• Title/Summary/Keyword: Long life

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The Effects of Long-term Care Insurance on the Life Satisfaction and Satisfaction in Family Relationships - The DD Method Combined with Propensity Score Matching - (노인장기요양보험제도가 대상노인 및 부양가족의 삶의 질과 가족관계 만족도에 미치는 영향 - 성향점수매칭(PSM)과 이중차이(DD) 결합모형을 이용한 분석 -)

  • Kwon, Hyun-Jung;Cho, Yong-Un;Ko, Ji-Young
    • Korean Journal of Social Welfare
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    • v.63 no.4
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    • pp.301-326
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    • 2011
  • The major purpose of this study is to evaluate the impact of the long-term care insurance program. In order to estimate the impact of policy accurately, certain bias which might hamper the validity of this study has been removed by Propensity Score Matching(PSM) and Double Difference(DD) method from the semi-experimental design. To study the effects of long-term care insurance on the elderly and their family members as social outcome variable sand the quality of life of their family and satisfaction in family relationships, the third and fourth waves of Korea Welfare Panel are used to match experimental and comparative groups by the propensity score matching. Then, DD method, using the panel fixed effects model, is applied to estimate the differences of those groups'treatment effects before and after the policy implementation. As a result, it was found that the Quality of life on the elderly and their family members is statistically meaningless, while the satisfaction in family relationships has much increased after the policy implementation. The result has a limitation in that this evaluation is performed at the point when the long-term insurance program has not been ripened enough. However, there is an important implication on the significance of realizing the main goal of the long-term care insurance to improve the quality of life of the elderly and their family members and as for the potentiality of further system improvements.

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Factors Affecting the Quality of Life of Patients With Dementia: A Systematic Review of Literature Focusing on the Subjects Admitted to an Overseas Long-term Care Facility (치매 환자의 삶의 질에 미치는 요인 분석: 국외 요양시설에 입소한 대상자를 중심으로 체계적 문헌고찰)

  • Kim, Sun-Il;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.7-25
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    • 2019
  • Objective: The purpose of this study was to perform a systematic literature review focusing on international studies to identify various factors affecting the quality of life(QOL) of dementia patients admitted to long-term care facilities. Methods: From January 2000 to July 2018, the articles published in foreign journals were searched through CINAHL and MEDLINE databases. The main search terms were'dementia or Alzheimer's'. 'quality of life', 'long-term care', 'care home', 'nursing home', 'care institution', 'residential care', 'small- scale setting'. The first 1706 articles were searched, but 10 studies were selected using the selection and exclusion criteria. Results: Analysis of ten cross-sectional studies showed that factors such as physical functioning status, ability to perform activities of daily living, and cognition showed a positive correlation with QOL. Depression and anxiety, severity of dementia, and neuropsychiatric symptoms were found to be negatively correlated with QOL. In addition, two longitudinal studies have confirmed that factors affecting QOL are affected by individual functional status and social environmental factors rather than the size and form of care facilities. Conclusion: This study summarized 10 papers and analyzed them through a systematic review of literature. We found that factors such as individual characteristics and social environment determine QOL of patients with dementia. In this study, various intervention methods to improve QOL of patients with dementia should be developed and used in long-term care facilities by identifying the factors affecting QOL of dementia patients and using them.

Prediction of Long Term Performance and Creep of Laminated Natural Rubber Bearings(NRB) (적층 천연고무 면진장치의 장기성능과 크리프에 대한 예측)

  • Hwang, Kee Tae;Seo, Dae Won;Cho, Sung Gook
    • Journal of the Earthquake Engineering Society of Korea
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    • v.17 no.3
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    • pp.117-125
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    • 2013
  • Seismic isolation has been considered and utilized in various industries as a way to prevent huge damage on to structures by large earthquakes in various industries. The laminated Laminated rubber bearings is are most frequently used in seismic isolation systems. The structural Structural safety could not be assured unless the performance of the rubber bearing is not guaranteed for the life time of the structure under the consideration that the bearing is a critical structural member to sustain vertical loads in the seismically isolated structure. However, there are few studies on the deterioration problems of rubber bearings during their service life. The long term performance of the rubber bearings was not considered in past designs of seismically isolated structures. This study evaluates the long term performance and creep characteristics of laminated natural rubber bearings that are used in seismically isolated buildings. For the this study, a set of accelerated thermal aging tests and creep tests are were performed on real specimens. The experimental results show that the natural rubber bearings would have a stable change rate of change for durability under severe environmental conditions for a long time.

