• Title/Summary/Keyword: Vulnerable Population

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Prevalence of Schistosomes and Soil-Transmitted Helminths and Morbidity Associated with Schistosomiasis among Adult Population in Lake Victoria Basin, Tanzania

  • Siza, Julius E.;Kaatano, Godfrey M.;Chai, Jong-Yil;Eom, Keeseon S.;Rim, Han-Jong;Yong, Tai-Soon;Min, Duk-Young;Chang, Su Young;Ko, Yunsuk;Changalucha, John M.
    • Parasites, Hosts and Diseases
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    • v.53 no.5
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    • pp.525-533
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    • 2015
  • The objective of this study was to carry out a community survey on schistosomiais and soil-transmitted helminth (STH) infections in order to suggest feasible and effective intervention strategies in Lake Victoria basin, Tanzania. A total of 37 communities selected from 23 districts of the 4 regions in the Lake Victoria basin of Tanzania were involved in the study. From each of the selected locality, 50 adult community members, 25 males and 25 females, were recruited for the study. Each study participant was requested to submit stool and urine specimens. From each stool specimen, duplicate Kato-Katz thick smears were prepared and microscopically examined for Schistosoma mansoni and STH eggs. Urine specimens were processed by the filtration technique and microscopically examined for Schistosoma haematobium eggs. Ultrasound examination for morbidity due to schistosomiasis was performed. Mass treatment was done using praziquantel and albendazole for schistosome and STHs infections, respectively. Out of 1,606 adults who provided stool specimens, 199 (12.4%) were positive for S. mansoni, 349 (21.7%) for hookworms, 133 (8.3%) for Ascaris lumbricoides, and 33 (2.0%) for Trichuris trichiura. Out of 1,400 participants who provided urine specimens, 25 (1.8%) were positive for S. haematobium eggs. Because of the co-endemicity of these afflictions and their impact on vulnerable population groups, the helminthiasis could be simultaneously treated with 2 drugs, praziquantel for schistosomiasis and albendazole for STHs.

Factors Affecting Oral Examination in an Economically Active Population (경제활동 인구의 구강검진 수검에 영향을 미치는 요인)

  • Jung, Mi-Hee;An, So-Yeon;Jung, Sung-Woo;Kim, Bum-Soo;Ahn, Eunsuk
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.2
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    • pp.51-58
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    • 2020
  • Oral examination ensures early detection and treatment of oral diseases and improvement of quality of health-related life. This is imperative as it reduces individuals' dental medical expenses and social costs caused by diseases. However, as the low oral examination acceptance rate continues to be a problem, this study was conducted to identify the factors that influence the oral examination of an economically active population. In this study, 4,836 economically active individuals between the ages of 20 and 65 years were studied using data from the 7th National Health and Nutrition Survey in 2018. Logistic regression analysis was performed to determine the factors influencing demographic and sociological characteristics on oral examination after adjusting for complaints of mastication and speech discomfort. As a result of confirming the factors influencing the oral examination, increase in age tended to be inversely proportional to the oral examination. Income level, type of job, and job position were identified as factors that influenced oral examinations. Compared to the group with a high socioeconomic status, which is represented by a group with a high income level or a stable job type or job position, the group with low economic status was found to have a negative effect on oral examination. Oral management of vulnerable groups, who might not be considered while devising oral health management policies, should be promoted through the development and provision of oral health management policies that consider employment status and environment.

Study on Neuron Activities for Adversarial Examples in Convolutional Neural Network Model by Population Sparseness Index (개체군 희소성 인덱스에 의한 컨벌루션 신경망 모델의 적대적 예제에 대한 뉴런 활동에 관한 연구)

  • Youngseok Lee
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.1
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    • pp.1-7
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    • 2023
  • Convolutional neural networks have already been applied to various fields beyond human visual processing capabilities in the image processing area. However, they are exposed to a severe risk of deteriorating model performance due to the appearance of adversarial attacks. In addition, defense technology to respond to adversarial attacks is effective against the attack but is vulnerable to other types of attacks. Therefore, to respond to an adversarial attack, it is necessary to analyze how the performance of the adversarial attack deteriorates through the process inside the convolutional neural network. In this study, the adversarial attack of the Alexnet and VGG11 models was analyzed using the population sparseness index, a measure of neuronal activity in neurophysiology. Through the research, it was observed in each layer that the population sparsity index for adversarial examples showed differences from that of benign examples.

Regional Difference in Outpatient Service Utilization for Chronic Diseases among the Elderly (고령층 만성질환 외래이용의 지역 간 변이)

  • Yun, Heesuk
    • Health Policy and Management
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    • v.24 no.2
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    • pp.128-135
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    • 2014
  • Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

A Study on Depression, Sleep and Fatigue in Younger and Older Elders (취약계층 전.후기 노인의 우울, 수면 및 피로간의 차이)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.2
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    • pp.223-231
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    • 2007
  • Purpose: This study was to compare differences in and correlation among depression. sleep and fatigue between younger and older elders. Method: A total of 370 subjects aged between 65 and 88 were selected through convenient sampling. Data were collected using a self report questionnaire from March to December, 2005. Results: Younger elders showed lower levels of depression and fatigue than older ones. The level of sleep satisfaction was higher in older elders than in younger ones. In both groups, fatigue was positively correlated to depression, and depression and fatigue were negatively correlated to sleep satisfaction. In addition, fatigue was affected by depression, the number of persons in household and sleep satisfaction. Conclusion: Older elders showed more serious health problems than younger ones. It is necessary to develop comprehensive intervention programs in order to promote healthy lifestyle for older elders.

