• 제목/요약/키워드: Three-Shift

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A Study on the Changes of Urinary Hormonal Excretion and Renal Function During Three-shift Nursing Practice (일일 3교대 간호활동시 호르몬분비 및 신장기능의 변화에 관한 연구 -간호학생을 대상으로-)

  • 김명애
    • Journal of Korean Academy of Nursing
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    • v.16 no.3
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    • pp.78-96
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    • 1986
  • The sympathico-adrenergic system and the hypophyseal-adrenocortical system mediates the regulation of the internal milieu. And the kidneys regulate both water and electrolyte balance of the body fluid. The kidneys are the sites of production of renin which participate indirectly in maintaining renin. angiotensin-aldosterone system. These system de-serve special attention in the context of adjustment the effects on the body function. And so, maximal exercise and work load are associated with home-osthetic function. The nurses working in the hospital have been complained of fatigue and stress by frequent duty changes and overload. In order to define this, the possible changes of hormonal excretion during three-shift nursing practice were investigated. Urine samples were collected at pre-duty and post-duty, and were measured with chemical assay and radioimmunoassay in 30 nursing students, in nursing practice and 43 nursing students, in studying. The results obtained were as follows. 1. In nursing practice, urinary norepinephrine concentration showed a marked increase during day duty, urinary cortisol concentration showed a marked increase during evening duty, and urinary renin concentration was increased in night duty, 2. Corrected ratio of urinary sodium excreted by the urinary excretion of creatinin (UNa/UCr) and UCl/UCr showed a marked decrease during night duty. Nursing practice did not affect on the UK/UCr and urinary concentrating ability. From these results, it is suggested that further studies the define the effects on some physiological function of the three-shift nursing practice against circadian rhythm are needed for better working condition of nurses.

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Analysis of the Status of Nursing Shifts and Nurses' Perceptions of Work Schedules in General Wards Based on the Government Guidelines for Night Shift Work (보건복지부 야간근무 가이드라인에 따른 일반병동 간호사의 교대근무 현황과 근무표에 대한 인식)

  • Hong, Kyung Jin;Cho, Sung-Hyun;Jung, Eun Hee
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.165-178
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    • 2021
  • Purpose: To analyze nurses' shift work according to the government guidelines for night work and their perceptions of their work schedules. Methods: The study sample included 487 nurses who provided information on their schedules, including the normal working hours of each shift, and overtime per shift during September 2020. Nurses' perceptions were measured in terms of satisfaction, appropriateness for work-life balance, and fairness to their work schedule. Results: One-third of the respondents worked more than 40 hours per week. The average overtime hour was 1.14 hours per shift. Unsocial hours (8 pm to 6 am on weekdays, midnight to midnight on weekends and public holidays) accounted for 56.4% of all working hours. During their last night shift, on average, nurses worked 9.62 hours and had a break of 39 minutes, although 20.5% reported no break. Sixty-eight percent of nurses had at least one between-shift break shorter than 48 hours after a consecutive night shifts. Fifty-seven percent were satisfied with their schedule. One-third perceived their schedule as appropriate for work-life balance, and two-thirds perceived that days off on weekends and nights were fairly distributed within the unit. Working and overtime hours had an inverse relationship with all three aspects of nurses' perceptions. A higher proportion of unsocial hours and having no breaks during the night shift were associated with lower perceptions of fairness. Conclusion: Reducing working hours, ensuring breaks during night shifts, and increasing rewards for unsocial hours are required to improve nurses' perceptions and reduce turnover due to shift work.

Effect of Rapid Rotating Shift Work on the Urinary $Na^+,K^+,Cl^-$ (빠른 교대근무가 요중 $Na^+,K^+,Cl^-$의 배설에 미치는 영향)

