• Title/Summary/Keyword: Ratio of random variable

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Do Low Self-Esteem and High Stress Lead to Burnout Among Health-Care Workers? Evidence From a Tertiary Hospital in Bangalore, India

  • Johnson, Avita R.;Jayappa, Rakesh;James, Manisha;Kulnu, Avono;Kovayil, Rajitha;Joseph, Bobby
    • Safety and Health at Work
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    • v.11 no.3
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    • pp.347-352
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    • 2020
  • Background: Low self-esteem can be an issue among health-care workers due to the hierarchical medical system. Health-care workers are also in a high pressure environment that can lead to stress and burnout. This study was conducted to estimate the proportion of health-care workers with low self-esteem, high stress, and burnout and the factors associated with these in a private hospital in Bangalore city. Methods: This cross-sectional study included a random sample of health-care workers of various cadres - doctors, nurses, nursing aides, technicians, and workers in ancillary departments such as laundry, dietary, central sterile supply department, and pharmacy, with probability proportional to size. Rosenberg Scale for Self-esteem, Cohen's Perceived Stress Scale, and Shirom-Melamed Burnout Measure were used as study tools. Results: Among the 306 health-care workers, there were high levels of low self-esteem (48.4%), stress (38.6%), and burnout (48.7%), with the lowest levels being among doctors. Those aged younger than 30 years had significantly lower self-esteem and greater stress. Conclusions: Health-care workers with low self-esteem were nearly thrice more likely to suffer high stress, Odds Ratio (OR) = 2.84 (1.36-5.92), and those who were stressed had more than three times higher chance of experiencing burnout, OR = 3.6 (2.02-6.55). Path analysis showed that low self-esteem among health-care workers had a direct effect on burnout, as well as an indirect effect through stress (mediator variable). This study indicates the need for screening and counseling for low self-esteem, stress, and burnout as part of a periodic medical examination of all cadres of health workers.

Resistive Switching Behavior of Cr-Doped SrZrO3 Perovskite Thin Films by Oxygen Pressure Change (산소 분압의 변화에 따른 Cr-Doped SrZrO3 페로브스카이트 박막의 저항변화 특성)

  • Yang, Min-Kyu;Park, Jae-Wan;Lee, Jeon-Kook
    • Korean Journal of Materials Research
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    • v.20 no.5
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    • pp.257-261
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    • 2010
  • A non-volatile resistive random access memory (RRAM) device with a Cr-doped $SrZrO_3/SrRuO_3$ bottom electrode heterostructure was fabricated on $SrTiO_3$ substrates using pulsed laser deposition. During the deposition process, the substrate temperature was $650^{\circ}C$ and the variable ambient oxygen pressure had a range of 50-250 mTorr. The sensitive dependences of the film structure on the processing oxygen pressure are important in controlling the bistable resistive switching of the Cr-doped $SrZrO_3$ film. Therefore, oxygen pressure plays a crucial role in determining electrical properties and film growth characteristics such as various microstructural defects and crystallization. Inside, the microstructure and crystallinity of the Cr-doped $SrZrO_3$ film by oxygen pressure were strong effects on the set, reset switching voltage of the Cr-doped $SrZrO_3$. The bistable switching is related to the defects and controls their number and structure. Therefore, the relation of defects generated and resistive switching behavior by oxygen pressure change will be discussed. We found that deposition conditions and ambient oxygen pressure highly affect the switching behavior. It is suggested that the interface between the top electrode and Cr-doped $SrZrO_3$ perovskite plays an important role in the resistive switching behavior. From I-V characteristics, a typical ON state resistance of $100-200\;{\Omega}$ and a typical OFF state resistance of $1-2\;k{\Omega}$, were observed. These transition metal-doped perovskite thin films can be used for memory device applications due to their high ON/OFF ratio, simple device structure, and non-volatility.

Effect of Gender, Parental Support an Treatment Type on the Adolescent's Successful Completion of Substance Abuse Outpatient Treatment Program (알코올과 마약남용 청소년을 위한 외래치료의 결과에 성별, 부모의 참여정도, 치료종류가 미치는 영향에 대한 연구)

