• Title/Summary/Keyword: Vulnerable Populations

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Sexual Knowledge, Sexual Attitude and Reproductive Health Promotion Behavior among North Korean Women Defectors: alienated women's sex (북한이탈여성의 성지식, 성태도, 생식건강 증진행위: 소외된 여성의 성)

  • Han, Jungjin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.385-397
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    • 2020
  • This study examined the reproductive health-related experiences of North Korean women defectors and their sexual knowledge, sexual attitudes, and reproductive health promotion behavior. Convergent parallel mixed methods were used. From April to July 2020, 8 North Korean women defectors in Seoul metropolitan area were recruited by snowball sampling. In addition, 175 participants in the Seoul metropolitan area, Chungcheong, and Gyeongsang Province were recruited. Content analysis was conducted to analyze qualitative data, and the SPSS 23.0 program was used. Three themes were derived: scared of sex due to ignorance', 'the embarrassing and annoying sex only for duty', and had to manage myself for sex under the limited situation.'. The subject's sexual knowledge was higher in the older and married groups, and the sexual attitude was more liberal in the younger group. Reproductive health promotion behavior was more active in the high economic level, and sexual knowledge and sexual attitude showed a positive correlation. Therefore, it is necessary to provide support systems and resources from the community to encourage reproductive health promotion activities. In addition, in terms of humanitarian aid, prioritization of the reproductive health of North Korean women is required.

Hospitalization Risk According to Geriatric Assessment and Laboratory Parameters in Elderly Hematologic Cancer Patients

  • Silay, Kamile;Akinci, Sema;Silay, Yavuz Selim;Guney, Tekin;Ulas, Arife;Akinci, Muhammed Bulent;Ozturk, Esin;Canbaz, Merve;Yalcin, Bulent;Dilek, Imdat
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.783-786
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    • 2015
  • Background: Utilizing geriatric screening tools for the identification of vulnerable older patients with cancer is important. The aim of this study is to evaluate the hospitalization risk of elderly hematologic cancer patients based on geriatric assessment and laboratory parameters. Materials and Methods: In this cross sectional study 61 patients with hematologic malignancies, age 65 years and older, were assessed at a hematology outpatient clinic. Standard geriatric screening tests; activities of daily living (ADL), instrumental activities of daily living (IADL), Mini Nutritional Assessment (MNA), Mini Mental State Examination (MMSE), timed up and go test (TUG), geriatrics depression scale (GDS) were administered. Demographic and medical data were obtained from patient medical records. The number of hospitalizations in the following six months was then recorded to allow analysis of associations with geriatric assessment tools and laboratory parameters. Results: The median age of the patients, 37 being males, was 66 years. Positive TUG test and declined ADL was found as significant risk factors for hospitalization (p=0.028 and p=0.015 respectively). Correlations of hospitalization with thrombocytopenia, vitamin B12 and folic acid deficiency were statistically significant (p=0.004, p=0.011 and p=0.05 respectively). Conclusions: In this study, geriatric conditions which are usually unrecognized in a regular oncology office visit were identified. Our study indicates TUG and ADL might be use as predictive tests for hospitalization in elderly oncology populations. Also thrombocytopenia, and vitamin B12 and folic acid deficiencies are among the risk factors for hospitalization. The importance of vitamin B12 and folic acid vitamin replacement should not be underestimated in this population.

Vegetation Structure and Soil Properties of Hemerocallis hongdoensis Population (홍도원추리(Hemerocallis hongdoensis Makino) 개체군의 식생구조와 토양특성)

