• Tuberculosis and Respiratory Diseases
• /
• v.43 no.6
• /
• pp.903-915
• /
• 1996

Background: Combination chemotherapy is now considered to be the cornerstone of small cell lung cancer (SCLC). management but the optimal management of limited SCLC is not well defined. The role of thoracic radiotherapy (TRT) is less well established. Recent meta-analyses reports revealed that TRT combined with chemotherapy produce "good" local control and prolonged survival. But other reports that survival was not changed. The liming, dose, volume and fractionation for TRT with the combined chemotherapy of SCLC remains unsettled. In this study, we analyzed the effects according to the timing of thoracic radiotherapy in limited SCLC. Method: All fifty one patients received cytoxan, adriamycin and vincristine(CAV) alternating with etoposide and cisplatin(VPP) every 3 weeks for 6 cycles were randomized prospectively into two groups: concurrent and sequential. 27 patients received 4500cGy in 30 fractions(twice daily 150cGy fractional dose) over 3 weeks 10 the primary site concurrent with the first cycle of VPP(concurrent gorup). 24 patients received 4000 to 5000cGy over 5 or 6 weeks after completion of sixth cycles of chemotherapy(sequential group). Results: 1. Response rates and response duration : Response rates were not significantly different between two groups(p=0.13). But response duration was superior in the concurrent group(p=0.03). 2. Survival duration was nor different between two groups(p=0.33). 3. Local control rate was superior in the concurrent group(p=0.00). 4. Side effects and toxicities: Hematologic toxicities, especially leukopenia, infection and frequency of radiation esophagitis were higher in the concurrent group (p=0.00, 0.03, 0.03). Conclusion: The concurrent use of TRT with chemotherapy failed to improve the survival of limited stage SCLC patients compared with the sequential use of TRT but response duration and local control rate were superior in the concurrent group. Frequency of radiation esophagitis, life threatening hematologic toxicities and infection were more frequent in the concurrent group than sequential group. So, the selection of an optimal schedule of chemotherapy combined with TRT that would lead to a major increase in survival with minimal toxicity is remained to be validated in large scale study in the future.

• Korean Journal of Agricultural and Forest Meteorology
• /
• v.18 no.4
• /
• pp.348-356
• /
• 2016

Carbon dioxide ($CO_2$) gases concentration in atmosphere has been growing since preindustrial times. By sequestering a large amount of atmospheric carbon (C), terrestrial ecosystems are thought to offer a mitigation strategy for reducing global warming. Woody agro-ecosystems such as fruit tree are among the least quantified and most uncertain elements in the terrestrial carbon cycle. $CO_2$ and energy fluxes were measured by the eddy covariance method on a 15-year old apple orchard of South Korea in 2006. Environmental parameters (net radiation, precipitation, etc.) were measured along with fluxes. The results showed that during late June, the ability to sequestrate C was significant at an apple orchard ecosystem and it reached on the peak of $-6.5g\;C\;m^{-2}\;d^{-1}$. We found that in the apple orchard, the daily average of net ecosystem exchange of $CO_2$ (NEE) and cumulative NEE on a yearly basis were $-1.1g\;C\;m^{-2}$ and $-396.9g\;C\;m^{-2}$, respectively. These results reveal that there is high carbon sequestration in the apple orchard of South Korea, which is the same magnitude with repect to that of a natural forested ecosystem of the same biome rank (temperate-humid deciduous forest).

