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The Association of Blood Concentrations of Healvy Metals and Blood Pressure in Residents Living Near Janghang Copper Smelter in Korea (제련소 주변 지역 주민들의 혈중 중금속 농도와 혈압과의 관련성)

  • Eom, Sang-Yong;Yim, Dong-Hyuk;Moon, Sun-In;Ochirpurev, Bolormaa;Choi, Young-Sook;Park, Choong-Hee;Kim, Guen-Bae;Yu, Seung-Do;Choi, Byung-Sun;Park, Jung-Duck;Kim, Yong-Dae;Kim, Heon
    • Journal of agricultural medicine and community health
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    • v.42 no.1
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    • pp.13-23
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    • 2017
  • Objectives: This study was conducted to evaluate a relationship between the blood concentrations of toxic metals and the blood pressure in people living near the copper smelter. Methods: The study included 570 adults living within 4km of the smelter. We compared systolic and diastolic blood pressure between tertiary groups for blood cadmium, mercury and lead levels, respectively. Multiple regression analysis was performed to identify risk factors affecting systolic and diastolic blood pressures. Results: In male subjects, there is a significant difference in the mean of systolic and diastolic blood pressure between tertiary groups of blood cadmium and mercury levels, but in women, there was no significant difference in the mean systolic and diastolic blood pressures in all tertiary groups of heavy metals. The results of multiple regression analysis showed that age, BMI, and cadmium concentration in men were risk factors for blood pressure. In women, age and BMI, drinking and smoking, and blood mercury were significantly influenced to blood pressure. Conclusions: Residents living near the Janghang smelter showed high concentrations of blood lead and cadmium, suggesting that they were exposed to high concentrations of heavy metals released from the smelter in the past. Such exposure may have caused some blood pressure increase. Especially, the concentration of cadmium in the case of men and the concentration of mercury in blood in the case of women were found to be significantly related to the increase of blood pressure. The local population should be advised to make efforts to reduce exposure to environmental contaminants, in order to minimize cardiovascular disease, and to pay close attention to any health problems possibly related to toxic metal exposure.

Analysis of Deterioration Status on the Trails in the Gyeongju National Park - Focused on Mt. Toham, Mt. Nam, Mt. Danseok and Mt. Gumi District - (경주국립공원 탐방로의 훼손실태 분석 - 토함산, 남산, 단석산, 구미산 지구를 중심으로 -)

  • Mun, Sung-Ju;You, Ju-Han;Hong, Kwang-Pyo;Heo, Sang-Hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.41 no.3
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    • pp.31-42
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    • 2013
  • This study was carried out to systematically maintain and manage the trails by assessing the types of deterioration and naturalness of trails located in Mt. Toham, Mt. Nam, Mt. Danseok and in the Mt. Gumi district of the Gyeongju National Park. The route length of Mt. Toham was 2.7km, 2.3km of Mt. Nam, 1.0km of Mt. Danseok and 2.7km of Mt. Gumi district. The numbers of measuring points in Mt. Toham were 37 units, 29 units of Mt. Nam, 16 units of Mt. Danseok and 40 units of Mt. Gumi district. In characteristics of physical environments, Mt. Danseok was the widest and Mt. Gumi was the narrowest in the width of trail. In the bared width of trail, Mt. Danseok was the widest and Mt. Gumi was the narrowest. In depth of erosion, Mt. Danseok was the deepest and Mt. Gumi was the shallowest. Mt. Danseok was the steepest and Mt. Nam was the gentlest in the longitudinal slope. In the results of analysing the types of deterioration, Mt. Toham were 10 types, 14 types of Mt. Nam, 11 types of Mt. Danseok and 9 types of Mt. Gumi district. The times of appearance of deterioration types in Mt. Toham were 69 times, 87 times of Mt. Nam, 67 times of Mt. Danseok and 71 times of Mt. Gumi district. The most common type was the exposure of root in 4 districts of Gyeongju National Park. In the results of assessing the naturalness, Mt. Toham was 2.1 score(II degree), 2.6 score(II degree) of Mt. Nam, 2.9 score(III degree) of Mt. Danseok and 2.0 score(II degree) of Mt. Gumi district. The average naturalness was 2.4 score and II degree.

