• 제목/요약/키워드: Long-term changes

검색결과 2,266건 처리시간 0.027초

Factors Affecting Family Caregivers' Burden and Depression in Home-based Long-Term Care Service under the Long-Term Care Insurance System

  • Lee, Hung Sa;Kim, Chunmi
    • 지역사회간호학회지
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    • 제29권4호
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    • pp.530-538
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    • 2018
  • Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.

Pattern Recognition of Long-term Ecological Data in Community Changes by Using Artificial Neural Networks: Benthic Macroinvertebrates and Chironomids in a Polluted Stream

  • Chon, Tae-Soo;Kwak, Inn-Sil;Park, Young-Seuk
    • The Korean Journal of Ecology
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    • 제23권2호
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    • pp.89-100
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    • 2000
  • On community data. sampled in regular intervals on a long-term basis. artificial neural networks were implemented to extract information on characterizing patterns of community changes. The Adaptive Resonance Theory and Kohonen Network were both utilized in learning benthic macroinvertebrate communities in the Soktae Stream of the Suyong River collected monthly for three years. Initially, by regarding each monthly collection as a separate sample unit, communities were grouped into similar patterns after training with the networks. Subsequently, changes in communities in a sequence of samplings (e.g., two-month, four-month, etc.) were given as input to the networks. After training, it was possible to recognize new data set in line with the sampling procedure. Through the comparative study on benthic macroinvertebrates with these learning processes, patterns of community changes in chironomids diverged while those of the total benthic macro-invertebrates tended to be more stable.

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Simulation on Long-term Operation of an Anaerobic Bioreactor for Korean Food Wastes

  • Choi, Dong Won;Lee, Woo Gi;Lim, Seong Jin;Kim, Byung Jin;Chang, Ho Nam;Chang, Seung Teak
    • Biotechnology and Bioprocess Engineering:BBE
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    • 제8권1호
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    • pp.23-31
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    • 2003
  • A mathematical model was formulated to simulate the long-term performance of an anaerobic bioreactor designed to digest Korean food wastes. The system variables of various decomposition steps were built into the model, which predicts the temporal characters of Solid waste, and volatile fatty acid (VFA) in the reactor, and gas production in response to various input loadings and temperatures. The predicted values of VFA and gas production were found to be in good agreement with experimental observations in batch and repeated-input systems. Finally, long-term reactor performance was simulated with respect to the seasonal temperature changes from 5C in winter to 25C in Summer at different food waste input loadings. The simulation results provided us with information concerning the success or failure of a process during long-term operation .

Long-term development of compressive strength and elastic modulus of concrete

  • Yang, Shuzhen;Liu, Baodong;Yang, Mingzhe;Li, Yuzhong
    • Structural Engineering and Mechanics
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    • 제66권2호
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    • pp.263-271
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    • 2018
  • Compressive strength and elastic modulus of concrete are constantly changing with age. In order to determine long-term development of compressive strength and elastic modulus of concrete, an investigation of C30 concrete cured in air conditions was carried out. Changes of compressive strength and elastic modulus up to 975 days were given. The results indicated that compressive strength and elastic modulus of concrete rapidly increased with age during the initial 150 days and then increased slowly. The gain in elastic modulus was slower than that of compressive strength. Then relationships of time-compressive strength, time-elastic modulus and compressive strength-elastic modulus were proposed by regression analysis and compared with other investigations. The trends of time-compressive strength and time-elastic modulus with age agreed best with ACI 209R-92. Finally, factors contributed to long-term development of compressive strength and elastic modulus of concrete were proposed and briefly analyzed.

이종금속 용접부의 경도변화에 대한 장시간 인공열화의 영향 (Effects of Long-term Artificial-Aging on the Hardness Variation of Dissimilar Metal Weldments)

  • 김정석
    • 한국기계가공학회지
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    • 제18권1호
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    • pp.31-37
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    • 2019
  • This study investigates the effects of long-term artificial-aging on hardness variation in the dissimilar metal weldments for nuclear power plant facilities. These dissimilar welds are inevitably required to join the components in nozzle parts of pressurized vessels, such as austenitic stainless steels and ferritic steels. A artificial thermal aging was conducted in an electrical furnace to simulate material degradation at high temperatures. The test materials were held at the temperature of $600^{\circ}C$ for 10000 hours and interrupted at various levels of degraded specimens. The degradation of hardness is a well-known phenomenon resulting from long-term aging or high-temperature degradation of structural materials. In this study, the variation of hardness at each position was different, and complicated in relation to microstructures such as twins, grains, precipitates, phase transformations, and residual stresses in dissimilar weldments. We discussed the variation of hardness in terms of microstructural changes during long-term aging.

Evaluation of long term shaft resistance of the reused driven pile in clay

  • Cui, Jifei;Rao, Pingping;Wu, Jian;Yang, Zhenkun
    • Geomechanics and Engineering
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    • 제29권2호
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    • pp.171-182
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    • 2022
  • Reusing the used pile has not yet been implemented due to the unpredictability of the bearing capacity evolution. This paper presents an analytic approach to estimate the sides shear setup after the dissipation of pore pressure. Long-term evolution of adjacent soil is simulated by viscoelastic-plastic constitutive model. Then, an innovative concept of quasi-overconsolidation is proposed to estimate the strength changes of surrounding soil. Total stress method (α method) is employed to evaluate the long term bearing capacity. Measured data of test piles in Louisiana and semi-logarithmic time function are cited to validate the effectiveness of the presented method. Comparisons illustrate that the presented approach gives a reasonably prediction of the side shear setup. Both the presented method and experiment show the shaft resistance increase by 30%-50%, and this highlight the potential benefit of piles reutilization.

