• Journal of the Korean Institute of Landscape Architecture
• /
• v.47 no.4
• /
• pp.50-60
• /
• 2019

In the late 1980s, a financial crisis and Compulsory Competitive Tendering (CCT) in green space services brought with it a profound impact on the quality of parks in the UK. Such government projects, e.g. Urban Task Force (1999) and Public Parks Assessment (2001), aimed to raise the awareness of the severity of the declining standards of urban parks. Since the late 1990s, the UK governments (The New Labour (1997-2010) and The Conservative Government (2010-2019)), have often adopted community-led governance schemes to enhance the quality of parks and address problems derived from the financial crisis. Accordingly, community groups, notably 'Friends of', enlarged their involvement in the decision-making process of park management. However, there is little empirical evidence concerning the impact of community-led governance on park management, in particular, the effect on the users' perceptions of park use. This study explored the context of community-led park management to reclassify the level of build-up of governance underlined by 'A Ladder of Citizen Participation'. In addition, questionnaire surveys were conducted around two Sheffield district parks, which are located in deprived areas. As a result, community involvement in the status quo of UK urban park management has changed its form of governance based on the extent of involvement in the decision-making process. The forms of governance could be categorised in three levels: general, active, and predominant governance, where the extents of decision-making and sharing responsibility vary. The results obtained through the questionnaires show that one park (active governance), which has a stronger tendency of sharing responsibility to get involved in park management, had better contribution to park management and positive impacts on users' satisfaction than the other park (general governance). The findings highlight that stronger governance in partnerships with the non-public sectors can shed light on current and future park management through a shift in sharing responsibility for park management.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2015.05a
• /
• pp.227-227
• /
• 2015

The Wairarapa Valley occupies a predominantly rural area in the lower North Island of New Zealand. It supports a mix of intensive farming (dairy), dry stock farming (sheep and beef cattle) and horticulture (including wine grapes). The valley floor is traversed by the Ruamahanga River, the largest river in the Wellington region with a total catchment area of 3,430 km2. Environmental, cultural and recreational values associated with this Ruamahanga River are very high. The alluvial gravel and sand aquifers of the Wairarapa Valley, support productive groundwater aquifers at depths of up to 100 metres below ground while the Ruamahanga River and its tributaries present a further source of water for users. Water is allocated to users via resource consents by Greater Wellington Regional Council (GWRC). With intensifying land use, demand from the surface and groundwater resources of the Wairarapa Valley has increased substantially in recent times and careful management is needed to ensure values are maintained. This paper describes the approach being taken to manage water resources in the Wairarapa Valley and redefine appropriate limits of sustainable water use. There are three key parts: Quantifying the groundwater resource. A FEFLOW numerical groundwater flow model was developed by GWRC. This modelling phase provided a much improved understanding of aquifer recharge and abstraction processes. It also began to reveal the extent of hydraulic connection between aquifer and river systems and the importance of moving towards an integrated (conjunctive) approach to allocating water. Development of a conjunctive management framework. The FEFLOW model was used to quantify the stream flow depletion impacts of a range of groundwater abstraction scenarios. From this, three abstraction categories (A, B and C) that describe diminishing degrees of hydraulic connection between ground and surface water resources were mapped in 3 dimensions across the Valley. Interim allocation limits have been defined for each of 17 discrete management units within the valley based on both local scale aquifer recharge and stream flow depletion criteria but also cumulative impacts at the valley-wide scale. These allocation limits are to be further refined into agreed final limits through a community-led decision making process. Community involvement in the limit setting process. Historically in New Zealand, limits for sustainable resource use have been established primarily on the basis of 'hard science' and the decision making process has been driven by regional councils. Community involvement in limit setting processes has been through consultation rather than active participation. Recent legislation in the form of a National Policy Statement on Freshwater Management (2011) is reforming this approach. In particular, collaborative consensus-based decision making with active engagement from stakeholders is now expected. With this in mind, a committee of Wairarapa local people with a wide range of backgrounds was established in 2014. The role of this committee is to make final recommendations about resource use limits (including allocation of water) that reflect the aspirations of the communities they represent. To assist the committee in taking a holistic view it is intended that the existing numerical groundwater flow models will be coupled with with surface flow, contaminant transport, biological and economic models. This will provide the basis for assessing the likely outcomes of a range of future land use and resource limit scenarios.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.43 no.3
• /
• pp.114-124
• /
• 2015

The concepts of activity involvement(AI) and place attachment(PA) are useful for explaining the sustainable use of natural resources by humans. Although several studies have investigated the effects of AI and PA on environmental behaviors and found its implications, it has not examined the simultaneous effects of both AI and PA. Thus, the purpose of this study was to develop a typology of both AI and PA. This typology was used to explain the environmentally responsible behaviors of visitors. The study sample surveyed 587 users of the main trail in Namhansanseong Provincial Park The results were analyzed by frequency, reliability, factor analysis, cross-tabulation, T-test, correlation and ANOVA analysis. As a result, the typology identified four subgroups of hikers based on involvement in hiking and attachment to setting. Results also indicate that environmentally responsible behaviors do vary significantly across typology. In detail, general environmental behavior and specific environmental behavior were significantly different between the four groups. These finding suggests that PA seems to play a more powerful role than AI in relation to environmental behavior. While more involved and more attached hikers were more active in environmental behaviors, less involved and less attached hikers had a more passive attitude. In this respect, this study placed emphasis on the fact that the future resource management of tourism and outdoor recreation may be established based on its activity experience in certain place.