  • Min, Soon;Moon, Dae-Soo;Im, Wook-Bin
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.869-880
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    • 1998
  • In order to investigate of the effects of rapid rotating shift work on physiological stress, the activities of urinary Na$^{+}$, $K^{+}$, Cl$^{[-10]}$ were measured in 14 rotational shift nurses, during day shifts(8AM-4PM, n=4), evening shifts(4PM-l2MN, n=5), and night shifts(12MN-8AM, n=5) in hospital twenty students attending nursing college a used as a control group. Urine specimens were collected in 30 minutes before and after work on the second day of shift work. In day shift nurses, Na$^{+}$ activity was 137mM at 8AM and increased to 206mM at 4PM, whereas $K^{+}$ activity was 42mM at 8AM and no significant change at 4PM. Cl$^{[-10]}$ activity was changed from 234mM to 344mM at 4PM at 8AM. In the evening shift, Na$^{+}$ activity was 117mM at 4PM and 140mM at 12MN, $K^{+}$ activity was 22mM and 32mM, respectively. Cl$^{[-10]}$ activity was 169mM and changed to 270mM. During the night shift, Na$^{+}$ activity was 128mM at 12MN and changed to 161mM at 8AM, $K^{+}$ activity was 42mM at 12MN and 8AM, and Cl$^{[-10]}$ activity was from 303mM and changed to 355mM. In general, the urinary ion activities seemed to increase after work, however there were no significant changes in ion activities except the Na$^{+}$ increase in day shift. The mean of the activities of $K^{+}$ and Cl$^{[-10]}$ before and after work during the day and night shift were significantly higher than those in control group (P<0.05). $K^{+}$ activities were also higher than that of evening shift(P<0.05). However, there was no difference in Na$^{+}$ activity among the control group and three shifts. There was a significant relationship among urinary Na$^{+}$, Cl$^{[-10]}$ and $K^{+}$ in the control group and rotating shift nurses except between Na$^{+}$ and $K^{+}$ in shift. The relationship between Na$^{+}$ and Cl$^{[-10]}$ was low in shift work and there was no significant relationship between Na$^{+}$ and $K^{+}$ in shift, suggesting that the active regulation $K^{+}$ and/or Na$^{+}$ in response to stress upon the shift work disruped the ratio of urinary Na$^{+}$ to $K^{+}$ and also lowered the relationship between $K^{+}$ and Cl$^{[-10]}$ . These results suggest that nurses working the day shift were overloaded and under stress, and the night shift interfered with the physiological rhythm of the nurses.red with the physiological rhythm of the nurses.

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Characteristics of Static Shift in 3-D MT Inversion (3차원 MT 역산에서 정적효과의 특성 고찰)

  • Lee Tae Jong;Uchida Toshihiro;Sasaki Yutaka;Song Yoonho
    • Geophysics and Geophysical Exploration
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    • v.6 no.4
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    • pp.199-206
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    • 2003
  • Characteristics of the static shift are discussed by comparing the three-dimensional MT inversion with/without static shift parameterization. The galvanic distortion by small-scale shallow feature often leads severe distortion in inverted resistivity structures. The new inversion algorithm is applied to four numerical data sets contaminated by different amount of static shift. In real field data interpretations, we generally do not have any a-priori information about how much the data contains the static shift. In this study, we developed an algorithm for finding both Lagrangian multiplier for smoothness and the trade-off parameter for static shift, simultaneously in 3-D MT inversion. Applications of this inversion routine for the numerical data sets showed quite reasonable estimation of static shift parameters without any a-priori information. The inversion scheme is successfully applied to all the four data sets, even when the static shift does not obey the Gaussian distribution. Allowing the static shift parameters have non-zero degree of freedom to the inversion, we could get more accurate block resistivities as well as static shifts in the data. When inversion does not consider the static shift as inversion parameters (conventional MT inversion), the block resistivities on the surface are modified considerably to match possible static shift. The inhomogeneous blocks on the surface can generate the static shift at low frequencies. By those mechanisms, the conventional 3-D MT inversion can reconstruct the resistivity structures to some extent in the deeper parts even when moderate static shifts are in the data. As frequency increased, however, the galvanic distortion is not frequency independent any more, and thus the conventional inversion failed to fit the apparent resistivity and phase, especially when strong static shift is added. Even in such case, however, reasonable estimation of block resistivity as well as static shift parameters were obtained by 3-D MT inversion with static shift parameterization.