  • Hwang, Yong;Kim, Mu-Yeol;Song, Ho-Kyung
    • Korean Journal of Environment and Ecology
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    • v.26 no.6
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    • pp.868-875
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    • 2012
  • This study was carried out to analyze the vegetation properties, soil characteristics and ordination of Hemerocallis hongdoensis population in South Korea. The Hemerocallis hongdoensis population was classified into Mallotus japonicus dominant population, Viburnum wrightii dominant population, Melampyrum setaceum dominant population. Hemerocallis hongdoensis were mainly distributed along the coast of south-western iland of the Korean penninsula and it's population was located at an elevation of 6m to 362m. In the study sites, soil organic matter, total nitrogen, exchangeable potassium, exchangeable calcium, exchangeable magnesium, cation exchange capacity and soil pH were 16.18~21.70%, 0.56~0.97%, 0.42~0.88mg/kg, $3.38{\sim}5.65cmol^+/kg$, $1.12{\sim}2.38cmol^+/kg$, $25.93{\sim}41.45cmol^+/kg$, and 4.45~4.86 respectively. Mallotus japonicus dominant population was found in the steep sloped area that has high percentage of cation exchange capacity and total nitrogen than other populations. Viburnum wrightii dominant population was found gentle sloped area that has low percentage of cation exchange capacity and total nitrogen. Melampyrum setaceum dominant population was found in the medium sloped area that has medium percentage of cation exchange capacity and total nitrogen. Current status of Hemerocallis hongdoensis habitats is very vulnerable with local development constantly threatening the species' survival. Thus, concrete conservation plans to protect natural habitats should be set up as soon as possible.

Effects of GR89696 on parvalbumin positive neurons after cerebral ischemia in the Mongolian gerbil (몽고리안 저빌에서 뇌허혈시 GR89696이 parvalbumin 발현 신경세포에 미치는 영향)

  • Kwon, Young-bae;Yang, Il-suk;Lee, Jang-hern
    • Korean Journal of Veterinary Research
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    • v.39 no.1
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    • pp.34-44
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    • 1999
  • Ischemic damage in the selectively vulnerable populations of neurons is thought to be caused by an abnormal accumulation of intracellular calcium. It has been reported that the neurons, expressing specific calcium binding proteins, might effectively control intracellular calcium concentrations because of a high capacity to buffer intracellular calcium in the brain ischemic condition. It is uncertain that parvalbumin, one of the calcium binding proteins, can protect the neurons from the cerebral ischemic damage. Recently, treatment of kappa opioid agonists increased survival rate, improved neurological function, and decreased tissue damage under the cerebral ischemic condition. Many evidences indicate that these therapeutic effects might result from regulation of calcium concentration. This study was designed to analyze the changes of number in parvalbumin-positive neurons after cerebral ischemic damage according to timepoints after cerebral ischemic induction. In addition, we evaluated the effect of GR89696 (kappa opioid agonist) or naltrexone(non selective opioid antagonist) on the changes of number in parvalbumin expressing neurons under ischemic condition. Cerebral ischemia was induced by occluding the common carotid artery of experimental animals. The hippocampal areas were morphometrically analyzed at different time point after ischemic induction(1, 3, 5 days) by using immuno-histochemical technique and imaging analysis system. The number of parvalbumin-positive neurons in hippocampus was significantly reduced at 1 day after ischemia(p<0.05). Furthermore, the number of parvalbumin-immunoreactive neurons was dramatically reduced at 3 and 5 days after cerebral ischemic induction(p<0.05) as compared to 1 day group after ischemia, as well as sham control group. Significant reduction of parvalbumin positive neurons in CA1 region of hippocampus was observed at 1 day after cerebral ischemic induction. However, significant loss of MAP2 immunoreactivity was observed at 3 day after cerebral ischemia. The loss of parvalbumin-positive neurons and MAP2 immunoreactivity in CA1 region was prevented by pre-administration of GR89696 compared to that of saline-treated ischemic group. Furthermore, protective effect of GR89696 partially reversed by pre-treatment of naltrexone. These data indicate that parvalbumin-positive neurons more sensitively responded to cerebral ischemic damage than MAP2 protein. Moreover, this loss of parvalbumin-positive neurons was effectively prevented by the pretreatment of kappa opioid agonist. It was also suggested that the changes of number in parvalbumin-positive neurons could be used as the specific marker to analyze the degree of ischemic neuronal damage.

