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Reclassification of healthcare utilization of inpatients to estimate the demand for long-term care services (현 입원의료이용량의 급성기진료 및 장기요양 서비스 재분류)

  • 장혜정;김창엽;윤석준
    • Health Policy and Management
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    • v.11 no.3
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    • pp.31-45
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    • 2001
  • With an economic development and epidemiologic transition, the burden of disease due to chronic diseases and accidents is increasing. However, in most of developing countries, long-term care facilities are not available, therefore acute care facilities should provide both acute and long-term care services. It is also true in Korea. The demand for long-term care services needs to be estimated to establish the adequate supply system of health resources. This article introduces the reclassification methodology of inpatients' healthcare utilization to acute and long-term care services. All discharged patients from hospitals for one month were analyzed. The distribution of inpatients' hospital days were fitted to Chi-squared distribution by ICD disease categories, and they were grouped in five clusters. For each cluster, the lower and upper limit of classification criteria to acute and long-term care services were chosen. Summarizing all hospital days corresponding to acute and long-term care respectively, 24 to 28 percent of inpatient services fumed out to be long-term care services. The study results are consistent with those of the existing studies. They can be used practically in the allocation of long-term care resources.

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Counseling Elderly People in Long-term Care Service (장기요양서비스에 대한 노인상담 실태와 영향 요인)

  • Lee, Hung-Sa;Kim, Chun-Mi
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.141-150
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    • 2011
  • Purpose: The purpose of this study was to examine satisfaction with counseling in long-term care service, and to compare the scores of counseling satisfaction according to variables among beneficiaries of Korean long-term care services. Methods: Questionnaires were completed by 445 beneficiaries of long-term care insurance to measure satisfaction with counseling. Research design was cross-sectional descriptive design. Data were analyzed using descriptive statistics, t-test and ANOVA for evaluating differences in satisfaction with counseling according to variables including economic status, the level of long-term care insurance approval, duration of long term care service, and conditions of counseling. Results: The score of satisfaction with counseling was somewhat high as 71.67. The score of counselor's attitude was highest among the subcategories of satisfaction. The factors that influenced satisfaction with counseling were frequency and time of counseling (F=12.19, p<.001). Conclusion: Home-based individual counseling is necessary for the elderly who need long-term care service. The National Long-term Care Insurance Corporation should offer counseling and assistance to elders and their caregivers about long term care insurance.

First records of nine free-living heterotrophic flagellates from South Korea

  • Lee, Won Je
    • Journal of Species Research
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    • v.9 no.4
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    • pp.448-454
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    • 2020
  • Nine free-living heterotrophic flagellates were cultured from marine intertidal sediments and freshwater sediments from Korea. These species are described with uninterpreted records based on light microscopy of living cells and reported taxonomically for the first time from Korea. Diagnostics of these species are as follows; Notosolenus hemicircularis: 9-11.8 ㎛ long with flagellar reservoir, ventrally flattened and dorsally convex with hyaline semicircular collar around short anterior neck, and 8 ridges on cell surface. Thecamonas tranhens: 4.5-7.1 ㎛ long, plastic with proboscis comprising an anterior flagellum surrounded by membranous sleeve. Bodomorpha minima: 4.5-7.0 ㎛ long, rigid with small rostrum in anterior end and active anterior flagellum. Cercomonas hiberna: 5.6-10.9 ㎛ long, very plastic with pseudopodia, cytoplasmic strand and 1 or 2 contractile vacuoles. Cercomonas pellucida: 7.5-13 ㎛ long, plastic with pseudopodia, cytoplasmic strand and single contractile vacuole. With nucleus closely connected to basal bodies. Eocercomonas echina: 4.7-6.5 ㎛ long, plastic with pseudopodia, cytoplasmic strand and 1 or 2 contractile vacuoles. Paracercomonas astra: 5.7-7.3 ㎛ long, moderately metabolic with pseudopodia, cytoplasmic strand and 1 or 2 contractile vacuoles. Paracercomonas minima: 5-9 ㎛ long, metabolic with pseudopodia, cytoplasmic strand and single contractile vacuole. Paracercomonas producta: 6.1-9.9 ㎛ long, very metabolic with pseudopodia, long cytoplasmic strand and single contractile vacuole.

Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes (노인요양시설 거주자의 장기요양등급에 따른 요양서비스 및 자원이용량 분석)

  • Lee, Min-Kyung;Kim, Eun-Kyung
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.903-912
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    • 2010
  • Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

Contents Analysis on the Media about Problems of Long-Term Care Facilities (노인요양시설 사건사고에 관한 미디어 내용 분석)

  • Chin, Young-Ran;Lee, Hyo-Young
    • The Korean Journal of Health Service Management
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    • v.7 no.1
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    • pp.119-131
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    • 2013
  • The purpose of this study is to analyze contents on media about the problems of long-term care facilities. For achieving this purpose, we reviewed 'KINDS(http://www.kinds.or.kr/)' from July, 2008 to May, 2012 which was an synthetic newspaper and TV news searching system. Among 320 articles, we finally analyzed 72 articles: 218 articles were duplicated and 30 articles did not directly related or were not objective. The results were divided with seven parts: 'long-term care facilities', 'employee' 'health care and accidents', 'providing and management of service', 'meals related problems', 'maltreatment of client', 'disorders & unfairness long-term care benefit. Among these seven parts, we could confirm specific and major problems, which were lack of safety management, incompleteness facilities & equipments, shortage of long-term care manpower, insufficient service providing low quality of service, hiding money from elderly's accounts, and providing some money to get national subsidies. For resolving these problems, the long-term service guidelines must be prepared and the related facilities must cooperate each other for providing high quality of service. In addition, the efficient systems must be made to find out long-term care problems and unfairness of service providing and strict management rules or sanctions must be needed.

