• Title/Summary/Keyword: Long-Term Variation

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Effects on Long-Term Care Hospital Staff Mixing Level after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades (간호등급제가 요양병원의 간호인력 확보수준에 미치는 영향)

  • Kim, Donghwan;Lee, Hanju
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.95-105
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    • 2014
  • Purpose: The purpose of this study was to examine trends in number of nursing staff and skill mix. Methods: Nursing staff and skill mix were measured using the number of nursing staff including nurse aids and registered nurses per bed. Descriptive and panel data regression analyses were conducted using data on long-term care hospitals which included yearly series data from 2006 to 2010 for 119 hospitals. Results: The number of nursing staff per bed increased significantly but percentage of registered nurses decreased significantly from 2007 to 2010. The regression model explained this variation as much as 34.9% and 43.8%. Conclusion: The results showed that in long-term care hospitals there were more nurse aids employed instead of registered nurses after the implemention of differentiated inpatient nursing fees. Thus clarifying the job descriptions for nurses and nurse aids is needed and appropriate hospital incentive policies should be implemented.

Reliability and Validity of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) among Nurses Who Have Worked in Long-term Care Hospitals

  • Ryu, Young Seun;Park, Jeong Sook
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.130-142
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    • 2020
  • Purpose: The purpose of this study was to verify the validity and reliability of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) to assess knowledge of pain in older adults including people with dementia for use in long-term care hospital nurses. Methods: Survey data were collected from a convenience sample of 179 nurses who have worked in long-term care hospitals in B, D and U cities. The Kuder-Richardson Formula 20 for internal consistency for test reliability was conducted. The content, criterion-related and construct validity were evaluated using SPSS/WIN 22.0. Results: The KR 20 was .75 and Content Validity Ratio (CVR) was a range of 0.84~1.00. The criterion-related validity was positively correlated with attitudes (r=.28, p<.001) and performance (r=.21, p=.004). The construct validity of K-POAKS was analyzed by conducting the principal component method using the exploratory factor analysis varimax rotation, and seven factors were derived above the eigenvalue of 1.0. The seven factors explained 58.5% of the total variation. Conclusion: The Korean version of the POAKS showed satisfactory internal reliability, content validity, criterion-related validity and construct validity. These results suggest that the K-POAKS could be used as a suitable tool to measure the knowledge of the aged people's pain, including that of dementia patients for long-term care hospital nurses.

The Knowledge and Performance Confidence of, and Educational Needs on Ostomy Care among Nurses in Long-Term Care Hospitals (요양병원 간호사의 장루관리에 관한 지식, 수행자신감 및 교육요구도)

  • Yang, Nam Young;Lee, Hye Ran
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.270-280
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    • 2019
  • Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.

Experimental investigation of long-term characteristics of greenschist

  • Zhang, Qing-Zhao;Shen, Ming-Rong;Ding, Wen-Qi;Jang, Hyun-Sic;Jang, Bo-An
    • Geomechanics and Engineering
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    • v.11 no.4
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    • pp.531-552
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    • 2016
  • The greenschist in the Jinping II Hydropower Station in southwest China exhibits continuous creep behaviour because of the geological conditions in the region. This phenomenon illustrates the time-dependent deformation and progressive damage that occurs after excavation. In this study, the responses of greenschist to stress over time were determined in a series of laboratory tests on samples collected from the access tunnel walls at the construction site. The results showed that the greenschist presented time-dependent behaviour under long-term loading. The samples generally experienced two stages: transient creep and steady creep, but no accelerating creep. The periods of transient creep and steady creep increased with increasing stress levels. The long-term strength of the greenschist was identified based on the variation of creep strain and creep rate. The ratio of long-term strength to conventional strength was around 80% and did not vary much with confining pressures. A quantitative method for predicting the failure period of greenschist, based on analysis of the stress-strain curve, is presented and implemented. At a confining pressure of 40 MPa, greenschist was predicted to fail in 5000 days under a stress of 290 MPa and to fail in 85 days under the stress of 320 MPa, indicating that the long-term strength identified by the creep rate and creep strain is a reliable estimate.

A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities (장기요양시설 인간중심 치매케어 온라인 교육 프로그램 개발을 위한 델파이 조사연구)

  • Kim, Da Eun;SaGong, Hae;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.295-306
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    • 2019
  • Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

Evidences of in Situ Remediation from Long Term Monitoring Data at a TCE-contaminated Site, Wonju, Korea

