• Journal of Korean Academy of Nursing
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• v.50 no.1
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• pp.39-51
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• 2020

Purpose: This study aimed to understand the experiences of married North Korean women's child-rearing, working lives, and their home and work environment in depth. Methods: This study adopted van Manen's hermeneutic phenomenological method to qualitatively analyze data. The participants were 8 married North Korean women defectors. Data were collected through in-depth interviews and observations from July 4 to August 20, 2018. Results: Nine essential themes emerged: more personal challenges after overcoming a life-threatening crisis; hopes of firmly settling in this land; the wound from the north, which chased them here; a body that becomes stronger through hardship; being stuck in a past full of anxiety and pain; the present is full of hope; hope for the future; sense of alienation from coworkers that cannot be overcome; and sense of power to endure an exhausting work life. Conclusion: This study provided a broader understanding of the life and experiences of married women from North Korea. It highlights the need for nurses to recognize their importance in nursing care. The study also suggests that academic and practical approaches for nursing, and basic data for a nursing intervention for married women from North Korea be provided. The study findings can be used as a basis for preparing a national policy that will help North Korean defectors to find employment and gain stability.

• Psychiatry investigation
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• v.15 no.11
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• pp.1019-1029
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• 2018

Objective We investigated how mental health awareness among North Korean refugees transformed depending on temporal-spatial context changes. Methods In 2013, we conducted interviews with 10 refugees (eight women) who had been in South Korea for over a year and performed a qualitative analysis of the change in mental health awareness in the differences between living in North Korea, escape (a related period of forced sojourn in a third country), and settlement in South Korea. Results We classified 39 concepts into five main categories. The first two categories (while living in North Korea) were "a mindset for the system, but not for individual mental health" and "being confined in a social environment that was indifferent to mental health." A third category appeared during escape: "focusing on survival amid continuity of intense suffering." The final two categories appeared when settling in South Korea: "recognition of mental health amid cultural shock" and "introspection and sorting oneself out." Conclusion This qualitative study enabled a better multi-dimensional understanding of the social and cultural aspects involved in improving mental health awareness among North Korean refugees in South Korea. It is desirable to integrate mental health as a part of daily life and to expand training for North Korean settlers.

• Journal of Preventive Medicine and Public Health
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• v.48 no.5
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• pp.231-238
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• 2015

Objectives: The present study aimed to analyze the factors that could affect the health-promoting behaviors of North Korean adolescent refugees residing in South Korea. Methods: Questions about their sociodemographic variables, subjective health status, healthy living habits, and health-promoting behaviors were asked. Results: Statistically significant differences were found in religion (t=2.30, p<0.05), having family members in South Korea (t=2.02, p<0.05), and subjective health status (t=4.96, p<0.01). Scores on health-responsible behaviors were higher with higher age (t=2.90, p<0.01) and for subjects without family or friends (t=2.43, p<0.05). Higher physical-activity behaviors were observed in males (t=3.32, p<0.01), in those with better subjective health status (t=3.46, p<0.05) and lower body mas index (t=3.48, p<0.05), and in smokers (t=3.17, p<0.01). Nutritional behaviors were higher in those who followed a religion (t=2.17, p<0.05). Spiritual growth behaviors were higher in those who followed a religion (t=4.21, p<0.001), had no family in South Korea (t=2.04, p<0.05), and had higher subjective health status (t=5.74, p<0.01). Scores on interpersonal relationships and stress-management behaviors were higher for those with higher subjective health status. A multiple regression analysis showed greater effects on health-promoting behaviors when subjective health status was better. Older people and non-smokers exhibited more health-responsible behaviors, while more physical-activity behaviors and spiritual growth activities were observed when subjective health status was better. Interpersonal relationship behaviors had positive effects on those with good subjective heath status and on non-smokers. Conclusions: Based on the results of the current study, an alternative was suggested for promoting health in North Korean adolescent refugees.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.11 no.3
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• pp.87-93
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• 2008

In order to manage national environment effectively, one has to understand its ecological traits. The difference of temperature determines ecological traits of each respective region. In other words, temperature differentials on surface make a great impact on botanical structure. Currently, isothermal data-produced by meteorological stations based upon time series analysis-are widely used to plan and manage national environment. Nonetheless, the isothermal data do not reflect real surface temperature of regions. Because of numerous mountainous terrains in the Korean peninsula where temperature varies widely according to altitude, the range of temperature distribution-that reflects altitudinal change-has to be paid special attention. This study aims at expressing in space isothermal distribution that is necessary to plan and manage national environment effectively. In addition, not just South Korea, but also North Korea was included for isothermal distribution. As a result, this study corrected established isothermal lines up to date and demonstrated that altitude, latitude, and distance from coastal lines greatly influence temperature distribution of the Korean peninsula.

