• 임상간호연구
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• 제19권3호
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• pp.309-320
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• 2013

Purpose: This study was conducted to identify relationships among circadian types, sleep quality, and adaptation to night shifts among nurses working on two or three day night duties. Methods: The participants were 199 ward nurses from two university hospitals in Gyeongnam province. Each nurse worked on two or three day night duties. Data were collected between September 24 and October 14, 2012 and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson correlation, and multiple regression with SPSS/WIN 14.0 program. Results: Mean scores for sleep quality and adaptation to night shifts was $4.92{\pm}1.46$ on a 10-point scale and $2.66{\pm}0.47$ on a 5-point scale respectively. There were no significant differences in sleep quality and adaptation to night shifts according to circadian types of nurses. There were significant correlation between sleep quality and adaptation to night shifts (r=.25, p<.001). Factors affecting adaptation to night shifts were preference for night shifts, and subjective health status, which together explained about 35% of the total variance. Conclusions: Nurses working on two or three day night duties had low level of sleep quality and adaptation to night shifts. It is necessary to improve preference for night shifts and subjective health status for improving adaptation to night shifts of nurse.

• 대한수학회지
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• 제51권2호
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• pp.363-382
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• 2014

In this paper we first characterize the hereditarily hypercyclicity of the unilateral (or bilateral) weighted shifts on the spaces $L^2(\mathbb{N},\mathcal{K})$ (or $L^2(\mathbb{Z},\mathcal{K})$) with weight sequence {$A_n$} of positive invertible diagonal operators on a separable complex Hilbert space $\mathcal{K}$. Then we give the necessary and sufficient conditions for the supercyclicity of those weighted shifts, which extends some previous results of H. Salas. At last, we give some conditions for the supercyclicity of three different weighted shifts.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1197-1199
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• 2016

Background: This study aimed to facilitate decision-making in cases of breast cancer radiotherapy shifts by simulating millimetric shifts and analyzing their effects on dose distribution. Methods: The study included 30 patients with left side breast cancer who were treated with three dimensional conformal radiotherapy (3D-CRT) in the Radiation Oncology Department in Hatay Public Hospital, between January 2013 and April 2015. A treatment plan shifting at three axes with six different measures was simulated. Results: The biggest difference in values was (+3mm shift) 476cGy, with a 7.7 % change for heart and 25.6% for spinal cord. The shifts in values respectively for CTV min, mean, max were -4.8%, 2.5%, 4%. The differences for lymphatic min, mean, max were 21.3%, 20.3%, -12.2%. Conclusion: The most important thing is not the treatment plan quality, but its practicality. The treatment plan must be practical and its practice must be controlled rigidly.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.262-269
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• 2013

PURPOSE. Perceived color of ceramics changes by the spectral power distribution of ambient light. This study aimed to quantify the amount of shifts in color and color coordinates of clinically simulated seven all-ceramics due to the switch of three ambient light sources using a human vision simulating spectroradiometer. MATERIALS AND METHODS. CIE color coordinates, such as $L^*$, $a^*$ and $b^*$, of ceramic specimens were measured under three light sources, which simulate the CIE standard illuminant D65 (daylight), A (incandescent lamp), and F9 (fluorescent lamp). Shifts in color and color coordinate by the switch of lights were determined. Influence of the switched light (D65 to A, or D65 to F9), shade of veneer ceramics (A2 or A3), and brand of ceramics on the shifts was analyzed by a three-way ANOVA. RESULTS. Shifts in color and color coordinates were influenced by three factors (P<.05). Color shifts by the switch to A were in the range of 5.9 to 7.7 ${\Delta}E{^*}_{ab}$ units, and those by the switch to F9 were 7.7 to 10.2; all of which were unacceptable (${\Delta}E{^*}_{ab}$ > 5.5). When switched to A, CIE $a^*$ increased (${\Delta}a^*$: 5.6 to 7.6), however, CIE $b^*$ increased (${\Delta}b^*$: 4.9 to 7.8) when switched to F9. CONCLUSION. Clinically simulated ceramics demonstrated clinically unacceptable color shifts according to the switches in ambient lights based on spectroradiometric readings. Therefore, shade matching and compatibility evaluation should be performed considering ambient lighting conditions and should be done under most relevant lighting condition.

• 동의생리병리학회지
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• 제18권3호
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• pp.930-934
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• 2004

The purpose of this research is to evaluate the change of Yangdorak in women who work in three shifts and during the day. In this research, seventy women who work during the day and thirty women who work in three shifts, all of whom are working at Woo shin hyang Oriental Hospital and Kang dong gu Office, were the two subjects for it. We evaluated and compared the Yangdorak appeared in two groups and studied the relations with clinical symptoms between the two. In Yangdorak, the women who work in three shifts were evaluated low numerical value in liver meridian, heart meridian, kidney meridian compared with the women who work during the day. Based on the results above, we can state that the women who work in three shifts suffer from severe dysmenorrhea, insomnia, cold hypersensitivity.

