• Title/Summary/Keyword: Improvement Degree

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Effect of Toothbrushing Facilities on PHP index and Oral Health-related Behaviors in Elementary schools (양치시설 여부에 따른 초등학생의 구강환경관리능력 및 구강건강관리 행태 변화)

  • Hwang, Yoon-Suk;Kim, Kwang-Soo;Jung, Jae-Yeon;Yoo, Young-Jae;Kim, Soo-Hwa;Lim, Mi-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.27-40
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    • 2013
  • Objectives: This study was conducted at a request for cooperation through an analysis of the effect of toothbrushing facilities at a public health center in Seongdong-gu. Also, with the aim of furnishing basic data to the proposal of a program for improving the ability of school aged children in managing oral cavities and developing a correct toothbrushing habit, the study conducted an investigation of how toothbrushing facilities affect change in the oral environment management ability and behavior of oral health care. Methods: From among elementary schools located in Seongdong-gu, Seoul the study selected A Elementary School where toothbrushing facilities were established and have been operated since 2008, B Elementary School in an adjacent region within the jurisdiction of Seongdong-gu where the demographic environment was similar among schools where toothbrushing facilities were newly established in 2012, and C Elementary School without toothbrushing facilities. Then the study was aimed at first grade students of the schools and an investigation was carried out from April to December 2012. Through a dental checkup, the study evaluated the teeth and periodontal health conditions, and a test of the oral environment management ability was undertaken three times. Regarding change of oral health care behavior, the study carried out a self-recording survey. Results: 1. Concerning decayed and filled tooth(dft) and decayed and filled surface (dfs), A Elementary School where toothbrushing facilities have been established and operated from the past showed a relatively lower decayed, missing, and filled teeth index than B Elementary School where toothbrushing facilities were established in 2012 or C Elementary School without toothbrushing facilities; however, there was no significant difference (p>0.05). For CPI, there was no significant difference by school; however, in looking into the difference between boy students and girl students, Code (0) was discovered higher in boy students whereas Code (1) was shown higher in girl students. 2. In the PHP index test in accordance with the existence of toothbrushing facilities before the installation of toothbrushing facilities, for A Elementary School where toothbrushing facilities have been established and operated from the past, the school recorded 4.28 points whereas B Elementary School where the facilities were established in 2012 recorded 3.51 points. Meanwhile C Elementary School without the facilities posted 4.30 points. Therefore there was a statistically significant difference according to the existence of toothbrushing facilities (p<0.05). 3. In a comparison of teeth health care behavior according to the existence of toothbrushing facilities, the number of answers that the respondent did not brush their teeth after lunch over the past one week was higher in B Elementary School and C Elementary School where there were no toothbrushing facilities. Regarding the average number of brushing after lunch for one week, it was discovered higher in A Elementary School (p<0.01). 4. In change of teeth health care behavior before and after the establishment of toothbrushing facilities, the case of answering that the respondents did not brush their teeth after lunch for one week increased more after establishment than before establishment. Also the average number of teeth brushings after lunch for one week decreased further after the establishment of toothbrushing facilities; however, it did not show a significant difference (p>0.05). One of the reasons that they do not brush their teeth, "the lack of a place", decreased significantly after establishment than before establishment (p<0.05), whereas the answer, "because their friends do not brush their tooth" increased greatly after establishment than before establishment; however, there was no significant difference (p>0.05). 5. In the comparison of the degree of knowledge about dental health according to the existence of toothbrushing facilities, the degree of knowledge about dental health was shown significantly higher in A Elementary School with toothbrushing facilities than in B Elementary School and C Elementary School where there were no toothbrushing facilities (p<0.01). Conclusions: Given the above results, it is difficult to attract change in behavior only with an environmental improvement; therefore, it is deemed necessary to develop an educational program that will help children to make a habit of oral health care not only through a school but also through a related policy and financial support of government organizations as well as the construction of the basis of a systematic and consistent cooperative system with relevant organizations.