• Korean Journal of Psychosomatic Medicine
• /
• v.3 no.2
• /
• pp.115-125
• /
• 1995

Reports about the prevalence of premenstrual symptoms state that occurs in 20 to 100% of most reproductive-age women. There is a close association between premenstrual syndrome and affective disorders as well as same some other psychiatric disorders. Late luteal phase dysphoric disorder (LLPDD) is a premenstrual condition defined in DSM-III-R by severe mood changes and other symptoms that repeatedly occur only in the luteal phase of the menstrual cycle. However, DSM-III-R does not specify how to compute the change from the follicular to the luteal phase or how to determine when the amount of change is great enough to warrant the diagnosis nor how to determine occupational or social functional impairment. This study was conducted to evaluate the nature, severity and magnitude of premenstrual syndrome in women with current psychiatric disorders by using prospective Daily Rating Form(DRF), and to measure symptom changes according to three scoring methods for diagnosing LLPDD. Our study obtains the data about premenstrual changes estimated by DRF from 22 women with psychiatric disorders who had met criteria for major depressive syndrome on the Premenstrual Assessment Form (PAF). The data was scored by each three methods and was determined to meet criteria A for LLPDD. The results are as follows: 1) the subjects, when scored according to the percent change method, effect size method and absolute severity method, met the DSM-III-R criteria A for LLPDD in 36.4% (8 subjects), 14% (3 subjects) and 4.5% (1 subject) of the cases respectively. 2) The items of irritability, anger and impatience were occurred most frequently on the DRF, when it was scored according to the three scoring methods. And the item of breast pain was next frequent according to the effect size method and the percent change method but according to the absolute severity method. 3) The PAF item of impaired social functioning was reported by 16 (73%) of the subjects. 4) 4 (18%) of the subjects met criteria A for LLPDD and reported impaired social functioning. The prevalency of LLPDD according to each method varied. The percent change method yielded the greatest (36.4%), and the absolute seventy method yielded the laest (4.5%), The effect size method yielded an intermediate frequency (14%). Therefore, for maximizing the diagnostic accuracy of LLPDD, a diagnostic procedure including a measure of change (e.q., effect size method, percent change method) as well as confirmed diagnosis by DRF, will be needed. Also, an accurate tool to evaluate impaired social functioning will be required.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.25 no.2
• /
• pp.195-201
• /
• 2011

Nardostachys chinensis;Anti-proliferation;Cell cycle arrest;Differentiation;U937 cells; This study was conducted to determine the analgesic effect of Sokyungwhalhyul-tang(SKWHT) using the model of peripheral neuropathic pain model. A model of neuropathic pain was made by ligating left 5th lumbar spinal nerve of rats. After 1 days, the extract of SKWHT was orally administered daily. Rats were divided into four groups; (1) Control group(n=6), (2) Experimental group I(SKWHT-OA1, 100 mg/kg, n=6), (3) Experimental group II(SKWHT-OA2, 300 mg/kg, n=6), (4) Experimental group III(SKWHT-OA3, 500 mg/kg, n=6). After that, we examined the withdrawl response of neuropathic rats legs by von Frey filament and Hot plate at pre, $1^{th}$, $4^{th}$, $7^{th}$, $14^{th}$, $21^{th}$ days after the induction of neuropathic pain. And also we examined c-fos, GOT, GPT and histological study of Liver at 21th days. von Frey filament and Hot plate were increase in experimental group I, II, III than Con. especially group III was most significantly analgesic effect than the other groups at $14^{th}$, $21^{th}$ days. In c-fos protein expression on spinal cord, group III was most significantly reduction immunoreactivity at $21^{th}$ days and in blood serum GOT & GPT levels and histologic finding of Liver in all experimental groups were no significant difference with Con at $21^{th}$ days. According to the above results, SKWHT(500 mg/kg) may have a significant analgesic effect on the neuropathic pain.

• Korean Journal of Ecology and Environment
• /
• v.49 no.4
• /
• pp.245-257
• /
• 2016

