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Analysis of Care Types in Long-term Care Facilities from the View of Active Ageing (활동적 노화의 관점에서 본 장기요양시설의 돌봄 유형 분석)

  • Kim, Hyun-Jeong
    • 한국노년학
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    • v.41 no.1
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    • pp.85-105
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    • 2021
  • The purpose of this research is to analyze care types in long-term care facilities with the view of Active Ageing by using Q-methodology. In-depth interviews were conducted to grasp various thoughts on care of long-term care facilities in three areas of WHO's active aging: health, safety, and participation. 35 people participated in the interview, including the elderly living in long-term care facilities, adult children of the elderly living in long-term care facilities, the elderly living in the community, service providers, and long-term care professionals. Of the 451 Q populations, 63 Q samples were extracted, and a total of 43 P samples were used for final data analysis. Data were analyzed using the QUANL program, and as a result, three factor structures (4 types) were found to be suitable and accounted for 30.15% of the total variance. Current care types in long-term care facilities were analysed into 4 types: protection-oriented care (type 1), participation-oriented care (type 2), medical-connected care (type 3), and human-centered care (type 4). Based on the results of this study, institutional and practical suggestions and implications were presented for the qualitative change of care in long-term care facilities.

Inhibition of LPA5 Activity Provides Long-Term Neuroprotection in Mice with Brain Ischemic Stroke

  • Sapkota, Arjun;Park, Sung Jean;Choi, Ji Woong
    • Biomolecules & Therapeutics
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    • v.28 no.6
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    • pp.512-518
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    • 2020
  • Stroke is a leading cause of long-term disability in ischemic survivors who are suffering from motor, cognitive, and memory impairment. Previously, we have reported suppressing LPA5 activity with its specific antagonist can attenuate acute brain injuries after ischemic stroke. However, it is unclear whether suppressing LPA5 activity can also attenuate chronic brain injuries after ischemic stroke. Here, we explored whether effects of LPA5 antagonist, TCLPA5, could persist a longer time after brain ischemic stroke using a mouse model challenged with tMCAO. TCLPA5 was administered to mice every day for 3 days, starting from the time immediately after reperfusion. TCLPA5 administration improved neurological function up to 21 days after tMCAO challenge. It also reduced brain tissue loss and cell apoptosis in mice at 21 days after tMCAO challenge. Such long-term neuroprotection of TCLPA5 was associated with enhanced neurogenesis and angiogenesis in post-ischemic brain, along with upregulated expression levels of vascular endothelial growth factor. Collectively, results of the current study indicates that suppressing LPA5 activity can provide long-term neuroprotection to mice with brain ischemic stroke.

Modification of Creep-Prediction Equation of Concrete utilizing Short-term Creep Test (단기 크리프 시험 결과를 이용한 콘크리트의 크리프 예측시의 수정)

  • 송영철;송하원;변근주
    • Journal of the Korea Concrete Institute
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    • v.12 no.4
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    • pp.69-78
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    • 2000
  • Creep of concrete is the most dominating factor affecting time-dependent deformations of concrete structures. Especially, creep deformation for design and construction in prestressed concrete structures should be predicted accurately because of its close relation with the loss in prestree of prestressed concrete structures. Existing creep-prediction models for special applications contain several impractical factors such as the lack ok accuracy, the requirement of long-term test and the lack of versatility for change in material properties, ets., which should be improved. In order to improve those drawbacks, a methodology to modify the creep-prediction equation specified in current Korean concrete structures design standard (KCI-99), which underestimates creep of concrete and does not consider change of condition in mixture design, is proposed. In this study, short-term creep tests were carried out for early-age concrete within 28 days after loading and their test results on influencing factors in the equation are analysed. Then, the prediction equation was modified by using the early-age creep test results. The modified prediction equation was verified by comparing their results with results obtained from long-term creep test.