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Changes of Mitral Regurgitation after Aortic Valve Replacement, according to the Aortic Valve Pathology (대동맥 판막 치환술 후 대동맥 판막 병변에 따른 승모판막 폐쇄부전의 변화)

  • Kim, Si-Wook;Lee, Young-Tak;Jun, Tae-Gook;Sung, Ki-Ick;Kim, Wook-Sung;Yang, Ji-Hyuk;Choi, Jin-Ho;Park, Pyo-Won
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.667-673
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    • 2007
  • Background: Patients with severe aortic valve disease frequently display mitral valve regurgitation (MR). In such patients, the clinical course of MR after isolated aortic valve replacement (AVR) may be important for determining the treatment strategies. After isolated AVR, the change of the concomitant moderate degree or less of MR according to the type of aortic valve disease is not known well. The aim of this study was to analyze the post-operative changes of MR after performing AVR in those patients with severe AS (Group S) and those with severe AR (Group R). Material and Method: We retrospectively evaluated 43 patients with severe aortic disease and a moderate degree or less of mitral valve regurgitation, and these patients underwent isolated aortic valve replacement from January 1996 to June 2005. The patients were divided into two groups: the aortic valve stenosis group (n = 29) and the aortic valve regurgitation group (n = 14). The patients underwent transthoracic echocardiography preoperatively and at 7 days, $6{\sim}10$ months and more than 18 months (mean follow-up duration: 38 months) postoperatively. Result: The mean age was 60.9 years (Group S: 62 years, Group R: 52.5 years) and 60% (Group S=55%, Group R=71%) of the patients were male. The preoperative MR was mild in 29 (67.5%), mild to moderate in 11 (25.5%), and moderate in 3 (6.9%) patients. In the Group S patients, MR improved in 16 (55%) patients at the immediate postoperative days and in 17 (59%) patients at more than 18 months postoperatively. On the other hand, all the Group R patients exhibited earlier improvement. The decrease of LA size had a similar pattern to the MR change, but there were no significant differences in the change of the ejection fraction of the two groups. Conclusion: In the patients with severe aortic valve disease and concomitant low grade MR, the MR after AVR improved earlier and more effectively in the patients with AR than in those patients with AS.

Changes of Nitrogenous Compound According to the Topping Stage and Harvesting Time in Burley Tobacco(Nicotiana tobacum L.) (버어리종 잎담배 순지르기 시기와 수확시기에 따른 질소화합물의 변화)

  • Jang, Soo-Won;Kim, Jae-Hyun;Park, Chang-Jin;Kim, Yoon-Ha;Lee, In-Jung
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.56 no.2
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    • pp.146-150
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    • 2011
  • A large amount of nitrogenous compounds are found in burley tobacco and are responsible for peculiar aroma during smoking. Excess in nitrogen or its compounds such as total nitrogen and proteins in burley tobacco gives a strong pungency and make its taste bad. The present study has focused on improving quality of Burley tobacco by regulating topping and harvesting time of leaf to reduce nitrogen compounds in Burley tobacco. In addition, the early-stage of flower topping had lower level of nitrogenous compound, such as total nitrogen and protein nitrogen, and total tobacco-specific nitrosamine (TSNA) contents compared to the button-stage and full flower-stage topping. Also, the contents of nicotine got significantly decreased while the ether extract was increased as the period of topping got delayed. Regarding the brightness among the colors of cured leaves, the color at the full flower-stage topping was the brightest, and there was no particular difference in red and yellow colors. The harvesting amount was decreased as the period of topping got delayed and there was no significant difference between the topping treatments in terms of the exterior quality. As the harvesting time delayed, the total nitrogen, protein nitrogen, nitrate nitrogen, and ammonium nitrogen were decreased while the nicotine contents got increased. Also, the total TSNA contents were decreased as the harvesting time delayed. However, ether extract was increased. Among the colors of cured leaves, the brightness and degree of yellow color were significantly increased as the harvesting time delayed, and there was no particular difference in the degree of red color. The harvesting amount was decreased along with the delayed harvesting time; however, the harvest of the matured and mellow leaves was higher in terms of price, compared to that of the immature leaves. For the reduction of nitrogenous compound and TSNA contents in Burley tobacco, the topping was examined to be more effective in terms of improvement in chemical contents and quality regardless of the decreased harvesting amount.

