• 보건의료산업학회지
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• 제8권3호
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• pp.169-179
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• 2014

The aim of this study was to understand the factors related to depression according to gender in vulnerable elderly. We conducted a cross-sectional study with 1,709 elderly beneficiaries of the visiting health care program in Seoul. Depression was measured using the Geriatric Depression Scale Short Form Korea Version(GDSSF-K) questionnaire. Depression score was mild level in vulnerable elderly. There was no gender difference in depression level. Factors related to depression differ by gender. In the elderly men, higher depression showed significant correlation with a lower level of health-related quality of life(HRQOL) and self-rated health(SRH). In addition, higher depression was observed for elderly men living alone than for those living with family. These factors explained depression by 23.1%. In the elderly women, higher depression showed significant correlation with a lower level of HRQOL, SRH and a higher dependence of instrumental activities of daily living. In addition, higher depression was observed for elderly women who has fall experience. These factors explained depression by 22.8%. Gender-specific nursing strategies may be required for prevention of depression in vulnerable elderly.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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• pp.1739-1742
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• 2011

Public transportation network in our country is concentrated and advanced focusing on urban area in order to secure economic feasibility. As a result, as dependence on private vehicles is relatively getting higher in public transportation vulnerable area, traffic problem occurs since the average running speed in urban area is 22.5km/h. This paper has an objective to suggest an improvement plan by selecting public transportation vulnerable area, and defining according to urban structure, formation and function, and understand traffic characteristics and draw problems. As a method selecting public transportation vulnerable area, an area with high division rate of vehicle was selected as a primary proposed site by calculating division rate of means of public transportation according to area. Final proposed site was selected by using GIS Buffering technique aiming at selected proposed site, and selecting non-benefit area 500m outside, which is the road limit distance from each subway and bus station. Lastly, the degree of improvement effect was studied by constructing imaginary public transportation network aiming at final proposed site and comparing to the amount of change in division rate of means of transportation.

• 대한간호학회지
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• 제43권6호
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• pp.791-800
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• 2013

Purpose: This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders. Methods: Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and covariance structure analysis were performed using SPSS Version 18.0 for Windows and Amos 16.0. Results: The hypothetical model had an acceptable fit: GFI=.97, CFI=.95, RMSEA=.02, SRMR=.05. The factor "case managers' singularity" had the greatest impact on case management outcomes in this model. In addition, the factor "case management practice" influenced case management outcomes; however, client characteristics did not. Case managers' singularity affected case management outcomes directly and indirectly, with case management practice mediating the latter effect. Conclusion: These results suggest that the causal relationship between case management outcomes and factors influencing these outcomes should be clarified through longitudinal research including a variety of client characteristics. In addition, in future studies, analysis of the effects of programs to improve manpower quality and examine the relationships among case management outcomes should be done.

• 한국안전학회지
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• 제32권1호
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• pp.121-127
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• 2017

Recently, many patients in a hospital are threatened life by fire disaster. Because many patients like vulnerable people have more evacuation problem than ordinary person. So a patient who can escape by oneself with walking assistance device like crutches or wheelchair and another patient who can't escape by oneself are should be supported safety technologies and service. Earlier research of 'hospital evacuation' led by actual experiments or computer evacuation simulation. Actual experiment is effective to gain credibility of result but it is difficult for patients to experiment repeatedly and it requires consideration for spatial problem and economic problems. Although computer evacuation simulation have been used to solve these problems, almost have concluded only results based on velocity without evacuation device. In this study, evacuation results with support device application or not are analysed used by computer evacuation simulation based on MAS(Multi Agent System). As a result, it is drawn through proof of efficiency of evacuation device in the vertical space like stairs that can improve the evacuation plan for vulnerable people in the hospital.

• 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.

• International Journal of Advanced Culture Technology
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• 제6권2호
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• pp.43-50
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• 2018

In this study, It is utilized 103 management panic data about social enterprises in Chungnam area (Chungnam, Daejeon, Sejong) region from 2011 to 2017. The organizational characteristics (organizational type, type of certification, company's region, external grants, paid employees) were set as independent variables with economic performance (sales) and social performance (employment of vulnerable class) as dependent variables. We analyzed the factors affecting the economic and social performance of social enterprises and confirmed the correlation between economic and social performance. The results of this study are as follows: First, the organizational characteristics of social enterprises showed a significant difference in sales as economic performance. External grants have no positive effect on the economic performance (sales) of social enterprises, while paid workers have a positive (+) influence on the economic performance. Second, the organizational characteristics of social enterprises showed significant differences in employment of the vulnerable class, which is social performance. Only the paid workers had a statistically significant relationship with the social performance of the social enterprise. Third, the correlation between economic performance (sales) and social performance (employment of the vulnerable class), which is the result of social enterprise, is shown. This can enhance a social enterprises' sustainable growth and self-sufficiency by improving the employment of vulnerable people, the economic performance of a social enterprise, which is sales and social performance, and ultimately can manifest the value and purpose of the social enterprise.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2004년도 Proceedings of ISRS 2004
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• pp.264-267
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• 2004

