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Full mouth Rehabilitation with Orthognathic Surgery in Facial Asymmetry Patient : Case Report (안면 비대칭환자의 악교정 수술을 동반한 완전구강회복)

  • Im, So-Min;Shin, Hyoung-Joo;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.3
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    • pp.359-371
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    • 2010
  • Facial asymmetry has been found with a higher frequency (70~84%) in skeletal class III malocclusion patients. Anticipating the poor prognosis of prosthesis due to malocclusion, occlusal stability must be obtained by orthodontic treatment. Moreover, orthodontic surgery would be needed in some severe cases for better functional and esthetic results. The orthognathic surgery is performed on one jaw or two jaw depending on the results of facial diagnosis. Genioplasty may change the vertical, horizontal, sagittal position of chin by osteotomy or augmentation using implants, also. This case is about a 24 year-old male patient who visited our clinic to solve the facial asymmetry and mandibular prognathism. Skeletal class III malocclusion, maxillary canting and menton deviation to left by 13 mm were detected. Multiple ill-fitting prostheses, unesthetic maxillary anterior prostheses, and several dental caries were found. After pre-operative orthodontic treatment, Le-Fort I osteotomy, sagittal split ramus osteotomy, genioplasty, right mandibular angle augmentation were done for the correction of jaw relation and asymmetry. By diagnostic wax-up after post-operative orthodontic treatment, maxillary full mouth rehabilitation and mandibular posterior restorations were planned out. For better result, clinical crown lengthening procedure was done on #11, 12 and implant was placed on left mandibular first molar area. The patient was satisfied with the final prostheses. Because of his high caries risk, long-term prognosis will depend on the consistent maintenance of oral hygiene and periodic follow-up.

Analysis of Growth Characteristics and Aboveground Carbon Storage for Zelkova serrata Artificial Forests in Gwangneung Experimental Forest (광릉시험림 내 느티나무(Zelkova serrata) 인공림의 생장특성 및 지상부 탄소저장량 분석)

  • Kim, Hyun-Seop;Bae, Sang-Won;Lee, Sang-Tae;Hwang, Jae-Hong
    • Journal of Korean Society of Forest Science
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    • v.99 no.1
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    • pp.144-152
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    • 2010
  • This study was conducted to analyze the growth characteristics and aboveground carbon storage for old growth Zelkova serrata artificial forests (site1: age class IX, site2: age class VIII) in Gwangneung Experimental Forest. The trees were classified by crown classes for analyzing forest stand structure. The growth characteristics were analized through ringwidth increment by crown classes and stem analysis of dominant trees. There were a wide range of DBH (site1: 8~62 cm, site2: 14~40 cm) and height (site1: 8~26 m, site2: 12~26 m) distributions and revealed different growth characteristics by crown classes in both sites. The mean annual increment (MAI) of ringwidth for the last 5 years of dominant trees for site1 (3.3 mm) was higher than MAI of ringwidth of total growth period (2.3 mm) and MAI of ringwidth for the last 5 years of dominant trees for site2 (2.2 mm) was equal to MAI of ringwidth of total growth period (2.2 mm). Also, the growth increment of ringwidth by crown classes had significant differences between dominant tree and the others crown classes (p<0.01) in both sites. As a results of stem analysis of dominant trees in both sites, there were similar to their volume between site1 (1.106 $m^3$) and site2 (1.035 $m^3$). In spite of old age, the annual increment of volume has been increasing steadily until recent year. Meanwhile, total aboveground carbon storage of site1 (65.6 Mg C $ha^{-1}$) was higher than that of site2 (56.1 Mg C $ha^{-1}$). The proportion of dominant and co-dominant trees to total aboveground carbon storage was more than 90% and the greatest individual aboveground carbon storage by crown classes was dominant tree in all both sites. However, individual aboveground carbon storage of dominant tree in site1 had 0.054 Mg C $tree^{-1}$ more than site2 owing to the differences from average DBH of dominant trees by sites. We think that these results will contribute to the forest practice for Zelkova serrata artificial forests as a basic information.

