• Title/Summary/Keyword: Vulnerable Community

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A Delphi Study for Development of Disaster Nursing Education Contents in Community Health Nursing (지역사회간호학 재난간호교육 콘텐츠 개발을 위한 델파이 조사)

  • Kim, Chunmi;Han, Song Yi;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.555-565
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    • 2021
  • Purpose: This study was conducted to develop the contents of disaster nursing education in community health nursing at universities. Methods: To validate contents, the Delphi method was used. We categorized two domains(indirect disaster management and direct disaster management) and developed 48 draft items. This study applied two round surveys and 23 experts participated in this study. The content validity was calculated using content validity ratio and coefficient of variation. Results: Indirect disaster management domain was composed of three categories including 12 items: 1) Understanding of the disaster, 2) disaster management system, and 3) response by disaster stage and recovery. Direct disaster management domain was composed of nine categories including 30 items: 1) Ethical considerations, 2) communication in disasters, 3) nursing activity by disaster stage, 4) emergency nursing in disasters, 5) patient severity classification in disasters, 6) disaster nursing for vulnerable groups, 7) disaster nursing for victims, 8) psychosocial nursing and health in disasters, and 9) cases of disaster nursing in communities. Conclusion: This Delphi study identified the contents of disaster nursing education curriculum, and confirmed the validity for disaster education program in community health nursing. Based on the results, it will be helpful for training the disaster nursing and improving the competency on disaster nursing of the nursing students.

Low-income Elders' Experiences in Using u-Health (Ubiquitous Healthcare) Services (저소득층 노인의 유헬스 서비스 이용경험)

  • Choi, Hanna;Kim, Jeongeun
    • Research in Community and Public Health Nursing
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    • v.25 no.4
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    • pp.270-281
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    • 2014
  • Purpose: The purpose of the study was to understand low-income elders' experiences of community-based u-Health services. Methods: Qualitative data were collected from 11 participants. All interviews were recorded and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis. Results: Three themes and eight sub-themes emerged as a result of analysis. The three main themes were 'recovered confidence and health condition,' 'trial and error in change,' and 'hope.'The eight sub-themes were 'the burden and efforts to overcome it in using bio-signal device,' 'ambivalence due to changing lifestyle,' 'increase of care time, decrease of pressure', 'conflict under environmental constraints,' 'difficulty in prioritizing health management,' 'discouragement in handling new devices,' 'desire not to be a burden to their children-gradual fulfillment of learning needs,' and 'long for broadening coverage range of services.' Conclusion: The findings of this study demonstrate that low-income elders among the participants have different needs in using u-Health services. Therefore, health professionals need to give personalized education to deal with their conflicts and requirements, especially emotional and environmental support in order for them to successfully accept the u-Health services for self-care.

Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone (일개시 독거노인의 건강관리 프로그램 참여의도 영향요인)

  • Song, Mi Sook;Boo, Sunjoo
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.319-326
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    • 2016
  • Purpose: The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs. Methods: This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions. Results: Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased. Conclusion: Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.

Growing Environment Characteristics and Vegetation Structure of Daphne Pseudomezereum var. Koreana Native Habitats in Korea

  • Lee, Da-Hyun;Son, Ho-Jun;Park, Sung-Hyuk;Kim, Se-Chang;Park, Wan-Geun
    • Journal of Forest and Environmental Science
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    • v.35 no.1
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    • pp.31-40
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    • 2019
  • Daphne pseudomezereum var. koreana is an endangered deciduous shrub distributed in mountain areas that is vulnerable to climate change. The purpose of this study was to provide foundational data on the physical characteristics, soil environment, and vegetation structure of habitats of Daphne pseudomezereum var. koreana habitat in Korea in order to help with management decisions on ecosystem restoration. Rock exposure was 15 to 35%, with an average of 24%. The native habitat of D. pseudomezereum included 129 taxa consisting of 46 families and 95 genera. Two-way cluster analysis divided the habitat into three plant communities: Community I (dominaterd by Tilia amurensis and Quercus mongolica), Community II (dominaterd by Fraxinus rhynchophylla and Acer pseudosieboldianum), and Community III (dominaterd by Ulmus davidiana var. japonica). The diversity indices for Communities I, II, and III were 1.124, 1.047 and 0.932, respectively. The soils were loam or clay loam. Soil pH, organic matter content, and available phosphoric acid were 5.40, 14.38%, and 31.08 ppm, respectively. Ordination analysis resulted that most significant factors influencing D. pseudomezereum distribution were magnesium content of soil, shrub layer, and altitude.

