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A study on the amendments of long-term care-related legislations for the introduction of part-time facility dentists (노인장기요양시설 치과촉탁의제 도입을 위한 제도 개선 방향)

  • So, Jong-Seob
    • The Journal of the Korean dental association
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    • v.53 no.10
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    • pp.696-704
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    • 2015
  • The coverage of the National Health Insurance for the elderly is expanding to denture and implants. Although the National Long-Term Care Insurance was just being settled, Oral health service was not provided to the Elderly in Long-Term Care Facilities. The long-term care facilities had part-time facility doctors. However, there is no dentist in the long-term care facility because of lack of long-term care insurance-related legislations. The amendments of long-term care insurance-related legislations for the introduction of part-time facility dentists are needed because the elderly in long-term care facility are vulnerable to oral health. For the substantial management of the National Long-Term Care Insurance, the development of oral health service model for the elderly and education materials for the dental team will be needed. Also, adequate dental service fee of the National longterm care insurance will be needed.

A Stress Management Strategy -Psychodynamic Approach- (스트레스 대응전략 -정신역동적 접근-)

  • Hwang, Ik-Keun
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.58-63
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    • 1995
  • The author introduced 12 session short term dynamic psychotherapy for the intervention of stress related disorders. An examplary case was introduced to suggest the clinal usefulness of time limitted short term dynamic psychotherapy for stress related disorders. It was suggested that the term "stress" should be limitted to certain natural and man-made catastrophies and disasters whose consequences rep quire a total reorganization of the person. Common defensive manuvers and psychological responses in the stress disorders were also reviewed.

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Married Males' Feeling of Hopelessness due to the Influence of Related Variables (기혼남성의 무망감에 미치는 관련변인의 영향력)

  • Ko, Jung-Ja
    • Journal of Families and Better Life
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    • v.25 no.2 s.86
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    • pp.13-21
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    • 2007
  • This study investigates the effect of related variables (types of job, term of employment, working time, job satisfaction, payment satisfaction and, working stress) on the sense of hopelessness felt by married males. The study was conducted on 237 male employees residing in Busan, and measurement devices for study were job-related variables, working stress and hopelessness scale. The study used SPSS 12.0 program to analyze data, and conducted item analysis and reliability test for measure establishment. Average, Standard deviation, one-way ANOVA, scheffe-test, Pearson correlation, and path analysis through regression analysis were conducted pertaining to research subject. The result of this study is as follows; First, working stress has significant difference upon types or working, term of employment and job satisfaction. Office workers relatively have longer term of employment and workers who are less satisfied with job suffer from more working stress. Second, hopelessness has significant difference upon term of employment, job satisfaction and payment satisfaction among job-related variables. Thus, hopelessness is relatively less when term of employment is shorter and job satisfaction and payment satisfaction is higher. Third, variables which affect directly to working stress and hopelessness are term of employment $(\beta=.245)$, payment satisfaction $(\beta=-.182)$ and working stress $(\beta=.189)$, and types of job, term of employment and job satisfaction influences hopelessness indirectly through working stress. In conclusion, workers are more negative when term of employment is longer, payment satisfaction is less and working stress is higher. Moreover, longer term of employment and less job satisfaction contribute to higher working stress and eventually influence hopelessness. Term of employment affects the most to hopelessness $(\beta=.274)$, and it is followed by working stress $(\beta=.189)$ and payment satisfaction $(\beta=-.182)$.

Contents Analysis on the Media about Problems of Long-Term Care Facilities (노인요양시설 사건사고에 관한 미디어 내용 분석)

  • Chin, Young-Ran;Lee, Hyo-Young
    • 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.

Comparing standards and guidelines of long-term care facilities based on physical environment and manpower in Korea, Japan, USA, and Australia (노인요양시설의 시설·인력 기준 비교 연구)

  • Chin, Young-Ran;Lee, Hyo Young
    • Health Policy and Management
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    • v.22 no.3
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    • pp.403-426
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    • 2012
  • The purpose of this study is to compare the standards and guidelines of long-term care facilities based on the physical environments and human resources in Korea, Japan, USA, and Australia. Ultimately, this study suggests the directions for amendments of long-term care service or running of the facilities in Korea. For achieving this purpose, we reviewed the homepage of national health departments, reports and articles of long-term care service, and acts related with long-term care in each country. This comparisons were carried in terms of physical environments, human resources by long-term care related acts and legal sanctions as means of quality control. This study implies that long-term care service guidelines or standards should be revised for developing the quality of our long-term care services.

