• 제목/요약/키워드: 2 or 3 Shift Rotation

검색결과 13건 처리시간 0.03초

2교대와 3교대 근무간호사의 수면과 피로도 (The Effects of 2 or 3 Shift Rotation on the Fatigue and Sleep)

  • 변영순
    • Journal of Korean Biological Nursing Science
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    • 제7권2호
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    • pp.5-15
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    • 2005
  • The purpose of this study was to compare the sleep and fatigue between groups with two shift and three shift nurses. A total of 14 nurses working in Neonatal Intensive Care Unit(NIC) were included with the seven for two shifts and the other seven for three shifts. Data were collected by Korean version of sleep tool(Oh et al., 1998) and fatigue symptom tool(Kim et al., 2001) and analyzed using SPSS PC 12.0. The results of the study were as follows: 1) There was statistically a significant difference in the number of total sleep hour and no difference in fatigue between groups. 2) There were no significant differences found in both sleep and fatigue by demographic characteristics between groups. 3) There were no correlations between sleep and fatigue in both groups. Through the further future studies, the findings of this study were expected to provide an opportunities for exploring the information on 2-shift nurses as well as 3-shift nurses and to offer the fundamental data on an arrangement of work force according to the types of shift work.

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ACTIVATOR를 이용한 편측성 구치부 반대교합의 치험예 (A CASE REPORT OF UNILATERAL POSTERIOR CROSS BITE BY THE ACTIVATOR)

  • 담재화;전윤식
    • 대한치과교정학회지
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    • 제18권2호
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    • pp.449-458
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    • 1988
  • The author evaluated the effect of wunderer activator and karwetzky's u-bow activator for correction of anterior and posterior cross bite and mandibular shift to the Rt. or Lt. side. The results were as follows. 1. correction of anterior and posterior cross bite. 2. correction of mandibular shift to the unilateral side. 3. slightly down and backward rotation of mandible was occured.

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하방 관절낭 이동술을 이용한 다방향 견관절 불안정의 치료 (Treatment of Multidirectional Instability of the Shoulder with Inferior Capsular Shift)

  • 이병창;전철홍;박성규
    • Clinics in Shoulder and Elbow
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    • 제3권2호
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    • pp.79-86
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    • 2000
  • Purpose: We analysed the clinical efficacy of inferior capsular shift operation in multidirectional instability of the shoulder joint in terms of functional aspects and patient's satisfaction Materials and Methods: From July, 1998 to March, 2000, we treated 23 cases of multidirectional instability of the shoulder joint with T-shaped inferior capsular shift and/or Bankart repair. All of them have complained of an experience about frank dislocations. Two of them has a voluntary component. We evaluated them according to complication, function, range of motion, stability and patient's satisfaction with an average follow-up of 15 months(the range of 9 to 27 months). Results: Eight cases were atraumatic multidirectional instability and coexisting Bankart lesion were present in 15. There was no redislocation, but one case of symptomatic subluxation, 3 cases of transient nerve palsy and 2 cases of feeling of laxity developed. Limitation of motion after surgery was an average of 3.4° in flexion, and 8.5° in external rotation. With Rowe scoring system, the clinical result was excellent or good in 22 cases and poor in one. According to American shoulder and elbow society, pain score improved to 1.4 from 6.1, and stability score also improved to 1.8 from 9.1. Conclusion: In multidirectional shoulder instability, one should pay attention to finding a coexisting Bankart lesion. In that case, adequate capsular volume reduction by using inferior capsular shift as well as repair of Bankart lesion is needed to get a good surgical outcome.

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머리전달함수 측정시스템의 개발과 분석 (Newly Designed HRTF Measurement System and its Analysis)

  • 이윤재;박영진;박윤식
    • 제어로봇시스템학회논문지
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    • 제16권2호
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    • pp.202-205
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    • 2010
  • When we render 3D sound images using headphones or speakers, the main key of this technology is the Head-related transfer function (HRTF) database. Even though there are various HRTF databases, they have some drawbacks such as detrimental effects caused by imperfect measuring environment and insufficient measurement points. Moreover there is no database with Korean subjects. We are planning to develop the HRTF database for Korean. As a first step to establish the HRTF database aimed at Korean, the new HRTF measurement system with minimized aforementioned drawbacks is designed. In this paper, the newly designed HRTF measurement system is introduced and the overall effects caused by the diffraction of the apparatus, especially the headrest and backrest of the chair, are analyzed. The backrest of the chair does not distort the HRTFs significantly while the headrest makes significant distortion on the HRTFs and it could have significant effects on directional perception. We determined acceptable head rotation angle and head position of the subject for accurate HRTF measurement based on the experiments with B&K HATS. We conclude that the 3 degrees of the head rotation and the 1.5cm front/back/left/right shift of the head do not distort the HRTFs significantly.

