• Title/Summary/Keyword: Stress-response

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Sexual Trauma Survivors and Their Mental Health: Assessing Based on Types of the Traumatic Event (성적 트라우마 경험자의 정신건강: 트라우마 사건유형에 따른 비교 분석)

  • Soyoung Choi;Hyeyun Kim;Sumi Chae
    • Health Policy and Management
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    • v.34 no.2
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    • pp.129-140
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    • 2024
  • Background: The mental health issues caused by trauma can manifest differently depending on the characteristics of the traumatic event. Particularly, individuals who have experienced sexual trauma are known to have more negative mental health outcomes compared to those who have experienced non-sexual trauma. The mental health issues of individuals who have experienced sexual trauma are severe, and new forms of threats, such as digital sexual crimes, are emerging. This study aimed to investigate whether the type of traumatic event, particularly focusing on sexual trauma events, contributes to differences in mental health outcomes and to identify factors influencing suicidal ideation and potential post-traumatic stress disorder (PTSD) risk. Methods: Based on an online survey conducted nationwide among adults aged 20 to 50, participants were categorized based on the type of trauma they experienced (sexual trauma events and non-sexual trauma events). The study conducted propensity score matching (PSM) using demographic factors (sex, age group, subjective economic status, and marital status) and resilience protective factors (cognition of recoverability, social support, and protection experiences in childhood) as control variables, excluding the experience of sexual trauma events, to investigate their potential impact on mental health (suicidal ideation and potential PTSD risk). Subsequently, binary logistic regression analysis was conducted to identify factors influencing mental health. Results: Even after PSM, individuals who experienced sexual trauma exhibited more negative outcomes in terms of suicidal ideation and potential PTSD risk compared to those who experienced non-sexual trauma. The results of binary logistic regression analysis showed that sexual trauma survivors were 1.9 times more likely to have suicidal thoughts (odds ratio [OR], 1.911) and 2.5 times more likely to have a potential PTSD risk (OR, 2.472). Furthermore, as resilience protective factors became more negative, the likelihood of suicidal ideation and potential PTSD risk increased. Conclusion: This study emphasizes the importance of understanding and supporting individuals who have experienced sexual trauma, highlighting the necessity for strategies aimed at mitigating suicidal ideation and potential PTSD risk among sexual trauma survivors, while also facilitating recovery through the promotion of resilience protective factors.

Variations of the Wind-generated Wave Characteristics around the Kyung-gi Bay, Korea (경기만 근해에서 풍파의 특성 변화)

  • Kang, Ki-Ryong;Hyun, Yu-Kyung;Lee, Sang-Ryong
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.12 no.4
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    • pp.251-261
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    • 2007
  • The wind-wave interaction around the Kyung-gi Bay, Korea, was studied using the observed data from ocean buoy at DeuckJeuck-Do from Jan. to Dec., 2005, and from waverider data at KeuckYeulBee-Do on Mar. 19-26 and May 23-28, 2005. Wind-driven surface waves and wave-driven wind speed decrease were estimated from the ocean buoy data, and the characteristics of wave spectrum response were also investigated from the waverider data for the wave developing and calm stages of sea surface, including the time series of spectrum pattern change, frequency trend of the maximum energy level and spectrum slope for the equilibrium state range. The wind speed difference between before and after considering the wave effect was about $2ms^{-1}$ (wind stress ${\sim}0.1Nm^{-2}$) for the wind speed range $5-10ms^{-1}$ and about $3ms^{-1}$ (wind stress ${\sim}0.4Nm^{-2}$) for the wind speed range $10-15ms^{-1}$. Correlation coefficient between wind and wave height was increased from 0.71 to 0.75 after the wave effect considered on the observed wind speed. When surface waves were generated by wind, the initial waves were short waves about 4-5 sec in period and become in gradual longer period waves about 9-10 sec. For the developed wave, the frequency of maximum energy was showed a constant value taking 6-7 hours to reach at the state. The spectrum slope for the equilibrium state range varied with an amplitude in the initial stage of wave developing, however it finally became a constant value 4.11. Linear correlation between the frictional velocity and wave spectrum for each frequency showed a trend of higher correlation coefficient at the frequency of the maximum energy level. In average, the correlation coefficients were 0.80 and 0.82 for the frequencies 0.30 Hz and 0.35 Hz, respectively.

