• Health Policy and Management
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• v.30 no.4
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• pp.522-530
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• 2020

Background: In 2008, Korea implemented a new type of social insurance known as "long-term care insurance". We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of "long-term care insurance". This study is a population-based retrospective cohort study from 2006 to 2013. Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method. Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29-2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25-4.37). Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.

• Proceedings of the Korean Geotechical Society Conference
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• 1997.10a
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• pp.307-314
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• 1997

• Journal of Environmental Impact Assessment
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• v.5 no.1
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• pp.95-105
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• 1996

Meteorological Joint Frequency Function required indispensably in long-term air quality prediction models were discussed for practical application in Korea. The algorithm, proposed by Turner(l964), is processed with daily solar insolation and cloudiness and height basically using Pasquill's atmospheric stability classification method. In spite of its necessity and applicability, the computer program, called STAR(STability ARray), had some significant difficulties caused from the difference in meteorological data format between that of original U.S. version and Korean's. To cope with the problems, revised STAR program for Korean users were composed of followings; applicability in any site of Korea with regard to local solar angle modification; feasibility with both of data which observed by two classes of weather service centers; and examination on output format associated with prediction models which should be used.

• Nuclear Engineering and Technology
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• v.42 no.1
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• pp.37-46
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• 2010

The development of advanced nuclear fuel cycle(ANFC) technology is essential to meet the national mission for energy independence via a nuclear option in Korea. The action target is to develop environmentally friendly, cost-effective measures to reduce the burden of long term disposal. The proper scenarios regarding potential radionuclide release from a repository have been developed in this study based on the advanced korean Reference Disposal System(A-KRS). To predict safety for the various scenarios, a new assessment code based on the GoldSim software has also been developed. Deterministic analysis indicates an environmental benefit from the ANFC as long as the solid waster from the ANFC act as a proper barrier.

• Research in Community and Public Health Nursing
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• v.27 no.1
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• pp.21-30
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• 2016

Purpose: This research was conducted to identify long-term care service needs in the baby boom generation. Methods: Data were collected from September 3 to October 9, 2012 targeting 196 baby boomers residing in Seoul and Gyeonggi-do with the measurement of long-term care service needs having five domains. Collected data were analyzed using the SPSS 20.0 program. Results: Demand for long term care service in those who preferred nursing homes was highest as $4.40{\pm}0.69$ in the safe environment domain. In case of those preferring home care services, demand was highest as $4.37{\pm}0.56$ in the social interaction domain. People who preferred nursing homes had higher needs in personal health care and improvement of the service quality domains. Those who preferred home care services showed diverse needs according to their characteristics. Conclusion: The baby boom generation had high needs in all the domains of long-term care services and such needs were diverse according to their characteristics. However, long-term care services had limitations that they provided standardized and uniformed services only. Therefore, health care services and improved quality services should be provided in a way of meeting the users' needs, and tailored services should be provided in consideration of the users' characteristics.

• Korean Journal of Occupational Health Nursing
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• v.16 no.1
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• pp.58-66
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• 2007

Purpose: A national long-term care system for elderly and the disabled has its unique evolution in each country. Japan, Germany and the United States may be the typical examples of respective social insurance system. This paper reviews the counterpart examples of Japan, Germany and the United States and looks at their accumulated long-term care system experiences and personal care system under workers' compensation. Methods: Literature review and website searching were conducted. Key words as 'workers' compensation insurance', 'personal care benefit' and 'long term care' were used in searching the related literatures. Results: Though the personal care benefit under current Workers'Compensation in Korea is very similar to Japan's, the long-term care system of Korea is not as well established. Germany and the United States have the provision of personal care benefit for injured workers within long term care system. Conclusions: We recommend some key issues to take into account for improving personal care benefit system in workers' compensation in Korea as follows: providing a comprehensive coverage through the linkage of long term care, introducing an assessment & evaluation system for the appropriate benefits, establishing insurer's role for quality management of personal care service, and developing a policy for family caregivers.

• Research in Community and Public Health Nursing
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• v.20 no.2
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• pp.243-250
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• 2009

Purpose: This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea. Methods: Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital. Results: The results of analyzing the consumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system. Conclusion: The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.

• Proceedings of the Korea Water Resources Association Conference
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• 2006.05a
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• pp.1802-1806
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• 2006

It is important to consider the effects of land-use changes on surface runoff, stream flow, and groundwater recharge. Expansion of urban areas significantly impacts the environment in terms of ground water recharge, water pollution, and storm water drainage. Increase of impervious area due to urbanization leads to an increase in surface runoff volume, contributes to downstream flooding and a net loss in groundwater recharge. Assessment of the hydrologic impacts or urban land-use change traditionally includes models that evaluate how land use change alters peak runoff rates, and these results are then used in the design of drainage systems. Such methods however do not address the long-term hydrologic impacts of urban land use change and often do not consider how pollutants that wash off from different land uses affect water quality. L-THIA (Long-Term Hydrologic Impact Assessment) is an analysis tool that provides site-specific estimates of changes in runoff, recharge and non point source pollution resulting from past or proposed land-use changes. It gives long-term average annual runoff for a land use configuration, based on climate data for that area. In this study, the environmental and hydrological impact from the urbanized basin had been examined with GIS L-THIA in Korea.

• Proceedings of the Korean Geotechical Society Conference
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• 2008.10a
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• pp.1549-1554
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• 2008

In this paper, The evaluation of durability of the PC Panel lining for tunnel structure was examined through the rapid test by carbonation and freezing and thawing. Also for the purpose of improvement of durability. Namely, the durable characteristics of PC Panel lining by carbonation and freezing and thawing, was evaluated by rapid test and long-term field exposure test and main influence factors were derived. As a result of test, Correlation of accelerating test in deterioration chamber and long-term field exposure test, it will be expected that the proposed correlation well to the prediction of life expectancy of structure and is contributed greatly in the future.

• International conference on construction engineering and project management
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• 2022.06a
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• pp.923-928
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• 2022

Wildfire disasters in the United States impact lives and livelihoods by destroying private homes, businesses, community facilities, and infrastructure. Disaster victims suffer from damaged houses, inadequate shelters, inoperable civil infrastructure, and homelessness coupled with long-term recovery and reconstruction processes. Cities and their neighboring communities require an enormous commitment for a full recovery for as long as disaster recovery processes last. State, county, and municipal governments inherently have the responsibility to establish and provide governance and public services for the benefit and well being of community members. Municipal governments' comprehensive and emergency response plans are the artifacts of planning efforts that guide accomplishing those duties. Typically these plans include preparation and response to natural disasters, including wildfires. The standard wildfire planning includes and outlines (1) a wildfire hazard assessment, (2) response approaches to prevent human injury and minimize damage to physical property, and (3) near- and long-term recovery and reconstruction efforts. There is often a high level of detail in the assessment section, but the level of detail and specificity significantly lessons to general approaches in the long-term recovery subsection. This paper aims to document the extent of wildfire preparedness at the county level in general, focusing on the long-term recovery subsections of municipal plans. Based on the identified challenges, the researchers provide recommendations for better longer-term recovery and reconstruction opportunities: 1) building permit requirements, 2) exploration of the use of modular construction, 3) address through relief from legislative requirements, and 4) early, simple, funding, and the aid application process.