Long-Term Characteristics on Flexural Performance of Steel Fiber Reinforced Concrete Continuous Slab (강섬유보강콘크리트 연속슬래브 휨성능의 장기거동 특성)

  • Hong, Geon-Ho;Jung, Seong-Won
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.10
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    • pp.163-170
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    • 2019
  • In spite of various advantages, steel fiber reinforced concrete is still limited in its use due to the insufficient research results on the structural performance and design criteria. This study evaluated the long-term behavior of the steel fiber reinforced concrete slabs by long-term loading experiments based on the short-term load bearing capacity of steel fiber reinforced concrete slabs obtained from previous studies. In this study, long-term loading experiments were carried out on Total four 2-span continuous slab specimens were tested for examining the long-term behavior of steel fiber reinforced concrete members. Long-term behavior characteristics of members were evaluated by measuring the long-term deflection, drying shrinkage, the number and width of cracks. Experimental results showed that the instant deflection of the steel fiber reinforced concrete slab is about 50% of the normal reinforced concrete slab. And, it was analyzed that the long-term deflection of the specimen using steel fiber reinforced concrete was about 10~20% lower than that of normal concrete by the long-term deflection over 100 days. In addition, the slab specimen using steel fiber reinforced concrete was evaluated to have just 70% of the number and width of cracks compared with normal concrete specimens.

A study on the Turfan's costume in the period of Uighur (위구르(회골, Uighur)기의 투르판(토노번,Trufan) 복식연구)

  • 김소현
    • Journal of the Korean Society of Clothing and Textiles
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    • v.23 no.6
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    • pp.829-840
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    • 1999
  • Ordinarily hair styles and headclothes show the racial characteristics. Uighur's men had let their long hair hang down their back in many queues, According to the order of estates men wore double high coronets hthree-pointed coronets from the headdress. Married women wore the felt headdress. The type of men's clothes were long caftans which had a round collar slits on the both sides and tight sleeves. They tied Chan Die belts and wore long boots. Women wore long tunics with everted collar which was decorated. Later the type of women's dress was changed into the long caftan. Late period of Turfan Uighur Mongol style had appeared.

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Implementation of Decision Making Process for Long-Term Preservation Strategy of Electronic Records (전자기록의 장기보존 전략을 위한 의사결정 프로세스 구현)

  • Cha, Hyun Chul
    • Journal of Korea Multimedia Society
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    • v.23 no.9
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    • pp.1201-1209
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    • 2020
  • Based on the risk factor evaluation for the file format, this paper defines the procedures for presenting the long-term preservation plan for that format and the technical information registry necessary for building the system. This is a procedure to perform a risk assessment for the format, evaluate the risk, and select a long-term preservation strategy based on the information registered in the registry and information on the external signature and internal signature of the electronic record. We also reviewed the criteria for selecting appropriate long-term preservation strategies in the process and provided the criteria for adopting each detailed strategy of migration and emulation, which are long-term preservation strategies. And we implemented this process as a long-term preservation decision support system. This system can be used to provide guidelines for the maintenance, management, service and long-term preservation of information resources of electronic records in public institutions such as National Archives of Korea and Libraries.

A Study on the Planning Characteristics of Infill System for Long Life Housing Applied with MC Design (MC설계를 적용한 장수명주택 인필의 계획특성에 관한 연구)

  • Wang, Woo-Chul;Lim, Seok-Ho
    • Journal of the Korean housing association
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    • v.27 no.1
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    • pp.63-70
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    • 2016
  • Domestic apartment housing has been designed in accordance with the new housing supply-driven policies for a long time. As a result, its design, material production, construction, maintenance and remodeling process, rather than being systematically performed, were individually approached to cause insufficient linkage between technologies. For these problems and the supply of long life housing, active research on long life housing has been conducted in Korea since 2005. However, the existing research on long life housing has been focused on a single item with no connection made between infill systems, and no overall interface rule, resulting in no activation of the business. In this study, for the supply and activation of long life housing, we aim to analyze the problems of existing long life housing to set up its matching standards for infill systems.

A Study on the Long-Term Relationship Intention Process According to Consumer Characteristics (소비자 특성별 장기적 관계지향성 형성과정 연구)

  • Kim, Jie- Yurn
    • Journal of the Korean Society of Costume
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    • v.56 no.3 s.102
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    • pp.91-106
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    • 2006
  • The purpose of this study is to examine the differences of long-term relationship intention process according to consumer characteristics. Data for this research was collected from 540 women older than 20 years old in Seoul, Gwangju, and Gyeonggi-do. The results are as follows. First, relationship consumers having relationship with stores were different from customers having relationship with a brand in specific store in the long-term relationship intention process. Second, consumers having relationship for a long period and consumers having relationship for a short period showed differences in long-term relationship intention process. Third, strong relationship consumers and weak relationship consumers showed differences in long-term relationship intention process. Forth, involvement groups showed differences in long-term relationship intention process. These results imply that fashion retailers need set up the relationship strategy for subdivision groups along consumer characteristics.