• Korean Journal of Culture and Social Issue
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• v.16 no.1
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• pp.1-18
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• 2010

This study examines the characteristics of traffic accidents involving elderly pedestrians by analyzing relevant data vis-à-vis fatal pedestrian accidents and proposes solutions to reduce such accidents. We analyzed 3,853 cases of fatal accidents involving elderly pedestrians and 1,786 cases involving younger pedestrian (these cases reflect accidents that occurred from 2005 to 2008). The results show that accidents involving the elderly occur more frequently in rural areas than urban areas, especially in autumn; this condition applies even in situations where the elderly exhibit compensation behaviors such as walking on safer roads. We found that elderly pedestrians exhibit a defective behavior in crossing roads, especially in complicated road conditions where intersections and turning/reversing vehicles represent a menacing threat. These characteristics could be explained by the degenerated physical/mental ability of the elderly and by psychological factors such as reduced level of self-confidence.

• Korean Journal of Radiology
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• v.24 no.4
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• pp.349-361
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• 2023

Objective: To quantitatively assess the pulmonary vasculature using non-contrast computed tomography (CT) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) pre- and post-treatment and correlate CT-based parameters with right heart catheterization (RHC) hemodynamic and clinical parameters. Materials and Methods: A total of 30 patients with CTEPH (mean age, 57.9 years; 53% female) who received multimodal treatment, including riociguat for ≥ 16 weeks with or without balloon pulmonary angioplasty and underwent both non-contrast CT for pulmonary vasculature analysis and RHC pre- and post-treatment were included. The radiographic analysis included subpleural perfusion parameters, including blood volume in small vessels with a cross-sectional area ≤ 5 mm² (BV5) and total blood vessel volume (TBV) in the lungs. The RHC parameters included mean pulmonary artery pressure (mPAP), pulmonary vascular resistance (PVR), and cardiac index (CI). Clinical parameters included the World Health Organization (WHO) functional class and 6-minute walking distance (6MWD). Results: The number, area, and density of the subpleural small vessels increased after treatment by 35.7% (P < 0.001), 13.3% (P = 0.028), and 39.3% (P < 0.001), respectively. The blood volume shifted from larger to smaller vessels, as indicated by an 11.3% increase in the BV5/TBV ratio (P = 0.042). The BV5/TBV ratio was negatively correlated with PVR (r = -0.26; P = 0.035) and positively correlated with CI (r = 0.33; P = 0.009). The percent change across treatment in the BV5/TBV ratio correlated with the percent change in mPAP (r = -0.56; P = 0.001), PVR (r = -0.64; P < 0.001), and CI (r = 0.28; P = 0.049). Furthermore, the BV5/TBV ratio was inversely associated with the WHO functional classes I-IV (P = 0.004) and positively associated with 6MWD (P = 0.013). Conclusion: Non-contrast CT measures could quantitatively assess changes in the pulmonary vasculature in response to treatment and were correlated with hemodynamic and clinical parameters.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.1
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• pp.1-15
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• 2024

Objectives: This study aims to examine the general characteristics and physical activity characteristics of young and middle-aged individuals with hypertension, with the goal of identifying key influencing factors and providing public health policy recommendations. Methods: Participants in this study used data from the 2021 Community Health Survey. The study participants include 5,511 individuals diagnosed with hypertension in the young and middle-aged group (aged 19 to 49). The collected data were analyzed using SPSS 26.0. Results: Model 1 is the influencing factors of young and middle-aged hypertensive patients according to general characteristics. The explanatory power is R²= .065. The influencing factors are as follows. Economic activity (𝛽= -.219, p<.001), breakfast per week (𝛽= .117, p<.001), gender (𝛽= .090, p<.001), subjective health status (𝛽= .073, p<.001), and education level (𝛽= .069, p<.001). Model 2 is the influencing factors of young and middle-aged hypertensive patients, including physical activity characteristics. The explanatory power is R²= .076. The influencing factors are as follows. Strength exercises (𝛽= -4.791, p<.001), the walking activity (𝛽= -2.694, p<.01), and the high-intensity physical activity (𝛽= -2.629, p<.01). Conclusion: The active management of young and middle-aged hypertension is essential to prevent progression to serious disease. To prevent hypertension in young and middle-aged people, health education is needed to develop and utilize health promotion programs that take into account general characteristics and physical activity characteristics.

