• Title/Summary/Keyword: 정원 외

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Activities to Reduce the number of No-Show Patients with Colonoscopy appointments (대장내시경 검사 부도관리를 위한 개선활동)

  • Kwon, Oh-Ryoun;Lee, Jung-Sun;Na, Eun-Shim;Kim, Hoon
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.89-100
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    • 2009
  • 문제: 소화기병검사실에서 대장내시경 검사의 부도건수가 최근 월 200명 정도로 예약인원의 16%에 달한다. 이는 본원 외래진료 부도율이 평균 10%인 것과 비교할 때 상당히 높은 결과이므로 대장내시경 예약환자를 대상으로 부도율 관리를 위한 활동이 필요하였다. 목적: 외래 및 입원환자의 부도건수 및 부도환자의 특성을 분석하고, 개선활동을 통하여 대장내시경 검사의 부도율을 줄인다. 의료기관: 서울 아산병원. 질 향상 활동: 부도관리를 위한 개선활동으로 SMS 횟수를 2주전, 4일전, 1일전 3회로 변경하고, 내용도 각 시기마다 차별화하였다. 대장내시경 검사 예약을 하고 기다리는 환자를 대상으로 처방일 순, 예약 날짜순서 등 필요한 항목 순으로 볼 수 있는 리스트가 필요하여 예약대기 프로그램을 개발하였고, 처방일로부터 2주 이내 자동예약을 금지하였다.(7월 10일부터 시작) 예약대기명단에 있는 환자를 대상으로 전화로 예약 변경을 하여 2주 이내에는 예약의 빈자리가 없도록 하였다. 미리 부도를 예측하여 추가로 예약하던 방법에서 정원조정을 하여 정원 외 추가 예약을 하지 않았다. 입원환자 일정관리를 위하여 일정관리 프로그램을 개발하여 타과의뢰 회신을 하는 전임의가 직접 날짜를 전산에 입력하여 회신과 동시에 검사실, 담당주치의, 담당 간호사가 모두 일정을 확인할 수 있도록 하였으나 프로그램이 늦어져 9월 12일부터 시행하였다. 개선효과: 부도건수가 개선 전 8주 동안 385건(예약인원 대비 16%) 에서 개선 후 6주의 평가기간 동안 256건(예약인원대비 14.1%)으로 129건이 감소하였으며, 검사 1-2일전 일정 변경 연락 환자 감소 및 검사 비용 수납 환자의 부도건수가 감소하였다. 대장내시경 검사 예약대기 프로그램 운영 및 예약 변경 전화 활동으로 2달씩 기다리던 환자의 예약일을 약 한 달 정도 단축하여 줄 수 있었다. 검사 정원 관리의 결과로 검사 예약 시 예약기준이 명확해지고, 부적절한 예약으로 인한 검사지연 등이 확실히 줄었다. 또한 입원환자 일정관리 프로그램 적용으로 입원환자의 검사일정과 관련된 전화업무는 확실히 줄어들 것으로 예상된다.

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Diagnostic Value of Serum Beta-hCG Measured by EIA in Suspected Ectopic Pregnancy (EIA로 측정한 혈청 ${\beta}$-hCG치의 자궁외 임신에 대한 진단적 가치)

  • Park, Yoon-Ki;Kim, Jong-Wook;Lee, Tae-Hyung;Park, Wan-Seok;Lee, Sung-Ho;Chung, Wun-Yong
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.221-227
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    • 1985
  • Thirty-four patients with suspected ectopic pregnancy whose serum hCG levels had been measured by beta-hCG EIA before surgery were evaluated retrospectively. The results were as follows: 1. Final diagnosis of thirty-four patients with suspected ectopic pregnancy comprised twenty- eight tubal pregnancy, five ruptures of hemorrhagic corpus luteum and, one tubo-ovarian abscess. One of the five patients with rupture of hemorrhagic corpus luteum was accompanied by missed abortion. 2. Range of serum hCG levels in twenty-eight patients with tubal pregnancy was 59-21,980 mIU/ml and that of four patients with rupture of hemorrhagic corpus luteum and one patient with tubo-ovarian abscess was 0.6-6.6mIU/ml. Serum hCG level of a patient with rupture of hemorrhagic corpus luteum who was accompanied by missed abostion was 200 mIU/ml. 3. Serum hCG levels in twenty-two of twenty-eight patients with tubal pregnancy were lower than 3,000 mIU/ml. Low serum hCG level below 100mIU/ml and high serum hCG level above 6,500 mIU/ml were noticed in four and six patients with tubal pregnancy, respectively. 4. Mean serum hCG levels (${\pm}SD$) of twelve patients with tubal pregnancy who had intra-abdominal free blood of less than 500ml and sixteen patients with tubal pregnancy who had intra-abdominal free blood of more than 500ml were 4,131 (${\pm}7,801$) mIU/ml and 3,208 (${\pm}5,081$) mIU/ml, respectively. There was no statistical difference in the mean level of serum hCG between both group (P>0.05). 5. Mean serum hCG levels (${\pm}SD$) of thirteen patients with unruptured tubal pregnancy and fifteen patients with ruptured tubal pregnancy were 2,628 (${\pm}5,448$) mIU/ml and 4,449 (${\pm}6,938$) mIU/ml, respectively. Mean level of serum hCG was statistically higher in ruptured tubal pregnancy (P<0.01). 6. Positive rate of urine pregnancy test in the diagnosis of ectopic pregnancy was 64% (16/25) and mean range of serum hCG level of nine patients with false negative result were 353 mIU/ml and 59-933 mIU/ml.