The Effects of Occupation-Based Community Rehabilitation for Improving Occupational Performance Skills and Activity Daily Living of Stroke Home Disabled People: A Single Subject Design (작업기반 지역사회 재활이 뇌졸중 재가 장애인의 일상생활과 작업수행 기술에 미치는 효과)

  • Moon, Kwang-Tae;Park, Hae Yean;Kim, Jong-Bae
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.99-117
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    • 2020
  • Objective : The purpose of this study was to study the effects of occupation-based community rehabilitation on occupational performance skills and activities of daily living in stroke disabled persons living in the community, and to investigate the changes in occupation quality and satisfaction. Methods : In this single-subject ABA design study with follow-up evaluation, one severely disabled person diagnosed with stroke who lived in the community was recruited. The procedure consisted of a total of 25 sessions for 17 weeks. Intervention was according to occupation-based community rehabilitation, and the researcher visited the subject's home. Individualized intervention was applied according to the OTIPM. The intervention was composed of task assignment and feedback, home environment modification, information-related caregiver education, and community resource network. The evaluation of each session included the changes in the frequency of occupational performance skills, the quality of occupational performance in daily life, and the changes in occupational satisfaction, activities of daily living, quality of life, and maintenance of in the occupational performance skills during follow-up. The results were visually analyzed using a bar graph and a linear graph. Results : The results showed that the occupation-based community rehabilitation improved activities of daily living such as putting on socks, shoes slip-on, and upper body dressing garment within reach. Within the framework of the AMPS, it was confirmed that the quality of occupational performance was improved in all the subjects, and the degree of satisfaction also improved. Conclusion : This study showed that occupation-based rehabilitation can improve the occupational performance skills of stroke home disabled people positively affect the quality of occupational performance in daily life. Therefore, I think it is meaningful that useful for them.

Online Survey on Clinical Application of Constraint-Induced Movement Therapy in Children with Hemiplegic Cerebral Palsy in Korea (편마비 뇌성마비 환아에서 강제유도운동치료의 국내 임상적용에 대한 설문조사)

  • Son, Ju-Hyun;Shin, Yong-Beom;Yun, Young-Ju;Kim, Bu-Young;Moon, Jung-In;Moon, Myung-Hoon;Kim, Soo-Yeon
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.33-42
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    • 2019
  • Objective : The aim of this study was to evaluate the current knowledge regarding constraint-induced movement therapy (CIMT) and its application in clinical practice by physiatrists and therapists in pediatric rehabilitation area in Korea. Methods : Online survey via E-mails was sent to a total of 510 members (204 physiatrists and 306 therapists) of the Korean Society of Pediatric Rehabilitation and Developmental Medicine (KSPRDM). Results : The response rate was 35.1% (179 of 510). A total of 179 questionnaires was completed by 39 physiatrists, 89 physiotherapists, 48 occupational therapists, and 3 speech therapists. 45.8% of responders had worked over 6 years in the pediatric rehabilitation setting and a total of 58.1% (n=104) of the sample had used CIMT. The main limitations of clinically applying CIMT included limited staff and inappropriate clinical setting (35.1%, n=61), lack of understanding (19.5%, n=34), and developmental issues of function on the unaffected side (13.8%, n=24). The cooperation of patients (77.6%, n=76), cognitive/behavioral factors (42.9%, n=42), and cooperation of caregivers (25.5%, n=25) were the 3 major concerns that could be limitations with CIMT. Conclusions : Although considerable evidence supports the use of CIMT, many of physiatrist and therapists do not apply this method in practice. The improvement of limitations is necessary for wide use of CIMT in clinical practice in Korea.