병원 간호사의 선호근무시간대에 관한 연구 (A Study on Hoslital Nurses' Preferred Duty Shift and Duty Hours)

  • 이경식;정금희
    • 대한간호
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    • 제36권1호
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    • pp.77-96
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    • 1997
  • The duty shifts of hospital nurses not only affect nurses' physical and mental health but also present various personnel management problems which often result in high turnover rates. In this context a study was carried out from October to November 1995 for a period of two months to find out the status of hospital nurses' duty shift patterns, and preferred duty hours and fixed duty shifts. The study population was 867 RNs working in five general hospitals located in Seoul and its vicinity. The questionnaire developed by the writer was used for data collection. The response rate was 85.9 percent or 745 returns. The SAS program was used for data analysis with the computation of frequencies, percentages and Chi square test. The findings of the study are as follows: 1. General characteristics of the study population: 56 percent of respondents was (25 years group and 76.5 percent were "single": the predominant proportion of respondents was junior nursing college graduates(92.2%) and have less than 5 years nursing experience in hospitals(65.5%). For their future working plan in nursing profession, nearly 50% responded as uncertain The reasons given for their career plan was predominantly 'personal growth and development' rather than financial reasons. 2. The interval for rotations of duty stations was found to be mostly irregular(56.4%) while others reported as weekly(16.1%), monthly(12.9%), and fixed terms(4.6%). 3. The main problems related to duty shifts particularly the evening and night duty nurses reported were "not enough time for the family, " "afraid of security problems after the work when returning home late at night." and "lack of leisure time". "problems in physical and physiological adjustment." "problems in family life." "lack of time for interactions with fellow nurses" etc. 4. The forty percent of respondents reported to have '1-2 times' of duty shift rotations while all others reported that '0 time'. '2-3 times'. 'more than 3 times' etc. which suggest the irregularity in duty shift rotations. 5. The majority(62.8%) of study population found to favor the rotating system of duty stations. The reasons for favoring the rotation system were: the opportunity for "learning new things and personal development." "better human relations are possible. "better understanding in various duty stations." "changes in monotonous routine job" etc. The proportion of those disfavor the rotating 'system was 34.7 percent. giving the reasons of"it impedes development of specialization." "poor job performances." "stress factors" etc. Furthermore. respondents made the following comments in relation to the rotation of duty stations: the nurses should be given the opportunity to participate in the. decision making process: personal interest and aptitudes should be considered: regular intervals for the rotations or it should be planned in advance. etc. 6. For the future career plan. the older. married group with longer nursing experiences appeared to think the nursing as their lifetime career more likely than the younger. single group with shorter nursing experiences ($x^2=61.19.{\;}p=.000;{\;}x^2=41.55.{\;}p=.000$). The reason given for their future career plan regardless of length of future service, was predominantly "personal growth and development" rather than financial reasons. For further analysis, the group those with the shorter career plan appeared to claim "financial reasons" for their future career more readily than the group who consider the nursing job as their lifetime career$(x^2$= 11.73, p=.003) did. This finding suggests the need for careful .considerations in personnel management of nursing administration particularly when dealing with the nurses' career development. The majority of respondents preferred the fixed day shift. However, further analysis of those preferred evening shift by age and civil status, "< 25 years group"(15.1%) and "single group"(13.2) were more likely to favor the fixed evening shift than > 25 years(6.4%) and married(4.8%)groups. This differences were statistically significant ($x^2=14.54, {\;}p=.000;{\;}x^2=8.75, {\;}p=.003$). 