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A Clinical Study of Pulmonary Tuberculosis in Diabetics (당뇨병에 동반된 폐결핵의 임상적 연구)

  • Jeong, In-Kyung;Yoo, Jee-Hong;Lee, Seon-Mee;Koh, Kwan-Pyo;Han, Min-Soo;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.705-713
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    • 1998
  • Background: An association between diabetes and tuberculosis has long been implied. The severity of diabetes appears to correlate with the degree of tuberculous activity. Methods: A retrospective chart review of 82 patients with active pulmonary tuberculosis in diabetics (DMTB) and 83 patients with active pulmonary tuberculosis in nondiabetics (Non-DMTB) admitted to the Kyung Hee Medical Center between January 1995 and December 1996 was underiaken. Results: The sex ratio of DMTB was 58 : 24, and that of Non-DMTB was 62 : 21. Male patients predominated in both groups. The highest incidence of DMTB was 6th and 7th decades and that of Non-DMTB was 3rd and 4th decades. In case which the tuberculosis developed after diagnosis of diabetes, the prevalence of pulmonary tuberculosis was the highest in diabetes for 5-10 years. On chest X-ray findings, the moderate advanced tuberculosis cases were the most common (60.9% in DMTTB and 50.6% in Non-DMTB). There was no relation between the degree of tuberculosis activity on chest x-ray(minimal, moderate, and far advanced tuberculosis) and presence of diabetes. The incidence of lower lung field tuberculosis in DMTB was significantly higher than Non-DMTB(p<0.05). The multiple lobe involvement was the predominant chest roentgenographic finding in both groups. There was no significant difference of treatment response between DMTB and Non-DMTB. There was no relationship between initial HbA1c and the severity of pulmonary tuberculosis on chest X-ray. During treatment of pulmonary tuberculosis in excellently and well controlled diabetes, the cure rate of pulmonary tuberculosis was significantly higher than the poorly controlled diabetes and the rate of treatment failure was significantly lower than poorly controlled diabetes. (p<0.05). Conclusion: Poor control of blood glucose is related with increased rate of treatment failure in pulmonary tuberculosis with diabetes mellitus. Further investigation will be needed to study the mechanisms of treatment failure in poorly controlled diabetics with pulmonary tuberculosis.

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Effect of Breast-feeding Education and Follow-up care on the Breast-feeding Rate and the Breast-feeding Method - Focused on Home Visit and Phone Counselling - (모유수유교육과 추후간호방법이 산모의 모유수유실천율과 모유수유방법에 미치는 효과 - 가정방문과 전화상담을 중심으로 -)

