• Title/Summary/Keyword: Work schedule tolerance

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Influencing Factors on the Nurse's Shiftwork Tolerance (간호사의 교대근무내성 영향요인)

  • Seo, Yeon-ok;Kim, Souk Young
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.373-383
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    • 2016
  • Purpose: The purpose of this study was to identify the factors affecting shiftwork tolerance among nurses and provide basic data, ultimately, in formulating a plan for improving their shiftwork tolerance. Methods: The participants were 317 nurses who were working at three general hospitals in Daejeon and Seoul. Data analyzed t-test, ANOVA, correlation analysis, and regression analysis using SPSS 20.0 program. Results: As for the sub-areas of shiftwork tolerance for the respondents, more than a half of nurses working at shifts suffered from insomnia, felt drowsy, complained of chronic fatigue, and were at the anxious and depressed state. Shiftwork tolerance differed by the daily intake of coffee and exercise. Shiftwork tolerance was significantly positively correlated with sleep-wake habits, hardiness, and flexibility and negatively correlated with a languidity. Regression analysis revealed that shiftwork tolerance was affected by age, sleep-wake habits, languidity, flexibility, and hardiness. Conclusion: To put the results, nurses had shiftwork tolerance affected by sleep-wake habits, languidity, and hardiness. It is therefore necessary to make a scheme for allowing nurses to improve hardiness and flexibility and decrease the languidity with the objective of improving their shiftwork tolerance.

Factors Influencing Work-life Balance in Korean Registered Nurses (한국 간호사의 일과 삶의 균형에 영향을 미치는 요인)

  • Jung, Mi Sook;Kim, Hyun-Li;Lee, Yoonjeong
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.2
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    • pp.114-123
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    • 2017
  • Purpose: This study aimed to explore personal as well as occupational factors and health status associated with work-life balance in Korean registered nurses. Methods: This study was a secondary data analysis using cross-sectional nationally representative data from the Korean Working Conditions Survey (KWCS) in 2014. Study participants included 450 registered nurses in South Korea. Descriptive analysis, Independent t-test, $x^2$ test, and Logistic regression analyses were performed using the SPSS 21.0 statistical program. Results: Work-life balance was reported in 70.6% individuals with 85.7% being male and 70.0% being female nurses. Logistic regression analysis revealed that being male good health state, having less than 40-hour working week, lower number of night duty, policy on flexible work arrangement were significant predictors of work-life balance. Conclusion: This study provided evidence that identify predictors of work-life balance in registered nurses in South Korea. Therefore, we need the actively support health care service promotion and prevention for work-life balance predictors.

Risk Factors for Breast Cancer, Including Occupational Exposures

  • Weiderpass, Elisabete;Meo, Margrethe;Vainio, Harri
    • Safety and Health at Work
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    • v.2 no.1
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    • pp.1-8
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    • 2011
  • The knowledge on the etiology of breast cancer has advanced substantially in recent years, and several etiological factors are now firmly established. However, very few new discoveries have been made in relation to occupational risk factors. The International Agency for Research on Cancer has evaluated over 900 different exposures or agents to-date to determine whether they are carcinogenic to humans. These evaluations are published as a series of Monographs (www.iarc.fr). For breast cancer the following substances have been classified as "carcinogenic to humans" (Group 1): alcoholic beverages, exposure to diethylstilbestrol, estrogen-progestogen contraceptives, estrogen-progestogen hormone replacement therapy and exposure to X-radiation and gamma-radiation (in special populations such as atomic bomb survivors, medical patients, and in-utero exposure). Ethylene oxide is also classified as a Group 1 carcinogen, although the evidence for carcinogenicity in epidemiologic studies, and specifically for the human breast, is limited. The classification "probably carcinogenic to humans" (Group 2A) includes estrogen hormone replacement therapy, tobacco smoking, and shift work involving circadian disruption, including work as a flight attendant. If the association between shift work and breast cancer, the most common female cancer, is confirmed, shift work could become the leading cause of occupational cancer in women.

Maternal Working Conditions on Adverse Pregnancy Outcomes: A Prospective Cohort Study (작업조건이 출산결과에 미치는 영향: 전향적 코호트연구)

  • Kim, Ji-Yong;Chung, Jin-Joo;Ko, Kyung-Sim;Cho, Jung-Jin
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.3
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    • pp.197-204
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    • 2002
  • Objectives : To evaluate the association between working conditions and adverse pregnancy outcomes in Korea. Methods : We obtained data on health history, lifestyle, housework and Working conditions, such as shift work, hours standing, working time, job demand, lifting at work and at home, between August and September 2000, from self-reported questionnaires. A group of 344, occupationally active, pregnant women from 51 industries were studied. Of the women studied, 328 women were further interviewed by telephone between November 2000 and September 2001. Result : Compared with daytime work, shift work increased the risk for preform birth (an adjusted risk ratio of 2.74, 95% CI=1.02-2.62) and low birth weight (an adjusted risk ratio of 2.74,95% CI=1.02-2.02). A significantly increased risk was found for prolonged standing, with an adjusted risk ratio of preform births of 6.80 (95% CI=2.01-23.0). There were no significant differences in the incidence of spontaneous abortion between the occupational working conditions, with the enception of a previous history of spontaneous abortion. Conclusion : These findings suggest that maternal working conditions, such as shift work and prolonged standing, contribute significantly to preterm birth and low birth weight.

