• Atmosphere
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• v.25 no.2
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• pp.271-281
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• 2015

The objectives of this study are to develop a hydrological drought outlook system using GloSea5 (Global Seasonal forecasting system 5) which has recently been used by KMA (Korea Meteorological Association) and to evaluate the forecasting capability. For drought analysis, the bilinear interpolation method was applied to spatially downscale the low-resolution outputs of GloSea5 and PR (Predicted Runoff) was produced for different lead times (i.e., 1-, 2-, 3-month) running LSM (Land Surface Model). The behavior of PR anomaly was similar to that of HR (Historical Runoff) and the estimated values were negative up to lead times of 1- and 2-month. For the evaluation of drought outlook, SRI (Standardized Runoff Index) was selected and PR_SRI estimated using PR. ROC score was 0.83, 0.71, 0.60 for 1-, 2- and 3-month lead times, respectively. It also showed the hit rate is high and false alarm rate is low as shorter lead time. The temporal Correlation Coefficient (CC) was 0.82, 0.60, 0.31 and Root Mean Square Error (RMSE) was 0.52, 0.86, 1.20 for 1-, 2-, 3-month lead time, respectively. The accuracy of PR_SRI was high up to 1- and 2-month lead time on local regions except the Gyeonggi and Gangwon province. It can be concluded that GloSea5 has high applicability for hydrological drought outlook.

• Atmosphere
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• v.25 no.2
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• pp.323-337
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• 2015

This study explores the 6-month lead prediction skill of several climate indices that influence on East Asian climate in the GloSea5 hindcast experiment. Such indices include Nino3.4, Indian Ocean Diploe (IOD), Arctic Oscillation (AO), various summer and winter Asian monsoon indices. The model's prediction skill of these indices is evaluated by computing the anomaly correlation coefficient (ACC) and mean squared skill score (MSSS) for ensemble mean values over the period of 1996~2009. In general, climate indices that have low seasonal variability are predicted well. For example, in terms of ACC, Nino3.4 index is predicted well at least 6 months in advance. The IOD index is also well predicted in late summer and autumn. This contrasts with the prediction skill of AO index which shows essentially no skill beyond a few months except in February and August. Both summer and winter Asian monsoon indices are also poorly predicted. An exception is the Western North Pacific Monsoon (WNPM) index that exhibits a prediction skill up to 4- to 6-month lead time. However, when MSSS is considered, most climate indices, except Nino3.4 index, show a negligible prediction skill, indicating that conditional bias is significant in the model. These results are only weakly sensitive to the number of ensemble members.

• Atmosphere
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• v.28 no.3
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• pp.233-245
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• 2018

This study explores the Subseasonal-to-Seasonal (S2S) prediction skills of the Northern Hemisphere mid-latitude geopotential height in the Global Seasonal forecasting model version 5 (GloSea5) hindcast experiment. The prediction skills are quantitatively verified for the period of 1991~2010 by computing the Anomaly Correlation Coefficient (ACC) and Mean Square Skill Score (MSSS). GloSea5 model shows a higher prediction skill in winter than in summer at most levels regardless of verification methods. Quantitatively, the prediction limit diagnosed with ACC skill of 500 hPa geopotential height, averaged over $30^{\circ}N{\sim}90^{\circ}N$, is 11.0 days in winter, but only 9.1 days in summer. These prediction limits are primarily set by the planetary-scale eddy phase errors. The stratospheric prediction skills are typically higher than the tropospheric skills except in the summer upper-stratosphere where prediction skills are substantially lower than upper-troposphere. The lack of the summer upper-stratospheric prediction skill is caused by zonal mean error, perhaps strongly related to model mean bias in the stratosphere.