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오.폐수 배출시설 방류수의 재이용 가능성 실태조사

  • 민경우;최형일;백계진;정원삼;이대행;김난희;서광엽
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2004.05a
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    • pp.346-349
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    • 2004
  • 광주시 관내 폐수배출시설 방류수 6지점과 대형 건축물 오수 처리시설 방류수 4지점 및 중수 처리 재이용수, 건물 옹벽 지하수 2지점의 수질을 분석하여 중수로써 재이용 가능 여부를 조사한 결과 폐수 배출시설 방류수의 경우 조립금속제품 제조시설, 축전지제조시설 및 타이어제조시설이 대체적으로 중수도의 수질기준을 만족하고 있어 현재의 방류수를 그대로 중수로 이용 가능하리라 판단된다. 오수 처리시설 방류수의 경우 4지점 모두 유기물질은 물론 색도, 탁도 등 대부분의 항목이 중수도 수질기준을 초과하여 현재의 방류수 자체를 중수로 사용하기는 불가능 할 것으로 판단되며, 이들 방류수를 중수로 재이용하고자 한다면 모래 여과조나 활성탄 여과조, 소독시설 등 중수 처리시설을 설치하여야 할 것으로 판단된다. 오수처리시설 방류수를 중수 처리하여 재이용 하고 있는 중수의 경우 대부분 중수도의 수질기준을 만족하였으나, 색도와 탁도, 대장균군의 경우 일부 상당히 불안정한 수질을 보였으나 현재 화장실 세정수로 이용하고 있는데 색도 외에는 별다른 문제가 없는 것으로 나타났고, 대형빌딩 옹벽에서 흘러나오는 지하수의 경우 일반세균과 질산성 질소를 제외하고는 모두 먹는물 수질기준에 적합한 것으로 나타나 현재의 지하수를 그대로 청소용수나 화장실 세정수 등의 중수로 재활용해도 충분하다고 판단되며, 활성탄 여과조와 소독 시설 등의 추가시설을 갖춘다면 먹는 물로도 사용이 가능하리라 보며, 수량적인 측면에서도 1일 발생량이 100~400톤 이상이므로 충분히 경제성이 있을 것으로 판단된다.

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2D Virtual Color Hairstyler Using Interactive Matting and Hair Color Mapping (상호대화식 매팅과 모발 컬러 매핑을 이용한 2D 가상 컬러 헤어스타일러)

  • Kim, Do-Yeon;Park, Jeong-Won;Kwak, No-Yoon
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.171-176
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    • 2009
  • 본 논문은 사용할 수 있는 헤어스타일의 수가 제한되는 문제를 해결하기 위한 것으로, 상호대화식 매팅을 이용한 2D 가상 컬러 헤어스타일러에 관한 것이다. 사전에 준비된 그래픽 헤어스타일 외에도 원하는 헤어스타일을 보유한 2D 실사 영상으로부터 상호대화식 매팅 기술을 사용하여 헤어스타일을 분리 추출한 후, 영상 간 픽 앤 드롭(pick-and-drop) 방식으로 옮겨와 두상에 부착한 다음, 필요시 헤어스타일의 컬러도 자유롭게 변경할 수 있는 기능을 제공함으로써 저비용으로 활용 가능한 헤어스타일의 수를 증대시킬 수 있다. 이때 헤어스타일의 분리 추출은 사용자가 전경 객체의 개략적 윤곽을 그려줌에 따라 점증적으로 알파 매트를 계산하는 상호대화식 매팅 기술을 사용한다. 그리고 헤어스타일의 컬러 변경은 명도 차분 맵(intensity difference map)에 기반한 모발 컬러 매핑 기술을 사용한다. 제안된 방법은 직관적이고 편리한 상호대화식 사용자 인터페이스를 제공하기 때문에 작업자의 피로도를 경감시킴과 동시에 작업 시간을 단축할 수 있고 비숙련자도 간단한 사용자 입력을 통해 자연스러운 가상 헤어스타일을 생성할 수 있는 장점이다.

