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Effect of Sleep Disturbance on Fatigue, Sleepiness, and Near-Miss among Nurses in Intensive Care Units (중환자실 간호사의 수면장애가 피로, 졸음과 근접오류에 미치는 영향)

  • Mun, Gyoung Mi;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.1-10
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    • 2020
  • Purpose : This study aims to investigate the differences in fatigue, sleepiness, and near-miss according to sleep disturbance among shift nurses in intensive care units (ICUs). Methods : A cross-sectional study in a tertiary hospital was performed. A total of 122 shift nurses working in the six ICUs were recruited. They completed self-reported questionnaires about sleep disturbance, fatigue, sleepiness, and near-miss in the past two weeks. Results : The prevalence of reported sleep disturbance was 30.3% (37 out of 122 subjects). Compared to the non-sleep disturbance group, the sleep disturbance group reported significantly more sleepiness (11.46 vs. 8.86) and higher fatigue (82.62 vs. 69.39). The sleep disturbance group showed higher rates of near-miss (78.4 vs. 57.6%) and a higher frequency of them (4.49 vs. 2.11/2weeks) compared to the non-sleep disturbance group. Medication error was the most common type of near-miss. Conclusions : This study suggests that sleep disturbances could increase fatigue, sleepiness, and near-miss among ICU shift nurses. Personal and organizational programs should be developed to support the sleep of ICU nurses.

A Study on the Effect of the Near Environmental Home Production Activities on the Life Satisfaction (근접환경자원을 이용한 가정생산활동이 생활만족도에 미치는 영향에 관한연구)

  • 문숙재
    • Journal of the Korean Home Economics Association
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    • v.32 no.2
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    • pp.33-48
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    • 1994
  • This study was designed to demonstrate the wide scope of the home production activities. The purpose of this study are first to identify the factors affecting various near environmental home production activities second to examine the effect of the near environmental home production activities on the life satisfaction. Qustionnaires from 729 housewives in Seoul are analyzed in this study. The major findings are as follows: 1. Homeproduction activities with neighbors are influenced by the housewives' physical health. In the case of adult children family life cycle number of family members etc. are influential variables. In the case of step-parents and housewives' parents the number of family members family life-cycle etc. are influential variables. In the case of adult sisters housewives' birth order is influential variables. Home production activities utilizing facilities in the near environment are influenced by high-rise apartment housing tenure etc. Production activities through the participation in the organizations are influenced by family life cycle and similiarity to neighbors. 2. Production activities through the participation in the organizations home production activities with adult sisters and brothers and home production activities with adult childern have positive effect and home production activities utilizing facilities in the near environment have negative effect on the life satisfaction of the housewives. And the near environmental satisfaction affects on the life satisfaction of the housewives. Therefore the result of this study indicates that including the near environmental home production activities to the home production is rational.

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Echinostome Infections in the Striped-Field Mouse, Apodemus agrarius, and the Ussuri White-Toothed Shrew, Crocidura lasiura, Caught Near the Demilitarized Zone, Gyeonggi-do (Province), Republic of Korea

  • Chai, Jong-Yil;Park, Jae-Hwan;Jung, Bong-Kwang;Guk, Sang-Mee;Kim, Jae-Lip;Shin, Eun-Hee;Klein, Terry A.;Kim, Heung-Chul;Chong, Sung-Tae;Baek, Luck-Ju;Song, Jin-Won
    • Parasites, Hosts and Diseases
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    • v.47 no.3
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    • pp.311-314
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    • 2009
  • A total of 1,498 small mammals (rodents and insectivores), including Apodemus agrarius (n= 1,366), Crocidura lasiura (54), Mus musculus (32), Micronytus fortis (28), Eothenomys regulus (9), Micronys minutes (6), and Cricetulus triton (3), were live-trapped in Gyeonggi-do (Province) (Paju-si, Pocheon-gun, and Yeoncheon-gun) near the demilitarized zone (DMZ) from December 2004 to September 2005. A. agrarius was found to be infected with 3 species of echinostomes (Echinostoma hortense, Echinostoma cinetorchis, and Euparyphium murinum), while C. lasiura was infected with 1 species (Echinochasmus japonicas) of echinostome. Other mammals were free from echinostome infections. Total 16 E. hortense were detected in 7 (0.5%) mice, 9 E. cinetorchis from 5 (0.4%), and 3 E. murinum from 2 (0.1%) out of 1.366 A. agrarius examined. E. japonicus was found only in 1 (1.9%; total 3 specimens) C. lasiura. These results demonstrate that A. agrarius and C. lasiura, inhabiting near the DMZ of Gyeonggi-do serve as the natural definitive hosts for several species of echinostomes, although their infection rates are low. This is the first record of natural infections of A. agrarius with E. cinetorchis and C. lasiura with E. japonicus in the Republic of Korea.