• Atmosphere
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• v.26 no.1
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• pp.203-214
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• 2016

This study explores the 6-month lead prediction skill of stratospheric temperature and circulations in the Global Seasonal forecasting model version 5 (GloSea5) hindcast experiment over the period of 1996~2009. Both the tropical and extratropical circulations are considered by analyzing the Quasi-Biennial Oscillation (QBO) and Northern Hemisphere Polar Vortex (NHPV). Their prediction skills are quantitatively evaluated by computing the Anomaly Correlation Coefficient (ACC) and Mean Squared Skill Score (MSSS), and compared with those of El Nino-Southern Oscillation (ENSO) and Arctic Oscillation (AO). Stratospheric temperature is generally better predicted than tropospheric temperature. Such improved prediction skill, however, rapidly disappears in a month, and a reliable prediction skill is observed only in the tropics, indicating a higher prediction skill in the tropics than in the extratropics. Consistent with this finding, QBO is well predicted more than 6 months in advance. Its prediction skill is significant in all seasons although a relatively low prediction skill appears in the spring when QBO phase transition often takes place. This seasonality is qualitatively similar to the spring barrier of ENSO prediction skill. In contrast, NHPV exhibits no prediction skill beyond one month as in AO prediction skill. In terms of MSSS, both QBO and NHPV are better predicted than their counterparts in the troposphere, i.e., ENSO and AO, indicating that the GloSea5 has a higher prediction skill in the stratosphere than in the troposphere.

• Journal of Genetic Medicine
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• v.17 no.1
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• pp.43-46
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• 2020

The Shprintzen-Goldberg syndrome (SGS) is an extremely rare genetic disorder caused by heterozygous variant in SKI. SGS is characterized by neurodevelopmental impairment with skeletal anomaly. Recognition of SGS is sometimes quite challenging in practice because it has diverse clinical features involving skeletal, neurological, and cardiovascular system. Here we report a case of a 6-month-old boy who initially presented with developmental delay and marfanoid facial features including prominent forehead, hypertelorism, high arched palate and retrognathia. He showed motor developmental delay since birth and could not control his head at the time of first evaluation. His height was above 2 standard deviation score. Arachnodactyly, hypermobility of joints, skin laxity, and pectus excavatum were also noted. Sequencing for FBN1 was negative, however, a novel missense variant, c.350G>A in SKI was identified by sequential whole exome sequencing. To our knowledge, this is the first case with SGS with phenotypic features of SGS overlapping with those of the Marfan syndrome, diagnosed by next generation sequencing in Korea.

• Atmosphere
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• v.29 no.3
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• pp.295-309
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• 2019

Due to frequent occurrence of abnormal weather, the need to improve the accuracy of subseasonal prediction has increased. Here we analyze the performance of weekly predictions out to 6 weeks by GloSea5 climate model. The performance in circulation field from January 1991 to December 2010 is first analyzed at each grid point using the 500-hPa geopotential height. The anomaly correlation coefficient and mean-square skill score, calculated each week against the ECWMF ERA-Interim reanalysis data, illustrate better prediction skills regionally in the tropics and over the ocean and seasonally during winter. Secondly, we evaluate the predictability of 7 major teleconnection patterns in the Northern Hemisphere: North Atlantic Oscillation (NAO), East Atlantic (EA), East Atlantic/Western Russia (EAWR), Scandinavia (SCAND), Polar/Eurasia (PE), West Pacific (WP), Pacific-North American (PNA). Skillful predictability of the patterns turns out to be approximately 1~2 weeks. During summer, the EAWR and SCAND, which exhibit a wave pattern propagating over Eurasia, show a considerably lower skill than the other 5 patterns, while in winter, the WP and PNA, occurring in the Pacific region, maintain the skill up to 2 weeks. To account for the model's bias in reproducing the teleconnection patterns, we measure the similarity between the teleconnection patterns obtained in each lead time. In January, the model's teleconnection pattern remains similar until lead time 3, while a sharp decrease of similarity can be seen from lead time 2 in July.

