• Journal of Korean Society of Rural Planning
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• v.26 no.2
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• pp.51-59
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• 2020

In this study, we analyzed the characteristics of 511 agricultural districts through statistical data, and classify these districts as the vulnerable area to drought through correlation and cluster analysis. The criteria for classification was related to ground-water recharge, irrigation water demand, and water supply. As a result, 8 types of agricultural districts were extracted. For example, the type 1 indicated the high priority area for ground-water development, thus the districts which were classified as type 1 showed ground-water use was less than 80 % of maximum capacity, and irrigation water supply was only 37.5 % and 76.5 % of irrigation water demand in upland and paddy field, respectively. As a result, 44 of 511 districts were classified as type 1.36 districts (types 5-8) were areas where groundwater development is limited. The results of this study are expected to provide useful information for establishing the direction of the rural area development project in connection with the revitalization of policy of people return to rural area.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.587-597
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• 2003

Purpose: The purpose of this study was to estimate the demand and supply of visiting nursing services provided by health centers in urban area, aiming at strengthening infrastructure, which may improved the quality of life and health status of vulnerable population in the community. Methods: This study was conducted through nominal group discussion, focus group study. The demand and supply of visiting nursing were estimated by health economists based on the secondary analysis data from 25 health centers in Seoul. Result: Primary targets for the visiting nursing must be people who are homebound in the community. They can be classified into: a group of Level I: chronic patients who need visiting nursing care at least once a week: and a group of Level II: vulnerable families that need management periodically e. g. twice a month. Based on the estimation of demand for visiting nursing services in the community, the estimated supply required was $651{\sim}770$ visiting nurses including home health nurses in visiting nursing programs based on health centers in Seoul. Conclusions: The estimated demand and supply of visiting nursing are expected to provide basic data for establishing alternative policies on visiting nursing infrastructure that might be accomplished through demand-based visiting nursing programs by districts.

• Journal of Korean Academy of Nursing
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• v.37 no.2
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• pp.201-207
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• 2007

Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

• Journal of Korean Society of Rural Planning
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• v.21 no.1
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• pp.19-28
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• 2015

As environmental concerns including climate change drive the strong regulations for car exhaust emissions, electric vehicles attract the public eye. The purpose of this study is to identify rural areas vulnerable for charging infrastructures based on the spatial distributions of the current gas stations and provide the target dissemination rates for promoting electric cars. In addition, we develop various scenarios for finding optimal way to expand the charging infrastructures through the administrative districts data including 11,677 gas stations, the number of whole national gas stations. Gas stations for charging infrastructures are randomly selected using the Monte Carlo Simulation (MCS) method. Evaluation criteria for vulnerability assessment include five considering the characteristic of rural areas. The optimal penetration rate is determined to 21% in rural areas considering dissemination efficiency. To reduce the vulnerability, the charging systems should be strategically installed in rural areas considering geographical characteristics and regional EV demands.

• 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.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.38 no.5
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• pp.487-496
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• 2020

This study introduces how GISs (Geographic Information Systems) are used to assess spatial disparities in urban green spaces in the Chicago. Green spaces provide us with a variety of benefits, namely environmental, economic, and physical benefits. This study seeks to explore socioeconomic relationships between green spaces and their surrounding communities and to evaluate spatial disparities from a variety of perspectives, such as health-related, socioeconomic, and physical environment factors. To achieve this goal, this study used spatial statistics, such as optimized hotspot analysis, network analysis, and space-time cluster analysis, which enable conclusions to be drawn from the geographic data. In particular, 12 variables within the three factors are used to assess spatial disparities in the benefits of the use of green spaces. Finally, the variables are standardized to rank the community areas and identify where the most vulnerable community areas or parks are. To evaluate the benefits given to the community areas, this study used the z- and composite scores, which are compared in the three different combinations. After identifying the most vulnerable community area, crime data is used to spatially understand when and where crimes occur near the parks selected. This work contributes to the work of urban planners who need to spatially evaluate community areas in considering the benefits of the uses of green spaces.

