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Long-term Results of Modified Lecompte Procedure for the Anomalies of Ventriculoarterial Connection (심실대혈관 연결 이상에 대한 변형된 Lecompte 술식의 장기 성적)

  • 임홍국;한국남;김웅한;이정렬;노준량;김용진
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.727-734
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    • 2004
  • The Lecompte procedure for transposition of the great arteries has an advantage because it obviates the need for an extracardiac conduit for the reconstruction of the pulmonary outflow tract. We evaluated the effectiveness and the application of the Lecompte procedure. Material and Method: A retrospective review was conducted of the records of 46 patients who underwent the Lecompte procedure during the past 15 years. Mean age at operation was 29.2$\pm$20.3 (range: 3∼83) months. The diagnoses involved anomalies of the ventriculoarterial connection with ventricular septal defect and pulmonary outflow tract obstruction, such as transposition of the great arteries, double-outlet right ventricle, and double-outlet left ventricle. Result: Early mortality was 4.4% (2 of 46 patients) and late mortality was 6.8% (3 of 44). The mean follow-up was 11.2$\pm$6.9 years. Eighteen patients (43.9% of survivors, n=41) had pulmonary stenosis (pressure gradient above 30 mmHg), the main reason for which was a calcified monocusp valve (n=15, 83.3%). Seventeen of 46 patients (37.0%) underwent reoperation: 15 for pulmonary stenosis, 5 for residual ventricular septal defect, 4 for left ventricular outflow tract obstruction, 3 for pulmonary insufficiency, and 4 for other causes. The cumulative survival rates were 91.3$\pm$4.2%, and 87.0$\pm$5.8% at 10 and 15 years, respectively. The actuarial probabilities of freedom from reoperation for pulmonary stenosis were 90.6$\pm$4.5%, 73.9$\pm$7.3%, and 54.0$\pm$10.4% at 5, 10, and 15 years, respectively. Conclusion: The Lecompte procedure is an effective treatment modality. Repair in early age is possible with acceptable morbidity and mortality, but recurrent right ventricular outflow tract obstruction caused by degeneration of the monocusp valve is a problem that needs resolution.

Development and Application of a Methodologyfor Climate Change Vulnerability Assessment-Sea Level Rise Impact ona Coastal City (기후변화 취약성 평가 방법론의 개발 및 적용 해수면 상승을 중심으로)

  • Yoo, Ga-Young;Park, Sung-Woo;Chung, Dong-Ki;Kang, Ho-Jeong;Hwang, Jin-Hwan
    • Journal of Environmental Policy
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    • v.9 no.2
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    • pp.185-205
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    • 2010
  • Climate change vulnerability assessment based on local conditions is a prerequisite for establishment of climate change adaptation policies. While some studies have developed a methodology for vulnerability assessment at the national level using statistical data, few attempts, whether domestic or overseas, have been made to develop methods for local vulnerability assessments that are easily applicable to a single city. Accordingly, the objective of this study was to develop a conceptual framework for climate change vulnerability, and then develop a general methodology for assessment at the regional level applied to a single coastal city, Mokpo, in Jeolla province, Korea. We followed the conceptual framework of climate change vulnerability proposed by the IPCC (1996) which consists of "climate exposure," "systemic sensitivity," and "systemic adaptive capacity." "Climate exposure" was designated as sea level rises of 1, 2, 3, 4, and 5 meter(s), allowing for a simple scenario for sea level rises. Should more complex forecasts of sea level rises be required later, the methodology developed herein can be easily scaled and transferred to other projects. Mokpo was chosen as a seaside city on the southwest coast of Korea, where all cities have experienced rising sea levels. Mokpo has experienced the largest sea level increases of all, and is a region where abnormal high tide events have become a significant threat; especially subsequent to the construction of an estuary dam and breakwaters. Sensitivity to sea level rises was measured by the percentage of flooded area for each administrative region within Mokpo evaluated via simulations using GIS techniques. Population density, particularly that of senior citizens, was also factored in. Adaptive capacity was considered from both the "hardware" and "software" aspects. "Hardware" adaptive capacity was incorporated by considering the presence (or lack thereof) of breakwaters and seawalls, as well as their height. "Software" adaptive capacity was measured using a survey method. The survey questionnaire included economic status, awareness of climate change impact and adaptation, governance, and policy, and was distributed to 75 governmental officials working for Mokpo. Vulnerability to sea level rises was assessed by subtracting adaptive capacity from the sensitivity index. Application of the methodology to Mokpo indicated vulnerability was high for seven out of 20 administrative districts. The results of our methodology provides significant policy implications for the development of climate change adaptation policy as follows: 1) regions with high priority for climate change adaptation measures can be selected through a correlation diagram between vulnerabilities and records of previous flood damage, and 2) after review of existing short, mid, and long-term plans or projects in high priority areas, appropriate adaptation measures can be taken as per this study. Future studies should focus on expanding analysis of climate change exposure from sea level rises to other adverse climate related events, including heat waves, torrential rain, and drought etc.

