• Journal of Preventive Medicine and Public Health
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• v.3 no.1
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• pp.97-110
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• 1970

This survey was conducted to evaluate not only the present status of health center directors-their personal histories, their will to private practice in the future, their responses to governmental policies, -but also the distribution of doctorless myons, budget and subsidy, and director's opinions to the enhancement of health center activities. This survey questioned 116 health center directors and 16 health personnel from August to October of 1970 and obtained the following results; 1) The average ages of directors of kun, city, and total health centers were $43.2{\pm}7.8,\;42.1{\pm}7.7,\;and\;42.9{\pm}10.3$ respectively. 2) The average family sizes of directors of kun, city, and total health centers were $5.6{\pm}2.7,\;5.6{\pm}2.1,\;and\;5.6{\pm}2.6$ respectively. 3) Directors holding M. D. degrees were 79.3%, those holding qualified M. D. degrees ('approved director') were 20.7%. 4) M. P. H., M. S., and Ph. D. holders were 6.0%, 6.1%, and 4.3% respectively. 5) The average duration of present directorship in kun and city were 30.2 months and 20.4 months respectively. 6) The majority of directors had been employed in related fields before assuming current position : directorship at other health center 26.7%, army 22.4%, health subcenter 21.6%, private practice 19.0%. 7) Average length of directorship is 41.8 months. Average length of public health career, including health subcenter and present position, is 56.5 months. 8) Both rural and urban experience in health centers for regular directors is 16.3% and for approved directors, 12,5%. A total of 15.5% of all survey directors had experience in both rural and urban health center. 9) A total of 70.7% of health center directorships were staffed by local doctors. 10) Nearly 40% wanted to quit the directorships within 3 years and 60.3% had already experienced private practice. 11) Of the regular directors 17.4% felt strongly about devoting their lives to public health fields, but only 4.1% of the approved approved directors felt so. 12) There wire 432 doctorless myons among 996 respondent myons and 4.5 doctorless myons per kun. 13) The percentage of doctorless myon by Province are as follows, Cholla buk-do 57.2%, Cholla nam-de 55.0%, Kyungsang nam-do 52.0%, Kyungsang buk-do 49.7%, Chungchong but-do 42.4%, Kyonggi-do 32.9%. Cheju-do 30.8%, Kangwon-do 25.8%. 14) Two thirds of health critters have experienced the abscence of the director for a certain period since 1966 and the average span of the abscence was 18.2 months. 15) The percentage of doctorless myons increased proportionally with the span of the director's abscence. 16) The average budgets of health centers, kun, city and ku, were $W15.03\;million{\pm}W4.5\;million,\;W22.03\;million{\pm}W17.80\;million,\;W13.10\;million{\pm}W7.9\;million$ respectively. 17) Chunju city had the highest health budget per capita(W344) while Pusan Seo ku had the lowest(W19). 18) Director's medical subsidies are W30,000-50,000 in kun, and roughly W20,000 in city. 19) The older of priority in health center activities is T.B. control(31.1%), Family Planning and M. C. H.(28.0%), prevention of acute communicable disease and endemic disease (18.2%) and clinical care of patients(14.3%). 20) Nearly 32% opposed in principle the governmental policy of prohibiting medical doctors from going abroad. 21) Suggestions for immediate enhancing the position of director of health centers and subcenters: (1) Raise the base subsidy (48.2%), (2) Provide more opportunities for promotion (20.7%), (3) Exemption from army services(12.1%), (4) Full scholarship to medical students for this purpose only (7.8%). 22) A newly established medical school was opposed by 56.9% of the directors, however 33.6% of them approved. 23) Pertaining to the division of labor in Medicine and Pharmacy, the largest portion (31.9%) urged the immediate partial division of antibiotics and some addictive drugs to be given only by prescription. 24) More than half wanted a W70,000 level for the director's medical subsidies, white 36.2% stated W50,000. 25) Urgently needed skills in the kun are clinical pathologist (38.6%) and doctor (health center director) (25.5%); while in the city nurse (37.1%), doctors(clinical)(31.4%) and health educators(14.4%) are needed. 26) Essential treatment for the better health center administration; raising the base subsidy (22.7%), obtaining the power of personal management (19.3%) and the establishment of a Board of Health (14.3%). etc.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7825-7829
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• 2015

