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Levels of Physicians' Self-assessment of Life Satisfaction and Associated Factors (임상의사의 삶의 만족도 자가평가 수준과 관련 요인)

  • Jong Sun Ok;Hyeongsu Kim
    • Journal of agricultural medicine and community health
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    • v.48 no.1
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    • pp.28-40
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    • 2023
  • Objectives: This study aimed to identify the level of self-assessment of life satisfaction and various factors related to the life satisfaction of Korean physicians. Methods: This study is a secondary data analysis using the 2016 Korean physician survey Korean Physician Survey(KPS) data collected by the Research Institute for Healthcare Policy of the Korean Medical Association. The member database(DB) of the Korean Medical Association was used for sampling and the target population was formed and surveyed by using stratified quota sampling. A questionnaire was sent by E-mail as an online survey method and was conducted for a total of 7 weeks from November 21, 2016 to January 8, 2017. The final number of respondents was 8,564 (response rate 13.8%). In this study, a total of 7,228 physicians, excluding residents and public health doctors who are currently treating patients directly, were studied. Factors affecting the life satisfaction of physicians were analyzed using ordinal logistic regression analysis. Results: The physical factors positively related to the life satisfaction of physicians were those who were in their 60s, female, and thought they had good health status. As for psychological factors, stress was low. As for economic factors, satisfaction with income was high. As for social factors, the physicians lived with their families and were satisfied with the time they could spend with them. Also, the physicians were satisfied with the social respect they received as a doctors. Conclusions: Based on the results of this study, it is thought that a multifaceted approach is needed to increase the life satisfaction of physicians.

Detection of Site Environment and Estimation of Stand Yield in Mixed Forests Using National Forest Inventory (국가산림자원조사를 이용한 혼효림의 입지환경 탐색 및 임분수확량 추정)

  • Seongyeop Jeong;Jongsu Yim;Sunjung Lee;Jungeun Song;Hyokeun Park;JungBin Lee;Kyujin Yeom;Yeongmo Son
    • Journal of Korean Society of Forest Science
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    • v.112 no.1
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    • pp.83-92
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    • 2023
  • This study was established to investigate the site environment of mixed forests in Korea and to estimate the growth and yield of stands using national forest resources inventory data. The growth of mixed forests was derived by applying the Chapman-Richards model with diameter at breast height (DBH), height, and cross-sectional area at breast height (BA), and the yield of mixed forests was derived by applying stepwise regression analysis with factors such as cross-sectional area at breast height, site index (SI), age, and standing tree density per ha. Mixed forests were found to be growing in various locations. By climate zone, more than half of them were distributed in the temperate central region. By altitude, about 62% were distributed at 101-400 m. The fitness indexes (FI) for the growth model of mixed forests, which is the independent variable of stand age, were 0.32 for the DBH estimation, 0.22 for the height estimation, and 0.18 for the basal area at breast height estimation, which were somewhat low. However, considering the graph and residual between the estimated and measured values of the estimation equation, the use of this estimation model is not expected to cause any particular problems. The yield prediction model of mixed forests was derived as follows: Stand volume =-162.6859+6.3434 ∙ BA+9.9214 ∙ SI+0.7271 ∙ Age, which is a step- by-step input of basal area at breast height (BA), site index (SI), and age among several growth factors, and the determination coefficient (R2) of the equation was about 96%. Using our optimal growth and yield prediction model, a makeshift stand yield table was created. This table of mixed forests was also used to derive the rotation of the highest production in volume.

Distyly and Population Size of Abeliophyllum distichum Nakai, an Endemic Plant in Korea (한국 특산식물 미선나무의 이화주성(Distyly) 및 개체군 크기)

