• Proceedings of the National Institute of Ecology of the Republic of Korea
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• 제1권1호
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• pp.68-73
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• 2020

Korean fir (Abies koreana) is an evergreen coniferous tree species that is unique to South Korea. A. koreana is found in a limited sub-alpine habitat and is considered particularly vulnerable to climate change. Identification of populations vulnerable to climate change is an important component of conservation programs. In this study, a heat stress-induced transcriptome RNA-seq dataset was used to identify a subset of six genes for assessment as candidate marker genes for ecologically vulnerable populations. Samples of A. koreana were isolated from ecologically stable and vulnerable regions of the Halla and Jiri mountains, and the expression levels of the six candidate markers were assessed using quantitative real-time polymerase chain reaction. All six of the candidate genes exhibited higher expression levels in samples from vulnerable regions compared with stable regions. These results confirm that the six high temperature-induced genes can be used as diagnostic markers for the identification of populations of A. koreana that are experiencing stress due to the effects of climate change.

• 한국농공학회논문집
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• 제59권1호
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• pp.1-10
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• 2017

This study has purpose on deducting problems of evacuation plan for vulnerable populations in disaster and suggesting improvement plan through analysis of disaster weakness in domestic rural region aiming at vulnerable populations in disaster like old people containing most of domestic rural population, sometimes being in blind spot of safety when landslide or disaster occur. As a result, we could know that rural regions have high proportion of vulnerable populations in disaster like old people, also being so weak to landslide and slope collapse. So we suggested development of manual describing prevention of disaster and evacuation for vulnerable populations in disaster like old people and disaster evacuation organization for house and minimizing solution for damage of human life through improvement of steep slope evaluation criteria.

• 기본간호학회지
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• 제24권3호
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• pp.230-242
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• 2017

Purpose: The purpose of this study was to develop a self triage application for rescue requests by disaster vulnerable populations. Literature was reviewed in order to define application trends and needs. Methods: Development of the self triage application was conducted in six stages as a hybrid model (analysis, design, development, implementation, evaluation, modification) of the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model and Driscoll & Alexander model. Application system function and contents were tried with 6 experts and 4 people with hearing impairments. Results: Expert assessment of the application for self triage showed that reliability at 5 points was the highest, followed by utility at 4.8 points. Scores for quickness and expressiveness were low at 4.6 and 4.2 points respectively. User acceptability assessment of the application was measured at 66.73 points. Conclusion: The results show that the application for self triage is helpful to disaster vulnerable populations by providing relief in disaster situations. It is expected that use of this application as a self rescue ability can be made available for disaster situations. However, it will be necessary to establish policies for communication strategies with rescuers and public relations to improve the access rate of disaster app service.

• 방송공학회논문지
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• 제24권6호
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• pp.928-938
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• 2019

현재 우리나라는 북미의 차세대 방송 표준인 ATSC 3.0을 기반으로 국내 지상파 UHD 방송 표준을 제정하고 상용 서비스를 제공하고 있으며, ATSC 3.0에 정의된 재난경보전달을 위한 AEA 시스템 재난방송기술을 이용해 2018년부터 지상파 UHDTV 방송망을 활용한 재난경보방송서비스에 관한 연구를 진행하고 있다. ATSC 3.0이 기존에 단순 푸쉬 형태의 텍스트 메시지 전송에 그치던 재난방송 서비스를 양방향성과 리치미디어의 전송 메카니즘을 도입함으로써 진보된 재난방송 서비스로 확장할 수 있는 표준을 마련하였지만 아직 재난 정보 전달은 여전히 일반 대중들을 중심으로 한 내용이 대부분으로, 구체적인 재난약자를 위한 재난 정보 전달 및 대응책은 미흡한 실정이다. 이에 본 논문에서는 재난방송서비스 수신 대상으로서의 재난약자를 정의하여 ATSC 3.0 기반 재난약자 맞춤형 재난방송서비스를 제시하고, 서비스 제공을 위해서 필요한 재난방송메시지 확장 엘리먼트를 정의한다. 제안하는 재난약자 맞춤형 서비스는 재난약자들을 대상으로 하는 재난 정보 전달 가능성을 높이고 재난 상황에 대한 대처를 유도할 수 있는 보조적인 수단이 될 수 있다. 또한, 기존 재난경보알림 및 재난대응 연구들과 연계를 통해 재난약자를 위한 다양하고 실효성 있는 응용서비스 개발의 기초 연구로 활용될 것으로 예상된다.

• 한국치위생학회지
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• 제24권3호
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• pp.229-242
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• 2024

Objectives: The purpose of this study was to explore and analyze experiences with home-visiting oral health education in vulnerable populations and to provide foundational data necessary for the development of preventive strategies for oral health promotion among these patients. Methods: Using a phenomenological research, in-depth interviews were conducted between August 29 and October 31, 2023 with 20 vulnerable individuals participating in the Home Visit Oral Health Education Program under the Gwangju+ Gwangsan Integrated Care Service project spearheaded by the Gwangju Medical Welfare Cooperative. Results: After analyzing the contents of the participants' experiences, 130 meaningful words and 14 subcategories were identified and categorized into five major themes. Participants expressed discomfort when chewing or swallowing food and felt burdened by visits to the dentist. Although they experienced considerable loneliness because they spent a significant amount of time alone, they enjoyed communicating through visitation care and expressed gratitude for receiving oral health education. Conclusions: Oral health education through home visits cam increase awareness of oral health management among vulnerable populations and serve as an important means of improving their quality of life.

