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Recognition and Request for Medical Direction by 119 Emergency Medical Technicians (119 구급대원들이 지각하는 의료지도의 필요성 인식과 요구도)

  • Park, Joo-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.3
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    • pp.31-44
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    • 2011
  • Purpose : The purpose of emergency medical services(EMS) is to save human lives and assure the completeness of the body in emergency situations. Those who have been qualified on medical practice to perform such treatment as there is the risk of human life and possibility of major physical and mental injuries that could result from the urgency of time and invasiveness inflicted upon the body. In the emergency medical activities, 119 emergency medical technicians mainly perform the task but they are not able to perform such task independently and they are mandatory to receive medical direction. The purpose of this study is to examine the recognition and request for medical direction by 119 emergency medical technicians in order to provide basic information on the development of medical direction program suitable to the characteristics of EMS as well as for the studies on EMS for the sake of efficient operation of pre-hospital EMS. Method : Questionnaire via e-mail was conducted during July 1-31, 2010 for 675 participants who are emergency medical technicians, nurses and other emergency crews in Gyeongbuk. The effective 171 responses were used for the final analysis. In regards to the emergency medical technicians' scope of responsibilities defined in Attached Form 14, Enforcement regulations of EMS, t-test analysis was conducted by using the means and standard deviation of the level of request for medical direction on the scope of responsibilities of Level 1 & Level 2 emergency medical technicians as the scale of medical direction request. The general characteristics, experience result, the reason for necessity, emergency medical technicians & medical director request level, medical direction method, the place of work of the medical director, feedback content and improvement plan request level were analyzed through frequency and percentage. The level of experience in medical direction and necessity were analyzed through ${\chi}^2$ test. Results : In regards to the medical direction experience per qualification, the experience was the highest with 53.3% for Level 1 emergency medical technicians and 80.3% responded that experience was helpful. As for the recognition on the necessity of medical direction, 71.3% responded as "necessary" and it turned out to be the highest of 76.9% in nurses. As for the reason for responding "necessary", the reason for reducing the risk and side-effects from EMS for patients was the largest(75.4%), and the reason of EMS delay due to the request of medical direction was the highest(71.4%) for the reason for responding "not necessary". In regards to the request level of the task scope of emergency medical technicians, injection of certain amount of solution during a state of shock was the highest($3.10{\pm}.96$) for Level 1 emergency rescuers, and the endotracheal intubation was the highest($3.12{\pm}1.03$) for nurses, and the sublingual administration of nitroglycerine(NTG) during chest pain was the highest($2.62{\pm}1.02$) for Level 2 emergency medical technicians, and regulation of heartbeat using AED was the highest($2.76{\pm}.99$) for other emergency crews. For the revitalization of medical direction, the improvement in the capability of EMS(78.9%) was requested from emergency crew, and the ability to evaluate the medical state of patient was the highest(80.1%) in the level of request for medical director. The prehospital and direct medical direction was the highest(60.8%) for medical direction method, and the emergency medical facility was the highest(52.0%) for the placement of medical director, and the evaluation of appropriateness of EMS was the highest(66.1%) for the feedback content, and the reinforcement of emergency crew(emergency medical technicians) personnel was the highest(69.0%) for the improvement plan. Conclusion : The medical direction is an important policy in the prehospital EMS activity because 119 emergency medical technicians agreed the necessity of medical direction and over 80% of those who experienced medical direction said it was helpful. In addition, the simulation training program using algorithm and case study through feedback are necessary in order to enhance the technical capability of ambulance teams on the item of professional EMS with high level of request in the task scope of emergency medical technicians, and recognition of medical direction is the essence of the EMS field. In regards to revitalizing medical direction, the improvement of the task performance capability of 119 emergency medical technicians and medical directors, reinforcement of emergency medical activity personnel, assurance of trust between emergency medical technicians and the emergency physician, and search for professional operation plan of medical direction center are needed to expand the direct medical direction method for possible treatment beforehand through the participation by medical director even at the step in which emergency situation report is received.