Although rivers cover only 0.5% of the total land area on the Earth, they are windows that show the integrated effects of watershed biogeochemistry. Studies on the loads and properties of riverine carbon have been conducted because they are directly linked with drinking water quality, and because regional or global net ecosystem production (NEP) can be overestimated, unless riverine carbon loads are subtracted. Globally, ${\sim}0.8-1.5Pg\;yr^{-1}$ and ${\sim}0.62-2.1Pg\;yr^{-1}$ of carbon are transported from terrestrial ecosystems to the ocean via rivers and from inland waters to the atmosphere, respectively. Concentrations, ${\delta}^{13}C$, and fluorescence spectra of riverine carbon have been investigated in South Korea to understand the spatiotemporal changes in the sources. Precipitation as well as land use/land cover can strongly influence the composition of riverine carbon, thus shifting the ratios among DIC, DOC, and POC, which could affect the concentrations, loads, and the degradability of adsorbed organic and inorganic toxic materials. A variety of analyses including $^{14}C$ and high resolution mass spectroscopy need to be employed to precisely define the sources and to quantify the degradability of riverine carbon. Long-term data on concentrations of major ions including alkalinity and daily discharge have been used to show direct evidence of ecosystem changes in the US. The current database managed by the Korean government could be improved further by integrating the data collected by individual researchers, and by adding the major components ions including DIC, DOC, and POC into the database.

• Journal of The Korean Society of Agricultural Engineers
• /
• v.63 no.6
• /
• pp.1-16
• /
• 2021

Global warming due to climate change is expected to significantly affect the hydrological cycle of agriculture. Therefore, in order to predict the magnitude of climate impact on agricultural water resources in the future, it is necessary to estimate the water demand for irrigation as the climate change. This study aimed at evaluating the future changes in water demand for irrigation under two Shared Socioeconomic Pathways (SSPs) (SSP2-4.5 and SSP5-8.5) scenarios for paddy rice in Gimje, South Korea. The APEX-Paddy model developed for the simulation of paddy environment was used. The model was calibrated and validated using the H₂O flux observation data by the eddy covariance system installed at the field. Sixteen General Circulation Models (GCMs) collected from the Climate Model Intercomparison Project phase 6 (CMIP6) and downscaled using Simple Quantile Mapping (SQM) were used. The future climate data obtained were subjected to APEX-Paddy model simulation to evaluate the future water demand for irrigation at the paddy field. Changes in water demand for irrigation were evaluated for Near-future-NF (2011-2040), Mid-future-MF (2041-2070), and Far-future-FF (2071-2100) by comparing with historical data (1981-2010). The result revealed that, water demand for irrigation would increase by 2.3%, 4.8%, and 7.5% for NF, MF and FF respectively under SSP2-4.5 as compared to the historical demand. Under SSP5-8.5, the water demand for irrigation will worsen by 1.6%, 5.7%, 9.7%, for NF, MF and FF respectively. The increasing water demand for irrigating paddy field into the future is due to increasing evapotranspiration resulting from rising daily mean temperatures and solar radiation under the changing climate.

• Journal of Climate Change Research
• /
• v.6 no.3
• /
• pp.209-221
• /
• 2015

Temperature is one of the most important factors affecting crop growth. The diurnal cycle of the scale factor [Tsc] for air temperature and the surface temperature of crop leaf and soil could be estimated by the following equation : $[Tsc]=0.5{\times}sin(X+C)+0.5$. The daily air temperature (E[Ti]) according to the E&E time [X] can be estimated by following equation using average (Tavg), maximum (Tm) and minimum (Tn) temperature : $E[Ti]=Tn+(Tm-Tn){\times}[0.5{\times}sin\;\{X+(9.646Tavg+703.65)\}+0.5]$. The crop leaf temperature in 24th June 2014 was high as the order of red pepper without mulching > red pepper with mulching > soybean under drought > soybean with irrigation > Chinese cabbage. The case in estimating crop leaf surface temperature using air temperature and soil surface temperature was lower in the deviation compared to the case using air temperature for Chinese cabbage and red pepper. These results can be utilized for the crop models as input data with estimation.

