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Ownership of Long-Term Care Facility and Incidence of Pressure Ulcers among Republic of Korea

  • Chun, Sung-Youn;Park, Hyeki;Kim, Woorim;Joo, Yeong-Jun;Lee, Tae-Hoon;Park, Eun-Cheol
    • Health Policy and Management
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    • v.30 no.4
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    • pp.522-530
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    • 2020
  • Background: In 2008, Korea implemented a new type of social insurance known as "long-term care insurance". We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of "long-term care insurance". This study is a population-based retrospective cohort study from 2006 to 2013. Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method. Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29-2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25-4.37). Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.

Evaluation of Coastal Sediment Budget on East Coast Maeongbang Beach by Wave Changes (파랑 변화에 따른 동해안 맹방 해수욕장 연안 표사수지 파악)

  • Kim, Gweon-Su;Ryu, Ha-Sang;Kim, Sang-Hoon
    • Journal of Ocean Engineering and Technology
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    • v.33 no.6
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    • pp.564-572
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    • 2019
  • Numerical simulation of the sediment by the Delft3d model was conducted to examine the changes in the sediment budget transport caused by long-term wave changes at the Maengbang beach. Representative waves were generated with input reduction tools using NOAA NCEP wave data for about 40 years, i.e., from January 1979 to May 2019. To determine the adequacy of the model, wave and depth changes were compared and verified using wave and depth data observed for about 23 months beginning in March 2017. As a result of the error analysis, the bias was 0.05 and the root mean square error was 0.23, which indicated that the numerical wave results were satisfactory. Also, the observed change in depth and numerical result were similar. In addition, to examine the effect due to long-term changes in the waves, the NOAA wave data classified into each of the representative wave grades, and then the annual trend of the representative wave was analyzed. After deciding the weight of each wave class considering the changed wave environment in 2100, the amounts of sedimentation, deposition, and the sediment transport budget were reviewed for the same period. The results indicated that the sedimentation pattern did not change significantly compared to the current state, and the amount of the local sediment budget shown in the present state was slightly less. And there has been a local increase in the number of sediment budget transport, but there is no significant difference in the net and amount of sediment movements.

A Study on Crest Settlement Characteristics of Rockfill Dam (락필댐의 정부침하 거동특성 연구)

  • Park, Han-Gue;Park, Dong-Soon;Kim, Yong-Seong;Lee, Jong-Wook
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.1219-1226
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    • 2005
  • In this study, crest settlement characteristics of CFRD (Concrete Faced Rockfill Dam) and ECRD (Earth Cored Rockfill Dam) were analysed through the instrumentation data from representative 7 large dams in Korea. Also, We have studied the effect of valley shape and uniaxial compressive strength of intact rock to better understand the impact of the parent rock strength and the valley shape on the long term crest settlement of CFRDs. From the results, we found that the valley shape and strength of intact rock on crest settlement of dams are an important parameters. As a result, we obtained that the maximum crest settlement of CFRD is larger than that of ECRD and long term crest settlement rate per dam height of rockfill dams is less than 0.60% during service period.

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Shalt-Term Hydrological forecasting using Recurrent Neural Networks Model

  • Kim, Sungwon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2004.05b
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    • pp.1285-1289
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    • 2004
  • Elman Discrete Recurrent Neural Networks Model(EDRNNM) was used to be a suitable short-term hydrological forecasting tool yielding a very high degree of flood stage forecasting accuracy at Musung station of Wi-stream one of IHP representative basins in South Korea. A relative new approach method has recurrent feedback nodes and virtual small memory in the structure. EDRNNM was trained by using two algorithms, namely, LMBP and RBP The model parameters, optimal connection weights and biases, were estimated during training procedure. They were applied to evaluate model validation. Sensitivity analysis test was also performed to account for the uncertainty of input nodes information. The sensitivity analysis approach could suggest a reduction of one from five initially chosen input nodes. Because the uncertainty of input nodes information always result in uncertainty in model results, it can help to reduce the uncertainty of EDRNNM application and management in small catchment.

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A Study on Development of Long-Term Runoff Model for Water Resources Planning and Management (수자원의 이용계획을 위한 장기유출모형의 개발에 관한 연구)

  • Cho, Hyeon-Kyeong
    • Journal of the Korean Society of Industry Convergence
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    • v.16 no.3
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    • pp.61-68
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    • 2013
  • Long-term runoff model can be used to establish the effective plan of water reources allocation and the determination of the storage capacity of reservoir. So this study aims at the development of monthly runoff model using artificial neural network technique. For this, it was selected multi-layer neural network(MLN) and radial basis function neural network(RFN) model. In this study, it was applied model to analysis monthly runoff process at the Wi stream basin in Nakdong river which is representative experimental river basin of IHP. For this, multi-layer neural network model tried to construct input 3, hidden 7, and output 1 for each number of layer. As the result of analysis of monthly runoff process using models connected with artificial neural network technique, it showed that these models were effective in the simulation of monthly runoff.

