• 제목/요약/키워드: vulnerable people

검색결과 387건 처리시간 0.034초

도시 빈곤 노인의 낙상발생 위험요인에 관한 연구 (Fall Risk in Low-Income Elderly People in One Urban Area)

  • 최경원;이인숙
    • 대한간호학회지
    • /
    • 제40권4호
    • /
    • pp.589-598
    • /
    • 2010
  • Purpose: The purpose of this study was to investigate the factors that increase of the risk for falls in low-income elders in urban areas. Methods: The participants were elderly people registered in one of public health centers in one city. Data were collected by interviewing the elders, assessing their environmental risk factors, and surveying relevant secondary data from the public health center records. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 14. Results: Stroke, diabetes, visual deficits, frequency of dizziness, use of assistive devices and moderate depression were statistically significant risk factors. The comorbidity of chronic diseases with other factors including depression, visual deficit, dizziness, and use of assistive devices significantly increased the risk of falls. From multiple logistic regression analysis, statistically significant predictors of falls were found to be stroke, total environmental risk scores, comorbiditiy of diabetes with visual deficits, and with depression. Conclusion: Fall prevention interventions should be multifactorial, especially for the elders with stroke or diabetes, who were identified in this study as the high risk group for falls. A fall risk assessment tool for low-income elders should include both the intrinsic factors like depression, dizziness, and use of assistive devices, and the extrinsic factors.

The Problems of Housing: The Case of the Marginalized in the City of Bangalore, India

  • Gowda, Krishne;Sridhara, M.V.
    • 토지주택연구
    • /
    • 제4권2호
    • /
    • pp.153-165
    • /
    • 2013
  • Deficiency in access to housing is a major manifestation of poverty. In the city of Bangalore, the poor and the marginalized constitute nearly 30 percent of the 8.47 million population (2011 Census) and are living in the nearly 640 slums in addition to squatter settlements and pavements. The city sprawls over an area of 741 sq. kms (2007 estimates) and the poor have very little access to personal living space. According to the Integrated Housing and Slum Development Program guidelines, each household with four average members should have 25 sq. meters of living space. In the case of poor of Bangalore, the attainment of even this minimum is a far cry. In recognition of this acuteness with regard to the problem of housing, the government has introduced schemes like the Jawaharlal Nehru National Urban Renewal Mission and the Rajiv Awas Yojana. And these schemes have witnessed only a limited success. Whenever the problem of housing for the urban poor is considered, the state and location of slums get into focus. The people living in slums are a crucial and inevitable support to the city economy. Relocation of slum people is fraught with loss of productivity and strain on the transport system and on the incomes of the poor. Their needs like housing, schooling, health centers, creches, hospices etc. have to be provided for. Financial support to the poor with regard to their housing needs will have to be imaginatively provided by banks and related institutions.

복합 영화상영관의 화재안전성능 개선대책에 관한 연구 (A Study on Measures to Acquire Fire Safety Performance of Multiplex Movie Theaters)

  • 손봉세;장희철;김태국
    • 한국화재소방학회논문지
    • /
    • 제20권4호
    • /
    • pp.116-124
    • /
    • 2006
  • 복합 영화관은 여러 계층 및 연령대의 불특정다수인이 동시에 영화를 편안하게 즐길 수 있는 문화공간이다. 이러한 다중이 이용하는 시설은 다른 일반 소방대상물에 비하여 상대적으로 안전에 취약한 점을 가지고 있다. 본 연구에서는 현재 국내에 있는 기존의 복합 상영관의 대표적인 모델을 선정하여 화재 및 피난시뮬레이션을 실시하여 피난안전에 대한 문제점을 분석하고, 각국의 관련기준과 비교하여 화재안전성능 확보에 필요한 내용을 파악하였다.

Hepatitis A Outbreak in a Facility for the Disabled, Gyeonggi Province, Korea: An Epidemiological Investigation