Stand Yield Table and Commercial Timber Volume of Eucalyptus Pellita and Acacia Mangium Plantations in Indonesia (인도네시아 유칼립투스 및 아카시아 조림지의 임분수확표 및 이용가능 목재생산량 추정)

  • Son, Yeong-Mo;Kim, Hoon;Lee, Ho-Young;Kim, Cheol-Min;Kim, Cheol-Sang;Kim, Jae-Weon;Joo, Rin-Won;Lee, Kyeong-Hak
    • Journal of Korean Society of Forest Science
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    • v.99 no.1
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    • pp.9-15
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    • 2010
  • This study was conducted to develop a stand growth model and a stand yield table for Eucalyptus pellita and Acacia mangium plantations in Kalimantan, Indonesia. To develop a stand growth model, Weibull robability density function, a diameter class model, was applied in this study. In the development of stand growth model by site index and stand age, a hierarchy is generally required - estimation, recovery and prediction of the diameter class model. A number of grow equations were also involved in each process to estimate diameter, height, basal area, minimum or maximum diameter. To examine whether the grow equations are adequate for Eucalyptus pellita or Acacia mangium plantations, a fitness index was analyzed for each equation. The results showed that fitness indices were ranged from 65 to 89% for Eucalyptus pellita plantations and from 72 to 95% for Acacia mangium plantations. As being highly adequate for the plantations, a stand yield table was developed based on the resulted growth model, and applied to estimate the stand growth with midium site index for 10-year period. The highest annual stand growth of Eucalyptus pellita plantations was estimated to be 21.25 $m^3$/ha, while that of Acacia mangium plantations was 27.5 $m^3$/ha. In terms of annual stand growth, Acacia mangium plantations appeared to be more beneficial than Eucalyptus pellita plantations. Also, to estimate commercial timber volume available from the plantations, an assumption that a log would be cut by 2.7 m in length and the rest of the log would be cut by 1.5m was involved. The commercial timber volume available from Eucalyptus pellita plantations was 68.0 $m^3$/ha, 33% from the total stand volume, 203.2 $m^3$/ha. Also 96.7 $m^3$/ha of commercial timbers were available from Acacia mangium plantations, which was 42% from the 232.9 $m^3$/ha in total. Presenting a good information about the stand growth in Eucalyptus pellita and Acacia mangium plantations, this study might be useful for whom proceeds or considers an abroad plantation for merchantable timber production or carbon credit in tropical regions.

Mid-term Results of the Congenital Bicuspid Aortic Valve Repair (선천성 이엽성 대동맥판막질환에 대한 판막성형술의 중기 성적)

  • 조광리;곽재건;안혁
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.833-838
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    • 2004
  • Background: Despite the excellent early results after the repair of congenital bicuspid aortic valve (BAV) disease, the mid-term durability of the repaired valve has still controversies. Material and Method: To evaluate the mid-term results of BAV repair, retrospective review of medical records and echocardiographic data were done. Between 1994 and 2003, twenty-two patients underwent reparative procedure for either regurgitant or stenotic congenital bicuspid aortic valve (BAV). Result: Mean age was $41\pm14$ years with male predominance (Male=17, Female=5). The pathophysiologies of the BAV were regurgitation-dominant in 20 (91%) and stenosis-dominant in 2 (9%) cases. Various repair techniques were used for raphe, prolapsed leaflet, thickened leaflet, and commissures; 1) release of raphe in 19 (86%), 2) wedge resection and primary repair in 11 (50%), pericardial patch reinforcement after plication of the leaflet in 6 (27%), and plication of the leaflet in 3 (14%), 3) slicing of thickened leaflet was used in 12 (55%) cases, 4) commissuroplasty in 8 (36%), and commissurotomy in 6 (27%) cases. There was no in-hospital mortality. During the mean follow-up of $38\pm17$ months, one patient underwent aortic valve replacement after developing acute severe regurgitation from dehiscence of the suture on postoperative 2 months. New York Heart Association functional class was improved from $1.9\pm0.6$ to $1.2\pm0.5$ (p<0.01). Left ventricular end-systolic and diastolic dimension (LVESD/LVEDD) were also improved from $45\pm9$ and $67\pm10$ to $37\pm10$ and $56\pm10,$ respectively (p<0.01). The grade of aortic regurgitation (AR) was improved from preoperative $(3.1\pm1.2)$ to post-bypass $(0.9\pm0.7).$ However, the grade at last follow-up $(1.7\pm1.1)$ was deteriorated during the follow-up period (p<0.01). Freedom from grade III and more AR at one, three, and four year were 89.7%, 89.7%, and 39.9% respectively. Conclusion: Midterm clinical result of the BAV repair was favorable. But, the durability of the repaired valve was not satisfactory.