  • Park, Sook-Hee;Koh, Hyo-Jung
    • Women's Health Nursing
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    • v.7 no.1
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    • pp.30-43
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    • 2001
  • This was a pre-experimental study to confirm the breast-feeding ability and effect of follow up care on the breast-feeding rate and the breast-feeding method by the mother-infant breast-feeding assessment tool for the mothers who got the breast-feeding education. The subjects were 46 mothers who experienced normal delivery of infants at a college hospital in K-city, Kyungsangbuk-do, from July 1 to October 21, 2000. The instrument for data obtainment were The Mother-Infant Breast-Feeding Assessment Tool of Johnson et al. (1999), and The Breast- Feeding Method Measurement Tool of Jeong, Geum-hee(1997). This instrument was reliable, showing Cronbach $\alpha$.751. This study classified them into 3 groups: at high risk for breast-feeding failure, at risk for breast-feeding problems, and at low risk for breast-feeding failure by the mother-infant breast-feeding assessment tool on the day of discharge from the hospital after delivering individual breast-feeding education to the subjects. This study investigated the breast-feeding rate and the breast-feeding method through mail questionnaire at the four week after childbirth, and through the phone counselling and the home visit for follow up care at the first week and the second week after childbirth. The sixth week after childbirth, this study investigated the breast-feeding rate by phone. The data analyzed the hypothesizes by $x^2$-test, paired t-test, ANOVA, Wilcoxon signed rank test, Wilcoxon rank sum test and trend analysis using SPSS/PC+ WIN 10.0 program. The results were as follows : 1) Hypothesis 1-1, "there won't be any difference the breast-feeding rate of a group at risk for breast-feeding failure by the time elapsed" was supported through constant the breast-feeding rate, because changes in the breast-feeding rate by the time elapsed after childbirth wasn't statistically significant(t= -1.501, p=.270). Hypothesis 1-2, "there won't be any difference the breast-feeding rate of group at low risk for breast-feeding failure by the time elapsed" was supported through constant the breast-feeding rate, because changes in the breast-feeding rate by the time elapsed after childbirth wasn't statistically significant(t=-1.732, p=.225). 2) Hypothesis 2-1, "there won't be any difference between the breast-feeding method of group at risk for breast-feeding failure for four weeks after childbirth and just after childbirth” was rejected, because the mean point of post test appeared to be higher than that of pre test(t=-7.267, p=.000). Hypothesis 2-2, "there won't be any difference between the breast-feeding method of the group at low risk for breast-feeding failure for four weeks after childbirth and just after childbirth" was rejected, because the mean point of post test appeared to be higher than that of pre test(t=-2.501, p=.012). 3)The 3rd hypothesis, "there won't be any difference between breast-feeding method of groups at risk for breast-feeding problems and at low risk for breast-feeding failure at the 4th week after childbirth and just after childbirth" didn't show any difference between the breast-feeding method of groups at risk for breast-feeding problems and at low risk for breast-feeding failure in the advance test(t=-1.521, p=.130) but there was difference between them in post test (t=-2.012, p=.044). As a result, the 3rd hypothesis was supported by pre test, but it was rejected by post test. In conclusion, this study confirmed breast- feeding education and follow up care just after childbirth were effective for the breast-feeding rate and method. Accordingly, it is proposed that successful nursing intervention of breast-feeding to be necessary by continuously providing follow up care through the mother-infant breast-feeding assessment tool as well as to execute individual breast-feeding education to mothers just after childbirth.

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Lodging Liability and Response to Paclobutrazol Application of High Eating Quality Japonica Rice Varieties (밥맛이 좋은 Japonica 벼 품종들의 도복저항성과 도복경감제 paclobutrazol에 대한 반응)

  • Lee, Eun-Woong;Kwon, Yong-Woong;Soh, Chang-Ho
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.32 no.2
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    • pp.224-233
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    • 1987
  • Most of the japonica rice varieties preferred for high eating quality are liable to lodging even under moderate rate of nitrogen application. This lodging liability has been a critical limit even for proper evaluation of physio-logical characteristics of those varieties exhibitable under higher nitrogen levels. Use of recent inhibitors of gibberellin biosynthesis such as ‘Pac1obutrazol’ may allow us to overcome this barrier. The responses of four high eating quality varieties to nitrogen application to the level of 150kg N per ha were evaluated with and without use of Paclobutrazol in comparison with a non-lodging, improved short japonica, Dongjin and a non-lodging, high yielding indica x japonica Milyang 23. The four were Damageum (the best eating quality in the 1930s), Nongrim 6 (the best in the 1960s), Chuchung (the best since 1970s), Koshihikari (the best in Japan since 1960s). As expected increased application of nitrogen increased plant height, length of the 3rd internode, and lodg-ing liability, being measured as culm breaking load, in all varieties tested and caused actual lodging in the fiel from the 50kg Nfha level in Damageum and Koshihikari and at the level of l50kg Nfha in Nongrim 6. Applica-tion of Pac1obutrazol (0.6%G) 15 days before heading reduced plant height, length of the 3rd internode and lodging liability being measured as culm breaking load in all varieties tested. However, the application of Pac1obutrazol during active tillering stage resulted in decreased culm breaking load in Damageum, Nongrim 6, and Koshihikari in spite of the decreased plant height and culm length as in the other varieties. Maximum yield was obtained with 100kg Nand 30kg Pac1obutrazol at 15 days before heading in Nongrim 6, 150kg N and 30kg Pac1obutrazol at 15 days before heading in Damageum, and 150kg N and 20kg Paclobutrazol at 20 days after transplanting plus 30kg Paclobutrazol at 15 days before heading in the variety Koshinhikari and Chuchung. Under a sensory evaluation of cooked rice, the four high eating quality varieties were not different in rank and Paclobutrazol treated rice was not distinguished from the untreated in eating quality.

