the use of intra-cluster correlation coefficient of 0.3 was 22.2, 32.1, 36.3, 39.6, 41.9, 42.9, 42,2, and 44.3%, respectively in comparison to the use of coefficient of 0.2.

The Impact of Nurse Staffing Level on In-hospital Death and Infection in Cancer Patients Who Received Surgery (간호사 확보수준이 수술한 암환자의 원내 사망 및 감염에 미치는 영향)

  • Kim, Myo-Gyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.408-417
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    • 2017
  • This study was conducted to examine the influence of the nurse staffing level on the level of in-hospital death and infection in cancer patients who received surgery. Secondary data were used and the subjects of this study were 24,510 patients who received surgery for six types of cancer with a high postoperative mortality rate in the first half of 2012 at 260 hospitals. Simple logistic and GEE multiple logistic regression analyses were used. After adjusting for the patient and hospital characteristics, a greater likelihood of dying was found in the nurse staffing level 2-3 group (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.00-2.11) and in the level 6-7 group (OR, 3.28; 95% CI, 1.87-5.74) compared to the level 0-1 group. The likelihood of in-hospital infection increased with each additional bed per nurse, being 6.63 times higher (95% CI, 3.00-14.62) in the level 2-3 group, 5.79 times higher (95% CI, 1.88-17.78) in the level 4-5 group, and 8.4 times higher (95% CI, 1.82-38.84) in the level 6-7 group, as compared to the level 0-1 group. A lower nurse staffing level was associated with higher in-hospital death and infection levels. This shows that an appropriate nurse staffing level is associated with superior postoperative cancer patient outcomes. Policies for providing adequate nurse staffing should be maintained for the sake of ensuring improved care quality and patient safety.

A Sampling-based Algorithm for Top-${\kappa}$ Similarity Joins (Top-${\kappa}$ 유사도 조인을 위한 샘플링 기반 알고리즘)

  • Park, Jong Soo
    • Journal of KIISE:Databases
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    • v.41 no.4
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    • pp.256-261
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    • 2014
  • The problem of top-${\kappa}$ set similarity joins finds the top-${\kappa}$ pairs of records ranked by their similarities between two sets of input records. We propose an efficient algorithm to return top-${\kappa}$ similarity join pairs using a sampling technique. From a sample of the input records, we construct a histogram of set similarity joins, and then compute an estimated similarity threshold in the histogram for top-${\kappa}$ join pairs within the error bound of 95% confidence level based on statistical inference. Finally, the estimated threshold is applied to the traditional similarity join algorithm which uses the min-heap structure to get top-${\kappa}$ similarity joins. The experimental results show the good performance of the proposed algorithm on large real datasets.

A Study on the Planning Characteristics of Passive House by the Building Structural Types in Foreign Cases (해외 패시브하우스의 건축구조유형별 계획특성 연구)

  • Yang, Jung-Pil
    • KIEAE Journal
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    • v.13 no.3
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    • pp.15-20
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    • 2013
  • The purpose of this study is to analyze the planning characteristics of passive house by the building structural types in foreign cases. The interests and demands about passive house have been increased, and various building structural types and design methods have been attempted for passive house in Korea. But domestic research results and development experiences about passive house were lack. The results of this study are as follows; First, in terms of energy performance, insulation performance, airtightness, there are not significant differences at the 95% confidence level by the structural types of passive house. Second, in terms of the types of insulation materials, there are significant differences at the 95% confidence level by the structural types of passive house. Third, in principle there is no need of traditional heating facility in passive houses, but in practice traditional heating facilities are used additionally in about half of survey cases for the comfort of occupants.

Comparison of Non-desructive Method to Detect Nitrogen Deficient Cucumber (질소결핍 오이의 비파괴 진단법 비교)

  • 성제훈;서상룡;류육성;정갑채
    • Journal of Biosystems Engineering
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    • v.24 no.6
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    • pp.539-546
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    • 1999
  • Some stress for a plant could be detected to a certain degree by plant physiological measuring technique of the state of the art. The capability of early detection of my measuring system depends on kind of plant and kind and level of stress. The objectives of this study were to evaluate the capability of several fast and intact type plant stress detection systems to detect nitrogen deficiency of cucumber in the field. A series of experiment was carried out with four kinds of intact type measuring devices - a chlorophyll content meter, a chlorophyll fluorescence measurement system, an infrared thermometer and an optical spectrometer. The experiments resulted that the chlorophyll content meter could detect the stress of N deficiency at a confidence level higher than 95% on 3rd day for the earliest case and the detection of high precision was possible from 7th day after the stress was applied. The chlorophyll fluorescence measurement system detected the stress at a confidence level higher than 95% on 3rd day for the earliest case but the detection was not as much precise as the chlorophyll content meter. Leaf temperature measurement noted very poor results to detect the stress. Using the spectrometer, sensitive wavelength regions to detect the stress were searched and found out as 562∼564 nm, 700∼724 nm and 1,886∼1,894 nm. With the spectrometer using any of wavelength within the sensitive wavelength region, detection of the stress at a confidence level higher than 95% was possible from 3rd or 4th day after the stress was applied.

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Factors Influencing Cardiopulmonary Resuscitation Performance on a Stranger (일 지역 주민의 심폐소생술 수행에 미치는 영향요인)

  • Kim, Hyun-Sook;Uhm, Dong-Choon;Hong, Sun-Woo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.2
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    • pp.339-346
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    • 2010
  • Purpose: Bystander cardiopulmonary resuscitation (CPR) improves survival. However, there have been few studies on the performance of bystander CPR in Korea. This study was done to identify the reasons for being unwilling to perform CPR, and to investigate the factors associated with performing CPR on a stranger in an emergency situation. Method: The participants in this study were 444 local residents. Data were collected by using self-reported questionnaires from May 1 to June 30, 2010. For data analysis, descriptive statistics and multiple logistic regression were performed using SAS version 9.1. Result: Only 32.2% of respondents reported being willing to perform CPR on a stranger. The major reason for not being willing to perform CPR on a stranger was "have no confidence to perform CPR well". From multiple logistic regression analysis, statistically significant predictors of CPR performance on a stranger were found to be a higher educational level (OR=6.11, 95% CI 1.46-25.52), neighbors with angina pectoris or myocardial infarction (OR=6.65, 95% CI 3.93-11.24), and having confidence of performing CPR (OR=3.02, 95% CI1.78-5.14). Conclusion: CPR education (including automatic external defibrillator) should be offered to family members and neighbors. In addition, the Good Samaritan Law must be given wider publicity at the national level.