• Title/Summary/Keyword: long term assessment

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A Comparison of the Long Term Interdependence of Southeast Asian Equity Markets

  • Islam, Raisul
    • East Asian Economic Review
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    • v.18 no.2
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    • pp.187-212
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    • 2014
  • The purpose of this paper is to examine the equity market crisis contagion in major Asian economic markets. A comparative assessment of Asian markets during the Asian Financial Crisis and Global Financial crisis may clearly identify the changing nature of long term integration of major Asian markets. The selection criteria of specific Asian markets of different peripheries depend particularly on the roles and structure of these markets. The impact of the global financial contagion and the lingering financial linkage in the aftermath of crisis will explain the reaction of the majority of Asian markets to global linkage. While majority of the studies focused on dynamic short term association in European and MENA contagions in the post global financial crisis period; after the global financial crisis, attention paid to long term Asian contagion adds new perspective to hitherto disorganized theories.

An Alternative Risk Assessment Model in EMS (환경경영시스템에서의 위험평가 모델)

  • 김종걸;김창수
    • Proceedings of the Safety Management and Science Conference
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    • 2004.05a
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    • pp.271-276
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    • 2004
  • The risk assessment model is an important subsystem for effective establishment and operation of EMS (environment management system). In case of poor risk assessment long-term and large-scale failure expense might be brought. Managing policy, target and other indices based on risk assessment can guarantee successful EMS. In this paper, we aim at comparative analysis of various risk methods and propose an alternative risk assessment model for EMS.

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A Study on the calibration of health monitoring system installed in rail infrastructures (철도구조물 상시계측시스템의 교정방안에 관한 연구)

  • 이준석;최일윤;이현석;고동춘
    • Journal of the Korean Society for Railway
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    • v.6 no.4
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    • pp.232-238
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    • 2003
  • A health monitoring system becomes a very useful tool to obtain information on long term behavior of the important railway structures such as very long span and special type bridges. It can be also used to give a warning signal to the maintenance engineer when the structure shows abnormal behavior. However, due to long term use and temperature changes, the health monitoring system needs to be calibrated periodically. In this study, calibration and gauge factor readjustment process made for the health monitoring system installed in the railroad bridges and tunnel are reviewed and a few findings are updated. Future work will be concentrated on the long-term analysis of the measurement data and on the database structures so that the assessment of the structure is possible

Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals (요양병원의 서비스 질 평가를 위한 요실금 결과 지표 개발)

  • Yoon, Ju-Young;Lee, Ji-Yun
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.110-118
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    • 2010
  • Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea. Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals. Results: The inter-rater reliability of items was high (Kappa range: 0.66- 0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month. Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.

Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis (요양병원의 효율성과 의료서비스 질의 관련성: 자료포락분석과 매트릭스 분석)

  • Sohn, Minsung;Choi, Mankyu
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.418-427
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    • 2014
  • Purpose: Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time. Methods: Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, data envelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertain association between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to identify related factors. Results: First, efficiency and quality of care are not in a relationship of trade-offs; thus, LTCH can be confident that high efficiency-high quality can be achieved. Second, LTCH with a large number of beds, longer tenure of medical personnel, and adequate levels of investment were more likely to have improved quality as well as efficiency. Conclusion: It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.

Failure Mechanism and Long-Term Hydrostatic Behavior of Linear Low Density Polyethylene Tubing (선형저밀도 폴리에틸렌 튜빙의 파손 메커니즘과 장기 정수압 거동)

  • Weon, Jong-Il;Chung, Yu-Kyoung;Shin, Sei-Moon;Choi, Kil-Yeong
    • Polymer(Korea)
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    • v.32 no.5
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    • pp.440-445
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    • 2008
  • The failure mechanism and failure morphology of linear low density polyethylene (LLDPE) tubing under hydrostatic pressure were investigated. Microscopic observations using video microscope and scanning electron microscope indicate that the failure mode is a brittle fracture including cracks propagated from inner wall to outer wall. In addition, oxidation induction time and Fourier transform infrared spectroscopy results show the presence of exothermic peak and the increase in carbonyl index on the surface of fractured LLDPE tubing, due to thermal-degradation. An accelerated life test methodology and testing system for LLDPE tubing are developed using the relationship between stresses and life characteristics by means of thermal acceleration. Statistical approaches using the Arrhenius model and Weibull distribution are implemented to estimate the long-term life time of LLDPE tubing under hydrostatic pressure. Consequently, the long-term life time of LLDPE tubing at the operating temperature of $25^{\circ}C$ could be predicted and also be analyzed.

Awareness of long-term care hospital on pay-for-performance (가감지급사업에 대한 요양병원의 인식도 조사)

  • Lee, Jin Yong;Lee, Sang-Il;Son, Woo-Seung;Kim, Hyun Joo;Ock, Minsu;Jo, Min-Woo
    • Korea Journal of Hospital Management
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    • v.18 no.1
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    • pp.42-58
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    • 2013
  • The purpose of this study was to investigate the awareness of long-term care hospitals on pay for performance(P4P) program in Korea. We conducted a cross-sectional, self-administered, the internet based survey from September to October in 2010. The questionnaire was consisted of the levels of awareness and agreement about the program, their preferred design and its possible effects and unintended consequences etc. Among 837 eligible long-term care hospitals in Korea, 114 hospitals(13.6%) were participated in the survey. About one-thirds of long-term care hospitals were not aware of P4P, namely it is important to heighten an awareness of P4P. There were pros and cons on introduction of P4P in Korea. The two major reasons of objections of P4P were the concerns of unintended consequences and the possibility of strengthening government control by implementing P4P. In conclusion, to successfully implement P4P to long-term care hospitals, the Health Insurance Review & Assessment Service(HIRA) in Korea should obtain the long-term care hospitals'opinion as to implementation of P4P.