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A Study on the Empathy of the Teenage Audience at the Cheong Kong Festival - Focusing on the 3rd Performing Arts Festival for Youth - (청공축제의 청소년 관객 공감 양상 연구 - '제3회 청소년을 위한 공연예술축제'를 중심으로)

  • Oh, Pan-Jin
    • (The) Research of the performance art and culture
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    • no.39
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    • pp.609-635
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    • 2019
  • This study analyzed five official entries in the 3rd Cheong Kong Festival contest and analyzed the patterns of teen audience empathy. The tools used for this analysis were 'characters, acting, background and theme'. Firstly, characters were mostly teenagers and out-of-school teenagers, but there were other performances that focused on the relationship between teenagers and adults or focused on the youth, which the teen audience preferred. And they preferred realism acting to emotional acting and preferred musical acting to realism acting. In addition, the background of the events covered in the performance was evaluated to be like this: the closer the audience was to the youth, the higher the audience sympathized with the performance, and the closer the subject matter was to the youth's interest, the more positive it received. In summing up the opinions of the youth evaluation team, the first audience-participating Sinpa Theater, "Mr. X" was evaluated to expand the scope of teenagers to 20s and to show the negative and heavy reality as fun and beneficial one. Secondly, when it comes to non-prejudiced youth theatre "The Turtle", which have a high level of empathy, it was evaluated to shape the prejudice about others through the symbol of 'bag'. Thirdly, regarding the time-traveling retro-style youth theatre of the 'a jam-packed Bus', it was evaluated to be a well-made retro-style youth theatre. Regarding the 'Lunar Eclipse', which showed the aesthetic of the relationship, scenes were evaluated to be built with omission and restraint. Regarding "B Officer on and Love Letter", it was evaluated to be adapted to a musical from Hyun Jingun's novel, which was released 100 years ago. Lastly, the performance desired by the youth evaluation team was a performance with a high level of 'sympathy' and 'education'. In other words, they preferred performances that empathize with the emotions and thoughts of teenagers, and on the other hand, they wanted to see performances that allowed them to see the world broadly outside their own worlds. If youth theater is created by referring to the evaluation of youth as it is in this study, the audience will be more sympathetic to performances.

Traumatic Asphyxia with Compressive Thoracic Injuries -4 Cases Report- (흉부손상에 의한 외상성 가사 4예)

