• Title/Summary/Keyword: Adaptation strategies

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Introduction of Questionnaires for Quality of Life of Patients with Malignant Tumors of the Central Nervous System into Neurosurgical Practice in the Republic of Kazakhstan

  • Akshulakov, Serik;Aldiyarova, Nurgul;Ryskeldiyev, Nurzhan;Akhmetzhanova, Zauresh;Gaitova, Kamila;Auezova, Raushan;Doskaliyev, Aidos;Kerimbayev, Talgat
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.873-876
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    • 2016
  • Background: Studies of quality of life (QoL) of oncological patients is carried out using questionnaires approved in many international clinical studies. The European Organization for Research and Treatment of Cancer EORTC QLQ-C30 (Quality of Life Questionnary-Core 30) and its special brain cancer module EORTC QLQ-BN20 are widely used in the world neurooncologic practice. They are available in more than 80 official versions of 30 languages of the world. Previously we used the official versions in Russian, which often causes difficulty in understanding for native Kazakh language speakers, who comprise more than 60% of our respondents. This was the reason for creating a version of Kazakh language. Therefore, in 2014 for the first time the process of adaptation of questionnaires to the Kazakh language was initiated. Materials and Methods: The translation process of questionnaires to Kazakh language was held in accordance with the requirements of the European Organization for Research and Treatment of Cancer EORTC on QoL and consisted of the following stages: preparation - translation - pilot testing - approval. The official permission of authors and "Guideline on translation" was obtained which was developed by the working group of the EORTC on QoL. The pilot testing of EORTC QLQ-C30 and QLQ-BN20 questionnaires was conducted on the basis of the Department of Central Nervous System Pathology of the "National Centre for Neurosurgery" in patients with malignant tumors of the central nervous system. Results: The official versions of the EORTC QLQ-C30 and QLQ-BN20 questionnaires in Kazakh language were introduced and adapted in practical neurosurgical operations in Kazakhstan. Conclusions: The approved versions of the questionnaires in Kazakh language are now available for mainstream use on the official website EORTC.com. The versions of these questionnaires can be used in domestic cohort studies and clinical practice in the Republic of Kazakhstan. The use of these tools for assessing QoL will help professionals in the planning of individual treatment strategies and selection of the necessary therapy.

The Early Growth Performances of Pinus densiflora and Larix kaempferi Seedlings Under Open-field Experimental Warming and Precipitation Manipulation (실외 실험적 온난화 및 강수 처리에 따른 소나무와 낙엽송 유묘의 초기 생장 특성)

  • Kwon, Boram;Cho, Min Seok;Yang, A-Ram;Chang, Hanna;An, Jiae;Son, Yowhan
    • Journal of Korean Society of Forest Science
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    • v.109 no.1
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    • pp.31-40
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    • 2020
  • This study aimed to investigate the effects of climate change on the survival and growth performance of Pinus densiflora and Larix kaempferi seedlings using open-field experimental warming and precipitation manipulation. We measured the survival rate, root-collar diameter, and height, and then calculated the seedling quality index (SQI) of 2-year-old seedlings under 6 treatments [2 temperatures (TC: Control; TW: Warming) × 3 precipitation manipulations (PC: Control; PD: Decreased; PI: Increased)] and performed a two-way ANOVA to test for differences.The air temperature of the warming plots was 3℃ higher than that of the control plots, while the precipitation manipulation plots received ±40% of the precipitation received by the control plots. Temperature and precipitation treatments did not significantly affect the survival rate of P. densiflora; however, the SQI of P. densiflora decreased with increasing precipitation. In contrast, the mortality rate of L. kaempferi increased with increasing temperature and decreasing precipitation. Furthermore, in L. kaempferi, TC × PI treatment resulted in the lowest SQI with a significant interaction effect observed between the two factors. In summary, low seedling production and quality should be expected in P. densiflora as precipitation increases and in L. kaempferi as temperature increases or precipitation decreases. These results indicate species-specific sensitivities to climate change of two plant species at the nursery stage. With the occurrence of global warming, the frequencies of drought and heavy rainfall events are increased, and this could affect the survival and seedling quality of tree species. Therefore, it is necessary to improve nursery techniques by establishing new adaptation strategies based on species-specific growth performance responses.

