• Title/Summary/Keyword: long term effects

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The effects of assistive products in Korean long-term care insurance system for the beneficiary older adults (노인장기요양보험 등급인정자의 복지용구 이용효과)

  • Lee, Tae-Bum;Chang, Hyun-Sook
    • Health Policy and Management
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    • v.20 no.4
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    • pp.126-138
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    • 2010
  • Objectives : The purpose of this study is to evaluate the effects of assistive products usage on activity of daily living for the beneficiary older adults people in Korean long-term care insurance system. The study subjects were divided to assistive products users and non-users among the beneficiary older adults based on Korean long-term care insurance system to compare function improvement of the activity of daily living. Methods : In national wide 12 community elderly care center enrolled the National Health Insurance Corporation, The numbers of 281 beneficiary older adults(long-term care Grade I: 66, Grade II: 58, Grade III: 157) participated in this study. This survey assessment tool for activity of daily living was used the long-term care assessment instrument of the physical functions in the law of Korean long-term care insurance. The function items of Activity of daily living were included in clothing, washing, tooth brushing, bathing, eating, posture converting, stand sitting, move sitting, out of room, using toilet, controlling of stool, controlling of urine, washing hair. According to independence to complete dependence functioning level, remarks pointed 1 to 3 points. The data were analyzed by chi-square, two-way anova using SPSS V. 12.0. Results : The results appeared that the mean score of the functions in activity of daily living of assistive products users was a 27.60, and that of non-users was a 30.66. Assistive products were not effected in Grade I and II recipients, but that effected in Grade III recipients. Conclusion : Preparing for activation of assistive products based Korean long-term care insurance system, the result application as follows is possible. The usage of assistive products could improve the function of daily living activity in older adults. Related to Grade III beneficiary elderly people were improved function in activity of daily living by using assistive products, it is necessary to extend coverage the non-eligible elderly people in Korean long-term care insurance system.

A Comparison Study on the Effects of Fashion Emotional and Relationship Experience on Long-Term Relationship Orientation of Middle and Old Aged Women (중.노년층 여성이 경험하는 패션 감성.관계체험이 장기적 관계지향성에 미치는 효과 비교 연구)

  • Seo, Eun-Kyoung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.9
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    • pp.1407-1417
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    • 2008
  • This study intended to compare the effects of fashion emotional and relationship experience of middle and old aged women on their long-term relationship orientation. The survey was conducted in September and October in 2006 on 579 middle old aged women whose age varied from 40 to 70 years old, who lived in Seoul and the metropolitan area and had experienced fashion shopping. The SPSS 12.0 was used to do an analysis of frequency, an exploratory factor analysis, and a multi-regression analysis and Lisrel 8.14 was applied to make a path analysis. The result of this study was as follows: Comparing the two age groups, the most important fact was that fashion related experience had more affective on long-term relationship orientation for old aged than middle aged women. Secondly, the effects of fashion emotional experience of middle and old aged women affected the long-term relationship orientation were the same. This analysis suggested that intensive marketing strategy effort of emotional experience for middle aged women and relational experience for old aged women should be more effective in fashion market.

The effects of Korean, American, and Japanese manufacturing firm's dependence on influence strategies and long-term orientation (한국.미국.일본 제조업체의 의존성이 영향전략과 장기지향성에 미치는 효과)

  • Kim, Jong-Young;Bang, Ho-Yeol
    • International Commerce and Information Review
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    • v.12 no.2
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    • pp.183-211
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    • 2010
  • This paper empirically investigated whether the dependence of manufacturing firms effects the influence strategies and long-term orientation based on the data from manufacturing firms in Korea. U.S., and Japan. Also, the proposed model was proven by the structural equation model with the data gathered from 105 manufacturing firms in Korea, 103 in U.S., and 83 in Japan. The findings were as follows. First, the dependence of all of manufacturing firms, regardless of country, positively affected the coercive influence strategies of distributors, whereas the dependence positively affected the noncoercive influence strategies in U.S. and Japan but in the case of Korea, it showed the reverse direction and were not statistically significant. Second, the dependence of Korean manufacturing firms positively affected the long-term orientation but American manufacturing firms showed the reverse direction and it was not statistically significant. In the case of Japanese manufacturing firms, the direction predicted in the paper was shown but was not statistically significant. Third, the coercive influence strategies positively affected the long-term orientation in Korea but it showed the negative relationship in Japan. Fourth, the noncoercive influence strategies positively affected the long-term orientation in all countries. Lastly, a few implications, limitations and future study issues were discussed.