• 한국시스템다이내믹스연구
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• 제5권1호
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• pp.127-142
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• 2004

Feedback loop dominance is a key concept to understand structural driving forces of system behavior. In this paper, we propose two kinds of shifts in dominant feedback loops: continuous shifts (CS) and discrete shifts (DS). With the help of questionnaires, we verified three hypotheses regarding cognitive biases in perceiving the shifts in dominant feedback loops: 1) failure in perceiving continuous shifts, 2) tendency of decision making based on discrete shifts, and 3) different perception on the dominant feedback loops between level variables and rate variables. We discussed the implication of these cognitive biases on time delay and timing strategy in decision-making processes.

• Journal of applied mathematics & informatics
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• 제39권3_4호
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• pp.443-454
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• 2021

In this paper, we discuss the backward extensions of Bergman shifts W_α(m), where $${\alpha}(m)\;:\;\sqrt{\frac{m}{m+1}},\;{\sqrt{\frac{m+1}{m+2}}},\;{\cdots},\;(m{\in}\mathbb{N})$$. We obtained a complete description of the n-hynonormality for backward one, two and three step extensions.

• 한국응급구조학회지
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• 제25권3호
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• pp.81-92
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• 2021

Purpose: The aim of the study is to measure the quality of cardiopulmonary resuscitation (CPR) and the fatigue of rescuers wearing PPE (Level D) during a CPR session and to ultimately provide suggestions of safety standards for rescuers. Methods: 36 subjects were enrolled in the study. The subjects were divided randomly into three groups of two-members, three-members, and four-members. Each group performed CPR for 30 minutes. Blood lactate concentration, heart rate, rating of perceived exertion, chest compression depth and rate were measured before experiment and after each cycle. Results: There was a difference in the blood lactate concentration during CPR cycle by member of shifts (p=.014). The blood lactate concentration increased during CPR (p=.000). Subjective fatigue was a significant difference of chest compression in cycles 3, 4, and 5 for the member of shifts during CPR (p=.049, p=.009, p=.015). Depth and rate of chest compression were not different for the member of shifts during CPR. Conclusion: It is necessary to establish standards for the member of shifts during CPR, to reduce the fatigue of rescuers.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.14.1-14.10
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• 2023

Background: Shift work is known to cause changes in the circadian rhythm of the human body and adversely affect not only physical health but also mental health. Some studies have demonstrated the correlation between shift work and thyroid stimulating hormone (TSH), a hormone that changes according to the diurnal rhythm, but few studies have reported the different TSH levels according to the shift work type. This study aimed to investigate changes in TSH according to the shift work type. Methods: This study included 1,318 female workers who had a medical checkup at a university hospital in Changwon from 2015 to 2019. Shift work types were classified as non-shift work, regular 2 shifts, and irregular three shifts, and a TSH ≥ 4.2 mIU/L was defined as abnormal. A general linear model (GLM) was used to compare the TSH levels and the risk of subclinical hypothyroidism in each year, and a binary logistic analysis was performed using a generalized estimation equation (GEE) to compare the risk of subclinical hypothyroidism over the 5-year period. Results: Of the 1,318 participants included in this study, 363, 711, and 244 were non-shift, two-shift, and irregular three-shift workers, respectively. In the GEE analysis, after adjusting for age, body mass index, smoking, and alcohol consumption, the odds ratios (ORs) were 1.81 (95% confidence interval [CI]: 1.15-2.86; p = 0.011) in 2 shifts and 2.02 (95% CI: 1.23-3.32; p = 0.006) in irregular three shifts, compared to non-shift. Conclusions: Our results showed that shift work had a higher risk of subclinical hypothyroidism than non-shift work and that there was a significant difference in the risk of subclinical hypothyroidism according to the shift work type. These findings suggest that the shift work type can be considered in future thyroid function tests and evaluations.

• Journal of the Korean Data and Information Science Society
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• 제27권2호
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• pp.539-548
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• 2016

This paper is a study on the multivariate CUSUM control charts using three different control statistics for monitoring covariance matrix. We get control limits and ARLs of the proposed multivariate CUSUM control charts using three different control statistics by using computer simulations. The performances of these proposed multivariate CUSUM control charts have been investigated by comparing ARLs. The purpose of control charts is to detect assignable causes of variation so that these causes can be found and eliminated from process, variability will be reduced and the process will be improved. We show that the charts based on three different control statistics are very effective in detecting shifts, especially shifts in covariances when the variables are highly correlated. When variables are highly correlated, our overall recommendation is to use the multivariate CUSUM control charts using trace for detecting changes in covariance matrix.