  • Chang, Yeonhwa;Kim, Chanhee;Kim, Nayoung;Kim, Joon Jai;Lee, Heeyoung
    • Journal of Preventive Medicine and Public Health
    • /
    • 제54권5호
    • /
    • pp.370-375
    • /
    • 2021
  • Objectives: The number of cases of hepatitis A virus (HAV) infections has sharply increased in Korea, especially among young adults. In this study, an HAV outbreak in a facility for disabled people was investigated, and we found epidemiological differences both between 2 different generations and between generally abled and disabled groups. Methods: We analyzed the incubation period and attack rate of an HAV outbreak and investigated the prevalence of HAV antibodies among the staff and residents of a facility for the disabled. We performed a retrospective cohort study during the HAV outbreak, which lasted from February 8 to 25, 2019, including examinations of HAV antibody tests and post-exposure HAV vaccination for the staff or residents of the facility. Results: There were 9 confirmed cases in 2 staff members and 7 residents. Among 53 people (30 staff and 23 residents), except for the 9 confirmed cases and 1 staff member with a known history of HAV infection, HAV seroprevalence was seen in 16.7% of the staff under 40 years of age and 95.2% of those over 40 years of age, while the corresponding rates in the residents were 0.0% and 58.8%, respectively. Conclusions: This result implies that it is necessary to prioritize HAV vaccination for vulnerable groups and workers of residential care facilities.

여성독거노인가구의 과부담 의료비 지출에 관한 연구 (The Financial Burden of Catastrophic Health Expenditure Among Older Women Living Alone)

  • 신세라
    • 가족자원경영과 정책
    • /
    • 제23권1호
    • /
    • pp.17-34
    • /
    • 2019
  • Older women who live alone are among society's most vulnerable people, since they experience increased risk of multiple chronic diseases and have limited financial protection. This can lead older women living alone to catastrophic health expenditure(CHE), which is defined as a healthcare expenditure that exceeds a certain portion of a household's ability to pay. Using the Korean Longitudinal Study of Ageing(KLoSA), this study investigated the incidence of CHE among older women living alone and identified the factors related to this incidence. Applying health expenditure thresholds of 10%, 20%, 30% and 40% of ability to pay, the proportions of those with CHE were 41.3%, 22.9%, 14.6%, and 9.4%, respectively. Logistic regression models were used to identify factors related to CHE incidence, which include demographics, income, the number of chronic diseases, perceived health status, and health insurance type. The results show that the health care safety net in South Korea is insufficient for older women living alone. The findings can guide policymakers in improving healthcare and welfare policies to protect people from catastrophic payments. Particularly, welfare policies should be established for poor non-recipients who are not included within the benefits scope of the National Basic Livelihood Security System due to the unrealistic criteria of income recognition and family support obligation.

항생펩타이드의 기능과 적용분야 (The Function and Application of Antibiotic Peptides)

  • 이종국;;박윤경
    • 공업화학
    • /
    • 제22권2호
    • /
    • pp.119-124
    • /
    • 2011
  • 현재, 사람들은 많은 병에 노출되어 있다. 산업화의 빠른 변화는 생산시설의 자동화, 정보 통신 산업기술의 발달로 삶의 질이 향상되었으나, 신체활동의 감소와 환경오염으로 인해 환경적 스트레스와 병원균 감염 반응에 대한 인간의 면역체계가 악화되었다. 아울러 현재 약물의 오 남용으로 다재약물내성을 갖는 미생물들(multidrug-resistant microbes)과 암세포(tumor)의 출현으로 인해 새로운 항생제 개발이 시급하다. 그들 중 하나가 항생 펩타이드(antibiotic peptide)로 기존 약물과 비교하면 약물저항성이 거의 일어나지 않는다. 여러 가지 항생활성을 가지는 펩타이드들은 다양한 생명체로부터 동정되고 있다. 이 논문은 항생 펩타이드들의 활성과 적용분야에 대해 논하려 한다.

The Effect of Kinesiology Taping on Suprahyoid Muscles Activity in Community-Dwelling Elderly People

  • Kim, Heejeong;Choi, Heesu;Kown, Yonghwa
    • 국제물리치료학회지
    • /
    • 제12권2호
    • /
    • pp.2338-2344
    • /
    • 2021
  • Background: The therapeutic exercise method using kinesiology taping (KT) has been reported to be effective in activating the suprahyoid muscle in healthy adults. However, its applicability and effectiveness are not known to the physically vulnerable elderly. Objectives: To investigate the effects of kinesiology taping on the activity of suprahyoid muscles in community-dwelling elderly people. Design: Repeated measure design. Methods: We enrolled 23 healthy elderly adults (age range 60-75 years) with no history of neurologic disease. Participants performed five consecutive spontaneous swallowing actions at 5-second intervals under three conditions (KT with 80% stretch, placebo-KT, and non-KT. Activation of the suprahyoid muscles during swallowing in the three conditions was measured using surface electromyography (sEMG). In addition, a 0-10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Results: KT with 80% stretch were significantly higher in sEMG mean value, peak value, required effort, and resistance felt during swallowing compared to other two conditions (P<.05, all). KT with 80% stretch required the most effort during swallowing and, consequently, has a positive effect on increasing suprahyoid muscle activation. Conclusion: Our results could be taken into consideration in therapeutic exercise method for suprahyoid muscle in dysphagia rehabilitation.

