• Title/Summary/Keyword: longterm

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Caregiver Burden in Caring for Elders Before and After Long-term Care Service in Korea (장기요양서비스 전.후 가족의 수발 부담감에 영향을 미치는 요인)

  • Lee, Hung-Sa
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.236-247
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    • 2012
  • Purpose: Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea. Methods: Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression. Results: Family burden decreased significantly after longterm care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, $p$<.001), and objective burden, from 3.40 to 3.10 (t=12.73, $p$<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, $p$=.003), age (F=5.47, $p$=.019), job (F=6.98, $p$=.008), and education (F=4.59, $p$=.032), and that factors affecting objective burden were living together (F=17.66, $p$<.001), job (F=13.34, $p$=.003), monthly income (F=6.61, $p$=.010), and type of service (F=6.62, $p$=.010). Conclusion: The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.

Characteristics of late-onset epilepsy and EEG findings in children with autism spectrum disorders

  • Lee, Ha-Neul;Kang, Hoon-Chul;Kim, Seung-Woo;Kim, Young-Key;Chung, Hee-Jung
    • Clinical and Experimental Pediatrics
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    • v.54 no.1
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    • pp.22-28
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    • 2011
  • Purpose: To investigate the clinical characteristics of late-onset epilepsy combined with autism spectrum disorder (ASD), and the relationship between certain types of electroencephalography (EEG) abnormalities in ASD and associated neuropsychological problems. Methods: Thirty patients diagnosed with ASD in early childhood and later developed clinical seizures were reviewed retrospectively. First, the clinical characteristics, language and behavioral regression, and EEG findings of these late-onset epilepsy patients with ASD were investigated. The patients were then classified into 2 groups according to the severity of the EEG abnormalities in the background rhythm and paroxysmal discharges. In the severe group, EEG showed persistent asymmetry, slow and disorganized background rhythms, and continuous sharp and slow waves during slow sleep (CSWS). Results: Between the two groups, there was no statistically significant difference in mean age (P=0.259), age of epilepsy diagnosis (P=0.237), associated family history (P=0.074), and positive abnormal magnetic resonance image (MRI) findings (P=0.084). The severe EEG group tended to have more neuropsychological problems (P=0.074). The severe group statistically showed more electrographic seizures in EEG (P=0.000). Rett syndrome was correlated with more severe EEG abnormalities (P=0.002). Although formal cognitive function tests were not performed, the parents reported an improvement in neuropsychological function on the follow up checkup according to a parent's questionnaire. Conclusion: Although some ASD patients with late-onset epilepsy showed severe EEG abnormalities, including CSWS, they generally showed an improvement in EEG and clinical symptoms in the longterm follow up. In addition, severe EEG abnormalities tended to be related to the neuropsychological function.

Aortic Root Reconstruction for Aortic Insufficiency Developed after Fontal Operation - 1 case - (Fontan 수술후 발생한 대동맥판막역류에 대한 aortic root의 재 건술 - 1례 보고 -)

  • Kyung, Mon-Chol;Whang, Song-Wok;Lee, Chol;Kim, Yung-Jin
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.137-140
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    • 2002
  • Aortic regurgitation in the pediatrics who had previous cardiac surgery is increased with their improved longterm survival rate and their complexity of heart disease. So the need of aortic valve surgery in pediatrics is also on the increase. A 10-year old boy was admitted for progressive cyanosis and dyspnea on exertion(DOE). The patient had been underwent lateral tunnel Fontan operation before. Echocardiography and cardiac catheterization study revealed hepatic vein drained to pulmonary atrium via intrahepatic collaterals, moderate atrioventricular regurgitation, and severe aortic regurgitation due to aortic root dilation. We report a case who had aortic root reconstruction, valvuloplasty of the atrioventricular valve, and hepatic vein ligation successfully Cyanosis and DOE was dramatically improved after the operation

Transcatheter Irradiation of Advanced Extrahepatic Biliary Tract Carcinoma (진행된 담도암의 경관조사)

  • Kim Kyeoung Ae;Kim Sung Kyu;Shin Sei One;Kim Myung Se;Song Sun Kyuo;Kwon Koing Bo
    • Radiation Oncology Journal
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    • v.5 no.2
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    • pp.173-176
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    • 1987
  • Carcinoma of extrahepatic biliary tract is slow growing tumor but curative resection is rarely successful. Radiation therapy has been introduced for enhancing palliation and possible longterm survival. We treated a case of advanced extrahepatic biliary tract carcinoma with high dose rate remote afterloading system through T-tube as a initial irradiation postoperatively. We hope that this treatment may affect not only ennancing palliation and better quality of life but also in local tumor control.

