• Title/Summary/Keyword: observation data

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A Study of the Effect of Structured Rehabilitation Education on the Stress of the Family with Stroke Patients (구조화된 재활교육이 뇌졸중환자 가족의 스트레스에 미치는 영향)

  • Kim, Byung-Eun;Lee, Jung-Min;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
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    • v.1 no.1
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    • pp.22-39
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    • 1997
  • Purpose: The purpose of this study is to evaluate the effect of rehabilitation education on the reduction of the stress of family members who have patients suffering from stroke and to find a new way to nurse the patients and their family. Subjects & Methods: The subjects were sixty-one family members with the patients who had been hospotalized in K hospital of oriental medicine from september the 9th, 1996 to september the fourteen, 1996. This study was performed by simulated control group pretest-posttest design; pretest was done on the control group through a questionnaire, counselling and observation while posttest was done on the experimental group 1-2 days after systemic rehabilitation education. To teach the patients and their family, the amended version of a book written by Lee Hae-jin was used as a tool for systemic rehabilitation education. As a method to estimate ADL score, modified Kang's method was applied and ADL score was measured by well-trained technician. As for the tool to estimate the degree of family stress, Choi's method adjusted to this study was applied. In the analysis of the data, social property of the patient and the characteristic of the disease were surveyed in $X^2$ examination to confirm the consistency between the experimental group and the control group. The diffrence in the degree of the stress, which is a dependent factor, was examined by t-test. The difference in ADL score between the experimental group and the control group was examined by t-test. The difference in the degree of the stress according to the general feature of the family with stroke patient, social property of the patients and the characteristic of the disease were surveyed by F examination. The difference in family stress according to the degree of ADL was surveyed by F examination. RESULTS: 1. After hypothetically-examined systemic rehabilitation education, the total of the score of family stress surveyed in 34 items of three domains was compared between the experimental group and the control group. There was no statistically significant difference between two groups; mean score of experimental group=2.28, that of control group=2.93(t=.17, df=59, p=. 66). 2. In the survey on family stress in 34 items, the items over mean score 3.0 were firstly the anxiety of possible disability and relapse of the disease and secondly to watch the patient's suffering without doing anything in the domain of the change of the disease and the difficulty in caring. And the items of the lowest stress with less than mean 2.0 score were little chance to meet the relative and friends, inconsistent treatment and attitude of the medical workers and the change of the attitude of the relative due to the patient orderly in the domain of social and personal relation and the responsibility as the family. The items which showed the difference between two groups were aggravation of neighboring patient(t=3.36, df= 59, p=.001) and the possibility of patient's death(t=2.19, df=58.38, p=.033) in the domain of the change of the disease and the difficulty in caring. 3. In the study on the stress difference according to general features of the family with the stroke patient, the score of family stress with the occupation was higher with mean 2.49 than that of the family stress without occupation with mean 2.16, but there was no significant difference. (F=5.21, df=1/59, p=.026). 4. In the study on the stress difference according to social property of the patient and the characteristic of the disease, there was significant difference in the age of the patients (F=2.98, df=3/57, p=.039). These results show that even if there is no statistically significant difference between two groups, sixteen of the experimental group are less than 3.0 in ADL score(standard 6 score)while eight of the control group are less than 3.0 and that ten of the experimental group are in the year range of 39-49 while four of the control group are in the year range of 39-49 which showed significant difference in family stress. These imply that there is a possibility that the experimental group have serious and fundamental stress resulting in high pretest stress compared with the control group. It might be due to the characteristic of simulated control group pretest-posttest design that the psychologic-supportive effect by the education was not observed. On the basis of these results, the followings are suggested. 1) A study on the nursing-mediated method to reduce the stress in the items which are not resolved by rehabilitation education, a study on nursing according to the patient's age and a study on the supportive nursing toward the family with occupation are required. 2) More than two times consecutive nursing-mediated rehabilitation education to measure the family stress is required. 3) Comprehensive and multilateral systemic education program including the instruction on western-eastern medicine, physical therapy, exercise and diet through collaboration of the experts in each field is required. 4) Family stress at home as well as in the hospital needs to be estimated and home rehabilitation and home-nursing needs to be continued.