7. A great majority of respondents(86.9% or n=647) found to prefer the day shifts. When the four different types of duty shifts(Types A. B. C, D) were presented, 55.0 percent of total respondents preferred the A type or the existing one followed by D type(22.7%). B type(12.4%) and C type(8.2%). 8. When the condition of monetary incentives for the evening(20% of salary) and night shifts(40% of. salary) of the existing duty type was presented. again the day shift appeared to be the most preferred one although the rate was slightly lower(66.4% against 86.9%). In the case of evening shift, with the same incentive, the preference rates for evening and night shifts increased from 11.0 to 22.4 percent and from 0.5 to 3.0 percent respectively. When the age variable was controlled. < 25 yrs group showed higher rates(31.6%. 4.8%) than those of > 25 yrs group(15.5%. 1.3%) respectively preferring the evening and night shifts(p=.000). The civil status also seemed to operate on the preferences of the duty shifts as the single group showed lower rate(69.0%) for day duty against 83. 6% of the married group. and higher rates for evening and night duties(27.2%. 15.1%) respectively against those of the married group(3.8%. 1.8%) while a higher proportion of the married group(83. 6%) preferred the day duties than the single group(69.0%). These differences were found to be statistically all significant(p=.001). 9. The findings on preferences of three different types of fixed duty hours namely, B, C. and D(with additional monetary incentives) are as follows in order of preference: B type(12hrs a day, 3days a wk): day shift(64.1%), evening shift(26.1%). night shift(6.5%) C type(12hrs a day. 4days a wk) : evening shift(49.2%). day shift(32.8%), night shift(11.5%) D type(10hrs a day. 4days a wk): showed the similar trend as B type. The findings of higher preferences on the evening and night duties when the incentives are given. as shown above, suggest the need for the introductions of different patterns of duty hours and incentive measures in order to overcome the difficulties in rostering the nursing duties. However, the interpretation of the above data, particularly the C type, needs cautions as the total number of respondents is very small(n=61). It requires further in-depth study. In conclusion. it seemed to suggest that the patterns of nurses duty hours and shifts in the most hospitals in the country have neither been tried for different duty types nor been flexible. The stereotype rostering system of three shifts and insensitiveness for personal life aspect of nurses seemed to be prevailing. This study seems to support that irregular and frequent rotations of duty shifts may be contributing factors for most nurses' maladjustment problems in physical and mental health. personal and family life which eventually may result in high turnover rates. In order to overcome the increasing problems in personnel management of hospital nurses particularly in rostering of evening and night duty shifts, which may related to eventual high turnover rates, the findings of this study strongly suggest the need for an introduction of new rostering systems including fixed duties and appropriate incentive measures for evenings and nights which the most nurses want to avoid, In considering the nursing care of inpatients is the round-the clock business. the practice of the nursing duty shift system is inevitable. In this context, based on the findings of this study. the following are recommended: 1. The further in-depth studies on duty shifts and hours need to be undertaken for the development of appropriate and effective rostering systems for hospital nurses. 2. An introduction of appropriate incentive measures for evening and night duty shifts along with organizational considerations such as the trials for preferred duty time bands, duty hours, and fixed duty shifts should be considered if good quality of care for the patients be maintained for the round the clock. This may require an initiation of systematic research and development activities in the field of hospital nursing administration as a part of permanent system in the hospital. 3. Planned and regular intervals, orientation and training, and professional and personal growth should be considered for the rotation of different duty stations or units. 4. In considering the higher degree of preferences in the duty type of "10hours a day, 4days a week" shown in this study, it would be worthwhile to undertake the R&D type studies in large hospital settings.