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Effects of Trust Determinants on Firm Performance in the Buyer-Supplier Relationships: Empirical Evidence from the Warehousing firms in Busan, South Korea (구매자와 공급자 관계에서 기업의 성과에 대한 신뢰 결정요인의 영향: 부산시 창고업을 대상으로)

  • Sung, Sinje;Kang, Sangmok
    • Journal of the Korean Geographical Society
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    • v.48 no.5
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    • pp.667-685
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    • 2013
  • This paper provides an empirical analysis of the effects of trust determinants on firm performance in the buyer-supplier relationships by considering warehousing firms in Busan, South Korea. We employed AVAS transformation regressions to address the limitations of linear regressions and found nonlinear relationships between firm performance and trust determinants. Specifically, "longterm and repeated interactions," "geographical proximity," and "cultures and norms of firms and formal institutions" had positive linear relationships with firm performance, and "information sharing and reciprocity" induced an increasing pattern in firm performance. Finally, "interdependence and asset specificity" and "uncertainty removal" led to a decreasing pattern in firm performance. These results suggest that the relationship between trust and firm performance is contingent on the trust determinants that are important source of trust in buyer-supplier relationships and the influence of trust determinants on firm performance varied according to their levels.

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Slope stabilization with high-performance steel wire meshes in combination with nails and anchors

  • Rudolf Ruegger;Daniel Flum
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.11b
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    • pp.3-38
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    • 2000
  • Slope draperies in soil and rock are a well known method to avoid rockfalls into the roads or onto housings. Common wire mesh or a combination of wire mesh and wire rope nets are pinned to the slope by the means of fully grouted nails or anchors. Most of these installations have not been designed to stabilize the slope, but simply avoid the rocks from bouncing. The combination of soil- or rocknailing with a designable flexible facing system offers the advantage of a longterm stabilization of slopes and can replace other standard methods for slope stabilization. The capability to transfer axial and shear loads from the flexible facing system to the anchor points is most decisive for the design of the stabilization system. But the transfer of forces by mesh as pure surface protection devices is limited on account of their tensile strength and above all also by the possible force transmission to the anchoring points. Strong wire rope nets increase the performance for slope stabilizations with greater distances between nails and anchors and are widely used in Europe. However, they are comparatively expensive in relation to the protected surface. Today, special processes enable the production of diagonally structured mesh from high-tensile steel wire. These mesh provide tensile strengths comparable to wire rope nets. The interaction of mesh and fastening to nail / anchor has been investigated in comprehensive laboratory tests. This also in an effort to find a suitable fastening plates which allows an optimal utilization of the strength of the mesh in tangential (slope-parallel) as well as in vertical direction (perpendicular to the slope). The trials also confirmed that these new mesh, in combination with suitable plates, enable substantial pretensioning of the system. Such pretensioning increases the efficiency of the protection system. This restricts deformations in the surface section of critical slopes which might otherwise cause slides and movements as a result of dilatation. Suitable dimensioning models permit to correctly dimension such systems. The new mesh with the adapted fastening elements have already been installed in first pilot projects in Switzerland and Germany and provide useful information on handling and effects.

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A Study on the Effect of Service Provider's Emotional Intelligence and Cognitive Intelligence on Customer Satisfaction (서비스 제공자의 감성지능과 인지지능이 고객만족에 미치는 영향에 관한 연구)

  • Kim, Yoo-Kyung
    • Proceedings of the Korea Database Society Conference
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    • 2008.05a
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    • pp.263-291
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    • 2008
  • This study is designed to examine how emotional intelligence and cognitive intelligence affect customer satisfaction (social satisfaction, economic satisfaction) and long-term relational orientation of a service provider. The results of the study revealed that both cognitive intelligence of a service provider and economic satisfaction of customers have a positive relationship with longterm relational orientation, while only use and control of emotions except understanding emotions in the self and in others among emotional intelligence of a service provider have a positive, significant effect on social satisfaction of customers. As mentioned above, it can be said that the study is much more significant, at this point where previous studies failed to sufficiently recognize the importance and necessity of studies on emotional intelligence of a service provider. Moreover, the study is expected to provide useful foundations for training and development of employees in the service industry in practice.