Case for Detection and Prevention of Inflow Section for Contaminant through Annular Space in Borehole, Jeju Island (제주도 관정 공벽 내 오염물질 유입 구간 탐지 및 차단 사례)

  • Song, Sung-Ho;Hwangbo, Dongjun;Kim, Jin-Sung;Yang, Won-Seok
    • Journal of Soil and Groundwater Environment
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    • v.27 no.3
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    • pp.1-10
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    • 2022
  • Most wells developed in Jeju island before the enactment of the Groundwater Management Ordinance in 2002 are vulnerable to aquifer contamination due to inflow of upper groundwater having the high concentration of nitrate nitrogen, likely due to incomplete grouting in upper section of the wells. Although these wells require entire reinstallation, it is often necessary to rehabilitate the existing wells due to various constraints. Therefore, to identified the inflow section of contaminants, the thermal level sensor (TLS) technique was firstly applied for three wells, which enables to monitor temperature variations in every 50 cm depth. Then, the grouting material was injected to the upper section to prevent the inflow of upper contaminated groundwater into the entire aquifer. By applying TLS technique, it was found that the temperature deviations in the upper groundwater inflow section decreased sharply. Moreover, both the change in the concentration of nitrate nitrogen in the rainy/dry seasons and the average concentrations were found to decrease rapidly after grouting material injection. Consequently, the application of TLS proposed in the study turned out to be appropriate to prevent aquifer contamination.

Characteristics of Vegetation Type and Zonation on Daegwang Coastal Dune in Imja-do, Korea (임자도 대광사구의 식생유형과 대상분포 특징)

  • Kim, Yoon-Mi;Lee, Jung-Hyo
    • Korean Journal of Environment and Ecology
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    • v.26 no.4
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    • pp.576-587
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    • 2012
  • As being actual physiognomical vegetation on Daegwang sand dune in Imjado, the widest area is occupied by Pinus thunbergii community planted as windbreak forest whereas those communities such as Robinia pseudoacacia community, Elymus mollis community, Imperata cylindrica var. koenigii - Elymus mollis community, Carex kobomugi community, Ischaemum antephoroides community, Imperata cylindrica var. koenigii community, Phragmites communis community, Imperata cylindrica var. koenigii - Calamagrostis epigeios community occupy as band shape or patch. According to the result of the data collected and analyzed based on phytosociological method regarding 74 plots of survey area, the species composition of Daegwang sand dune vegetation is classified total 10 vegetation units comprises 7 communities and 5 groups. The 7 communities are classified into Pinus thunbergii community, Robinia pseudoacacia community, Rosa rugosa var. rugosa community, Ischaemum antephoroides community, Carex kobomugi community, Calamagrostis epigeios community, and the sub-units of Pinus thunbergii communities are classified into 3 groups of Pteridium aquilinum var. latiusculum group, Elymus mollis group, Pinus thunbergii topical group and the sub-units of Calamagrostis epigeios communities are classified into 2 groups of Phragmites communis group, Calamagrostis epigeios tipical group. The zonation of vegetation from coastal line indicated with the order of Elymus mollis - Carex kobomugi, Carex pumila, Lathyrus japonicus - Calystegia soldanella - Vitex rotundifolia, Lathyrus japonicus, Ischaemum antephoroides - Rosa rugosa var. rugosa. According to the analysis result of longitudinal section, it was found to be those types with wide width herbaceous vegetation of foredune, smooth slope of foredune, lots of dune ridges with no structure were less vulnerable to erosion of sand dune and advantageous to its recovery.

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.

