• Title/Summary/Keyword: vulnerable

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A Descriptive Research on Field Situation of Customized Modification for Vulnerable Single Elderly Home (사회취약 독거노인 주택의 맞춤형 개조 현장상황 기술 연구)

  • Lee, Yeun-Sook;Kim, Yun-Soo;Sung, Cho-Hee;Shin, Yoo-Jin;Cho, Won-Seob
    • Journal of the Korean housing association
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    • v.28 no.3
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    • pp.55-64
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    • 2017
  • Elderly population has increased rapidly and adjusting the environment is in demand to support their health. To improve the living environment of elderly, an appropriate plan for customized home modification is needed upon the personal contexts. The purpose of this study is to explain the sequence and to build an insight on customized home modification for vulnerable single elderly. It is a case study based on single target that includes 6 months of execution period deeply seeking the appropriate plan for implementation. The target is a male elderly aged 74 living in a single story detached house. The various research methods are applied in this study including exploratory, participatory, action and trade-off preference researches. The result shows that plan for home modification is complex outcome of interlocking uniqueness between residence environment and resident situation. If customized modification is targeted for residentially vulnerable social group, more sensitive approach aiming for the highest result is required due to financial constraint. To conclude, comprehensive understanding of overall circumstances of a dwelling, a resident and various stakeholder is essential throughout the process. Since the aging-in-place of elderly cannot be achieved without self-sustaining living environment, customized home modification should be a tool to meet housing suitability. It is important to strengthen the experts and future workforce with networks of local residents to share opinions and appropriate plans.

A Study on Related Factors Use of Health Information and Health Literacy Among the Vulnerable Elderly in Community (지역사회 취약계층 노인의 건강정보 이용현황 및 건강정보 이해능력 관련요인)

  • Lee, Bo Young;Jung, Su Mi
    • Journal of agricultural medicine and community health
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    • v.43 no.3
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    • pp.147-157
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    • 2018
  • Objectives: The aim of this study is to measure health literacy levels and to identify health literacy related factors in vulnerable elders. Methods: The research design for this study was a descriptive survey design using convenience samples. Data collection was done by interviewing questionnaire with 200 elders from welfare centers in the cities. Data were analyzed by using percentage, Chi-square and multiple logistic regression with the IBM SPSS Statistics Ver. 24.0. Results: The results of this study are as follows: Vulnerable elders' sources of health information levels were very low, especially internet. In multiple logistic regression analysis, monthly income, sources of health information were significant accounted for OR 2.201, p<.05, OR 2.989, p< .01 health literacy. Conclusion: These results suggest that interventions for improving health literacy are necessary to enhance elders' finding of health information. Also, these results could be used in developing health literacy programs by internet.

Vulnerability Assessment of Rice Production by Main Disease and Pest of Rice Plant to Climate Change (기후변화에 따른 주요 벼 병해충에 의한 벼 생산의 취약성평가)

  • Kim, Myung-Hyun;Bang, Hea-Son;Na, Young-Eun;Kim, Miran;Oh, Young-Ju;Kang, Kee-Kyung;Cho, Kwang-Jin
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.16 no.1
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    • pp.147-157
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    • 2013
  • Rice is a main crop and rice field is the most important farmland in Korea. This study was conducted to propose the methodology assessing impact and vulnerability on rice production by climate change at the regional and national level in Korea. We evaluated a vulnerability of rice paddy according to the outbreak of a main disease and pest of a rice plant. As results, Jeju-do, Gyeongsangnam-do, and Jeollanam-do were more vulnerable area than others. In contrast, the southern central region including Gyeonggi-do was less vulnerable than others. The vulnerable index was significantly higher in 2050s (0.5589) than in present (0.3500). This result showed that the vulnerable to the disease and pest enlarge in the future. The adaptive capacity highly contributed to the vulnerability assessment index. The daily maximum temperature of June and the daily average temperature from May to August also contributed the climate exposure index. The area of occurring sheath blight, rice leaf blast and striped rice borer was related to the system sensitivity index. The ability of water supply (readjustment area of arable land per paddy field area) and rice production technique (rice yield per hectare) were the highly contributed variables to the adaption capacity index.