Installation and Vegetation Management for Enhanced Authenticity of Jeju Ohyundan (제주 오현단의 진정성 제고를 위한 시설 및 식생관리)

  • Rho, Jae-Hyun;Oh, Hyun-Kyung
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.31 no.3
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    • pp.25-37
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    • 2013
  • The purpose of this study is to draw reasonable management plans to reinforce essence of Ohyundan(五賢壇: Five sprit tablets), a sacred site and monument of Jeju, by investigating and analyzing current status and problems of cultural landscape elements(e.g. architectural structures, installation, letters carved on the rocks, actual vegetation, etc.) while grasping placeness contained in Ohyundan through consideration of its history and transition process of Ohyundan a future being and shrine of Gyulrim Seowon(橘林書院) in Jeju. Results derived from research are summarized as follows. Ohyundan is noted due to its placeness in that it was a place for Gyulrim Seowon, Jeju's one and only Saaek Seowon(賜額書 院) and it was a symbolic space of exile culture in Jeju. As it is inferred from Gyulrim Seowon, which is dangho(堂號: clan name) of Seowon, orchards surrounding all over places are a signature landscape element that shows placeness of the past Ohyundan. Joduseok(俎豆石: altar stone), representing a core installation of Ohyundan and ancestral tablet of five spirits, created a refined place by putting up common stones around altar and founding blocked stones to wall. This refinement and thrift served basic mind of Neo-Confucianism, and led to of Jeju's Jonyang mind(spend-thrift mind). In conclusion, a practice plan is a prerequisite to restore essence of Ohyundan by actively excluding installations not suitable for placeness or overly designed such as Jeju Hyangrodang(a center for the elderly) and numerous monument houses. On the other hand, together with Joduseok, as letters carved on the rocks such as 'Jeungjoo Byukrip(曾朱壁立)' and 'Gwangpoongdae(光風臺)' and Yoocheonseok serve as a signature landscape that well shows mind of five spirits and teaching of Neo-Confucianism, and also a trace from a confucian viewpoint deeply rooted in Jeju, they are judged as a cultural landscape corresponding to the essence of place in Ohyundan which requires proactive preservation and plans for public relations. Together with this, although many different old big trees such as Pinus densiflora , Pinus thunbergii, Quercus variabilis, Celtis sinenis, Zelkova serrata and Rhus succedanea are a landscape element that increases sacred Ohyundan and commemorative value, now required is thorough entity tree management by assigning serial number on them as many of them were dead or removed resulting from transition process of land use. Further, to reinforce quality of site location belonging to Gyulrim Seowon, a prerequsite is to review plans that create Gyulrim at reinstalled site of building and raw land.

An Evaluation on the Operating of Fisheries Extension Services (어촌지도사업의 평가)

