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Arthroscopic Treatment for Lateral Discoid Meniscus in Children: Clinical Symptoms & Treatment Results According to Meniscus Type (소아의 외측 원판형 반월상 연골의 슬관절경 치료: 유형에 따른 임상증상 및 치료 결과)

  • Shin, Sung-Il;Hyun, Yoon-Suk;Kang, Jung-Woo;Oh, Bum-Suk
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.7-12
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    • 2011
  • Purpose: We purposed to evaluate clinical results after undergoing arthrocopic surgery of lateral discoid meniscus in children. Materials and Methods: Retrospective evaluation was executed for the 21 cases which showed abnormal findings of knee joint due to lateral discoid meniscus, from Janunary 1 1999 to December 30 2007. Average observation period was 38.4 months (14months~60 months), and average age was 9.5 years old (7~12 years old). The major clinical findings for knee joint extension limitations were the most common with 11 cases, and there were 8 cases of knee joint pain, 6 cases of snapping, and 10 cases of gait abnormality. The forms of lateral discoid meniscus were 14 cases of complete type, 5 cases of incomplete type, and 2 cases of Wrisberg type. All patient had arthroscopic partial menisectomy and some patient who had meniscus tear had arthroscopic meniscus repair. The clinical results were evaluated using Ikeuchi grading system, and the change of knee joint was observed through routine radiography. Results: The peripheral hypermobility of lateral disciform meniscus was observed in 7 cases. The peripheral tear was observed in 4 cases, where partial menisectomy was along with suture at the same time. The final clinical results were 5 cases of Excellent, 12 cases of Good, 4 cases of Fair. Radiologically, there were 5 cases of subchondral sclerosis and narrowness of hardness at the lateral knee joint, and osteochondritis occurred at the joint facet of external femur in 1 case. In clinical result, meanwhile, there were 20 cases of normal or almost normal and only 1 case of abnormal in IKDC score. Conclusion: Knee joint arthroscopic partial menisectomy for treatment of lateral discoid meniscus is useful, and when accompanied by peripheral disruption, suture is thought to be necessary.

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Breast Conserving Operation and Radiation Therapy in Early Breast Cancer : Interim Analysis (초기유방암에서 유방보존수술 후 방사선치료 : 중간분석)

  • Kim, Jin-Hee;Kim, Ok-Bae;Kim, You-Sah
    • Radiation Oncology Journal
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    • v.19 no.1
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    • pp.27-33
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    • 2001
  • Purpose : To evaluate interim results in terms of failure, cosmetic results and survival after breast conserving operation and radiation therapy in early breast cancer. Material and Methods : From January 1992 through December 1997, seventy two patients with early stage 0, I and II breast cancer were treated with conservative surgery plus radiotherapy at Keimyung University Dongsan Medical Center. Age distribution was 25 to 77 years old with median age of 43. According to TNM stage, five patients had stage 0, thirty three were stage I, twenty five were IIa, and nine were IIb. Most patients underwent excision of all gross tumor and ipsilateral axillary dissection. Breast was irradiated through medial and lateral tangential fields of 6 MV photons to 50.4 Gy in 28 fractions over 5.5 weeks. We delivered a boost irradiation dose of 10 to 16 Gy in 1 to 2 weeks to excision site. Adjuvant chemotherapy was administered in forty one patients with CMF (cyclophosphamide, methotrexate, 5-fluorouracil) regimens of 6 cycles concurrently or before radiation. Cosmetic results were assessed by questionnaire to patients grading of excellent, good, fair, poor. Follow-up periods were 22 to 91 months with median 40 months. Results : Five year disease free survival rate (5YDFS) was $95.8\%$. According to stage, 5YDFS was $100\%,\;96.9\%,\;96\%\;and\;88.9\%$ in stage 0, I, IIa and IIb, respectively. Two patients had distant metastasis and one had local and distant failure. One patient with distant failure had bone and liver metastasis at 14 months after treatment and the other had lung and both supraclavicular metastasis at 21 months after treatment. Patient with local and distant failure had local recurrence on other quadrant in same breast and then salvaged with total mastectomy and chemotherapy but she died due to brain metastasis at 55 months. Complications were radiation pneumonitis in five patients (four patients of asymptomatic, one patients of symptomatic) and hand or arm edema(4 patients). Fifty nine patients answered our cosmetic result questionnaire and cosmetic results were good to excellent in fifty one patients $(86\%)$. Conclusion : We considered that conservative surgery and radiation for the treatment of early stage invasive breast cancer was safe and had excellent survival and cosmetic results. We need to assess about prognostic factors with longer follow up and with large number of patients.