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Distribution Aspect and Extinction Threat Evaluation of the Endangered Species, Rhodeus pseudosericeus (Pisces: Cyprinidae) in Korea (멸종위기어류 한강납줄개 Rhodeus pseudosericeus (Pisces: Cyprinidae)의 분포양상 및 멸종위협 평가)

  • Ko, Myeong-Hun;Han, Mee-Sook;Kwan, Sun-Man
    • Korean Journal of Ichthyology
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    • v.30 no.2
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    • pp.100-106
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    • 2018
  • The distribution aspect and extinction threat evaluation of the endangered species, Rhodeus pseudosericeus were investigated from 2012 to 2017 in Korea for the subject of this study. The number of appearance sites in the past literature of available and identified R. pseudosericeus was 26. During the study period, the samples of R. pseudosericeus were collected in 44 sites (Hangang River 35 sites, Sapgyocheon Stream 4 sites, Daecheoncheon Stream 5 sites) among the noted 214 sampling stations investigated. Among these, the newly appearance streams were Ilricheon Stream, Samsancheon Stream, Bangyecheon Stream and Hanpocheon Stream in the Hangang River. In addition, the habitats and populations in the upper Seomgang River (Hoengseong Dam), lower Heukcheon Stream, Muhancheon Stream and Daecheoncheon Stream decreased due to dam construction, river work, water pollution, and the spread of the exotic species Micropterus salmoides. The main habitat of R. pseudosericeus was the middle-upper stream of clean water with slow water velocity, sand-pebble bottoms and lots of aquatic plants. Given this evidence as noted for the 30.2% reduction in occupancy within 10 years, due to the qualitative decline of habitat, the overfishing risk of ornamental fish and the spread of M. salmoides, in this case R. pseudosericeus is considered to be Vulnerable (VU A2cde) based on the IUCN Red List categories and criteria.

Comparative Research on Global Policy in ICT Accessibility for Vulnerable Groups -Focusing on Implementation of Legislative System- (취약계층을 위한 정보통신 접근성 정책에 대한 국가 간 비교 연구 -관련제도 중심으로-)

  • Kim, Jung-Yeon;Park, Sung-Woo;Kang, Byung-Gwon;Son, Chang-Yong;Jung, Bong-Keun
    • 재활복지
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    • v.20 no.1
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    • pp.131-150
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    • 2016
  • This study aims to compare global policies on ICT accessibility and to suggest possible solutions that help to enhance ICT accessibility for socially disadvantaged groups. The results indicated that related laws and standards in Korea are relatively well established than Asian countries' whereas they need improvements when compared to the US or the UK. Particularly, in spite of rapid development in information communication technology industry, incorporating the definition of newly developed technologies into existing laws related to ICT accessibility seemed slow that caused reluctancy of related parties to address accessibility issues the new technologies create. In addition, Korean government seems less effortful to develop policies and standards apart from web and mobile application accessibility. In order to resolve the problems, firstly, the period or process of enacting and amending laws can be shorten. Next, a government affiliated research institute can be established to do research and develop ICT accessibility related to user scenarios so that effective policies and standards could be readily provided. Even though other possible solutions can be suggested, what is more important than that is that any interested parties should sustainably make efforts to provide equal opportunities for the underserved populations.

Analysis of Genetic Characteristic of Jujube (Ziziphus jujuba Mill.) Cultivated in Korea Revealed by ISSR Markers (ISSR 표지를 이용한 국내 재배 대추나무의 유전특성 분석)

