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A study on OHIP-14 and EQ-5D of residents in some rural areas (일부 농촌지역 주민들의 OHIP-14와 EQ-5D에 관한 연구)

  • Lee, Eun-Gyeong;Park, Jeong-Hee;Park, Jeong-Ran;Park, Jae-Yong
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.197-211
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    • 2011
  • Objectives : OHIP-14 and EQ-5D were used, targeting the residents of farming communities to identify the elements that influence oral cavity's health and quality of life due to health and to identify the importance of oral cavity's health in order to increase health of adults' oral cavity and quality of life via improved health. Methods : This research was conducted from July 17th, 2010 to August 16th, 2010 targeting 600 residents in Goryeong-gun, Gyeongsangbuk-do, aging over 40. The data has been analyzed using Mann-Whitney U test, Kruskal-Wallis test and hierarchical multiple regression through SPSS Win Program 18.0 version. Results : 1. OHIP-14 and EQ-5D based on general characteristics showed lower oral health-related quality of life and health-related quality of life on the following cases: women (p=0.004, p<0.001), older (p<0.001, p<0.001), lower scholastic ability (p<0.001, p<0.001), lower average of average spending money (p<0.001, p<0.001), higher number of chronic disease (p<0.001, p<0.001), less drinking (p=0.012, p=0.008), lower perceived oral health and health status (p<0.001, p<0.001) and non smoking showed only EQ-5D (p<0.001). 2. OHIP-14 and EQ-5D based on oral health behavior showed lower oral health-related quality of life and health-related quality of life on the following cases: no periodic oral check-up (p<0.001, p<0.001), less experience of oral health education (p<0.001, p<0.001), horizontal tooth-brushing method(p<0.001, p<0.001) and lower frequency of tooth-brushing showed only OHIP-14 (p=0.042). OHIP-14 and EQ-5D based on oral health status and subjective oral symptom showed lower oral health-related quality of life and health-related quality of life on following cases: number of existing tooth less than 20 (p<0.001, p<0.001), the number of missing teeth more than 9 (p<0.001, p=0.044), DMFT (Decay, Missing, Filling Teeth) index more than 18 (p<0.001, p<0.001), wears denture (p<0.001, p<0.001), edentulous (p<0.001, p=0.002), have xerostomia (p<0.001, p<0.001) and have chewing discomfort (p<0.001, p<0.001). 3. Factors affecting OHIP-14 were gender, age, perceived oral health status, perceived health status, number of existing teeth, dental status, xerostomia and chewing discomfort, and the of reliability (how well it explains) the final model was 48.7%. EQ-5D showed relevance on gender, age, presence of chronic disease, perceived health status, xerostomia, chewing discomfort and oral health-related quality of life, and the reliability of the final model was 42.9%. Conclusions : In order to improve the quality of life of ruralists, oral health needs to be improved or remained by increasing the rate of possession of the existing teeth and preventing the loss of teeth. In order to do so, improvement of accessibility of dental clinic, change of direction from treatment-centered to prevention-centered health care system, development of oral health education program and various oral health care policies which would vitalize continuous oral health care system are considered to be necessary.

Factors Associated with Care Burden among Family Caregivers of Terminally Ill Cancer Patients (말기암환자 가족 간병인의 간병 부담과 관련된 요인)

  • Lee, Jee Hye;Park, Hyun Kyung;Hwang, In Cheol;Kim, Hyo Min;Koh, Su-Jin;Kim, Young Sung;Lee, Yong Joo;Choi, Youn Seon;Hwang, Sun Wook;Ahn, Hong Yup
    • Journal of Hospice and Palliative Care
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    • v.19 no.1
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    • pp.61-69
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    • 2016
  • Purpose: It is important to alleviate care burden for terminal cancer patients and their families. This study investigated the factors associated with care burden among family caregivers (FCs) of terminally ill cancer patients. Methods: We analyzed data from 289 FCs of terminal cancer patients who were admitted to palliative care units of seven medical centers in Korea. Care burden was assessed using the Korean version of Caregiver Reaction Assessment (CRA) scale which comprises five domains. A multivariate logistic regression model with stepwise variable selection was used to identify factors associated with care burden. Results: Diverse associating factors were identified in each CRA domain. Emotional factors had broad influence on care burden. FCs with emotional distress were more likely to experience changes to their daily routine (adjusted odds ratio (aOR), 2.54; 95% confidence interval (CI), 1.29~5.02), lack of family support (aOR, 2.27; 95% CI, 1.04~4.97) and health issues (aOR, 5.44; 2.50~11.88). Family functionality clearly reflected a lack of support, and severe family dysfunction was linked to financial issues as well. FCs without religion or comorbid conditions felt more burdened. The caregiving duration and daily caregiving hours significantly predicted FCs' lifestyle changes and physical burden. FCs who were employed, had weak social support or could not visit frequently, had a low self-esteem. Conclusion: This study indicates that it is helpful to understand FCs' emotional status and family functions to assess their care burden. Thus, efforts are needed to lessen their financial burden through social support systems.

