• Title/Summary/Keyword: Vulnerable Populations

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An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group (취약계층 임산부·어머니·영유아 대상 방문건강관리서비스에 대한 통합적 문헌고찰)

  • Kim, Dasom;Lee, Insook
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.577-588
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    • 2017
  • Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing

  • Son, Youn-Jung;You, Mi-Ae
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.919-927
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    • 2015
  • Purpose: Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care. Methods: The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory. Results: An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings. Conclusion: Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.

Effects of Meteorology and Air Pollution on Respiratory Disease affecting Vulnerable Populations (기상 및 대기질이 건강취약집단에 미치는 영향)

  • Kang, Dongbae;Park, Changhyoun;Jung, Woo-Sik;Lee, KwiOk;Lee, Hwa Woon
    • Journal of Environmental Science International
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    • v.29 no.7
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    • pp.715-727
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    • 2020
  • It is well known that atmospheric environments, including both meteorology and air quality, significantly affect public health, such as chronic lung disease and cancer, and respiratory infections. In this study, we have analyzed correlations between the number of daily respiratory outpatients and the atmospheric environments data for about ten years for the city of Busan, South Korea. The respiratory problem patients data have been categorized into two health-vulnerable groups by age over 65(DayPA_O65) and under 20(DayPA_U20), each of which shows relatively higher correlations with air quality and meteorology, respectively. However, time series analysis with factor separation results in that DayPA_O65 and DayPA_U20 show a higher relation with variance components and daily irregular factors of atmospheric concentrations, respectively.

Quality of Life, Frailty and Depression in Elderly in Rural Area (일부 농촌 지역 노인의 허약수준, 우울, 건강 관련 삶의 질)

  • Kang, Hee Gyoung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.1
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    • pp.13-27
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    • 2017
  • Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

Accidents resulting in disability in vulnerable populations and their consequences: A study of vulnerable worker groups in South Korea (취약계층의 사고 후 장애 발생으로 인한 결과: 한국사회의 취약한 노동계층 중심으로)

  • Pak, Haeyong;Bahk, Jinwook;Paek, Domyung;Lee, Eun-Hee;Pak, Yun-Suk
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.225-232
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    • 2017
  • This study aimed to identify worker groups that are to accidents and to track the changes in their socioeconomic status there after. We analyzed the Korean Labor and Income Panel Study (KLIPS) database(2001-2006) were recorded according to the participant's economic activity status at the beginning of follow-up, and economic activity status was. During the follow-up period, the unemployed group experienced more accidents that resulted in disability than the economically active group. Interestingly, the unemployed group also had the highest industrial accident rate. Among the employed, daily and unpaid family workers were more vulnerable to disabilities. After the accidents, the participants tended to become economically inactive or unemployed. Compared to other worker groups, the economically inactive, unemployed, and daily and unpaid family workers experienced higher rates of accidents and faced graver conditions as a result. Although they constitute a significantly large part of society, these vulnerable workers are not currently covered by any social security measures, such as accident surveillance, training, and accident insurance. Social policy should therefore be directed toward protecting these vulnerable worker groups.

Addressing Early Life Sensitivity Using Physiologically Based Pharmacokinetic Modeling and In Vitro to In Vivo Extrapolation

  • Yoon, Miyoung;Clewell, Harvey J. III
    • Toxicological Research
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    • v.32 no.1
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    • pp.15-20
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    • 2016
  • Physiologically based pharmacokinetic (PBPK) modeling can provide an effective way to utilize in vitro and in silico based information in modern risk assessment for children and other potentially sensitive populations. In this review, we describe the process of in vitro to in vivo extrapolation (IVIVE) to develop PBPK models for a chemical in different ages in order to predict the target tissue exposure at the age of concern in humans. We present our on-going studies on pyrethroids as a proof of concept to guide the readers through the IVIVE steps using the metabolism data collected either from age-specific liver donors or expressed enzymes in conjunction with enzyme ontogeny information to provide age-appropriate metabolism parameters in the PBPK model in the rat and human, respectively. The approach we present here is readily applicable to not just to other pyrethroids, but also to other environmental chemicals and drugs. Establishment of an in vitro and in silico-based evaluation strategy in conjunction with relevant exposure information in humans is of great importance in risk assessment for potentially vulnerable populations like early ages where the necessary information for decision making is limited.