  • 최정윤
    • The Journal of Fisheries Business Administration
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    • v.17 no.2
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    • pp.65-106
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    • 1986
  • 1, The Purpose of Study This is a study on the Evaluation of the operating of Fisheries Extension Services of Korea, for performing the activities such as guiding fisheries technique as well as offering industrial information to the fishermen in fishing village. By doing so, the Fisheries Extension Sevices(FES) can materialize the continued growth of fisheries, the social and economic development of fishing village, and the increase in income by enhancing the knowledge level of Fishermen, etc. In performing fisheries policy, this activity plays a great role on the research and development activity, and it has become practical since 1976 in Korea. In order to meet immediately with the problem of fisheries technical innovation and rapid environmental changes surrounding the fisheries, the fishermen should not only enhance their scientific and comprehensive capacity in fisheries technique but abtain various effective information. Generally, as most of all the fishemen are poor in the managerial structure and scattered in fishing villages, they have little opportunity in the contact of information. As a result, it is nessessary for the FES to perform the fishing business by the extension service officials who has received special training and acquired fisheries know-how in these fields. And yet, FES is under the unfullfilled circumstance in such factors as manpower, technical know-how, equipment, and the service system etc., which is required in promoting the social, economic development of fishing village and in resolving the high technique demand of fisherman. This study on the fisheries extension services have been studied from those backgrounds. 2. Research Method The data of collecting methods which were necessary in carrying out this study was adopted by the questionaire research on the present extension service activity, through the subject of the extension services (driving agency of the work and the officials), the object(fishemen) and the 3rd observers to the extension services (the authorities concerned). The research sample was taken by the sampling extraction of total 1, 774 men from the above 3 groups. And the research was carried out from August, 1986 to October, 1986, supported from the Fisheries Extension Office (FEO) located in field during the research process. In this study, the levels of the extension operating were determined and estimated in accordance with the extension service method, morale of extension service officials and the extension service system, etc. through the collected data of the research questionaire paper. And based on this result, the essential conditions of the extension services were grasped, and also we tried to present the various activity plan necessary to promote the operating of the extension services. The questionaire research data was calculated by the computer center of National Fisheries University of Pusan, and the total result was again tried on the one demension analysis along with two dimension analysis to search out the relativity between the questionaire, and the statistical test was done $\chi$$^2$test in significance level of l~5%. 3. Contents of Study This study consists of 7 chapters and the contents are as follows : Chapter I : The object and method of the study Chapter II : The assessment and analysis of the extension services Chapter III : The contents and method of the extension services Chapter IV : Analysis of the essential conditions for the extension services Chapter V : The evaluation of activities of extension services Chapter Ⅵ : Conclusion.4. Results and RecommendationTherefore, the results of this study estimated by logical process and analysis are as follows : 1) Most of Korean fishing villages and coastal fishermen have shown much concerns about fisheries technique and social changes, thus many of them were confronted with new problems on how to adapt and to meet changes. 2) Majority of fishermen estimated FEO as an organization of specific technologies with all the thing concerning the fisheries technique in general. Therefore the fishermen wanted to utilize the FEO as an adaptable method for the modern fisheries techniques as well as the environmental changes. 3) In contrast with the fast changes of the fisheries technique, the complexity and variety of technical system and the broadness of fishing village and fishermen, it was revealed that the necessary factors such as the facilities, manpower, budget, and the level of applying techniques of the FEO located in field were highly insufficient. Accordingly, the guiding efficiency was low and the extension services did not provide full solution to the various request from fishermen. 4) It is possible to classify the activation factor for the extension service into two large dimension ; personal dimension relevant to guidance officials and work dimension relevant to the organization. And it was found that the activation level of the work dimension was far lower than the personal dimension between them. So, the activation should be done first in the dimesion to promote the activation of the extension services. 5) The extension services officials are now demoralized in general, thus it is necessary to take reality into consideration : the expense of activity, the adequate endowment of activity scope and the reasonable operation of the position class, etc to enhance its morale. However, in order to do the FES activation, first of all, the systems should be established which is lain unsettled stage until now. And there must be change in the understanding of government i.e. the fisheries extension services are the essential policy subject to build up the base of fisheries growth and modernize the fisheries management. And it should be driven positively with the recognition of the "lasting project".g project".uot;.

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A Study on the Vegetation Structure of Evergreen Broad-leaved Forest Dongbaekdongsan(Mt.) in Jeju-do, Korea (제주도 동백동산 상록활엽수림 식생구조 연구)

  • Kwak, Jeong-In;Lee, Kyong-Jae;Han, Bong-Ho;Song, Ji-Ho;Jang, Jong-Soo
    • Korean Journal of Environment and Ecology
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    • v.27 no.2
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    • pp.241-252
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    • 2013
  • This study investigated plant community structure of Dongbaekdongsan(Mt.) in Jeju-do to identify character as evergreen broad-leaved forest. 20 plots(size is $20m{\times}20m$) were set up and plant communities were divided into 5 communities of Quercus glauca-Castanopsis cuspidata var. sievoldii-Ilex integra(Camellia japonica), Quercus glauca-Castanopsis cuspidata var. sievoldii-Camellia japonica, Quercus glauca-Camellia japonica, Quercus glauca-Camellia japonica-Pinus thunbergii and Pinus thunbergii-Quercus glauca by using TWINSPAN, DCA ordination, mean importance value and environmental condition. Area of Evergreen broad-leaved forest with stonny ground is covered with Quercus glauca and Castanopsis cuspidata var. sievoldii in canopy layer and Camellia japonica in the subordinate layer. Area of remaining soil's depth is covered with Pinus thunbergii. It has been alleged that Pinus thunbergii planted by human when Dongbaekdongsan(Mt.) is not selected local monuments. All of communities is predicted success to community of Quercus glauca-Camellia japonica. Shannon's diversity ranged from 1.0268 to 1.0717 in area of Evergreen broad-leaved forest and 1.2102 in area of Pinus thunbergii. 10 species of broad-leaved tree's constancy ratio is over the 80%. In future, Castanopsis cuspidata var. sievoldii and Cinnamomum japonicum can cover canopy layer, but it has low importance value. Specially high aged Camellia japonica is appeared everywhere. It has been alleged that it was touched by divinity since past. Dongbaekdongsan(Mt.) has different plant structure with another evergreen broad-leaved forest. It is hard that knowing its successional sere because it was damaged when it isn't degignate local monument. Accordingly continuous monitoring was required, successional direction and community's character is identified after forest become steady.