• Journal of Korean Society of Forest Science
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• v.113 no.2
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• pp.170-186
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• 2024

This study was conducted to identify the usage characteristics of the DMZ Punchbowl Trail (DPT) as a national forest trail (NFT) and to estimate its ripple effects on the local economy. The objective of this study is to provide policy implications for sustainable operational management. Out of the 500 questionnaires distributed, 215 respondents provided their complete travel itineraries and expenditures. The respondents, mainly aged 50 and above and residing in the Seoul Metropolitan Area, spend 3.5 hours of travel time to the DPT. Together with their families, the respondents typically spend approximately 4 hours for leisurely activities, primarily appreciation of scenic views and relaxation by visiting the "O-yubatgil." Furthermore, they extend their travels to other parts of Gangwon Province, where the DPT is situated. Within Gangwon Province, Yanggu County is the most visited destination. The respondents reported a notably higher average expenditure per visitor compared with the typical local walking tourists. Estimates show that the DPT generates an annual average of KRW 2.1 billion in direct expenditure (based on an average of 10,000 visitors for over five years), KRW 2.8 billion in production, and KRW 1.3 billion in added value, and it has created 40 jobs in Gangwon Province. The results of this study lies in empirically determining the specific economic scale and ripple effects of DPT as an NFT in the major sector, which occupies a significant portion of the Gangwon Province's local economy. The results will be instrumental in validating NFT policies and informing policy making for sustainable forest utilization.

• Animal Bioscience
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• v.37 no.7
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• pp.1303-1315
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• 2024

Objective: This study aimed to determine the effects of increasing energy and protein levels in diets by including protected fat (PF), glycerol (GL), and soybean meal (SBM) on growth performance, physiological parameters, carcass characteristics, and behavioral measurements of late-fattening Hanwoo steers under heat stress conditions. Methods: Thirty-six steers (initial body weight, 724.9±58.3 kg; age, 25.5±0.4 month) were assigned into control (total digestible nutrient [TDN] 76%, crude protein [CP] 15%), PF (TDN 83.6%, CP 15%), PF+GL (TDN 83.6%, CP 15%) and PF+GL+SBM (TDN 83.6%, CP 16.5%) by randomized complete block design for a total of 16 weeks with division of 4-week periods. The average temperature-humidity index was 87.0 (1st period; severe), 82.8 (2nd; moderate), 71.4 (3rd; comfort), and 68.1 (4th; comfort). Results: The dry matter intake (DMI) showed no treatments differences during the whole experiment. However, DMI in 1st and 2nd period decreased by approximately 30% and 10% compared to 4th period, respectively. Higher average daily gain and feed conversion ratio were noted for treatments compared to control at both 1st and 2nd period (p<0.05). There were no treatment effects on rectal temperature (RT), cortisol, and behaviors during the entire experiment. However, both RT and cortisol in 0, 1st and 2nd period were higher than those of 3rd and 4th period (p<0.05). Carcass yield and grade remained unaffected by increasing TDN and CP levels. Behavioral changes in the hot season (1st period) included reduced lying (43%), increased standing (48%), decreased walking (62%), and decreased eating (38%) (p<0.05), with an increase in drinking by 54%. Rumination during standing was 53% higher, while rumination during lying was about 33% lower compared to the post-hot season (3rd period) (p<0.05). Conclusion: Dietary supplementation of protected fat in late-fattening Hanwoo steers under heat stress had a positive effect on preventing a reduction in performance.