• Atmosphere
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• v.34 no.2
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• pp.83-95
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• 2024

Atmospheric rivers (ARs) are closely related to local precipitation which can be both beneficial and destructive. Although several studies have evaluated their predictability, there is a lack of studies on East Asian ARs. This study evaluates the prediction skill of East Asian ARs in the Korean Integrated Model (KIM) for 2020~2022 summer. The spatial distribution of AR frequency in KIM is qualitatively similar to the observation but overestimated. In particular, the model errors greatly increase along the boundary of the western North Pacific subtropical high as the forecast lead time increases. When the prediction skills are quantitatively verified by computing the Anomaly Correlation Coefficient and Mean Square Skill Score, the useful prediction skill of daily AR around the Korean Peninsula is found up to 5 days. Such prediction limit is primarily set by the wind field errors with a minor contribution of moisture distribution errors. This result suggests that the improved prediction of atmospheric circulation field can improve the prediction of East Asian summer ARs and the associated precipitation.

• Child Health Nursing Research
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• v.2 no.2
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• pp.45-57
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• 1996

A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.

• Clinical and Experimental Reproductive Medicine
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• v.30 no.1
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• pp.85-93
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• 2003

Objective : To evaluate the safety and efficacy of selective fetal reduction (SFR) and compare the outcome of twin pregnancy after SFR in multiple pregnancy induced by assisted reproductive technology (ART) with that of natural twin pregnancy. Methods : From September 1995 to March 2002 in Ajou University Hospital, SFR was performed in 79 patients whose gestational sacs were more than 3. Of these 79 patients, 47 patents resulted in twin pregnancy after SFR. SFR was performed using transvaginal intracardiac KCl injection at gestational age of $6{\sim}9$ weeks. Control group was composed of 264 patients with natural twin pregnancy, who delivered after intrauterine pregnancy at 24 weeks, from June 1994 through December 2002. We compared Obstetric and perinatal outcomes between SFR group and natural twin group. Results: Among 47 patients with twin pregnancy after SFR, 2 spontaneous abortion were occurred at intrauterine pregnancy at 8 and 19 weeks. Obstetrical and perinatal outcomes were available in 43 patients. Single intrauterine fetal death was occurred in 1 of 43 (2.3%) patients in SFR group. Incidence of preterm labor, premature rupture of membrane, preeclampsia and placenta previa were similar, but gestational diabetes mellitus (GDM) was occurred more frequently in SFR group (3 (7.0%) vs 4 (1.5%), p=0.02). Mean gestational age, mean birth weight, incidence of discordancy, use of intubation and ventilation, incidence of fetal anomaly, low (<7) Apgar score and intrauterine growth restriction were similar in both groups. Conclusion: Twin pregnancy after SFR has the increased incidence for GDM but other obstetric and perinatal outcome was similar compared with natural twin pregnancy. So SFR is a safe and effective procedure, so we suggest SFR is needed in multifetal pregnancy more than triplet.

• Clinical and Experimental Pediatrics
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• v.49 no.5
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• pp.507-512
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• 2006

Purpose : Early detection and intervention of hearing impairment is believed to improve speech and language development and behavior of children. The aim of this preliminary study was to determine the prevalence of hearing impairments, and to identify the association of risk factors relating to refer response in high risk neonates who were screened using distortion product otoacoustic emissions (DPOAE). Methods : The subjects included 871 neonates who were admitted to the neonatal intensive care unit of the Pediatric Department in Soonchunhyang University Bucheon Hospital from May, 2001 to December, 2004. They were screened using DPOAE. Based on DPOAE, we divided the neonates in two groups : 'Pass' and 'Refer'. The differences in risk factors between the pass group and the refer group were analyzed. Results : The incidence of the refer group was 12.1 percent(106 out of 871). The bilateral refer rate was 5.4 percent(47 out of 871). And the unilateral refer rate was 6.7 percent(59 out of 871). Gender, birth place, family history of hearing loss, small/large for gestational age, obstetrical factor, hyperbilirubinemia and use of gentamicin were not statistically related to the refer rate. Statistically related to refer rate were birth weight, resuscitated neonates, Apgar score, craniofacial anomaly, mechanical ventilator application, sepsis, using of vancomycin(P<0.05). The prevalence of hearing impairment (${\geq}60dB$) in this study was 2 percent(18 out of 871). Conclusion : This study showed a higher prevalence of hearing impairment in high-risk neonates. Thus neonatal hearing screening should be carried out in high-risk neonates.