Studies on the Grassland Development in the Forest VIII. Effect of shading degrees on the quality, digestibility and nitrate nitrogen concentration of main grasses (임간초지 개발에 관한 연구 VIII. 차광정도가 주요목초의 품질, 소화율 및 질산태질소 함량에 미치는 영향)

  • Park, Moon-Soo;Seo, Sung;Han, Young-Choon;Lee, Joung-Kyong
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.8 no.3
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    • pp.85-91
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    • 1988
  • A field experiment was conducted to determine the effects of shading degrees (0: full sunlight, 25, 50 and 75%) on the proximate components, cell wall constituents (CWC), digestibility, water soluble carbohydrates (WSC) and nitrate nitrogen ($NO_3$-N) concentration of grasses grown in forest. For the test different artificial shading houses were established and pasture species used were orchardgrass, timothy, perennial ryegrass and ladino clover. The experiment was performed at LES in Suwon. 1985. 1. Considering proximate components, CWC and digestibility of grasses, ladino clover showed the best quality, and then perennial ryegrass. 2. The contents of crude protein, crude ash, and digestibility of grasses were increased with shading, regardless of pasture species. As the shading degrees are increased, the contents of crude fiber in orchardgrass, perennial ryegrass and timothy were decreased, while that in ladino clover was increased with shading. 3. Grasses grown in spring showed higher digestibility than those grown in summer season. 4. The content of WSC was the highest in perennial ryegrass, and then ladino clover, orchardgrass, and timothy, in that order. Also WSC was decreased as the shading degrees are increased. 5.The content of $NO_3$-N was the highest in perennial ryegrass, and then orchardgrass, ladino clover and timothy, in that order. Also the $NO_3$-N was significantly increased with higher shading level. In the regression equation between shading degrees and $NO_3$-N ($r^2$=0.90**, TEX>$r^2$=0.95**), shading degree of 43 to 44% was critical level, causing nitrate poisoning to animal. 6 Considering grass quality, dry matter yield and $NO_3$-N, less than 40% of shading degree (over 60% of full sunlight) was desirable for better grassland improvement, management and utilization in the forest.

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Validity of Peak Expiratory Flow for Assessing Reversible Airflow Obstruction (기류 가역성 평가에 있어서 최대호기유속 측정의 유용성)

  • Chol, Won-Il;Kwak, Jin-Ho;Kwon, Doo-Young;Han, Seung-Beom;Jeon, Young-June
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.4
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    • pp.522-529
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    • 2000
  • Backgrounds : Assessment of the presence and degree of reversibility of airflow obstruction is clinically important in patients with asthma or chronic obstructive pulmonary disease. The measurement of peak expiratory flow(PEF) is a simple, fast, and cheap method to assess the severity of obstruction and its degree of reversibility. Assessing the reversibility of airflow obstruction by peak expiratory flow(PEF) measurements is practicable in general practice, but its usefulness has not been well investigated. We compared PEF and $FEV_1$ in assessing reversibility of airflow obstruction in patients with chronic obstructive pulmonary disease or asthma and developed a practical criterion for assessing the presence of reversibility in general practice. Methods : PEF measurements were performed (Spirometry) in 80 patients(aged 24-78) with a history of asthma or chronic obstructive lung disease before and after the inhalation of 200 g salbutamol. The change in PEF was compared with the change in forced expiratory volume in one second($FEV_1$). Reversible airflow obstruction was analyzed according to American Thoracic Society(ATS) criteria. Results : A 12% increase above the prebronchodilator value and a 200ml increase in either FVC or $FEV_1$ reversibility were observed in 45%(36) of the patients. Relative operating characteristic(ROC) analysis showed that an absolute improvement in PEF of 30 l/min gave optimal discrimination between patients with reversible and irreversible airflow obstruction(the sensitivity and specificity of an increase of 30 l/min in detecting a 12% increase above the prebronchodilator value and a 200ml increase in either FVC or $FEV_1$ were 72.2% and 72.7% respectively, with a positive predictive value of 68.4%). Conclusions : Absolute changes in PEF can be used to diagnose reversible airflow obstruction.