The radiographic localization of unerupted maxillary incisors and supernumeraries

  • Kim Jae-Duk;Lee Chang-Yul;You Choong-Hyun
    • Imaging Science in Dentistry
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    • v.33 no.4
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    • pp.217-221
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    • 2003
  • Purpose : To evaluate the use of the vertical tube shift from a panoramic film and a periapical film to localize unerupted maxillary incisors and supernumeraries. Materials and Methods : The total of 103 displaced maxillary incisors or embedded supernumeraries were examined in this study. The vertical tube shift technique with panoramic and periapical radiography by normal projection taken and compared to localize the position of the embedded maxillary incisors or supernumeraries by a radiologist and 5 general dentists. The gold standard used for the radiographic comparisons was the true position of the embedded tooth as confirmed by horizontal tube shift technique using three periapical radiographs. The general dentist examiners were instructed on the use of the modified acronym 'SLDOBU' by the radiologist as it pertains to panoramic radiographs as the principle of vertical tube shift. Results: All of the embedded maxillary incisors and supernumeraries were successfully located using the vertical tube shift from a panoramic and a maxillary anterior periapical radiograph by the radiologist and 5 general dentists. Conclusion: The use of a panoramic film with a periapical film combination for a vertical tube shift can be useful to localize unerupted maxillary incisors and supernumeraries.

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A Study of the Digital Modulation using DSP (DSP를 이용한 디지털 변조에 관한 연구)

  • 최상권;최진웅;김정국
    • Proceedings of the Korea Institute of Convergence Signal Processing
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    • 2001.06a
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    • pp.89-92
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    • 2001
  • In this paper, as a study of programmable software radio digital communication, we implemented ASK(Amplitude Shift Keying), FSK(Frequency Shift Keying), and PSK(Phase Shift Keying) modulation using programmable software(algorithm) of DSP(Digital Signal Processor). Moreover, it is possible to select one of those three modulation methods by realizing on single DSP. We adopted Motorola DSP56002 and Crystal CS4215(A/D and D/A converter) for our purpose. The DSP56002 is 24-bit and operates 20 MIPS at 40 MHz, and the CS4215 is 16-bit and supports the maximum 50 kHz sampling frequency.

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Association of Grit and Body Composition with Fatigue and Burnout among Shift-work Nurses

  • Baek, MinJung;Han, Kihye
    • Journal of Korean Biological Nursing Science
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    • v.24 no.3
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    • pp.141-149
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    • 2022
  • Purpose: This study aimed to investigate the effects of grit and body composition on fatigue and burnout in shift-working nurses. Methods: A descriptive cross-sectional design using self-report questionnaires was employed. Data were collected between February and April 2021 from 192 shift-working nurses in 22 units of C tertiary hospitals. Of the 192, 175 nurses returned their completed questionnaires (return rate: 91.1%). The participants objectively measured their body composition for three consecutive days using a home body composition measurement scale. Results: Nurses with higher consistency of interest were more likely to have lower chronic fatigue (B = -5.23, p= .013), lower emotional exhaustion (B = -2.75, p< .001), and decreased depersonalization (B = -1.08, p= .014). Perseverance of effort was not statistically significant for fatigue; however, it was statistically significant for higher personal accomplishment among the subdomains of burnout (B= 2.50, p< .001). Skeletal muscle mass and body mass index had no significant effect on fatigue and burnout. Conclusion: To reduce fatigue and burnout in shift-working nurses, comprehensive efforts at the organizational and individual levels should be implemented to increase their grit. Further research is needed to determine whether body composition affects fatigue and burnout in shift-working nurses.

Health Risks Related to Shift Work Among Female Workers of Major Manufacturing Industries in Korea (우리나라 여성 주요 제조업 근로자들의 교대 작업에 대한 건강영향 평가)

  • Shin, Eui-Chul;Meng, Kwang-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.3 s.35
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    • pp.279-286
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    • 1991
  • Much of the working population in developing countries are engaged in shift work now and the number of shift workers is not expected to decrease in the future mostly because the need for continuity of production is increasing. Therefore, the possible effects of shift work on health are of particular interest, and in fact, there have been many epidemiological studies on shift work since the first world war. However, no studies on health effects of shift work have been reported in Korea, and the existing studies in western world have arrived at quite different conclusions mainly because the conditions of work other than shift work, such as age and selection of workers, work environment, and labor conditions also influence the health of workers. This study was firstly carried out in Korea to investigate the health risks related to shift work with 2,093 female workers randomly selected from three major manufacturing industries in proportion to total number of female workers in those industries. Differences of work conditions other than shift work in this study were adjusted by multivariate analysis. Ma findings obtained from this study are as follows : 1. There were significant differences between shift and day workers in the distribution of age, type of industry, condition of noise and dust, regularity of mealtime, working position, and working duration. Shift workers tended to be younger, to have shorter working duration, to have more irregular mealtime, to work in standing position, and to work under more noisy and dusty environment than day workers. 2. Univariate analysis showed that shift work increased the Todai Health Index (THI) scores of digestive tract, respiratory tract, and mental instability symptom categories. Shift work also increased days of sickness absence and number of industrial accident per 100 workers per month. 3. Multivariate analysis that adjusted the differences of demographic, occupational and non-occupational health-related working conditions showed that digestive tract symptom and mental instability symptom scores were significantly higher in shift workers than those in day workers. Based on these study results, it is concluded that the shift work has significant effects on some psychophysiological conditions of the workers and the effects are also influenced by several other personal and working conditions.