• Tuberculosis and Respiratory Diseases
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• v.83 no.3
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• pp.201-210
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• 2020

Background: North Korea is one of the 30 countries with the highest tuberculosis (TB) and drug-resistant TB burdened. To understand the medical issues and research trends associated with TB in North Korea, we performed a comprehensive review of articles related to clinical and laboratory research on TB published in North Korean medical journals. Methods: We reviewed all types of TB-related articles published in nine North Korean medical journals (Yebang ŭihak: Preventive medicine; Koryo ŭihak: Korea Medicine; Chosŏn ŭihak: Chosun Medicine; Naekwa: Internal Medicine; Soa, sanbuinkwa: Pediatrics, Obstetrics, and Gynecology, Surgery; Ŭihak: Medicine; Kich'o ŭihak: Basic Medicine; and Chosŏn yakhak: Chosun Pharmacy). We classified the articles according to the type and field of study and analyzed the data qualitatively to gain insights. Results: We reviewed 106 articles (one- or two-page length) written in Korean, including reviews (n=43), original articles (n=52), and case reports (n=8). They were classified as follows: articles on diagnosis (n=52, 49%) and treatment (n=39, 37%). None of the studies investigated the commercialized molecular diagnosis systems such as Xpert MTB/RIF. Directly Observed Treatment, Short-course was reported as the basic treatment approach. Furthermore, six studies used Korean traditional medicines for treating TB, with one of them containing snake venom. Conclusion: The articles were not sufficiently detailed. Original articles on the treatment of multi-drug resistant TB were not found, and those on latent tuberculosis infection and nontuberculous mycobacteria were limited. To understand the current medical issues associated with TB in North Korea, articles from these nine journals were not sufficient.

• Korean Journal of Heritage: History & Science
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• v.50 no.2
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• pp.94-115
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• 2017

'Arirang folk song in the Democratic People's Republic of Korea' was inscribed to the Representative List of the Intangible Cultural Heritage of Humanity in 2014 and 'Tradition of kimchi-making in the Democratic People's Republic of Korea' followed in 2015. It is presumed that North Korea was influenced by the Republic of Korea inscribing 'Arirang, lyrical folk song in the Republic of Korea' to the list in 2012 as well as 'Kimjang, making and sharing kimchi in the Republic of Korea' in 2013. These cases show the necessity (or possibility) of cultural exchanges between the two Koreas through UNESCO ICH lists. The purpose of this article is to explore the possibility of inter-Korean cultural integration. Therefore, I would like to review UNESCO's ICH policy and examine the ways of cooperation and joint nominations to the Representative List of Intangible Cultural Heritage of Humanity between the two Koreas. First, I reviewed the amendments to the laws and regulations of the two Koreas and how the two countries applied the UNESCO Convention for the Safeguarding of the Intangible Cultural Heritage. Although the cultural exchange is a non-political field, given the situation between South and North Korea, it is influenced by politics. Therefore, we devised a stepwise development plan, divided into four phases: infrastructure development, cooperation and promotion, diversification, and policymaking and alternative development. First a target group will be needed. In this regard, joint nominations to the Representative List of the UNESCO Intangible Cultural Heritage of Humanity will be suitable for cooperation. Both countries have already started separate nominations on shared ICH elements to the UNESCO lists. Therefore, I have selected a few elements as examples that can be considered for joint nominations. The selected items are makgeolli (traditional liquor), jang (traditional soybean sauce), gayangju (homebrewed liquor), gudeul (Korean floor heating system), and jasu (traditional embroidery). Cooperation should start with sharing information on ICH elements. A pilot project for joint nomination can be implemented and then a mid-term plan can be established for future implementation. When shared ICH elements are inscribed on UNESCO ICH lists, various activities can be considered as follow-ups, such as institution visits, performances, exhibitions, and joint monitoring of the intangible cultural heritage. Mutual cooperation of the two Koreas' intangible cultural heritage will be a unique example between the divided countries, so its value will be recognized as a symbol of cultural cooperation. In addition, it will be a foundation for cultural integration of the two Koreas, and it will show the value of their unique ICH to the world. At the same time, it will become a good example for joint nominations to the Representative List recommended by UNESCO.