  • So-Dam Kim;Ae-Ra Moon;Shin-Young Kwon;Seok-Min Yun;Hwi-Min Kim;Dong-Hyoung Lee;Sung-Won Son
    • Korean Journal of Environment and Ecology
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    • v.36 no.6
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    • pp.639-650
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    • 2022
  • Abeliophyllum distichum Nakai, a rare plant with distylous characteristics, is native to certain parts of the Korean Peninsula. It is registered on the IUCN Red List of Threatened Species as a globally endangered plant. This study was conducted to establish an appropriate local conservation management plan suitable for future A. distichum populations by comparing and analyzing the flowering characteristics and population size according to distyly based on the results of quantitative surveys in 14 regions, including 8 areas with native populations of A. distichum and 6 natural monument populations. The number of individuals appearing in each population group was surveyed, and the flowering individuals were identified by style as being either pin or thrum flower types as they were being examined and recorded on the site. In total, 13,130 individuals of A. distichum (7,003 flowering and 6,127 non-flowering individuals) were recorded, but the balance of the number of pin- and thrum-flowered individuals in each population was not significant (p<0.05), indicating an imbalanced state. In particular, the Yeongdong (YD) population was very disproportionate compared to other populations, suggesting that its genetic diversity was low and the possibility of inbreeding was high. The average flowering and fruiting rates by management unit were much higher in the natural monument populations (89.2% and 55.3%, respectively) than in the natural habitat populations (39.0% and 8.5%, respectively). It may be due to a difference in reproductive growth resulting from light inflow into the forest caused by the upper crown closure. The area of occupation (AOO) of A. distichum on the Korean Peninsula covered an area of 23,224.5 m2. Although the natural monument population was smaller than the natural habitat population, its density was higher, likely as a result of the periodic management of natural monument populations, where the installation of protective facilities in certain areas restricts population spread. Conservation of A. distichum populations requires removing the natural monument populations suspected of anthropogenic and genetic disturbances and expanding the conservation priority population by designating new protected areas. Although the habitats of natural monument populations are managed by the Cultural Heritage Administration and local governments, there are no agencies that are responsible for managing natural habitat populations. Therefore, institutional improvement in the overall management of A. distichum should be prioritized.

A Study on the Seasonal Water Quality Characteristics and Suitability of Waterfront Activitiesin Waterfront Areas (친수지구의 계절별 수질특성과 친수활동의 적합성에 관한 연구)

  • Taek-Ho Kim;Yoon-Young Chang
    • Journal of Environmental Impact Assessment
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    • v.32 no.2
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    • pp.134-145
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    • 2023
  • Currently, the floodplains of major rivers are transforming into various types of waterfront spaces according to the increase in leisure activities and improved accessibility. In general, waterfront activities in river channels tend to be concentrated in summer, and the waterfront activities during this period directly affect water quality. Accordingly, it is necessary to accurately compare and evaluate the characteristics and water quality of waterfront activities during the period when waterfront activities are concentrated. In this study, the following research was conducted to compare and analyze the current status of waterfront activities of users of waterfront areas and the water quality of waterfront areas. First, three waterfront areas were selected for investigation using the information from the Ministry of Environment's water quality measurement network. Second, a survey was conducted on the satisfaction and types of waterfront activities targeting users of waterfront areas. Third, water quality grades were calculated based on monthly water quality measurement factors and compared. Fourth, statistical analysis (one-way analysis of variance) was conducted to see if there was a significant difference in water quality characteristics between periods of high waterfront activity and periods of low waterfront activity using water quality measurement data for the last 5 years. As a result of this analysis, the following conclusions were drawn in this study. First, the use of waterfront activities was investigated in the order of camping, water skiing, fishing, swimming, and rafting. Second, satisfaction factors for waterfront activities were investigated in the order of activity convenience, water quality, waterlandscape, transportation access convenience, and temperature. Third, it was found that satisfaction with water quality in waterfront areas was generally unsatisfactory regardless of the water quality grade presented by the competent authority. Fourth, as a result of comparing the water quality measurement network data of the Ministry of Environment by water quality grade, generally good grades were found, and in particular, there was a difference in grade frequency by season in the BOD category. Fifth, as a result of statistical analysis (one-way ANOVA) of water quality monitoring network data by season, there were statistically significant differences in COD, BOD, TP, and TOC except for DO. Considering the results of these studies, it is judged that it is necessary to prepare a comprehensive management system for water quality improvement in the waterfront zone and to improve water quality during periods of high waterfront activity, and to prepare a water quality forecasting system for waterfront areas in the future.