Long-term simulation of wind turbine structure for distributed loading describing long-term wind loads for preliminary design

  • Ibrahimbegovic, Adnan;Boujelben, Abir
    • Coupled systems mechanics
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    • v.7 no.2
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    • pp.233-254
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    • 2018
  • In order to reduce the dependency on fossil fuels, a policy to increase the production capacity of wind turbine is set up. This can be achieved with increasing the dimensions of offshore wind turbine blades. However, this increase in size implies serious problems of stability and durability. Considering the cost of large turbines and financial consequences of their premature failure, it is imperative to carry out numerical simulations over long periods. Here, an energy-conserving time-stepping scheme is proposed in order to ensure the satisfying computation of long-term response. The proposed scheme is implemented for three-dimensional solid based on Biot strain measures, which is used for modeling flexible blades. The simulations are performed at full spatial scale. For reliable design process, the wind loads should be represented as realistically as possible, including the fluid-structure interaction (FSI) dynamic effects on wind turbine blades. However, full-scale 3D FSI simulations for long-term wind loading remain of prohibitive computation cost. Thus, the model to quantify the wind loads proposed here is a simple, but not too simple to be representative for preliminary design studies.

The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea (치매, 중풍 노인의 장기요양서비스 이용현황과 이용수준 관련 요인)

  • Jeon, Boyoung;Kwon, Soonman;Kim, Hongsoo
    • Health Policy and Management
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    • v.23 no.1
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    • pp.90-100
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    • 2013
  • Background: This study examined the relationships of dementia, stroke, and combined multimorbidity with long-term care utilizations among older people in South Korea. Methods: A nationally representative sample of 10,130 older adults who used long-term care services in 2010 were analyzed. We used the 5% sample of aged 65 years or older linked with National Health Insurance Corporation registry data of long-term care insurance system. The sample was categorized into three groups: dementia only (47.6%), stroke only (36.3%), and both dementia and stroke (16.1%). We estimated the use of institutional care, home care, and total expenditure of long-term care services, adjusting for the severity of each function (such as daily life, behavior or cognitive change, nursing care needs, and rehabilitation care needs) and sociodemographic characteristics. Results: Having dementia symptoms was positively associated with the use of institutional care services, on the other hand, having stroke symptoms was positively related with the use of home care. The total long-term care cost was higher in the group of having both dementia and stroke. Conclusion: Older persons with dementia symptoms and stroke symptoms have different patterns of long-term care utilization, and the multimorbidity increased the overall expenditure of long-term care utilization. These findings imply a need for differentiated management strategy targeting physically and cognitively impaired older persons, and special concerning for persons with multimorbidity conditions for long-term care insurance program in Korea.

Hydro-meteorological Characteristics in Season and Solar Term According to RCP Climate Change Scenarios (RCP 기후변화 시나리오에 따른 우리나라 계절 및 절기의 수문기상학적 특성 분석)

  • Oh, Miju;Kim, Jieun;Lee, Baesung;Kim, Tae-Woong
    • Journal of Wetlands Research
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    • v.24 no.4
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    • pp.288-300
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    • 2022
  • As industrialization and urbanization progress extensively, climate change is intensifying due to greenhouse gas emissions. In Korea, the average temperature increased, and the annual precipitation also increased due to climate change. In addition, the meaning of the solar term, which expresses seasons according to the movement of the sun, is also being overshadowed. Therefore, this study investigated the seasonal changes and solar-term changes of average temperature and precipitation observed in the past as well as simulated for future RCP climate change scenarios for five major regions (Capital Region, Gyeongsang, Chungcheong, Jeolla, and Gangwon). For the seasonal length, the length of summer became longer, the length of winter became shorter nationwide, and the precipitation in summer generally increased compared to the past. In the Chungcheong area, under the RCP 8.5 scenario, the length of summer increased by 46%, precipitation increased by 16.2%, and the length of winter decreased by 31.8% compared to the past. For the solar term, the temperature rose in all seasons. In the Chungcheong area, under the RCP 8.5 scenario, the temperature of major heat increased by 15.5%, and the temperature of major cold increased by 75.7% compared to the past. The overall results showed that the hydrological characteristics of the season and solar term were identified by region, which can be used as basic data to prepare policies to respond to climate change.