Occupational Fatigue Based on Work Shift Among Medical Workers at Harjono S Hospital

Working at day (morning and afternoon shift) is normal working times according to human physiological conditions, but working at night would impact to the sleep cycle and regulation of human homeostasis. Various studies have found that working at night causing conditions that can interfere the ability to adapt both biologically and socially. Workers on the night shift also have a higher risk of injury or accidents due to work fatigue. This stydy aims to determine the fatigue score between night and non-noght shift workers at Dr Harjono S Hospital, Ponorogo. Data Collected in August 2019 and involved 80 medical workers as respondents who were randomly selected using simple random sampling technique. Data were obtained through direct observation and interviews to respondents. Fatigue was measured in numerical score with Fatigue Assesment Scale (FAS) Instrument. Work shift variables (WS) are divided into : non-night shift (morning, noon) and night shift (morning, noon, night). To find out the differences in physical conditions of workers in each shift, the Heart Rate (HR) of the night shift workers measured in the end of three shifts (morning : 07-14.00; Afternoon : 14.00-21.00; and night :21.00-07.00). Using independent T-test analysis, there was a significant difference in Fatigue Level of workers with night shifts and non-night shifts (p < 0.000). Workers with the night shift has 29.0 of Fatigue Levels or 21 % greather than workers with non-nigh shift (Fatigue Level : 24.2). Result shows that working at night increasing level of fatigue by 21 % than working at day. Workers on the night shift have the highest HR at the end of the shift (86.311 bpm) while workers at noon shift have the lowest HR (85.2). Keywords: Occupational fatigue, work shift, medical workers

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Effectiveness of progressive muscle relaxation and aromatherapy on fatigue in pregnant mothers

MEDISAINS ◽

10.30595/medisains.v18i1.6421 ◽

2020 ◽

Vol 18 (1) ◽

pp. 14

Author(s):

Tetet Kartilah ◽

Sofia Februanti

Keyword(s):

Pregnant Women ◽

Muscle Relaxation ◽

Sampling Technique ◽

Simple Random Sampling ◽

Progressive Muscle Relaxation ◽

Control Group ◽

Control Group Design ◽

Fatigue Score ◽

Significant Difference ◽

Post Test

Background: Fatigue in pregnant women can lead to cesarean delivery, also triggering problems during pregnancy, childbirth, and the puerperium. Therefore, there is a need for non-pharmacological interventions to reduce the level of fatigueObjective: This study aims to determine the effectiveness of giving progressive muscle relaxation (PMR) and aromatherapy to complaints of fatigue in pregnant womenMethods: This is a quasi-experiment with pretest and post-test with control group design. The sampling technique was simple random sampling, consisted of 52 respondents who were divided into two groups. The statistical using a paired t-test and independent t-testResults: After the administration of PMR and aromatherapy interventions, the fatigue score decreased significantly from 5.15 to 3.15; p<0.001. In the control group, the fatigue score was reduced from 5.04 to 4.00; p<0.0001. There was a significant difference in fatigue scores in the intervention and control groups (3.15 ± 1.592 vs. 4.00 ± 0.980; p<0.05).Conclusion: Combination progressive muscle relaxation exercises and aromatherapy are effective in reducing fatigue scores in pregnant women

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Chronotype-specific Sleep in Two Versus Four Consecutive Shifts

Journal of Biological Rhythms ◽

10.1177/07487304211006073 ◽

2021 ◽

pp. 074873042110060

Author(s):

Dorothee Fischer ◽

Till Roenneberg ◽

Céline Vetter

Keyword(s):