Evaluation of flash drought characteristics using satellite-based soil moisture product between North and South Korea (위성영상 기반 토양수분을 활용한 남북한의 돌발가뭄 특성 비교)

  • Lee, Hee-Jin;Nam, Won-Ho;Jason A. Otkin;Yafang Zhong;Xiang Zhang;Mark D. Svoboda
    • Journal of Korea Water Resources Association
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    • v.57 no.8
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    • pp.509-518
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    • 2024
  • Flash drought is a rapid-onset drought that occurs rapidly over a short period due to abrupt changes in meteorological and environmental factors. In this study, we utilized satellite-based soil moisture product from the Advanced Microwave Scanning Radiometer-2(AMSR2) ascending X-band to calculate the weekly Flash Drought Intensity Index (FDII). We also analyzed the characteristics of flash droughts on the Korean Peninsula over a 10-year period from 2013 to 2022. The analysis of monthly spatial distribution patterns of the irrigation period across the Korean Peninsula revealed significant variations. In North Korea (NK), a substantial increase in the rate of intensification (FD_INT) was observed due to the rapid depletion of soil moisture, whereas South Korea (SK) experienced a significant increase in drought severity (DRO_SEV). Additionally, regional time series analysis revealed that both FD_INT and DRO_SEV were significantly high in the Gangwon province of both NK and SK. The estimation of probability density by region revealed a clear difference in FD_INT between NK and SK, with SK showing a higher probability of severe drought occurrence primarily due to the high values of DRO_SEV. As a result, it is inferred that the occurrence frequency and damage of flash droughts in NK are higher than those in SK, as indicated by the higher density of large FDII values in the NK region. We analyzed the correlation between DRO_SEV and the Evaporative Stress Index (ESI) across the Korean Peninsula and confirmed a positive correlation ranging from 0.4 to 0.6. It is concluded that analyzing overall drought conditions through the average drought severity holds high utility. These findings are expected to contribute to understanding the characteristics of flash droughts on the Korean Peninsula and formulating post-event response plans.

Application of Weed Species as the Diagnostic Indicator Plants of Environmental Pollution (환경오염(環境汚染) 진단(診斷) 지표식물(指標植物)로서 잡초종(雜草種)의 활용(活用)에 관(關)한 연구(硏究))

  • Kang, Byeung-Hoa;Shim, Sang-In;Lee, Sang-Gak
    • Korean Journal of Environmental Agriculture
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    • v.15 no.1
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    • pp.46-69
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    • 1996
  • The studies were conducted to obtain the basic information of the effects of pollutants on plant species and to select the plant species showing specific responses to the pollutants. For these purposes, paraquat, ammonium, and cadmium as a source of oxidative stress, nitrogen toxicity, and heavy metal toxicity respectively were treated to the plant species. Among the tested plants, Lamiaceae, Brassicaceae, and Caryophyllaceae were tolerant to paraquat, whereas Poaceae and Asteraceae were sensitive. Especially Mosla dianthera of Lamiaceae, Hemistepta lyrata and Aster pilosus of Asteraceae, and Paspalum thunbergii of Poaceae showed higher tolerance than others. Paraquat resistance was related with life style, overwintering capacity, so perennial and biennial species showed higher tolerance than annual species. In response to ammonium, Poaceae showed higher resistance while Fabaceae and Caryophyllaceae showed sensitiveness. Weed species having tolerance to ammonium were Echinochloa crus-galli var. praticola, Panicum dichotomiflorum, Setaria glauca, Chenopodium album, and Solanum nigrum, while Mosla dianthera, Arenaria serpyllifolia and Perilla frutescens var. japonica showed sensitiveness. In the response of plant species to cadmium, Digitaria sanguinalis, Amaranthus lividus showed higher resistance, whereas Galinsoga parviflora, Plantago asiatica, Ambrosia trifida, and Paspalum thunbergii showed sensitiveness. The injured degree on germination stage by pollutants did not related with injured degree on matured stage. During germination, the root elongation was more sensitive than shoot elongation by pollutants, paraquat, ammonium, and cadmium.

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A Study on Satisfaction level with Herbal Public Health Services and its Improvement Plans (한방공중보건서비스 만족도와 개선방안)