• Tuberculosis and Respiratory Diseases
• /
• v.81 no.4
• /
• pp.339-346
• /
• 2018

Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a standard procedure to evaluate suspicious lymph node involvement of lung cancer because computed tomography (CT) and $^{18}F$-fluorodeoxyglucose positron emission tomography-CT (PET-CT) have limitations in their sensitivity and specificity. There are a number of benign causes of false positive lymph node such as anthracosis or anthracofibrosis, pneumoconiosis, old or active tuberculosis, interstitial lung disease, and other infectious conditions including pneumonia. The purpose of this study was to evaluate possible causes of false positive lymph node detected in chest CT or PET-CT. Methods: Two hundred forty-seven patients who were initially diagnosed with lung cancer between May 2009 and December 2012, and underwent EBUS-TBNA to confirm suspicious lymph node involvement by chest CT or PET-CT were analyzed for the study. Results: Of 247 cases, EBUS-TBNA confirmed malignancy in at least one lymph node in 189. The remaining 58 patients whose EBUS-TBNA results were negative were analyzed. Age ${\geq}65$, squamous cell carcinoma as the histologic type, and pneumoconiosis were related with false-positive lymph node involvement on imaging studies such as chest CT and PET-CT. Conclusion: These findings suggest that lung cancer staging should be done more carefully when a patient has clinically benign lymph node characteristics including older age, squamous cell carcinoma, and benign lung conditions.

• Korean Journal of Radiology
• /
• v.25 no.5
• /
• pp.481-492
• /
• 2024

Objective: To evaluate the clinical and imaging characteristics of SARS-CoV-2 breakthrough infection in hospitalized immunocompromised patients in comparison with immunocompetent patients. Materials and Methods: This retrospective study analyzed consecutive adult patients hospitalized for COVID-19 who received at least one dose of the SARS-CoV-2 vaccine at two academic medical centers between June 2021 and December 2022. Immunocompromised patients (with active solid organ cancer, active hematologic cancer, active immune-mediated inflammatory disease, status post solid organ transplantation, or acquired immune deficiency syndrome) were compared with immunocompetent patients. Multivariable logistic regression analysis was performed to evaluate the effect of immune status on severe clinical outcomes (in-hospital death, mechanical ventilation, or intensive care unit admission), severe radiologic pneumonia (≥ 25% of lung involvement), and typical CT pneumonia. Results: Of 2218 patients (mean age, 69.5 ± 16.1 years), 274 (12.4%), and 1944 (87.6%) were immunocompromised an immunocompetent, respectively. Patients with active solid organ cancer and patients status post solid organ transplantation had significantly higher risks for severe clinical outcomes (adjusted odds ratio = 1.58 [95% confidence interval {CI}, 1.01-2.47], P = 0.042; and 3.12 [95% CI, 1.47-6.60], P = 0.003, respectively). Patient status post solid organ transplantation and patients with active hematologic cancer were associated with increased risks for severe pneumonia based on chest radiographs (2.96 [95% CI, 1.54-5.67], P = 0.001; and 2.87 [95% CI, 1.50-5.49], P = 0.001, respectively) and for typical CT pneumonia (9.03 [95% CI, 2.49-32.66], P < 0.001; and 4.18 [95% CI, 1.70-10.25], P = 0.002, respectively). Conclusion: Immunocompromised patients with COVID-19 breakthrough infection showed an increased risk of severe clinical outcome, severe pneumonia based on chest radiographs, and typical CT pneumonia. In particular, patients status post solid organ transplantation was specifically found to be associated with a higher risk of all three outcomes than hospitalized immunocompetent patients.

• BMB Reports
• /
• v.40 no.5
• /
• pp.825-831
• /
• 2007

Tumor cell invasion and metastasis are often associated with matrix metalloproteinases (MMPs), among which MMP-2 and MMP-9 are of central importance. We previously showed that H-Ras, but not N-Ras, induced invasion of MCF10A human breast epithelial cells in which the enhanced expression of MMP-2 was involved. MMP-2 is produced as a latent pro-MMP-2 (72 kDa) to be activated resulting the 62 kDa active MMP-2. The present study investigated if H-Ras and/or N-Ras induces pro-MMP-2 activation of MCF10A cells when cultured in two-dimensional gel of type I collagen. Type I collagen induced activation of pro-MMP-2 only in H-Ras MCF10A cells but not in N-Ras MCF10A cells. Induction of active MMP-2 by type I collagen was suppressed by blocking integrin ${\alpha}2$, indicating the involvement of integrin signaling in pro-MMP-2 activation. Membrane-type (MT)1-MMP and tissue inhibitor of metalloproteinase (TIMP)-2 were up-regulated by H-Ras but not by N-Ras in the type I collagen-coated gel, suggesting that H-Ras-specific up-regulation of MT1-MMP and TIMP-2 may lead to the activation of pro-MMP-2. Since acquisition of pro-MMP-2 activation can be associated with increased malignant progression, these results may help understanding the mechanisms for the cell surface matrix-degrading potential which will be crucial to the prognosis and therapy of breast cancer metastasis.