Existent, but Non-existent Spaces for Others Focusing on Discourse-spaces of a Korean Movie (2016) (존재하지만 존재 않는 타자들의 공간 영화 <죽여주는 여자>의 담론 공간을 중심으로)

  • Jang, Eun Mi;Han, Hee Jeong
    • Korean journal of communication and information
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    • v.84
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    • pp.99-123
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    • 2017
  • We analyzed the movie (2016/ directed by J-yong E), which is entangled in politics of gender, age, class, or sexuality, naming as "spaces of Others", using the concepts of heterotopia of Foucault. Foucault addressed three types of spaces: the realistic space where we currently live, the unrealistic and non-existent utopia, and heterotopia, which functions antithetically to reality. Thus, Foucault's heterotopia can be considered to indicate "heterogeneous spaces" in reality. The Bacchus Lady revolves a 65-year old prostitute So-Young, sells her body to old men at the parks in downtown of Seoul. Old prostitute on streets are often referred as "Bacchus Ladies", because suggest the popular energy drink a bottle of Bacchus while selling sex. The movie represents some minorities such as transgender, Tina and madam of the club, G-spot, migrant women like Camila and Aindu, and a amputee, Dohoon. Through these people's bodies, the problems such as imperials, nations, ethnics, gender, age, class are entangled in the movie. The politics of these points work and construct heterotopias in four spaces of Others. First, the spaces which ageing and death are intersected. Second, the spaces of So-Young for prostitutes, Third, the spaces of So-Young's mothering: she adopted her baby to American when he was a infant, so she have felt guilty. Fourth, the spaces for So-young's quasi-family with Minho, a Kopian boy who was abandoned by Korean father, Dohoon, who is a poor amputee, and Tina, who is a transgender singer. Fifth, the spaces of speech of So-Young as the subaltern: the subaltern does not have the language to express its own experiences. In order to listen to the words of subaltern, we must do the task of measuring the silence. This cinematic representation of So-young as the subaltern makes her speak about her situation. Finally, the spaces constructed by the movie can be connected 'heterotopia of crisis', 'heterotopia of deviation' and 'heterotopia of fantasy'. The spaces of the movie represents lives of Others, nevertheless, So-Young's Otherness through spaces of heterotopia was transformed to an absolute Other by patriarchal traits of cinematic narrative.

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Economic Welfare Study on Seasonal and Time Period Electricity Pricing (계시별 전력가격에 대한 경제적 후생 연구)