  • Lee, Jae-Won;Koo, Jin-Suk;Seo, Bu-Il
    • Korean Journal of Oriental Medicine
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    • v.18 no.2
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    • pp.65-89
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    • 2012
  • Objective : In order to investigate and improve public Korean medical health service satisfaction level, this study was designed. Method : A questionnaire has been conducted on 212 patients who received treatments at six public health centers in the northern part of Gyeongbuk during 15 days between Sep. 24 and Oct. 8, 2011. Result : 1. An Investigation on the usage of herbal clinics in public health centers reveals that 63.7% have received three times or more medical treatments previously and 61.8% have had their illness treated at other medical institutions. In regard to illness 32.1% have had arthritis or muscle aches. 50.9% have taken insurance medication after having had treatments at the public health centers. 66% have assessed acupuncture and moxa cautery the most satisfying. 2. To a question regarding whether herbal health treatment costs higher than that of physician's, the highest response at 31.6% is 'No'. And to a question regarding whether herbal medicines administered at public health centers have more side effects than that of physician's, the highest response at 39.6% is 'No'. 3. To a question regarding whether herbal treatment of public health centers has little effect against acute disease, 48.1% of responses are 'Fair'. To a question regarding whether herbal treatments, when compared with physician's treatments, boost better recovery of patients, 48.1% of responses are 'Fair'. To a question regarding whether herbal medicine is unscientific, when compared with that of western medicine, 38.2% of responses are 'Fair', To a question regarding whether herbal medicine has faster effect on disease than western medicine, 41.0% of responses are 'Fair'. To a question regarding whether herbal medicine is more effective on disease prevention and promotion of health than disease treatment, 38.2% of responses are 'Fair'. And to a question regarding whether the lack of various types of physical therapy devices in herbal medicine, when compared with western medicine causes inconvenience in herbal treatment, 42.0% of responses are 'Fair'. Those responses take up highest portion at each questionnaire. 4. A comparative study between herbal treatments and physician's treatments has also been conducted. To questions regarding which one of the two considering types of disease is the better, responses are the latter accounted for 43.9% against 'Cancer', the latter accounted for 45.3% against 'Endocrine disorders', the former accounted for 30.7% against 'Psychiatric disorders', the latter accounted for 38.2% gainst 'Otolaryngological(ENT) disease', the former accounted for 47.6% against 'Post traumatic stress disorder', and the former accounted for 52.4% against 'Muscle-skeletal disease'. 5. An investigation on frequency of patients' visits via (p<0.05) of subjects show a statistically significant difference. 6. First, an investigation on frequency of reasons of medical treatments reveal that age, occupation, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of subjects taking insurance medicines after herbal health treatments reveal that monthly income (p<0.05) of subject shows a statistically significant difference. 7. First, an investigation on frequency of a claim that herbal treatments of public health center does not have great effect on acute disease reveals that age, education, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of analysis that herbal treatments has faster effect on disease compared with western treatments reveals that education level, religion, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. 8. When herbal clinics of public health centers and general herbal medicine institutions are compared, a survey on additional treatments that herbal clinics need the most reveals that education level, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of subjects who want various forms of herbal medicines reveals that occupation and insurance type (p<0.05) of subjects show a statistically significant difference. Conclusion : In order to improve efficiency of treatments and enhance patient's satisfaction level, this study suggests measures such as providing a differentiated acupuncture treatments as a whole, streamlining an reception procedure, adopting more elaborated computer system for a patient to get proper medical attention, standardizing a treatment duration in order for a maximum result, keeping regular office hours, and optimizing a consultation time for a patient.

The Effect and Side Effect of Dipyridamole in Myocardial SPECT (Dipyridamole 부하 심근 SPECT에서 Dipyridamole의 작용과 부작용)

  • Yang, Hyung-In;Lee, Dong-Soo;Yeo, Jeong-Suk;Bae, Sang-Kyun;Choi, Chang-Woon;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.2
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    • pp.203-209
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    • 1993
  • Dipyridamole is an agent that may be used to noninvasively evaluate coronary artery disease. The effect of dipyridamole infusion its generally related to its induced peripheral vasodilatory effect. In normal person, heart rate is generally increased slightly while blood pressure decrease, but the achieved double product and related myocardial oxygen consumption have no significant change. The purpose of this study is to examine the effect and side effect of dipyridamle, and to compare different response to dipyridamole among the patients. We evaluated 847 patients who underwent dipyridamole stress myocardial SPECT. 93.6% of them had induced hypotension, 0.9% showed no change of blood pressure, 5.5% had increased blood pressure. 8.3% had no change of pulse rate more than 10% of basal pulse rate. Among diabetes, 16.9% was not change of pulse rate, 6.7% in non-diabetes. There was no significant correlation between age and rate pressure product rest(RPPr), in patiens without perfusion defects on SPECT(y=7.1x+ 48.4 r=0.13 p>0.01). As increasing age, RPPs/RPPr was declined(y= -11.6x+68.9 r=0.17 p<0.01), similar results were obtained in patients with perfusion defect. The size of perfusion defect on myocardial SPECT have no correlation between RPPr and RPPs/RPPr. The side effects of dipyridamole included chest pain and chest tightness, headache, abdominal pain, dizzness, nausea, and dyspnea. As increasing age, dipyridamole-induced cardiac work at rest was increased, cardiac response to dipyridamole was decreased.