Evaluation of Visiting Nursing Services for the Vulnerable Family in Urban Community (도시지역 취약가구의 방문간호서비스 평가)

  • Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.56-66
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    • 2004
  • Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

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Vulnerable Occupations to COVID-19 and Measures for Protecting Workers from Infectious Biological Hazards at Workplaces (우리나라 COVID-19 확진자 직업 분포와 노동자 보호 방안)

  • Hong, Jongwoo;Choi, Sohyeon;Park, Jeongim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.30 no.3
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    • pp.256-269
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    • 2020
  • Objectives: Everyone has been affected in some way by the COVID-19 pandemic, while some workers face threats to their health due to their jobs as well as worries about spreading the virus to intimate family members. With these concerns in mind, this study aims to identify occupations more vulnerable to COVID-19 and suggests the necessity of providing proper control measures against the risks in a timely manner in Korea. Methods: Daily briefing reports by the Korea Centers for Disease Control and Prevention (KCDC) were compiled (n=120) between January 20 and May 31, 2020. A total of 11,486 confirmed cases were included, which were sorted by occasion, area, and occupation. Among them, 2,411 cases were classified with specific occasions and/or areas of infection, while only 544 cases were determined with identifiable occupations. Guidelines for biological hazard management and COVID-19 guidelines for workplaces from domestic and international bodies were enlisted and compared. Results: It is unsurprising to find that healthcare professionals are experiencing the most immediate threat from COVID-19. In addition, service workers with face-to-face practices or indirect contact are also facing high risks. Religion facilities and eating places (dining, drinking bar, café, etc.,) follow. Guidelines and manuals for biological hazards are still lacking in Korea compared to the US and EU. Workplace manuals for managing COVID-19 are neither as comprehensive as the approaches of NIOSH's hierarchy of controls nor inclusive enough for minimizing secondary or tertiary suffering. Conclusions: The COVID-19 crisis is still ongoing and there is no doubt there will be more such events in the future. This analysis suggests that occupational health professionals, amid a pandemic including COVID-19, are urged to anticipate emerging risks related to all sorts of occupations, identify vulnerable workers and working environments, and plan and take actions to protect workers' health.

A Trace of Landcover Change in a Landslide Vulnerable Area (산사태 취약지에서의 토지피복상태 변화 추적)

  • Chun, Ki-Sun;Park, Jae-Kook
    • Journal of Korean Society for Geospatial Information Science
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    • v.15 no.3
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    • pp.69-76
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    • 2007
  • Kangwondo area is mountainous and landslide is easily happened easily during the rainy period in summer time. Especially, when there is torrential downpour caused by the unusual weather change, there will be greater possibility to see landslide. Another reason behind landslide is the continuous forest fire in these several years. Since the surface of the earth has been changed by the fire, when rainfall comes, landslide just happens easily. Also, it is reported that landcover condition, excepted rainfall condition, is the most effect for determining landslide susceptibility area. In this study, it is determined a landslide vulnerable area and landcover information is extracted from four satellite image(Landsat TM), about the landslide vulnerable area, which is pictured for each year. And which distribution change is analyzed. also, NDVI picture is made and distribution change of vegetation vitality is analyzed to study that change of landcover have a effect on landslide. As a result, could know that forest and NDVI are decreasing in landslide vulnerable area.

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Analyzing Vulnerable Software Code Using Dynamic Taint and SMT Solver (동적오염분석과 SMT 해석기를 이용한 소프트웨어 보안 취약점 분석 연구)

  • Kim, Sungho;Park, Yongsu
    • KIISE Transactions on Computing Practices
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    • v.21 no.3
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    • pp.257-262
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    • 2015
  • As software grows more complex, it contains more bugs that are not recognized by developers. Attackers can then use exploitable bugs to penetrate systems or spread malicious code. As a representative method, attackers manipulated documents or multimedia files in order to make the software engage in unanticipated behavior. Recently, this method has gained frequent use in A.P.T. In this paper, an automatic analysis method to find software security bugs was proposed. This approach aimed at finding security bugs in the software which can arise from input data such as documents or multimedia. Through dynamic taint analysis, how input data propagation to vulnerable code occurred was tracked, and relevant instructions in relation to input data were found. Next, the relevant instructions were translated to a formula and vulnerable input data were found via the formula using an SMT solver. Using this approach, 6 vulnerable codes were found, and data were input to crash applications such as HWP and Gomplayer.