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The Comparative Analysis Study and Usability Assessment of Fat Suppressed 3D T2* weighted Technique and Fat Suppressed 3D SPGR Technique when Examining MRI for Knee Joint Cartilage Assesment (슬관절 연골 평가를 위한 자기공명영상 검사 시 지방 신호 억제 3D T2* Weighted 기법과 지방 신호 억제 3D SPGR 기법의 비교 및 유용성 평가)

  • Kang, Sung-Jin
    • Journal of the Korean Magnetics Society
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    • v.26 no.6
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    • pp.219-225
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    • 2016
  • In this study, for assessment of degenerative knee joint cartilage disease we acquired images by fat suppressed 3D spoiled gradient recalled (SPGR) and fat suppressed 3D $T2^*$ weighted imaging techniques. To do a quantitative evaluation, the knee joint cartilage was divided into medial femoral cartilage (MFC), medial tibial cartilage (MTC), lateral femoral cartilage (LFC), lateral femoral cartilage (LFC) and patella cartilage (Pat) to measure their respective signal intensity values, signal-to-noise ratio, and contrast-to-noise ratio. As for the measured values, statistical significance between two techniques was verified by using Mann-Whitney U-Test. To do a qualitative evaluation, two radiologists have examined images by techniques after which image artifact, cartilage surface, tissue contrast, and depiction of lesion distinguishing were evaluated based on 4-point scaling (1: bad, 2: appropriate, 3: good, 4: excellent), and based on the result, statistical significance was verified by using Kappa-value Test. 3.0T MR system and HD T/R 8ch knee array coil were used to acquire images. As a result of a quantitative analysis, based on SNR values measured by using two imaging techniques, MFC, LFC, LTC, and Pat showed statistical significance (p < 0.05), but MTC did not (p > 0.05). As a result of verifying statistical significance for measured CNR value, MFC, LFC, and Pat showed statistical significance (p < 0.05), while MTC and LTC did not show statistical significance (p > 0.05). As a result of a qualitative analysis, by comparing mean values for evaluated image items, 3D $T2^*$ weighted Image has indicated a slightly higher value. As for conformance verification between the two observers by using Kappa-value test, all evaluated items have indicated statistically significant results (p < 0.05). 3D $T2^*$ weighted technique holds a clinical value equal to or superior to 3D SPGR technique with respect to evaluating images, such as distinguishing knee joint cartilages, comparing nearby tissues contrast, and distinguishing lesions.

Fish Community Characteristics and Habitat Aspects of Endangered Species Pseudopungtungia tenuicorpa and Acheilognathus signifer in the Hwayangcheon Stream, Hangang River of Songnisan National Park, Korea (속리산국립공원 화양천의 어류군집 특성 및 멸종위기종 가는돌고기 Pseudopungtungia tenuicorpa와 묵납자루 Acheilognathus signifer의 서식양상)

  • Ko, Myeong-Hun;Han, Mee-Sook;Myung, Ra-Yeon;Yun, Hyeong-Jin
    • Korean Journal of Ichthyology
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    • v.31 no.4
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    • pp.222-234
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    • 2019
  • Fish community characteristics and habitat aspects of endangered species, Pseudopungtungia tenuicorpa and Acheilognathus signifer were investigated in the Hwayangcheon Stream of Songnisan National Park, a tributary of the Hangang River, Korea from April to October 2018. During this period, there were 29 species of 8 families collected from 11 survey stations using kick nets, cast nets long bag set nets. The dominant and subdominant species were Zacco koreanus (38.81%) and Rhynchocypris oxycephalus (16.64%), respectively. The next most abundant species were Z. platypus (14.28%), Pungtungia herzi (6.92%), Hemibarbus longirostris (4.52%), Pseudogobio esocinus (3.51%), A. signifer (2.31%) and P. tenuicorpa (1.90%). Among the fish collected, 18 species (62.1%) were Korean endemic species. Endangered species were A. signifer, P. tenuicorpa and Gobiobotia brevibarba. From upstream to downstream, the dominance index has gradually decreased, but number of species and individuals, diversity and evenness has gradually increased. Also, river health (index of biological integrity) is assessed as good (St. 1~8) and very good (St. 9~11). Fish communities were divided into four sections by the similarity index based on species and their numbers, i.e., upper section (St. 1~2, 4~5), upper-middle section (St. 3, 6), middle section (St. 7~9) and lower section (St. 10~11). Endangered species, Pseudopungtungia tenuicorpa inhabited in mostly lower section (St. 10~11) with rock and boulder bottoms, and age groups in April estimated from total length indicated that the 44~61 mm group is 1 year old, the 66~81 mm group is 2 years old, the 88~99 mm group is 3 years old, and the 104~107 mm group is more than 4 years old. Also, endangered species, A. signifer inhabited in middle-lower section (St. 7~11) with boulder and cobble bottoms and slow velocity, which the place inhabited by water plants. Meanwhile, their age structure in April estimated from total length indicated that the 30~43 mm group is 1 year old, the 48~58 mm group is 2 years old, the 62~77 mm group is 3 years old, and the 84~100 mm group is more than 4 years old. The sex ratio of female (47) to male (42) was 1 : 0.89.