Night Shift ◽

Sleep Diary ◽

Sequence Length ◽

Consecutive Night ◽

Shift Workers ◽

Subject Field ◽

Sleep Diaries ◽

Social Jetlag ◽

Sleep Debt ◽

Night Shifts

The study aimed to explore chronotype-specific effects of two versus four consecutive morning or night shifts on sleep-wake behavior. Sleep debt and social jetlag (a behavioral proxy of circadian misalignment) were estimated from sleep diary data collected for 5 weeks in a within-subject field study of 30 rotating night shift workers (29.9 ± 7.3 years, 60% female). Mixed models were used to examine whether effects of shift sequence length on sleep are dependent on chronotype, testing the interaction between sequence length (two vs. four) and chronotype (determined from sleep diaries). Analyses of two versus four morning shifts showed no significant interaction effects with chronotype. In contrast, increasing the number of night shifts from two to four increased sleep debt in early chronotypes, but decreased sleep debt in late types, with no change in intermediate ones. In early types, the higher sleep debt was due to accumulated sleep loss over four night shifts. In late types, sleep duration did not increase over the course of four night shifts, so that adaptation is unlikely to explain the observed lower sleep debt. Late types instead had increased sleep debt after two night shifts, which was carried over from two preceding morning shifts in this schedule. Including naps did not change the findings. Social jetlag was unaffected by the number of consecutive night shifts. Our results suggest that consecutive night shifts should be limited in early types. For other chronotypes, working four night shifts might be a beneficial alternative to working two morning and two night shifts. Studies should record shift sequences in rotating schedules.

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EFFECTIVENESS OF HANDS OFF VERSUS HANDS ON TECHNIQUES ON PERINEAL TRAUMA AND PERINEAL PAIN AMONG PARTURIENT MOTHERS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2016.v9i6.14045 ◽

2016 ◽

Vol 9 (6) ◽

pp. 179 ◽

Cited By ~ 1

Author(s):

Jayabharathi Bhaskaran

Keyword(s):

Sampling Technique ◽

Simple Random Sampling ◽

Perineal Trauma ◽

Perineal Pain ◽

Study Group ◽

Perineal Tear ◽

Group I ◽

Significant Difference ◽

Hands On ◽

The Mean

Background: Labor is the process by which the fetus and the placenta leave the uterus. Delivery can occur in two ways, vaginally or by a cesarean delivery. The majority of women who have a vaginal birth will sustain perineal trauma from a spontaneous perineal tear or episiotomy or both.Aim: This study aims to assess the effectiveness of hands off versus hands on techniques on perineal trauma and perineal pain among parturient mothers in selected hospitals, Kerala.Methods: The research design adopted in this study was true experimental post test only design. The study was conducted in 3 hospitals at Kerala such as Karothukuzhiyil hospital Pvt, Lakshmi hospital Pvt and Carmal hospital Pvt. Sample size was computed by power analysis based on the previous studies and it would be a total of 90 samples, with 30 parturient mothers in each groups. Simple random sampling technique (Lottery method) was adopted for the selection of parturient mothers into the study. Perineal trauma was assessed by the scale given by Royal College of Obstetrics and Gynaecology (RCOG), 2001, and visual analogue scale (Combined numerical and categorical pain scale) was used to assess the perineal pain of parturient mothers.Results: The results showed that, there was extremely significant difference found in perineal trauma and perineal pain of parturient mothers between study group I and study II at p=0.000 level. The mean scores of study group I was lesser than the mean scores of study group II. Conclusion: Different perineal techniques and interventions such as hands on technique, hands off technique, perineal massage, warm compresses etc can be widely used by midwives and birth attendants to prevent perineal trauma during labour. Key words: hands off technique, hands on technique, perineal trauma and perineal pain

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Self-Regulation of Emotion in Students in Yogyakarta Indonesia: Gender Differences

Jurnal Kajian Bimbingan dan Konseling ◽

10.17977/um001v4i32019p082 ◽

2019 ◽

Vol 4 (3) ◽

pp. 82

Author(s):

Said Alhadi ◽

Wahyu Nanda Eka Saputra ◽

Purwadi Purwadi ◽

Siti Muyana ◽

Agus Supriyanto ◽

...

Keyword(s):