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A Study of Eye Refractive Error for High School Students in Tong-Du-Cheon Area ;(II) (동두천지역 고등학생의 안굴절상태 조사 및 연구 II)

  • Choi, Hae Jung;Cha, Jung Won;Park, Moon Chan;Chen, Ko Hsein
    • Journal of Korean Ophthalmic Optics Society
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    • v.3 no.1
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    • pp.103-113
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    • 1998
  • Until now, the study of eye refractive error examination for high school students are a few report that in Korea. In particular, there is few report about the visual power for same group during several years. We compared the study of refractive error done this year with that reported three years ago at the same high school. From the these data, the distribution of ammetropia was investigated. The study of refractive error for high school students was also compared with those reported before for the Adults and the middle school student. When the visual power is refered to spherical equivalent, the 36% of the whole students examined above had emmetropia and the other part of them fumed out to be ammetropia which is classify to 60.6% belonged to myopia and 4.4% belonged to hyperpia. The ratio of myopia for this year students is increased in comparision with the students in 1995. The ratio of emmetropia for this year students is 7.4% higher, and the ratio of myopia for this year students is 4% higher, but the ratio of hyperopia is very lower than that for the adults in 1997. In the kind of refractive error, it is classified that a simple myopia is shown to highest ratio as a 28.6% of 1212 eyes examined, a compound myopic astigmatism to the next high ratio as a 22.4%, a simple myopic astigmatism as 14.4%, a simple hyperopic astigmatism as 3.1%, a mixed astigmatism as a 1.7%, a simple astigmatism as 1.2%, a compound hyperopic astigmatism as 1.2%, respectively. The percentage of an astigmatism is a 76.7% of total eyes examined if Cyl-0.25 Dptr is included to an astigmatism. On the other hand, The percentage of an astigmatism is a 45.6% of total eyes examined if Cyl-0.25 Dptr is excluded to an astigmatism. In the kind of astigmatism, the number of students had an astigmatism with the rule is about 4.5 times than that of astigmatism against the rule. From the result of comparision the right eye with the left eye, the right eye of the students had more a myopic refractive error than the left eye, which is same as adults' case, there is no difference in a refractive error between the boy students and the girl students.

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A Comparision Study of LDPE Pyrolysis over Resin Additives and Inorganic Compounds of Silica Alumina Type (수지첨가제와 실리카알루미나 계열 무기물이 LDPE 수지의 열분해에 미치는 영향 비교 연구)

  • Bak, Young-Cheol;Choi, Joo-Hong;Kim, Nam-Kyung
    • Journal of Korean Society of Environmental Engineers
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    • v.28 no.6
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    • pp.596-602
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    • 2006
  • The effects of resin additives and inorganic compounds addition on the thermal decomposition of low density polyethylene(LDPE) resin have been studied in a thermal analyzer(TGA, DSC) and a small batch reactor. The silica-alumina type compounds tested were kaolinite, bentonite, perlite, diatomaceous earth, activated clay and clay. The resin additives were antiforgging-agent and longevity-agent. As the results of TGA experiments, addition of antifogging-agent, longevity-agent and clay increased the temperature of the maximum reaction rate($T_{max}$). The silica-alumina type inorganic materials increased the pyrolysis reraction rate in the order of activated clay, diatomaceous earth, bentonite, perlites, and kaolinite. In the DSC experiments, addition of antifogging-agent and clay decreased the heat of fusion and the heat of pyrolysis reaction. Bentonite decreased 20% of the heat of fusion and 25% of the heat of pyrolysis reaction. In the batch system experiments, the mixing of clay retarded the initial producing rate of fuel oil, but increased the yield of fuel oil. Addition of bentonite increased the yield of fuel oil from LDPE resin. Mixing of antifogging-agent and longevity-agent produced the fuel oil having lower carbon number. The amounts of the carbon number below 12 in fuel oil decreased with adding the clay. That below 23 in fuel oil increased with mixing of bentonite, perlite, kaolinite, and activated clay. But the mixing of diatomaceous earth did not affect the carbon contents of fuel oil from pure LDPE resin. In the silica-alumina type inorganic material used in this experiments, bentonite was the most effective from the pyrolysis heat, yields, and the characteristics of fuel oil.