Clinical Result of Arthroscopic Partial Repairs in Massive Rotator Cuff Tears (광범위 회전근 개 파열의 관절경하 부분 봉합술의 임상적 결과)

  • Yoo, Jae-Chul;Ko, Kyung-Hwan;Woo, Kyung-Jea
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.150-158
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    • 2009
  • Purpose: With the better understanding of cuff function, partial repair or "force couple repair" for treating massive irreparable rotator cuff tear has gained some popularity. However, there were few reports on the results of partial repair. The purpose of this study was to report the clinical outcome of massive irreparable rotator cuff tears who received arthroscopic force-couple repair or partial repair. Materials and Methods: From June 2005 to Feb 2008, arthroscopic partial repairs were performed for 16 irreparable rotator cuff tears among the 101 large to massive rotator cuff tears that were operated on. Clinical and radiographic evaluation were done at the final follow-up. Results: There were 7 men and 9 women with a mean age of 66.6 years. The mean follow-up period was 27.3 month (range: 15-46). The pain VAS improved from 4.4 ($\pm2.50$) to 2.1 ($\pm2.26$) and the functional VAS improved from 46.9 ($\pm16.64$) to 70.0 ($\pm22.80$). The ASES score improved from 39.0 ($\pm10.80$) to 80.3 ($\pm16.78$) and the KSS score was 81.9 ($\pm16.74$) at the final follow-up. The acromio-humeral distance was 6.6 cm ($\pm1.74$) preoperatively and 6.2 cm ($\pm1.69$) postoperatively without significant change (p=0.3874). The degenerative changes had no statistically progressed (p=0.2663). Conclusion: Partial repair for massive rotator cuff injury patients showed improvement in the clinical score without progression of arthritic change at a mean of 2.3 years follow-up.

The Comparison of Knee Joint Displaying between The Anteroposterior Weight Bearing View and the Metatarsophalangeal View with Osteoarthritis Patients (골관절염 환자의 촬영방법에 대한 고찰 : AP-WB(Weight-bearing AP), MTP(semiflexed) 촬영법의 비교 고찰을 중심으로)

  • Jeon, Ju-Seob;Park, Hwan-Sang;Moon, Il-Bong;Moon, Ju-Wan;Choi, Nam-Kil;Kim, Chang-Bok;Eun, Sung-Jong
    • Journal of radiological science and technology
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    • v.28 no.2
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    • pp.97-103
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    • 2005
  • Objective : The aim of this study was to compare the knee joint displaying between the anteroposterior weight bearing(AP-WB) View and the metatarsophalangeal(MTP) view for assessing joint space narrowing(JSN) and osteophytes in osteoarthritis patients. Subjects and Materials : Two hundreds of twenty patients(38 men) who came rheumatoid caused by knee pain, had both AP-WB and MTP views taken on a day. Radiographs were evaluated independently by 13 experienced observers(3 orthopedics surgeon, 2 rheumatogist, 3 radiologist, 5 radiological technologist) They assessed JSN and osteophytes using by PACS monitor JSN was scored by the optic evaluation to the nearest at the narrowest point in medial compartments of the tibiofemoral joint in both knees. Osteophytes were graded 0 to 3(bad 0, not bad 1, good 2 and very good 3) according to a standard atlas. All exam was using by Philips(Buckey Diagnostic-TH) X-ray material. Exposure condition was 60 kv, 8 mAs and 100 cm focus to film distance. Results : JSN was scored $1.32{\pm}0.050$ in AP-WB view, $2.51{\pm}0.046$ in MTP view. MTP view of JSN score is higher to AP-WB view significantly(p<0.05). Osteophytes scored $2.14{\pm}0.054$ in AP-WB view, $2.10{\pm}0.054$ in MTP view. There was no difference(p<0.05) between MTP view and AP-WB view in osteophytes. But MTP view was more reproducible than AP-WB view Conclusions : Joint space narrowing is most important factor to diagnosis with knee joint Osteoarthritis patients. This study was summarized as follows; In comparision of JSN, MTP view was more widely displayed than AP-WB view. In comparision of Osteophytes, there was no difference between MTP view and AP-WB view. It was concluded MTP view was more useful method to diagnosis of knee joint Osteoarthritis patients.