Background: Egypt has the highest prevalence of HCV infection in the world (~14.7%). Around 10-15% of HCV-infected persons will advance to cirrhosis within the first 20 years. The incidence of HCC is expected to grow in the next two decades, largely due to HCV related cirrhosis, and detection of HCC at an early stage is critical for a favorable clinical outcome. No simple reliable non-invasive marker has been available till now. B2M, a non-glycosylated polypeptide composed of 99 amino acids, is one of the components of HLA class I molecules on the surfaces of all nucleated cells. It has been reported that the level of serum B2M is elevated in patients with chronic hepatitis C and HCV-related HCC when compared to HCV-negative patients or healthy donors. Determining the clinical utility of serum B2M as a marker for disease progression in Egyptian patients with HCV related chronic hepatitis, cirrhosis and hepatocellular carcinoma was the aim of the present study. Materials and Methods: In this analytical cross sectional study 92 participants were included in 4 equal groups: Group (1) non cirrhotic chronic HCV; Group (2) HCV related liver cirrhosis; Group (3) HCC on top of HCV,; and Group (4) healthy controls. History taking, clinical examination, routine labs and abdominal ultrasound were conducted for all patients, PCR and Metavir scores for group (1) patients, and triphasic CT abdomen and AFP for Group (3) patients. B2M levels were measured in serum with a fully-automated IMX system. Results: The mean serum B2M level of Group (1) was $4.25{\pm}1.48{\mu}g/ml$., Group (2) was $7.48{\pm}3.04$, Group (3) was $6.62{\pm}2.49$ and Group (4) was $1.62{\pm}0.63$. Serum B2M levels were significantly higher in diseased than control group (p<0.01) being significantly higher in cirrhosis ($7.48{\pm}3.04$) and HCC groups ($6.62{\pm}2.49$) than the HCV group ($4.25{\pm}1.48$) (p<0.01). There was a significant correlation between B2M Level and ALK, total and direct bilirubin and INR (p<0.05), and a significant inverse correlation between B2M level and albumin, total proteins, HB andWBCS values (p<0.05). There was no significant correlation between B2M level and viral load or Metavir score, largest tumour size or AFP (p>0.05). The best B2M cut-off for HCV diagnosis was 2.6 with a sensitivity of 100%, a specificity of 92%, a positive predictive value (PPV) of 97% and a negative predictive value (NPV) of 100%. The best B2M cut-off for HCC diagnosis was 4.55 which yielded sensitivity, specificity, positive predictive value, negative predictive values of 74%, 62%, 39.5, 87.8% respectively (p-value <0.01) while best cut-off for cirrhosis was 4.9, with sensitivity 74 % and specificity 74%.The sensitivity for HCC diagnosis increased upon B2M and AFP combined estimation to 91%, specificity to 79%, NPV to 95% and accuracy to 83%. Conclusions: Serum B2M level is elevated in HCV related chronic liver diseases and may be used as a marker for HCV disease progression towards cirrhosis and carcinoma.

• Korean Journal of Ichthyology
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• v.23 no.4
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• pp.288-299
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• 2011

Freshwater fish fauna and community structure were surveyed through 21 lakes in the Yeungnam area including Gyeongsangbukdo and Gyeongsangnamdo provinces, Korean Peninsula from April 2008 to October 2009. Among 21 lakes, 16 lakes belong to the Nakdong River and 5 are independent drainages. From the present study, 61 species (44 genera, 15 families) were collected including 32 cyprinid species (52.5%), 6 cobitid species (9.8%) and so on. The dominant and subdominant species in aspect of the number of individuals were Hypomesus nipponensis (26.6%) and Squalidus gracilis majimae (14.8%), respectively. On the other hand, in aspect of in biomass, dominant and subdominant species were Lepomis macrochirus (19.8%) and Cyprinus carpio (14.7%), respectively. Among 61 examined species, there were found 20 Korean endemic species and 2 Korean endangered species (Pseudobagrus brevicorpus and Pungitius kaibarae). P. brevicorpus was found in Yongyeonji and Yeongcheonho, and P. kaibarae in Yongyeonji. In addition, 5 exotic species were identified such as Cyprinus carpio nudus (leather carp), Carassius cuvieri, Hypophthalmichthys molitrix, Lepomis macrochirus and Micropterus salmoides. Interestingly, a bluegill L. machrochirus appeared dominant or subdominant species in 5 of 21 examined lakes. Five species introduced from the other rivers in Korean Peninsula were additionally described. In the present study, it was first reported that Micropercops swinhonis inhabits in the Nakdong river basin. The fish species diversity, evenness and dominant indices were examined, and a dendrogram based on similarity indices of inhabiting species among the 21 examined lakes was constructed and discussed.