• 지역사회간호학회지
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• 제22권4호
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• pp.438-450
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• 2011

Purpose: This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective. Methods: Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio. Results: After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84. Conclusion: Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.

• 한국인구학
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• 제31권1호
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• pp.1-26
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• 2008

본 연구는 주거지역 특성이 그 지역 구성원의 건강수준에 미치는 영향이 일반 집단보다는 취약집단에서 더 크게 나타날 것으로 보았다. 이를 규명하기 위해 서울시민을 대상으로 한 2005년 서울시 보건지표조사 자료를 이용하였으며, 행정구역상의 '구'를 지역효과를 나타내는 기본단위로 설정하였다. 개인의 건강수준은 주관적 건강인식(Self Rated Health)과 정신건강으로 측정하였으며 지역특성을 설명하는 변수로 서울시 25개 '구' 각각의 사회 경제적 수준, 사회적 자본 및 문화 자본, 물리적 환경, 인구학적 특성 등을 활용하였다. 구성효과를 통제하기 위해 성, 연령, 결혼상태, 교육수준, 직업, 소득 등의 개인특성변수를 포함한 다수준 분석을 실시하였다. 취약집단으로 저소득층, 노인, 40세 이상으로 배우자가 없으면서 무직인 중 노년층 세 개의 집단을 선정하여 각각을 분석하였다. 분석결과 우울 경험을 이용하여 측정한 정신 건강의 경우 지역 간 차이가 세 취약집단 모두에서 일반 인구집단보다 더 크게 나타났다. 지역변수들과 개인변수들을 모두 고려한 다수준 모형에서 지역주민의 행복지수, 물질결핍지수, 빈곤선 이하 가구 비율, 행복 지수, 거리 안전에 대한 인식 수준 등의 지역변수들이 개인특성변수의 효과를 통제한 후에도 취약집단의 정신건강 차이를 설명하는 변수로 확인되었다. 이런 지역특성의 맥락효과는 주관적 건강에서보다 정신건강에서 더 크게 나타났다. 특히 취약집단 중 노인집단의 경우 지역 간 분산의 차이가 상대적으로 컸을 뿐 아니라 분석에 포함된 다양한 지역특성변수들이 통계적으로 의미 있게 나타나 다른 취약집단에 비해 지역의 상황에 더 크게 영향을 받은 것으로 판단된다.

• 한국환경보건학회지
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• 제49권1호
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• pp.48-56
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• 2023

Background: Few studies have assessed exposure to chemicals in the context of environmental vulnerability with a focus on exposure among populations living in certain geographical areas. Objectives: This study aimed to investigate cadmium exposure levels and kidney damage indices in environmentally and socioeconomically vulnerable populations, with further subgrouping according to economic status. Methods: Four areas were selected to represent geographical vulnerability (two environmentally vulnerable populations and two socioeconomically vulnerable populations). Among them, population groups with lower socioeconomic status (SES) were separately classified. Urinary cadmium (UCd), beta2-microglobulin (β2-MG), and N-acetyl-β-D-glucosaminidase (NAG) levels were analyzed in samples from 245 residents of these four areas. Results: Geometric means of concentrations of UCd (0.97~2.02 ㎍/g creatinine) in all selected populations (N, 245; mean age, 67.8~70.9 years old) were higher than the national reference values (0.39 for adults and 0.78 ㎍/g creatinine for people in their 60s). Participants with a lower SES had higher UCd and NAG concentrations than did non-low SES participants. In the lower SES group, there was a significant association between UCd and NAG concentrations; however, there was no such correlation in the non-low SES group. Conclusions: Consistent with the findings of previous studies evaluating chemical exposure and associated health effects in specific populations, the findings of this study suggest that individuals with a low SES may be more vulnerable to exposure and related health effects.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8503-8508
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• 2014

Background: After the WHO recommended HPV vaccination of the general population in 2009, government support of HPV vaccination programs was increased in many countries. However, this policy was not implemented in Korea due to perceived low cost-effectiveness. Thus, the aim of this study was to analyze the cost-utility of HPV vaccination programs targeted to high risk populations as compared to vaccination programs for the general population. Materials and Methods: Each study population was set to 100,000 people in a simulation study to determine the incremental cost-utility ratio (ICUR), then standard prevalence rates, cost, vaccination rates, vaccine efficacy, and the Quality-Adjusted Life-Years (QALYs) were applied to the analysis. In addition, sensitivity analysis was performed by assuming discounted vaccination cost. Results: In the socially vulnerable population, QALYs gained through HPV vaccination were higher than that of the general population (General population: 1,019, Socially vulnerable population: 5,582). The results of ICUR showed that the cost of HPV vaccination was higher for the general population than the socially vulnerable population. (General population: 52,279,255 KRW, Socially vulnerable population: 9,547,347 KRW). Compared with 24 million KRW/QALYs as the social threshold, vaccination of the general population was not cost-effective. In contrast, vaccination of the socially vulnerable population was strongly cost-effective. Conclusions: The results suggest the importance and necessity of government support of HPV vaccination programs targeted to socially vulnerable populations because a targeted approach is much more cost-effective. The implementation of government support for such vaccination programs is a critical strategy for decreasing the burden of HPV infection in Korea.

• Journal of Preventive Medicine and Public Health
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• 제56권1호
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• pp.97-98
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• 2023