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Heat Shield and Breathable Water-Resistant Design for Manufacturing that are Expressed Multifunctional Building Housewrap (열차폐 및 투습방수성이 발현되는 다기능성 건축용 하우스 랩의 제조설계)

  • Kwon, Oh-Kyung;Kim, Seok-Hoon;Park, Sun-Hwa;Jeong, Won-Wook;Bok, Jin-Seon
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2011.11a
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    • pp.15-15
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    • 2011
  • 본 연구는 기존의 하우스 랩이 가지는 방풍, 방수 기능 외에 복사열 차단성, 열반사성, 통기성, 투습성, 난연성, 방수성 및 단열성 등의 다기능성이 발현되는 우수한 건축용 하우스 랩을 제조하는 목적으로 시스-코어 섬유로 이루어진 부직포층, 통기성 합성수지 필름층, 니들펀칭 복합 부직포층 및 고분자 필름이 일면 또는 양면에 코팅된 내식성 알루미늄 필름층이 순차적으로 적층되고 핫-멜트 라미네이팅에 의하여 합지 된 다기능성 하우스 랩 및 그의 따른 제조방법에 관한 것이다. 상기 니들펀칭 부직포 내부에 포함 된 아라미드 섬유에 의해 우수한 난연효과를 가지며, 통기성 필름에 의하여 투습방수 기능을 가질 수 있으며, 니들펀칭 부직포층에 다량의 공기가 함유되어 보온성이 우수하고, 내식성 알루미늄 필름층이 가진 빛에 대해 우수한 방사성으로 복사열을 차단하여 단열효과를 나타내는 하우스 랩을 제조하였다.

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A Study on the Utilization and Symbolizes of the Joseon Dynasty Flowering Plant (조선시대 화훼식물의 이용과 상징성에 관한 연구)

  • Kim, Seung-Min
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.2
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    • pp.134-147
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    • 2014
  • The purpose of this study is, focusing on the ancient paintings and literatures, by examining Flowering Plants and drawing their cultivating methods, to provide a ground of utilizing them on the modern landscaping. In the scope and method of this study, 766 pieces of ancient paintings(6 garden paintings and 760 folk paintings) which were available and had value as literatures, and 8 of ancient literatures were intensively examined. Main results extracted from them are as follows. First, the most frequently used Flowering Plants in Joseon Dynasty were Prunus mume, pbyllostachys, Nelumbo nucifera, Chrysanthemum morifolium, Musa basjoo, Rosa spp., Rhododendron mucronulatum, Paeonia lactiflora, which appeared 11 times to 16 times in total. Next frequently(4 times to 8 times) used Flowering Plants were Gardenia jasminoides, Punica granatum(8 times), Dianthus chinensis, Vitis vinifera(7 times), Orchidaceae, Syringa velutina, Impatiens balsamina, Hemerocallis fulva, Celosia cristata, Hibiscus Syriacus, Rhododendron indicum(6 times), Rhododendron, Rhododendron obutusum, Acorus calamus, Althaea rosea, Kerria japonica, Citrus junos(5 times), Hibiscus mutabilis, Lychnis cognata, Calendula officnalis, Begonia rex., Helianthus annuus, Papaver spp., Narcissus tazetta, Daphne odora, Hosta plantaginea(4 times). Second, usage of the Flowering Plants in Joseon Dynasty can be divided into character building and horticulture for pleasure through positive, scientific approach attempt. It suggests that there might have been classes in the use of them and we can estimate which plants were particularly preferred. Third, in the symbolicity of the usage of Flowering Plants, it can be divided into three parts: The case of representing integrity, gentleman, honesty and nobility and the thought of loyalty and filial piety under the influence of Confucianism. The case of representing Taoism's thought of hermit and perennial youth and long life. The case of representing wish on wealth and prosperity. So if we make a good use of it, we may draw a meaning of cultivation of Flowering Plants from it. This is your target audience or the good luck to all he plants is aimed at, you can see the occurred. Fourth, the Joseon Dynasty was the use of flowering plants are the line of rain wanted to be more consistent with the spirit world. This is shown as a symbol of their ancestors. Joseon Dynasty was used, resulting in a kind of flowering plant and is not a subjective judgement criteria A psychological approach to the side when interpreting the Joseon Dynasty flowering plants to take advantage of the landscape of the area will widen in scope.