Random Sampling ◽

Self Regulation ◽

Sample Selection ◽

Sampling Technique ◽

Simple Random Sampling ◽

Female Students ◽

Male And Female ◽

Significant Difference ◽

Emotion Skills ◽

Regulation Of Emotion

Abstract: The purpose of this study was to identify whether there are differences in self-regulation of emotion skills of male and female students. This study is a comparative study with a sample of 796 students (452 males, 344 females). The sample selection is taken using simple random sampling technique. The instrument used is the scale of self-regulation of emotion. Data analysis used to identify differences in self-regulation of emotion skills of male and female students is independent samples test. The findings of the study indicate that there is a significant difference between the self-regulation of emotion skills of male and female students. This study recommends counseling service to improve self-regulation of emotion skills.Abstrak: Tujuan dari penelitian ini adalah untuk mengidentifikasi apakah terdapat perbedaan self-regulation of emotion antara siswa laki-laki dan perempuan. Penelitian ini adalah penelitian komparatif dengan sampel 796 siswa (452 laki-laki, 344 perempuan). Pemilihan sampel diambil menggunakan teknik cluster random sampling. Instrumen yang digunakan adalah skala self-regulation of emotion. Analisis data yang digunakan untuk mengidentifikasi perbedaan self-regulation of emotion siswa laki-laki dan perempuan adalah independent samples test. Temuan penelitian menunjukkan bahwa terdapat perbedaan yang signifikan antara self-regulation of emotion siswa laki-laki dan perempuan. Studi ini merekomendasikan layanan konseling untuk meningkatkan self-regulation of emotion siswa.

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Disturbances of Autonomic Regulation of Cardiovascular System at Different Working Regimes with Night Shifts

Kardiologiia ◽

10.18087/cardio.2020.9.n1134 ◽

2020 ◽

Vol 60 (9) ◽

pp. 62-67

Author(s):

Yu. A. Merkulov ◽

A. A. Pyatkov ◽

S. G. Gorokhova ◽

D. M. Merkulova ◽

O. Yu. Atkov

Keyword(s):

Shift Work ◽

Spectral Characteristics ◽

Night Shift ◽

Autonomic Regulation ◽

Total Power ◽

Orthostatic Test ◽

Heart Rhythm Variability ◽

Shift Workers ◽

Rotating Shift Work ◽

Night Shifts

Aim To study temporal and spectral characteristics of heart rhythm variability (HRV) in night shift workers.Materials and methods Along with traditional risk factors, conditions of labor contribute to development of cardiovascular morbidity, including night shift work, which can be associated with disorders of the autonomic regulation detected by analysis of HRV. This study included 100 healthy men. 74 of them were engaged in shift work, including 53 men with rotating shift work, 21 men with fixed night shifts, and 26 men with day-time work. HRV was analyzed by data of 5-min electrocardiogram recording (background recording and orthostatic test).Results Night-shift workers had decreases in total power of regulation (ТР, SDNN) and in the parasympathetic branch (HF, pNN50). Rotating night-shift workers displayed significant decreases in SDNN and pNN50 and pronounced changes in the VLF / LF / HF ratio in the orthostatic test.Conclusion In work with night shifts, the type of autonomic regulation differs from the “standard” functioning of the autonomic nervous system (ANS). This study showed different effects of night work regimens on HRV indexes. With the rotating shift work, the ANS dysregulation was more profound and was evident by a significant decrease in the ANS total tone and parasympathetic activity (SDNN, pNN50) compared to night shifts with fixed working hours. The excessive weakening of the parasympathetic component in the passive orthostatic test can be considered as an early marker for ANS maladaptation.

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Peningkatan Bodily Kinesthetic dan Intra Personal Skill melalui Pendekatan Saintifik pada Pembelajaran IPA

JP3 (Jurnal Pendidikan dan Profesi Pendidik) ◽

10.26877/jp3.v3i1.2208 ◽

2018 ◽

Vol 3 (1) ◽

Author(s):

Ngurah Ayu Nyoman Murniati ◽

Arri Handayani ◽

Mahmudah Mahmudah

Keyword(s):

Formal Education ◽

Fundamental Problem ◽

Sampling Technique ◽

Simple Random Sampling ◽

Interpersonal Skill ◽

Self Recognition ◽

Significant Difference ◽

Scientific Approach ◽

Quasi Experimental ◽

The Right

Understanding the potential of self is very necessary to be given in an effort to prepare a tough generation of 21 century who have adequate skills. The fundamental problem is the low ability of self-recognition of kinesthetic response and communication between person and person in his group. Marginal children as well as groups of children The changes and demands of school curricula are directed to the development of the 21st-century generation. The study of kinesthetic and interpersonal skill indicators as part of the development of basic skills is developed in both formal and non-formal education. This study aims to analyze the increase of bodily-kinesthetic and interpersonal skill in science learning in MTs through the application of the scientific approach. The design of this research is quasi-experiment (Quasi-Experimental Design) which form Posttest-Only Control Design. The population in this research is all students of class VIII MTs Negeri Mranggen. The sample consists of two classes taken with simple random sampling technique. There is a significant difference between bodily-kinesthetic and interpersonal skills that use learners' worksheets with the teaching materials used in the school. The difference is indicated by the average bodily-kinesthetic and interpersonal skill values between experiment classes that have a higher value than the control class. Data were analyzed by using the right side t-test. Based on the results of data analysis can be concluded that the application of the scientific approach has an effect on the increase of bodily-kinesthetic and interpersonal skill of MTs students.