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소설과 말기 암환자를 통해 본 한국인의 죽음의 의미

  • Jeon, Hye-Won;Kim, Bun-Han
    • Korean Journal of Hospice Care
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    • v.3 no.2
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    • pp.34-54
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    • 2003
  • Every one experiences death one day, however no one can knows exactly what it is because people can not experience death until it comes, it is therefore impossible to judge correctly on the phenomenon of the death. On the whole, man experiences indirect death through the mass communications such as TV drama, fiction, magazine etc because those methods can easily access by every one. In addition to this, people usually acquire the negative awareness of death through the dramatic change of story like dying of cancer for dramatic effect by giving scare and fear to the cancers. The purpose of this study is to provide basic information on the spiritual care that enables the facing death patients to accept death as a part of life and divert hope from scare about after death by comparing and analyzing of two aspects of death meaning I.e, Korean fiction and the end stage cancer patients. Additionally, for medical staff to understand the facing death cancer patients by making to aware patients correctly and provide the better quality of care. The study was performed from September 28, 2002 to February, 28 2003. The materials of this study were collected by direct data obtained from observation, interviews, note and diary of end stage of cancer patients and written materials acquired from Korean contemporary fiction. Participants of this study were 4 end stage cancer patients including 2 lung cancer patients, 1 liver cancer patient and 1 esophagus cancer patient. The methodology used in this study was divided into two types; Huberman & Miles methodology was used for fiction to find and categorize subject, and Colaizzi, one of phenomenological methodology was used for end stage cancer patients to find the major meaning, subject and categorization. 1.The death investigated in the fiction, was found as a progress of negative emotion, acceptance and sublimation, life related subjects in the negative emotion were tenacity for life, anxiety, lingering attachment, responsibility, abandonment and death related subjects were shock, isolation, fear, scare and rejection. Acceptance related subjects were acceptance, destiny, secularism, preparation and arrangement, and sublimation related subjects were sublimation through Christian and Buddhism. 2.The death showed in the participants was negative emotion, acceptance and sublimation, life related subjects were repentance, anxiety, responsibility and hopelessness, and death related subjects were dejection, solitude, anger, fear and scare. The acceptance was a type of religious acceptance that admitted instantly by reaching an understanding with the God, and death was accepted as a progress of preparation, arrangement, acceptance and hope. Sublimation related subjects were Christian sublimation and relief or destiny incurred from self-reflective sublimation through communications and thoughts. 3.The death in view of fiction and participants were positively accepted both death and negative emotion, and the study disclosed the fact that death was sublimated dependent on religion. 4.The progress of negative emotion, acceptance and sublimation was disclosed more complicated and various in the real end stage cancer patients and acceptance only found in the patients on the form of religious acceptance, according to the results compared with fiction and real end stage cancer patients. The death showed in the fiction was standardized, gradated and similar progress with psychological status of Kubler-Ross. However, death in the participants was showed complex and various feelings simultaneously, and sometimes they accepted death positively. The sublimation through religion was found in Buddhism and Christian in the fiction and mostly Christian in the participants due to a number of Hospice patients. It was found that negative emotion various types of death was more found in the participants than fiction. It is therefore necessary to study on the response of death in various types. In the participants death was incurred more systematic and variously, we knew that nursing practice focused on experience of participants is required and reality on death is much profound than we analyzed and presented, lots of situations and reactions should be premised because we can not completely rule out the negligence possibility of care mediation of participants. In caring for the facing death patients, we discovered and confirmed again through this study that the spiritual care should be needed as a mediation method.

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Spatial Distribution Patterns and Prediction of Hotspot Area for Endangered Herpetofauna Species in Korea (국내 멸종위기양서·파충류의 공간적 분포형태와 주요 분포지역 예측에 대한 연구)