• Korean Journal of Environment and Ecology
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• v.30 no.4
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• pp.762-770
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• 2016

This study intended to investigate environmental factors including soil and vegetation in order to understand the environmental and ecological characteristics of the Korean endemic species, Syringa fauriei. Syringa fauriei is mainly distributed along the valley and riverside of the Gangwondo and its population is located at an elevation of 121~520m. Consequent to a vegetation survey within natural populations, a total of 320 taxa were identified from 20 quadrates in 4 natural populations. The Syringa fauriei population was classified into Securinega suffruticosa dominant population, Acer pseudosieboldianum dominant population, Amorpha fruticosa dominant population and Sorbaria sorbifolia var. stellipila dominant population. According to the physical and chemical soil analysis, Syringa fauriei habitats contained 1.98~2.81% of organic matter and 0.13~0.20 mg/kg of total nitrogen. The concentrations of cation exchange capacities $K^+$, $Ca^{2+}$, and $Mg^{2+}$ were $0.10{\sim}0.33cmol^+/kg$, $3.44{\sim}20.53cmol^+/kg$, and $0.34{\sim}0.95cmol^+/kg$, respectively. Positive ion substitution capacity was $8.08{\sim}13.68cmol^+/kg$. The pH was 6.28~7.74. The importance value of Deutzia glabrata, Fraxinus rhynchophylla, Alangium platanifolium var. trilobum, Syringa fauriei, Juglans mandshurica, and Salix koreensis in the Syringa fauriei population were 86.99%, 43.97%, 23.01%,18.52, 18.40%, and 11.56%, respectively. Correlation analysis between the vegetation of Syringa fauriei populations and its environmental factors using DCCA revealed that the altitude above sea level and $Mg^{2+}$ were the most influential factors, while dominant populations of Securinega suffruticosa and Acer pseudosieboldianum were spread across areas with high percentages of pH, CEC, and $Mg^{2+}$. Acer pseudosieboldianum population was dispersed in areas with higher $K^+$ compared to Securinega suffruticosa population. The dominant population of Amorpha fruticosa was found to live in places with high altitudes above sea level and with high rates of available phosphate, $K^+$, and rock-exposure.

• Korean Journal of Environment and Ecology
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• v.26 no.6
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• pp.892-901
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• 2012

The purpose of this research was to analyze fish fauna, distribution patterns, and fish community structures in the Juksan-Weir regions of upper weir(R-UW) and lower weir(R-LW), which was constructed in 2011 on Yeongsan River watershed. Our outcomes will provide valuable information in the impact analysis of weir constructions next decades, even if the current research is limited to distributions and fauna studies of fishes. The fishes observed were 8 family and 30 species in all the sites, and the number of the species in the regions of R-UW and R-LW was 23(938 individuals) and 27(1,680 individuals), respectively, indicating greater abundance in the lower region of Juksan-Weir. Most dominant species was Opsarichthys uncirostris amurensis with relative abundance of 42%, and this species had greater abundance in the R-LW(49%) than in the R-UW(30%). Coilia nasus, was the migratory fish sampled in this region and had no differences of abundance between the two regions. The extic species observed were Carassius cuvieri, Lepomis macrochirus, and Micropterus salmoides. The two formers of Carassius cuvieri(1.2%) and Lepomis macrochirus(3.7%) dominated in the R-UW, whereas Micropterus salmoides had greater dominance in the region of R-LW. According to tolerance guild analysis, the proportion of sensitive species ranged from 0.4 to 0.5%, and that of tolerant species ranged from 65% to 70%, implying a severe pollution of nutrients and organic matters in the water body. In the mean time, according to trophic guild analysis, the proportion of carnivores(57 - 77%) was evidently higher than that of insectivores(10 - 20%), indicating a dominance of the carnivores. Especially, high abundance of the bass, exotic species, may disturb the fish overall food chain, so the efficient ecosystem management may be required for the conservation of endemic species. When we examined fish data files of last 60 years, the species of Culter brevicauda, designated as endangered species, was observed firstly in our research area and the total number was 5 individuals(0.2% of the total). So, this region observed should be conserved as a protection zone and further monitoring studies should be done in the future.