  • Yoo, Young-Hoon;Kim, SungSoo
    • Environmental and Resource Economics Review
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    • v.14 no.2
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    • pp.519-547
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    • 2005
  • The aim of this study is to analysis how economic welfare lost happens within the present korea seasonal and time period electricity pricing system and find out reasonable electricity price system acceptable during the transitional period of korea electricity industry restructuring To analyze economic welfare lost in the electricity industry, in advance seasonal and time periodic 9 demand curves(summer, spring &fall, winter/peak-load time, middle-load time, low-load time) and one market supply curve are made and then using these demand and supply curve, seasonal and time periodic market equilibrium prices is calculated. Finally, comparing these market equilibrium prices with present regulated classified seasonal and time periodic prices, the whole economic welfare lost in the electricity industry is calculated. The result of this study shows that in 2002, the total economic welfare lost in electricity industry is 137,770 million Won and under present price system, the worst welfare lost is happening seasonally in spring & fall, time periodically in the middle-load time. Specifically analyzing the characteristics of welfare lost, especially on the industry customers and service customers which are applied in seasonal and time periodic pricing, for the industry customers, the welfare lost calculated in this class occupies 51% of the total welfare lost in the whole electricity industry and the worst welfare lost is happening seasonally in spring & fall, time periodically in the middle-load time. For service customers, the welfare lost calculated in this class occupies 13% of the total welfare lost in the whole electricity industry and the worst welfare lost is happening seasonally in summer, time periodically in the peak time Finally, this study was made based on the year of 2002 and KEPCO has practiced two times of rate change until now. The result of rate change was positively analyzed in the direction of economic welfare improvement(welfare improvement achieved by 16.3% compared to 2002 result).

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A study on the Sabu-Songyu-Mongnok(사부송유목록), or a Classified Catalogue for Recitation and Appreciation of Classics (사부송유목록에 대한 연구)

  • Lee Sang-Yong
    • Journal of the Korean Society for Library and Information Science
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    • v.25
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    • pp.445-476
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    • 1993
  • This paper is written to clarify the specific details of the Sabu-Songyu­Mongnok(사부송유목록). which is a reading list for recitation and appreciation of Chinese classics edited by Hong Suk-Chu(1774-1842) when he was 56 years old for the stimulation of his younger brother Hyun-Ju (1793-1865)'s reading life. In this study the catalogue's title interpretation. the time of the editing, the motive for the editing and the analysis of the contents are revealed as what they actually are. The main details are as followings. There is no date written on the Sabu-Songyu-Mongnok but the writer estimate it to be around 1829. After Hong Suk-Chu recognized the fact that although his younger brother Hyun-Ju was interested in reading but felt that he was a little too old to begin to read all the books of the whole classes. he selected the classic works from whole subjects, i.e. history, philosophy and anthology, that he thought which would best represent each subject. From these selected works he then picked out the most important chapters or parts of the works. Another motivation of the editing was for the stimulation of the reading life for Hong Suk-chu himself and for people like himself who were getting old and losing their vitality. The Sabu-Songyu-Mongnok consists of four categories. i.e. classics category, history category, philosophy category and anthology category, and in the catalogue, 26 different works are entered. The classics category has ten, the history category has six, the philosophy category has six and the anthology category has four. Each of the works are entered under the title of the book, and hen the chapter heading. The Sabu-Songyu-Mongnok was edited 19 years later than Hong-ssi toksorok(홍씨독서록) or an Annotated Bibliography of Korean and Chinese Books. Comparing each category of the catalogue with the Hong-ssi toksorok, the writer could catch the following characteristics. 1. Although there was no indication of the class heading, the sequence of the arrangement of the entries in the classics categories was the same as the sequence of the classes in the Hong-ssi toksorok. 2. The Zuo-shi Chun-qiu-zhuan(좌씨춘추전) is recorded in the class of Chunqiu of the classics category in the Hong-ssi toksorok, but in the Sabu-Songyu­Mongnok, it belongs to the history category. 3. In the philosophy category of the catalogue, Chuangtzu(장자) writings are included because it is so well written. 4. Unlike the categories of classics, history and anthology, the philosophy category is recorded under the author's name. This is fascinating because it unites with the conventional cataloguing practice of the west. 5. In the anthology category, the writings with the best styles from the Chuci(초사) or the poems of Chou, Wen-xuan(문선), wen-yuan-ying-hua(문여영화) are selected and classified into four parts: (1) poems, (2) proses of Han, Wei and Pre-Qin dynasties. (3) Si-liu-pian-li-wen(사육병려문), (4) classic style of writings of Tang and Song dynasties (당송고문). 6. There was an unusually large number of Han Yu's writings selected from the great eight poets of Tang and Song dynasty writings. (20 categories out of $43: 47\%)$ After comparing the entries of the Sabu-Songyu-Mongnok, it can be concluded that all the entries were also included in the Hong-ssi tokrorok. The fact that the sequence of the entries in the classics category and that the literary works were sequenced under the same subject by the year of editing or writing like as the Hong-ssi toksorok Also it is unusual that there was not even one literary work of a Korean in the catalogue. Anyhow this catalogue is the first recitation catalogue in our country that was edited for the people in the prime of life as well as for old people and is the only one existing today.