Distribution characteristics of macroinvertebrates in an agricultural paddy field and irrigation pond ecosystems in a farmer's practice manual on the village of the Agricultural Environment Conservation Program (농업 환경보전 프로그램 대상마을의 논과 둠벙 생태계의 저서성대형무척추동물 분포 특성)

  • I-Chan Shin;Seung-Hyun Lee;Young-Mi Lee;Ji-Young Yoon;Sung-Jun Hong;Hyun-Jo Yoon;Sang-Goo Park;Eun-Jung Han
    • Korean Journal of Environmental Biology
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    • v.40 no.2
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    • pp.148-156
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    • 2022
  • Ecological occupation in irrigation ponds is a well-acknowledged fact that is essential for biodiversity conservation in agricultural ecosystems. However, there are few studies on the ecological functions and relationship between a paddy field and irrigation using macroinvertebrates in an environmentally friendly paddy field. The objective of this study is to identify the community and distribution characteristics of macroinvertebrates in an agricultural paddy field and irrigation pond ecosystems, and to provide basic data on the ecological function of an environmentally friendly paddy field. Macroinvertebrate sampling was conducted from May to September in an agricultural paddy field and irrigation pond in an environment-friendly paddy field in Boryeong city. We conducted a study to identify the distribution characteristics using macroinvertebrate species analysis, such as Functional Feeding Groups (FFGs), Habitat Oriented Groups (HOGs), rarefaction curve, and a two-way dendrogram. A total of 37 species of macroinvertebrates in 28 families, 13 orders were collected study during the period of the investigation. Dominant taxa of macroinvertebrates included Coleoptera, Hemiptera, and Odonata. In terms of FFGs, predators and gathering collectors accounted for approximately 70%, in relation to HOGs, and climbers and swimmers occupied more than 50% from both the paddy field and irrigation pond. With respect to the rarefaction curve, the irrigation pond (July) was high as E (S, 141)=18 species, while the paddy field (May) was comparatively low as E (S, 141)=9 species. In conclusion, our results revealed that macroinvertebrates, such as Notonecta triguttata, Peltodytes intermedius, Appasus major, Laccotrephes japonensis, Appasus japonicus, Sigara substriata, Enochrus simulans, and Sternolophus rufipes, were used as a habitat and spawning ground in both paddy field and irrigation pond. The irrigation pond appears to be a very important spawning ground for macroinvertebrates.

Meiobenthic community structure in the coastal area of Hallyeohaesang National Park (한려해상국립공원 해역에 서식하는 중형저서동물의 계절별 군집 변동 특성)

  • Teawook Kang
    • Korean Journal of Environmental Biology
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    • v.40 no.2
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    • pp.125-137
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    • 2022
  • To assess the characteristics of meiofaunal community fluctuations related to environmental factors, seasonal surveys were conducted in the subtidal zone of Hallyeohaesang National Park. The average depth of the study area was about 20 m, and the average water temperature at the bottom was low in winter(11.33℃) and high in summer(17.95℃). The sedimentary particles mainly comprised silt and clay at most stations. The abundance of meiofauna ranged from 81.7 to 1,296.5 Inds. 10 cm-2, and the average abundance was 589.3 Inds. 10 cm-2. The average abundance of meiofauna in each season was the lowest at 416.5 Inds. 10cm-2 in winter and the highest at 704.5Inds.10 cm-2 in spring. The dominant taxa were nematodes (about 92%) and harpacticoids (about 5%). In the cluster analysis of meiofaunal communities, they were divided into four significant groups. The largest group mainly contained spring and summer samples, and contained stations with a high nematode density of over 500 Inds. 10 cm-2 and harpacticoids below 50 Inds. 10 cm-2 with a high composition ratio of nematodes. In the cluster analysis, no regional division was found between the stations, and it was thought to be divided by the seasons with high abundance according to seasonal variation and the composition ratio of nematodes and harpacticoids. In the Spearman rank correlation analysis, the density of total meiofauna and the most dominant taxa, nematodes, was not significantly related to environmental factors. However, the density of harpacticoids had a significant positive correlation with water depth and a negative correlation with sediment particle size.