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The Effects of Patient and Facility Characteristics On the Resource Use by the Elderly in Long-term Care Services (환자 및 시설 특성이 장기요양서비스 이용 노인의 자원소모량에 미치는 영향)

  • 권순만;김홍수;김선민
    • Health Policy and Management
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    • v.12 no.1
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    • pp.21-53
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    • 2002
  • The purpose of this study is to measure the resource use of the elderly in long-term care services and to examine the effects of patient and facility characteristics on their use of resources. The data were collected from 510 old people over sixty years of age, residing in five long-term care hospitals and two skilled nursing homes during the period between December 1, 2000 and February 28, 2001. For a full sample, when the first level of RUG(Resource Use Group)-III categories were employed as the proxy of patient severity, facility characteristics, such as location, size and ownership, have large effects on the resource use measured by service intensity, whereas patient characteristics such as severity have little or no effect. The resource use is significantly high if the facility: (1) is located in rural areas (gun): (2) has mare than 200 beds; (3) is a long-term care hospital; (4) is private; and (5) has a low percentage of medical aid patients. The analysis of the resource use in each RUG-III categories, for which ADL(Ability of Daily Living) were employed as the prosy of patient severity, shows a similar result. The loose relationship between the needs of residents and the resource use seems to be closely associated with the ineffective reimbursement system for providers. The current reimbursement system has no provision for quality improvement and reimburses facilities simply according to their types: fee-for-service for long-term care hospitals, and monthly-flat-rate or full-coverage-national-aid for skilled nursing facilities. It will be necessary to develop a more reasonable reimbursement system that takes patient's severity into account and gives incentives for long-term care providers to offer cost-effective services.

Determinant Factors of Service Orientation for Human Resources of Long Term Care Facility (노인장기 요양시설 종사원의 서비스 지향성 결정요인에 관한 연구)

  • Lee, Seong-Duck;Hwang, Yong-Cheol
    • The Journal of Industrial Distribution & Business
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    • v.9 no.10
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    • pp.39-50
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    • 2018
  • Purpose - This study is to propose discriminative management strategies to long-term care facilities based on the empirical analysis after reviewing the effects of social support, perceived by long-term care facility employees, to service orientation. Research design, data, and Methodology - The research model designed social support, job stress, organizational commitment, and service orientation. The survey collected data from 453 customers in a long-term care facility in jeju. The SPSS 18.0 package was used for analysis. Results - First, social support for long-term care facility employees has a negative(-) effect to job stress. Test results, social support factors except appraisal support had a negative impact on job stress. Second, social support has a positive(+) effect to organizational commitment. Test results, informational support, tangible support and appraisal support had significant effects on organizational commitment. However, emotional support had a positive impact on affective commitment and normative commitment. Third, social support has a positive(+) effect to service orientation. Test results had a positive impact. Fourth, job stress has a negative(-) effect to organizational commitment. In the test results, employee's continuance commitment and normative commitment had significant negative effects in job stress. However, affective commitment had no significant impact. Fifth, job stress has a negative(-) effect to service orientation. Test results showed a negative impact. Conclusions - The study implies the following. First, that there should be a change in the social perception of long-term care facilities. 'Long-Term Care Insurance for The Elderly' was enacted to emphasize this responsibility for the elderly problems as a new system. Enactment of this Act was expected to improve the quality of life of the people by stabilizing the elderly life and reducing the burden of families. Therefore, long-term care facility system should be as efficient as possible for making plans for systematic and organizational support. Second, the efforts of facility managers to minimize job stress of employees is necessary. Accordingly, performing spontaneous work is required for a comfortable working environment and management. Third, the systematic education and training to employees for service oriented behavior of the facility will be required in the long term.

Long-term structural analysis and stability assessment of three-pinned CFST arches accounting for geometric nonlinearity

  • Luo, Kai;Pi, Yong-Lin;Gao, Wei;Bradford, Mark A.
    • 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.