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A Study on the Working Environment Recognition and the Caracter Disposition of Nurse Aides (간호조무사의 근무환경인식과 성격성향에 관한 연구)

  • Lee Sun Yi
    • Journal of Korean Public Health Nursing
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    • v.4 no.1
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    • pp.57-74
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    • 1990
  • As the whole world took on the tendency to be highly industrialized, it became necessary for each field of occupation to require professional man power. Especially, since the World War n, the participation of woman power in economic activities has been continually increasing. In our country also, because of the rapid economic growth, change in the way of thinking of women as well as their participation in economic activities are increasing. Thus, woman power is being utilized in various occupational fields from simple physical labor to those that require high-professional skill. Also, continued economic development policies, by setting the establishment of welfare society as the ideology to be fulfilled, brought expansion of medical facilities in the field of public health and increase in man power in that field. As for the nursing specialists, more than 6000 have been being produced per year and as of the end of 1988, the total number of nursing specialists, reached 123, 115. Therefore, this study is done to recognize the professional knowledge and ability of nursing specialists, who take up $40\%$ of the total public-health related man power in our country, through evaluating their working environment and their disposition of character. This study, which was done from September 18th to September 30th 1989, took on the method of using formed questionnaires that had been amended and supplemented during two preparatory investigations, 322 of such questionnaires were used as an analytical material. In the formation of questionnaires, 12 questions were related to the working environment, and 26 in fortotal were related to the disposition of character, 5 for wise-disposition, 11 for activedisposition and 10 for open-disposition. The measuring method, which used 5-point-standard, allowed 5 points for affirmative recognition of the working environment, also 5 points for showing wise, active and open disposition of character and only point in opposite cases. Collected materials were analyzed, through an electronic calculation, into the average value, the standard deflection percentage, pearson corelative number and stepwise multiple regression. Summarizing the results from this study is as follows: 1. It was shown that the nursing specialists with the average of 3.07 have affirmative recognition of their working environment. The questions which drew most affirmative reaction were those concerning finance-management system such as hand, the questions that received negative reaction were those concerning communication method with the average of 2.49. Such reaction seems to have resulted from the cramming regulation by the superior authorities. Concerning the recognition of working environment in relation to employment conditions, more affirmative recognition is shown with the average of 3.14. at hospitals where injection job is not performed. The nursing specialists working at regular hospitals show more affirmative recognition than those at general hospitals, the averages being respectiely 3.16 and 3.03. 2. As for the disposition of character of the nursing specialists, active-disposition was highest with the average of 3.38, next was wise-disposition with 3.20 and the lowest was open-diposition with 2.98. Variable-wise disposition of character shows that wise-disposition and academic background are beneficially correlated by 0.12. Ative-disposition and open-disposition show correlation to the office term by respectively 0.16 and 0.21. In other words. better academic background leads to higher wise-disposition and more - experience results in higher active and open disposition. Also, the class that performs the injection job, in relation to the working environment, might cause change in the self-conceit that identify those in that class with the nurses; however, as far as professional judgment and action, in dealing with nursing job, being wise, active and open is concerned, not much effect is made. 3. The relation between the recognition of the working environment and the disposition of character is that more afirmative recognition- a nursing specialist has about her working environment, the higher the active-disposition becomes by 0.13. The degrees of the relation between recongnition of environment and wise and open dispositions show respectively 0.06 and -0.06 and -0.06. That is to say that when having more affirmative recognition of the working environment, a nursing specialist shows wise but closed disposition of character. This, howerver, didn't mean much statistically. When observing the results mentioned above, it is conspicuous that the nursing specialists, working as substitutes for the nurse at medical institutions of various sizes, get the feeling of being somewhat equal to the nurses and to some extent, fulfill their desire to accomplish their ego; however, as far as professional ability expansion if concerned. they lack wise and open dispositions. Therefore, considiering upon the results of this study, in medical institutions where the work of nursing specialists is regaded equal to that of the nurses, as a medical member who deals with human lives, it is desirable to make the nursing specialists work under the supervision of the nurses and to offer them continuous education to strengthen and improve their natural dispositions.