Rural Systems Visioneering: Paradigm Shift from Flux Measurement to Sustainability Science (지역시스템 비저니어링: 플럭스 관측에서 지속가능성과학으로의 패러다임 전환)

  • Kim, Joon;Kang, Minseok;Oki, Taikan;Park, Eun Woo;Ichii, Kazuhito;Indrawati, Yohana Maria;Cho, Sungsik;Moon, Jihyun;Yoo, Wan Chol;Rhee, Jiyoung;Rhee, Herb;Njau, Karoli;Ahn, Sunghoon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.20 no.1
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    • pp.101-116
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    • 2018
  • Sustainability science is an emerging transdisciplinary research which necessitates not only the communication and collaboration of scientists, practitioners and stakeholders from different disciplines and interests, but also the paradigm shift from deterministic and reductionist approaches to the old basic. Ecological-societal systems (ESS) are co-evolving complex systems having many interacting parts (or agents) whose random interactions at local scale give rise to spontaneous emerging order at global scale (i.e., self-organization). Here, the flows of energy, matter and information between the systems and their surroundings play a key role. We introduce a conceptual framework for such continually morphing dynamical systems, i.e. self-organizing hierarchical open systems (SOHOs). To understand the structure and functionality of SOHOs, we revisit the two fundamental laws of physics. Re-interpretation of these principles helps understand the destiny and better path toward sustainability, and how to reconcile ecosystem integrity with societal vision and value. We then integrate the so-called visioneering (V) framework with that of SOHOs as feedback/feedforward loops so that 'a nudged self-organization' may guide systems' agents to work together toward sustainable ESS. Finally, example is given with newly endorsed Sustainable Development Goals (SDG) Lab (i.e., 'Rural systems visioneering') by Future Earth, which is now underway in rural villages in Tanzania.

Dosimetric effects of couch attenuation and air gaps on prone breast radiation therapy (Prone Breast Phantom을 이용한 couch 산란영향 평가)

  • Kim, Min Seok;Jeon, Soo Dong;Bae, Sun Myeong;Baek, Geum Mun;Song, Heung Gwon
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.43-51
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    • 2017
  • Purpose: The purpose of this study is to evaluate the dosimetric effects of couch attenuation and air gaps using 3D phantom for prone breast radiation therapy. Materials and method: A 3D printer(Builder Extreme 1000) and computed tomography (CT) images of a breast cancer patient were used to manufacture the customized breast phantom. Eclipse External Beam Planning 13.6 (Varian Medical Systems Palo Alto, CA, USA) was used to create the treatment plan with a dose of 200 cGy per fraction with 6 MV energy. The Optically Stimulated Luminescence Detector(OSLD) was used to measure the skin dose at four points (Med 1, Med 2, Lat 1, Lat 2) on the 3D phantom and ion-chamber (FC65-G) were used to perform the in-vivo dosimetry at the two points (Anterior, Posterior). The Skin dose and in-vivo dosimetry were measured with reference air gap (3 cm) and increased air gaps (1, 2, 3, 4, 5, 6 cm) from reference distance between the couch and 3D phantom. Results: As a result, measurement for the skin dose at lateral point showed a similar value within ${\pm}4%$ compared to the plan. While the air gap increased, skin dose at medial 1 was reduced. And it was also reduced over 7 % when the air gap was more than 3 cm compared to radiation therapy plan. At medial 2 it was reduced over 4 % as well. The changes of dose from variety of the air gap showed similar value within ${\pm}1%$ at posterior. As the air gap was increased, the dose at anterior was also increased and it was increased by 1 % from the air gap distance more than 3 cm. Conclusion: Dosimetrical measurement using 3D phantom is very useful to evaluate the dosimetric effects of couch attenuation and air gaps for prone breast radiation therapy. And it is possible to reduce the skin dose and increase the accuracy of the radiation dose delivery by appling the optimized air gap.

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A Study on Usefulness of Clinical Application of Metal Artifact Reduction Algorithm in Radiotherapy (방사선치료 시 Metal artifact reduction Algorithm의 임상적용 유용성평가)