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Factors Influencing the Therapeutic Compliance of Patients with Lung Cancer (폐암환자의 치료순응도에 영향을 미치는 요인)

  • Chae, Sang-Chul;Park, Jae-Yong;Kim, Jeong-Suk;Bae, Moon-Seob;Shin, Moo-Chul;Kim, Keon-Yeob;Kim, Chang-Ho;Shon, Sang-Kyun;Kam, Sin;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.5
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    • pp.953-961
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    • 1998
  • Background : In recent years, lung cancer has been one of most common cause of death in Korea. Despite many physician's high degree of pessimism about the gains made in treatment, progressive improvement in the survival of lung cancer by treatment has occurred, particulary in the early stages of the disease. However, a lot of patients refuse treatment or give up in the fight against the disease. This study was done to evaluate factors influencing the compliance to therapy and to lead in the establishment of special programs to enhance compliance in patients with lung cancer. Methods: The medical records of 903 patients, whose ECOG(Eastern Cooperative Oncology Group) performance status was 3 or less and whose medical record was relatively satisfactory, among 1141 patients diagnosed with lung cancer between January 1989 and December 1996 were reviewed retrospectively. Compliance was classified into three groups based on the degree of compliance with physicians practice guideline: (a) compliants; (b) patients who initially complied but gave up of themselves midway during the course of treatment; (c) noncompliants who refused the treatment. Results: The overall compliance rate was 63.9%, which was progressively increased from 57.3-61.3% in 1989 and 1990 to 64.2-67.5% in 1995 and 1996. Age, education level and occupation of patients bore statistically significant relationship with the compliance but sex, marital status and smoking history did not. The compliance was significantly higher in patients without symptoms than with, and was also significantly higher in patients with good performance status. The compliance was significantly high in patients with NSCLC(non-small cell lung cancer) compared to SCLC(small cell lung cancer), but after exclusion of stage I and II, among NSCLC, which had higher compliance to surgery there was no significant difference of compliance by histology. The compliance was significantly lower in advanced stage. Conclusion: To enhance the compliance, special care including education programs about therapy including complication and prognosis are necessary, especially for educationally and economically disadvantaged patients.

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The investigation of the degree of the request of the education about the claim for the medical expenses in the dentistry health insurance - mainly in the Daejeon, Chungcheong area - (치과건강보험 요양급여비용 청구에 관한 교육요구도 조사 -대전·충청지역을 중심으로-)