• Journal of Korean Academy of Rural Health Nursing
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• v.16 no.1
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• pp.18-28
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• 2021

Purpose: This study attempted to confirm whether the suicide prevention effect could be achieved by managing the frailty of the elderly in rural areas. Methods: This study is a single-group pre-post study design. The frailty management program was applied twice a week for 12 weeks for the vulnerable elderly in the rural area from 16th April to 31st May in 2020. The program consisted of physical exercise, health education on nutrition management and disease control, cognitive training, and protein drink provision. Results: The average age of the participants was 77.1 years, and they lived alone (88.6%). As a result of providing the program, there were positive results such as increase in body strength (pre 12.27: post 13.27) and weight (pre 58.51: post 59.13), and decrease in depression (pre 4.66: post 1.20), and there was no statistically significant change in quality of life, Time Up & Go, and BMI. Conclusion: Frailty should be managed to prevent suicide in the elderly. It is necessary to expand and apply various programs that combine physical functions and emotional interventions such as health education, and exercise to maintain muscle strength.

• The Journal of Korean Physical Therapy
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• v.35 no.2
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• pp.37-42
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• 2023

Purpose: Compared to cities, rural areas are in a medical blind spot and face difficulties in accessing medical services due to inconvenient transportation facilities, lack of medical facilities, and the heavy burden of medical expenses. This study was carried out to identify the problems relating to the musculoskeletal system of the elderly in rural and fishing villages, which are medically vulnerable areas, and sought to present a regionally differentiated healthcare model. Methods: The study was conducted in 80 elderly people in two rural villages and two fishing villages after seeking inputs regarding medically vulnerable groups in the Gyeongnam Province. Postural balance and muscle flexibility were assessed and postural evaluation was conducted to identify musculoskeletal problems and gait stability. Strength and range of motion for each body segment were assessed for evaluating functional motion. Results: The elderly in both rural areas showed forward head posture characteristics. The strength level of the elderly in both rural areas was higher than the average, but their flexibility and balance ability were lower than the average. Conclusion: The musculoskeletal problems of the elderly in rural and fishing villages in this study did not show regional characteristics according to the area of residence. However, overall flexibility and balance ability appeared to be reduced. Therefore, a new management model connecting the region and the university is necessary in preparation for the coming era of community care.

• Journal of Wellbeing Management and Applied Psychology
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• v.6 no.4
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• pp.63-68
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• 2023

Purpose: This study aims to investigate the national obligation of public health support for residents in medically vulnerable areas in Korea, and to propose a suitable model for public health institutions in this region. Research design, data, and methodology: A survey targeting residents was conducted from August 10 to August 17, 2021, with a sample size of 177 general citizens. The survey utilized a structured questionnaire administered online through Google, employing convenience random sampling. After an editing process to ensure data accuracy, the final dataset of 174 valid samples underwent encoding, coding, and cleaning using the IBM SPSS Statistics 22.0 program for analysis. Results: Health status revealed a moderate level, and 63.8% reported having chronic diseases, particularly prevalent among the elderly. External healthcare institutions were commonly utilized, with proximity and competence of doctors being primary reasons. Respondents expressed a need for improving the public health and medical system, emphasizing the establishment of a County Health Centre and expanding medical departments. Conclusions: In this region, the region's unique challenges, including education, employment, population decline, aging, and transportation, require multidimensional efforts and urgent intervention by public entities. Long-term strategies involve considering the establishment of a health and medical institute, adjusting health centre resources to local realities, and fostering a cooperative system for collaboration among residents and institutions.

• Journal of Soil and Groundwater Environment
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• v.20 no.7
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• pp.23-33
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• 2015

This study was conducted to provide the preliminary data on preparation for policy decisions regarding the groundwater supply scheme for N. Korea vulnerable to drought. Agricultural activities oriented to upland field due to the mountainous terrain more than 79% as well as the diversity of rainfall distribution over the country make more vulnerable to structural problems in the drought in N. Korea. Therefore, in anticipation of the expansion of exchange policies in agricultural sector, the available amount of groundwater needed for sustainable water resources supply was estimated for each administrative district after analyzing alluvium and hydrogeology distribution in N. Korea. Overall, the available amount of groundwater was estimated to 22.3 billion m³ (0.18 million m³/km²). The available amount of groundwater per unit area in Ryanggangdo and Gaesungsi was appeared very high in each of 0.56 and 0.39 million m³/km², respectively, and it would be interpreted that two districts have relatively wide area of volcanic rocks and alluvium with highly permeable characteristics, respectively. Finally, to maximize the utilization of this study result, the available amount of groundwater distribution map was developed on the basis of the 1 × 1 km grid network over the entire N. Korea.