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Factors Affecting Social Participation of the Elderly Living in Poverty (저소득 노인의 사회참여에 영향을 미치는 요인)

  • Lee, Sungeun
    • The Korean Journal of Community Living Science
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    • v.24 no.3
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    • pp.343-354
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    • 2013
  • Elderly people living in poverty are one of the most vulnerable population groups who are at risk of experiencing social exclusion. Social participation is an important contributing factor to active aging and social integration of the older adults living in poverty. This study aims to identify factors affecting social participation of the poor elderly. Data from the second wave of the Korean Longitudinal Study of Ageing was used for the analyses and 1,346 poor elderly aged over 65 were analyzed. The findings showed that age, education, health status, a level of depression, financial stress, and economic activity were associated with the social participation of the elderly living in poverty. These results indicated that psychological empowerment and specific needs of the older adults living in poverty should be considered in developing services and programs to promote social participation of the poor elderly.

Piping Failure Analysis In Domestic Nuclear Safety Piping System (국내 안전등급 배관에 대한 손상사례 분석)

  • Choi, Sun-Yeong;Choi, Young-Hwan
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.617-621
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    • 2003
  • The purpose of this paper is to analyze piping failure trend of safety pipings In domestic nuclear power plants. First, database for the piping failure was constructed with 105 data fields. The database includes plant population data, event data, and service history data. 7 kinds of piping failures in domestic NPPs were investigated. Among the 7 cases, detailed root causes were investigated for 3 cases. The first one is pipe wall thinning in main feedwater pipings of Westinghouse 3 loop type plants. The root cause of the wall thinning was flow accelerated corrosion near welding area. The next one is leak event in chemical and volume control system(CVCS) due to vibration. Some cracks occurred in socket welding area. The events showed that the integrity or socket weld is very vulnerable to vibration. The last one is also a leak event in primary sampling line in Korean standard reactor due to thermal fatigue. Although the structural integrity was not maintained by the events, there was no effect on nuclear safety in the above 3 piping failure eases.

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Ethical considerations for clinical trials performed in children (소아 임상연구에서의 의료 윤리적 고려사항)

  • Oh, Myungho
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.1-5
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    • 2009
  • Children are not small adults and there is a need to carry out specific trials that cannot be performed in adults. In general, children (minors) are unable to consent but their assent should be obtained using age appropriate information. Institutional Review Board (IRB) need paediatric expertise to balance the benefits and risks of research in children. The lack of consent has implications on the design, analysis and the choice of comparators used in the trials, which should only be performed by trained investigators with paediatric experience. Pain, fear, distress and parental separation should be prevented and minimised when unavoidable. The children requires even more careful review. Children represent a vulnerable population with developmental, physiological and psychological differences from adults, which make age- and development- related research important for their benefit. Finally, criteria for the protection of children in clinical trials therefore need to be laid down. Specific protection should be defined for research performed in children, at all stages and ages.

Ileal Perforation with Norovirus Gastroenteritis in a 3-Month-Old Infant

  • Wi, Seol Woo;Lee, Su Jin;Kang, Eun Kyeong;Cho, Sung Min
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.2
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    • pp.130-133
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    • 2017
  • Noroviruses have been recognized as the leading cause of epidemic and sporadic gastroenteritis since the advent of molecular diagnostic technique. They have been documented in 5-31% of pediatric patients hospitalized with gastroenteritis. Although norovirus gastroenteritis is typically mild and self-limited, it causes severe, but sometimes fatal, conditions in the vulnerable population such as immunocompromised patients, young children, and the elderly. Bowel perforation due to norovirus infection is rare. We report a case of small bowel perforation with norovirus gastroenteritis in the infant with Down syndrome during the hospitalization with pneumonia. Severe dehydration may cause bowel ischemia and could have triggered bowel perforation in this case. Physicians should be alert to the potential surgical complications followed by severe acute diarrhea, especially in high risk groups.

Review of Elder Abuse (노인학대에 관한 이론적 고찰)

  • 한동희
    • Journal of the Korean Home Economics Association
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    • v.32 no.4
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    • pp.45-56
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    • 1994
  • This paper reports about possibility of the elder abuse as a third vulnerable population among family violence in Korea. Although the study of against the elderly has not been reported in our society the need for information about the nature of elder abuse is clear with social change. There will be profound changes in our culture which in recent decades has been largerly dominated in our family. This paper will be explained some theoretical perspectives; Social learning theory Symbolic interaction theory, Exchange theory and factors related to the occurrence of elder abuse; 1) personal characteristics of the abuser and the abused 2)interpersonal characteristics of the relationship between the abuser and the elderly person 3) situational factors that increase the likelihood of abuse 4) socio-cultural factors that impinge on the use of violence. According to them the patterns and other predictions of elder abuse will be pointed.

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