The Impact of Marketing and Brand Value on the Long-Term Purchasing Behavior Regarding Industrial Goods.

  • Yang, Hoe-Chang;Moon, Yoo-Ho;Khan, Tasnuva
    • Journal of Distribution Science
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    • v.11 no.5
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    • pp.25-31
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    • 2013
  • Purpose - This study aims to determine the effects of marketing factors on the long-term purchasing behavior regarding industrial goods, using data from wholesalers and retailers. Research design, data, and methodology - We used multiple regression analysis and 3-step regressions to investigate causality. We used 177 questionnaires targeting wholesalers and retailers of industrial goods. Results - First, long-term purchasing behavior is positively related only with advertising and marketing factors. Second, the relationship between marketing factors and brand value show that the physical environment, word-of-mouth advertising, and publicity are positively related, except advertising and sales promotion, respectively. Third, brand value and long-term purchasing behavior are positively related. Finally, brand value is not a mediator between marketing factors and long-term purchasing behavior. Conclusion - This study suggests that industrial goods providers should use marketing strategies that are different from those used in the consumer market. Further, if they want to maintain long-term relationships, they should increase their brand value.

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Multi-level Analysis of Factors related to Quality of Services in Long-term Care Hospitals (다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석)

  • Lee, Seon-Heui
    • Journal of Korean Academy of Nursing
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    • v.39 no.3
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    • pp.409-421
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    • 2009
  • Purpose: In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered. Methods: The data were collected from the Health Insurance Review and Assessment Service(HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis. Results: The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%. Conclusion: The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.

The Influence of Fall-Related Knowledge and Fall Prevention Self-Efficacy of Care-Givers Working in Long-term Care Hospitals with Older Adults with Dementia on Fall Prevention Behaviors and Fall Management Behaviors (요양병원 요양보호사의 치매노인에 대한 낙상 지식, 낙상예방 자기효능감이 낙상예방행위 및 낙상관리행위에 미치는 영향)

  • Lim, Jeong-Ok;Gu, Mee-Ock
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.155-172
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    • 2018
  • Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

Related Term Extraction with Proximity Matrix for Query Related Issue Detection using Twitter (트위터를 이용한 질의어 관련 이슈 탐지를 위한 인접도 행렬 기반 연관 어휘 추출)

  • Kim, Je-Sang;Jo, Hyo-Geun;Kim, Dong-Sung;Kim, Byeong Man;Lee, Hyun Ah
    • KIPS Transactions on Software and Data Engineering
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    • v.3 no.1
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    • pp.31-36
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    • 2014
  • Social network services(SNS) including Twitter and Facebook are good resources to extract various issues like public interest, trend and topic. This paper proposes a method to extract query-related issues by calculating relatedness between terms in Twitter. As a term that frequently appears near query terms should be semantically related to a query, we calculate term relatedness in retrieved documents by summing proximity that is proportional to term frequency and inversely proportional to distance between words. Then terms, relatedness of which is bigger than threshold, are extracted as query-related issues, and our system shows those issues with a connected network. By analyzing single transitions in a connected network, compound words are easily obtained.

A Synaptic Model for Pain: Long-Term Potentiation in the Anterior Cingulate Cortex

  • Zhuo, Min
    • Molecules and Cells
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    • v.23 no.3
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    • pp.259-271
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    • 2007
  • Investigation of molecular and cellular mechanisms of synaptic plasticity is the major focus of many neuroscientists. There are two major reasons for searching new genes and molecules contributing to central plasticity: first, it provides basic neural mechanism for learning and memory, a key function of the brain; second, it provides new targets for treating brain-related disease. Long-term potentiation (LTP), mostly intensely studies in the hippocampus and amygdala, is proposed to be a cellular model for learning and memory. Although it remains difficult to understand the roles of LTP in hippocampus-related memory, a role of LTP in fear, a simplified form of memory, has been established. Here, I will review recent cellular studies of LTP in the anterior cingulate cortex (ACC) and then compare studies in vivo and in vitro LTP by genetic/pharmacological approaches. I propose that ACC LTP may serve as a cellular model for studying central sensitization that related to chronic pain, as well as pain-related cognitive emotional disorders. Understanding signaling pathways related to ACC LTP may help us to identify novel drug target for various mental disorders.