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Comparison of Inflammatory Response and Myocardial injury Between Normoxic and Hyperoxic Condition during Cardiopulmonary Bypass (체외순환 시 정상 산소분압과 고 산소분압의 염증반응 및 심근손상에 관한 비교연구)

  • 김기봉;최석철;최국렬;정석목;최강주;김양원;김병훈;이양행;조광현
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.524-533
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    • 2001
  • Background: Hyperoxemic cardiopulmonary bypass (CPB) has been recognized as a safe technique and is widely used in cardiac surgery. However, hyperoxemic CPB may produce higher toxic oxygen species and cause more severe oxidative stress and ischemia/reperfusion injury than normoxemic CPB. This study was undertaken to compare inflammatory responses and myocardial injury between normoxemic and hyperoxemic CPB and to examine the beneficial effect of normoxemic CPB. Material and method: Thirty adult patients scheduled for elective cardiac surgery were randomly divided into normoxic group (n=15), who received normoxemic CPB (about Pa $O_{2}$ 120 mmHg), and hyperoxic group (n=15), who received hyperoxemic CPB (about Pa $O_{2}$ 400 mmHg). Myeloperoxidase (MPO), malondialdehyde (MDA), adenosine monophosphate (AMP), and troponin-T (TnT) concentrations in coronary sinus blood were determined at pre- and post-CPB. Total leukocyte and neutrophil counts in arterial blood were measured at the before, during, and after CPB. Lactate concentration in mixed venous blood was analyzed during CPB, and cardiac index (Cl) and pulmonary vascular

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Investigating Research on the Degree of Frequency and Importance of Tasks for Framing the EMTs Occupational Description (응급구조사 직무기술서 작성에 따른 일의 요소별 빈도 및 중요도 조사 연구)

  • Kim, Tae Min;Kim, Hyo Sik;Yoou, Soon Kyu
    • The Korean Journal of Emergency Medical Services
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    • v.5 no.1
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    • pp.199-212
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    • 2001
  • This research, aiming at analyzing the Emergency Medical Technicians' duties prior to establishing a baseline for question development in the national exams to qualify for the EMTs, investigated the importance and frequency per unit specified in the description with the EMTs to be subjects working on the task spot by means of questionnaires. The EMT duties were classified into 9 items like 1) the notification and response, 2) the scene size-up, 3) the patient assessment, 4) the emergency care, 5) the patient transport, 6) the duties at hospital clinics, 7) the operational management, 8) the receiving and responding to a call, 9) the self-development, and put the functional tasks into 52 items, describing the task elements into 177 items, and then questioned 112 EMTs working on the spot from July 21 through August 30, 2000, which showed the following results. 1) The distribution of subjects' career showed the highest rate with 33.9% for those who careered "less than a year", only 13.4% for those with more than 4 years and the highest rate with 43.8% for those who aged at 20-25. And 70.5% of all those who were questioned was the junior college graduates, 58.9% for those working at fire station and 29.5% working at hospital clinics. 2) Looking at the distribution of frequency and importance for each task element, questioning 'the patients main symptoms', 'accidental type', 'place of the patients identification' showed the highest rate in both frequency and importance in the field of "notification and response". 3) In the "scene size-up", identifying the patients showed the highest rate of frequency and importance, compared to other field of tasks, among which "identifying the patients' state" showed the highest rate of frequency (2.66) and importance (2.81). 4) In the "patient assessment", "identifying the patients" showed the high rate of frequency and importance in most elements of task, especially the importance showed the highest rate with 2.83 for the task of airway management and the cervical immobilization during "the primary assessment", and the frequency showed the highest rate for questioning the past case of the task of grasping the patients' history. 5) In the "emergency care", "the management of the heart attacked patients" and "the advanced cardiac life support" showed a high rate in the importance, whereas the frequency showed a very low rate. The high rate of frequency during the emergent task was the management of "musculoskeletal system injury patients" and of "the gastro-intestinal and urinary genital system injury patient support." In care of the patients with heart attack, the management of the airway showed the highest rate with 2.95, whereas the management of alcoholic abused patients and of dying patients, showed comparatively lower rate of assessment in the importance. The frequency of tasks showed the highest rate with 2.69 in the control of bleeding and the lowest with 0.47 in the management of abnormal delivery of child. 6) As to the patient transport, "the emergency transport" showed the highest rate with 2.74 and the unemergent transport with 2.55 in the importance, and the task importance at hospital showed the highest rate with 2.89 in managing the cardio-pulmonary resuscitation and with 2.60 in identifying the patient state. 7) Of all the tasks related with "operational task", the high importance was to "educate for the management of the first responder", but the frequency of tasks mostly showed a low rate and "receiving and responding to a call" showed relatively a high rate of importance and frequency. And related with "the self-development", "the health care management" and "the stress control" on working spot showed a high rate, but the frequency mostly showed a low rate.

