• Title/Summary/Keyword: Weekly cycle

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Effect of Shift Interval for the Clinical Nurse on the Circadian Rhythm (임상 간호사의 교대근무 기간이 circadian rhythm 변화에 미치는 영향)

  • 황애란;정현숙;임영신;이혜원;김조자
    • Journal of Korean Academy of Nursing
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    • v.21 no.2
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    • pp.129-149
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    • 1991
  • Circadian rhythm is entrained in the 24-hour time interval by periodic factors in the environment, known as zeitgeber. But most rotating work schedules are outside the range of the entrainment of the pacemaker timing the human circadian sleep - wake cycle. It has been postulated that physiological and emotional disturbances occur in most human functions when the circadian rhythm is disturbed. So application of circadian principles to the design of shift schedules can aid in maintaining the temporal integrity of the circadian system and thereby minimize for the shift worker any detrimental consequences of circadian disruption. This study was a quasi-experimental study to test the effect of shift intervals for the clinical nurse on the circadian rhythm. Twenty nurses newly employed in general units of two hospitals were selected as an experimental group and twelve college nursing students as a control group. Both groups were selected according to an established criteria using a purposive sampling technique. Ten subjects were assigned to a weekly shift group and another ten to a biweekly shift group engaged in a semi -continuous shift schedule(sunday off) with a backward direction, that is, morning -evening - night shift. The control group worked a morning shift for 42 days. Oral temperature rhythm, waking tim, sleep - wake cycle, fatigue, and mental performance were measured during the experimental period. The data collection period was from April 30, 1990 to June 10, 1990. MANOVA, paired t-test, ANOVA, and Student Newman Keuls method were used for statistical analysis. The results are summarized as follows. 1. Phase delay in the acrophase of temperature rhythm was shown according to the backward rotating shift. A complete adaptation to work on the night shift was achieved between the sixth and ninth day of the night shift. 2. There was no difference in either waking time or sleep- wake cycle according to the duration of the working day for every shift group. Significant difference was found in the waking time and the sleep -wake cycle for subjects on the morning, evening, and night shift in both of the shift groups(weekly shift group : λ=0.121, p<0.01, λ=0.112, p<0.01, biweekly shift group : λ=0.116, p<0.01, λ=0.084, p<0.01). 3. There was no difference in fatigue between the first working day and the last working day for the control group and for the biweekly shift group. In the weekly shift group, physical fatigue was significantly different for the first day and the sixth day of the night shift(t=-2.28, p<0.05). Physical fatigue and total fatigue on the first day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=5.79, p<0.01, F=4.56, p<0.05). There was a significant difference between the shift groups and the control group(p<0.05), Physical fatigue, neurosensory fatigue and total fatigue on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=12.65, p<0.01, F=7.77, p<0.01, F=9.68, p<0.01). There was a significant difference between the shift groups and the control group(p<0.05). 4. No difference in mental performance was seen between the first day and the last day of work in each case. An arithmatic test on the first day of the night shift revealed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=3.79, p<0.05). There was a significant difference between the shift groups and the control group(p<0.05) . The digital symbol substitution test and the arithmetic test on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=3.68, p<0.05, F=5.55, p<0.01), and both showed a significant difference between the shift groups and the control group(p<0.05). Accordingly, this study showed that during night duty, the waking time, sleep- wake cycle, and fatigue increased and mental performance decreased compared with morning and evening duty. It was also found that the weekly shift group had a higher fatigue score on the sixth day of night duty as compared to the -first day, but the waking time, sleep- wake cycle, and mental performance revealed no difference for the duration of the night duty or between shift groups, and complete adaptation of temperature rhythm was achieved between the sixth and ninth day of night duty. It is possible to conclude from these results that for intermediate circadian type in a healthy young woman, a biweekly shift system is more compatible with the circadian timing system than weekly shift system.

