• Title/Summary/Keyword: LTC

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Variations and Factors Associated with the Supply and Utilization of Nursing Home Services in Japan and South Korea (한국과 일본 장기요양시설 공급과 이용의 지역 간 변이)

  • Kim, Hongsoo;Yoon, Nan-He;Lee, Seyune;Hashimoto, Hideki
    • Health Policy and Management
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    • v.30 no.1
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    • pp.100-111
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    • 2020
  • Background: Few studies have examined the performance of the public long-term care insurance (LTCI) from the perspective of geographic equity. This study investigated regional variations and associated factors in the supply and utilization of nursing home care within and also between Japan and Korea. Methods: A comparative dataset was developed by extracting data from 2013-2015 LTCI statistics yearbooks and Organization for Economic Cooperation and Development regional statistics, as well as other comparable data in Japan and Korea. The unit of analysis was the prefecture in Japan and the province in Korea. We computed variation indices and conducted regression analyses for regional variations within each country and decomposition analyses to examine the variations between the countries. Results: The overall regional supply and use of nursing home care were higher in Japan, but the regional variations in Korea were larger than in Japan. In both countries, the nursing home supply was negatively associated with the proportion of older people with independent living. Nursing home use was also negatively associated with the supply of hospital beds and home care agencies in Korea; the relationship was the opposite in Japan, however. The country-based differences were more likely to be explained by differences in the distributions of the variables included in the analytical model than country-specific characteristics. Conclusion: Regional-level nursing home supply and use were unequal in both countries, and the contributing factors were not the same. Policy efforts are needed to advance regional equality in long-term care (LTC) and collaboration between health and LTC institutions for frail older people, especially in Korea.

Effect of Gas Channel/Rib Width in Solid Oxide Fuel Cells (고체산화물 연료전지에서 가스채널/리브 폭의 영향에 관한 연구)

  • Jeon, Dong Hyup;Shin, Dong-Ryul;Ryu, Kwang-Hyun;Song, Rak-Hyun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.41 no.2
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    • pp.109-115
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    • 2017
  • Using the computational fluid dynamics (CFD) technique, we performed a numerical simulation in anodesupported solid oxide fuel cell (SOFC). The effect of gas channel/rib width on the cell performance and temperature uniformity was investigated in planar type SOFC. The open source CFD toolbox, OpenFOAM, was used as a numerical analysis tool. As a result, the effect of gas channel/rib width on the cell performance and temperature uniformity was not significant if the oxygen depletion is not occurring. On the other hand, the usage of a wide rib and operation at high current density may lead to performance degradation due to oxygen depletion.

A recommendation system for assisting devices in long-term care insurance (의사결정나무기법을 활용한 장기요양 복지용구 권고모형 개발)

  • Han, Eun-Jeong;Park, Sanghee;Lee, JungSuk;Kim, Dong-Geon
    • The Korean Journal of Applied Statistics
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    • v.31 no.6
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    • pp.693-706
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    • 2018
  • It is very important to support the elderly with disability ageing in place. Assisting devices can help them to live independently in their community; however, they have to be used appropriately to meet care needs. This study develops an assisting device recommendation system for the beneficiaries of long-term care insurance that include algorithms to decide the most appropriate type of assisting device for beneficiaries. We used long-term care (LTC) insurance data for grade assessment including 8,084 beneficiaries from July 2015 to June 2016. In addition, we collected standard care plans for assisting devices, that power-assessors made, considering their performance and ability that could subsequently be matched with grade assessment data. We used a decision-tree model in data-mining to develop the model. Finally, we developed 15 algorithms for recommending assisting devices. The findings might be useful in evidence-based care planning for assisting devices and can contribute to enhancing independence and safety in LTC.

Study on Long-Term Care Insurance on Consumption & Expenses among Beneficiary Households (노인장기요양보험제도가 제도 이용자 가구의 소비·지출에 관한 연구)

  • Lee, Hyunjoo;Kim, Ji-hyun
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.343-349
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    • 2019
  • This study used data from the 3rd and 11th year of the Korean Welfare Panel to evaluate the effects of the Long-Term Care Insurance(LTCI) system on the consumption and expenditure of LTCI users' households. The study consisted of program group using LTCI and control group not using. Chi-square and t-test were used for the characteristic differences among the groups, and the difference of consumption expenditure was identified by multiple regression analysis. As a result, LTCI had a statistically significant effect on the health care costs of LTCI users' households, resulting in an increase in health care costs(${\beta}=3.06$). However, there was no statistically significant effect on the total cost of living, basic cost, education cost, and recreation/entertainment cost. Therefore, in order to show the effect of LTC system, we should try to reduce of self-pay and improve the contents and quality of the service of the LTC system.

The Comparative Analysis Study and Usability Assessment of Fat Suppressed 3D T2* weighted Technique and Fat Suppressed 3D SPGR Technique when Examining MRI for Knee Joint Cartilage Assesment (슬관절 연골 평가를 위한 자기공명영상 검사 시 지방 신호 억제 3D T2* Weighted 기법과 지방 신호 억제 3D SPGR 기법의 비교 및 유용성 평가)