  • 김현순
    • Journal of Chest Surgery
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    • v.13 no.3
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    • pp.212-218
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    • 1980
  • A severe crushing injury of the chest produce a very striking syndrome referred to as traumatic asphyxia. This syndrome is characterized by bluish-red discoloration of the skin which is limited to the distribution of the valveless veins of the head and neck. And also if it is characterized by bilateral subconjunctival hemorrhages and neurological manifestations. But these clinical entities faded away progressively in a few weeks. Apporximately 90% of the patients who live for more than a few hours will recover from traumatic asphyxia when it occurs as a single entity. And so, death results from either severe associated injuries of from subsequent infection, rather than from pulmonary or cardiac insufficiency in traumatic asphyxia. We have experienced 4 cases of traumatic asphyxia with severe crushing thoracic injuries at department of the chest surgery, Captial Armed forces General Hospital during about 3 years from April 1977 to Aug. 1980. The 1st 22 year-old male was struct 2$\frac{1}{2}$ ton truck on the road and was transferred to this hospital immediately. He had taken tracheostomy due to severe dyspnea with contusion pneumonia and for removal of a large amount of bronchial secretion. The 2nd case was 23 year-old male who was got buried in a chasm. In this case, the heavy metal post tumbled over him back while at work. The 3rd case was 39 year-old male who leapt out of a window in 5th story while fire broke out in living room by oil stove heating. He had multiple rib fracture with right hemothor x and right colle's fracture and pelvic bone fracture. The last 22 year-old male was run over by a gun carriage. The wheel of this gun carriage passed over his thorax and right chin. He was brought to this hospital by helicopter. when he was first examined at emergency room, he was in semicomatose state and has pneurmomediastinum with multiple rib fracture and severe subcutaneous emphysema. As soon as he arrived, bilateral closed thoracostomy was performed and cardiopulmonary resuscitation was done. In hospital 8th weeks, chest series showed fibrothorax in right side even if chest wall stabilized. All 4 cases had multiple petechiae over their facees and chest and bilateral subconjunctival hemorrhages referred to as traumatic asphyxia. 3 cases except one case who received splenectomy, had been suffered from contusion pneumonia and had been treated with respiratory care. In these 3 cases, they had warning of impending injury before accident, and took a deep breath hold it and braces himself. And also, even if he had not impending fear in remaining one case, he had taken a deep breath and had got valsalva maneuver for pulling off the heavy metal post. Intrathoracic pressure rose suddenly and resulted to traumatic asphyxia in this situation. All these cases were recovered completely without sequelae except one fibrothorax, right.

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THE EFFECTS OF IRRADIATION ON THE MANDIBULAR BONE OF RATS ON THE LOW CALCIUM DIET (방사선조사가 저칼슘식이 백서의 하악골에 미치는 영향에 관한 실험적 연구)

  • Hwang Eui-Hwan;Lee Sang-Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.2
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    • pp.241-252
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    • 1992
  • The purpose of this study was to investigate the changes of morphology and structure of bone tissue in the irradiated mandibular bone in rats which were fed a low calcium diet. In order to carry out this experimant, 64 seven-week old Sprague-Dawley strain rats weighing about 150gms were selected and equally divided into one experimental group of 32 rats and one control group with the remainder. The experimental group and the control group were then subdivided into two groups when the rats reached ten-week old, 16 were assigned rats for each subdivided group, exposed to irradiation. The two irradiation groups received a single dose of 20 Gy in the jaws area only and irradiated with a cobalt-60 teletherapy unit. The rats in the control and experimental groups were serially terminated by fours on the 3rd, the 7th, the 14th, and the 21st day after irradiation. Following termination, both sides of the dead rats mandibular bodies were removed and fixed with 10% neutral formalin. One side of the mandibular body was radiographed with a soft X-ray apparatus. Thereafter, the obtained microradiographs were observed by a light microscope. The remaining side of the mandibular bone was further decalcified and embedded in paraffin as using the general method. The specimen sectioned and stained with hematoxylin and eosin, and Rabit Anti-Human Tumor Necrosis Factor-a, observed by a light microscope. The obtained results were as follows: 1. Microradiogram revealed that thinning of the cortex and a decrease in the trabecula of the interradicular bone and mandibular body were observed and noted from the start to finish throughout the experiment in the non-irradiated rats on the low calcium diet rather than in the non-irradiated rats on the normal diet. In microscopic observations, there were marked osteolytic changes in the center of the bone marrow. 2. Microradiogram revealed that thinning of the cortex and a decrease in the trabecula of interradicular bone and mandibular body were more marked after 7 days in the irradiated rats on the low calcium diet rather than in the non-irradiated rats on the low clacium diet. In microscopic observations, osteoblasts were decreased markedly after 7 days, and a few osteoclasts were observed. 3. Microradiogram revealed that thinning of the cortex and a decrease in trabecula of interradicular bone and the mandibular body were more marked from the strart to finish troughout the experiment in the irradiated rats on the low calcium diet rather than in the irradiated rats on the normal diet. In microscopic observations, there were no osteolytic changes noted in the irradiated rats on the normal diet. 4. In immunocytochemical findings, a few bone marrow cells including Tumor Necrosis Factor were observed in the irradiated rats on the normal diet, but was not observed in the rats on the low calcium diet.