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Variability of the PM10 Concentration in the Urban Atmosphere of Sabah and Its Responses to Diurnal and Weekly Changes of CO, NO2, SO2 and Ozone

  • Wui, Jackson CHANG Hian;Pien, CHEE Fuei;Kai, Steven KONG Soon;SENTIAN, Justin
    • Asian Journal of Atmospheric Environment
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    • v.12 no.2
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    • pp.109-126
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    • 2018
  • This paper presents seasonal variation of $PM_{10}$ over five urban sites in Sabah, Malaysia for the period of January through December 2012. The variability of $PM_{10}$ along with the diurnal and weekly cycles of CO, $NO_2$, $SO_2$, and $O_3$ at Kota Kinabalu site were also discussed to investigate the possible sources for increased $PM_{10}$ concentration at the site. This work is crucial to understand the behaviour and possible sources of $PM_{10}$ in the urban atmosphere of Sabah region. In Malaysia, many air pollution studies in the past focused in west Peninsular, but very few local studies were dedicated for Sabah region. This work aims to fill the gap by presenting the descriptive statistics on the variability of $PM_{10}$ concentration in the urban atmosphere of Sabah. To further examine its diurnal and weekly cycle pattern, its responses towards the variations of CO, $NO_2$, $SO_2$, and ozone were also investigated. The highest mean value of $PM_{10}$ for the whole study period is seen from Tawau ($35.7{\pm}17.8{\mu}g\;m^{-3}$), while the lowest is from Keningau ($31.9{\pm}18.6{\mu}g\;m^{-3}$). The concentrations of $PM_{10}$ in all cities exhibited seasonal variations with the peak values occurred during the south-west monsoons. The $PM_{10}$ data consistently exhibited strong correlations with traffic related gaseous pollutants ($NO_2$, and CO), except for $SO_2$ and $O_3$. The analysis of diurnal cycles of $PM_{10}$ levels indicated that two peaks were associated during the morning and evening rush hours. The bimodal distribution of $PM_{10}$, CO, and $NO_2$ in the front and at the back of ozone peak is a representation of urban air pollution pattern. In the weekly cycle, higher $PM_{10}$, CO, and $NO_2$ concentrations were observed during the weekday when compared to weekend. The characteristics of $NO_2$ concentration rationed to CO and $SO_2$ suggests that mobile sources is the dominant factor for the air pollution in Kota Kinabalu; particularly during weekdays.

Optimal Workforce Size and Day-off Scheduling with Variable Demands (가변적 수요에 대한 최적인력의 크기와 휴무계획 결정방법)

  • Gi, Jae-Seok;Gang, Maeng-Gyu
    • Journal of Korean Institute of Industrial Engineers
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    • v.13 no.2
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    • pp.9-16
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    • 1987
  • This paper develops an optimal manpower scheduling algorithm that gives an optimal workforce size and day-off scheduling required to satisfy following conditions. First, everyone is to have two consecutive day-off per cycle in a continuous operating environment. Second, everyone is to have at least A weekends off in a cycle of B Weeks. The model addressed is under the circumstance that the demands can vary from day to day in a weekly cycle. The proposed algorithm makes it possible to minimize the maximum workstretch and to maximize the number of weekends off. It is also possible to minimize the variance of idle manpower distribution in order that idle manpower may be utilized in case of emergency.

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Comparison of Weekly and Batch Management System for Sows (모돈의 주간관리와 그룹관리 비교)