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.

Using Quality of Life Scales with Nutritional Relevance after Gastrectomy: a Challenge for Providing Personalized Treatment

  • Lee, Seung Soo;Yu, Wansik;Chung, Ho Young;Kwon, Oh Kyoung;Lee, Won Kee
    • Journal of Gastric Cancer
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    • v.17 no.4
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    • pp.342-353
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    • 2017
  • Purpose: This study evaluated the changes in nutritional status based on quality of life (QoL) item-level analysis to determine whether individual QoL responses might facilitate personal clinical impact. Materials and Methods: This study retrospectively evaluated QoL data obtained by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) and Quality of Life Questionnaire-Stomach (QLQ-STO22) as well as metabolic-nutritional data obtained by bioelectrical impedance analysis and blood tests. Patients were assessed preoperatively and at the 5-year follow-up. QoL was analyzed at the level of the constituent items. The patients were categorized into vulnerable and non-vulnerable QoL groups for each scale based on their responses to the QoL items and changes in the metabolic-nutritional indices were compared. Results: Multiple shortcomings in the metabolic-nutritional indices were observed in the vulnerable groups for nausea/vomiting (waist-hip ratio, degree of obesity), dyspnea (hemoglobin, iron), constipation (body fat mass, percent body fat), dysphagia (body fat mass, percent body fat), reflux (body weight, hemoglobin), dry mouth (percent body fat, waist-hip ratio), and taste (body weight, total body water, soft lean mass, body fat mass). The shortcomings in a single index were observed in the vulnerable groups for emotional functioning and pain (EORTC QLQ-C30) and for eating restrictions (EORTC QLQ-STO22). Conclusions: Long-term postoperative QoL deterioration in emotional functioning, nausea/vomiting, pain, dyspnea, constipation, dysphagia, reflux, eating restrictions, dry mouth, and taste were associated with nutritional shortcomings. QoL item-level analysis, instead of scale-level analysis, may help to facilitate personalized treatment for individual QoL respondents.

Estimation of the National Burden of Disease and Vulnerable Population Associated with Natural Disasters in Korea: Heavy Precipitation and Typhoon

  • Han, Hyun-Jin;Kim, Jong-Hun;Chung, Soo-Eun;Park, Jae-Hyun;Cheong, Hae-Kwan
    • Journal of Korean Medical Science
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    • v.33 no.49
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    • pp.314.1-314.15
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    • 2018
  • Background: Despite its growing significance, studies on the burden of disease associated with natural disasters from the perspective of public health were few. This study aimed at estimating the national burden of disease associated with typhoons and torrential rains in Korea. Methods: During the period of 2002-2012, 11 typhoons and five torrential rains were selected. Mortality and morbidities were defined as accentual death, injury and injury-related infection, and mental health. Their incidences were estimated from National Health Insurance Service. Case-crossover design was used to define the disaster-related excess mortality and morbidity. Disability-adjusted life years (DALYs) were directly assessed from excess mortality and morbidity. Results: The burden of disease from typhoons increased with the intensity, with 107.7, 30.6, and 36.6 DALYs per 100,000 per event for strong, moderate, and weak typhoons, respectively. Burden of disease from torrential rains were 56.9, 52.8, and 26.4 DALYs per 100,000 per event for strong, moderate, and weak episodes, respectively. Mental disorders contributed more years lived with disability (YLDs) than did injuries in most cases, but the injury-induced YLDs associated with strong typhoon and torrential rain were higher than those of lower-intensity. The elderly was the most vulnerable to most types of disaster and storm intensities, and males younger than 65 years were more vulnerable to a strong torrential rain event. Conclusion: The intensity of torrential rain or typhoon was the strongest determinant of the burden of disease from natural disasters in Korea. Population vulnerable may vary depending on the nature and strength of the disasters.