  • Do, Min Seock;Lee, Jin-Won;Jang, Hoan-Jin;Kim, Dae-In;Park, Jinwoo;Yoo, Jeong-Chil
    • Korean Journal of Environment and Ecology
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    • v.31 no.4
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    • pp.381-396
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    • 2017
  • Understanding species distribution plays an important role in conservation as well as evolutionary biology. In this study, we applied a species distribution model to predict hotspot areas and habitat characteristics for endangered herpetofauna species in South Korea: the Korean Crevice Salamander (Karsenia koreana), Suweon-tree frog (Hyla suweonensis), Gold-spotted pond frog (Pelophylax chosenicus), Narrow-mouthed toad (Kaloula borealis), Korean ratsnake (Elaphe schrenckii), Mongolian racerunner (Eremias argus), Reeve's turtle (Mauremys reevesii) and Soft-shelled turtle (Pelodiscus sinensis). The Kori salamander (Hynobius yangi) and Black-headed snake (Sibynophis chinensis) were excluded from the analysis due to insufficient sample size. The results showed that the altitude was the most important environmental variable for their distribution, and the altitude at which these species were distributed correlated with the climate of that region. The predicted distribution area derived from the species distribution modelling adequately reflected the observation site used in this study as well as those reported in preceding studies. The average AUC value of the eigh species was relatively high ($0.845{\pm}0.08$), while the average omission rate value was relatively low ($0.087{\pm}0.01$). Therefore, the species overlaying model created for the endangered species is considered successful. When merging the distribution models, it was shown that five species shared their habitats in the coastal areas of Gyeonggi-do and Chungcheongnam-do, which are the western regions of the Korean Peninsula. Therefore, we suggest that protection should be a high priority in these area, and our overall results may serve as essential and fundamental data for the conservation of endangered amphibian and reptiles in Korea.

Assessment of the usefulness of the Machine Performance Check system that is an evaluation tools for the determination of daily beam output (일간 빔 출력 확인을 위한 평가도구인 Machine Performance Check의 유용성 평가)

  • Lee, Sang Hyeon;Ahn, Woo Sang;Lee, Woo Seok;Choi, Jin Hyeok;Kim, Seon Yeon
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.65-73
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    • 2017
  • Purpose: Machine Performance Check (MPC) is a self-checking software based on the Electronic Portal Imaging Device (EPID) to measure daily beam outputs without external installation. The purpose of this study is to verify the usefulness of MPC by comparing and correlating daily beam output of QA Beamchecker PLUS. Materials and Methods: Linear accelerator (Truebeam 2.5) was used to measure 10 energies which are composed of photon beams(6, 10, 15 MV and 6, 10 MV-FFF) and electron beams(6, 9, 12, 16 and 20 MeV). A total of 80 cycles of data was obtained by measuring beam output measurement before treatment over five months period. The Pearson correlation coefficient was used to evaluate the consistency of the beam output between the MPC and the QA Beamchecker PLUS. In this study, if the Pearson correlation coefficient is; (1) 0.8 or higher, the correlation is very strong (2) between 0.6 and 0.79, the correlation is strong (3) between 0.4 and 0.59, the correlation is moderate (4) between 0.2 and 0.39, the correlation is weak (5) lower than 0.2, the correlation is very weak. Results: Output variations observed between MPC and QA Beamchecker PLUS were within 2 % for photons and electrons. The beam outputs variations of MPC were $0.29{\pm}0.26%$ and $0.30{\pm}0.26%$ for photon and electron beams, respectively. QA Beamchecker PLUS beam outputs were $0.31{\pm}0.24%$ and $0.33{\pm}0.24%$ for photon and electron beams, respectively. The Pearson correlation coefficient between MPC and QA Beamchecker PLUS indicated that photon beams were very strong at 15 MV, and strong at 6 MV, 10 MV, 6 MV-FFF and 10 MV-FFF. For electron beams, the Pearson correlation coefficient were strong at 16 MeV and 20 MeV, moderate at 9 MeV and 12 MeV, and very weak at 6 MeV. Conclusion: MPC showed significantly strong correlation with QA Beamchecker PLUS when testing with photon beams and high-energy electron beams in the evaluation of daily beam output, but the correlation when testing with low-energy electron beams (6 MeV) appeared to be low. However, MPC and QA Beamchecker PLUS are considered to be suitable for checking daily beam output, as they performed within 2 % of beam output consistency during the observation. MPC which can perform faster than the conventional daily beam output measurement tool, is considered to be an effective method for users.