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A Study for Planning Optimal Location of Solar Photovoltaic Facilities using GIS (GIS를 이용한 태양광시설 설치를 위한 적정지역 선정에 관한 연구)

  • Yun, Sung-Wook;Paek, Yee;Jang, Jae-Kyung;Choi, Duk-Kyu;Kang, Donghyeon;Son, Jinkwan;Park, Min-Jung;Kang, Suk-Won;Gwon, Jin-Kyung
    • Journal of Bio-Environment Control
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    • v.28 no.3
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    • pp.243-254
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    • 2019
  • With the recent accelerated policy-making and interests in new renewable energy, plans to develop and supply the new renewable energy have been devised across multiple regions in Korea. Solar energy, in particular, is being applied to small-scale power supply in provincial areas, as solar cells are used to convert solar energy into electric energy to produce electric power. Nonetheless, in the case of solar power plants, the need for a large stretch of land and considerable sum of financial support implies that the planning step should take into consideration the most suitable meteorological and geographical factors. In this study, the proxy variables of meteorological and geographical factors associated with solar energy were considered in analyzing the vulnerable areas regarding the photovoltaic power generation facility across the nation. GIS was used in the spatial analysis to develop a map for assessing the optimal location for photovoltaic power generation facility. The final vulnerability map developed in this study did not reveal any areas that exhibit vulnerability level 5 (very high) or 1 (very low). Jeollanam-do showed the largest value of vulnerability level 4 (high), while a large value of vulnerability level 3 (moderate) was shown by several administrative districts including Gwangju metropolitan city, Jeollabuk-do, Chungcheongbuk-do, and Gangwon-do. A value of vulnerability level 2 (low) was shown by the metropolitan cities including Daegu, Ulsan, and Incheon. When the 30 currently operating solar power plants were compared and reviewed, most were found to be in an area of vulnerability level 2 or 3, indicating that the locations were relatively suitable for solar energy. However, the limited data quantity for solar power plants, which is the limitation of this study, prevents the accuracy of the findings to be clearly established. Nevertheless, the significance of this study lies in that an attempt has been made to assess the vulnerability map for photovoltaic power generation facility targeting various regions across the nation, through the use of the GIS-based spatial analysis technique that takes into account the diverse meteorological and geographical factors. Furthermore, by presenting the data obtained for all regions across the nation, the findings of this study are likely to prove useful as the basic data in fields related to the photovoltaic power generation.

Fish Community Characteristics and Inhabiting Status of Endangered Species in the Bukcheon (Stream) of Seoraksan National Park, Korea (설악산국립공원 내 북천의 어류군집 특성 및 멸종위기종의 서식양상)

  • Park, Seong-Cheol;Choi, Kwang-Seek;Han, Mee-Sook;Ko, Myeong-Hun
    • Korean Journal of Environment and Ecology
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    • v.36 no.4
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    • pp.390-401
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    • 2022
  • This study investigated the characteristics of fish communities and inhabiting status of endangered species in the Bukcheon (Stream) of Seoraksan National Park, Korea from April to September 2020. A total of 4,356 fish of 7 families and 22 species were collected from 17 survey stations during the survey period. The dominant species was Zacco koreanus (relative abundance, 41.8%), and subdominant species was Rhynchocypris kumgangensis (relative abundance, 15.1%), followed by Pungtungia herzi (10.1%), Pseudopungtungia tenuicorpa (5.0%), Coreoleuciscus splendidus (4.1%), Zacco platypus (3.8%), Microphysogobio longidorsalis (3.5%), and Hemibarbus mylodon (2.2%). Among the fish species collected, 14 species (63.6%) were identified as Korean endemic species. There was one natural monument species (Hemibarbus mylodon), and four species of class II endangered wildlife that were designated by the Ministry of Environment (Acheilognathus signifer, Pseudopungtungi tenuicorpa, Gobiobotia brevibarba, and Brachymystax lenok tsinlingensis). Among the four species of class II endangered wildlife, B. lenok tsinlingensis inhabited in the upper stream, and A. signifer, P. tenuicorpa and G. brevibarba inhabited mainly in the middle-lower stream. Also, P. tenuicorpa, H. mylodon, and B. lenok tsinlingensis were inhabited in large numbers. Additionally, two cold-water fish species (R. kumgangensis and B. lenok tsinlingensis) and one landlocked species (B. lenok tsinlingensis) were collected. According to the results of cluster analysis, the dominance index decreased from upstream to downstream, but the diversity, evenness, and richness index increased; the cluster structure was divided into the uppermost, upstream, midstream, and downstream. The water quality of Bukcheon was evaluated as good overall since the river health (index of biological integrity) evaluated using fish was evaluated as very good (11 stations), good (2 stations), and normal (4 stations). However, river repair work was being carried out in some areas and some wastewater was flowing in from the midstream, therefore, supplementary measures to preserve fish habitats are required.