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The Effect of Integrated Mind Map Activities on the Creative Thinking Skills of 2nd Year Students in Junior High School (통합형 마인드맵 활동이 중학교 2학년 학생들의 창의적 사고력에 미치는 영향)

  • Yoon, Hyunjung;Kang, Soonhee
    • Journal of the Korean Chemical Society
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    • v.59 no.2
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    • pp.164-178
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    • 2015
  • The purpose of this study was to design a teaching and learning method conductive to the development of creative thinking skills and investigate its effects. It has been developed integrated mind map with feature of visualizing the divergent thinking to the aspects of Science (S), Technology (T) & Engineering (E), Arts (A), Mathematics (M). Integrated mind map can be divided into four types of STEAM type, STEA type, STEM type, STE type depending on the category of key words in the first branch. And Integrated mind map can be divided into three levels of guided, intermediate, open depending on the teacher's guide degree. And also integrated mind map activities were carried out in the form of group, class share as well as individual. This study was implemented during a semester and students in experiment group experienced individual-integrated mind map activity 10 times, group-integrated mind map activity 10 times, class share-integrated mind map activity 3 times. The results indicated that the experimental group presented statistically meaningful improvement in creative thinking skills (p<.05). And there was a statistically meaningful improvement in fluency, flexibility, originality as a sub-category of creative thinking skills(p <.05). Also creative thinking skills are not affected by the level of cognitive, academic performance, gender (p<.05). In conclusion, it was found that 'integrated mind map activity' improved student's creative thinking skills. There was no interaction effect about creative thinking skills between the teaching strategy and cognitive level, achivement, gender of those students.

Analysis of Hydrological Impact Using Climate Change Scenarios and the CA-Markov Technique on Soyanggang-dam Watershed (CA-Markov 기법을 이용한 기후변화에 따른 소양강댐 유역의 수문분석)

  • Lim, Hyuk-Jin;Kwon, Hyung-Joong;Bae, Deg-Hyo;Kim, Seong-Joon
    • Journal of Korea Water Resources Association
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    • v.39 no.5 s.166
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    • pp.453-466
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    • 2006
  • The objective of this study was to analyze the changes in the hydrological environment in Soyanggang-dam watershed due to climate change results (in yews 2050 and 2100) which were simulated using CCCma CGCM2 based on SRES A2 and B2. The SRES A2 and B2 were used to estimate NDVI values for selected land use using the relation of NDVI-Temperature using linear regression of observed data (in years 1998$\sim$2002). Land use change based on SRES A2 and B2 was estimated every 5- and 10-year period using the CA-Markov technique based on the 1985, 1990, 1995 and 2000 land cover map classified by Landsat TM satellite images. As a result, the trend in land use change in each land class was reflected. When land use changes in years 2050 and 2100 were simulated using the CA-Markov method, the forest class area declined while the urban, bareground and grassland classes increased. When simulation was done further for future scenarios, the transition change converged and no increasing trend was reflected. The impact assessment of evapotranspiration was conducted by comparing the observed data with the computed results based on three cases supposition scenarios of meteorological data (temperature, global radiation and wind speed) using the FAO Penman-Monteith method. The results showed that the runoff was reduced by about 50% compared with the present hydrologic condition when each SRES and periods were compared. If there was no land use change, the runoff would decline further to about 3$\sim$5%.