A Study of Eye Refractive Error of high school students in the North Kyoungki (경기북부지역 고등학생의 안굴절상태 조사 및 연구)

  • Choi, Hae Jung;Chen, Ko Hsien;Cha, Jung Won
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.1
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    • pp.131-138
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    • 2000
  • We compared the study of refractive error of the eyes done in 1998 with that reported three years ago at any high school in the north Kyungki. From the these data, the distribution of ammetropia was investigated. The study of refractive error for high school students was also compared with those reported before for the Adults and the middle school student. When the refractive error is refered to spherical equivalent, the 40.6% of the whole students examined above had emmetropia and the other part of them(59.4%) turned out to be ammetropia which is classified to 46.4% belonged to myopia and 13.0% belonged to hyperpia. The ratio of emmetropia for the students in 1998 is 4.4% lower, and the ratio of hyperopia is 4.3% lower, but the ratio of myopia for the students in 1998 is 8.7% higher than that for the student in 1995. In the kind of refracive error, it is classified that a simple myopia is shown to highest ratio as a 23.6% of 6143 eyes examined, a compound myopic astigmatism to the next high ratio as a 17.4%, a simple myopic astigmatism as 10.9%, a simple hyperopic astigmatism as 9.8%, a simple astigmatism as 7.1%, a compound hyperopic astigmatism as 2.2%, a mixed astigmatism as a 1.8%, respectively. The percentage of an astigmatism is a 69.6% of total eyes examined if Cyl-0.25 Dptr is included to an astigmatism. On the other hand. The percentage of an astigmatism is a 45.0% of total eyes examined if Cyl-0.25 Dptr is excluded to an astigmatism. In the kind of astigmatism, the number of students had an astigmatism with the rule is about 5.6 times than that of astigmatism against the rule. From the result of comparison the right eye with the left eye, the right eye of the students had more a myopic refractive error than the left eye, which is same as adults' case.

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Analysis of PM2.5 Distribution Contribution using GIS Spatial Interpolation - Focused on Changwon-si Urban Area - (GIS 공간내삽법을 활용한 PM2.5 분포 특성 분석 - 창원시 도시지역을 대상으로 -)

  • MUN, Han-Sol;SONG, Bong-Geun;SEO, Kyeong-Ho;KIM, Tae-Hyeung;PARK, Kyung-Hun
    • Journal of the Korean Association of Geographic Information Studies
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    • v.23 no.2
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    • pp.1-20
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    • 2020
  • The purpose of this study was to analyze the distribution characteristics of spatial and temporal PM2.5 in urban areas of Changwon-si, and to identify the causes of PM2.5 by comparing the characteristics of land-use, and to suggest the direction of reduction measures. As the basic data, the every hour average from September 2017 to August 2018 of Airpro data, which has measurement points in kindergartens, elementary schools, and some middle and high schools in Changwon-si was used. Also, by using IDW method among spatial interpolation methods of GIS, monthly and time-slot distribution maps were constructed, and based on this, spatial and temporal PM2.5 distribution characteristics were confirmed. First, to verify the accuracy of the Airpro data, the correlation with AirKorea data managed by the Ministry of Environment was confirmed. As a result of the analysis, R2 was 0.75~0.86, showing a very high correlation and the data was judged that it was suitable for the study. In the monthly analysis, January was the highest year, and August was the lowest. As a result of analysis by time-slot, The clock-in time at 06-09 was the highest, and the activity time at 09-18 was the lowest. By administrative district, Sangnam-dong, Happo-dong, and Myeonggok-dong were the most severe regions of PM2.5 and Hoeseong-dong was the lowest. As a result of analyzing the land-use characteristics by administrative area, it was confirmed that the ratio of traffic area and commercial area is high in the serious area of PM2.5. In conclusion, the results of this study will be used as basic data to grasp the characteristics of PM2.5 distribution in Changwon-si. Also, it is thought that the severe regions and the direction of establishing reduction measures derived from this study can be used to prepare more effective policies than before.