• Korean Journal of Ecology and Environment
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• v.41 no.3
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• pp.283-293
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• 2008

The objectives of the study were firstly to provide fundamental data for establishment of total maximum daily load (TMDL) management in Ulsan City, and secondly to make practical application of stream health assessment with tolerance range by each species when physiochemical and fish investigations were carried out together. A total of 44 sites in Taehwa River, Hoiya River, Dong Stream, and Cheongryang Stream were selected to monitor water qualities seasonally and fish investigation was performed in August 2006. Among the parameters of water quality, biological oxygen demand (BOD) and dissolved oxygen (DO) related to respiration, total nitrogen (T-N) and total phosphorus (T-P) related to nutrient and eutrophication, and total suspended solids (TSS) and $NH_4$-N were compared with vertical box plot by 8 dominant species. According to the fish investigation, 12 families 33 species were found including endangered species (Pungitius kaibarae) and introduced species (Lepomis macrochirus, Micropterus salmoides), and appearance rate of Korean endemic species was greater in Taehwa River (29.2%) than others. As the results of tolerance range by species, Zacco koreanus, Rhynchocypris oxycephalus, Iksookimia longicorpa, and Squalidus gracilis majimae had limited low range by water quality parameters indicating preference of good water quality. Whereas, Carassius auratus and Pseudorasbora parva were found downstream and urban-streams which were exposed from frequent inflow of pollutants. It concludes that the results help distinguishing sensitive, intermediate, and tolerant species when we evaluate stream health assessment with fish, and further making practical application for conservation and restoration of aquatic ecosystem.

• Korean Journal of Ecology and Environment
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• v.53 no.3
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• pp.241-254
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• 2020

Three introduced fish species, Japanese white crucian carp (Carassius cuvieri Temminck and Schlegel, 1846), bass (Micropterus salmoides Lacepède, 1802) and bluegill (Lepomis macrochirus Rafinesque, 1819), are dominant fishes in Korean freshwater ecosystem. In this study, we analyzed habitat environment conditions of these three species and their impacts to fish communities in streams across South Korea. Fish community data were obtained from the database of the Stream/River Ecosystem Survey and Health Assessment program maintained by the Ministry of Environment and the National Institute of Environmental Research, Korea. Our results showed that species richness and Shannon diversity of fish were higher at the presence sites of introduced fish than at the absence sites. However, when the abundance of these introduced fish species was increased, the species richness and abundance of fish were decreased. An association analysis showed that the introduced fish species had a low similarity in their appearance with some indigenous fishes such as Siniperca scherzeri and Channa argus and some endemic fishes of Korea such as Zacco koreanus, Sarcocheilichthys variegatus wakiyae, and Acheilognathus yamatsutae. In addition, the introduced fish species had a low appearance similarity with a large number of fishes in their association networks. Finally, our results presented that these introduced fish species influenced the negative impacts to the stream fish communities, and they were potential risk factors for fish community in Korean freshwater ecosystem. Therefore, it is necessary that continuous monitoring and establishment of management strategy for introduced fish species to preserve fish resource and biodiversity in the Korean streams.

• Korean Journal of Environmental Biology
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• v.31 no.1
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• pp.37-44
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• 2013