하악전돌증 환자의 악교정 수술후 시간경과에 따른 안모 연조직 변화에 관한 연구 (A STUDY ON CHANGE OF THE SOFT TISSUE FACIAL PROFILE AFTER ORTHOGNATHIC SURGERY IN PATIENTS WITH THE MANDIBULAR PROGNATHISM)

  • 신민철;이상철
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권4호
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    • pp.351-361
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    • 1997
  • This study was performed to evaluate the change of the soft tissue facial profile after mandibular set back surgery during time intervals. For this study, 33 patient, 8 males and 25 females, were selected and their lateral cephalograms were taken and analyzed periodically. Hard and soft tissue changes during postoperative time intervals, correlation between surgical skeletal changes and postoperative soft tissue changes, and prediction for long-term soft tissue changes were established through varying statistical methods. The results were as follow : 1. There were meaningful changes of anteroposterior skeletal position at 6 months and 2 years after mandibular set back by mandibular ramus osteotomy. Two years postoperatively, there was 30%, 32%, 29% relapse on B point, pogonion, menton each. 2. Two years after the mandibular ramus osteotomy, the relative changes of the soft tissue to their osseous counterparts showed 76% on the lower lip and 91% on the pogonion. 3. The movements of the mandibular landmarks in correlation to anteroposterior position of the lower lip and soft tissue of the chin showed to be effective on a long-term basis. 4. Using surgical changes of pogonion, prediction of changes in soft and hard tissue pogonion was useful and the coefficient of determination was 0.46 each and their reliability decreased 2 years postoperatively. 5. The upper lip position after the mandibular set back surgery was somewhat anterior 2 years postoperatively, but that has no statistical meanings.

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혈관성 두통환자에서의 Transcranial Doppler이용 (Transcranial Doppler Ultrasonography in Vascular Headaches)

  • 정진상;이혜승
    • Annals of Clinical Neurophysiology
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    • 제1권1호
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    • pp.76-79
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    • 1999
  • The most significant factor in pathogenesis of vascular headaches like migraine and cluster headache is dynamic changes of diameters of the cerebral arteries. TCD is a valuable noninvasive tool to assess the cerebral hemodynamic status by measuring the flow velocities of the intracranial cerebral arteries around the circle of Willis. TCD can evaluate flow velocities and vasoreactivity of the patients with a vascular headache during the ictal phase as well as during intericatal phase. Distribution of the changes recorded differ between types of headaches and also between the major ictal symptoms. The changes suggest the presence of prolonged vasospasm interictally and more marked relaxation of the cerebral arteries. TCD can be used to monitor the long-term clinical course of patients with vascular headache by correlation the symptomatic improvement and TCD data before and after long-term pharmacological prophylactic treatments. During the ictal phases large intervention. The results may be used in selecting and evaluating the agents for abortive therapy for acute attacks. In conclusion TCD can quantitatively evaluate vascular headaches when making diagnosis and classification and can provide guidelines to choose more individualized therapeutic options for both acute and long-term treatment.

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하천의 장기 지형변화 고찰 및 하상변동 모의 (Long-term Riverbed Change Simulation and Analisys in the River)

  • 황수덕;최선호;이상진;장창래
    • Spatial Information Research
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    • 제21권5호
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    • pp.1-6
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    • 2013
  • 하천의 흐름 특성과 더불어 하상 변동을 연계하여 분석하는 일은 하천관리에 있어 가장 기본적이면서도 중요하다. 상류에 건설되는 신규댐 등 다양한 목적의 수공구조물이 계획될 때 하류 하천의 하상변화에 미치는 영향은 향후 하천을 지속적이고 안정적으로 보존, 관리하는데 반드시 고려해야 할 사항이다. 본 연구에서는 내성천을 적용 대상으로 항공사진 등을 활용한 하천의 장기적인 지형변화 양상을 고찰하였다. 아울러 1차원 수치모형인 GSTARS를 적용하여 주요지점의 하상변동 영향을 분석하였다. 장기적인 지형변화 양상을 바탕으로 댐이 건설된 후 내성천의 관리방안을 모색해 볼 수 있을 것이다.

Long-term clinical course of a patient with mucopolysaccharidosis type IIIB

  • Kim, Ja Hye;Chi, Yang Hyun;Kim, Gu-Hwan;Yoo, Han-Wook;Lee, Jun Hwa
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.37-40
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    • 2016
  • Mucopolysaccharidosis type III (MPS III) is a rare genetic disorder caused by lysosomal storage of heparan sulfate. MPS IIIB results from a deficiency in the enzyme alpha-N-acetyl-D-glucosaminidase (NAGLU). Affected patients begin showing behavioral changes, progressive profound mental retardation, and severe disability from the age of 2 to 6 years. We report a patient with MPS IIIB with a long-term follow-up duration. He showed normal development until 3 years. Subsequently, he presented behavioral changes, sleep disturbance, and progressive motor dysfunction. He had been hospitalized owing to recurrent pneumonia and epilepsy with severe cognitive dysfunction. The patient had compound heterozygous c.1444C>T (p.R482W) and c.1675G>T (p.D559Y) variants of NAGLU. Considering that individuals with MPS IIIB have less prominent facial features and skeletal changes, evaluation of long-term clinical course is important for diagnosis. Although no effective therapies for MPS IIIB have been developed yet, early and accurate diagnosis can provide important information for family planning in families at risk of the disorder.