In identifying flood vulnerable areas, three methods are generally deployed: the geomorphology method which is based on topographic features; the past evidence method based on observed data of past actual floods; and, prediction of flood areas through hydrologic models. This study aims to improve the prediction model of the geomorphology method through the application of fuzzy method in GIS modeling. The generally used GIS method of superimposing thematic map layers assumes crisp boundaries of the layers, which results in either risk-averse solutions or risk-taking solutions. The introduction of fuzzy concepts to processing of evaluation criteria (DEM, slope, aspect) solves this problem. As the result of applying the fuzzy method to a test site in the west Nak-Dong river, similar flood vulnerable areas were predicted as when using the conventional Boolean criteria. The resulting map, however, showed varying degree of uncertainty of flooding in these areas. This extra information is deemed to be valuable in taking phased actions during flood response, leading to a more effective and timely decision-making.

• 대한조선학회논문집
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• 제48권5호
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• pp.404-413
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• 2011

It is important to assess and improve the warship survivability for the weapon threats which have a critical effect on warship. The survivability of the warship is defined as the capability of a warship to avoid or withstand a man-made hostile environment. The survivability of the warship consists of three categories (Susceptibility, Vulnerability and Recoverability). Firstly, the susceptibility is defined as the inability of a warship to avoid radars, guns, missiles and etc. Secondly, the vulnerability is defined as the inability of a warship to withstand the man-made hostile environment. Finally, the recoverability is defined as the ability of a warship to recover the damaged components and systems. Among them, this paper has described the vulnerability assessment for the hypothetical system which is composed of critical components. Also, the procedure which is suggested to calculate the vulnerable probability of the damaged warship is based on the Vulnerable Area Method.

• Journal of Yeungnam Medical Science
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• 제21권2호
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• pp.143-150
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• 2004

A thromboembolic stroke is believed to be precipitated by a rupture of vulnerable atheromatous plaques. Until recently the assessment of a further risk of stroke in high-risk patients in whom atherosclerosis has presented with a transient ischaemic attack (TIA), has been confined to a quantitative assessment of the luminal patency of the internal carotid artery. These traditional stratification parameters are no longer believed to be the most accurate predictors of a thrombo-embolism. This is because the process of vessel wall remodeling can maintain a luminal patency, and consequently, quite large friable plaques may remain unidentified. Accordingly, there is a need for an improved risk assessment. The fibrous cap of a vulnerable plaque is thinner, and an intraplaque hemorrhage and inflammation can occur during the development of atherosclerotic plaque. Several imaging methods for identifying vulnerable plaques have been developed. Recently, high resolution magnetic resonance (MR) imaging has emerged as an accurate non-invasive tool that can characterize the carotid plaque components in vivo. A High resolution carotid magnetic resonance is capable of distinguishing an intact, thick fibrous cap from a thin and ruptured cap in carotid plaque. In addition, a plaque MR can identify the active inflammation and detect a hemorrhage. High resolution carotid MR imaging is a valuable noninvasive method for quantifying the plaque components and identifying vulnerable plaque.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권2호
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• pp.19-26
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• 2017

Purpose: With the increasing of public-use facilities, there has been a growing concern over Indoor Air Quality(IAQ) of public-use facilities. Because the facilities are easy to be exposed to indoor air pollutants, they needs to be periodically managed the IAQ. Methods: In this study, indoor air pollutant concentrations of 24 vulnerable facilities were measured and compared. The measurements were conducted for pollutants which are defined in 'IAQ Control In Public-Use Facilities, etc. Act'. We took two measurements, the first was carried out in summer and the second was proceeded in winter. We analyzed the values according to the type of facilities and pollutants. Results: There was a difference in pollutant concentrations by the season and in occurrence characteristics by the measurement spot. Therefore, we need to manage pollutant concentrations by characteristics of occurrence. Implications: Based on the comparative analysis of pollutant concentrations, we suggested cause and improvement strategies for IAQ management of Vulnerable facilities.