  • Nam, Yong-Ok;Kim, Sung-Hee;Kim, Min-Ja
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.3
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    • pp.325-341
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    • 2011
  • Objectives : This research has investigated the reality of the education of the claim and the degree of the education for the claimed of the dentistry recuperation organization in the Daejeon and Chuncheong are for the improvement of the problem in the medical expenses. Methods : It use as a basic data for the vitalizations of the education and performed the survey in the dentistry recuperation organization in the Daejeon and ChungCheong Nam BukDo which are registered in the evaluating organization for judging the health insurance in the present May 2010, and concluded just like the below. Results : 1. The education of the claim in the requirer in the dentistry recuperation organization, and the education of the claim was especially lacking when the dentist was studying in the university, and the dental hygienist had the similar educational experience in the school and the clinic (p<0.05) 2. Most of the requirer in the dental recuperation organization was hoping to get the education related to the claim work, but the dentist and the nurse's aid was relatively low (p<0.05) 3. For fixing the error of the claim, the participation and the extension of the judging standard of the insurance was the highest among the university subordinate dental hospital/dental hospital, but the health center was relatively low (p<0.05). 4. The dentist feels the economic burden in employing the special employee because the raising of the special judging people, compared to others, but the staffs such as the dental hygienist preferred it as one of ways to fix the error of the claim of the dental insurance (p<0.05) 5. Both dentists and the dental hygienist said proper time to teach the insurance was all needed in the school, and the clinic, but other workers relatively believed it should be held in the clinic (p<0.05). 6. The important factors to decide the participation of the lecture was in order of the contents of the lecture, the place of the lecture, the amount for the lecture, the superintendent of the lecture, whether it has gone through the educational score, and whether it has passed the conserving educational score was relatively less important in the university subordinate dentist/dentist, but the medical center was very effective as 4.50 (p<0.05) 7. Health Insurance Review and assessment service was very high as the managing department for supplying the lecture and the information, 70.5%, and the next was the Korean Dental Association/ Korean dental hygiene association, but dentists were preferring the association to manage in than the Health Insurance Review and assessment service to manage (p<0.05) 8. In preferring lecture for the inquiring the insurance, periodontal surgery was the highest as 4.51, the diagnosis standard for injection was high in the university subordinate hospital/dentists, and the more the year of the insurance inquiry, the less the doctor who was hoping for the lecture about the basic treatment. Conclusions : Taken together, it is decided that the inquiry education about the medical expense in the dentist, so the consistent and systematic education should be held to the related people, and from this, it is thought to reduce the problem of the inquiry of the medical expenses by fostering the knowledge and supplying the information which are related to the inquiry of the dentists.

A Study on Growth Condition and Management of Protected Trees in Kimpo (김포시 보호수의 생육실태와 관리방안 연구)

  • Doo, Chul-Eon;Lee, Jong-Bum;Lee, Jae-Keun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.30 no.1
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    • pp.125-134
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    • 2012
  • This study is determined by tree vigor of analyzing of each object's growth condition in Locational Characteristics and compare the result with impediment extent rate in crown area to provide the management Study about the influence of man-made structures in numbers of protected trees. 68 places where are in the list of Kimpo protected trees were researched in Natural environments, vital degree of trees, number of trees. Crown area was calculated surveying it around the directions of North, East, South and West branching out. Impediment in the area was analyzed after classified into artificial impediment like paved surface(ascon, concrete, block, etc.), a building and a breast wall and natural impediment like soil, stonework and gravel and conclusions are as follow. In analyzing of natural environments, he ground where protected trees have located is consist of 72.05 of manmade structure and artificial in all. There are many protected trees which have less space than crown area for growth suggested by Woo-kyung Sim and Se-kyun Shin in 1992. And it was analyzed that making growth space for protected trees and management of impediment are urgently needed because of that the proportion of impediment covering the crown area has increased as cities are becoming more urbanized results in transforming of trees and weakness of tree vigor. This research shows that under 20% of in crown area is tree vigor determination 1-2 grade 21-50% under is 2-3 grade, higher than 50% is 3-5 grade. More impediment have more difficulty for growing, with the management of root system of protected trees need to be under 20% of rate of land is necessary was improved. As follows are suggested about the standard of management in artificial impediment which influence the number of trees. Firstly, impediment in crown area must be restricted under 20%, but in case outside of the area is not artificial the rate could be higher considerable. Secondly, protected trees growth space secured as much as crown area and impediment must be installed outside the crown area. Thirdly, to move the protected trees, condition of growth space secure must be considered. Fourthly, to develope land, the area around protected trees should be utilized in a park, the area of impediment installation in crown area should be limited as well. Fifthly, As many shown in previous research, for the improvement of old big trees and protected trees, need the tax favor of landowner and purchase of around land, to manage, it needs the budget of local government and advice of expert. Also the study on how various kind of impediment nearby protected trees influence on them has to be continued.

