• Title/Summary/Keyword: global circulation

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Treatment Strategies of Improving Quality of Care in Patients With Heart Failure

  • Se-Eun Kim;Byung-Su Yoo
    • Korean Circulation Journal
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    • v.53 no.5
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    • pp.294-312
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    • 2023
  • Heart failure (HF) is a global health problem closely related to morbidity and mortality. As the burden of HF increases, it is necessary to manage and treat this condition well. However, there are differences between real-world practice and guidelines for the optimal treatment for HF. Patient-related, healthcare provider-related, and health system-related factors contribute to poor adherence to optimal care. This review article aims to examine HF treatment patterns and treatment adherence in real-world practice, identify clinical gaps to suggest ways to improve the quality of care for HF and clinical outcomes for patients with HF. Although it is important to optimize treatment based on evidence-based guidelines to the greatest extent, it is known that there is still poor treatment adherence, and many patients do not receive guideline-directed medical therapy, especially at the early stages. To improve medication adherence, qualitative evaluation through performance measurement, as well as education of patients, caregivers and medical staff through a multidisciplinary approach are important.

The Signification of Anterolateral Thigh Free Flap for Reconstruction of Soft Tissue Defect in Malignant Soft Tissue Tumor of Lower Extremity (하지에 발생한 연부 조직 종양의 광범위 절제술 후 재건술에서 전외측 대퇴부 유리 피판술의 유용성)

  • Kwon, Young Ho;Lee, Gun Woo
    • Archives of Reconstructive Microsurgery
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    • v.20 no.2
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    • pp.89-95
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    • 2011
  • Purpose: The purpose of this study was to evaluate the clinical results of anterolateral thigh free flap on soft tissue defect following wide excision in malignant soft tissue tumor of lower extremities. Methods: Between February 2005 to April 2010, we followed up 19 cases who were undergoing anterolateral thigh free flap because of soft tissue defect following wide excision of malignant soft tissue tumor in lower extremity, including 9 cases were heel, 5 cases in foot, 3 cases in ankle, 2 cases in knee and leg. We observed that of implanted area's color, peripheral circulation at 3, 5, 7 days after operation and evaluated operating time, amount of hemorrhage, implanted skin necrosis, additional operations, complications. And we also evaluated the oncologic results, including local recurrence, metastasis, and morbidity. Results: Average operation time of wide excision and anterolateral thigh free flap was 7 hour 28 minutes. 18(94.7%) of total 19 cases showed successful engraftment, on the other hand, failure of engraftment due to complete necrosis of flap in 1 case. In 18 cases with successful engraftment, reoperation was performed in 4 cases. Among them, removal of hematoma and engraftment of flap after bleeding control was performed in 3 cases, because of insufficient circulation due to the hematoma. In the remaining 1 case, graft necrosis due to flap infection was checked, and grafted after combination of wound debridement and conservative treatment such as antibiotics therapy, also skin graft was performed at debrided skin defect area. Skin color change was mainly due to congestion with hematoma, flap was not observed global congestion or necrosis except 4 cases which shows partial necrosis on margin that treated with conservative therapy. Conclusions: Anterolateral thigh free flap could be recommended for reconstruction of soft tissue defect following wide excision of malignant soft tissue tumor in lower extremity.

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Prediction of the Spawning Ground of Todarodes pacificus under IPCC Climate A1B Scenario (IPCC 기후변화 시나리오(A1B)에 따른 살오징어(Todarodes pacificus) 산란장의 변동 예측)

  • Kim, Jung-Jin;Min, Hong-Sik;Kim, Cheol-Ho;Yoon, Jin-Hee;Kim, Su-Am
    • Ocean and Polar Research
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    • v.34 no.2
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    • pp.253-264
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    • 2012
  • In the northwestern Pacific, spawning of the common squid, Todarodes pacificus, occurs at continental shelf and slope areas of 100-500 m, and the optimum temperature for the spawning and survival of paralarvae is assumed to be $18-23^{\circ}C$. To predict the spawning ground of Todarodes pacificus under future climate conditions, we simulated the present and future ocean circulations, using an East Asia regional ocean model (Modular Ocean Model, MOM version3), projected by two different global climate models (MPI_echam5, MIROC_hires), under an IPCC SRES A1B emission scenario. Mean climate states for 1990-1999 and 2030-2039 from 20th and 21th Century Climate Change model simulation (from the IPCC 4th Assessment Report) were used as surface conditions for simulations, and we examined changes in spawning ground between the 1990s and 2030s. The results revealed that the distribution of spawning ground in the 2030s in both climate models shifted northward in the East China Sea and East Sea, for both autumn and winter populations, compared to that of the 1990s. Also, the spawning area (with $1/6^{\circ}{\times}1/6^{\circ}$ grid) in the 2030s of the autumn and winter populations will decline by 11.6% (MPI_echam5) to 30.8% (MIROC_hires) and 3.0% (MPI_echam5) to 18.2% (MIROC_hires), respectively, from those of the 1990s.