A Study on Taoist Prevent Health of Hong, You-Son (홍유손의 양생사상 연구)

  • Pyo, Bo-Young;Ahn, Sang-Woo
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.3
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    • pp.199-211
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    • 2008
  • Hong, You-Son($1452{\sim}1529$) overcame his suffering, caused by his low social standing, through Taoism. Hong, You-Son could be infatuated with Taoism because Taoism was still spread all over the country in early Chosun dynasty and in more permissive atmosphere than the atmosphere after the Japanese invasion of Korea in 1592. Therefore, Taoist health prevention, not religion, reflecting theory of Taoist hermit and wishing for perennial youth and long life was prevalent among the intellectual class in that period. In addition, it was very fascinating idea for Chosun intellectual class to prevent health with practice because medicine was not developed in that period. The importance of his health prevention was vitality ; he insisted that people can get health and long life with it and need mind practice to discard greed of this life. His advocacy was agreed with Kim, Si-Seup, and Chung, Ryum, the members of Danhak School, and his health prevention became a base for medicine developments preventive medicine. Hong, You-Son seemed to use Taoism not to avoid temporally, but to overcome his suffering, and furthermore, find out self identity. He became one of major members of Danhak School because the ideas of Taoism such as accomplishing health and long life with self practice and achieving self satisfaction with discarding utilitarianism was fitted for conflict mind of Hong, You-Son. Taoist ideas were reflected in his poetry and his everyday life ; he identified a Taoist hermit with Himself in his poetry and acted like a hermit in his everyday life.

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Ginsenoside Rg3 and Korean Red Ginseng extract epigenetically regulate the tumor-related long noncoding RNAs RFX3-AS1 and STXBP5-AS1

  • Ham, Juyeon;Jeong, Dawoon;Park, Sungbin;Kim, Hyeon Woo;Kim, Heejoo;Kim, Sun Jung
    • Journal of Ginseng Research
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    • v.43 no.4
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    • pp.625-634
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    • 2019
  • Background: Ginsenoside Rg3, a derivative of steroidal saponins abundant in ginseng, has a range of effects on cancer cells, including anti-cell proliferation and anti-inflammation activity. Here, we investigate two long noncoding RNAs (lncRNAs), STXBP5-AS1 and RFX3-AS1, which are hypomethylated and hypermethylated in the promoter region by Rg3 in MCF-7 cancer cells. Methods: The lncRNAs epigenetically regulated by Rg3 were mined using methylation array analysis. The effect of the lncRNAs on the apoptosis and proliferation of MCF-7 cells was monitored in the presence of Rg3 or Korean Red Ginseng (KRG) extract after deregulating the lncRNAs. The expression of the lncRNAs and their target genes was examined using qPCR and Western blot analysis. The association between the expression of the target genes and the survival rate of breast cancer patients was analyzed using the Kaplan-Meier Plotter platform. Results: STXBP5-AS1 and RFX3-AS1 exhibited anti- and pro-proliferation effects, respectively, in the cancer cells, and the effects of Rg3 and KRG extract on apoptosis and cell proliferation were weakened after deregulating the lncRNAs. Of the genes located close to STXBP5-AS1 and RFX3-AS1 on the chromosome, STXBP5, GRM1, RFX3, and SLC1A1 were regulated by the lncRNAs on the RNA and protein level. Breast cancer patients that exhibited a higher expression of the target genes of the lncRNAs had a higher metastasis-free survival rate. Conclusion: The current study is the first to identify lncRNAs that are regulated by the presence of Rg3 and KRG extract and that subsequently contribute to inhibiting the proliferation of cancer cells.