A Study for Perception and Preference on Flexible Working Pattern of Nurses in Hospital (병원간호사의 탄력적 근무형태적용에 대한 인식 및 선호하는 근무형태 조사)

  • Kim, Young-Hae;Yang, Young-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.2
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    • pp.167-175
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    • 2007
  • Purpose: The Purpose of this study was to identify for perception and preference on Flexible working pattern of Nurses in hospital. Method: The subjects were 260 nurses enrolled in 11 hospitals located in S and P city. Questionnaire method was utilized for data collection. Data was analyzed by SPSS statistical program. Results: 86.5% of the nurses were working 3 shifts. 70.8% of nurses agreed that they decided to give up nurses because of very irregular working pattern. They want to work 40hrs/weeks, and agree to applying to Flexible working pattern. There was statistically significant between career(F=2.839, p=.039), working place(F=3.086, p=.047), the mind of change of occupation(F=.479, p=.002) and expected life pattern change after applicating for Flexible working pattern. Conclusion: We need to Various Flexible working pattern model. As well as we need to public information about nurses' Flexible working pattern.

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Fabrication of copper thin foils with 36 microns by cold rolling (냉간 압연 공정에 의한 두께 $36{\mu}m$ 동극박 제조 공정 해석)

  • Lee, S.H.;Kim, B.M.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2007.05a
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    • pp.413-416
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    • 2007
  • In general, by means of the electrodepositing technique, a copper foil sample was prepared with a high purity and a high density. But the mechanical properties of the electrodepositing copper foil was lower than it's the rolling copper foil. However, the production of copper foil with approximately 36 microns thick in rolling process was very difficult. This paper describes the outline of the high accuracy cold rolling in 6 high mill which was developed for the purpose of rolling very thin accurate gauge copper foil(36 micron thick), and give several rolling characteristic of 600 mm wide copper foil. a) Large strain can be accumulated pass by pass in industrial multi-pass rolling processing to overcome large critical strain for thickness accuracy through optimization of rolling schedule. b) Also, permissible tension for rolling 0.45 $\sim$ 0.036 mm thick copper strip stably in accordance with the each pass work had been established by FEM simulation results. c) During the plate rolling process, considerable values of the forces of material pressure on the tool occur. These pressures cause the elastic deformation of the roll, thus changing the shape of the deformation region. A numerical simulation of roll deflection during cold rolling is presented in the paper. d) The proposed pass schedule can roll very thin copper foil of 36 micron thickness to a tolerance of ${\pm}1$ microns. The validity of simulated results was verified into rolling experiments on the copper foil.

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A Phase I/II Trial of $DCVac/IR^{(R)}$ Dendritic Cell Immunotherapy Combined with Irradiation in Cases of Refractory Colorectal Cancer with Multiple Liver Metastases (기존의 치료에 반응하지 않는 다발성 간전이 대장암 환자에서 방사선조사와 병합한 수지상세포 면역치료의 1, 2상 임상시험)

  • Choi, Young-Min;Lee, Hyung-Sik;Kwon, Hyuk-Chan;Han, Sang-Young;Choi, Jong-Cheol;Chung, Ju-Seop;Kim, Chang-Won;Kim, Dong-Won;Kang, Chi-Duk
    • Radiation Oncology Journal
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    • v.26 no.2
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    • pp.104-112
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    • 2008
  • Purpose: To assess the toxicity and tumor response induced by $DCVac/IR^{(R)}$ dendritic cell(DC) immunotherapy combined with irradiation for refractory colorectal cancer patients with multiple liver metastases. Materials and Methods: Between May 2004 and November 2006, applicants from a pool of refractory colorectal cancer patients with multiple liver metastases were enrolled. The patients were registered after having signed the informed consent form, which had been approved by the Institutional Review Board from the Dong-A University and Busan National University Hospital. DCs were obtained from peripheral blood of each patient, and then cultured in vitro. A total of $6{\times}10^6$ DCs were packed into a vial($DCVac/IR^{(R)}$, 0.5 ml) at the convenience of each patient's schedule. On the day before and on the day of each vaccination, each patient received a 4 Gy radiation dose to the target tumor. On the day of vaccination, the indicated dose of autologous DCs was injected into the irradiated tumor using ultrasound-guided needle injection procedures. A total of four vaccinations were scheduled at three 2-week intervals and one 4 week interval at the Dong-A University and Busan National University Hospital. If the tumor status was deemed to be stable or responding to therapy, an additional vaccination dose or two was approved at 4 week intervals beyond the fourth immunization. A tolerance test for DCs was conducted by injecting a range of doses($3{\times}10^6\;to\;12{\times}10^6$ DCs) after the 3rd injection. Moreover, the maximal tolerable dose was applied to additional patients. Treatment safety was evaluated in all patients who had at least one injection. Treatment feasibility was evaluated by the 10th week by assessing the response of patients having at least 4 injections. For systemic toxicities, the evaluation was performed using the National Cancer Institute Common Toxicity Criteria, whereas adverse effects were recorded using common WHO toxicity criteria. Results: Of the 24 registered patients, 22 received the DCs injections. Moreover, of the 14 patients that applied for the tolerance test, only 11 patients completed it because 3 patients withdrew their testing agreement. A grade 3 or more side effect, which was possibly related to the DC injection, did not occur in additional patients. The $12{\times}10^6$ DC injection was identified as the maximum tolerable dose, and was then injected in an additional 8 patients. Patients tolerated the injection fairly well, with no fatal side effects. In order to assess the feasibility of DC immunotherapy, the response was evaluated in other hepatic lesions outside of the targeted hepatic lesion. The response evaluation was performed in 15 of the 17 patients who received at least 4 injections. Stable and progressive disease was found in 4 and 11 patients, respectively. Conclusion: The DC-based immunotherapy and radiotherapy is theoretically synergistic for the local control and systemic control. The $DCVac/IR^{(R)}$ immunotherapy combined with irradiation was tolerable and safe in the evaluated cases of refractory colorectal cancer with multiple liver metastases. Future work should include well designed a phase II clinical trials.