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The extended narrow-line region kinematics of 3 Type-2 QSOs revealed by the VLTVIMOS IFU spectra

  • 조호진;우종학
    • 천문학회보
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    • 제37권2호
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    • pp.88.2-88.2
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    • 2012
  • We present kinematic properties of the narrow-line region in three type-2 QSOs at z~0.35, using 2-D spectra obtained with the VIMOS integral field unit spectrograph at the Very Large Telescope. One of the objects shows a line-of-sight velocity shift of the [OIII] and $H{\beta}$ lines up to 40km/s on a 15 kpc scale, which can be interpreted as either outflow or rotation. The outflow scenario is supported by the presence of blue wings and a radio structure showing lobes in the same direction. Another object features double-peaked emission lines which can be decomposed into two velocity components. Its Hubble Space Telescope image shows two nuclei separated by ~0.2"(~1kpc), implying this may be a binary AGN.

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내측 전하방 관절낭 이동술을 이용한 다방향 견관절 불안정성의 치료 (Medial Anterior-inferior Capsular Shift in Multidirectional Shoulder Instability)

  • 정수태;박재형;김형수;유정현;김주학;지정민;조환희
    • Clinics in Shoulder and Elbow
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    • 제10권1호
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    • pp.33-41
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    • 2007
  • 목적: 이 논문의 목적은 다방향견관절 불안정증의 수술적 치료에 있어서 내측 전하방 관절낭 이동술의 유용성을 알아보고자 함이다. 대상 및 방법: 1998년 3월부터 2003년 12월까지 내측 전하방 관절낭 이동술을 시행한 19명의 환자를 대상으로 하였다. 이들 중 15례에서는 반복적인 탈구를 경험하였으며, 양측성 견관절에서만 이완을 보인 경우가 8례(42.0%), 견관절을 포함한 전신 인대 이완은 11례(58%)였으며 수의성 아탈구가 2례(10.5%)가 있었다. 평균 추시 기간은 24개월이었다(범위: 9-32 개월) 결과: 19례중 18례에서 통증이 호전되었으며, 평균 10도 정도의 외회전 감소가 있었으나 일상생활에 제한은 없었다. 술 후 모든 예에서 재탈구나 아탈구는 없었으나 2례에서는 스포츠 활동에서 불안감을 호소하였다. Rowe점수에서 모든 환자에서 최우수 또는 우수로 나타났으며 혈종 1례 및 가벼운 국소 피부 감염이 1례에서 있었으나 추후 모두 치료되었다. 결론: 다방향 견관절 불안정증에서 내측 전하방 관절낭 이동술은 통증감소, 환자의 만족도 및 견관절 안정성에 있어 만족스러운 결과를 나타냈다. Hill-Sachs병변 및 Bankart병변이 일부 있었으나 만족스러운 결과를 보였다.

영상의 내재 구조를 이용한 2-계층 워터마킹 기법 (A two-layer watermarking method using inherent image structure)

  • 고윤호;김성대;최재각
    • 대한전자공학회논문지SP
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    • 제41권3호
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    • pp.59-72
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    • 2004
  • 본 논문에서는 워터마크를 훼손할 수 있는 다양한 공격을 크게 파형 공격과 동기 공격으로 구분하고 두 부류의 공격에 대해 특화된 방어를 수행하기 위한 2-계층 워터마킹 기법을 제안한다. 제안된 방법은 동기 공격에 대한 방어를 위한 동기층(synchronization layer)과 일반적인 파형 공격에 대한 표시층(marking layer)의 2-계층으로 구성된다. 동기층에서는 다양한 공격에 대해서도 일정하게 선택되는 목표 영역을 선정하고, 표시층에서는 해당 영역에 대역-확산에 기반을 둔 방식으로 워터마크를 삽입한다. 이러한 2-계층 워터마킹 기법을 사용함으로써 기존의 원본 영상을 사용하지 않는 워터마킹 기법이 가지는 이동, 회전과 같은 기하학적인 공격에 보이는 문제점을 해결할 수 있게 된다.

CT 시뮬레이터의 기하학적 성능평가용 팬톰 (A CT Simulator Phantom for Geometrica1 Test)