A stratified random sampling design for paddy fields: Optimized stratification and sample allocation for effective spatial modeling and mapping of the impact of climate changes on agricultural system in Korea (농지 공간격자 자료의 층화랜덤샘플링: 농업시스템 기후변화 영향 공간모델링을 위한 국내 농지 최적 층화 및 샘플 수 최적화 연구)

  • Minyoung Lee;Yongeun Kim;Jinsol Hong;Kijong Cho
    • Korean Journal of Environmental Biology
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    • v.39 no.4
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    • pp.526-535
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    • 2021
  • Spatial sampling design plays an important role in GIS-based modeling studies because it increases modeling efficiency while reducing the cost of sampling. In the field of agricultural systems, research demand for high-resolution spatial databased modeling to predict and evaluate climate change impacts is growing rapidly. Accordingly, the need and importance of spatial sampling design are increasing. The purpose of this study was to design spatial sampling of paddy fields (11,386 grids with 1 km spatial resolution) in Korea for use in agricultural spatial modeling. A stratified random sampling design was developed and applied in 2030s, 2050s, and 2080s under two RCP scenarios of 4.5 and 8.5. Twenty-five weather and four soil characteristics were used as stratification variables. Stratification and sample allocation were optimized to ensure minimum sample size under given precision constraints for 16 target variables such as crop yield, greenhouse gas emission, and pest distribution. Precision and accuracy of the sampling were evaluated through sampling simulations based on coefficient of variation (CV) and relative bias, respectively. As a result, the paddy field could be optimized in the range of 5 to 21 strata and 46 to 69 samples. Evaluation results showed that target variables were within precision constraints (CV<0.05 except for crop yield) with low bias values (below 3%). These results can contribute to reducing sampling cost and computation time while having high predictive power. It is expected to be widely used as a representative sample grid in various agriculture spatial modeling studies.

Development of a smart cane concept for guiding the visually impaired - focused on design thinking learning practices for students - (시각장애인을 위한 길 안내용 스마트 지팡이 콘셉트 개발)

  • Park, Hae Rim;Lee, Min Sun;Yang, Ho Jung
    • Journal of Service Research and Studies
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    • v.13 no.1
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    • pp.186-200
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    • 2023
  • This study aims to improve the usability of the white cane, which is walking equipment that most local visually impaired people use and carry when going out, and to contribute to the prevention of safety accidents and the walking rights of visually impaired people by providing improvement and resolution measures for the problems identified. Also, this study is a study on the visually impaired, primarily targeting the 1st to 2nd degree visually impaired people, who cannot go out on their own without walking equipment such as a white cane, corresponding to 20% among approximately 250,000 blind and low vision people in the Korean population. In the study process, the concept has been developed from the user's point of view in order that the white cane becomes a real help in the walking step of the visually impaired and the improvement of usability of the white cane, the main walking equipment for the visually impaired, are done by problem identification through the Double Diamond Model of Design Thinking (Empathize → Define → Ideate → Prototype → Test (verify)). As a result of the investigation in the process of Empathy, a total of five issues was synthesized, including an increase in the proportion of the visually impaired people, an insufficient workforce situation to help all the visually impaired, an improvement and advancement of assistive devices essential for the visually impaired, problems of damage, illegal occupation, demolition, maintenance about braille blocks, making braille block paradigms for the visually impaired and for everyone. In Ideate and Prototype steps, situations derived from brainstorming were grouped and the relationship were made through the KJ method, and specific situations and major causes were organized to establish the direction of the concept. The derived solutions and major functions are defined in four categories, and representative situations requiring solutions and major functions are organized into two user scenarios. Ideas were visualized by arranging the virtual Persona and Customer Journey Map according to the situation and producing a prototype through 3D modeling. Finally, in the evaluation, the final concept derived is a device such a smart cane for guidance for the visually impaired as ① a smart cane emphasizing portability + ② compatibility with other electronic devices + ③ a product with safety and convenience.