  • Nam, Jae-Ik;Lee, Uk;Kim, Sea-Hyun
    • Journal of Korean Society of Forest Science
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    • v.107 no.4
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    • pp.378-384
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    • 2018
  • Chinese jujube (Ziziphus jujuba Mill.), a member of family Rhamnaceae, is an economically important species. It has high nutritional value in fruits, and its medicinal properties have led to extensive use in traditional oriental medicine. In this study, we investigated the genetic characteristics of 270 jujube germplasms collected from the six major jujube fruit production areas in Korea including Boeun and Gyeongsan, in order to understand the current situation on cultivated varieties of domestic jujube and to obtain useful data for selection of superior germplasms and establishing their breeding plans. The results of ISSR marker analysis revealed that the Shannon's information index of the 270 germplasms was 0.107 and the genetic similarity was as high as 0.935 showing the dominance of a specific cultivar or germplasm, and almost 67% (180) of them were identified at the same genotype with 'Bokjo'. The domestic commercial jujube populations could be characterized by very low genetic diversity and thus may be vulnerable to external disturbances. In addition, it seems that most of the jujube fruits in domestic market were largely produced through parthenocarpy.

A Study on the Characteristics of Aquatic Insect Fauna in Differently Disrupted Ponds Located in Gungdaeoreum, Jeju (제주도 궁대오름 일대 교란정도가 다른 연못의 수서곤충 분포 특성에 관한 연구)

  • Ko, Gyeong Hun;Kim, Dong-Soon
    • Korean journal of applied entomology
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    • v.59 no.4
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    • pp.433-441
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    • 2020
  • This study was conducted to understand the distribution characteristics of aquatic insects in ecologically different ponds in terms of the disruption. We investigated the fauna of aquatic insects in three artificial ponds (pond 1, 2 and 3) and two natural ponds (pond 4 and 5) located within 1 km each other around Gungdaeoreum in Jeju Island, from March 2018 to June 2020. A total of 50 species belonging to 15 families were found in the surveyed ponds: total 850 individuals with 14 species in 4 families of the order Odonata, total 4,391 individuals with 14 species in 6 families of the order Hemiptera, and total 2,014 individuals with 22 species in 4 families of the order Coleoptera. In overall, total abundance and species numbers were relatively higher than those of artificial pond in natural ponds in which animal and plant ecosystems were well established. In the case of artificial ponds, the number of individuals and species recovered rapidly when reconstituted by introducing aquatic plants, etc. (Pond 1). The nymphs of Odonata were observed largely in ponds without natural enemies such as large fish, and where adults could freely access without interception by artificial structure. Phytophagous Corixidae of the order Hemiptera were abundant, and Haliplidae populations of the order Coleoptera were affected by the distribution of the plants. Accordingly, the major factors affecting aquatic insect abundance were identified as the presence of refuges such as the topography and aquatic plants and presence of predators. Species of the order, Odonata were vulnerable based on these factors. Our results can be useful as basic information for the restoration of wetlands and construction of artificial wetlands or for conservation of species diversity in the future.

Neurobiological Factors of Suicide (자살의 신경생물학적 요인)

  • Song, Hoo Rim;Woo, Young Sup;Jun, Tae Youn
    • Mood & Emotion
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    • v.10 no.1
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    • pp.13-21
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    • 2012
  • Suicide is a complex behavior associated with various neurobiological and psychosocial factors. It is considered that genetic polymorphism combined with environmental stress such as child-adolescent trauma make differences in neurobiological systems, which cause psychiatric disorders or pessimistic personality, impulse-aggressive behaviors, lack of judgment, and finally result in suicidal behavior. Much progress in the neurobiology of suicide has been made over the several decades. There seems to be a hereditary disposition to suicide independent of psychiatric disorder. The changes in neurotransmitters, neurohormones, neurotrophic factors, cytokines, lipid metabolisms related with their genetic polymorphism can contribute to disturbance of signal transductions and neuronal circuits vulnerable to suicide. It is likely that the main factors are dysfunctions of serotonin (5-HT) and hypothalamus-pituitary-adrenal (HPA) axis. Our understanding about the neurobiology of suicide is still limited. However, clinical practice could be assisted by neurobiological findings capable of making the detection of risk populations with higher sensitivity and the development of new treatment interventions. The settlement of biological markers in suicidal behaviors and their relationships is required.

Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions (의료기관 중심 보건의료·복지 통합 서비스 제공 사업 비교)

  • Su-Jin Lee;Jong-Yeon Kim
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.132-145
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    • 2024
  • Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.