A Comparison Study on the Effects of Fashion Emotional and Relationship Experience on Long-Term Relationship Orientation of Middle and Old Aged Women (중.노년층 여성이 경험하는 패션 감성.관계체험이 장기적 관계지향성에 미치는 효과 비교 연구)

  • Seo, Eun-Kyoung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.9
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    • pp.1407-1417
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    • 2008
  • This study intended to compare the effects of fashion emotional and relationship experience of middle and old aged women on their long-term relationship orientation. The survey was conducted in September and October in 2006 on 579 middle old aged women whose age varied from 40 to 70 years old, who lived in Seoul and the metropolitan area and had experienced fashion shopping. The SPSS 12.0 was used to do an analysis of frequency, an exploratory factor analysis, and a multi-regression analysis and Lisrel 8.14 was applied to make a path analysis. The result of this study was as follows: Comparing the two age groups, the most important fact was that fashion related experience had more affective on long-term relationship orientation for old aged than middle aged women. Secondly, the effects of fashion emotional experience of middle and old aged women affected the long-term relationship orientation were the same. This analysis suggested that intensive marketing strategy effort of emotional experience for middle aged women and relational experience for old aged women should be more effective in fashion market.

Forecasting the Long-term Water Demand Using System Dynamics in Seoul (시스템 다이내믹스법을 이용한 서울특별시의 장기 물수요예측)

  • Kim, Shin-Geol;Pyon, Sin-Suk;Kim, Young-Sang;Koo, Ja-Yong
    • Journal of Korean Society of Water and Wastewater
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    • v.20 no.2
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    • pp.187-196
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    • 2006
  • Forecasting the long-term water demand is important in the plan of water supply system because the location and capacity of water facilities are decided according to it. To forecast the long-term water demand, the existing method based on lpcd and population has been usually used. But, these days the trend among the variation of water demand has been disappeared, so expressing other variation of it is needed to forecast correct water demand. To accomplish it, we introduced the System Dynamics method to consider total connections of water demand factor. Firstly, the factors connected with water demand were divided into three sectors(water demand, industry, and population sectors), and the connections of factors were set with multiple regression model. And it was compared to existing method. The results are as followings. The correlation efficients are 0.330 in existing model and 0.960 in SD model and MAE are 3.96% in existing model and 1.68% in SD model. So, it is proved that SD model is superior to the existing model. To forecast the long-term water demand, scenarios were made with variations of employment condition, economic condition and consumer price indexes and forecasted water demands in 2012. After all scenarios were performed, the results showed that it was not needed to increase the water supply ability in Seoul.

An exploration of factors affecting the Satisfaction of long-term on-site training: Focusing on IPP of K University (장기현장실습 프로그램의 만족도 영향요인 탐색: K대학 IPP 프로그램을 중심으로)

  • Lee, Ji-young;Lee, Sang-kon
    • Journal of Engineering Education Research
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    • v.21 no.5
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    • pp.40-53
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    • 2018
  • The purpose of this study was to investigate the factors affecting the satisfaction of the program for the quality improvement of the long-term on-site training operated by the university. The survey questionnaire data of 393 students who participated in the IPP program of K university were used to analyze the data and the results were as follows: First, factors affecting the satisfaction of long-term on-site training were corporation factors and university factors. Specifically, job contents, coaching, job scope, center support were found to have a significant effect in that order. Second, the factors affecting the satisfaction of long-term on-site training were different according to group characteristics(IPP participation types, major types, corporation types). It is necessary to intensively manage the common and important corporation factors, and it is necessary to closely examine each factor derived from group characteristics, and to support and strive at university level according to group characteristics in student counseling and matching.

Long-term deflection prediction in steel-concrete composite beams

  • Lou, Tiejiong;Wu, Sishun;Karavasilis, Theodore L.;Chen, Bo
    • Steel and Composite Structures
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    • v.39 no.1
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    • pp.21-33
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    • 2021
  • This paper aims to improve the current state-of-the-art in long-term deflection prediction in steel-concrete composite beams. The efficiency of a time-dependent finite element model based on linear creep theory is verified with available experimental data. A parametric numerical study is then carried out, which focuses on the effects of concrete creep and/or shrinkage, ultimate shrinkage strain and reinforcing bars in the slab. The study shows that the long-term deformations in composite beams are dominated by concrete shrinkage and that a higher area of reinforcing bars leads to lower long-term deformations and steel stresses. The AISC model appears to overestimate the shrinkage-induced deflection. A modified ACI equation is proposed to quantify time-dependent deflections in composite beams. In particular, a modified reduction factor reflecting the influence of reinforcing bars and a coefficient reflecting the influence of ultimate shrinkage are introduced in the proposed equation. The long-term deflections predicted by this equation and the results of extensive numerical analyses are found to be in good agreement.