Distributional Characteristics of Rare Plants Native to Chungnam Area in Korea (충남지역에 자생하는 희귀식물의 분포특성)

  • Shin, Hak-Sub;Han, Sang-Hak;Choi, Chul-Hyun;Son, Sung-Won;Yun, Chung-Weon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.21 no.3
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    • pp.83-98
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    • 2018
  • This study was conducted on rare plants distributed in Chungnam area from April, 2012 to November, 2017. The rare plant populations that are emerging are: Utricularia pilosa, Jeffersonia dubia, Iris ruthenica, Tipularia japonica, Calanthe discolor, Parasenecio pseudotaimingasa, Ranunculus kazusensis, Berchemia racemosa, Pogonia minor and Glehnia littoralis. According to the criteria of the International Union for Conservation of Nature (IUCN), plant resources in the rare species category were one important type (CR), three hazardous species (EN) and six vulnerable species (VU). As a result of analyzing characteristics of ecological environment and threats, five types of habitat types, two aquatic areas, two types of flatland and coastal sand dune distribution types were analyzed. The decreasing tendency of the rare plant populations in the surveyed area is judged to be artificial disturbance and habitat destruction rather than climate or environmental change. Considering the characteristics of habitat, conservation measures should be prepared for each population.

Preference for Heated Substrate in Captive River Cooters (Pseudemys concinna): A Potential Use for the Control of Invasive Populations

  • Kang, Hakyung;Borzee, Amael;Chuang, Ming-Feng;Jang, Yikweon
    • Animal Systematics, Evolution and Diversity
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    • v.37 no.1
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    • pp.9-14
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    • 2021
  • Invasive species threaten global biodiversity as well as human livelihood and much of the global lands are vulnerable to these threats. Numerous freshwater turtles from the northern hemisphere have been introduced in East Asian countries, including the Republic of Korea. Knowing turtle's behavioral ecology is valuable to manage introduced populations and a distinctive behavior is basking for behavioral thermoregulation. To understand the possibility of using basking to enhance trapping, we tested thermotaxis in the river cooter (Pseudemys concinna). Turtles were placed in an aquarium containing heated and non-heated mats under controlled water and air temperature, air humidity and light. We found that P. concinna stayed significantly longer on heated mats than on unheated control mats in 11 out of 18 trials, demonstrating that heat source is a potential attractant for P. concinna. We recommend the use of heat source to bait traps used for population control of invasive freshwater turtles.

Cumulative Impact Assessment Using Environmental Health Screening Tool in Seoul (환경보건 스크리닝 툴을 이용한 서울시 누적영향 평가)

  • Lim, Yu-ra;Bae, Hyun-joo
    • Journal of the Korean association of regional geographers
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    • v.20 no.4
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    • pp.444-453
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    • 2014
  • Inequality of environmental impact is forecast to deepen due to the damage of environmental risk by the interaction between environmental and social inequalities causing more harms to environmentally vulnerable population. This study assessed the integrated cumulative impact of Seoul using Environmental Health Screening Tool developed by Environmental Protection Agency of California. In order to screen vulnerable area to environmental health, 10 indexes have been selected according to the environmental burden of exposure to environment and public health effects, population characteristics of sensitive populations and socio-economic factors. As a result of assessment conducted on cumulative impact of Seoul for years 2009~2011 through Environmental Health Screening Tool, risk factor for districts of Gangseo and Gangnam of Seoul showed high - Gangseo area indicated high risk factor both in environmental burden and population characteristics, while Gangnam area appeared high in environmental burden. The result of survey will be able to suggest scientific basis to push through fair and effective environmental policy in consideration of environment vulnerable population.

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Development of Bus Notification Systems Based on IoT for Vulnerable Pedestrians (교통약자를 위한 사물인터넷 기반 버스 알림 서비스 시스템 개발)

  • Jang, Won-Chang;Park, Ji-Sang;Lee, Myung-Eui
    • Journal of Advanced Navigation Technology
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    • v.20 no.6
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    • pp.588-594
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    • 2016
  • As more populations are getting older, the number of vulnerable pedestrians is increasing, thereby social problems related to transportations also frequently occur in different areas and situations. Many of such problems come from bus drivers who may pass bus stops not recognizing passengers about to board. In this paper, we propose a new IoT bus notification system developed to avoid these situations. Our implementation aims to gain bus service routes using publicly opened data, notify passengers about bus stop locations using GPS information and finally deliver the positions of those passengers to the bus drivers so that they can hardly miss passengers who are willing to board on the right stop. By creating an application, it was conducted by means of a GPS to communicate the location of the vehicle by means of GPS and transfer data to the location of the vehicle. Experimental results show that it is possible to accurately determine the position of passengers even in a crowded race area. The average error distance is 31m, and if the data to be processed as error is excluded, it provides a high reliability as 19m.