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Appling Nursing Theory to Clinical Practice of Home Health Care (가정간호실무에 적용가능한 이론적틀)

  • Woo, Seon-Hye
    • Journal of Home Health Care Nursing
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    • v.11 no.1
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    • pp.5-13
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    • 2004
  • The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.

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Spatial Analysis of Ecological Characteristics for Benthic Macroinvertebrate Community Structure in Lake Hoengseong Region (횡성호 일대 저서성 대형무척추동물 군집구조의 생태적 특성 분석)

  • Lee, Hwang-Goo;Jung, Sang-Woo;Choi, Jun-Kil
    • Korean Journal of Environment and Ecology
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    • v.26 no.1
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    • pp.46-56
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    • 2012
  • Benthic macroinvertebrates were investigated in Hoeongseong Lake region from March to October 2010, Korea. Macroinvertebrate communities, composition of the functional feeding groups, habitiat oriented groups and the biological water quality were assessed above and below Hoeongseong Dam in the lake region. Six sites, two (St.1~2) above the lake, two (St. 3~4) into the lake, and two (St. 5~6) below the dam, were selected for quantitative (Surber sampler $30cm{\times}30cm$, mesh size 0.2 mm) and qualitative (Hand net) samplings of benthic macroinvertebrates. As a result, a total of 83 species belonging to 43 families, 17 orders, 8 classes, and 5 phyla were recognized. The EPT-group (50 spp. : 60.24%) that is major taxa or EPT-group plus Diptera (61 spp. : 73.49%) occupied most of benthic macroinvertebrates community. Based on quantitative sampling, the number of benthic maroinvertebrates above the lake was 2,399 individuals including 54 species, 28 families, 11 orders, 4 classes, and 4 phyla, whereas 510 individuals including 16 species, 12 families, 7 orders, 4 classes, and 3 phyla in the lake and 626 individuals including 62 species, 33 families, 13 orders, 6 classes, and 4 phyla below the dam were collected respectively. Dominance index was the highest, with 0.82-0.93 ($0.87{\pm}0.05$) in Hoeongseong lake (St. 3-4), diversity index was 3.04-3.16 ($3.10{\pm}0.06$), evenness index was 0.79-0.85 ($0.82{\pm}0.03$), and richness index was 7.27-8.52 ($7.90{\pm}0.63$), which were relatively higher below the dam sites. In the functional feeding groups, collector-gatherers and collector-filterers were the highest in the whole sites, and predators (Micronecta sedula) was appeared highly in the lake. Moreover, swimmers, burrowers, and clingers were considerably occupied in all collecting sites. The result of the DCA, similarity analysis, and MRPP were well reflective of the composition of lake and stream macroinvertebrates. ESB indicate that the lake sites were evaluated heavily polluted under priority improvement waters. Also, Semisulcospira gottschei, Ecdyonurus kibunensis, Epeorus pellucidus, Rhoenanthus coreanus, Stenelmis sp., and Cheumatopsyche brevilineata are considered as an indicator species above and below Hoeongseong Lake, whereas Macrobrachium nipponense and Micronecta sedula are indicated in the lake.

Study on sijo by Young-do Lee (이영도 시조 연구)

  • Yoo, Ji-Hwa
    • Sijohaknonchong
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    • v.42
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    • pp.213-238
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    • 2015
  • Jeongun(丁芸) Lee, Young-do (李永道), who is deemed a representative female poet of Korea, began her literary career in May, 1946 when she published in a publication called "Bamboo Sprout, (죽순)". Her Korean identity, which was formed through her Confucius upbringing as well as traditional value system of her family, had a strong presence in her work, and she remained a quintessential figure in Korea's female sijo poet circle for 30 years until her passing in 1976. Despite the highly acclaimed talent and her noble aspirations, it is undeniable that her works did not receive fair assessment due to her private life. Against this backdrop, it is necessary to deeply inquire the literary values and beauty of Young-do Lee's sijo. As mentioned, Young-do Lee is a solidly established figure in Korea's modern poetry. The following illustrates the spirit and the world of her poetry. First, Young-do Lee lived through turbulent times and it was her country that served as the source of her sijo work. Assessing the multitude of dramatic historical events such as Japanese colonization, 8.15 Liberation of Korea, division of the nation, 6.25 Korean war, 4.19 Revolution, 5.16 military coup, it is natural that patriotism was strongly present in her work who was one of the intellectuals at the time. Second, Young-do Lee is a poet who had experienced more pain than others in terms of the turbulence of the time. Her Korean identity, which was formed through her Confucius upbringing as well as traditional value system of her family, had a strong presence in her work. Third, Jeongun Lee, Young-do is a poet of longing. The abundance and richness of her emotions were fortified through the relationship with another poet, Chihwan Yu. Fourth, Young-do Lee is a poet opened up new horizons for the modennization. The transparency of image reflected in her work and the elaborate nature of her language are outstanding. In summary, Young-do Lee was a true artist, who has a strong presence in Korea's modern poetry society, and who was a poet of patriotism, poet who suffered the turbulence of the times, and a poet of longing.