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A Relationship of Care Time with Functional Status and Patients Characteristics among Patients in Long-term Care Hospitals (장기요양환자에서 환자 특징 및 기능상태와 환자돌봄 시간과의 관련성)

  • Yi, Jee-Jeon;Kim, Jeong-In;Yu, Seung-Hm;Yoo, Hyeong-Sik;Yi, Sang-Wook
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.3
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    • pp.282-291
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    • 2004
  • Objectives : The aim of this study was to investigate the functional status variables related to the care time of health professionals for patients in long-term care facilities. Methods : The functional stati of 1001 patients in 8 long-term care hospitals were examined by the Resident Assessment Instrument for Long-term Care Facility Version 2.0. The care time of health professionals for patients was calculated using data from a self-reported task survey by nurses, auxiliary nurses, private aides, doctors, physiotherapists and social workers. Results : The average care time per diem was 240.6 minutes. The care time by doctors, nurses and private aides were 11.0, 71.0 and 139.5 minutes, respectively. The lower the function of activities of daily living (ADL) and the greater the symptoms of extensive services, special care and clinical complexity, the more care time was served. On the contrary, the greater the symptoms of nursing rehabilitation, depression, cognitive disorder, behavior problem and psychiatry/mood disorder, the less care time was served. Age and gender were not significantly related to the care time. Conclusions : Developing a case mix classification system for elderly long term care patients may be helpful for both of patients and health care providers. The ADL, extensive services, special care and clinical complexity of variables should be considered in the development of a case mix system for the long term care of patients in Korea.

Performance evaluation of plasma nitrided 316L stainless steel during long term high temperature sodium exposure

  • Akash Singh;R. Thirumurugesan;S. Krishnakumar;Revati Rani;S. Chandramouli;P. Parameswaran;R. Mythili
    • Nuclear Engineering and Technology
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    • v.55 no.4
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    • pp.1468-1475
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    • 2023
  • Enhancement of wear resistance of components used in fast reactors is necessary for long service life of the components. Plasma nitriding is a promising surface modification technology to impart high hardness and improved wear resistance of various steel components. This study discusses the characterization of chrome nitrided SS316L casing ring used in secondary sodium pump of fast breeder reactor and its stability under long term sodium exposure. Microstructural and hardness analysis showed that stress relieved component could be chrome nitrided successfully to a thickness of about 100 ㎛. Assessment of in-sodium performance of the chrome nitrided casing ring subjected to long term exposure up to 5000h at 550℃, showed retention of chrome nitrided layer with a case depth almost similar to that before sodium exposure. A slight decrease in the hardness was observed due to prolonged high temperature sodium exposure. Tribological studies indicate very low coefficient of friction indicating the retention of good wear resistance of the coating even after long term sodium exposure.

Health Risk Assessment for Residents after Exposure to Chemical Accidents: Formaldehyde (화학사고물질 노출에 따른 피해지역 주민 건강위해성평가: 폼알데하이드 사례를 중심으로)

  • Park, Sihyun;Cho, Yong-Sung;Lim, Huibeen;Park, Jihoon;Lee, Cheolmin;Hwang, Seung-Ryul;Lee, Chungsoo
    • Journal of Environmental Health Sciences
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    • v.47 no.2
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    • pp.155-165
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    • 2021
  • Objectives: Acute exposure to high concentrations of chemicals can occur when a chemical accident takes place. As such exposure can cause ongoing environmental pollution, such as in the soil and groundwater, there is a need for a tool that can assess health effects in the long term. The purpose of this study was assessing the health risks of residents living near a chemical accident site due to long-term exposure while considering the temporal concentration changes of the toxic chemicals leaked during the accident until their extinction in the environment using a multimedia environmental dynamics model. Methods: A health risk assessment was conducted on three cases of formaldehyde chemical accidents. In this study, health risk assessment was performed using a multimedia environmental dynamics model that considers the behavior of the atmosphere, soil, and water. In addition, the extinction period of formaldehyde in the environment was regarded as extinction in the environment when the concentration in the air and soil fell below the background concentration prior to the accident. The subjects of health risk assessment were classified into four groups according to age: 0-9 years old, 10-18 years old, 19-64 years old, and over 65 years old. Carcinogenic risk assessment by respiratory exposure and non-carcinogenic risk assessment by soil intake were conducted as well. Results: In the assessment of carcinogenic risk due to respiratory exposure, the excess carcinogenic risk did not exceed 1.0×10-6 in all three chemical accidents, so there was no health effect due to the formaldehyde chemical accident. As a result of the evaluation of non-carcinogenic risk due to soil intake, none of the three chemical accidents had a risk index of 1, so there was no health effect. For all three chemical accidents, the excess cancer risk and hazard index were the highest in the age group 0-9. Next, 10-18 years old, 65 years old or older, and 19-64 years old showed the highest risk. Conclusion: This study considers environmental changes after a chemical accident occurs and until the substance disappears from the environment. It also conducts a health risk assessment by reflecting the characteristics of the long-term persistence and concentration change over time. It is thought that it is of significance as a health risk assessment study reflecting the exposure characteristics of the accident substance for an actual chemical accident.