The Rusticity and Spirit of Scholars Found at Suwoojae, the Birth House of Garam Byungi Lee (가람(嘉藍) 이병기 생가(李秉岐 生家) 수우재(守愚齋)에서 찾는 소박함과 선비정신)

  • Kim, Jung-Sik;Rho, Jae-Hyun;Kim, Jeong-Moon;Oh, Hyun-Kyung
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.28 no.1
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    • pp.1-11
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    • 2010
  • This study examines the authentic meaning, location, garden layout, and structural characteristics of Suwoojae(守愚齋), the birth house of Garam Byungi Lee, which was the very epitome of the traditional house structure based on literature review, field survey, and the existing measured drawings. The followings explain how rusticity and spirit of scholars, the core concepts of Garam's poetry, were featured in structural and spacial arrangements of Suwoojae as well as its location and physical layout. 1. Suwoojae is enclosed by Cheonho mountain which fans out of Noryoung mountains in East and located on the tail of Yongwha mountain in West. It has proved to be Yangtack Myoungdang according to the Poongsoo theory, Inguljiryoungron; The energy of earth at a certain location results in the better fortune together with the energy emitted from human body. 2. Suwoojae is an official local monument which was built in 1844, late Joesoen Dynasty by Joheung Lee, Garam's grandfather. Some parts of inner-structure connect with the kitchen in the shape of called Gopae. Suwoojae consists of 4 Sarangchae, 3 Gobangchae, and a Jangdokdae behind Anchae. 3. Since inner and outer walls of Suwoojae are distinctly separate from the main structure, its look varies significantly from different angles. Suwoojae, in its entirety, discloses Garam's philosophy, ideas, and ideology on life and the universe. 4. Apricot trees, Japanese-magnolias, aromatic-trees, crape myrtle, white-magnolias, camellia-trees were planted on the left of the walls, and persimmon trees, jujube trees, plum trees, quince trees were at the inner-yard. Especially, trifoliate orange trees a natural monument of Jeonrabukdo draw substantial attention from visitors. 5. The main garden facilities are located in front of Sarangchae: A rectangle pond(14.72m in length and 3.87m in height), the surroundings of the pond and Anchae, rocks that have distinctive shapes. In general, the garden was designed to incorporate the scenery around Suwoojae as a part of its structure and contain the love for nature and aesthetic sense. 6. It seems that the natural surroundings of Suwoojae had helped form motives of Garam's poetry and assisted him in finding subject-matters and identifying the themes of his works. This is well revealed in his poem, Seungwoonjungee.

A Study on the Spatial and Visual Composition of Yi Ung-Jae's Old House, Dundeok-ri (둔덕리 이웅재고가(李雄宰古家)의 공간 및 경관 구성적 특성에 관한 연구)