A Biomechanical Comparative Analysis of the Multi-Radius Total Knee Arthroplastry System for Go up Stair and Go down Stair (계단 오르기와 내리기 동안 다축범위(multi-radius) 무릎인공관절 수술자의 운동역학적 비교분석)

  • Jin, Young-Wan;Yoo, Byung-In;Kawk, Yi-Sub
    • Korean Journal of Applied Biomechanics
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    • v.16 no.1
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    • pp.31-41
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    • 2006
  • The primary purpose of a TKA is to restore normal knee function Therefore, ideally, a TKA should: (a) maintain the natural leverage of the knee joint muscles to ensure generating adequate knee muscle moments to accomplish daily tasks such as rising from climbing stairs; (b) provide adequate knee joint stability. A 16-channel MyoResearch XP EMG system was used to collect the differential input surface electromyography signals VM, VL, RF, BF, ST during climbing/descending stair tests. A Peak Motion Measurement System was used to collect the kinematic and kinetic data. AKIN-COM Ill isokinetic dynamometer was used for EMG of VM, VL, RF, BF and ST during maximal voluntary contraction. I Quadriceps EMG results for the VM of the passed 1year group limb demonstrated significant less RMS EMG than that of the passed 3year group limb $60^{\circ}-15^{\circ}$ of knee flexion(p<0.05). The VL of the passed 1year group limb also demonstrated significants less RMS EMG than that of the passed 3year group limb from $60^{\circ}-45^{\circ}$ of knee flexion(p<0.05). Similar to the VM and VL, the RF of the passed 1year group limb showed less RMS EMG than that of the passed 3year group limb from $60^{\circ}-30^{\circ}$ do knee flexion(p<0.05). Hamstring EMG results for the BF of the passed 1year group limb demonstrated less RMS EMG than that of the passed 3year group limb from $75^{\circ}-15^{\circ}$ of knee flexion(p<0.05). The passed 1year group limb tended to have less ADD displacement(p<0.071) than that of the passed 3year group limb. There was no significant difference of the ABD displacement between the passed 1year group and the passed 3year group limbs(p<0.73). The passed 3year group used compensatory adaptation movement strategies to compensate for the strength deficit of passed 3year group limbs. The passed 3year group limb also increased the quadriceps muscle activation level to produce more knee extension moment to compensate for the short quadriceps moment arm. The passe 3year group limb might have an unstable knee joint in the medio-Iateral direction during the climbing/descending by showing a tendency of more ADD displacement and greater hamming co-activation EMG than the passed 1year group limbs. The TKA design was not able to help the knee joint to produce adequate knee extension moment with less quadriceps muscle effort. I think that old man needs continuous exercise for muscle strength.

Climate Change Impact Analysis of Urban Inundation in Seoul Using High-Resolution Climate Change Scenario (고해상도 기후시나리오를 이용한 서울지역 배수시스템의 기후변화 영향 분석)

  • Lee, Moon-Hwan;Kim, Jae-Pyo;Bae, Deg-Hyo
    • Journal of Korea Water Resources Association
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    • v.48 no.5
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    • pp.345-355
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    • 2015
  • Climate change impact on urban drainage system are analyzed in Seoul by using high-resolution climate change scenario comparing 2000s (1971~2000) with 2020s (2011~2040), 2050s (2041~2070) and 2080s (2071~2100). The historical hourly observed rainfall data were collected from KMA and the climate change scenario-based hourly rainfall data were produced by RegCM3 and Sub-BATS scheme in this study. The spatial resolution obtained from dynamic downscaling was $5{\times}5km$. The comparison of probability rainfalls between 2000s and 2080s showed that the change rates are ranged on 28~54%. In particular, the increase rates of probability rainfall were significant on 3, 6 and 24-hour rain durations. XP-SWMM model was used for analyzing the climate change impacts on urban drainage system. As the result, due to the increase of rainfall intensities, the inundated areas as a function of number of flooded manhole and overflow amounts were increasing rapidly for the 3 future periods in the selected Gongneung 1, Seocho 2, Sinrim 4 drainage systems. It can be concluded that the current drainage systems on the selected study area are vulnerable to climate change and require some reasonable climate change adaptation strategies.

A Study on Industry-University Cooperative Customized Curriculum of Dental Hygiene Study (산학연계형 치위생학과 주문식 교육과정 연구)

  • Park, Il-Soon;Choi, Eun-Mi;Lee, Young-Suk
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.537-547
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    • 2013
  • A recent rapid change in society drives the colleges and universities into the unlimited competition for satisfying users' demand. The introduction of customized educational system is one of the survival strategies of university that reflected this characteristic. The result of a research on the customized curriculum of the dental hygiene study shows that the managers of dental hospitals and clinics think that the dental assistance field is dental hygienist's major task. On the other hand, though the dental hygienists think that the oral health education is the main task, they just comply with the intention of managers of the dental hospitals and clinics in reality. Hence, the reinforcement of the practicum in the industry field is required to meet the demand from the industry. And there is also a need to offer an opportunity of self-realization through work life by allowing dental hygienists to have stable status within dental hospitals and clinics with enhanced education and training on preventive dental treatment and oral health.