  • Jang, Young-Dal;Ju, Won-Seok;Long, Hong-Feng;Piao, Long-Guo;Jang, Sung-Kwon;Chung, Chung-Soo;Kim, Yoo-Yong
    • Journal of Animal Environmental Science
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    • v.15 no.2
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    • pp.171-182
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    • 2009
  • Conventionally, many pig producers have utilized a continual sow managements system that the matings, farrowings and weanings are done weekly basis. But this transitional method is not able to cut the cycle of diseases and fully apply all-in/all-out system because of the continuous flow of sows and pigs. Conventional weekly management system is currently limiting in small farm to work efficiently both for workers and pigs. Therefore, pig producers have found novel management methods for applying all-in/all-out system, improving pig health, leading to better growth, lowering mortality and reducing medication costs nowadays. Moreover, all-in/all-out pig management system has known as a strategy for improving productivity in swine farm. The batch system is one of the best management methods to adopt all-in/all-out pig management system that prevent spreading diseases in pig and remove cycle of diseases. Batch farrowing system is a concept for providing a group of sows that delivery within a specific farrowing interval and inducing a large enough scale of piglets to fill the weaner facilities. There are different types of batch farrowing system with batch size and interval of farrowing when several factors at the swine farm are considered such as total number of sows, available facilities in the farm, and the efficiency of workforce. Sow managements such as farrowing, weaning and breeding, every 3 weeks rather than weekly, 2 or 5-week interval have advantages for workers and reproductive cycle of sows as well as pig flow. Because there are several pros and cons both in weekly and batch management system, various factors should be considered to apply the most suitable management system in each individual farm. To improve poor swine productivity in Korea compared to ED, batch system for sows will be an alternative choice which is able to prevent high incidence of diseases in swine farm such as PMWS, PRRS, PRDC and PED because all-in/all-out pig management can be also applied automatically by using this management system.

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Annual Reproductive cycle of the File Fish, Thamnaconus modestus, on the Southern Coast of Cheju Island (제주 남부 연안 말쥐치, Thamnaconus modestus의 생식년주기)

  • Lee, Seung-Jong;Go, You-Bong;Lee, Young-Don;Jung, Ji-Hyun;Han, Chang-Hee
    • Korean Journal of Ichthyology
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    • v.12 no.1
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    • pp.71-84
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    • 2000
  • Annual reproductive cycle of the file fish, Thamnaconus modestus (Gunther), was histologically investigated. Samples were collected monthly in the coastal waters of Chungmun, south of Cheju Island, Korea from July 1997 to June 1999. In males and females of T. modestus GSI values reached the maximum in June and May, respectively. Reproductive cycle could be divided into the following successive stages: in females, growing stage (March to April), mature stage (April to May), spawning stage (May to June), degenerative and resting stage (July to February), and in males, growing stage (January to March), mature stage (April to May), spent stage (May to June), degenerative and resting stage (July to December), respectively. To clarify the spawning cycle of female in T. modestus, some were examined, that is, the weekly changes of GSI, detail developmental stages in the ovary and the weekly changes of sex steroid hormones ($E_2$ and T) levels in plasma during the spawning period. Throughout histological observation of the ovary during the spawning period, T. modestus belonged to an asynchronous and multiple spawner. Changes of plasma $E_2$ and T levels were similar to the changes of GSI and ovary maturity.

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Development of Computer-based Menu Planning Program for Day-Care Centers (탁아기관 급식을 위한 식단작성 전산 프로그램 개발)

  • Kwak, Tong-Kyung;Lee, Hye-Sang;Kim, Sook-Young
    • Journal of the Korean Society of Food Culture
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    • v.7 no.3
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    • pp.245-252
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    • 1992
  • The purpose of the study was to develop computer-based menu planning program for day-care centers maximizing food preference score among children and satisfying such constraints as expense, nutrients, and season. Children's preference about 142 menu items was surveyed among 382 children of day-care centers. A 16-bit personal computer compatible with IBM-PC/AT was used. The data base files were created by dBASE III Plus, and processing programs were created by using FORTRAN language. Children preferred bread or a la carte menu items to cooked rice in main dish category. Deep fat fried or stir-fried menu items were more preferred than kimchi or cooked vegetables in side dish category. Preference scores for menu items were influenced by cooking methods or main ingredients. The contents of the computerized system show that when the program runs, the user should type inputs of cycle, season, and menu pattern, then the computer lists a series of menu satisfying the criteria of constraints. The user can examine and select a set of menu from the menu lists. Menus are generated seasonally. Menu lists are generated weekly and monthly basis with the contents of menu items, preference scores and price. Nutrient reports are also generated on a weekly and monthly basis with the contents of calories, 12 nutrients and price. Recipes for each menu items are also generated.