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Study on Scientific Attitude and Academic Achievement among B.Ed. Trainees

Research Journal of Humanities and Social Sciences ◽

10.52711/2321-5828.2021.00009 ◽

2021 ◽

pp. 51-58

Author(s):

Rajendran P. ◽

Anandarasu R.

Keyword(s):

Academic Achievement ◽

Sampling Technique ◽

Simple Random Sampling ◽

Demographic Variables ◽

Survey Method ◽

First Year ◽

Scientific Attitude ◽

The Arts ◽

Significant Difference ◽

Science Subject

The study was intended to find out the level of Scientific Attitude and academic achievement of B.Ed., trainees. This study involves a survey method. The size of the sample in the study was 941 B.Ed., trainees who were selected through the simple random sampling technique. The main objectives of the study are to the level of Scientific Attitude and academic achievement of B.Ed., trainees. To find out the significant difference in the Mean Scores of the level of scientific attitude and academic achievement of B.Ed., trainees with respect to the Demographic variables such as Gender, Year of Study, Subject, Locality of College. To find out whether there is any significant relationship between the Scientific Attitude and Academic Achievement of B.Ed., Trainees. The Statistical procedures used in this study were; Mean, Standard Deviation, ‘t’ test, and correlation to analyze the data. The Major findings of the study were; i) The level of Scientific Attitude and academic achievement of B.Ed., trainees is above average. ii) Female B.Ed., Trainees are a significantly higher level of Scientific Attitude and Academic Achievement than the Male B.Ed., Trainees. iii) Second-year B.Ed., Trainees are a significantly higher level of Scientific Attitude and Academic Achievement than the First-year B.Ed., Trainees. iv) The B.Ed., Trainees of Language Subject is significantly Higher Scientific Attitude than the Science Subject and Arts Subject. At the same time, the Science Subject is significantly having a higher level of Scientific Attitude than the Arts Subject. v) Urban B.Ed., Trainees are significantly higher levels of Scientific Attitude than the Rural B.Ed., Trainees. vi) There is a significant indifferent or negligible positive relationship between the Scientific Attitude and Academic Achievement. It's my conclusion that the present study reveals that there is several B.Ed., trainees who are having an above-average of the scientific attitude. However, the Academic Achievement of B.Ed., trainees are quite high.

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The Effect of Shift Work and Poor Sleep on Self-Reported Skin Conditions: A Survey of Call Center Agents in the Philippines

Clocks & Sleep ◽

10.3390/clockssleep1020023 ◽

2019 ◽

Vol 1 (2) ◽

pp. 273-279 ◽

Cited By ~ 1

Author(s):

Francine Lu ◽

Amanda Suggs ◽

Harib Ezaldein ◽

Jason Ya ◽

Pingfu Fu ◽

...

Keyword(s):

Circadian Rhythm ◽

Shift Work ◽

Skin Disease ◽

Call Center ◽

Night Shift ◽

The Philippines ◽

Poor Sleep ◽

Shift Workers ◽

Significant Difference ◽

Skin Conditions

Night shift workers may have a disrupted circadian rhythm, which may contribute to the development of skin disease. The purpose of this study was to determine whether there is a significant difference in the prevalence and severity of self-reported skin disease between “regular” day shift workers compared to “graveyard” night shift workers. We conducted surveys from 630 call center agents in Manila, the Philippines, and they were analyzed regarding demographics, medical history, dermatologic history, lifestyle, and sleep. No difference was found in the prevalence of skin disease between shifts. However, night shift workers were worse sleepers. When compared to good sleepers, poor sleepers had a higher prevalence of skin disease with worse severity. Graveyard shift workers with poor sleep may have increased skin disease severity.