  • Rho, Jae-Hyun;Lee, Jung-Han
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.38 no.2
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    • pp.60-76
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    • 2020
  • The purpose of this study was to examine the spatial and visual arrangement characteristics of Imsil Yi Ung-jae's old house's spatial and visual aspects in order to discover the value of landscape and traditional house garden. The results of this study are as follows. Dongchon-village in Dundeok-ri, where old house is located, is a typical form of with "Back to the mountain and facing the water(背山臨水)", and is located in the north of the three streams of water, forming a Jeonchaghugwan(前窄後寬). Dongchon Village, which has a traditional scenic spot between Danguidae(丹丘臺) and Samgyeseokmun(三溪石門), is understood to be the main street of Nojeokbong Peak and Gyegwanbong Peak, which is Ansan(案山), where the "A centipede flying in the sky(飛天蜈蚣形)". Yi Ung-jae's old house is the oldest existing high-priced house in the North Jeolla region and the closing price of a royal family of the Joseon Dynasty, which was arranged by Chunseongjeong(春城正), Yi Dam-son(李聃孫) in the mid-16C. The Japanese Invasion of Korea in 1592 and Japanese colonial era, the loyalty of the gate quarters, the filial piety of the gate quarters, and the faithfulness of the tablet(扁額) and Juryeons(柱聯) are enough to contribute to the rise of the value of a physical house. The men's quarters(Sarangchae), which are placed on a high-pocket or a layout without going against the sloping terrain, have the effect of making the distance as far as possible, enhancing its dignity and hierarchy as a royal building. In addition, the entrance to the main quarters(Anchae) through the four pillar gates(四柱門), the extensive support and the appropriation of the Chaewon(vegetable garden), and the official base for the Anchae are very unique compared to the general nobility. However, in the context of the postwar relationship, the shrine seeks to realize Confucian ideals while harmonizing with nature by arranging wide sponsorships around it. On the other hand, it is confirmed that there was a pond in the form of a circle in a square(方池圓島型) with a relatively large area, which is now disturbed and damaged. Written by the high priced planting species are sponsored pine trees, hackberry, persimmon trees, Japanese apricot flower, Ohmomiji, and plum tree in the side garden, as well as cotyledon trees in the outside garden. However, although flower bed(花階), which is built on the stone axis, is a place that clearly shows the expensive garden, it seems to have lost the texture of the plant due to the extremely high variety of species and the splendor that does not match the plant landscape of the flower world. Yi Ung-jae's old house is highly valuable as it is a portrait house of a prince of the blood in the mid-Joseon Dynasty. Based on these findings, this study proposed a plan to improve the management of high prices that could be met.

Downtime Analysis for Pohang New Harbor through Long-term Investigation of Waves and Winds (장기간 파.바람 조사를 통한 포항신항의 하역중단 원인 분석)

  • Jeong, Weon-Mu;Ryu, Kyong-Ho;Baek, Won-Dae;Choi, Hyuk-Jin
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.23 no.3
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    • pp.226-235
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    • 2011
  • Field measurements of the winds and waves were carried out for one year at multiple locations inside and outside of the Pohang New Harbor in order to clarify the reason of downtimes frequently occurring at most of the harbor quays and to establish an efficient countermeasure. In addition, the downtime records of the quays and precipitation data provided by Korea Meteorological Agency were acquired for mutual comparison and comprehensive analysis of the cause of downtimes. Except the influence of precipitation, it was found that the downtimes occurred when the height of waves entering into the harbor incurred by either one of swell, wind seas, or mixture of both, exceeded a threshold. The seiche whose period ranges from 5 to 80 minutes, which was suspected as a possible cause of the downtimes, is shown to have no direct relation with the downtimes. Meanwhile, the height of far-infra-gravity waves whose period ranges between 0.5 and 3 minutes, propagating to the harbor mouth forced by short period waves, showed almost proportional relationship with the height of short period waves. Based on the result of this study, it is concluded that the downtime problems of Pohang New Harbor can be greatly improved by effectively preventing the entrance of short period waves such as swell or wind seas.

The Planting and Use of Landscaping Plants in Kangweon-Do (강원도내 조경식물의 배치과 이용)

  • 이기의;이우철;박봉우;조철길
    • Journal of the Korean Institute of Landscape Architecture
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    • v.15 no.3
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    • pp.33-50
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    • 1988
  • This study was executed to find out how to improve on the planting and use of the plants in Kangweon- Do by surveying the planting areas -gardens, parks, streets, schools, etc. - in five cities of this province, and to select available native plants by surveying the main mountains in this province. The results are as follows ; 1. The species number within surrey areas was 319 species. and the species of which planting frequency was very high were Hibiscus syriacus, Juniperus chinensis, Buxus microphylla v. koreana, etc.. 2. The species number of school trees and flowers of 202 schools in Kangweon-Do were 33 species, 32 species respectively. and the species of school trees and flowers that showed the highest preference were Juniperus chinensis, Forsythia koreana each. 3. The species number of flowers and trees designated in 22 City and Keun were 14 species, 7 species respectively, and the species of flowers and trees that presented the highest designation frequency were Rhododendron schlippenbachii, Ginkgo biloba each. 4. The street trees planted along the main streets in Kangweon-Do were 18 species and 84,939 individuals, and the ratio of Populus alba${\times}$glandulosa was the highest among occurrence individuals. 5, As for the composition ratios of life forms of plants within survey areas, the ratio of deciduous broad-leaved tree was the highest as about 56% and that of deciduous coniferous tree was the lowest as about 1.6%. The ratios of native species versus exotic were 43 : 57 6. Through these results, it was thought that the diversification of planing species, the selection of plants suitable to each space and the generalization of use of native species were needed. So 254 plants native to Kangweon-Do were presented to correspond to these requirements.

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