Effects of Heat Wave on Body Temperature and Blood Pressure in the Poor and Elderly

  • Kim, Young-Min;Kim, So-Yeon;Cheong, Hae-Kwan;Ahn, Byun-Gok;Choi, Kyu-Sik
    • Environmental Analysis Health and Toxicology
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    • v.27
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    • pp.13.1-13.10
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    • 2012
  • Objectives: We aimed to investigate the acute effects of heat stress on body temperature and blood pressure of elderly individuals living in poor housing conditions. Methods: Repeated measurements of the indoor temperature, relative humidity, body temperature, and blood pressure were conducted for 20 elderly individuals living in low-cost dosshouses in Seoul during hot summer days in 2010. Changes in the body temperature, systolic blood pressure (SBP) and diastolic blood pressure (DBP) according to variations in the indoor and outdoor temperature and humidity were analyzed using a repeated-measures ANOVA controlling for age, sex, alcohol, and smoking. Results: Average indoor and outdoor temperatures were $31.47^{\circ}C$ (standard deviation [SD], $0.97^{\circ}C$) and $28.15^{\circ}C$ (SD, $2.03^{\circ}C$), respectively. Body temperature increased by $0.21^{\circ}C$ (95% confidence interval [CI], 0.16 to $0.26^{\circ}C$) and $0.07^{\circ}C$ (95% CI, 0.04 to $0.10^{\circ}C$) with an increase in the indoor and outdoor temperature of $1^{\circ}C$. DBP decreased by 2.05 mmHg (95% CI, 0.05 to 4.05 mmHg), showing a statistical significance, as the indoor temperature increased by $1^{\circ}C$, while it increased by 0.20 mmHg (95% CI, -0.83 to 1.22 mmHg) as outdoor temperature increased by $1^{\circ}C$. SBP decreased by 1.75 mmHg (95% CI, -1.11 to 4.61 mmHg) and 0.35 mmHg (95% CI, -1.04 to 1.73 mmHg), as the indoor and outdoor temperature increased by $1^{\circ}C$, respectively. The effects of relative humidity on SBP and DBP were not statistically significant for both indoor and outdoor. Conclusions: The poor and elderly are directly exposed to heat waves, while their vital signs respond sensitively to increase in temperature. Careful adaptation strategies to climate change considering socioeconomic status are therefore necessary.

A Study on the Low-carbon Urban Regeneration Planning Elements and System in Climate Change Era. (기후변화대응 탄소저감형 도시재생 계획 요소 및 체계에 관한 연구)

  • Choi, Joung-eun;Choi, Joon-Sung;Oh, Deog-Seong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6345-6359
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    • 2015
  • This study aims to clarify the concept of 'Low-carbon urban regeneration', to extract planning elements according to it, and to establish the planning system. In order to extract the elements, matrix analysis was conducted between planning elements of urban regeneration and Low-carbon cities, and the focus group interview(FGI) was used. Derived elements from this process were restructured for the new planning system. In addition, in-depth case analysis was performed to verify the suitability and effects of planning elements and system. The result showed that planning element of Low-carbon urban regeneration can be sorted in 37 elements in 5 categories. In-depth analysis indicated that established planning elements were importantly dealt in cases and played a significant role in urban regeneration and carbon reduction. Also, it showed that those elements had a significant relationship with adaptation and mitigation, the two responding strategies to the climate change. Elements highly contributing to urban regeneration were Urban Structure, Transportation, Policy while elements affecting carbon reduction were Transportation, Green & Blue space, Energy & Material field.

Legal and Policy Tasks for Raising a Climate Fund in Response to a New Climate Regime (신기후체제 대응을 위한 기후기금 조성의 법·정책적 과제)

  • Ku, Ji Sun;Park, Chul Ho
    • Journal of Climate Change Research
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    • v.9 no.2
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    • pp.181-195
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    • 2018
  • On December 12, 2015, the Conference of the Parties to the United Nations Framework Convention on Climate Change (UNFCCC) adopted the Paris Agreement, in which several developed and developing countries all committed to participating in the reduction of greenhouse-gas (GHG) emissions. South Korea has submitted an intended nationally determined contribution (INDC) proposal with a target to cut down 37% greenhouse gas business as usual (BAU) until 2030 in preparation for the 2030 GHG BAU. Under the post-2020 regime, which will be launched from 2021 as the agreement entered into force early, it is expected that efforts to support GHG reduction and adaptation to climate change in developing countries will be accelerated with the utilization of technologies and financial resources of developed countries. South Korea has established the Basic Plan for Climate Change Response and the Basic National Roadmap for Greenhouse Gas Reductions by 2030 to promote the response to climate change at the government level. The Ministry of Science and ICT, as the National Designated Entity designated by the UNFCCC, has come up with middle and long-term strategies for climate technology cooperation. South-Korea has an abundance of energy-consuming industries to support its export-oriented industrial structure; it is thus expected that achieving the GHG reduction target will incur a considerable cost. Moreover, in order to meet the reduction target (11.3%) of the intended nationally determined contribution proposed by South Korea, it is necessary for South Korea to actively promote projects that can achieve GHG reduction achievements, and financial resources are needed as leverage to reduce risks that can occur in the early stages of projects and attract private sector investment. This paper summarizes the theoretical discussions on climate finance and conducted a comparative analysis on the status of the funds related to climate change response in the UK, Germany, Japan and Denmark. Through this, we proposed the legal and policy tasks that should be carried forward to raise public funds that can be used for creation of new industries related to climate change as well as to reduce GHG emissions in South Korea. The Climate Change Countermeasures Act, which has been proposed by the National Assembly of South-Korea, stipulates the establishment of funds but there is no additional funding except for general account. In this regard, it is also possible to take measures such as the introduction of carbon tax or the collection and use of royalties through technology research and development projects for climate change, such as Industrial Technology Innovation Promotion Act. In addition, since funds are used in various fields such as domestic greenhouse gas reduction, technology development, and overseas projects, it is necessary to establish a system in which various ministries cooperate with the operation of the fund.