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61. Can Melatonin Improve Adaptation To Night Shift? A Pilot Study Using an Urban EMS System

Prehospital and Disaster Medicine ◽

10.1017/s1049023x0004574x ◽

1996 ◽

Vol 11 (S2) ◽

pp. S34-S34

Author(s):

Michael Tremea ◽

Mark James ◽

Jeffrey Jones ◽

Jon Krohmer

Keyword(s):

Job Performance ◽

Night Shift ◽

Biological Clock ◽

Consecutive Night ◽

Sleep Diaries ◽

Visual Analog Scales ◽

Significant Difference ◽

Clinical Benefits ◽

Double Blinded ◽

Night Shifts

Purpose: To determine whether melatonin (N-acetyl-5-methoxytryptamine) is effective in helping prehospital personnel working consecutive night shifts reset their biological clock and minimize circadian rhythm disruption.Methods: A double-blinded, randomized, cross-over study was performed using 12 paramedic volunteers. Paramedics were working a span of consecutive night (2300-0700) shifts and received either a melatonin capsule (6 mg) or placebo to be taken prior to each of the consecutive day sleeps. Each participants completed a total of four spans of consecutive night shifts (2-melatonin, 2-placebo). Collected data included daily sleep diaries, quantification of alcohol/caffeine consumed, and possible drug side-effects. Assessment of job performance, mood and alertness were measured every day using 10-cm visual analog scales (VAS).Results: Analysis of sleep diaries demonstrated no significant difference (p >0.05) between the two treatments in respect to mean sleep latency (melatonin = 15.4 min. vs. placebo = 14.6 min), mean sleep duration (melatonin = 6.7 hrs. vs. placebo = 6.9 hrs), or subjectively rated sleep quality (melatonin = 5.8 VAS vs placebo = 5.6 VAS). Similarly, no significant benefits were noted between the mean VAS scores for daily job performance, mood and alertness. Adverse effects were rare, one patient taking melatonin reported a prolonged sedative effect.Conclusion: Despite widespread belief in the benefits of melatonin as a hypnotic agent, no clinical benefits were noted in terms of daytime sleep or job performance in paramedics working consecutive night shifts.

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OCCURRENCE OF IRON DEFICIENCY ANEMIA BETWEEN OVER WEIGHT AND NORMAL WEIGHT ADOLESCENTS IN SELECTED SCHOOLS IN UDUPI DISTRICT

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703828 ◽

2014 ◽

Vol 04 (04) ◽

pp. 033-038

Author(s):

Sujatha R. ◽

Reshma Reshma

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Sampling Technique ◽

Simple Random Sampling ◽

Normal Weight ◽

Overweight And Obesity ◽

Deficiency Anemia ◽

Research Approach ◽

Significant Difference ◽

Overweight Adolescents

Abstract Background: Overweight has become one of the common health concerns. A few studies have noted a possible association between iron-deficiency anemia and overweight. As many as 3crore Indians are overweight, and obesity continues rise, says statistics revealed by the National Family Health Survey (NFHS 2010), Around 20% of school-going children are overweight. Materials and Methods: In this study survey research approach and comparative descriptive design was adopted. The sample size was 300 adolescents. 300 adolescents were selected by convenient sampling technique, out of which 225 were normal weight adolescents and remaining. Among 225 normal weight adolescents 50 adolescents were selected by simple random sampling technique (lottery method) and out of 75 overweight adolescents, 50 overweight adolescents were selected by convenient sampling technique. Initially BMI identified, Talliquis method was used for identifying the anemia. Peripheral smear test used for identifying the iron deficiency anaemia. Results: The data were analyzed by using descriptive and inferential statistics. The result shows that out of 300 adolescents75 (25%) of adolescents were overweight. Out of 100 children (50+50) 19(38%) were anemic in adolescents with overweight and seven (14%) were anemic in adolescents with normal weight. Out of the total 26 adolescents with anemia (19 -overweight and 7- normal weight) no occurrence of iron deficiency anemia was found. There is no significant difference in occurrence of anemia between overweight and normal weight adolescence. Interpretation and conclusion: The findings of the study indicates that majority of the overweight adolescents were anemic compare to normal-weight adolescents. There is no association between the occurrence of anemia and demographic variables like age, food habits, physical activity, menstrual problems etc.

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