• Asian Pacific Journal of Cancer Prevention
• /
• v.13 no.2
• /
• pp.671-676
• /
• 2012

Objectives: Screening for second primary cancer (SPC) is one of the key components of cancer survivorship care. The aim of the present study was to explore oncologists' experience with promoting second primary cancer screening. Methods: Two focus group interviews were conducted with 12 oncologists of diverse backgrounds. Recurrent issues were identified and placed into thematic categories. Results: Most of the oncologists did not consider SPC screening promotion as their responsibility and did not cover it in routine care. All of the study participants had experience with unexpected SPC cases, and they were under emotional tress. There was no systematic manner of providing SPC screening. Oncologists usually prescribe SPC screening in response to patients' requests, and there was no active promotion of SPC screening. Short consultation time, limited knowledge about cancer screening, no established guideline for SPC screening, and disagreement with patients about oncologists' roles were major barriers to its promotion. An institution-based shared care model was suggested as a potential solution for promoting SPC screening given current oncology practices in Korea. Conclusion: Oncologists could not effectively deal with the occurrence of SPC, and they were not actively promoting SPC screening. Lack of knowledge, limited health care resources, and no established guidelines were major barriers for promoting SPC screening to cancer survivors. More active involvement of oncologists and a systematic approach such as shared-care models would be necessary for promoting SPC screening considering increasing number of cancer survivors who are vulnerable.

• Korean Journal of Human Ecology
• /
• v.14 no.5
• /
• pp.761-770
• /
• 2005

This study focused on the relationship between young children's aggression and associated relative factors, so that we set young children's temperament, young children's self-regulation ability, mother's parenting efficacy, and mother's parenting behavior as associated relative factors. Therefore, we researched how these associated relative factors could affect young children's aggression. Subjects were 350 young children and their mothers who were attending nine kindergarten in I-city and J-city, Jeonlabuk-do. Statistics and methods used for data analysis were Cronbach's alpha, Pearson's correlation and Multiple Regression. Result's are as followings: First, as we researched into the correlation between young children's aggression and associated relative factors, we found that there were significant correlation in young children's temperament and mother's parenting efficacy, mother's indulgent and permissive parenting behavior, and controlled parenting behavior. Second, as we researched into the efficacy between young children's aggression and associated relative factors, we found that young children's aggression was directly affected by young children's active character that is one of young children's temperaments, young children's self-regulation ability, mother's active involvement in parenting behavior, mother's indulgent and permissive parenting behavior, and mother's controlled parenting behavior. That is, young children's aggression was 22% affected by these associated relative factors.

• The Journal of the Korea Contents Association
• /
• v.11 no.12
• /
• pp.723-733
• /
• 2011

In contemporary art, the process of appreciating art works requires the dichotomy between traditional art and New Media Art. This difference can be witnessed in the contrasting ways of appreciating art works; in traditional art, a certain physical and esthetic distance is placed between viewers and works of art, and in New Media Art, art is appreciated by active involvement and communication. In other words, this disparity is based on whether viewers physically involve themselves in the completion of the art works. Perhaps contemporary art can be better understood and appreciated if a single primary keyword takes the center place of art appreciation rather than allowing the dichotomy. Thus, a new approach is welcome, where art appreciation is not adversely affected through such divided means based on the degree of active participation. This is not some new introduction of jargon but the reinterpretation of contemplation, the key word for art appreciation in the past, as the common key word for both conventional art and New Media Art.

• Biomolecules & Therapeutics
• /
• v.19 no.2
• /
• pp.248-254
• /
• 2011

Biotransformation of pharmacologically inactive lactone prodrug simvastatin (SV) into pharmacologically active simvastatin ${\beta}$-hydroxy acid (SVA) exhibits inter-species differences due to variations in amount and activity of esterase enzymes. In this study, we investigated the pharmacokinetics (PK) of SV and its metabolite SVA following oral doses of SV from controlled-release (CR) tablets and immediate-release (IR) tablets in rodent and canine animal models that features different esterase activity. In rat PK study, no SV was detected in plasma for both formulations due to rapid hydrolysis of SV into SVA by plasma esterase. Besides, no significant differences in PK parameters of SV or SVA were observed between both species. In dog PK study, the relative oral bioavailability of CR tablets in terms of SV was 72.3% compared to IR tablets. Regarding formulation differences in dogs, CR tablets exhibited significantly lower $C_{max}$ (p<0.05), and higher $T_{max}$ (p<0.01) and MRT (p<0.01) for both SV and SVA compared to IR tablets. Accordingly, CR tablets of SV with prolonged drug release profiles in both species might be a potential candidate for a more effective delivery of SV with reduced side effects. Besides, similar PK parameters of SV and SVA in both species despite variation in enzyme activities suggested involvement of equally potent biotransformation pathways in these animal species.