  • Koh, Yun-Soon
    • 한국사회복지학회:학술대회논문집
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    • 2004.10a
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    • pp.461-492
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    • 2004
  • This study examined the effects of gender, parental support and treatment type on the treatment outcome of adolescent substance abusers. Outcome variable was the successful graduation (or drop) from an Intensive Adolescent Outpatient Program. Adolescents with their parents' support were treated in one of three treatment models (2-weeks Inpatient plus 6 week Intensive Croup-Oriented Outpatient, 8-weeks Intensive Croup-Oriented Outpatient, and 8-weeks Individual-Family Therapy) within a private hospital-affiliated treatment center by managed care practice allowing their own choice (non-random natural assignments). Several hypotheses were tested for main effects by the Log-Linear Analyses for a multi-dimensional contingency table with 440 adolescents (284 boys and 156 girls treated during 1992-l997) from middle-class families with private health insurances. The following results were found. Odds of graduating versus dropping out of the treatment program among : (1) girls were 1.7 times higher than those among boys; (2) adolescents with two-parent were 2.2 times higher than those among adolescents with one-parent ; (3) adolescents with Inpatient plus Outpatient was 1.7 times higher than that of those with Outpatient; (4) adolescents with Individual-Family Therapy was 2.3 times higher than that of those with Outpatient Model. There was no statistically significant outcome difference between the Individual-Family Therapy and the Inpatient plus Outpatient. Implications from the results were discussed. Suggestions were made to improve the treatment components in the areas of gender sensitivity, securing more parental support, alternatives for separation from peer group and integrating new peer groups, and flexibility for the unique needs of individual family. Also, some research questions for future studies were suggested.

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Bit Error Bounds for Trellis Coded Asymmetric 8PSK in Rain Fading Channel (강우 페이딩 채널에서 비대칭 8PSK 트랠리스 부호화방식의 비트에러 상한 유도)

  • 황성현;최형진
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.25 no.5B
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    • pp.797-808
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    • 2000
  • This paper presents the bit error rate(BER) upper bounds for trellis coded asymmetric 8PSK(TC-A8PSK) system using the Ka-band satellite in the rain fading environment. The probability density function(PDF) for the rain fading random variable can be theoretically derived by assuming that the rain attenuation can be approximated to a long-normal distribution and the rain fading parameters are calculated by using the rain precipitation data from the Crane global model. Furthermore, we analyze the BER upper bounds of TC-A8PSK system according to the number of states in the trellis diagram and the availability of channel state information(CSI). In the past, Divsalar and Simon[9] has analyzed the BER upper bounds of 2-state TCM system in Rician fading channels however this paper is the first to analyze the BER upper bounds of TCM system in the rain fading channels. Finally, we summarize the dominant six factors which are closely related to the BER upper bounds of TC-A8PSK satellite system in the rain fading channel as follows: 1) frequency band, 2) rain intensity, 3) elevation angle, 4) signal to noise ratio, 5) asymmetric angle, and 6) availability of CSI.

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A Study on the CLR Performance Improvement for VBR Traffic in the Wireless ATM Access Network (무선 ATM 가입자망에서 VBR 트래픽의 CLR 성능개선)

  • 이하철
    • Journal of Korea Multimedia Society
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    • v.7 no.5
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    • pp.713-720
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    • 2004
  • In this paper we suggest error control scheme to improve CLR performance degradation on wireless ATM access networks which consist of access node and wireless channel. Based on the cell scale and hurst scale, traffic model of wireless ATM access network is analyzed. The CLR equation due to buffer overflow for wireless access node is derived for VBR traffic. the CLR equation due to random bit errors and burst errors for wireless channel is derived. Using the CLR equation for both access node and wireless channel, the CLR equation of wireless ATM access network is derived, and we evaluate the CLR performance on the wireless ATM access networks with conventional SR ARQ scheme and recommended error control scheme, that is, Type I Hybrid ARQ scheme. It is confirmed that CLR performance of the access networks with recommended error control schemes is superior to that of access networks with conventional error control scheme.

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Seismic Vulnerability Assessment and Mapping for 9.12 Gyeongju Earthquake Based on Machine Learning (기계학습을 이용한 지진 취약성 평가 및 매핑: 9.12 경주지진을 대상으로)

  • Han, Jihye;Kim, Jinsoo
    • Korean Journal of Remote Sensing
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    • v.36 no.6_1
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    • pp.1367-1377
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    • 2020
  • The purpose of this study is to assess the seismic vulnerability of buildings in Gyeongju city starting with the earthquake that occurred in the city on September 12, 2016, and produce a seismic vulnerability map. 11 influence factors related to geotechnical, physical, and structural indicators were selected to assess the seismic vulnerability, and these were applied as independent variables. For a dependent variable, location data of the buildings that were actually damaged in the 9.12 Gyeongju Earthquake was used. The assessment model was constructed based on random forest (RF) as a mechanic study method and support vector machine (SVM), and the training and test dataset were randomly selected with a ratio of 70:30. For accuracy verification, the receiver operating characteristic (ROC) curve was used to select an optimum model, and the accuracy of each model appeared to be 1.000 for RF and 0.998 for SVM, respectively. In addition, the prediction accuracy was shown as 0.947 and 0.926 for RF and SVM, respectively. The prediction values of the entire buildings in Gyeongju were derived on the basis of the RF model, and these were graded and used to produce the seismic vulnerability map. As a result of reviewing the distribution of building classes as an administrative unit, Hwangnam, Wolseong, Seondo, and Naenam turned out to be highly vulnerable regions, and Yangbuk, Gangdong, Yangnam, and Gampo turned out to be relatively safer regions.