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Management Guideline and Avifauca of Odaesan area in Odaesan National Park (오대산 국립공원 오대산 지역의 야생조류상 및 관리 방안)

  • 이우신;박찬열;조기현
    • Korean Journal of Environment and Ecology
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    • v.10 no.1
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    • pp.1-13
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    • 1996
  • This study was conducted to investigate the avifauna and to suggest the management discipline for the protection of bird community in Odaesan National Park. Field survey was carried over 2 main trails by line transect method from mid June to early December in 1996. The 1st section included the area from Woljongas to Sangwonsa 7km distance. The 2nd section survey started from Sangwonsa via Bukdaesa and the summit of Odaesan to Sangwonsa 9.8 km distance. The study results were as follows ; The observed birds belonged to 9 orders 22families 52species, they also had Black Woodpecker(Dryocopus martius)designated as natural monument No. 242, Chinese Sparrow Hawk(Accipiter soloensis) and Kestrel(Falco tinnunculus) as natural munumet No. 323, Scops Owl(Out scops)and Korean Wood Owl(Strix aluco) as No. 324. These birds also were classified into 25 species for residents, 16 species for summer visitors, 8 species for passage migrants, 3 species for winter visitors, respectionely. The 2nd section showed a high species richness and individuals in every season, however, had a difference in species composition with 1st section. Nesting guild of breeding bird community used highly in order of bush, hole, and canopy as a nest resources. It is suggested that high bush-nesting guild had a deep relationship with bush layer located in the ecotone of 1st section and that located in the high elevated zone in 2nd section. Hole-nesting guild such as Black Woodpecker(Dryocopus martius), Gray-headed Woodpecker(Picus canus) and Great Spotted Woodpecker(Dendrocopos major) were surveyed only in 2nd section, so it could be attribute to the small fragmentation and the growing of high diameter at breast height(D.B.H) tree in 2nd section. It is urgent that the management of camping ground and people for the conservation of brook in 1nd section, trail protection for the prevention from trail enlargement in 2nd section for the bird protection. Artificial food in snowy winter will provide the good breeding condition with the residents and migrants. And, the endeavor to lessen the habitat fragmentation will be beneficial to the birds who have a large home range such as Black Woodpecker(Dryocopus martius) and Korean Wood Owl(Strix aluco). For the control of Domestic Dove(Columba livia) populations, it could be recommended that the elimination of their nesting resources by net.

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The Variation of Benthic Macroinvertebrates Caused by Erosion Control Works in a Torrential Stream - Focused on Variation of Benthic Macroinvertebrates Analyzed immediately after Construction Works - (황폐계류의 사방공작물 시공에 따른 저서성 대형무척추동물상의 변화 - 시공 직후의 변화를 중심으로 -)