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An Analysis of Aerosol Optical Properties around Korea using AERONET (지상원격관측(AERONET)을 통한 한반도 주변 에어로솔 광학특성 분석)

  • Kim, Byung-Gon;Kim, You-Joon;Eun, Seung-Hee
    • Journal of Korean Society for Atmospheric Environment
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    • v.24 no.6
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    • pp.629-640
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    • 2008
  • This study investigates long-term trends and characteristics of aerosol optical depth ($\tau_a$) and Angstrom exponent (${\AA}$) around Korea in order to understand aerosol effects on the regional climate change. The analysis period is mainly from 1999 to 2006, and the analysis sites are Anmyun and Gosan, the background monitoring sites in Korea, and two other sites of Xianghe in China and Shirahama in Japan. The annual variations of $\tau_a$ at Anmyun and Gosan have slightly systematic increasing and decreasing trends, respectively. $\tau_a$ at Anmyun shows more substantial variation, probably because of it's being closer and vulnerable to anthropogenic influence from China and/or domestic sources than Gosan. Both values at Gosan and Anmyun are approximately 1.5 times greater than those at Shirahama. The monthly variation of $\tau_a$ exhibits the highest values at late Spring and the lowest at late-Summer, which are thought to be associated with the accumulation of fine aerosol formed through the photochemical reaction before the Jangma period and the scavenging effect after the Jangma period, respectively. Meanwhile, the episode-average $\tau_a$ for the Yellow dust period increases 2 times greater than that for the non-Yellow dust period. A significant decrease in ${\AA}$ for the Yellow dust period is attributable to an increase in the loading of especially the coarse particles. Also we found no weekly periodicity of $\tau_a$'s, but distinct weekly cycle of $PM_{10}$ concentrations, such as an increase on weekdays and a decrease on weekends at Anmyun and Gosan. We expect these findings would help to initiate a study on aerosol-cloud interactions through the combination of surface aerosol and satellite remote sensing (MODIS, Calipso and CloudSat) in East Asia.

Problems of Working Hours and Shift Work Systems, and Propsed Methods for Their Improvement (근로시간 및 교대근무편성의 문제점과 개선방향)

  • Seo, Yu-Jin;;Park, Yeong-Man;Mun, Se-Geun
    • Journal of the Ergonomics Society of Korea
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    • v.22 no.3
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    • pp.13-26
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    • 2003
  • The purpose of this study is to investigate the present conditions of the night work and shift work systems in the heavy chemical industrial complexes found in Changwon, Masan, and Chinhae. Korea. We will attempt to define and classify their problems; and to discover further ways to improve their systems. Fifty production factories were carefully selected as the subjects for this study. The shift systems were classified into five categories. The consecutive night shifts were long in almost all cases with 6 days (36 factories) and 7 days (13 factories). It was found that the night work of about] 2 hours continues for a long period in the weekly rotation full-day shift systems and the night-including non-full-day shift systems, and there was no holiday during a shift cycle in the continuous full-day shift systems. The work time in most shift systems was longer than the 44-hours/week permitted by Korean law. Considering the characteristics of these various types of shift systems, the most essential thing to reduce the shift workers' work load may be to shorten their working hours and improve the schedule of shift systems. It is highly recommended as a fundamental solution. to reduce the portal-to-portal hours from 12 to 8 in the night-including non-full-day shift systems and the weekly rotation full-day shift systems, and at least to employ a 4-team 3-shift system in the continuous full-day shift systems. In addition to this, it should from now on be taken as a goal to restructure the types of shift systems by taking such measures as avoiding continuous night work if possible, providing sufficient off-duty intervals both before and after night shift, providing increased opportunities for workers to nap during night work. and increasing the number of holidays.