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Improving the Usage of the Korea Meteorological Administration's Digital Forecasts in Agriculture: V. Field Validation of the Sky-condition based Lapse Rate Estimation Scheme (기상청 동네예보의 영농활용도 증진을 위한 방안: V. 하늘상태 기반 기온감률 추정기법의 실용성 평가)

  • Kim, Soo-ock;Yun, Jin I.
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.18 no.3
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    • pp.135-142
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    • 2016
  • The aim of this study was to confirm the improvement of efficiency for temperature estimation at 0600 and 1500 LST by using a simple method for estimating temperature lapse rate modulated by the amount of clouds in comparison with the case adopting the existing single temperature lapse rate ($-6.5^{\circ}C/km$ or $-9^{\circ}C/km$). A catchment of the 'Hadong Watermark2,' which includes Hadong, Gurye, and Gwangyang was selected as the area for evaluating the practicality of the temperature lapse rate estimation method. The weather data of 0600 and 1500 LST at 12 weather observation sites within the catchment were collected during the entire year of 2015. Also, the 'sky condition' of digital forecast products of KMA in 2015 ($5{\times}5km$ lattice resolution) were overlapped with the catchment of the 'Hadong Watermark2,' to calculate the spatial average value within the catchment, which were used to simulate the 0600 and 1500 LST temperature lapse rate of the catchment. The estimation errors of the temperatures at 0600 LST were ME $-0.39^{\circ}C$ and RMSE $1.45^{\circ}C$ in 2015, when applying the existing temperature lapse rate. Using the estimated temperature lapse rate, they were improved to ME $-0.19^{\circ}C$ and RMSE $1.32^{\circ}C$. At 1500 LST, the effect of the improvements found from the comparison between the existing temperature lapse rate and the estimated temperature lapse rate were minute, because the estimated lapse rate of clear days is not very different from the existing lapse rate. However, the estimation errors of the temperatures at 1500 LST during cloudy days were improved from ME $-0.69^{\circ}C$, RMSE $1.54^{\circ}C$ to ME $-0.51^{\circ}C$, RMSE $1.19^{\circ}C$.

Temporal and Spatial Variations of Precipitation in South Korea for Recent 30 Years (1976-2005) and Geographic Environments (최근 30년간(1976-2005) 우리나라 강수의 시.공간변동과 지리환경)

  • Hong, Ki-Ok;Suh, Myoung-Seok;Rha, Deuk-Kyun
    • Journal of the Korean earth science society
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    • v.27 no.4
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    • pp.433-449
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    • 2006
  • Temporal and spatial variations of precipitation in South Korea are investigated using 60 observation data of the recent 30-years from 1976 to 2005. The area averaged annual precipitation amount is about 1310 mm and shows a strong spatial variation, maximum at the southern and Kyoungki province (>1300 mm) and minimum at the Kyungpook province(<1100 mm). The precipitation days show a strong spatial variation with maximum at the Sobaik mountain region(>100 days) and minimum at the Kyungpook province (<90 days). The interannual variations (IAV) of precipitation amount and days are more significant at the southern and eastern part of Sobaik and Taebaik mountain, and along the Sobaik mountain, respectively. So, the difference of annual precipitation amount reaches to about 800mm between wet and dry years at the southern part of Korean peninsula. Whereas, the IAV of precipitation intensity is strong at the southern and middle part of South Korea with a minimum between two maxima. Also, seasonal variations are closely linked with the geographic environments (elevation, distance from ocean, location relative to the Taebaik mountain). Therefore, maximum and minimum of seasonal variations of precipitation are occurred at the northern inland region (ratio of summer to the annual precipitation (RSAP) is greater than 60%), eastern and southern coastal regions (RSAP is less than 53%),respectively. And the RSAP is slightly increased from 50% to 55% comparing the Ho and Kang (1988). The consistent and strong positive relation between the heavy rainfalls, the ratio of heavy rainfalls to annual precipitation and the annual precipitation indicates that heavy rainfall is more frequent and strong at the maximum annual precipitation region.