Radiation, Energy, and Entropy Exchange in an Irrigated-Maize Agroecosystem in Nebraska, USA (미국 네브라스카의 관개된 옥수수 농업생태계의 복사, 에너지 및 엔트로피의 교환)

  • Yang, Hyunyoung;Indriwati, Yohana Maria;Suyker, Andrew E.;Lee, Jihye;Lee, Kyung-do;Kim, Joon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.22 no.1
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    • pp.26-46
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    • 2020
  • An irrigated-maize agroecosystem is viewed as an open thermodynamic system upon which solar radiation impresses a large gradient that moves the system away from equilibrium. Following the imperative of the second law of thermodynamics, such agroecosystem resists and reduces the externally applied gradient by using all means of this nature-human coupled system acting together as a nonequilibrium dissipative process. The ultimate purpose of our study is to test this hypothesis by examining the energetics of agroecosystem growth and development. As a first step toward this test, we employed the eddy covariance flux data from 2003 to 2014 at the AmeriFlux NE1 irrigated-maize site at Mead, Nebraska, USA, and analyzed the energetics of this agroecosystem by scrutinizing its radiation, energy and entropy exchange. Our results showed: (1) more energy capture during growing season than non-growing season, and increasing energy capture through growing season until senescence; (2) more energy flow activity within and through the system, providing greater potential for degradation; (3) higher efficiency in terms of carbon uptake and water use through growing season until senescence; and (4) the resulting energy degradation occurred at the expense of increasing net entropy accumulation within the system as well as net entropy transfer out to the surrounding environment. Under the drought conditions in 2012, the increased entropy production within the system was accompanied by the enhanced entropy transfer out of the system, resulting in insignificant net entropy change. Drought mitigation with more frequent irrigation shifted the main route of entropy transfer from sensible to latent heat fluxes, yielding the production and carbon uptake exceeding the 12-year mean values at the cost of less efficient use of water and light.

Estimation of Temporal Surface Air Temperature under Nocturnal Inversion Conditions (야간 역전조건 하의 지표기온 경시변화 추정)

  • Kim, Soo-ock
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.19 no.3
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    • pp.75-85
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    • 2017
  • A method to estimate hourly temperature profiles on calm and clear nights was developed based on temporal changes of inversion height and strength. A meteorological temperature profiler (Model MTP5H, Kipp and Zonen) was installed on the rooftop of the Highland Agriculture Research Institute, located in Daegwallyeong-myeon, Pyeongchang-gun, Gangwon-do. The hourly vertical distribution of air temperature was measured up to 600 m at intervals of 50 m from May 2007 to March 2008. Temperature and relative humidity data loggers (HOBO U23 Pro v2, Onset Computer Corporation, USA) were installed in the Jungdae-ri Valley, located between Gurye-gun, Jeollanam-do and Gwangyang-si, Jeollanam-do. These loggers were used to archive measurements of weather data 1.5 m above the surface from October 3, 2014, to November 23, 2015. The inversion strength was determined using the difference between the temperature at the inversion height, which is the highest temperature in the profile, and the temperature at 100 m from the surface. Empirical equations for the changes of inversion height and strength were derived to express the development of temperature inversion on calm and clear nights. To estimate air temperature near the ground on a slope exposed to crops, the equation's parameters were modified using temperature distribution of the mountain slope obtained from the data loggers. Estimated hourly temperatures using the method were compared with observed temperatures at 19 weather sites located within three watersheds in the southern Jiri-mountain in 2015. The mean error (ME) and root mean square error (RMSE) of the hourly temperatures were $-0.69^{\circ}C$ and $1.61^{\circ}C$, respectively. Hourly temperatures were often underestimated from 2000 to 0100 LST the next day. When temperatures were estimated at 0600 LST using the existing model, ME and RMSE were $-0.86^{\circ}C$ and $1.72^{\circ}C$, respectively. The method proposed in this study resulted in a smaller error, e.g., ME of $-0.12^{\circ}C$ and RMSE of $1.34^{\circ}C$. The method could be improved further taking into account various weather conditions, which could reduce the estimation error.