Drastic Change of Phytoplankton Community at the Station 'Mankyeong Bridge' of the New Saemankeum Lake during 2006-2007 (2006-2007 기간 중 신생 새만금호 '만경대교' 정점에서 식물플랑크톤 군집 급변에 대한 연구)

  • Jang, Keon-Gang;Park, Jong-Woo;Park, Jang-Ho;Ha, Na;Yih, Won-Ho
    • Ocean and Polar Research
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    • v.31 no.1
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    • pp.71-76
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    • 2009
  • Drastic changes in the water quality and phytoplankton community of the new Saemankeum Lakeduring the first decade following the construction of the Saemankeum Sea Wall has been considered to be unavoidable. Input of eutrophicated water through the Mankyeong River and Dongjin River might produce more direct effects on the water quality and phytoplankton community, which lead us to launch a long-term semi-weekly investigation at the "Mankyeong Bridge" monitoring point to resolve its short-term effect as well as long-term stabilization of the ecosystem in the new Saemankeum Lake. During 15 months starting from June 2006, the water temperature varied in accordance with the typical seasonal variations in temperate on the coasts, and no significant daily variations evoked by tidal cycle could be detected. However, there was an inverse relationship between seasonal precipitation and salinity even though the range in annual variation was drastically reduced right after the construction of the Saemankeum Sea Wall. Species richness in the phytoplankton community was also reduced due to the narrowed annual range of salinity, which would eliminate the mid-high salinity species from the Mankyeong Bridge monitoring point. Similarly, species diversity was decreased with increased dominance of the phytoplankton community after the construction. Between the two summer seasons during the present study, species diversity was higher in 2007 than in 2006, which might indicate the early stage of a gradual stabilization in the ecosystem including the phytoplankton community at the monitoring station. The phytoplankton community thus needs to be monitored on a long-term basis to identify indirect signals that can be used to assess the stability of the ecosystem in the young Saemankeum Lake.

Cost-Effectiveness Analysis of Home-Based Hospice-Palliative Care for Terminal Cancer Patients

  • Kim, Ye-seul;Han, Euna;Lee, Jae-woo;Kang, Hee-Taik
    • Journal of Hospice and Palliative Care
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    • v.25 no.2
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    • pp.76-84
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    • 2022
  • Purpose: We compared cost-effectiveness parameters between inpatient and home-based hospice-palliative care services for terminal cancer patients in Korea. Methods: A decision-analytic Markov model was used to compare the cost-effectiveness of hospice-palliative care in an inpatient unit (inpatient-start group) and at home (home-start group). The model adopted a healthcare system perspective, with a 9-week horizon and a 1-week cycle length. The transition probabilities were calculated based on the reports from the Korean National Cancer Center in 2017 and Health Insurance Review & Assessment Service in 2020. Quality of life (QOL) was converted to the quality-adjusted life week (QALW). Modeling and cost-effectiveness analysis were performed with TreeAge software. The weekly medical cost was estimated to be 2,481,479 Korean won (KRW) for inpatient hospice-palliative care and 225,688 KRW for home-based hospice-palliative care. One-way sensitivity analysis was used to assess the impact of different scenarios and assumptions on the model results. Results: Compared with the inpatient-start group, the incremental cost of the home-start group was 697,657 KRW, and the incremental effectiveness based on QOL was 0.88 QALW. The incremental cost-effectiveness ratio (ICER) of the home-start group was 796,476 KRW/QALW. Based on one-way sensitivity analyses, the ICER was predicted to increase to 1,626,988 KRW/QALW if the weekly cost of home-based hospice doubled, but it was estimated to decrease to -2,898,361 KRW/QALW if death rates at home doubled. Conclusion: Home-based hospice-palliative care may be more cost-effective than inpatient hospice-palliative care. Home-based hospice appears to be affordable even if the associated medical expenditures double.