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A study on the peristaltic waveform of valveless PZT pump using disk type multi PZTs (다수 개 디스크 PZT 를 이용한 밸브리스 압전펌프의 연동구동 파형에 관한 연구)

  • Ham Y.B.;Park J.H.;Yun D.H.;Kim H.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.1824-1827
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    • 2005
  • For application to micro fluid control systems such as ${\mu}TAS$ (Micro Total Analysis Systems) and DDS (Drug Delivery Systems), it is very significant to handle precise and minute flow rates with low pressure pulsation. In this study, a novel valveless piezoelectric pump using peristaltic motion with three disk type PZT actuators is presented. The newly devised pump with an effective size of $70mm{\times}60mm{\times}55mm$ has three actuator layers connected in series from inlet to outlet. The PZT actuator has a maximum displacement of 240 ${\mu}m$ and a maximum force of 1.6 N. When the driving voltage for PZT actuators is sequentially applied with a certain phase shift, the pumping is performed by peristaltic motion of liquid volume. The working fluid is shut off without the driving voltage. Three methods for sequential driving are proposed and experimentally investigated. First and second methods utilize an intermittent sinusoidal waveform with phase shift of $90{\circ}\;and\;120^{\circ}$, respectively. Third method uses a rectangular waveform with phase shift of $90^{\circ}$. A controller with multi-phase shifter is designed and fabricated. Then, frequency and voltage-flow rate characteristics and load pressure-flow rate characteristics are experimentally investigated to verify the validity of the developed pump.

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The Research of Comparison Evaluation on the Decline in Artifact Using Respiratory Gating System in PET-CT (PET-CT 검사 시 호흡동조 시스템을 이용한 인공물 감소에 대한 비교 평가)

  • Kim, Jin-Young;Lee, Seung Jae;jung, Suk;Park, Min-Soo;Kang, Chun-Goo;Im, Han-Sang;Kim, Jae-Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.19 no.2
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    • pp.63-67
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    • 2015
  • Purpose Among various causes that influence image quality degradation, various methods for decrease in Artifact occurred by respiration of patients are being used. Among them, this study intended to evaluate CTAC Shift correction method and additional scan compare to the Scan(Q static scan) using respiratory gated system. Materials and Methods This study was conducted on 10 patients, and used PET-CT Discovery 710 (GE Healthcare, MI, USA) and Varian's RPM system. 5.18 Mbq per kg of $^{18}F$-FDG was injected on patients, asked them to take a rest for 1 hour in the bed, and conducted test after urination. Images were visualized through Q static scan, CTAC Shift correction method, Additional scan based on the Whole body scan(WBS) with Artifact. Decrease in Artifact was compared in each image, conducted Gross Evalution, and measured changes of SUVmax. Results For image obtained through the CTAC Shift correction method through WBS with Artifact, 12~56%, Q static scan image showed 17~54% of change rate and Additional Scan showed -27~46% of change rate. In Blind Test, the CTAC Shift correction image showed the highest point with 4 points, Q static scan image showed 3.5 points, and Additional scan image showed 3.4 points. The standardized WBS scan through Oneway ANOVA and three types of Scan method showed significant difference(p<0.05), and did not show significant difference between the three Scan methods(p>0.05). However, the three Scan methods showed significant difference in Blind test. Conclusion Additional scan and Q static scan require more time than the CTAC Shift correction method, there is concern about excessive exposure to patients by CT rescan and Q static scan is difficult to apply on patients with inconsistent respiration or irregular respiration cycle due to pain. For CTAC Shift correction method, limited correction is possible and the range is limited as well. It is considered as a useful method of improving diagnostic value when hospitals use the system appropriately and develop various advantageous factors of each method.

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