  • Kang, Sung-Jin
    • Journal of the Korean Magnetics Society
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    • v.26 no.6
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    • pp.219-225
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    • 2016
  • In this study, for assessment of degenerative knee joint cartilage disease we acquired images by fat suppressed 3D spoiled gradient recalled (SPGR) and fat suppressed 3D $T2^*$ weighted imaging techniques. To do a quantitative evaluation, the knee joint cartilage was divided into medial femoral cartilage (MFC), medial tibial cartilage (MTC), lateral femoral cartilage (LFC), lateral femoral cartilage (LFC) and patella cartilage (Pat) to measure their respective signal intensity values, signal-to-noise ratio, and contrast-to-noise ratio. As for the measured values, statistical significance between two techniques was verified by using Mann-Whitney U-Test. To do a qualitative evaluation, two radiologists have examined images by techniques after which image artifact, cartilage surface, tissue contrast, and depiction of lesion distinguishing were evaluated based on 4-point scaling (1: bad, 2: appropriate, 3: good, 4: excellent), and based on the result, statistical significance was verified by using Kappa-value Test. 3.0T MR system and HD T/R 8ch knee array coil were used to acquire images. As a result of a quantitative analysis, based on SNR values measured by using two imaging techniques, MFC, LFC, LTC, and Pat showed statistical significance (p < 0.05), but MTC did not (p > 0.05). As a result of verifying statistical significance for measured CNR value, MFC, LFC, and Pat showed statistical significance (p < 0.05), while MTC and LTC did not show statistical significance (p > 0.05). As a result of a qualitative analysis, by comparing mean values for evaluated image items, 3D $T2^*$ weighted Image has indicated a slightly higher value. As for conformance verification between the two observers by using Kappa-value test, all evaluated items have indicated statistically significant results (p < 0.05). 3D $T2^*$ weighted technique holds a clinical value equal to or superior to 3D SPGR technique with respect to evaluating images, such as distinguishing knee joint cartilages, comparing nearby tissues contrast, and distinguishing lesions.

Single-prodect dynamic lot-sizing : review and extension (단일품목 동적 롯트량결정에 대한 이론적 고찰과 적용)

  • 김형욱;김상천;현재호
    • Korean Management Science Review
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    • v.5 no.1
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    • pp.56-70
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    • 1988
  • In this study, We reviewed the solution methods (for the heuristic and optimization method) for the single-item dynamic lot-sizing problem, and improved the efficiency (speed and optimality) of the conventional heuristic method by utilizing the inventory decomposition property. The iventory decomposition property decomposes the given original problem into several independent subproblems without violating the optimality conditions. Then we solve each decomposed subproblems by using the conventional heuristics such as LTC, LUC, Silver-Meal etc. For testing the efficiency of the proposed decomposition method, we adopted the data sets given in Kaimann, Berry and Silver-Meal. The computational results show that the suggested problem solving framework results in some promising effects on the computation time and the degree of optimality.

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A Study on the PCCI Combustion Characteristics and Flame Visualization in a Diesel Engine (디젤엔진에서의 PCCI 연소 특성과 화염 가시화에 관한 연구)

  • Park, Jinkyu;Lee, Jaemin;Kim, Hyungik;Kim, Yungjin;Lee, Kihyung
    • 한국연소학회:학술대회논문집
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    • 2012.11a
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    • pp.191-193
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    • 2012
  • The use of diesel engines has recently increased due to the need for internal combustion engines with a high thermal efficiency and low harmful exhaust gas. The PCCI(premixed charged compression ignition) technology has been studied specifically to simultaneously reduce NOx and PM. While the PCCI means has the merit of reducing NOx and PM, control of the combustion phase is difficult. In this study, Flame visualization was then performed with an endoscope system in order to compare combustion flame characteristics in an commercial diesel engine.

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A Study n the Simulation-based Design Approach for Pneumatic Control System with Anti-leakage (시뮬레이션을 기초로한 누기보상 공압제어밸브시스템의 Design Approach에 관한 연구)

  • 김태형;정원지;최은재
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.10a
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    • pp.488-491
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    • 1997
  • In this paper, a ncw control 'ialvc which can misc air-iraksge pneumatically and compensate pressure drop for an alrho~ st system uas proposed A new control valve called "Pneuniatic C70ntro1 Valve (PCV)" functions as a control valve to compcns;ltc prcssure in thc casc of air-leakage. by using the pure pneummatic control ofpilot pressure. Based on the sirnulation of the proposed PCY, thc experimental system was fabricaied su as to illustrate the efficient pcrformance of the proposed PCV with anti-leakage. Such good perfo~manccs of PCV in the air-hoist system are shown by the simulation. In addition, the simulation bascd design approach presented in this paper can be applied to any hydraulic or pneumatic-hydraulic system.

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Large Scale of Ethanol Fermentation from Sweet Potato Cooked at Low and High Temperature (고구마의 저온증자 및 고온증자에 의한 공업적 규모의 주정발효)

  • 유병호;김운식;김성두;최명호;남기두;하미숙
    • Microbiology and Biotechnology Letters
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    • v.14 no.3
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    • pp.233-237
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    • 1986
  • Possibility of large scale ethanol fermentation from sweet potato were compared with low temperature and high temperature rooking. Productivity of sweet potato mash cooked at 9$0^{\circ}C$ for 120 minutes was higher than that mash cooked at 124$^{\circ}C$ for 60 minutes and also fermentation yield ai low temperature cooking was better than high temperature cooking. Low temperature cooking was successfully carried out on a large scale. In conclusion, low temperature cooking on large scale should be reduce energy consumption by approximate 30% compared with high temperature cooking.

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Evaluation of Load Rejection to House Load Test at 100% Power for YGN 4

  • Sohn, Jong-Joo;Jeong, Won-Sang;Chi, Sung-Goo;Seo, Jong-Tae;Kim, Si-Hwan
    • Proceedings of the Korean Nuclear Society Conference
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    • 1995.05a
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    • pp.588-595
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    • 1995
  • The Load Rejection to House Load test at 100% power was successfully performed during the YGN 4 PAT period. In this test, all plant control systems automatically controlled the plant from 100% power to house load operation mode. The LTC code, which was used in the performance analysis during the design process of YGN 3&4, predictions of the test agreed with the measured data demonstrating the validity of the code as well as the completeness of the plant design.

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