Correlation of Near Stereoacuity and Phoria, and Refractive Error (근거리 입체시와 사위 및 굴절이상의 상관관계)

  • Shim, Hyun-Suk;Kim, Sang-Hyun;Kim, Young-Cheong
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.1
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    • pp.67-73
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    • 2015
  • Purpose: This study was investigated the relationship between the male and female of near stereoacuity and phoria, and was examined the correlations between near stereoacuity and phoria and refractive error. Methods: Adult 83 (male 36, female 47, mean age $21.09{\pm}1.74$(19~29) years old) target was examined after full correction of refractive error. Near stereoacuity was measured by using Titmus-fly Stereotest(Stereo Optical Co., Inc., Chicago, IL, USA), and RANDOT Stereotest (Stereo Optical Co., Inc., Chicago, IL, USA), phoria was measured by using modified torrington method, at distance 40 cm. Results: In near stereoacuity, male was better good than female, and there was no difference between male and female (p>0.05). In near phoria, female was more higher than male, and there was a significant difference between male and female (p<0.05). Near stereoacuity by Titmus-fly test and Randot test result respectively was $262.17{\pm}562.43$ sec (second of arc) $243.08{\pm}68.04$ sec in esophoria, $148.42{\pm}269.54$ sec, $107.40{\pm}263.74$ sec in orthophoria, $113.94{\pm}152.46$ sec, $79.70{\pm}136.83$ sec in exophoria, there was a no difference between three phoria groups (p>0.05), and was a high correlation between phoria and near stereoacity(r=0.68). In addition, near stereoacuity in the refractive error respectively was $80.00{\pm}571.43$ sec, $68.75{\pm}36.82$ sec in myopia, $133.57{\pm}224.15$ sec, $93.14{\pm}214.95$ sec in hyperopia, $511.20{\pm}855.00$ sec, $511.4{\pm}855.60$ sec, there was a significant difference between three phoria groups (p<0.05). when was classfiied near stersoacuity into degree of refractive error, near stersoacuity was best in emmetropia, and was reduced when refractive error was highest in high degree myopia, and hyperopia. Conclusions: Titmus-fly Stereotest and RANDOT Stereotest result, near stereoacuity of adults, when esophoria and high degree refractive error, was reduced, there was a relationship between near stereoacuity with phoria, and refractive error. In this both stereotests if was bad when near stereoacuity can expect a phoria and refractive error.

Comparison of Dynamic Stereoacuity According to Dominant Eye and Degree of Dominant Eye (우세안의 방향과 강도에 따른 동적 입체시 비교)

  • Shim, Moon-Sik;Shim, Hyun-Suk;Kim, Young-Cheong
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.3
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    • pp.227-233
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    • 2016
  • Purpose: On this study, we compared the relationship of dynamic stereoacuity according to the dominant eye, degree of dominant eye, and dominant agreement eye and hand. Methods: For 130 adults (male 70, female 60), mean age of $21.06{\pm}2.21years$ old, dominant eye, degree of dominant eye were measured by objective examination by using the diameter $3.8cm{\times}3.8cm$ thin ring, the dynamic stereoacuity were measured by three-rods test (iNT, Korea). Results: Dynamic stereoacuity according to the dominant eye was center dominant eye without dominance was $14.97{\pm}13.80sec$ of arc, right eye $22.10{\pm}20.01sec$ of arc, left eye $22.31{\pm}20.39sec$ of arc. Dynamic stereoacuity was better when there was no dominance, but the correlation of the dominant eye with dynamic stereoacuity was very low. When Dynamic stereoacuity was separated by in the Center, Mild, Strong, dynamic stereoacuity was $14.97{\pm}13.80sec$ of arc, $20.76{\pm}15.73sec$ of arc and $24.45{\pm}25.60sec$ of arc respectively. The dynamic stereoacuity results were worse when dominance was stonger. However dynamic stereoacuity was better than Center when the degree of dominant eye was rather strong in the dominant left eye. Dynamic stereoacuity according to the dominant eye and hand showed that right eye and hand was $22.63{\pm}20.54sec$ of arc, left eye and hand was $17.36{\pm}10.13sec$ of arc, right eye and left hand was $14.79{\pm}7.05sec$ of arc, left eye and right hand was $22.97{\pm}21.42sec$ of arc so dynamic stereoacuity was comparatively good when the dominant hand was left. Conculsions: Correlation between the dynamic stereoacuity according to the dominant eye, degree of dominant eye was low, however when degree of dominant eye was Center 14.97 sec of arc, Strong 24.45 sec of arc, the dynamic stereoacuity tended to worse when degree of dominant eye was strong. As a result, dominant eye, degree of dominant eye would have to be considered in a more comfortable binocular balance between prescribed for the wearer in binocular vision correction in binocular function such stereoacuity, sports vision training, presbyopia correction and mono vision.