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A Case of Goodpasture's Syndrome Combined with Crohn's Disease (크론씨 병에 동반된 Goodpasture 증후군 1예)

  • Kim, Ji-Yon;Bae, Jun-Yong;Jung, Eun-Jung;Kim, Yang-Ki;Lee, Young Mok;Kim, Ki-Up;Uh, Soo-taek;Hwang, Jung-Hwa;Jin, So-Young;Lee, Dong-Wha
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.4
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    • pp.384-388
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    • 2006
  • A 29-year-old male patient was admitted due to his general weakness and poor oral intake for several months. He was diagnosed as having Crohn disease 16 years ago and total colectomy was performed 10 years ago. On the 3rd day after admission, gross hematuria and sudden hemoptysis combined with diffuse infiltration were noted on chest X-ray. His symptoms and the diffusely increased lung opacities improved with administering high-dose steroid therapy. Later, anti-GBM antibody was found to be positive on the laboratory findings. We report here on a rare case of Goodpsture syndrome combined with prolonged Crohn disease along with a review of literature.

Effects of a Smoking Prevention Program on Smoking Related Knowledge, Attitudes, Self-esteem, and Stress in the First Year of Middle School (흡연 예방교육 프로그램이 중학교 1학년 학생의 흡연에 대한 지식·태도, 그리고 자아존중감과 스트레스에 미치는 효과)

  • Park, In-Hyae;Kang, Hae-Young;Ryu, Hyun-Sook
    • Journal of the Korean Society of School Health
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    • v.14 no.1
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    • pp.95-106
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    • 2001
  • Since many adolescents start and continue Smoking to cope with stress from school and home environments, peer pressure, and to compensate for lowered self-esteem The smoking prevention program should consist of the knowledge, attitudes, and behaviors regarding smoking and how to cope with these stresses. The purpose of this study was to determine the effect of a smoking prevention program on smoking related knowledge, attitudes, and self-esteem and stress in first year middle school students. The study was performed on a non-equivalent control group pretest-posttest. 151 subjects(76 experimental group, 75 control group) were selected by a convenience sampling method. The study was carried out in two middle schools in Kwang-ju city, Korea, from the 1st of May to the 23rd of June, 2000. The experimental group attended the smoking prevention program which was held for 45 minutes a week for 4 weeks. The questionnaire was administered to measure the degree of knowledge, attitudes, self-esteem and stress of the subjects. The SAS-PC program was used to analyze the data along with peroentages, $x^2$-test. t-test, and paired t-test. The results of this study were as follows: 1. The first hypothesis, 'The experimental group who receives a smoking prevention program would have higher scores of smoking related knowledge than the control group', was supported(t=3.68, p=0.0003). 2. The second hypothesis, 'The experimental group who receives a Smoking prevention program would have more positive attitudes regarding smoking than the control group', was supported(t=3.42, p=0.0008). 3. The third hypothesis, 'The experimental group who receives a smoking prevention program would have higher scores of self-esteem than the control group', was supported(t=2.24, p=0.0270). 4. The forth hypothesis, "The experimental group who receives a smoking prevention program would have lower scores of stress than the control group', was supported(t=-2.07, p=0.0407). The smoking prevention program in this study was effective in increasing the knowledge regarding smoking, enhancing more positive attitudes regarding smoking, and also increasing the scores of self-esteem and lowering the scores of stress. The results of this study will be applicable in smoking prevention education for early adolescents in middle schools.