Characteristic Change Analysis of Rainfall Events using Daily Rainfall Data (일강우자료를 이용한 강우사상의 변동 특성 분석)

  • Oh, Tae-Suk;Moon, Young-Il
    • Journal of Korea Water Resources Association
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    • v.42 no.11
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    • pp.933-951
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    • 2009
  • Climate change of global warming may affect the water circulation in Korea. Rainfall is occurred with complex of multiple climatic indices. Therefore, the rainfall is one of the most significant index due to climate change in the process of water circulation. In this research, multiple time series data of rainfall events were extracted to represent the rainfall characteristics. In addition, the occurrence of rainfall time series analyzed by annual, seasonal and monthly data. Analysis method used change analysis of mean and standard deviation and trend analysis. Also, changes in rainfall characteristics and the relative error was calculated during the last 10 years for comparison with past data. At the results, significant statistical results weren't showed by randomness of rainfall data. However, amount of rainfall generally increased last 10 years, and number of raining days had trend of decrease. In addition, seasonal and monthly changes in the rainfall characteristics can be found to appear differently.

A Basic Study on the Air Circulation System for Heating using Solar and Geothermal Heat - Focused on Trombe Wall Thermal Storage Performance using Solar Heat - (태양열과 지열을 이용한 난방용 공기순환시스템 기초연구 - 태양열을 이용한 트롬월식의 축열성능 중심으로 -)

  • Kim, Byung-Yun;Choi, Yong-Seok
    • Journal of the Korean Institute of Rural Architecture
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    • v.19 no.4
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    • pp.49-56
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    • 2017
  • Each country in the world currently concentrates on shifting into clean energy, which can be alternative energy, for global environment protection and solution to the problem of fossil fuel depletion. The Korean government is predicted to develop renewable energy, such as solar power, ground power, and offshore wind power, and to increase their supply ratios by ending the use of coals and nuclear power plants. This study conducted experiments on thermal storage performance of Trombe wall thermal storage materials using solar power and simulations in order to offer baseline data for the development of a hybrid air circulation system for heating that can maximize efficiency by simultaneously using solar and geothermal power. The study results are as follows: (1) In all the specimens with 3m, 5m, and 7m in the length of thermal storage pipe, $5.7^{\circ}C$, $7.8^{\circ}C$, and $10.5^{\circ}C$ rose, respectively, as the thermal storage effect of the specimens attaching insulation film and black tape to the general funnel. They were most excellent in terms of thermal storage effect. (2) As a result of thermal performance evaluation on the II type specimens, II-3 ($7.8^{\circ}C$ rise) > II-4 ($5.3^{\circ}C$ rise) > II-1 ($3.9^{\circ}C$ rise) > II-2 ($2.3^{\circ}C$ rise) was revealed, and thus II-3 (insulation film + black tape) was most effective as shown in the I type. (3) This study analyzed air current and temperature distribution inside of the greenhouse by linking actually measured values and simulation interpretation results through the interpretation of CFD (computational fluid dynamics). As a result, the parts absorbing heat and discharging heat around the thermal storage pipe could be visibly classified, and temperature distribution inside of the greenhouse around the thermal storage pipe could be figured out.

Changes in global climate zone based on SSP scenario (SSP 시나리오 기반 전 지구 규모의 기후대 변화)