• Journal of Industrial Convergence
• /
• v.18 no.6
• /
• pp.139-146
• /
• 2020

Care of people with severe disabilities requires care throughout their life cycle compared to non-disabled families. For this reason, carers of severely handicapped families are highly likely to have negative feelings throughout the family as well as daily stress. Disabled families also have a high rate of experiencing difficulties between non-disabled children or married couples in life centered on the disabled. In particular, the rapid aging in Korea affects the lives of the elderly disabilities along with the aging of the caregivers. The study explored alternatives to realistic support through the past and present experiences of caregivers with disabilities through qualitative research methods, and derived hopes and expectations for the future as follows.First, after confirming the disability for infants and toddlers with disabilities, information about the support system or system is provided from the rating agency. Second, providing "customized care support" suitable for the type of disability or individual characteristics at the social, political, institutional, and economic levels. Third, the provision of programs for non-disabled children and the provision of healing programs only for families with disabilities or those with disabilities. Fourth, the provision of spaces and programs that provide rest and rest for adults with disabilities. Fifth, the application of a long-term care system for the elderly reflecting the aging age of the disabled and institutionalization of community care for the disabled. The research is meaningful in that it presents discussion points for improving the quality of life of adults and the elderly with disabilities.

• Journal of Korea Water Resources Association
• /
• v.53 no.12
• /
• pp.1143-1157
• /
• 2020

In this study, a criteria for the SWAT model calibration method in SWAT-CUP which considers multi-site and multi-variable observations was presented. For its application, the SWAT model was simulated using long-term observed flow, soil moisture, and evapotranspiration data in Yongdam study watershed, investigating the hydrological runoff characteristics and water balance in the water cycle analysis. The model was calibrated with different parameter values for each sub-watershed in order to reflect the characteristics of multiple observations through one-by-one calibration, appropriate settings of model simulation run/iteration number (1,000 simulation runs in the first iteration and then 500 simulation runs for the following iterations), and executions of partial and all run in SWAT-CUP. The flow simulation results of watershed outlet point, ENS 0.85, R2 0.87, and PBIAS -7.6%, were compared with the analysis results (ENS 0.52, R2 0.54, and PBIAS -22.4%) applied in the other batch (i.e., non one-by-one) calibration approach and showed better performances of proposed method. From the simulation results of a total of 15 years, it was found that the total runoff (streamflow) and evapotranspiration rates from precipitation are 53 and 39%, and the ratio of surface runoff and baseflow (i.e., sum of lateral and return flow, and recharge deep aquifer) are 35 and 65%, respectively, in Yongdam watershed. In addition, the analytical amount of available water (i.e., water yield), including the total annual streamflow (daily average 21.8 m3/sec) is 6.96 billion m3 per year (about 540 to 900 mm for sub-watersheds).

• 한국노년학
• /
• v.40 no.4
• /
• pp.659-689
• /
• 2020

This study focuses on the process of internalizing the perception of negative discrimination among elderly people who have experienced age discrimination. The grounded theory method was used to identify the age discrimination experienced by the elderly in their daily lives and to explore the consequences of such discrimination through self-ageism. According to the analysis results, the elderly respond not only to explicit discrimination but also to implicit discrimination. In this process, the stronger the pain of old age (poverty, disease, ignorance, and solitude) and the stronger the memory of failing to respond to discrimination, the higher the level of self-ageism. "Self-ageism" has internalized the negative image of the elderly, who have been discriminated against by age, resulting in disadvantages in terms of quality of life through various reject/separate/suspension actions in reality. In the presence of supportive resources such as health, institutional support, and caregivers, the elderly have room to overcome self-ageism through more active ways. However elderly people who cannot motivate themselves and they lack these resources, elderly are trapped in negative reflux caused by self-ageism and sustained a depressed and shrinking life. In this state, it is not easy to motivate themselves and make physical, cognitive, emotional and social responses. Therefore, in this analysis, we specifically noted two aspects, contextual conditions and interventional conditions, and proposed programs for synchronizing senior citizens and improving resiliency from a microscopic point of view, and argued for the need to develop systems such as supplementing welfare and health service systems related to the entire life cycle, expanding accessibility and 'age-integration' through 'Community Care', awareness improvement and anti-discrimination laws.