  • Lee, Do-Hyung;Lee, Ki-Hwan;Lee, Heon-Ho;Ma, Ho-Seop;Bae, Kwan-Ho;Kim, Jong-Hyon
    • Korean Journal of Environment and Ecology
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    • v.23 no.4
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    • pp.353-364
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    • 2009
  • This study was conducted to evaluate the effect of erosion control works on the stream ecosystem in a mountain torrential stream. The species composition of benthic macroinvertebrates and biological water quality were investigated before and after construction of erosion control works at 5 sites. The total number of benthic macroinvertebrates before construction was 3,086 individuals including 4 phyla, 6 classes, 11 orders, 22 families, and 25 species, but after construction it has decreased to 1,208 individuals including 4 phyla, 6 classes, 10 orders, 17 families, and 19 species. Especially, the diversity, richness, and evenness indices, which were calculated based on existing number of biological species, have decreased or not produced at the erosion control sites, where biological species were not found or the minimum number of species were found. The results of community analysis of benthic macroinvertebrates and ESB(Ecological Score of Benthic macroinvertebrate community) indicated that the environmental qualities of the stream based on saprobity, environmental condition, and water quality decreased after the construction at all sites: before construction, the top of the stream was satisfactory and some satisfactory, the middle was some defectiveness, and the lower was defectiveness and very defectiveness; after construction, all parts of the stream except some parts of the top were very defectiveness. Moreover, the water quality of torrential stream was rated between I to III before construction, but after construction, it declined to $IV{\sim}V$ except control. The habitat damage of benthic macro invertebrates occurred at all investigation sites after the construction of erosion control works led to reduction of the number of biological species and water quality deterioration. The results reported in this study were collected directly after the construction of erosion control works. Therefore, additional studies are needed to further explore the effect of disaster-prevention of erosion control works and the recovery process of stream ecosystem through long term monitoring.

Bird Diversity on Area around the Ulsan Mosaic Landscape (울산지역 모자익 경관에서의 조류 다양성)

  • Lee, Won-Ho;Jang, Ji-Doek;Choi, Byung-In;Kang, Sung-Ryong;Kwon, Ki-Chung
    • The Korean Journal of Ecology
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    • v.27 no.6 s.122
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    • pp.325-333
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    • 2004
  • Birds were censused to investigate the composition of landscape structure for bird diversity around Ulsan between May and November 2002. Associations with three main categories of habitat variables were evaluated: 1) amount and type of forest; 2) residual habitats not classified as forest or crops; 3) land-use variables. Cluster analysis of bird community shows the highest forest variables of $79.06\%$, and the others are residual habitat variables ($17.98\%$), land-use variables ($2.94\%$) in spring, and forest variables of $57.77\%$, land-use variables ($23.16\%$), residual habitat variables ($18.47\%$) in autumn, respectively. In Principal Component Analysis of a total of 196 sites, the populations are strongly correlated to Component I ($54.8\%$) based forest habitats and to Component II based on land-use. Species preferring sites were clearly separated with heterogenous forest along the first axis. In autumn, the populations are moderately correlated to Component I based land-use and to component II based forest habitats. Species preferring local habitats were also clearly separated. Fifty three species of 1,700 birds were recorded: Brown-eared Bulbul, Vinous-throated Parrotbill, Great Tit, Tree Sparrow and Black-billed Magpie accounted for over $60\%$ of the observed birds in spring and autumn. The important species were Brown-eared Bulbul, Vinous-throated Parrotbill, Great Tit and Tree Sparrow in spring and autumn. Four habitats in terms of their species richness were computed as follows: Wonhyosan has the highest an expected species number, $E[S_{59}]=19$. Moonsusan has the lowest expected species number, $E[S_{59}]=17$ in spring. In autumn, Kuenamsan has the highest expected species number, $E[S_{63}]=16$. Moonsusan has the lowest expected species number, $E[S_{63}]=12$. Pairwise similarity declined with increasing distance between recording site and recording site from Moonsusan-Wonhyosan (0.62), the same geographical regions clustered separately in a UPGMA cluster tree in spring, and in autumn from Moonsusan-ChungJoksan (0.53).

Influence of Fish Compositions and Trophic/Tolerance Guilds on the Fishkills in Geum-River Watershed (Backje Weir) (금강수계(백제보)에서 발생된 어류폐사에 대한 종 조성 및 트로픽/내성도 길드 영향 분석)