  • Young Hoon Song;Jin Hyeok Kim;Sung Tack Chae;Eun Sung Chung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.89-89
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    • 2023
  • 인간 활동에 의해 발생한 전 지구적 기후변화는 다양한 분야에 영향을 미치고 있다. 특히, 군락을 기반으로 서식하는 동식물은 기후변화에 가장 취약하며, 대부분의 군락 위치가 북상하거나 멸종 위기에 처해있다. 2022년에 발표된 IPCC(Intergovernmental Panel on Climate Change) 보고서는 섭씨 5도 이상 상승하면 생물군의 60%가 멸종될 것이라고 보고하였으며, 고위도와 고도로 이동하여 봄철 식물 성장이 과거보다 더욱 가속화 될 것으로 예측하였다. 따라서, 온실가스 농도에 따른 전 지구적 기후변화 분석은 다양한 분야에서 지속가능한 완화 및 적응 정책을 결정하는데 필요하다. 본 연구는 SSP2-4.5와 SSP5-8.5를 이용하여 Koppen-Geiger의 기후대 분류에 따른 전 지구 규모(아시아, 유럽, 남아메리카, 북아메리카, 오세아니아, 아프리카)의 과거 및 미래 기후대에 대한 변화를 분석하였다. 과거 기간의 기후대를 추정하기 위해 25개 CMIP6(Coupled Model Intercomparison Project 6) GCM(General circulation model)의 월 단위 강수량과 표면 온도를 사용하였으며 6개의 기간으로 구분하여 기후대 변화를 비교하였다. 더 나아가, 미래 기후대를 예측하기 위해 SSP(Shared Socioeconomic Pathways)2-4.5와 SSP5-8.5의 미래 기후변수를 사용하였으며, 전망 기간을 7개로 구분하여 전망 기간의 기후대를 변화를 비교하였다. 본 연구의 결과로는 온실가스 농도가 높은 시나리오에서는 북아메리카, 아시아, 유럽의 툰드라와 영구동토층이 가파르게 감소하였으며, 온대 기후 중 습한 아열대 기후대의 면적이 급속도로 증가하였다. 더 나아가, 남아메리카의 경우 대륙성 기후대가 지속적으로 감소하는 반면에 열대 우림 기후대는 증가한다. 오세아니아의 미래 기후대는 몬순의 영향을 받는 아열대 기후대가 증가하고 열대 우림은 증가할 것으로 예측하였다.

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Constructing an Internet of things wetland monitoring device and a real-time wetland monitoring system

  • Chaewon Kang;Kyungik Gil
    • Membrane and Water Treatment
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    • v.14 no.4
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    • pp.155-162
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    • 2023
  • Global climate change and urbanization have various demerits, such as water pollution, flood damage, and deterioration of water circulation. Thus, attention is drawn to Nature-based Solution (NbS) that solve environmental problems in ways that imitate nature. Among the NbS, urban wetlands are facilities that perform functions, such as removing pollutants from a city, improving water circulation, and providing ecological habitats, by strengthening original natural wetland pillars. Frequent monitoring and maintenance are essential for urban wetlands to maintain their performance; therefore, there is a need to apply the Internet of Things (IoT) technology to wetland monitoring. Therefore, in this study, we attempted to develop a real-time wetland monitoring device and interface. Temperature, water temperature, humidity, soil humidity, PM1, PM2.5, and PM10 were measured, and the measurements were taken at 10-minute intervals for three days in both indoor and wetland. Sensors suitable for conditions that needed to be measured and an Arduino MEGA 2560 were connected to enable sensing, and communication modules were connected to transmit data to real-time databases. The transmitted data were displayed on a developed web page. The data measured to verify the monitoring device were compared with data from the Korea meteorological administration and the Korea environment corporation, and the output and upward or downward trend were similar. Moreover, findings from a related patent search indicated that there are a minimal number of instances where information and communication technology (ICT) has been applied in wetland contexts. Hence, it is essential to consider further research, development, and implementation of ICT to address this gap. The results of this study could be the basis for time-series data analysis research using automation, machine learning, or deep learning in urban wetland maintenance.

Classification Abnormal temperatures based on Meteorological Environment using Random forests (랜덤포레스트를 이용한 기상 환경에 따른 이상기온 분류)