Effects of Long-Term Fertilization for Cassava Production on Soil Nutrient Availability as Measured by Ion Exchange Membrane Probe and by Corn and Canola Nutrient Uptake

  • Hung T. Nguyen;Anh T. Nguyen;Lee, B.W.;J. Schoenau
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.47 no.2
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    • pp.108-115
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    • 2002
  • The effects of long-term fertilization on soil properties and nutrient availability are not well documented for cassava cultivation in Vietnam. In 1990, a field research plots were established with 12 treatments to test the effect of different rates of nitrogen (N), phosphorus (P) and potassium (K) on soil properties in Acrisols at Thai Nguyen University in Northern Vietnam. In 1999, composite soil samples (0 to 20cm depth) were collected from eight selected plots for measurements of nutrient supply rates by ion exchange membrane probes and for growing corn and canola in a growth chamber with and without added lime. Generally, long-term nitrogen (N) fertilization increased available N supply rates but decreased available potassium (K) and magnesium (Mg). Long-term phosphorus(P) applications increased canola N, calcium (Ca) and Mg uptake. Canola P uptake increased with increased P rates only when lime was added. Long-term K applications increased canola N, K, Ca, Mg uptake but only significantly increased corn N uptake. Liming significantly increased uptake of N, P, K, Ca, Mg and S for both corn and canola. However, N $H_{4-}$N, K and Mg soil supply rates were reduced when lime was added, due to competition between Ca from the added lime and other nutrients.

Effects of Beauty Service Benefits on Consumer's Long-term Relationship Orientation -Focused on Effort of Relationship Continuity of Service Provider- (미용서비스 효익이 소비자의 장기적 관계지향성에 미치는 영향 -서비스 제공자의 관계유지노력을 조절변인으로-)

  • Jeon, Ji-Hyun;Rhee, Young-Sun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.33 no.4
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    • pp.543-553
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    • 2009
  • The purpose of this study is to identify the dimensions of beauty service benefit and to examine the effect of beauty service benefit on consumer's long-term relationship through consumer satisfaction. Beauty service benefit consists of three dimensions: emotional benefit, technical benefit and functional benefit. The aforementioned three dimensions of beauty service benefits have positive effects on consumer satisfaction. The effort of relationship continuity was a moderating variable among beauty service benefits, consumer satisfaction, and long-term relationship orientation. The findings of this study are expected to be used for developing and applying the program of consumer relationship management.

The Effect of DINESCAPE on the Patient Satisfaction, and Long-Term Relationship in the Plastic Surgery -Focusing on Chinese Patients- (성형외과 다인스케이프(DINESCAPE)가 환자만족과 장기적 관계유지의도에 미치는 영향 -중국인 환자를 중심으로-)

  • Yang, ZhengHua;Kim, Saebum
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.34-44
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    • 2014
  • The objective of this study is to analyze the effects of DINESCAPE on patient satisfaction and the intention of maintaining long-term relationship for Chinese Patients who received medical services at plastic surgery clinics in South Korea. For an empirical analysis, a total of 250 respondents were surveyed from may 1 to october 20, 2014. Of these, 200 respondents were considered to be reliable for statistical analysis. According to the analysis results, among the components of DINESCAPE, atmosphere, cleanliness, convenience and accessibility, employees service, and the convenience of using the websites had positive effects on patient satisfaction, which exerted a positive effect on the intention of maintaining long-term relationship with patients.

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Effects of Long-term Artificial-Aging on the Hardness Variation of Dissimilar Metal Weldments (이종금속 용접부의 경도변화에 대한 장시간 인공열화의 영향)

  • Kim, Chung-Seok
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.18 no.1
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    • pp.31-37
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    • 2019
  • This study investigates the effects of long-term artificial-aging on hardness variation in the dissimilar metal weldments for nuclear power plant facilities. These dissimilar welds are inevitably required to join the components in nozzle parts of pressurized vessels, such as austenitic stainless steels and ferritic steels. A artificial thermal aging was conducted in an electrical furnace to simulate material degradation at high temperatures. The test materials were held at the temperature of $600^{\circ}C$ for 10000 hours and interrupted at various levels of degraded specimens. The degradation of hardness is a well-known phenomenon resulting from long-term aging or high-temperature degradation of structural materials. In this study, the variation of hardness at each position was different, and complicated in relation to microstructures such as twins, grains, precipitates, phase transformations, and residual stresses in dissimilar weldments. We discussed the variation of hardness in terms of microstructural changes during long-term aging.