Effect of Acetic Acid Fermented Juice Prepared Using Submerged Culture Media of Antrodia camphorata Mycelium on Blood Glucose and Lipid Profiles of Rats in which Diabetes was Induced with Streptozotocin (우장지 버섯(Antrodia camphorata) 균사체 배양액으로 제조한 초산발효액이 Streptozotocin으로 유발한 당뇨흰쥐의 혈당과 혈중지질함량에 미치는 영향)

  • Shin, Jong-Wook;Lee, Sang-Il;Kim, Soon-Dong
    • Food Science and Preservation
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    • v.15 no.5
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    • pp.725-730
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    • 2008
  • The effects of acetic acid fermented juice prepared with submerged culture media of Antrodia camphorata mycelium (AJA: pH 3.2, acidity 2.0, Brix degree 3.2) on blood glucose levels and serum lipid profiles of rats in which diabetes was induced with streptozotocin (STZ) were investigated. Rats were divided into normal controls (NC), diabetic controls (DM), and groups receiving diluted (1:1, with water) AJA (A1) and undiluted AJA (A2). The volume of liquid given to both A1 and A2 animals was 0.5 mL/100 g body weight. In the A1 and A2 groups, compared with the DM group, polyphagia, liver enlargement, and weight loss caused by diabetes were considerably alleviated, but did not attain the levels of NC group rats. In the A1 and A2 groups, the levels of blood glucose were 17.1% and 28.2% lower than in the DM group. There was no significant difference in the levels of fructosamine between the DM and A1 group, but the A2 group had a level 16.3% lower than the DM group. In the A1 and A2 groups, compared with the DM group, serum triglyceride levels decreased by 44.1-48.0%, serum total cholesterol by 24.0-31.1%, and serum LDL-cholesterol by 25.2-51.1%. The level of HDL-cholesterol in A2 animals rose by 45.9% compared to NC rats. The results show that AJA may be a useful beverage for diabetes patients, offering both antihyperglycemic activity and improvement in levels of serum lipids.

A Study on the Improvement of Guideline in Digital Forest Type Map (수치임상도 작업매뉴얼의 개선방안에 관한 연구)

  • PARK, Jeong-Mook;DO, Mi-Ryung;SIM, Woo-Dam;LEE, Jung-Soo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.22 no.1
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    • pp.168-182
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    • 2019
  • The objectives of this study were to examine the production processes and methods of "Forest Type Map Actualization Production (Database (DB) Construction Work Manual)" (Work Manual) identify issues associated with the production processes and methods, and suggest solutions for them by applying evaluation items to a 1:5k digital forest type map. The evaluation items applied to a forest type map were divided into zoning and attributes, and the issues associated with the production processes and methods of Work Manual were derived through analyzing the characteristics of the stand structure and fragmentation by administrative districts. Korea is divided into five divisions, where one is set as the area changed naturally and the other four areas set as the area changed artificially. The area changed naturally has been updated every five years, and those changed artificially have been updated annually. The fragmentation of South Korea was analyzed in order to examine the consistency of the DB established for each region. The results showed that, in South Korea, the number of patches increased and the mean patch size decreased. As a result, the degree of fragmentation and the complexity of shapes increased. The degree of fragmentation and the complexity of shapes decreased in four regions out of 17 regions (metropolitan cities and provinces). The results indicated that there were spatial variations. The "Forest Classification" defines the minimum area of a zoning as 0.1ha. This study examined the criteria for the minimum area of a zoning by estimating the divided object (polygon unit) in a forest type map. The results of this study revealed that approximately 26% of objects were smaller than the minimum area of a zoning. The results implied that it would be necessary to establish the definition and the regeneration interval of "Areas Changed Artificially and Areas Changed Naturally", and improve the standard for the minimum area of a zoning. Among the attributes of Work Manual, "Species Change" item classifies terrain features into 52 types, and 43 types of them belong to stocking land. This study examined distribution ratios by extracting species information from the forest type map. It was found that each of 23 species, approximately 53% of species, occupied less than 0.1% of Forested land. The top three species were pine and other species. Although undergrowth on unstocked forest land are classified in the terrain feature system, their definition and classification criteria are not established in the "Forest Classification" item. Therefore, it will be needed to reestablish the terrain feature system and set the definitions of undergrowth.