  • Lee, Seong-Sun;Kim, Hun-Mi;Lee, Seung Hyun;Yang, Jae-Ha;Koh, Youn Eun;Lee, Kang-Kun
    • Journal of Soil and Groundwater Environment
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    • v.18 no.6
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    • pp.8-17
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    • 2013
  • The contamination of chlorinated ethenes at an industrial complex, Wonju, Korea, was examined based on sixteen rounds of groundwater quality data collected from 2009 to 2013. Remediation technologies such as soil vapor extraction, soil flushing, biostimulation, and pumping-and-treatment have been applied to eliminate the contaminant sources of trichloroethylene (TCE) and to prevent the migration of TCE plume from remediation target zones. At each remediation target zone, temporal monitoring data before and after the application of remediation techniques showed that the aqueous concentrations of TCE plume present at and around the main source areas decreased significantly as a result of remediation technologies. However, the TCE concentration of the plumes at the downstream area remained unchanged in response to the remediation action, but it showed a great fluctuation according to seasonal recharge variation during the monitoring period. Therefore, variations in the contaminant flux across three transects were analyzed. Prior to the remediation action, the concentration and mass discharges of TCE at the transects were affected by seasonal recharge variation and residual DNAPLs sources. After the remediation, the effect of remediation took place clearly at the transects. By tracing a time-series of plume evolution, a greater variation in the TCE concentrations was detected at the plumes near the source zones compared to the relatively stable plumes in the downstream. The difference in the temporal profiles of TCE concentrations between the plumes in the source zone and those in the downstream could have resulted from remedial actions taken at the source zones. This study demonstrates that long term monitoring data are useful in assessing the effectiveness of remediation practices.

Reconstruction of April-August Precipitation in Mt. Sorak Region from Tree Rings (나무나이테를 이용한 설악산 지역의 4월~8월 총강수량 복원)

  • ;;Liu Yu
    • The Korean Journal of Quaternary Research
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    • v.15 no.1
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    • pp.47-52
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    • 2001
  • April∼August precipitation (141 years : A.D. 1858∼1998) of Mt. Sorak region (East-central Korea) was reconstructed using a tree-ring chronology of Pinus densiflora sampled from Beakdam Shelter area. During the reconstructed Periods, dry periods were 1880∼1887, 1893∼1901 and 1922∼1938, and wet one 1906∼1918. In the long-term variation, the late 19th and early 20th century were drier than the late 20th century. Major wet/dry periodicities in April∼August precipitation series reconstructed were 3.16 and 4.14 years, indicating that short-term variation were more prominent than long-term one.

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Sediment Properties and Long-term Bed Change of Munsancheon (문산천의 유사특성 및 장기하상변동 예측)

  • Lee, Jae-Geun;Ahn, Jae-Hyun
    • Journal of Wetlands Research
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    • v.13 no.2
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    • pp.329-341
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    • 2011
  • This study was conducted with the national river, Munsancheon, which is located in Paju-si, Gyeonggi-do. The sediment discharge of Munsancheon was directly measured to analyze the sediment characteristics, and the results were used in the numerical model to predict the long-term river bed variation. The flow-total sediment discharge relation was derived using the measured total sediment discharge, and the results were compared with the total sediment discharge that was calculated using the existing prediction formula to derive a proper sediment discharge prediction method. In the actual measurements, the total annual sediment discharge was 5,478 ton/year, and the specific sediment discharge was 29.23 ton/$km^2$/year. The Ackers & White formula resulted in the values very close to the actual measurements. With the actual sediment discharge, geographical and hydrologic data as the input variables, HEC-6 and GSTARS models were comparatively analyzed. The test results showed that the HEC-6 model is suitable for the reliable prediction of the long-term river bed variation. Accordingly, the model was used for the long-term river bed variation prediction in this study. In the case of Munsancheon, deposition was continued in the downstream area and erosion occurred in the upstream area on the whole. It was expected that the stream would be stabilized in the river bed condition of 20 years later. The river bed variation was within 1 m, which was at the significance level. In the downstream area that is influenced by tide, however, the accumulation was continuously increasing within the section 2,000-7,000 m from the outlet. It seems that this should be considered in establishing the river management plans.

Long-term variation of zooplankton around Dokdo in the East Sea (독도 인근해역 동물플랑크톤 장기간 특성)

  • Kang, Jung-Hoon;Kim, Woong-Seo;Kwon, Oh Youn;Cho, Kyuhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.422-430
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    • 2016
  • We investigated the abundance and composition of the zooplankton community around Dokdo in the East Sea from 2006 to 2015. Zooplankton samples were collected in the surface mixed layer by vertical hauls using a standard type net at the monitoring stations. There were no clear long-term trends in the average temperature and salinity, but relatively low salinity was recorded in the summer of 2013 and 2015. The average abundances of zooplankton in the summer increased by two orders of magnitude from $317inds./m^3$ in 2008 to $10,242inds./m^3$ in 2015. This long-term increase was accompanied by a slight increase in the chlorophyll-a concentration and a decrease in the catch of potential crucial predators (anchovy, mackerel pike, squid, herring and horse mackerel) in the study area. The dominant zooplankton, accounting for most of the long-term increase, consisted of appendicularian (Oikopleura spp.), which showed a steady increase since 2012, summer species such as Noctiluca scintillans and the cladoceran Penilia avirostris, which showed an abrupt increase, and the copepod Paracalanus parvus s.l., which showed a rapid increase after its first occurrence in summer 2010. These results suggest that the long-term increase of zooplankton could be related to the increase in the concentration of prey and the decrease in the predation pressure of potential predators around Dokdo in the study area.