Assessment of Soil Contamination and Hydrogeochemistry for Drinking Water Sites in Korea (국내 먹는샘물 개발지역의 토양 오염 평가 및 수리지구화학적 특성)

  • 이두호;전효택
    • Journal of the Korean Society of Groundwater Environment
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    • v.4 no.1
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    • pp.41-53
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    • 1997
  • Geochemical data of soil and water samples were presented in order to assess the environmental impart for drinking water sites. Microscopic observation of rock samples and physical and chemical analysis of soil and water samples were undertaken. The geology of study areas are classified into three groups such as granitic rocks, meta-sedimentary rocks and sedimentary rocks. Enrichment of heavy metals derived from those rocks is not found in this study areas. Soils were analyzed for Cu, Pb, Zn, Cd and Cr using AAS extracted by HNO$_3$+HClO$_4$ and 0.1 N HCl. Heavy metal concentrations in soils are within the range of those in uncontaminated soils. In comparison of metal contents extracted by 0.1 N HCl and HNO$_3$+HC1O$_4$, less than 10% of the heavy metals are present in the exchangeable fraction. In particular, an pollution index has been proposed to assess the degree of soil contamination. Pollution index in soils are between 0.03 and 0.47 therefore, soils are not polluted with heavy metals. Deep groundwaters within granitic rocks have been evolved into Na$\^$+/-HCO$_3$$\^$-/ type, whereas other deep groundwaters evolved into Ca$\^$2+/-HCO$_3$$\^$-/ type. The predominance of Na$\^$+/ over Ca$\^$2+/ in deep groundwaters within granitic rocks is a result of dissolution of plagioclase, but for sedimentary and meta-sedimentary rocks, dissolution of calcite is a dominant factor for their hydrogeochemistry. The pH, conductivity and contents of the most dissolved ions in the water increase with depth. Shallow groundwaters, however, are highly susceptible to pollution owing to agricultural activities, considering the fact that high contents of nitrate, chloride and potassium, and high K/Na ratio are observed in some shallow groundwaters. In a thermodynamic approach, most natural water samples are plotted within the stability fields of kaolinite and smectite. Therefore, microcline and other feldspars will alter to form clay minerals, such as kaolinite and smectite. From the modelling for water-rock interactions based on mass balance equation, models accord well with behavior of the ions and results of thermodynamic studies are derived.

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A STUDY ON THE SHEAR BOND STRENGTH AND THE ANTICARIOGENICITY OF GLASS IONOMER CEMENT FOR BRACKET BONDING (브라켓 접착용 글라스 아이어노머 시멘트의 접착강도 및 항우식 효과에 관한 연구)

  • Kang, Yong-Joo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.538-553
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    • 1999
  • The purpose of this study was to compare the shear bond strength and the anticariogenicity of glass ionomer cement with conventional bonding resin and fluoride releasing resin. After the shear bond strength test, scanning electron microscopic observation was performed for the evaluation of the fracture patterns in each group. Under the polarizing light microscope, artificially induced carious lesions were evaluated and the lesion depths of the samples were measured using image analyzing program(Image-Pro $PLUS^{TM}$, USA). 50 sound maxillary premolars were used for the bond strength test and another 30 for the anticariogenic test. Data collected were analyzed statistically using Oneway-ANOVA and Scheffe test. The results were as follows: 1. Glass ionomer groups(G-III, IV, V) generally showed the lower bond strength values than resin groups(G-I, II). 2. Among the two resin groups, G-I showed the higher bond strength than G-II without statistically significant difference between them(p>.05). 3. Within glass ionomer groups, statistical significance was found between G-III and G-V with the superior bond strength in G-V (p<.05). 4. Under the SEM, adhesive failure was the predominant fracture pattern in G-I and II, whereas cohesive failures were mainly observed in G-III. In G-IV and V, mixed type of pattern where the both fracture patterns coexisted within samples could be seen. 5. In evaluation of the depth of artificially developed carious lesion, glass ionomer group showed shallower depth than resin groups with statistical significance between G-III and G-I, II(p<.05). Among resin groups, fluoride releasing resin(G-II) showed the shallower depth than conventional resin(G-I)(p<.05).