This study was to investigate water quality and biotic community characteristics in Juam Lake. In water quality, water temperatures was $3.8{\sim}21.2^{\circ}C$, 6.7~8.6 in pH, $64{\sim}76{\mu}s\;cm^{-1}$ in Conductivity, $5.3{\sim}13.2mg\;L^{-1}$ in DO, $2.5{\sim}3.3mg\;L^{-1}$ in COD, $1.0{\sim}5.1mg\;L^{-1}$ in SS, $0.622{\sim}0.841mg\;L^{-1}$ in T-N, $0.007{\sim}0.019mg\;L^{-1}$ in T-P and $2.8{\sim}8.8mg\;m^{-3}$ in Chl-a. Revised Carlson's Index (TSIm) assessment using total phosphorus (TP) and chlorophyll-a domonstrated that the trophic states of Juam Lake were rated as mesotrophic. A total of 53 species of phytoplankton were identified. They were 28 Bacillariophyceae, 13 Chlorophyceae, 3 Cyanophyceae, and 9 Other algal taxa. The standing crops of phytoplankton was ranged from $113cells\;mL^{-1}$ to $2,909cells\;mL^{-1}$. A total of 16 species of zooplankton were identified (10 rotifers, 4 cladocerans and 2 copepods). Total zooplankton abundance was $309ind.\;L^{-1}$ to $435ind.\;L^{-1}$. The collected benthic macroinvertebrates from the surveyed sites in Juam Lake were 1,038 individuals, 33 species, 21 families and 12 orders. A dominant species was Uracanthella rufa and a subdominant species was Ecdyonurus kibunensis. Hydrophytes recorded from Juam Lake were identified 9 taxa. Emerged plants, floating plants among the hydrophytes was classified 8, 1 taxa, respectively. Ecosystem disturbance wildplant by Environment Ministry found were Paspalum distichum var. distichum and Ambrosia artemisiaefolia. A total of 30 species (6 families) were collected fishs from Juam Lake. There were 10 Korean endemic species (33.3% of collected species number) and 3 exotic species (10.0%).

• Tuberculosis and Respiratory Diseases
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• v.66 no.2
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• pp.116-121
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• 2009

Background: Tsutsugamushi, leptospirosis and hemorrhagic fever with renal syndrome (HFRS) are the prevalent diseases among the acute febrile illnesses in Korea. Pulmonary involvement in the patients with these diseases remains poorly recognized in endemic regions, and this is despite reports of recent outbreaks and epidemic episodes. Pulmonary involvement and a higher CRP level as clinical manifestations show a more severe form of infection. The aim of this study is to analyze the correlation of pulmonary involvement and the CRP level in patients with acute febrile illnesses. Methods: We retrospectively reviewed the clinical records of 105 patients who were diagnosed with tsutsugamushi, HFRS and leptospirosis from January 2002 to May 2008 in Chuncheon Sacred Heart Hospital. The radiographic images were retrospectively analyzed by two radiologists. We analyzed the pulmonary complications of the patients with these febrile diseases and we checked the CRP level at admission. Results: The study included 105 patients who were diagnosed with febrile diseases. Of these patients, 32 patients had hantaan, 10 patients had leptospirosis and 63 patients had tsutsugamushi disease. 42 (40%) patients had pulmonary complications, 20 patients had pulmonary edema, 20 patients had pleural effusion and 2 patients had interstitial pneumonitis. The patients with pulmonary involvement showed a more severe form of infection and a higher CRP level than that of those patients without pulmonary involvement (p=0.0073). Conclusion: Pulmonary involvement in patients with acute febrile diseases might be correlated with a higher CRP level. Identification of this factor on admission might provide useful selection criteria for the patients who need early intensive care.

• Korean Journal of Ichthyology
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• v.13 no.1
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• pp.40-49
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• 2001

The ichthyofauna and fish community of the Dongjin River system were surveyed at 21 sites from October 1998 to September 1999. We confirmed the presence of 53 species in 14 families belonging to seven orders. Thirty-two species of cyprinid fishes accounted for 60.4% of the total, four species of cobitid and gobiid fishes 7.5% of the total, and two species of bagrid and centrarchid fishes for 3.8% of the total. The dominant species in the Dongjin River system was Zacco platypus (relative abundant 26.0%), the subdominant species was Carassius auratus (14.7%). The dominant and subdominant species in each stream of the Dongjin River system were determined. In the Dongjin River, the dominant species was Z. platypus (40.6%), the subdominant Acheilognathus lanceolatus (20.5%); in Wonpyeong stream, Pseudorasbora parva (22.6%) and Hypomesus olidus (13.2%); in Gobu stream C. auratus (67.5%) and Cyprinnus carpio (15.4%). Fourteen of the 53 species from the the Dongjin River system comprised 28.6% of the total Korean endemic species; seven rare species accounted for less than 0.1% of the total. Four exotic fish species were found: Cyprinus carpio (Islaeli carp), Carassius cuvieri, Micropterus salmoides and Lepomis macrochirus. The species dominance, diversity, and evenness index of the fish community from the Wonpyeong stream were 0.12, 1.08, and 0.91, respectively, indicating better conditions than those of the Dongjin River and the Gobu stream. The fish community of the Wonpyeong stream showed closer relationship to that of the Dongjin River than to that of the Gobu stream.