A Study on Selection of Standard Scenarios in Korea for Climate Change (기후변화 표준 시나리오 선정에 관한 연구)

  • Lee, Jae-Kyoung;Kim, Young-Oh
    • Journal of Climate Change Research
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    • v.1 no.1
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    • pp.59-73
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    • 2010
  • One of the most important issues for projecting future water resources and establishing climate change adaptation strategies is 'uncertainty'. In Korea, climate change research results were very heterogeneous even in a same basin, but there have been few climate change studies dealt with the uncertainty reduction. This is because emission scenarios, GCMs, downscaling, and rainfall-runoff models that were used in the previous studies were almost all different. In this research, fifty one GCM scenarios based A and B emission scenarios were downloaded and then compared with the observed values for a period from January 2001 to December 2008. The downloaded GCM scenarios in general simulated well the observed but did not simulated well the observed precipitation especially for the flood season in Korea. The accuracy of each GCM scenario was measured with the model efficiency, PDF-based, and Relative Entropy methodology. Among the selected GCM scenarios with three methodologies, the four common GCM scenarios(CGCM2.3.2(MRI-M, B1), MIROC3.2medress(NIES, B1), CGCM2.3.2(MRI-M, A2), CGCM2.3.2(MRI-M, A1B) were finally selected. Results of the four selected GCMs were heterogeneity and projected increases of precipitation for the Korean Peninsula by from 27.36% to 12.49%, respectively. It seems very risky to rely a water planning or a management policy on use of a single climate change scenario and from this research results. Therefore, the four selected GCM scenarios proposed quantitatively were considered firstly for the water supply in the dry season and the drought management strategy in the Korean Peninsula for the future.

The Relationship between Thermal Preference and Hibernation Strategies in Endangered Plecotus ognevi (멸종위기 야생생물 II급 토끼박쥐 Plecotus ognevi의 온도선호도와 동면 전략)

  • Kim, Sun-Sook;Choi, Yu-Seong;Kim, Lyoun
    • Korean Journal of Ecology and Environment
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    • v.51 no.4
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    • pp.345-353
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    • 2018
  • Hibernation is regarded as a physiological and behavioral adaptation that permits the survival of animals such as bats during seasonal periods of energy shortage. This study investigated the hibernation period of Plecotus ognevi in the temperate climate zone and the relationship between the thermal preference and hibernating process of bats. We hypothesized that the hibernation period of bats is closely related to the external temperature and temperature preference of bat species in the temperate region. To verify this hypothesis, we surveyed the distribution of the P. ognevi population in South Korea, and the temperature preference and the characteristics of hibernacula of P. ognevi. We predict that hibernation in the bat will begin when the external temperature drops below the thermal preference of the species and will leave from hibernation when the external temperature is higher than the thermal preference. P. ognevi hibernated in roosts maintained in low temperature ambient conditions with $-3.5{\sim}7.5^{\circ}C$). The body temperatures (averaged $3.01{\pm}1.30^{\circ}C$, ranged $0.1{\sim}7.8^{\circ}C$) of hibernating bats were closely related to the rock surface temperatures rather than the ambient temperatures. The bats began to hibernate in late November and final arousals occurred in mid-March, so that the total length of the hibernation was 115~120 days. The period of hibernation was strongly influenced by fluctuations in the external mean temperature. This study suggests that the onset and termination of P. ognevi hibernation is due to the interaction between the temperature of the hibernacula and that of the external environment and is based on the thermal preference of the bats. The study also suggests that the hibernation strategy such as thermal preference and hibernation periods of this species affect to distribution as bat species adapting to a severely climate.