A study on Restoration Plan of Cultural Forest and Change of $Pinus$ $densiflora$ Forest in Inwangsan(Mt.), Seoul (인왕산 소나무림의 경관변화와 문화경관림 복원방안 연구)

  • Cho, Jun-Soo;Lee, Kyong-Jae;Han, Bong-Ho;Ki, Kyong-Seok
    • Korean Journal of Environment and Ecology
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    • v.26 no.2
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    • pp.219-232
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    • 2012
  • The purpose of this study was to find characteristics of $Pinus$ $densiflora$ forests in previous records and cultural landscape regions and to establish a management method for recovery of $P.$ $densiflora$ landscape. A total of 16 landscape paintings were analyzed to study $P.$ $densiflora$ forests in Inwangsan(Mt.) shown in figure data. As a result of analyzing figure data, $P.$ $densiflora$ $forests$ were found to be distributed mainly in the ridge line of east slope side of Inwangsan(Mt.) from landscape paintings of Jung Seon, Jang Si Heung and Gang Hee Un. In order to analyze the landscape of $P.$ $densiflora$ forests shown in photograph data on Inwangsan(Mt.), photographs of Inwangsan(Mt.) since late 1800s were searched and a total of 24 photographs were used for analysis. As a result of photographic analysis, $P.$ $densiflora$ forests were found to be distributed mainly in the low area and ridge line of western slope side of Inwangsan(Mt.). As a result of analyzing the distribution status of 10 cultural heritages of Inwangsan(Mt.), cultural heritages in the mountain were mainly established with rocks and $P.$ $densiflora$ forests as the background and are establishing their landscape not only as a form of cultural heritage but also including the natural landscape in the background. A method of restoring cultural landscape of P. densiflora forests was necessary. As a result of analyzing 26 rock beds of Inwangsan(Mt.), most of $P.$ $densiflora$ forests were distributed nearby rock beds since the past. Among such regions, restoration and management of introduced species in the accumulated soil regions to $P.$ $densiflora$ forests were deemed necessary. As a result of analyzing current vegetation of $P.$ $densiflora$ forest areas of the past, 51.87% of areas maintained $P.$ $densiflora$ forest and 25.80% were changed to artificial forests. Most of low areas of the mountain were turned into urban area (10.16%). Management type for restoration of $P.$ $densiflora$ landscape of Inwangsan(Mt.) was classified into preservation, $P.$ $densiflora$ restoration and maintenance. Preservation management was configured as $P.$ $densiflora$ distribution and rocky area distribution. The targets of $P.$ $densiflora$ restoration were indigenous broad-leaf trees, vegetation areas with introduced species and damaged regions within the mountain. The targets of maintenance were urban area in the low area of Inwangsan(Mt.) and military base at the top of the mountain.

A Study on the distinctive quality of the Younsijo(연시조) - The works of the 16th century - (연시조 성격의 대비적 고찰 - 16세기 작품을 대상으로 -)

  • Kim Sang-Jean
    • Sijohaknonchong
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    • v.22
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    • pp.195-223
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    • 2005
  • The Younsijo is a stream of Korean poem. not simply an aggregate of stanzas, but an organic structure. Younsijo was an appeared in the 16th century. The 16th century was focused on the literature of Sadaebu (noble family, 사대부). And the make an appearance is Danhyungsijo (simply-sijo, 단형시조), Yonsijo and Kasa(가사). In that case, a social stratum is why does singing each other form. The 16th century set metaphysics(성리학) as the national ideology. Metaphysics became most prevalent at the end of the 16th century. Yonsijo also appreared during the 16th century and was closeiy related to the idea of metaphysics. Both Younsijo and metaphysics were formulated by noble family, The Yonsijo was Formed in 16th century. And the 17th century was succession. The Yonsijo in 16th century is devide to Kanghosijo (강호시조) and Hunminsijo (훈민시조). Also, Kanghosijo is devide to Youkgaline Younsijo (육가계 연시조) and Sasigaline Yonsijo (사시가계 연시조). Hunminsijo used an expressive on the order of Oryoun(오륜). Therefore, this study is forced on , , and . These things, all of the end of the utility. This paper deals with Danhyungsijo and Kasa with main emphasis on works of Songgang(송강) Jungcheol(정철). The reason for dealing one writer's works is the discussion needs consistent standard. In analyzing Songgang's Danhyungsijo, Younsijoand and Kasa, one would discern the differences among three. As a result, one could conclude that both Danhyungsijo and Kasa mainly projects individual's emotional esthetic feeling, particularly, Danhyungsijo for emotional implication, and for in-depth emotional revealing. Younsijo were chosen as it supplements the shortcoming of Sijo(as it consists of three-line only) to effectively contain the ideas of metaphysics.

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