Characteristics of Particulate Matter 2.5 by Type of Space of Urban Park - Focusing on the Songsanghyeon Plaza in Busan - (도로변 공원의 공간조성유형에 따른 초미세먼지 분포 특성 - 부산시 송상현광장을 사례로-)

  • Ahn, Rosa;Hong, Sukhwan
    • Journal of the Korean Institute of Landscape Architecture
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    • v.49 no.6
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    • pp.37-48
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    • 2021
  • Roadside pollution has been identified as the main cause of PM2.5 in urban areas. Green infrastructure has been understood to mitigate air pollution from roadside traffic effectively, but complication depend on environmental variables. This study aimed to investigate the characteristic of PM2.5 by the type of space in an urban park located in Songsanghyeon Plaza, surrounded by a 12-lane road on all sides. Type of space was typically classified as roadside square (A), sunken square (B), a mix of trees and hedges/shrubs (C), trees only (D), and grass square (E) according to the land-use type and layers of trees. PM2.5 was measured for nine days, three days for three different Air Quality Forecasts-Good level (0~15㎍/m3), Moderate level (16~35㎍/m3), and Unhealthy level (36~75㎍/m3). The analysis result was as follows. At good levels, there was statistical significance in the order of D, E < B, C < A. In the case of moderate levels and unhealthy levels, D and E were statistically lower than other land-use types. The characteristic of PM2.5 in the urban park by type of space was affected by atmospheric flow into the road. The relatively high concentration of A and C was located near the roads. Although B was far away from the road, the reason for the high concentration of PM2.5 was that no structures blocked the air pollution. Thanks to the type of space C, filtering the air pollution from the roads, the concentration of PM2.5 in D and E was relatively low.

Characteristics of Fish Community and Habitat Aspects of Cold-water Fish Speciesin the Bangtaecheon (Stream), Korea (방태천의 어류군집 특성 및 냉수성 어류의 서식양상)

  • Kwang-Seek Choi;Mee-Sook Han;Myeong-Hun Ko
    • Korean Journal of Environment and Ecology
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    • v.36 no.6
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    • pp.603-614
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    • 2022
  • This study investigated the characteristics of fish communities in the Bangtaecheon Stream in Korea from April to October 2020. The survey collected 4,640 fish of 26 species in 9 families from 11 survey stations. The dominant and subdominant species were Rhynchocypris kumgangensis(relative abundance at 31.5%) and Zacco koreanus(27.8%), respectively. The next most abundant species were Ladislavia taczanowskii(15.9%), Pungtungia herzi(4.0%), Brachymystax lenok tsinlingensis(3.7%), Microphysogobio longidorsalis(2.4%), and Zacco platypus(2.3%). Among the collected fish species, 17 (65.4%) were Korean endemic species, 4 (15.4%), including Acheilognathus signifer, Pseudopungtungia tenuicorpa, Gobiobotia brevibarba, and B. l. tsinlingensis,were class II endangered wildlife as designated by the Ministry of Environment, and 1 species, Hemibarbus mylodon, was a natural monument. Moreover, two landlocked species (B. l. tsinlingensisand C. koreanus) were also collected. Additionally, four cold-water species (R. kumgangensis, L. taczanowskii, B. l. tsinlingensis,and Cottus koreanus) were collected, and all of them mainly inhabited the upper and middle streams. Fish community analysis showed a tendency for dominance and uniformity to decrease and abundance and diversity to increase from upstream to downstream and that the community structure was divided into upstream and downstream groups. The river health was rated as excellent (9 stations) and good (2 stations). Compared to the previous studies, three species (Carassius auratus, Leiocassis ussuriensis,and Siniperca scherzeri) appeared in the past but did not appear in this survey, and three species (Opsariichthys uncirostris amurensis, Microphysogobio yaluensis,and Orthrias nudus) that did not appear in the past appeared in this survey. Bangtaecheon Steam is well-preserved, and climate-sensitive species, endangered wildlife, and natural monuments inhabit the stream. Therefore, continuous attention and systematic conservation measures are required.