The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults (ICT 활용 방문간호서비스가 재가노인의 건강관련 삶의 질에 미치는 효과)

  • Yoo, Keunjoo;Shin, Jinhee;Cho, Eunhee;Hong, Seokwon
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.1-12
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    • 2022
  • Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

Qualitative Study on Social Workers' Experiences and Roles during End-of-Life Care in Elderly Long-Term Care Facilities (노인 장기요양기관에 종사하는 사회복지사의 임종 케어 경험과 역할에 관한 질적 연구)

  • Kim, Eun-Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.503-517
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    • 2022
  • This study was to investigate the social workers' psycho·social experiences and roles during the end-of-life care process in elderly long-term care facilities. As a result of data analysis through in-depth interviews, social workers experienced great exhaustion and burnout due to frequent death experiences during the end-of-life care process, and expressed regret for not being able to provide better service for the deceased and longing for loved ones. And in the event of a sudden death, social workers would undergo criticism and complaints. The main roles of social workers during end-of-life care were to contact and communicate with family members when signs of death appeared and support them after the death. The necessity of standardized manuals and education for end-of-life care, a recharging program and support group to prevent burnout of social workers, and a legal safety net for emergency preparedness and emergency measures were suggested. The necessity of death preparation education, hospice care, and advance medical directive was also emphasized for the dignified death of the elderly.

The Effects of Types of Participation Motive to Life-long Education on Education Satisfaction and Perception Degree to Successful Aging of the Elderly (노인의 평생교육 참여동기가 교육만족도와 성공적 노화에 미치는 영향)

  • Jone, Myeong Soo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.9 no.5
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    • pp.235-246
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    • 2014
  • This study was aimed to find out the relationships among the types of participation motive to life-long education, the degree of education satisfaction and perception degree to the successful aging of the elderly. 414 questionnaires were collected from the elderly who are 65years plus and attend the life-long education program provided by well-fare center in Chunan-city, Chungchongnam-do. The t-test, ANOVA, and regression analysis, etc were carried out using SPSS 11.0 ver. to analyze the data. The results are as follows. First, the types of participation motive to life-long education were sorted out as the action-oriented motive, goal-oriented motive and learning-oriented motive. Second, The education satisfaction was affected positively by the learning-oriented motive. Third, the action-oriented and learning-oriented motive affect the perception degree to the successful aging positively. Forth, The education satisfaction degree affect the perception degree to the successful aging positively.

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An Exploratory Study on Digital Contents-based Life-long Sex Education Program for Persons with Mental Retardation (지적장애인 대상의 성교육 프로그램 현황과 과제 : 디지털 교육콘텐츠를 중심으로)

  • Park, Won-Hee;Choi, Yeon-Sook;Park, Seong-Taek
    • Journal of Digital Convergence
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    • v.10 no.6
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    • pp.349-359
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    • 2012
  • There is growing recognition that individuals with mental retardation are particularly vulnerable to sexual abuse due to multiple factors including life-long dependence on adults for care, trained compliance, social isolation, lack of education about sexuality and sexual abuse, and a societal view that devalues people with disabilities. Teaching about sexual abuse only may raise an individual's anxiety without promoting a healthy sexual identity. For many individuals with mental retardation, the provision of formal sexual health education and sexual abuse prevention training has been shown to be protective against exploitation as well as increase appropriate sexual behavior. To maximize the reach of formal sexual health education and abuse prevention promotion effort, this article suggest exploiting the internet and digital contents as delivery vehicles that have uniquely suitable communication characteristics and outstanding ability to reach large numbers of persons with mental retardation. We review the sexual health education programs, utilizing the internet and digital contents, for individuals with mental retardation. We also suggest the revised version of the Information-Motivation-Behavioral Skills (IMB) model of health behaviour change (Fisher & Fisher, 1992), and give a brief discussion of how useful this model is for constructing a life-long sex education program for persons with mental retardation.