• Clinical and Experimental Pediatrics
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• v.49 no.9
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• pp.946-951
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• 2006

Purpose : The purpose of this study was to demonstrate the effectiveness of combined exercise for 12 weeks on the adiponectin and obesity related variables in overweight and obese children. Methods : Eighteen children in 5th grade in a certain elementary school in Busan were recruited. They were all overweight or obese children(more than 85 percentile in body mass index). Nine children in the experimental group were given exercises consisting of walking and band resistant training for 12 weeks. Auxological data(including height, weight and body fat mass) and laboratory data (fasting blood sugar, insulin, adiponectin) were checked at baseline and at the 1 week, and at the 4 weeks and 12 weeks stages of their exercise program. Insulin resistance and sensitivity were evaluated indirectly using HOMA index and QUICKI index. Results : Adiponectin gradually decreased until the 4 weeks point and gradually increased thereafter to the starting level at the 12 weeks stage. Body weight, body mass index(BMI) and HOMA index significantly decreased more at the 1 week, 4 weeks, and 12 weeks stages in the experimental group than in the control group. Body fat mass significantly decreased at 12 weeks. The change of insulin was significantly correlated with changes of body weight and BMI. But there was no correlation between changes of adiponectin and changes of insulin. Conclusion : Exercise seems to effect the adiponectin concentration. And it might be assumed that exercise increases the adiponectin concentration if it is continued for long time(may be more than 12 weeks). More studies may be necessary to draw that conclusion.

• Tuberculosis and Respiratory Diseases
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• v.57 no.4
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• pp.320-328
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• 2004

Background : Pulmonary vascular changes which occur early in the course of chronic obstructive pulmonary disease (COPD) are prevalent manifestation and later cause pulmonary hypertension, which is a bad prognostic factor in COPD. Beraprost sodium (BPS), an orally active prostacyclin analogue, has been shown to improve survival in patients with primary pulmonary hypertension. This study investigated the effect of BPS in the patients with COPD. Methods : This is a double-blind randomized placebo-controlled, two center clinical trial. Twenty one consecutive patients with COPD were enrolled from June 2003 to June 2004 (patients treated with BPS for 3 months, BPS group, n=11; those with placebo, placebo group, n=10). The baseline demographic, pulmonary function and hemodynamic data were not significantly different between two groups. Results : On echocardiographic examination, trans tricuspid valve pressure gradient has decreased significantly after 3 months with beraprost in the BPS group [17.7(${\pm}11.4$) to 8.2(${\pm}8.9$) mm Hg, p-value<0.05], while there was no significant change in the control group. Six-minute walking distance has decreased in the control group and increased in the BPS group, but there was no statistical significance. Conclusion : In patients with COPD oral administration of BPS reduced the pulmonary arterial pressure. The clinical significance of this finding, that is improving symptoms and natural course of the disease, needs further study.

• Journal of the Korean Institute of Landscape Architecture
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• v.42 no.4
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• pp.76-88
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• 2014

The purpose of this study is to derive landscape characteristic elements of agricultural and fishery heritage and to classify landscape characteristic elements of Cheongsando designated as Korean agricultural and fishery heritage No.1 as well as a Globally Important Agricultural Heritage System (GIAHS). Additionally, this study was conducted to suggest priority for conservation and management of Cheongsando by grasping differences between factors which visitors deem as important and satisfying. To implement this study, the literature review was written, an on-site survey to derive landscape characteristic elements of Cheongsando and a survey on importance and satisfaction of landscape characteristic elements of Cheongsando were conducted, and reliability analysis, descriptive statistical analysis and IPA analysis were performed using SPSS 20.0. The results are as follows: The analysis showed the factors requiring persistent efforts in the first quadrant are the rape flower garden, the sea, green barley field, flat stone paddy field, breakwater and lighthouse, abalone farms, stone houses, thatched houses, a coastal road, the slow road, Stonewall Walkway of Seongseo Village, and residents' agricultural behaviors. The analysis showed the factors needing intensive management strategies in the second quadrant are the surrounding mountain area, dock, Docheong Harbor, vessels, fish market, Doksari stone wall, garish-roofed farm villages, excursion school to a slow island, pension and cafe, bus stop, shade trees, Raw Fish Street, the beach and the filming site. Analysis indicated that the factors needing management control in the third quadrant are the pine grove, the beach, tidal mudflat, the garlic fields, vinyl greenhouses, grain drying yard, sea mustard drying yard, heritage center, Choboon, Dangri exorcism, the market place, residents' fishery behaviors, residents' industrial behaviors, residents' ordinary behaviors, visitors' behaviors that visiting the dock, visitors' behaviors that walking the slow road, visitors' behaviors that eating and shopping for specialties, visitors' behaviors that experiencing agriculture and fishery. Excessive effort factors in the fourth quadrant were not derived.