Risk Factors for COVID-19 Infection Among Healthcare Workers. A First Report From a Living Systematic Review and meta-Analysis

  • Dzinamarira, Tafadzwa;Nkambule, Sphamandla Josias;Hlongwa, Mbuzeleni;Mhango, Malizgani;Iradukunda, Patrick Gad;Chitungo, Itai;Dzobo, Mathias;Mapingure, Munyaradzi Paul;Chingombe, Innocent;Mashora, Moreblessing;Madziva, Roda;Herrera, Helena;Makanda, Pelagia;Atwine, James;Mbunge, Elliot;Musuka, Godfrey;Murewanhema, Grant;Ngara, Bernard
    • Safety and Health at Work
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    • v.13 no.3
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    • pp.263-268
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    • 2022
  • Health care workers (HCWs) are more than ten times more likely to be infected with coronavirus infectious disease 2019 (COVID-19) than the general population, thus demonstrating the burden of COVID-19 among HCWs. Factors that expose HCWs to a differentially high-risk of COVID-19 acquisition are important to elucidate, enable appropriate public health interventions to mitigate against high risk and reduce adverse outcomes from the infection. We conducted a systematic review and meta-analysis to summarize and critically analyze the existing evidence on SARS-CoV-2 risk factors among HCWs. With no geographical limitation, we included studies, in any country, that reported (i) the PCR laboratory diagnosis of COVID-19 as an independent variable (ii) one or more COVID-19 risk factors among HCWs with risk estimates (relative risk, odds ratio, or hazard ratio) (iii) original, quantitative study design, and published in English or Mandarian. Our initial search resulted in 470 articles overall, however, only 10 studies met the inclusion criteria for this review. Out of the 10 studies included in the review, inadequate/lack of protective personal equipment, performing tracheal intubation, and gender were the most common risk factors of COVID-19. Based on the random effects adjusted pooled relative risk, HCWs who reported the use of protective personal equipment were 29% (95% CI: 16% to 41%) less likely to test positive for COVID-19. The study also revealed that HCWs who performed tracheal intubations were 34% (95% CI: 14% to 57%) more likely to test positive for COVID-19. Interestingly, this study showed that female HCWs are at 11% higher risk (RR 1.11 95% CI 1.01-1.21) of COVID-19 than their male counterparts. This article presents initial findings from a living systematic review and meta-analysis, therefore, did not yield many studies; however, it revealed a significant insight into better understanding COVID-19 risk factors among HCWs; insights important for devising preventive strategies that protect them from this infection.

The Effects of Declination and Curvature Weight in DEM (수치표고모형에서 경사와 곡률경중율의 영향)

  • Yang, In-Tae;Choi, Seung-Pil;Kwon, Hyun;Kim, Wook-Nam
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.8 no.2
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    • pp.45-51
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    • 1990
  • DEM must have a high accuracy against the actual topographic model. A model which can compute heights responding to random plane position by using of the topographic data and interpolation must be constructed. Interpolation affected by the accuraccy of the observations included noise, which affected by the slop and curvature weight. Data smoothing is a method to reduce the noise. Average declination and area ratio are variable which result similarity in according to slope. But in local area, area ratio well shows a local change. This study try to classify the terrain by the declination to analysis the effects of the declination and curvature weights, and then to represent the most probable model. The result are following : In terrain classification by the slop, p16 and p24 were fitted in the plane surface fit p16 and S in the varying surface, and S and p24 in the irregular surface in classification by curvature, p24 and S were fitted in the plane or varying surface, and p16 in the irregular surface In case of hybrid, p16, p24 and S are fitted in the plane, varying and irregular surface respectively. Smoothing is the most effective in case of slope of 50 persentage and of curvature weight of 0.0015.