Near Misses Experienced at a University Hospital in Korea

  • Park, Mi-Hyang;Kim, Hyun-Joo;Lee, Bo-Woo;Bae, Seok-Hwan;Lee, Jin-Yong
    • Quality Improvement in Health Care
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    • v.22 no.1
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    • pp.41-57
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    • 2016
  • Objectives: This study aimed to investigate how many healthcare professionals experienced near misses, what types of near misses occurred most often, and healthcare professionals' opinions about near misses at one university hospital in Korea. Methods: The authors developed a questionnaire including 26 core types of near misses and 4 questions about preventability and reporting barriers. The survey was conducted from Oct. 31st to Nov. 18th 2011, about 3 weeks, using a self-administrated questionnaire that was administered to 697 healthcare professionals (registered nurses, pharmacists, technicians, and nurses aides) who worked at a university hospital. Medical doctors and employees working in the department of administration were excluded. Results: About half of hospital workers experienced at least one or more near misses during the past one year. The drug dispensing process was the most common subcategory of near misses. Among the 26 items, patient falls was highest. Over 95% of respondents reported that the near miss they experienced was preventable. Also, more than half of respondents did not report the near miss and the main reason for omission was fear of blame. Conclusion: Regarding patient safety issues, a near miss is a very significant factor because it can be a potential adverse event. Therefore, we should grasp the size of the problem through tracking and analyzing near misses and should make an effort to reduce them. To do so, we should check whether our reporting system is well designed and functioning.

pphotoemission study of rare-earth metal(Eu) on the CdTe(110) surface

  • Kwanghyun-Cho;Oh, J.H.;Chung, J.;K.H.ppark;Oh, S.J.
    • Proceedings of the Korean Vacuum Society Conference
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    • 1994.02a
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    • pp.43-43
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    • 1994
  • We studied chemical reactio of Eu metal on the in situ cleaved CdTe(110) surface by pphotoemission sppectroscoppy using synchrotron radiation. The chamber was maintained with base ppressure $\leq$2${\times}$10-10 mb during the expperiment. The expperiment was carried out in pphoton Factory in Jappan. Core level pphotoemission sppectroscoppy was carried out with Al K${\alpha}$ Line. The CdTe simiconductor was determined to be pp-typpe with low dopping concentration from Hall measurement. We found that there are two reacted pphases of Te with Eu (related to divalent Eu and trivalent Eu, resppectively) from least square fitting of Te 4d sppectra, but three is no indication of Cd reaction. Trivalent Eu exists after roughly one monolayer depposition (600 sec. depposition time is considered as one monolayer), which is also observed at Eu 3d core level sppectra. Overlayer Eu is metallized after roughly 2 monolayers depposition, as can be deduced from the fact that metallic edge near Fermi level begins to appear. The intensity of core-level of Te decreases expponentially at the initial stage (near one monolayer) and after one monolayer depposition it decreases more slowly due to Te out-diffusion. We categorized the growth mode of Eu on CdTe as S-K growth mode (cluster formation after one monolayer deppisition) from the relative intensity pplot of Te 4d normalized to the cleaved surface. At cleaved surface band bending is already established due to surface defects. At first 100 sec. depposition time the shift toward lower binding side by 0.6 eV is found at all core level sppectra of all elements in semiconductor. This shift is considered as the re-adjustment of surface Fermi level to the pposition induced by Eu metal (0.2 eV above the valence band maximum).

Optimal Run Orders in Factorial Designs

  • Park, Sung H.;Lee, Jae W.
    • Journal of the Korean Statistical Society
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    • v.15 no.1
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    • pp.31-45
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    • 1986
  • It is often necessary to obtain some run orders in factorial designs which have a small number of factor level changes and a small linear time trend. In this paper we propose an algorithm to find optimal or near-optimal run orders for $2^4, 2^5, 3^2$ and $2\cdot 3^2$ factorial designs under the criterion that the number of factor level changes and the linear time trend should be simultaneously small.

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