• Journal of Korean Academic Society of Home Health Care Nursing
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• v.12 no.1
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• pp.70-91
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• 2005

Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.

• Steel and Composite Structures
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• v.20 no.2
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• pp.379-397
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• 2016

Due to creep and shrinkage of the concrete core, concrete-filled steel tubular (CFST) arches continue to deform in the long-term under sustained loads. This paper presents analytical investigations of the effects of geometric nonlinearity on the long-term in-plane structural performance and stability of three-pinned CFST circular arches under a sustained uniform radial load. Non-linear long-term analysis is conducted and compared with its linear counterpart. It is found that the linear analysis predicts long-term increases of deformations of the CFST arches, but does not predict any long-term changes of the internal actions. However, non-linear analysis predicts not only more significant long-term increases of deformations, but also significant long-term increases of internal actions under the same sustained load. As a result, a three-pinned CFST arch satisfying the serviceability limit state predicted by the linear analysis may violate the serviceability requirement when its geometric nonlinearity is considered. It is also shown that the geometric nonlinearity greatly reduces the long-term in-plane stability of three-pinned CFST arches under the sustained load. A three-pinned CFST arch satisfying the stability limit state predicted by linear analysis in the long-term may lose its stability because of its geometric nonlinearity. Hence, non-linear analysis is needed for correctly predicting the long-term structural behaviour and stability of three-pinned CFST arches under the sustained load. The non-linear long-term behaviour and stability of three-pinned CFST arches are compared with those of two-pinned counterparts. The linear and non-linear analyses for the long-term behaviour and stability are validated by the finite element method.

• 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.

• 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.

• 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.

• 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.

• Journal of Korean Association for Spatial Structures
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• v.14 no.3
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• pp.93-100
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• 2014

Ethylene Tetrafluoroethylene (ETFE) has been widely used in long-span buildings because of its light weight and high transparency. This paper studies the short and long term creep behaviour of ETFE foil. A series of short-term creep and recovery tests were performed, in which the residual strain was observed. A long-term creep test of the ETFE foil was also performed over 110 days. A viscoelastic-plastic model was then established to describe the short-term creep and recovery behaviour. The model contains a traditional multi-Kelvin part and an added steady-flow component to represent the viscoelastic and viscoplastic behaviour, respectively. The model successfully fit the data for three stresses and six temperatures. Additionally, time-temperature equivalency was adopted to predict the long-term creep behaviour of ETFE foil. Horizontal shifting factors were determined from the process of shifting creep-curves at six temperatures. The long-term creep behaviours at three temperatures were predicted. Finally, the long-term creep test showed that the short-term creep test at identical temperatures insufficiently predicted additional creep behaviour, and the long-term test verified the horizontal shifting factors derived from the time-temperature equivalency.

• 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.

• The Korean Journal of Health Service Management
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• v.5 no.2
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• pp.105-117
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• 2011

The purpose of this study is to investigate evaluation and improvement of long-term care hospitals for changing long-term care hospitals fee system. Data were collected from 104 CEOs in nationwide long-term care hospitals using structured self-administered questionnaires during August 17 to 31, 2009. Major results of the empirical analysis are as follows; first, to change fixed sum medical fee per day caused to decline the level of geriatric service in 87% of CEOs. Second, 79% of CEOs were dissatisfied with changing fixed sum medical fee per day, and 47% of them were dissatisfied with graded fee for doctor and nurse management. Finally, they suggested that to specialize and to differentiate of long-term care hospitals will drive to improve long-term care hospitals function and to measure workforce based on rate of filled vacancies will increase efficiency and productivity of doctor and nurse management.

• Journal of The Korea Institute of Healthcare Architecture
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• v.12 no.1
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• pp.17-26
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• 2006

The demand for long-term care is continuously on the rise as number of elders among the population increases. Due to the rapid growing demand for long-term care in Korea, there have been discussions for the introduction of new long-term care system into Korean society. The purpose of this study in to analyze changes of elderly care facilities in Japan after the beginning of long-term care system in 2000. The functional and architectural changes of Japanese facilities were researched to be used as references for predicting changes in Korean facilities. In Japan, after the execution of long term care system, the alterative aspect of facilities is divided into some categories; in sum, the change of environment for long term care, the effort to spread specialized facilities in a whole community, and the tendency to complex a variety of function of facilities such as an facility for home care service, and the like.