Studies of Molecular Breeding Technique Using Genome Information on Edible Mushrooms

  • Kong, Won-Sik;Woo, Sung-I;Jang, Kab-Yeul;Shin, Pyung-Gyun;Oh, Youn-Lee;Kim, Eun-sun;Oh, Min-Jee;Park, Young-Jin;Lee, Chang-Soo;Kim, Jong-Guk
    • 한국균학회소식:학술대회논문집
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    • 2015.05a
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    • pp.53-53
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    • 2015
  • Agrobacterium tumefaciens-mediated transformation(ATMT) of Flammulina velutipes was used to produce a diverse number of transformants to discover the functions of gene that is vital for its variation color, spore pattern and cellulolytic activity. Futhermore, the transformant pool will be used as a good genetic resource for studying gene functions. Agrobacterium-mediated transformation was conducted in order to generate intentional mutants of F. velutipes strain KACC42777. Then Agrobacterium tumefaciens AGL-1 harboring pBGgHg was transformed into F. velutipes. This method is use to determine the functional gene of F. velutipes. Inverse PCR was used to insert T-DNA into the tagged chromosomal DNA segments and conducting sequence analysis of the F. velutipes. But this experiment had trouble in diverse morphological mutants because of dikaryotic nature of mushroom. It needed to make monokaryotic fruiting varients which introduced genes of compatible mating types. In this study, next generation sequencing data was generated from 28 strains of Flammulina velutipes with different phenotypes using Illumina Hiseq platform. Filtered short reads were initially aligned to the reference genome (KACC42780) to construct a SNP matrix. And then we built a phylogenetic tree based on the validated SNPs. The inferred tree represented that white- and brown- fruitbody forming strains were generally separated although three brown strains, 4103, 4028, and 4195, were grouped with white ones. This topological relationship was consistently reappeared even when we used randomly selected SNPs. Group I containing 4062, 4148, and 4195 strains and group II containing 4188, 4190, and 4194 strains formed early-divergent lineages with robust nodal supports, suggesting that they are independent groups from the members in main clades. To elucidate the distinction between white-fruitbody forming strains isolated from Korea and Japan, phylogenetic analysis was performed using their SNP data with group I members as outgroup. However, no significant genetic variation was noticed in this study. A total of 28 strains of Flammulina velutipes were analyzed to identify the genomic regions responsible for producing white-fruiting body. NGS data was yielded by using Illumina Hiseq platform. Short reads were filtered by quality score and read length were mapped on the reference genome (KACC42780). Between the white- and brown fruitbody forming strains. There is a high possibility that SNPs can be detected among the white strains as homozygous because white phenotype is recessive in F. velutipes. Thus, we constructed SNP matrix within 8 white strains. SNPs discovered between mono3 and mono19, the parental monokaryotic strains of 4210 strain (white), were excluded from the candidate. If the genotypes of SNPs detected between white and brown strains were identical with those in mono3 and mono19 strains, they were included in candidate as a priority. As a result, if more than 5 candidates SNPs were localized in single gene, we regarded as they are possibly related to the white color. In F. velutipes genome, chr01, chr04, chr07,chr11 regions were identified to be associated with white fruitbody forming. White and Brown Fruitbody strains can be used as an identification marker for F. veluipes. We can develop some molecular markers to identify colored strains and discriminate national white varieties against Japanese ones.

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Utilization of Wood by-product and Development of Horticultural Growing Media (임산부산물을 이용한 원예용 혼합상토 개발)

  • Jung, Ji Young;Lim, Ki-Byung;Kim, Ji Su;Park, Han Min;Yang, Jae-Kyung
    • Horticultural Science & Technology
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    • v.33 no.3
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    • pp.435-442
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    • 2015
  • The main objective of this work was to identify and evaluate possible substrate alternatives or amendments to peat moss. This study involves the physical and chemical characterization and growth test of wood sawdust and wood fiber in order to evaluate their use as components of horticultural media. The carbohydrate content, C/N ratio, pH, phenolic compound, total porosity and water holding capacity were 58.9%, 425.1, 4.8, 181.8 ($mg{\cdot}g^{-1}$), 82.5% and 47.1% in wood sawdust and 41.1%, 240.8, 5.9, 29.8 ($mg{\cdot}g^{-1}$), 90.6% and 56.2% in wood fiber, respectively. Wood sawdust (K, $998.0mg{\cdot}100g^{-1}$ ; Ca, $1196.0mg{\cdot}100g^{-1}$; Mg, $105.6mg{\cdot}100g^{-1}$) and wood fiber (K, $1250.1mg{\cdot}100g^{-1}$; Ca, $1982.6mg{\cdot}100g^{-1}$; Mg, $173.1mg{\cdot}100g^{-1}$) showed adequate mineral elements properties compared to peat moss (K, $0.02mg{\cdot}100g^{-1}$; Ca, $0.57mg{\cdot}100g^{-1}$; Mg, $0.13mg{\cdot}100g^{-1}$) for their use as growing media. The mixtures of the horticultural media were prepared using different substrate as wood sawdust and wood fiber to grow Chinese cabbage (Brassica campestris L.) in a greenhouse. The seed germination, leaf area and stem height were 75%, $0.50cm^2$ and 2.8 cm in PS substrate (containing 30% peat moss, 10% perlite and 60% wood sawdust) and 95%, $0.65cm^2$ and 3.3 cm in PF substrate (containing 30% peat moss, 10% perlite and 60% wood fiber), respectively. The seed germination and stem height of the PF substrate (containing 30% peat moss, 10% perlite and 60% wood fiber) was higher than those in peat moss (control). Utilization of wood by-product can be considered as an alternative media component to substitute the widely using expensive peat moss.