Assessment of Ecosystem Productivity and Efficiency using Flux Measurement over Haenam Farmland Site in Korea (HFK) (플럭스 관측 기반의 생태계 생산성과 효율성 평가: 해남 농경지 연구 사례)

  • Indrawati, Yohana Maria;Kim, Joon;Kang, Minseok
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.20 no.1
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    • pp.57-72
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    • 2018
  • Time series analysis of tower flux measurement can be used to build quantitative evidence for the achievement of climate-smart agriculture (CSA). In this study, we have assessed the first objective of CSA (regarding ecosystem productivity and efficiency) for rice paddy-dominated heterogeneous farmland. A set of quantitative indicators were evaluated by analysing the time series data of carbon, water and energy fluxes over the Haenam farmland site in Korea (HFK) during the rice growing seasons from 2003 to 2015. Four different varieties of rice were cultivated during the study period in chronological order of Dongjin No. 1 (2003-2008), Nampyung (2009), Onnuri (2010-2011), and Saenuri (2012-2015). Overall at HFK, gross primary productivity (GPP) ranged from 800 to $944g\;C\;m^{-2}$, water use efficiency (WUE) ranged from 1.91 to $2.80g\;C\;kg\;H_2O^{-1}$, carbon uptake efficiency (CUE) ranged from 1.06 to 1.34, and light use efficiency (LUE) ranged from 0.99 to $1.55g\;C\;MJ^{-1}$. Among the four rice varieties, Dongjin No. 1-dominated HFK showed the highest productivity with higher WUE and LUE, but comparable CUE. Considering the heterogeneous vegetation cover at HFK, a rule of thumb comparison suggested that the productivity of Dongjin No1-dominated HFK was comparable to those of monoculture rice paddies in Asia, whereas HFK was more efficient in water use and less efficient in carbon uptake. Saenuri-dominated HFK also produced high productivity but with the growing season length longer than Dongjin No.1. Although the latter showed better traits for CSA, farmers cultivate Saenuri because of higher pest resistance (associated with adaptability and resilience). This emphasizes the need for the evaluation of other two objectives of CSA (i.e. system resilience and greenhouse gas mitigation) for complete assessment at HFK, which is currently in progress.

The Characteristics of phosphorus in major Korean soils. -I. The characteristics of inorganic phosphorus (우리나라 주요토양중(主要土壤中) 인산(燐酸)의 특성(特性)에 관(關)한 연구(硏究) -I. 무기태인산(無機態燐酸)의 분화정량치(分畵定量値)를 중심(中心)으로)

  • Hong, Jung-Kook;Hong, Chong-Woon
    • Korean Journal of Soil Science and Fertilizer
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    • v.10 no.1
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    • pp.13-22
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    • 1977
  • The following results were obtained in this work intended for getting more informations on features of phosphorus in Korean characteristic virgin, upland and paddy soils for knowing the ways how to evaluate the soil phosphorus availability and utilize fertilizers efficiently. 1. A large part of soil phosphorus is occupied by inorganic phosphorus in the soils of which the cultivated soils showed higher accumulation of applied phosphorus as inorganic forms than the uncultivated soils. The accumulation of organic phosphorus was indicated the highest in the paddy soils, and the lowest in the uncultivated soils. Than the cultuivated soil, the uncultivated soils have higher C/P ratio which was estimated to be related to soil fertility status essentially. 2. Iron phosphate was shown to be the most dominant form in soil phosphorus. Difference in parent rocks, from which the soils were originated, was shown to affect the carious distribution of phosphorus forms in the uncultivated soils to a large extent. The paddy soils have almost same distribution pattern of soil phosphorus forms regardless of different parent rocks. 3. The different methods for available phosphorus estimation extracted different amounts of phosphorus from the soils. Close relations between the available phosphours extracted with the different methods and the amounts of seil inorganic phosphorus were shown : e.g. between Fe-P and available-P by Olsen method. 4. Phosphorus absorption coefficient correlated negatively to soil inorganic phosphorus, and also to available phosphorus extracted with the several methods.