  • 민철기;이병용;안승도;최은경;장혜숙
    • Radiation Oncology Journal
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    • 제18권4호
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    • pp.337-344
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    • 2000
  • 목적 : 가상 시뮬레이션 기능을 갖는 CT 시뮬레이터의 기하학적인 성능평가를 위한 팬톰을 고안하여 제작하고, 그 팬톰의 성능을 보고하고자 한다. 대상 및 방법: .팬톰은 PMMA 재질로 직경 20 cm, 길이 24 cm인 원통과 25$\times25\times$31 cm$^{3}$인 직육면체가 합쳐진 모양으로 고안하였다. 원통의 겉표면에는 영상결손이 극소화되면서 CT 상에서 잘 구별이 되는 직경이 0.8 mm인 선을 4개의 나선모양으로 부착하였다. 직육면체는 4개의 24$\times24\times$0.5 cm3인 정사각형의 판으로 구성되어 있으며, 각판 위에는 24$\times$24 cm$^{2}$, 12$\times$12 cm$^{2}$, 6$\times$6 cm$^{2}$의 사각형 모양을 갖도록 선을 붙였다. 각각의 정사각형은 원통방향에 대해 0$^{\circ}$ , 15$^{\circ}$ , 30$^{\circ}$가 되도록 배치하였다. 직육면체의 부분에서는 조사면 및 치료 테이블의 각도, 콜리메이터 각도, 동중심점의 이동, SSD를 측정을 할 수 있으며, 원통형 부분에서는 갠트리 각도의 정확성을 평가하도록 고안하였다. 가상 시뮬레이션 소프트웨어를 통해 다양한 조건의 가상적인 시뮬레이션을 수행하였으며 가상 시뮬레이션의 결과를 이용하여 CT 시뮬레이터의 기하학적인 QC/QA를 수행하였다 결과 : 팬톰의 한 부분인 직육면체 스캔을 통해 얻은 DRR에서 구현된 각 24 cm 조사면의 크기에서 1 mm 이내의차이, 동중심점 이동에서는 0.5$\~$1 mm 차이가 있었음을 알 수 있었다. 콜리메이터 회전과 치료대 회전에서는 각각 0.5$\~$l$^{\circ}$ 의 차이가 있었고, 갠트리 회전에 있어서는 0.5$\~$1$^{\circ}$ 오차가 있었다. 슬라이스 간격이 10 mm 조건이 2$\~$5 mm 조건보다 영상구분의 어려운 점은 있었으나 결과는 유의할만한 차이가 없었다. 결론 : 자체 제작한 팬톰을 가지고 가상적인 모의 시뮬레이션을 했을 때 최대 2 mm와 1$^{\circ}$ 이내의 오차가 있었고 또한 스캔의 조건에 따라 오차가 변할 수 있다는 것을 알 수 있었다. 시뮬레이터에서 DRR을 구현했을 때 각각의 치료 조건들에 대해 오차가 임상적용 범위 안에 있어서 이 팬톰을 이용하여 주기적인 QC/QA에 사용할 수 있음을 보였다.

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교정 치료를 받지 않은 측두하악관절원반변위가 있는 여성 환자의 두부계측방사선사진을 이용한 안모 및 치열 변화 연구 (Dentofacial changes of non-orthodontically treated female patients with TMJ disk displacement: a longitudinal cephalometric study)

  • 한정우;김태우
    • 대한치과교정학회지
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    • 제40권6호
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    • pp.398-410
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    • 2010
  • 관절원반변위가 있는 여자 환자 중 초진 시와 일정 시간이 지난 기간 동안 교정 치료를 비롯한 교합에 변화를 줄만한 치료를 받지 않은 여성 환자를 대상으로 두 시기의 측모두부계측방사선 사진을 비교하여 골격 및 치성 변화를 관찰할 목적으로 시행되었다. 1996년 1월부터 2006년 12월 사이에 서울대학교 치과병원 치과교정과에 내원한 여자 환자 중 MRI를 촬영하여 관절원반변위가 있는 환자를 선별하였으며, 총 25명의 환자를 대상으로 연구를 하였다. 초진(T1) 시의 환자의 평균 연령(표준편차)은 18.1세(3.5세)이며 연령의 범위는 14.2 - 25.8세이고, 재진(T2)시 평균 연평(표준편차)은 21.1세(3.5세)이며 연령의 범위는 16.2 - 28.0세였다. 또한 평균 관잘 기간(표준편차)은 3.0년 (1.9년)이었고 범위는 7개월부터 6.7년이었다. 초진(T1), 재진(T2) 시와 두 기간 사이 변화량에 대한 각 변수의 기술 통계량을 계산하였다. 이상의 결과로부터 다음과 같은 결론을 얻었다. MRI로 관절원반변위를 진단받은 환자 중 교정치료나 악관절 치료 등 교합에 변화를 줄 만한 치료를 받지 않은 환자의 약 64%에서 하악골의 골격적인 변화가 나타났다. L1 to Mandibular plane은 0.8 mm 유의성 있게 증가하였다 (p < 0.01). 그러나 이를 제외한 나머지 치성 계측 항목인 전치돌출도, 전치피개도 및 U1 to Palatal plane (mm)의 변화는 유의성이 없었다. 변화의 방향은 주로 하악의 후하방회전이었고, 그 비율은 FMA가 $1^{\circ}$ 증가 시 SNB는 약 $0.43^{\circ}$ 감소하는 정도였다 (Spearman's rho = -0.660, p < 0.01). 일부 환자들은 수평적인 하악골의 후방 양상 이동을 보이기도 하였다.