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An optical fibre monitoring system for evaluating the performance of a soil nailed slope

  • Zhu, Hong-Hu;Ho, Albert N.L.;Yin, Jian-Hua;Sun, H.W.;Pei, Hua-Fu;Hong, Cheng-Yu
    • Smart Structures and Systems
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    • v.9 no.5
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    • pp.393-410
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    • 2012
  • Conventional geotechnical instrumentation techniques available for monitoring of slopes, especially soil-nailed slopes have limitations such as electromagnetic interference, low accuracy, poor longterm reliability and difficulty in mounting a series of strain sensors on a soil nail bar with a small-diameter. This paper presents a slope monitoring system based on fibre Bragg grating (FBG) sensing technology. This monitoring system is designed to perform long-term monitoring of slope movements, strains along soil nails, and other slope reinforcement elements. All these FBG sensors are fabricated and calibrated in laboratory and a trial of this monitoring system has been successfully conducted on a roadside slope in Hong Kong. As part of the slope stability improvement works, soil nails and a toe support soldier-pile wall were constructed. During the slope works, more than 100 FBG sensors were installed on a soil nail, a soldier pile, and an in- place inclinometer. The paper presents the layout and arrangement of the instruments as well as the installation procedures adopted. Monitoring data have been collected since March 2008. This trial has demonstrated the great potential of the optical fibre monitoring system for long-term monitoring of slope performance. The advantages of the slope monitoring system and experience gained in the field implementation are also discussed in the paper.

Temperature Effects in the Resistivity Monitoring at Embankment Dams (저수지 전기비저항 모니터링에서의 온도효과)

  • Kim, Eun-Mi;Cho, In-Ky;Kim, Ki-Seog;Yong, Hwan-Ho
    • Geophysics and Geophysical Exploration
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    • v.21 no.2
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    • pp.82-93
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    • 2018
  • Resistivity monitoring data at embankment dams are affected by the seasonal temperature variation. Especially when the seasonal temperature variation is large like Korea, the temperature effects may not be ignored in the longterm resistivity monitoring. Therefore, temperature effects can make it difficult to accurately interpret the resistivity monitoring data. In this study, through analyzing the time series of ground temperature collected at an embankment dam, ground temperature variations are calculated approximately. Then, based on the calculated temperature profile with depth, the inverted resistivity model of the embankment dam is corrected to remove the temperature effects. From these corrections, it was confirmed that the temperature effects are significant in the upper, superficial part of the dam, but can be ignored at depth. However, temperature correction based only on the temperature distribution in the dam body cannot remove the temperature effect thoroughly. To overcome this problem, the effect of temperature variation in the reservoir water seems to be incorporated together with the air temperature variation.

Phase Behavior and Spontaneous Vesicle Formation in Aqueous Solutions of Anionic Ammonium Dodecyl Sulfate and Cationic Octadecyl Trimethyl Ammonium Chloride Surfactants

  • Kang, Kye-Hong;Kim, Hong-Un;Lim, Kyung-Hee
    • Bulletin of the Korean Chemical Society
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    • v.28 no.4
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    • pp.667-674
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    • 2007
  • Phase behavior for the mixed aqueous surfactant systems of cationic octadecyl trimethyl ammonium chloride (OTAC)/anionic ammonium dodecyl sulfate (ADS)/water was examined. Below the total surfactant concentrations of 1.5 m molal, mixed micelles were formed. At the total surfactant concentrations higher than 1.5 m molal, there appeared a region where mixed micelles and vesicles coexist. As the surfactant concentration increased, the systems looked very turbid and much more vesicles were observed. The vesicles were spontaneously formed in this system and their existence was observed by negative-staining transmission electron microscopy (TEM), small-angle neutron scattering (SANS) and encapsulation efficiency of dye. The vesicle region was where the molar fraction α of ADS to the total mixed surfactant was from 0.1 to 0.7 and the total surfactant concentration was above 5 × 10-4 molality. The size and structure of the vesicles were determined from the TEM microphotographs and the SANS data. Their diameter ranged from 450 nm to 120μm and decreased with increasing total surfactant concentration. The lamellar thickness also decreased from 15 nm to 5 nm with increasing surfactant concentration and this may be responsible for the decrease in vesicle size with the surfactant concentration. The stability of vesicles was examined by UV spectroscopy and zeta potentiometry. The vesicles displayed long-term stability, as UV absorbance spectra remained unchanged over two months. The zeta potentials of the vesicles were large in magnitude (40-70 mV) and the observed longterm stability of the vesicles may be attributed to such high ζ potentials.