  • Kwon, Hyuk-Hyun;Han, Jeong-Ho;Yoon, Johee;An, Kwang-Guk
    • Korean Journal of Environmental Biology
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    • v.31 no.4
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    • pp.393-401
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    • 2013
  • The objectives of this study were to analyze structures of fish community and the ecological health using a multi-metric fish model, the Index of Biological Integrity (IBI) in the Backje Weir of Geum River during two periods namely before-the-fishkill ($B_f$) and after-the-fishkill ($A_f$). The total number of fish species observed were 32 and among them 10 species (35%) were Korean endemic species. The exotic species observed were 3 which decreased by 0.4% after-the-fishkill ($A_f$). The dominant species were Opsariichthys uncirostris amurensis (13%) at the Bf period and Squalidus japonicus coreanus (17%) at the Af period in the Backje Weir. At after the fishkill ($A_{f-I}$) total biomass was about 10 times lower than the biomass before-the-fishkill ($B_f$). The biomass of Carassius auratus decreased 98% after-the-fishkill and as time passed by the biomass recovered to nearly 100%. Similar decrease in the biomass occurred in the population of Opsariichthys uncirostris amurensis, while Rhinogobius brunneus population increased. According to the structure analysis of fish community, species richness index, evenness index and species diversity index were high but after-the fishkill, the values of indices decreased. Tolerant species (64%) dominated the fish community, and the sensitive species (2%) were rare, indicating the degradation of the ecosystem. According to analysis of the multi-metric model (IBI), the mean model value of the fish community in Backje Weir was estimated as 17.5 indicating a "fair condition".

An Assessment on Vegetation and Fish Diversity in Natural Urban Stream (자연형 도시하천의 식생 및 어류 다양성과 특성 평가)

  • Kim, hong bae;Ahn, kyung soo
    • Journal of Wetlands Research
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    • v.8 no.2
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    • pp.53-64
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    • 2006
  • A study on the restoration process of a stream ecosystem and the water quality renovation technique by removing algae, vegetation and fish monitoring as evaluating the removal of the algae by dietetic characteristics of fishes were performed on Sangdong stream in the B city after stream restoration it to the artificial stream as the cases, restoring urban stream into close-to-nature stream are being increased domestically with the aim of ecological city. As a result, restoration and rehabilitation of the fundamental stream ecosystem was well maintained 4 years later the reclamation at the moment and total 93 diagnosis which were all vascular plant phylum including 44 families, 73 genuses, 79 species and 14 varieties in flora and vegetation community were observed. 3 families, 8 species and 354 populations in total among Fishes were found and Pseudorasbora Parva, Cyprinus Carpic and Carassius Auratus strongly resistant to water pollution were dominantly appeared in order of 50.5% of Pseudorasbora Parva 21.2% of Cyprinus Carpic, 20.9% of Carassius Auratus, 7.1% of Macropodus chinensis and 0.3% of Misqurnus anguillicaudatus according to relative richness index. It turned out to be that Cyprinus Carpic ingests algae over 90% and Carassius Auratus takes it over 30% according to the analysis about the alimentary object of the fishes as a consequences of algae's excrescent from characteristics of the tested experimental stream. It is reported that a Cyprinus Carpic, about 34 cm in length, ingested wet-weight 43.2g algae on the rough analysis toward the sample which makes us recognize how effective a macro community Cyprinus Carpic is for removing algae.As a consequence of this research, the effect of stream ecosystem characteristics and water quality purification could not be expected by aquatic plants and trees which were eliminated at experimental stream. From now on, a close-to-nature stream should be formed of ecological hydraulic and hydrologic engineered modeling from the beginning so that it can perform the water quality purifying function. It is determined that the structure of food chain will be abundantly influenced by the induction of oversized macro community like Cyprinus Carpic because a biomass of a consumer of higher order is increased. It is estimated that the removal algae by fishes is not effective despite in some cases of dietetic characteristics so much more studies should be executed in the future.

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A Study of Fish Community on Up and Downstream of Hwabuk Dam Under Construction in the Upper Wie Stream. (위천 상류에 건설 중인 화북댐 상 하류 어류군집에 관한 연구)