A Study on the Mitigation Methods of Financial Burden in Public Long-term Care Insurance System: Comparison of South Korea, Japan, and Germany (한국·일본·독일의 공적 장기요양보험제도 재정부담 완화 과정 비교)

  • Yoon, Na-Young;Lee, Dong Hyun
    • Health Policy and Management
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    • v.32 no.3
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    • pp.258-271
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    • 2022
  • The rapidly aging trend of Korea is a major factor that threatens the sustainability of the long-term care insurance system. Therefore, looking at how Japan and Germany mitigated the financial burden when they managed similar long-term care insurance systems will provide important implications for improving the Korean system in the future. The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The three countries selected are Korea, Japan, and Germany. Recently in Korea, the insurance premium rates of all subjects have been rapidly rising, which can exacerbate the issue of intergenerational equity. On the other hand, Japan has responded to the aggravating finances for long-term care insurance due to aging by raising coinsurance for selected groups like the wealthy elderly. Germany is selectively raising the insurance premium rates by additionally increasing the premium rate for childless recipients. A more preventive and quality-oriented care service plan can be promoted by referring to the recent changes in Japan and Germany. In addition, a more effective and selective increase in payment burden in Japan and Germany could be considered in response to a recent equity issue in Korea.

Trust, Long-term Orientation, and Relationship Performance: A Perspective of Distribution Management on Supply Chain

  • Changjoon LEE;Soohyo KIM
    • Journal of Distribution Science
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    • v.22 no.1
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    • pp.105-113
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    • 2024
  • Purpose: This study sheds light on the need for trust in buyer-seller relationships in supply chains and explores why long-term orientation is important. It also investigates the effect on relationship performance. This study provides implication on how to build robust supply chains. Methodology: A survey was conducted with firms with supply chains in South Korea. A total of 350 valid questionnaires were analyzed through Entrust Survey-a sampling company. Structural equation modeling (SPSS 18.0 and AMOS) was employed to test the hypotheses. Results: Cognitive trust had a positive effect on emotional trust. Emotional trust had a positive effect on long-term orientation but did not have a significant effect on relationship performance. Long-term orientation was proportionate to relationship performance. Conclusions: Trust is a critical factor in supply chains. As business environments are rapidly changing, the uncertainties are also meaningful. Supply chains have collapsed owing to COVID-19, the Russia-Ukraine war, and the U.S.-China trade war, and they are only just recently being rebuilt. Maintaining relationships with supply-chain partners is vital, and promoting cognitive and emotional trust is necessary.

Long-Term Efficacy of Anti-Tumor Necrosis Factor Agents in Pediatric Luminal Crohn's Disease: A Systematic Review of Real-World Evidence Studies

  • Rheenen, Hanna van;Rheenen, Patrick Ferry van
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.2
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    • pp.121-131
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    • 2020
  • Purpose: To determine the long-term efficacy of the anti-tumor necrosis factor (TNF) agents, infliximab (IFX) and adalimumab (ADA), in pediatric luminal Crohn's disease (CD) by performing a systematic literature review. Methods: An electronic search was performed in Medline, Embase, and the Cochrane Library from inception to September 26, 2019. Eligible studies were cohort studies with observation periods that exceeded 1 year. Studies that reported time-to-event analyses were included. Events were defined as discontinuation of anti-TNF therapy for secondary loss of response. We extracted the probabilities of continuing anti-TNF therapy 1, 2, and 3 years after initiation. Results: In total, 2,464 papers were screened, 94 were selected for full text review, and 13 studies (11 on IFX, 2 on ADA) met our eligibility criteria for inclusion. After 1 year, 83-97% of patients were still receiving IFX therapy. After 2 and 3 years the probability of continuing IFX therapy decreased to 67-91% and 61-85%, respectively. In total, 5 of the 11 studies subgrouped by concomitant medication consistently showed that the probabilities of continuing IFX therapy in patients with prolonged immunomodulator use were higher than those in patients on IFX monotherapy. Conclusion: This review of real-world evidence studies confirms the long-term therapeutic benefit of IFX therapy in diverse cohorts of children with luminal CD. Moreover, it supports the view that combination therapy with an immunomodulator prolongs the durability of IFX therapy in patients who previously failed to recover following first-line therapy. The limited number of time-to-event studies in patients on ADA prevented us from drawing definite conclusions about its long-term efficacy.