  • Park, Ja Ram;Kim, Min Su;Kim, Jeong Mi;Chung, Hyeon Suk;Lee, Chung Hwan;Back, Geum Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.9-17
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    • 2017
  • Purpose: The tissue description and electron density indicated by the Computed Tomography(CT) number (also known as Hounsfield Unit) in radiotherapy are important in ensuring the accuracy of CT-based computerized radiotherapy planning. The internal metal implants, however, not only reduce the accuracy of CT number but also introduce uncertainty into tissue description, leading to development of many clinical algorithms for reducing metal artifacts. The purpose of this study was, therefore, to investigate the accuracy and the clinical applicability by analyzing date from SMART MAR (GE) used in our institution. Methode: and material: For assessment of images, the original images were obtained after forming ROIs with identical volumes by using CIRS ED phantom and inserting rods of six tissues and then non-SMART MAR and SMART MAR images were obtained and compared in terms of CT number and SD value. For determination of the difference in dose by the changes in CT number due to metal artifacts, the original images were obtained by forming PTV at two sites of CIRS ED phantom CT images with Computerized Treatment Planning (CTP system), the identical treatment plans were established for non-SMART MAR and SMART MAR images by obtaining unilateral and bilateral titanium insertion images, and mean doses, Homogeneity Index(HI), and Conformity Index(CI) for both PTVs were compared. The absorbed doses at both sites were measured by calculating the dose conversion constant (cCy/nC) from ylinder acrylic phantom, 0.125cc ionchamber, and electrometer and obtaining non-SMART MAR and SMART MAR images from images resulting from insertions of unilateral and bilateral titanium rods, and compared with point doses from CTP. Result: The results of image assessment showed that the CT number of SMART MAR images compared to those of non-SMART MAR images were more close to those of original images, and the SD decreased more in SMART compared to non-SMART ones. The results of dose determinations showed that the mean doses, HI and CI of non-SMART MAR images compared to those of SMART MAR images were more close to those of original images, however the differences did not reach statistical significance. The results of absorbed dose measurement showed that the difference between actual absorbed dose and point dose on CTP in absorbed dose were 2.69 and 3.63 % in non-SMRT MAR images, however decreased to 0.56 and 0.68 %, respectively in SMART MAR images. Conclusion: The application of SMART MAR in CT images from patients with metal implants improved quality of images, being demonstrated by improvement in accuracy of CT number and decrease in SD, therefore it is considered that this method is useful in dose calculation and forming contour between tumor and normal tissues.

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The Effects of Thermal Discharge on Benthic Macroinvertebrate Communities Structure in Buso Stream (온배수 유입이 부소천의 저서성 대형무척추동물 군집구조에 미치는 영향)

  • Han, Jung Soo;Wang, Joo Hyun;Kim, Jeong Eun;Jung, Jin Ho;Bae, Yeon Jae;Choi, Jun Kil;Lee, Hwang Goo
    • Korean Journal of Environmental Biology
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    • v.35 no.1
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    • pp.83-94
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    • 2017
  • Benthic macroinvertebrates were investigated in thermal discharge that flows Buso stream region from December 2015 to February 2016, Korea. Study site was selected for the upstream, downstream relative to the mixing station and mixing station which thermal effluent flows, water quality analysis and benthic macroinvertebrates composition, taxa of EPT-group individuals, analysis of biological water quality. As a result, a total of 4,015 individuals including 50 species, 30 families, 11 orders, 4 classes, and 3 phyla were recognized. Taxa of species is Ephemeroptera 16 species (32.0%) including 6 families, the density composition was highest in 1,848 individuals (46.03%) Diptera. EPT-group occupied during the study period were a total of 1,876 individuals (46.72%) including 32 species and 17 family, lowest in the mixing station for study period. As a results of community analysis, mixing station in the Limnodrilus gotoi and Chironomidae sp.2, which is dominated by the analysis was Ecdyonurus levis, Cincticostella levanidovae, Nemoura KUa. The dominant species showed a difference in the upstream and downstream. In the functional feeding groups, in the upstream and mixing station Gathering-Collectors, downstream it was analyzed that the ratio of the highest Filtering-Collectors and decreased the ratio of Shredders increasing from upstream to downstream. Habitat orientation group is analyzed that accounted for most of the Clingers and Burrowers, from upstream to downstream toward the higher the ratio of Clingers. Biological water quality assessment results were analyzed the worst state in the mixing station with an average 2.73 (${\pm}0.41$). Correspondence analysis, correlation analysis results of water temperature and the cold-water species, as the water temperature increases were analyzed by reducing cold-water species and EPT-group.