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Seasonal Variation of Watermass in the Central Coast of the Southern Sea of Korea (한국 남해 중부 연안 어장에서 수괴의 계절 변화)

  • 김동수
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.36 no.2
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    • pp.105-116
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    • 2000
  • In order to investigate the seasonal variation of watermass in the central coast of the southern sea of korea, oceanographic observation on the fishing grounds were carried out by the trainingship of Yosu University on May, Aug. and Nov. in 1998 and Feb. in 1999. The resultes obtained are summerized as follows : 1). The watermass in the fishing ground were divided into the coastal water(30.0~31.6$\textperthousand$ ), mixing water(31.7~33.4$\textperthousand$) and the offshore water(33.5~35.0$\textperthousand$) according to the distribution of salinity from T-S diagram plotted all salinity data observed on May, Aug. and Nov. in 1998 and Feb. in 1999. 2) The ranges of temperature and salinity were from 14.1$^{\circ}C$ to 18.8$^{\circ}C$ and from 32.2$\textperthousand$ to 34.9$\textperthousand$ in spring(May), from 14.2$^{\circ}C$ to 27.7$^{\circ}C$ and from 29.0$\textperthousand$ to 34.7$\textperthousand$ in summer(August), from 13.4$^{\circ}C$ to 21.3$^{\circ}C$ and from 31.45$\textperthousand$ to 34.5$\textperthousand$ in autumn(November) and from 8.2$^{\circ}C$ to 14.8$^{\circ}C$ and from 33.9$\textperthousand$ to 34.6$\textperthousand$ in winter(February), respectively. 3) The distribution of watermass in the fishing ground varied largely each seasons, but a general tendency on the distribution was obtained. That is, in spring and autumm the offshore water was distributed most widely and in summer the coastal and mixing water occupied the fishing ground but in winter the offshore water prevailed. 4) Variation of temperature and salinity were appeared between the surface and 30m in the coastal region and between the surface and 50m in the open ocaen region. Therefore, in the summer the thermocline and halocline were made between surface and 30m layer with vertical gradients of 10.5$^{\circ}C$/30m and 4.0$\textperthousand$/30m in the coastal region and in the open ocean region the thermocline and halocline were made between surface and 50m layer with vertical gradients of 13.$0^{\circ}C$/50m and 3.8$\textperthousand$/50m.

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Sensitivity Experiment of Surface Reflectance to Error-inducing Variables Based on the GEMS Satellite Observations (GEMS 위성관측에 기반한 지면반사도 산출 시에 오차 유발 변수에 대한 민감도 실험)

  • Shin, Hee-Woo;Yoo, Jung-Moon
    • Journal of the Korean earth science society
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    • v.39 no.1
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    • pp.53-66
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    • 2018
  • The information of surface reflectance ($R_{sfc}$) is important for the heat balance and the environmental/climate monitoring. The $R_{sfc}$ sensitivity to error-induced variables for the Geostationary Environment Monitoring Spectrometer (GEMS) retrieval from geostationary-orbit satellite observations at 300-500 nm was investigated, utilizing polar-orbit satellite data of the MODerate resolution Imaging Spectroradiometer (MODIS) and Ozone Mapping Instrument (OMI), and the radiative transfer model (RTM) experiment. The variables in this study can be cloud, Rayleigh-scattering, aerosol, ozone and surface type. The cloud detection in high-resolution MODIS pixels ($1km{\times}1km$) was compared with that in GEMS-scale pixels ($8km{\times}7km$). The GEMS detection was consistent (~79%) with the MODIS result. However, the detection probability in partially-cloudy (${\leq}40%$) GEMS pixels decreased due to other effects (i.e., aerosol and surface type). The Rayleigh-scattering effect in RGB images was noticeable over ocean, based on the RTM calculation. The reflectance at top of atmosphere ($R_{toa}$) increased with aerosol amounts in case of $R_{sfc}$<0.2, but decreased in $R_{sfc}{\geq}0.2$. The $R_{sfc}$ errors due to the aerosol increased with wavelength in the UV, but were constant or slightly decreased in the visible. The ozone absorption was most sensitive at 328 nm in the UV region (328-354 nm). The $R_{sfc}$ error was +0.1 because of negative total ozone anomaly (-100 DU) under the condition of $R_{sfc}=0.15$. This study can be useful to estimate $R_{sfc}$ uncertainties in the GEMS retrieval.