장애인 전동휠체어 교통안전에 관한 연구 (A Study on the Traffic Safety of Electric Wheelchair for Disabled Persons)

  • 권성철;권창희
    • 통합자연과학논문집
    • /
    • 제15권2호
    • /
    • pp.83-87
    • /
    • 2022
  • In this study, through a survey on traffic safety campaigns for electric wheelchairs for the disabled, we found out what is necessary to solve the inconvenience of disabled people driving electric wheelchairs and living in society. The conclusions for each role of the severely disabled are as follows. The government has enacted a law on fostering convenience facilities for the disabled in accordance with reality so that the disabled, who are vulnerable to transportation, do not have any inconvenience in their social lives. However, it is not kept in reality, so there are many obstacles to the social activities of the disabled. In addition, local governments should subscribe to electric wheelchair insurance for the disabled to minimize the damage to the disabled in the event of an electric wheelchair accident. Organizations related to the disabled provide safety wheelchair driving education to prevent electric wheelchair accidents in advance and receive complaints about inconvenience. It can be concluded that people with severe disabilities can prevent accidents in advance by installing a moving ring tone on an electric wheelchair so that they can know the movement of the surrounding wheelchair.

후기 노인의 정보통신기술 활용이 인지기능에 미치는 영향: 사회적 참여와 우울의 직렬매개효과 (The Effects of Information Communication Technology on Cognitive Function in Old Age: Verification of the Serial Mediation Effects of Social Participation and Depression)

  • 이한주
    • 한국보건간호학회지
    • /
    • 제36권2호
    • /
    • pp.240-252
    • /
    • 2022
  • Purpose: The purpose of this study was to draw practical implications applicable to the field by analyzing a double-mediator model of social participation and depression in relation to the utilization of Information Communication Technology (ICT) and cognitive function. Methods: The data from the Fifth Living Profiles of Older People Survey in Korea was used, and the sample included 3,925 people, 75 years of age or older. Descriptive statistics, correlation analysis, and the PROCESS macro test were used for verification of the double mediator model. Results: The results were as follows: First, ICT utilization was rated at an average of 1.4 out of 10, social participation at an average of 1.1 out of 7, depression at an average of 3.72 out of 15, and cognitive function at an average of 22.42 out of 30. Second, ICT utilization has a significant effect on cognitive function. Third, the mediating effects of social participation between ICT utilization and cognitive function were significant. Fourth, the mediating effects of depression between ICT utilization and cognitive function were not significant. Fifth, the serial double mediator effects leading to ICT utilization, social participation, depression, and cognitive function were significant. Conclusion: The study discussed the implications of maintaining and protecting cognitive function in the vulnerable elderly through the utilization of ICT.

Traffic management for large-scale evacuation with public transportation and calculation of appropriate operating ratio

  • Ham, Seunghee;Lee, Jun;Lee, Sang Jo
    • Nuclear Engineering and Technology
    • /
    • 제54권9호
    • /
    • pp.3347-3352
    • /
    • 2022
  • In 2013, the International Atomic Energy Agency (IAEA) changed the recommended maximum range of the Emergency Planning Zone (EPZ) to 30 km, and the Kori Nuclear Power Plant in Republic of Korea has also expanded the EPZ to 30 km, following the recommendation. As a result, metropolitan cities with a high population density are contained within the EPZ, and evacuating millions of people should be considered if the 30 km range of evacuation is to take place. This study proposes an evacuation plan using buses (public transportation) to transport people outside of the EPZ, quickly and efficiently. To verify the appropriate mode share ratio of buses that can guarantee the right of vulnerable road users and reduce traffic congestion, a model was built simulating the Kori Nuclear Power Plant in Ulsan Metropolitan City. The scenarios were established by changing the mode share ratio of buses and passenger cars by 10%. Considering a large-scale network analysis at the city level, a cell transmission model was applied to calculate the evacuation time in each scenario. The result shows that the optimal mode share ratio of buses is 40%, with a total evacuation time of 132 min, considering feasible bus fleets in Ulsan Metropolitan City.