Liquefaction Resistance of Gravel-Sand Mixtures (자갈-모래 혼합토의 액상화 거동)

  • Kim, Bang-Sig;Kang, Byung-Hee;Yoon, Yeo-Won
    • Journal of the Korean Geotechnical Society
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    • v.23 no.10
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    • pp.47-56
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    • 2007
  • In this research, the effects of the gravel content on the liquefaction behavior for both of the isotropically and $K_0-anisotropically$ consolidated gravel-sand mixtures are investigated. for this purpose, the cyclic triaxial tests for the specimens with the same relative density (Dr=40%) and variations of gravel content were performed. On the other hand, a series of undrained cyclic triaxial tests were carried out on the isotropically consolidated gravel-sand mixtures with the same void ratio (e=0.7) and from 0% to 30% gravel contents. Void ratios of gravel-sand mixtures with the same relative density (Dr=40%) are found to decrease significantly with the increase of the gravel content from 0% to about 70% and increase thereafter. But the void ratio of the sand matrix among the gravel skeleton increases with the increase of the gravel contents. Test results are as follows : for the isotropically consolidated specimen with 40% of relative density and low gavel contents (GC=0%, 20%, 40%), pore water pressure development and axial strain behavior during undrained cyclic loading show similar behavior to those of the loose sand because of high void ratio, and the specimens with high gravel content (70%) both pore pressure and strata behaviors are similar to those of dense sand. And the isotropically consolidated specimens with the same void ratio (e=0.7) and higher gravel contents show the same behavior of pore water pressure and axial strain as that of the loose sand, but for the lower gravel content this behavior shows similar behavior to that of dense sand. The liquefaction strength of the isotropically consolidated specimens with the same relative density increases with gravel content up to 70%, and the strength decreases with the increase of the gravel content at the same void ratio. Thus, it is confirmed that the liquefaction strength of the gravel-sand mixtures depends both on relative density and void ratio of the whole mixture rather than the relative density of the sand matrix filled among gravels. On the other hand, the behavior of pore water pressure and axial strain for the $K_0-anisotropically$ consolidated gravel-sand mixtures shows almost the same cyclic behavior of the sand with no stress reversal even with some stress reversal of the cyclic loading. Namely, even the stress reversal of about 10% of cyclic stress amplitude, the permanent strain with small cyclic strain increases rapidly with the number of cycles, and the initial liquefaction does not occur always with less than maximum pore water pressure ratio of 1.0. The liquefaction resistance increases with the gravel contents between 0% and 40%, but tends to decrease beyond 40% of gravel content. In conclusion, the cyclic behavior of gravel-sand mixtures depends on factors such as gravel content, void ratio, relative density and consolidation condition.

A Survey of Patient Satisfaction with the use of Aloe Vera Mist for Skin Care during Radiation Therapy for Breast Cancer (유방암 방사선치료 중 피부 관리를 위한 알로에 베라 미스트 사용에 대한 환자 만족도 조사)

  • Han-A Yun;Hyo-Young Lee
    • Journal of the Korean Society of Radiology
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    • v.17 no.2
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    • pp.231-242
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    • 2023
  • This study aims to provide basic data to reduce the incidence of radiation dermatitis and improve patient satisfaction by investigating the management status and satisfaction level of radiation dermatitis in patients undergoing radiation therapy. From October 28, 2022, to April 4, 2023, a survey was conducted on 137 breast cancer patients who received radiation therapy at G Hospital in Busan. The Radiation Therapy Oncology Group (RTOG) cutaneous acute radiotherapy toxicity score was used as the standard for measuring skin reactions, and the association between cancer stage and RTOG was analyzed. SPSS program (ver. 18.0) was used for statistical analysis. The frequency of radiation dermatitis occurrence was relatively low, with 73% in the RTOG 0-1 group and 27% in the 2-3 group. Patient satisfaction after radiation therapy varied significantly depending on the RTOG group, with lower levels of dermatitis resulting in higher satisfaction and higher levels resulting in dissatisfaction (p=0.001). Although there was no statistically significant difference in RTOG group and skin satisfaction depending on the frequency of aloe mist use (p=0.065), the group that used it 1-2 times a day (69.3%) showed a higher satisfaction level. The perceived effects of aloe mist use were statistically significant for decreasing heat sensation (p=0.001), pain (p=0.033), itching (p=0.001), and psychological stability (p=0.027), especially in the higher RTOG groups. Additionally, as cancer stage increased, the severity of radiation dermatitis also increased, which was statistically significant (p=0.001). In conclusion, radiation dermatitis is the most common side effect of radiation therapy, and it can appear in various forms depending on individual skin sensitivity and external factors during treatment. Adequate education before treatment and the use of MD Cream and aloe vera mist are recommended to reduce the incidence and manage radiation dermatitis effectively.