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Analysis of Heterogeneous Tree-Ring Growths of Pinus densiflora with Various Topographical Characteristics in Mt. Worak Using GIS (GIS 기법을 이용한 지형적 특성에 따른 월악산 소나무 연륜생장의 이질성 규명)

  • 서정욱;김재수;박원규
    • The Korean Journal of Ecology
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    • v.23 no.1
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    • pp.25-32
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    • 2000
  • To analyze the relationship between climatic factors (monthly temperatures and precipitations) and the radial growths or Pinus densiflora with different topographical settings in Worak National Park, Korea, 20 stands were chosen and 10 trees were selected from each stand. After crossdating, each ring-width series was double detrended (standardized) by fitting first a negative exponential or straight regression line and secondly a 60-year cubic spline. The growth patterns coud be categorized by four groups using cluster analysis. Cluster Ⅰ stand has north aspect, but others have south or southwest aspects. Cluster Ⅰ (one), cluster Ⅱ (ten), and cluster Ⅲ (two) stands are located in lower. elevation (305∼580 m), however, cluster Ⅳ (seven) stands are located in higher elevation, mostly in 560~870 m. Cluster Ⅱ and Ⅲ stands are located at similar elevation with the same aspect, however, cluster Ⅱ stands are located on more rocky and stiff slope with shallow soil depth. The response functions were used to examine the difference in the relationships between climatic factors and tree growths among the 4 cluster chronologies. The climatic factors are not limiting the growth in the cluster Ⅰ stand as highly as in other cluster plots because of rather mesic conditions in the north slope. The precipitation in the spring appears to be the main limiting factor in the cluster Ⅱ stands. The topographical characteristics of the sites of cluster Ⅱ, shallow soil depths on the rocky slope in the south aspect at lower elevation, may enhance the sensitivity of growth to moisture stress. In cluster Ⅲ and cluster Ⅳ, winter and spring temperature prior to the growth become more important than for cluster Ⅱ. This pattern is com-mon for Pinus densiflora trees growing in higher. elevation (equation omitted 800 m) in South Korea. It nay be re-lated with preconditioning effects of temperature as the temperature decreases with increasing elevation (cluster Ⅳ) or in the valley (cluster Ⅲ). The results obtained by tree-ring analysis were digitalized by GIS and spatio-temporal information on tree-ring data and topographic setting were analyzed and displayed simultaneously. The results of this study can be used to predict the future change of Pinus densiflora ecosystem to climate change expected in central Korea.

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A Study on the Relationship Between Radial Growth and Climate Factors by Regions in Korean Pine (Pinus koraiensis) (지역별 잣나무의 연륜생장과 기후인자와의 관계 연구)

  • Lee, Sangtae;Bae, Sang-Won;Jang, Seok Chang;Hwang, Jaehong;Chung, Junmo;Kim, Hyun-Seop
    • Journal of Korean Society of Forest Science
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    • v.98 no.6
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    • pp.733-739
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    • 2009
  • This study was carried out to analyze the relationship between major climatic factors (monthly temperature, precipitation) and radial growth of Korean Pine (Pinus koraiensis) in Inje-gun(Mt. Seorak), Sanchung-gun and Namwon-si(Mt. Jiri). Radial growth measurements were crossdated and correlated with climate variables. The climatic factors used were monthly mean temperature and monthly precipitation from August of previous year to September of the current year. In Inje-gun, radial growth was negatively correlated with monthly mean temperature in April, May, June, and August of the current year and was positively correlated with precipitation in August, October of the previous year and in April, August of the current year. Sanchung-gun showed a negative correlation with monthly mean temperature in September of the previous year and August of the current year but positive correlation in January of the current year. In contrast, precipitation in September of the previous year and August of the current year showed a positive influence. The results suggest that high temperature together with low precipitation may thus cause water stress and thereby limit radial growth in this region. In Namwon-si, the climategrowth relationships show that radial growth was negatively correlated with monthly mean temperature in August, October of the previous year and June of the current year. But August of the previous year and May, August of the current year in precipitation was positively correlated with radial growth. In the study areas, precipitation plays an important role for the radial growth of Kroean Pine (Pinus koraiensis). The results suggest that precipitation is important in the radial growth because water deficit in trees would take place in response to high temperature in the study area. Also there was some differences with study areas in the effects of both climatic variables probably as a result of different stand structure and geographical conditions and micro-climate.