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Investigating the Partial Substitution of Chicken Feather for Wood Fiber in the Production of Wood-based Fiberboard (목질 섬유판 제조에 있어 도계부산물인 닭털의 목섬유 부분적 대체화 탐색)

  • Yang, In;Park, Dae-Hak;Choi, Won-Sil;Oh, Sei Chang;Ahn, Dong-uk;Han, Gyu-Seong;Oh, Seung Won
    • Korean Chemical Engineering Research
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    • v.56 no.4
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    • pp.577-584
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    • 2018
  • This study was conducted to investigate the potential of chicken feather (CF), which is a by-product in poultry industry, as a partial substitute of wood fiber in the production of wood-based fiberboard. Keratin-type protein constituted the majority of CF, and its appearance did not differ from that of wood fiber. When the formaldehyde (HCHO) adsorptivities of CF compared by its pretreatment type, feather meal (FM), which was pretreated CF with high temperature and pressure and then grounded, showed the highest HCHO adsorptivity. In addition, there was no difference between the adsorbed HCHO amounts, which was measured by dinitrophenylhydrazine method, of scissors-chopped CF and CF beated with an electrical blender. Mechanical properties and HCHO emission of medium-density fiberboards (MDF), which were fabricated with wood fiber and 5 wt% CF, beated CF or FM based on the oven-dried weight of wood fiber, were not influenced by the pretreatment type of CF. However, when the values compared with those of MDF made with just wood fiber, thickness swelling and HCHO emission of the MDF were improved greatly with the addition of CF, beated CF or FM. Based on the results, it might be possible to produce MDF with improved dimensional stability and low HCHO emission if CF, beated CF or FM is added partially as a substitute of wood fiber in the manufacturing process of MDF produced with the conventional urea-formaldehyde resin of $E_1$ grade. However, the use of CF or FM in the production of MDF has a low economic feasibility at the current situation due to the securing difficulty and high cost of CF. In order to enhance the economic feasibility, it requires to use CF produced at small to medium-sized chicken meat plants. More importantly, it is considered that the technology developed from this research has a great potential to make provision for the prohibition of animal-based feed and to dispose environmentally avian influenza-infected poultry.

The Ownership Structure of Korea's Big Business Conglomerates and Its Policy Implications (우리나라 기업집단(企業集團)의 소유(所有)·경영구조(經營構造)와 정책대응(政策對應))

  • Yoo, Seong-min
    • KDI Journal of Economic Policy
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    • v.14 no.1
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    • pp.3-36
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    • 1992
  • "Corporate control by owners" characterizes the current structure of ownership, control and management of big business groups in Korea. It has become an ever more serious obstacle for the Korean economy to end its distinctive "personal capitalism" and to transform the current system into people's capitalism. The current issue, the deconcentration of ownership, through the course of heated debates should be treated from an integrated perspective. That is, the debate should center on the concentration of economic power and it effects on national economy, instead of sticking to the issue of ownership-control issue per se. This paper, by referring to the historical experiences and development paths which advanced countries have already traveled, analyzes the respective aspects of the concentration issue in a rather descriptive and taxonomist manner - market concentration, business diversification, ownership concentration, integrated management of conglomerates, i.e., managing in groups' unit, and the roles of financial institutions. The government policies against the concentration of economic power have so far focused on the size of big business groups and their diversification activities. The two major policy measures are restrictions on cross-ownership and excess capital investment by big business groups, and controls on their credit deals. This paper strongly suggests that the government should change its current priorities in targeting its policies against concentration. The government should reduce the regulations on size and diversification, and focus its policies on substantial dispersion of corporate ownership. The efficacy of government intervention in the management and control of business enterprises seems quite dubious and even anachronistic given the extent of maturity of Korean firms. Therefore, it should be noted that the current regulation-oriented stance taken by the government against the management style of big business groups should be suppressed, as it has assumed some a priori and typical pattern in advance in directing big business groups, such as independent and specialized management in respective firms' unit. This paper, also, raises the need for introducing new regulations on inter-sectoral diversifications between finance, industry and the press.

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