• Korean Journal of Environment and Ecology
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• v.28 no.5
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• pp.597-606
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• 2014

The preference of general adult on the forest and forest road was surveyed and analyzed for the development of forest therapy program. This study was conducted for the purpose of providing a basis for the development of more targeted-and differentiated-forest therapy program by analyzing the preference of general adult on the forest and forest road from 19 April 2014 to 30 June 2014 through on-line survey. The sample group of 613 adults has been used in practical analysis. Using SPSS 21.0, We looked at the preference differences of the forest and forest road according to the demographic characteristics(sex, age, education level, occupation and monthly income) through descriptive statistics analysis, frequency analysis, cross tabulation analysis, multiple response analysis. The seasonal preference was spring, autumn, any season, summer, winter in order and there was a significant difference according to one's sex, age, occupation and monthly income. There was a significant difference in the configuration of forest according to one's monthly income. The favorite type of forest as a place of forest healing program was natural recreational forest, healing forest, urban forest, park, school forest in order. There was no significant difference in the favorite forest type regarding to the distance to the healing place from one's residence in all cases. There was a significant difference in the type of forest according to one's monthly income. The most favorite configuration of forest road was gentle sloped road. Once walking into the forest for the purpose of healing, the favorite forest road length was 1.5~3 km, less then 1.5 km, more than 3 km in order and there was a significant difference in preference according to one's sex, age, education level and monthly income. We believe that the healing program should be differentiated from the general form of it according to one's sex, age, education level, occupation and monthly income as a result of this investigation of preference of general adult on the forest and forest road for the development of forest therapy program. In particular, we believe that the differentiated program should be offered according to one's age. We expect this analysis to be used as a basis for the development of forest therapy program.

• Journal of the Korean Institute of Landscape Architecture
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• v.41 no.3
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• pp.22-30
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• 2013

This study aims to measure the thermal comfort effects of urban street trees. As the usual dry bulb air temperature does not indicate properly how the average pedestrian feels the heat of a typical summer day under the strong sunshine, we adopted the Wet Bulb Globe Temperature(WBGT). WBGT involves black globe temperature to measure the direct radiation of sun beams on our bodies, for example our heads. We measured temperatures on very sunny and hot summer days, August 3, 4, and 7, 2012, on the urban streets of Seoul, Korea. Wet bulb, globe, and dry bulb temperatures were measured under direct sunlight from 1 O'clock to 5 O'clock pm. Globe and dry bulb temperatures were measured under street tree shades nearby during the same hours. Then the WBGTs were calculated with the formulae, one for sunny outdoor spaces, and the other for shaded outdoor spaces or indoor. The results are compared with the Korean Standards Association(KS A ISO 7243). The major findings were: 1) On very sunny and hot summer days in Seoul, street tree shades lower the WBGT about 1 to 4 degrees, 2) during the hours of 3 and 4 O'clock in the afternoon, the WBGT under the tree shades are about 3 to 4 degrees lower compared to those under sunshines(approx. 29 to 32 degrees respectively), 3) This difference makes a major thermal comfort for urban pedestrians because senior citizens or weak persons are recommended to move indoor, and even healthy people are recommended stop outdoor sports and take rests in the shades when WBGT is about 32. On the other hand, if the WBGT is around 29, or 3 degrees lower, slower walking, light works or sports are allowable, 4) On site questionnaire survey confirms the thermal comforts under the tree shades, and we even could not get survey subjects on the sunny parts of the sidewalks, 5) We strongly recommend change of guidelines for urban street trees from "one row of street trees on 6m~8m intervals" to "street trees to make continuous shades".