  • Seo, Jin-Won;Kim, Hee-Sung
    • Korean Journal of Ecology and Environment
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    • v.42 no.2
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    • pp.260-269
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    • 2009
  • Hwabuk Dam has been under construction to reduce flood damage in Nakdong River watershed and to supply stable water for middle area of Gyeongbuk Province. Therefore, fish investigation in up and downstream of the dam was conducted from 2004 to 2008 in order to determine any negative effect on fish community due to dam construction and to use as fundamental data for conserving species diversity and maintaining stream health. According to data analysis on water quality, temperature, dissolved oxygen, pH, suspended solids, and total E-coli had seasonal variation, but they did not significantly differ in sites. However, biological and chemical oxygen demand, chlorophyll-a, nitrogen, and phosphorus representing organic matter and nutrient concentration were higher in upper site and decreased to lower site so that they differed by site. Concentration of arsenic among the heavy metals was less than 0.05 mg $L^{-1}$, which is regulated for protection of human health in water quality standard, except for 0.092 mg $L^{-1}$ in June 2005. During the study period, the total number of fish caught from the 6 sites was 10,263 representing 7 families 19 species. Among them, dominant and subdominant species were Korean chub (Zacco koreanus, 62.5%) and Chinese minnow (Rhynchocypris oxycephalus, 10.6%) which inhabit mostly in mid and upper streams, Korea. Among the 19 species, Korean endemic species were 9 species (47.4%) including Korean slender gudgeon (Squalidus gracilis majimae), Korean dark sleeper (Odontobutis platycephala), and Korean shiner (Coreoleuciscus splendidus). There was several individuals of the $1^{st}$-class endangered species, Naktong nose loach (Koreocobitis nahtongensis), caught in 2005${\sim}$2007, and no introduced species of fish was found in entire sampling period. According to result of community analysis, dominance index decreased toward lower site, but diversity and richness indices increased toward lower site. The equation of length-weight relationship on the dominant species was TW=0.000003$(TL)^{3.2603}$. The parameter b in the equation was greater than 3.0 indicating good nutritional condition in the populations. Compared to populations of Korean chub in other streams, the population in Hwabuk Dam watershed had higher mean of condition factor by size indicating better growth rate. With fish fauna and multi-metric health assessment model in each sampling attempt, index of biotic integrity (IBI) was evaluated and it resulted mostly in good (26${\sim}$35) and excellent (36${\sim}$40) condition in all sites, and the mean of IBI was the highest in site 5. The results indicate that it is very important to study not only environmental impact assessment with fish composition but also stream health assessment in order to conserve healthy aquatic ecosystem.

Benthic Macroinvertebrate Community Changes after Impoundment of Yeongju dam in Korea (영주댐 담수 이후 저서성 대형무척추동물 군집변화)

  • An, Chae-Hui;Han, Jung-Soo;Choi, Jun-Kil;Lee, Hwang-Goo
    • Korean Journal of Environment and Ecology
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    • v.33 no.5
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    • pp.515-524
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    • 2019
  • The purpose of this study is to investigate the effects of artificial disturbance by analyzing and comparing the survey data of the Yeongju dam located in Yeongju-si, Gyeongbuk before and after impoundment. We surveyed four sites between the downstream of sediment control to the downstream of Yeongju Dam four times between April and October 2018. The macroinvertebrate data before the survey were gathered from the literature. The total number of benthic macroinvertebrates we observed was $35,037ind./m^2$, including 77 species, 48 families, 14 orders, 7 classes, and 3 phyla. The result of the community analysis showed that the dominant index increased from 0.44(${\pm}0.11$) before impoundment to 0.62(${\pm}0.16$) after impoundment. The diversity index increased from 2.26(${\pm}0.30$) to 1.75(${\pm}0.45$), the evenness index from 0.75(${\pm}0.10$) to 0.66(${\pm}0.14$), and the richness index from 3.11(${\pm}0.98$) to 2.25(${\pm}0.81$). The most dominant species changed from Hydropsychidae spp. to Chironomidae sp. The result of the Principal Components Analysis (PCA) based on Axis 1 showed that the sites of 2014 and Hydropsychidae spp. had a negative value, while the sites of 2018 and Chironomidae sp. had a positive value. In all study sites, the dominance increased while the diversity decreased. The community change was the largest in St. 2. The results of the functional group analysis showed that the scrapers increased while gathering-collectors increased among the functional feeding group and that the clingers decreased while borrows increased among the habitat oriented group. The Benthic Macroinvertebrate Streambed Index (BMSI) decreased from an average of 57.1(${\pm}8.0$, C class) to an average of 30.0(${\pm}12.1$, C class). St. 3 and St. 4, in particular, showed a high reduction rate.