  • Youn Su Kim;Kwang Yoon Song;In Hong Chang
    • Journal of Integrative Natural Science
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    • v.17 no.1
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    • pp.1-12
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    • 2024
  • Many abnormal climate events are occurring around the world. The cause of abnormal climate is related to temperature. Factors that affect temperature include excessive emissions of carbon and greenhouse gases from a global perspective, and air circulation from a local perspective. Due to the air circulation, many abnormal climate phenomena such as abnormally high temperature and abnormally low temperature are occurring in certain areas, which can cause very serious human damage. Therefore, the problem of abnormal temperature should not be approached only as a case of climate change, but should be studied as a new category of climate crisis. In this study, we proposed a model for the classification of abnormal temperature using random forests based on various meteorological data such as longitudinal observations, yellow dust, ultraviolet radiation from 2018 to 2022 for each region in Korea. Here, the meteorological data had an imbalance problem, so the imbalance problem was solved by oversampling. As a result, we found that the variables affecting abnormal temperature are different in different regions. In particular, the central and southern regions are influenced by high pressure (Mainland China, Siberian high pressure, and North Pacific high pressure) due to their regional characteristics, so pressure-related variables had a significant impact on the classification of abnormal temperature. This suggests that a regional approach can be taken to predict abnormal temperatures from the surrounding meteorological environment. In addition, in the event of an abnormal temperature, it seems that it is possible to take preventive measures in advance according to regional characteristics.

The Relationship between the Arctic Oscillation and Heatwaves on the Korean Peninsula (여름철 북극 진동과 한반도 폭염의 관련성)

  • Jeong-Hun Kim;El Noh;Maeng-Ki Kim
    • The Korean Journal of Quaternary Research
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    • v.33 no.1_2
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    • pp.25-35
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    • 2021
  • In this study, we identified characteristics of heatwaves on the Korean Peninsula and related atmospheric circulation patterns using data on the daily maximum temperature (TMX) and reanalysis data for the past 42 years (1979-2020) and analyzed their connection to the Arctic oscillation (AO). The heatwave on the Korean Peninsula showed to be stronger and more frequent in the 2000s. The recent strong and frequent heatwaves on the Korean Peninsula are mainly affected by abnormal high-pressure over the Korean Peninsula on the middle/upper-level atmosphere and the strengthening of the North Pacific high pressure. Interestingly, composite difference of sea level pressure showed very similar results to the positive AO pattern. The correlation coefficients between the summertime AO and the TMX and HWD of the Korean Peninsula were 0.407 and 0.437, respectively, which showed a statistical significance in 1%, and showed a clear relationship with the abnormal high-pressure over the Korean Peninsula and the strengthening of the North Pacific high pressure. In addition, in the positive AO phase, the TMX and HWD of the Korean peninsula were approximately 30.1 ℃ and 14.6 days, which were about 1.2 ℃ and 8.8 days higher than in the negative AO phase, respectively. As a result of the 15-year moving average correlation analysis, the relationship between the heatwave and AO on the Korean Peninsula has increased significantly since 2003, and the linear relationship between them has become more apparent. Moreover, after the 2000s, when the relationship developed, AO had more strongly induced the atmospheric circulation pattern to be more favorable to the occurrence of heatwaves in the Korean Peninsula. This study implies that understanding the AO, which is the large-scale variability in the Northern Hemisphere, and the Arctic-mid latitude teleconnection, can improve the performance of global climate models and help predict the seasonality of the summer heatwave on the Korean Peninsula.

Study on effect on CO2 flux of wetland soil by feces of Korean water deer(Hydropotes inermis) (고라니(Hydropotes inermis)의 분변이 습지 토양의 CO2 flux에 미치는 영향)

  • Park, Hyomin;Chun, Seunghoon;Lee, Sangdon
    • Journal of Wetlands Research
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    • v.17 no.3
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    • pp.283-292
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    • 2015
  • The total global emission of $CO_2$ from soils is recognized as one of the largest fluxes in the global carbon cycle. Especially it is necessary to quantify the amount of $CO_2$ emitted by the organic material decomposition processes of microorganisms in the soil, because it becomes one of a factor for determining the carbon stocks in the soil. This study was conducted to estimate the impact of the Korean water deer(Hydropotes inermis)' feces to the soil organic matter. Also, effects of Korean water deer' feces on $CO_2$ emissions of soil and land use pattern dependent $CO_2$ flux quantification are studied. The organic materials in the Korean water deer' feces significantly changed organic matter content of soil and influenced the activity of soil microorganisms, both changing of respiration of the soil and physical chemical components in soil. In particular, C/N ratio and the $CO_2$ flux of soil of four regions (Rice paddy, Fallow ground, Salix koreensis community, Phragmites australis community) showed a statistically highly significant correlation (P<0.01) with the presence or absence of feces. $CO_2$ flux of soil affected by the feces was 2-20 times higher than the soil unaffected by the feces. This study has great significance to quantify the extent of the material circulation and its impact to the terrestrial ecosystem and soil zone throughout Korean water deer' feces. Feces of wildlife can affect soil and soil material circulation.