Relationship between Aboveground Biomass and Measures of Structure and Species Diversity in Quercus mongolica-Dominated Forest, Mt. Jeombong (점봉산 신갈나무군락의 생물종 다양성, 구조 다양성과 지상부 생물량의 관계에 대한 연구)

  • Jeong, Heon Mo;Jang, Inyoung;Hong, Seungbum
    • Korean Journal of Environment and Ecology
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    • v.30 no.6
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    • pp.1022-1031
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    • 2016
  • Relationships of standing biomass with biodiversity and structural diversity were examined in the Quercus mongolica-dominated forest in Mt. Jeombong, Gangwon-do. We examined the standing biomass of the Q. mongolia community ($311.1ton{\cdot}ha^{-1}$) from 2004 to 2013, and the observed major species were Q. mongoilca, Carpinus cordata, Tilia amurensis whose standing biomasses were $206.3ton{\cdot}ha^{-1}$ (66.3%), $36.9ton{\cdot}ha^{-1}$ (11.9%), and $30.6ton{\cdot}ha^{-1}$ (9.8%), respectively. Although the number of Q. mongolica individuals was very small compared with total density, the reason that Q. mongolica showed the most biomass than other species is due to greater average diameter at breast height (DBH) and the higher number of $DBH{\geq}50cm$ individuals. We calculated the range of Shannon index (H') and Shannon evenness (J') in the Q. mongolica community, and they were gradually increased in time, showing 2.015~2.166, 0.673~0.736, respectively. Their H' and J' showed positive linear relationships with their standing biomass. This indicates that the spatial distribution of the standing biomass in Q. mongoilca community becomes more homogeneous with time and this homogenization appears in various species in the community. In addition, we estimated biomass-species index (BS) and abundance-biomass-speciesdiversity (ABS) and they also showed gradual increase in time, ranging from 3.746 to 3.811 and from 4.781 to 5.028, respectively. Their indices showed positive linear relationships with the standing biomass. This can be explained from the observations of variations in standing biomass with tree diameters as the differences in the average standing biomass in the community have reduced gradually in time. Moreover, it is expected that increase in the structure diversity of the Q. mongoilca community enhances the efficiency in carbon sequestration and productivity, so the community can be developed to a more sustainable ecosystem with more abundant resources. Thus, applications of uneven-aged plantations with considerations of local ecological properties can be a very efficient reforestation method to ensure stable support of biodiversity and productivity.

Variation in Heading States of Korean Winter Wheat under Winter Temperature Rise of Toluca in Mexico (멕시코 톨루카 지역의 겨울 기온상승에 따른 한국 밀 품종의 출수생태 변이)

  • Park, TaeIl;Chung, Uran
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.18 no.3
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    • pp.99-108
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    • 2016
  • The shuttle breeding of Korean winter wheat has been able to develop high-yielding and day-length-intensive varieties with a wide range of ecologic adoption. However, the phenology of winter wheat has been changed due to recent rises in the winter temperature of Toluca and increasing frequency of high temperatures. We defined two wheat groups (group II and III) with vernalization and evaluated the impact of cold exposure duration and heading ratio due to changes in sowing dates by measuring changes in cold exposure duration and corresponding heading states of each group. The wheat cultivars were sown on three dates in two years. The cold exposure requirement of wheat sown on 6 November 2013 was unfulfilled. The cold exposure requirement of wheat sown on 22 November and 6 December 2013 was fulfilled. However, in 2014, the cold exposure requirement of wheat sown on 5 and 20 November was fulfilled, but that of wheat sown on 5 December was unfulfilled. The differences for the two early November sowings were because winter temperature rises, which caused high temperatures in 2013, whereas early November 2014 saw normal temperatures for the area. The heading ratio of group II did not show a clear difference among the three sowing dates, while the heading ratio of group III was reduced by about half. This implies that the efficiency of shuttle breeding of group III will be high since it showed strong sensitivity to changes in sowing dates. We calculated future sowing dates of each group under near future climate scenarios; the future available sowing dates of group II were projected, but the dates of group III were never estimated in the temperature rise scenario in Toluca. Our findings suggest that change of sowing dates should be considered in the strategy for shuttle breeding of Korean winter wheat.