Vulnerability assessment of upland public groundwater wells against climate change

  • Shin, Hyung Jin;Lee, Jae Young;Jo, Sung Mun;Cha, Sang Sun;Park, Chan Gi
    • Korean Journal of Agricultural Science
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    • v.47 no.3
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    • pp.577-596
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    • 2020
  • Drought is a natural disaster that directly affects agriculture, which has a great impact on the global agricultural production system and yield. The lack of water storage in most parts of the country due to the lack of precipitation has caused a great increase in social interest in drought due to the dryness of rice fields and crops. As the drought period increases and the drought intensity becomes stronger, it is believed that drought damage to crops will continue; thus, it is necessary to understand the vulnerability to irrigation performance and the ability of irrigation facilities. Therefore, this study conducted a vulnerability assessment of irrigation facilities (public Groundwater well) in cities across the country. The survey was conducted using statistical data from 2007 to 2016, and the vulnerability score was calculated according to the vulnerability evaluation procedure for drought in the irrigation facilities (public groundwater wells). Among 157 regions, 136 areas were very vulnerable; 14 areas were vulnerable; 3 areas were normal; 4 areas were good, and 0 areas were excellent. The vulnerability assessment can be used as basic data for the development or maintenance of field irrigation facilities in the future by understanding the vulnerability of irrigation facilities.

Vulnerability Evaluation of Groundwater Well Efficiency and Capacity in Drought Vulnerable Areas (가뭄 취약지역의 관정 효율 및 능력에 대한 취약성평가)

  • Shin, Hyung-jin;Lee, Jae-young;Jo, Sung-mun;Jeon, Sang-min;Kim, Mi-sol;Cha, Sang-sun;Park, Chan-gi
    • Journal of The Korean Society of Agricultural Engineers
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    • v.61 no.6
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    • pp.41-53
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    • 2019
  • Recently, the damage caused by climate change has been distinguished in the world. The Korean Peninsula is also suffering from drought, so it is necessary to study the vulnerability assessment to identify and predict the state of the irrigation facility, which is a irrigation facility. As the damage caused by drought is occurring in the Korean peninsula, it is necessary to study the vulnerability assessment to know the condition of the irrigation facility, and to predict it. The target areas were Yeongdong-gun, Cheonan-si, Mungyeong-si, Geochang-gun, Muju-gun, and Yeonggwang-gun. The survey items were selected as positive impacts survey items, including precipitation, groundwater level, and pumping capacity per groundwater well. The negative impacts were selected as the cultivation acreage, Number of days without rain, and the ratio of private underground wells. The survey method was investigated by various methods such as "weather data portal", "groundwater level status information", "agricultural drought management system", "groundwater survey yearbook". The results of vulnerability assessment were expressed by the score by conducting survey and standardization. As a result, Yeonggwang-gun showed normal vulnerability, and other areas showed "vulnerable" or "very vulnerable".

A Study on the Low-Floor Bus Route Selection Considering a Residential Distribution and Traffic Characteristics of the Transportation Vulnerable - A Case of Busan - (교통약자의 거주 분포와 통행특성을 고려한 저상버스 노선 선정 - 부산시를 사례로 -)

  • PARK, Ji-Ho;NAM, Kwang-Woo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.18 no.2
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    • pp.161-173
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    • 2015
  • The guarantee of transportation for elderly and handicapped people is increasingly necessary owing to their growing social and economic activity. In March of 2013, a partial amendment to the law for transportation of the vulnerable was made by the government, to make more convenient transport a legal requirement. The amendment describes standards for the installation of transport facilities, and its support available. However, the adjustment of low-floor bus routes is not included. Therefore, low-floor buses are operating without consideration for the handicapped. This study evaluates the current low-floor bus system user experience by considering the residential distribution of vulnerable customers and analyzing their reasons for using public transport. As a result of this work, adjustments to current bus routes are proposed. The residential distribution of vulnerable people has been assessed using the supporting materials of the urban renewal project in Busan City, and their reasons for using public transport have been collected by a survey of the target user groups. The results show that group A, which has good accessibility, was in high demand, but provided the most limited service. Whereas group C, which also has good accessibility but was in low demand, provided its service most frequently. The data show the supply and demand inconsistencies of low-floor buses, and the inefficiency of bus route allocation. Therefore, this study proposes improvements to current methods for the effective operation of low-floor buses.