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A Study on the Geometric Correction Accuracy Evaluation of Satellite Images Using Daum Map API (Daum Map API를 이용한 위성영상의 기하보정 정확도 평가)

  • Lee, Seong-Geun;Lee, Ho-Jin;Kim, Tae-Geun;Cho, Gi-Sung
    • Journal of Cadastre & Land InformatiX
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    • v.46 no.2
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    • pp.183-196
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    • 2016
  • Ground control points are needed for precision geometric correction of satellite images, and the coordinates of a high-quality ground control point can be obtained from the GPS measurement. However, considering the GPS measurement requires an excessive amount o f t ime a nd e fforts, there is a need for coming up with an alternative solution to replace it. Therefore, we examined the possibility of replacing the existing GPS measurement with coordinates available at online maps to acquire the coordinates of ground control points. To this end, we examined error amounts between the coordinates of ground control points obtained through Daum Map API, and them compared the accuracies between three types of coordinate transformation equations which were used for geometric correction of satellite images. In addition, we used the coordinate transformation equation with the highest accuracy, the coordinates of ground control point obtained through the GPS measurement and those acquired through D aum M ap A PI, and conducted geometric correction on them to compare their accuracy and evaluate their effectiveness. According to the results, the 3rd order polynomial transformation equation showed the highest accuracy among three types of coordinates transformation equations. In the case of using mid-resolution satellite images such as those taken by Landsat-8, it seems that it is possible to use geometrically corrected images that have been obtained after acquiring the coordinates of ground control points through Daum Map API.

The Community Structure of Meiofauna in Marian Cove, King George Island, Antarctica (남극 킹조지섬 마리안소만의 중형저서동물 군집구조)

  • Hong, Jung-Ho;Kim, Ki-Choon;Lee, Seung-Han;Back, Jin-Wook;Lee, Dong-Ju;Lee, Won-Choel
    • Ocean and Polar Research
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    • v.33 no.3
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    • pp.265-280
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    • 2011
  • The temporal dynamics of the meiofauna community in Marian Cove, King George Island, Antarctica were observed from March 7 to December 21 2007. Nine meiofauna taxa were found, with nematodes the most dominant group, making up 92.97% of the total meiofauna density, followed by harpacticoid copepods (3.18%). Meiofauna abundance ranged from 123 to 874 individuals per 10 $cm^2$ (mean 464 inds.10 $cm^{-2}$), which is lower than that found in some polar and temperate regions. The lowest meiofauna abundance was found in the 26th April sample (III) and the highest meiofauna abundance was found in the March 23rd sample (II). There was no correlation between meiofauna abundance and season. The seasonal changes were likely caused by meltwater runoff, and there were the physical disturbances on the bottom sediment by huge iceberg. Biomass of meiofauna varied between 20.36 and 101.02 ${\mu}gC{\cdot}10\;cm^{-2}$, and overall mean biomass was 54.17 ${\mu}gC{\cdot}10\;cm^{-2}$ during the study periods. More than 80% of meiofauna was concentrated in the upper 2 cm of the sediment, and density decreased with depth. The mean diversity index was 0.37, and the ratio between the abundance of nematodes: and harpacticoids (N/C) ratio ranged from 7.31 to 95.04 (mean 26.39). NMDS analysis divided the community into three groups: A (III, IV, V, VII, VIII), B (II, IX, XI, XII) and C (I, V, X). The results of ANOSIM and SIMPER analysis revealed significant differences in community structure among three groups and major contributed meiofauna taxon in grouping were nematodes and copepods. No significant correlations were observed between major meiofauna taxon and environmental factors. Thirteen species in 12 genera representing nine families of harpacicoids were recorded. Ancorabolidae was the most diverse family, and Heteropsyllidae was the most abundant. The correlation analysis between benthic harpacticoid copepods and environmental factors showed that some species were affected by water temperature, sediment temperature, salinity, chlorophyll a concentration, grain size of the sediments and heavy metal contents of the sediments. These data describe the usefulness of benthic harpacticoid copepods as biological indicator species in Antarctic regions.