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Analyses of the Efficiency in Hospital Management (병원 단위비용 결정요인에 관한 연구)

  • Ro, Kong-Kyun;Lee, Seon
    • Korea Journal of Hospital Management
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    • v.9 no.1
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    • pp.66-94
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    • 2004
  • The objective of this study is to examine how to maximize the efficiency of hospital management by minimizing the unit cost of hospital operation. For this purpose, this paper proposes to develop a model of the profit maximization based on the cost minimization dictum using the statistical tools of arriving at the maximum likelihood values. The preliminary survey data are collected from the annual statistics and their analyses published by Korea Health Industry Development Institute and Korean Hospital Association. The maximum likelihood value statistical analyses are conducted from the information on the cost (function) of each of 36 hospitals selected by the random stratified sampling method according to the size and location (urban or rural) of hospitals. We believe that, although the size of sample is relatively small, because of the sampling method used and the high response rate, the power of estimation of the results of the statistical analyses of the sample hospitals is acceptable. The conceptual framework of analyses is adopted from the various models of the determinants of hospital costs used by the previous studies. According to this framework, the study postulates that the unit cost of hospital operation is determined by the size, scope of service, technology (production function) as measured by capacity utilization, labor capital ratio and labor input-mix variables, and by exogeneous variables. The variables to represent the above cost determinants are selected by using the step-wise regression so that only the statistically significant variables may be utilized in analyzing how these variables impact on the hospital unit cost. The results of the analyses show that the models of hospital cost determinants adopted are well chosen. The various models analyzed have the (goodness of fit) overall determination (R2) which all turned out to be significant, regardless of the variables put in to represent the cost determinants. Specifically, the size and scope of service, no matter how it is measured, i. e., number of admissions per bed, number of ambulatory visits per bed, adjusted inpatient days and adjusted outpatients, have overall effects of reducing the hospital unit costs as measured by the cost per admission, per inpatient day, or office visit implying the existence of the economy of scale in the hospital operation. Thirdly, the technology used in operating a hospital has turned out to have its ramifications on the hospital unit cost similar to those postulated in the static theory of the firm. For example, the capacity utilization as represented by the inpatient days per employee tuned out to have statistically significant negative impacts on the unit cost of hospital operation, while payroll expenses per inpatient cost has a positive effect. The input-mix of hospital operation, as represented by the ratio of the number of doctor, nurse or medical staff per general employee, supports the known thesis that the specialized manpower costs more than the general employees. The labor/capital ratio as represented by the employees per 100 beds is shown to have a positive effect on the cost as expected. As for the exogeneous variable's impacts on the cost, when this variable is represented by the percent of urban 100 population at the location where the hospital is located, the regression analysis shows that the hospitals located in the urban area have a higher cost than those in the rural area. Finally, the case study of the sample hospitals offers a specific information to hospital administrators about how they share in terms of the cost they are incurring in comparison to other hospitals. For example, if his/her hospital is of small size and located in a city, he/she can compare the various costs of his/her hospital operation with those of other similar hospitals. Therefore, he/she may be able to find the reasons why the cost of his/her hospital operation has a higher or lower cost than other similar hospitals in what factors of the hospital cost determinants.

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Why Gabor Frames? Two Fundamental Measures of Coherence and Their Role in Model Selection

  • Bajwa, Waheed U.;Calderbank, Robert;Jafarpour, Sina
    • Journal of Communications and Networks
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    • v.12 no.4
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    • pp.289-307
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    • 2010
  • The problem of model selection arises in a number of contexts, such as subset selection in linear regression, estimation of structures in graphical models, and signal denoising. This paper studies non-asymptotic model selection for the general case of arbitrary (random or deterministic) design matrices and arbitrary nonzero entries of the signal. In this regard, it generalizes the notion of incoherence in the existing literature on model selection and introduces two fundamental measures of coherence-termed as the worst-case coherence and the average coherence-among the columns of a design matrix. It utilizes these two measures of coherence to provide an in-depth analysis of a simple, model-order agnostic one-step thresholding (OST) algorithm for model selection and proves that OST is feasible for exact as well as partial model selection as long as the design matrix obeys an easily verifiable property, which is termed as the coherence property. One of the key insights offered by the ensuing analysis in this regard is that OST can successfully carry out model selection even when methods based on convex optimization such as the lasso fail due to the rank deficiency of the submatrices of the design matrix. In addition, the paper establishes that if the design matrix has reasonably small worst-case and average coherence then OST performs near-optimally when either (i) the energy of any nonzero entry of the signal is close to the average signal energy per nonzero entry or (ii) the signal-to-noise ratio in the measurement system is not too high. Finally, two other key contributions of the paper are that (i) it provides bounds on the average coherence of Gaussian matrices and Gabor frames, and (ii) it extends the results on model selection using OST to low-complexity, model-order agnostic recovery of sparse signals with arbitrary nonzero entries. In particular, this part of the analysis in the paper implies that an Alltop Gabor frame together with OST can successfully carry out model selection and recovery of sparse signals irrespective of the phases of the nonzero entries even if the number of nonzero entries scales almost linearly with the number of rows of the Alltop Gabor frame.