• The Journal of the Korea Contents Association
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• v.20 no.2
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• pp.649-657
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• 2020

The purpose of this study is to provide an in-depth understanding of college life in North Korean defectors attending nursing school in South Korea, through a qualitative study method. Between September and October 2017, 8 nursing students of North Korean defectors background who can fully describe their college life were recruited for in-depth interview. Using Colaizzi's phenomenological method of data analysis, 4 theme clusters and 5 subcategories were deduced. The results showed that participants had experienced difficulties in preparing for college admission. Moreover, they had experienced difficulties from differences between North and South Korea, especially regarding verbal language (accent), educational and assessment methods, and culture. Therefore, the establishment and application of an assistant program for nursing students of North Korean defectors background is essential to assist students in adapting to a new college lifestyle and completing their degree.

• Korean Journal of Soil Science and Fertilizer
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• v.50 no.4
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• pp.275-284
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• 2017

The food situation in North Korea (Democratic People's Republic of Korea, DPRK) has been in difficulty situation because of a shortage of energy, and of raw materials such as fertilizer and agricultural chemicals. The international agricultural aid programs can alleviate some difficulties in the agricultural areas, but the policies and measures in North Korea can not help difficulties in the agriculture due to the institutional obstacles enforced by DPRK. The arable area of DPRK is approximately $20,000km^2$, of which $14,000km^2$ is well for cereal cultivation. Fertilizer supplies in recent years between 700,000 and 750,000 tons annually were less than 50% of the normal requirement. Also, North Korea strongly needed to inject phosphorus fertilizer and lime to increase the fertility. Soil degradation in DPRK was characterized by physical and chemical changes caused by rapid loss of clay particles and organic matter. Intensive ploughing and tilling to grow crops may lead to massive soil degradation and declining yields. Although farmers in the DPRK have faced numerous challenges, not least of which are soil erosion, scarce inputs and extreme weather like drought, flooding and cold spells. Therefore farmers should be encouraged to adopt more environmentally sound cropping practices, to access quality seeds and planting materials and to reduce losses after the harvest.

• Journal of Environmental Policy
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• v.11 no.3
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• pp.123-148
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• 2012

Deforestation and forest degradation in Democratic People's Republic of Korea (DPRK) accelerated from the mid 1980s through the economic crisis in 1990s and is still happening. DPRK has conducted afforestation and reforestation activities against this trend. However there are not many official documents on achievement of forest rehabilitation in DPRK. "Rodong Shinmun," as an official newspaper published by North Korean Workers Party, represents governmental policies and is one of a few accessible information on DPRK which is available in Republic of Korea (ROK). This paper aims to investigate the national forest policies of the DPRK represented in Rodong Shinmun. Total of 499 articles using the word 'Sanlim (forest)' and 'Rimsan (forest product)' in the title of articles were selected for content analysis. The national forest plans and forest policy instruments contained in the selected articles were analyzed. The subjects of represented forest policies were classified into four groups; forestation, forest management, land management and forest protection or conservation. The focus of forest policy was changed from economic utilization of forest resources such as timber production in the 1990s to forest protection in the 2000s. Rodong Shinmun reported more frequently about regulatory instruments and informational instruments than the economic instruments. Official commendation and awards were the main incentives given to the people who contributed to forestry achievements. In particular, forest policies were emphasized by Kim Il Sung and Kim Jong Il and afforestation and forest protection were described as patriotic activities in the Rodong Shinmun. In conclusion, this research revealed that Rodong Shinmun plays a role as a means for introducing, propagating and instigating forest policies in the society of the DPRK. The findings help to understand the forest policies of the DPRK which could be useful when designing development aids for DPRK.

• Journal of Korean Public Health Nursing
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• v.25 no.2
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• pp.221-232
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• 2011

Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was $62.4{\pm}18.4$, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.