Impacts of Urban High Temperature Events on Physiology of Apple Trees: A Case Study of 'Fuji'/M.9 Apple Trees in Daegu, Korea (도심지역 고온현상이 사과나무 생육과정에 미치는 영향: 대구광역시 '후지'/M.9을 사례로)

  • Sagong, Dong-Hoon;Kweon, Hun-Joong;Park, Moo-Yong;Song, Yang-Yik;Ryu, Su-Hyun;Kim, Mok-Jong;Choi, Kyung-Hee;Yoon, Tae-Myung
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.15 no.3
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    • pp.130-144
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    • 2013
  • In this study, we examined the effect of high temperature of urban area on the physiological response of apple tree including the photosynthesis, shoot growth, and fruit quality of 'Fuji'/M.9 apple trees planted at Daegu urban area (DUA) and Gunwi rural area (GRA) for 2 years (2009-2010). During the apple growing season (April-October), the average air temperature of DUA was about $3.0^{\circ}C$ higher than that of GRA and the total rainfall of DUA was 130 mm more than that of GRA. During fruit enlargement stage (June-August), the number of days that recorded daily mean temperature of over $30^{\circ}C$ were ten on DUA in 2010, but there was no day when such temperature was experienced in 2009. Average air temperature of DUA during the maturation stage (September-October) was $19.8^{\circ}C$, which was $4.0^{\circ}C$ higher than that of GRA. The higher temperature of over $30^{\circ}C$ during fruit enlargement stage decreased the photosynthetic rate, shoot growth, fruit weight, and soluble solid content of 'Fuji'/M.9 apple tree. The moderate temperature of about $20^{\circ}C$ during maturation stage increased the photosynthetic rate and soluble solid content of 'Fuji'/M.9 apple tree, but decreased fruit red color. In regional comparison with GRA, photosynthetic rate of DUA was changed from lower before rainy season to higher after rainy season. Fruit weight was higher in DUA than that of GRA. However, fruit weight between DUA and GRA did not show the difference when accumulated days that recorded daily maximum temperature over $35^{\circ}C$ of DUA was increased. Compared to the GRA, soluble solid content of DUA was higher, but fruit red color of DUA was less. These results indicate that the poor red coloring is the most problematic in 'Fuji'/M.9 apple tree by global warming and urbanization.

Comparison of the Awareness and Knowledge of Scrub Typhus between Case and Control Groups (쯔쯔가무시증 환자군과 대조군의 인지도와 지식 비교)

  • Lee, Kwan;Park, Byeong-Chan;Lim, Hyun-Sul;Kweon, Sun-Seog;Choi, Jin-Su;Kim, Jang-Rak;Kim, Keon-Yeop;Ryu, So-Yeon
    • Journal of agricultural medicine and community health
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    • v.37 no.1
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    • pp.1-11
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    • 2012
  • Objectives: To survey the awareness of patient to scrub typhus to provide data for education and communication concerning scrub typhus. Methods: Patients with scrub typhus (case group, n=299) and people without scrub typhus within the previous 2 years (control group, n=598) were matched for age (within 5 years), gender, and occupation (farmer or non-farmer). The participants were recruited from 15 study areas between October and December 2006. Results: The awareness rate of scrub typhus was 75.1%, and was significantly higher than in the case group (79.4% vs. 66.6%, respectively; p<0.01). The major routes of awareness were from 'past history of scrub typhus in family members or neighbors' (54.9%), 'television' (28.3%), and their past history of scrub typhus (5.5%). The average correct rate of scrub typhus was 48.4%, and the correct response rate of cases was significantly higher than controls (p<0.01). Especially, the correct rate of etiology, incubation period, route of transmission, and acquired immunity was <40%. Through conditional logistic regression test, the factor significantly associated with awareness in case group was age (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.94-0.98). And the factors associated with awareness in control group were female (OR, 1.56; 95% CI, 1.03-2.36) age (OR, 0.98; 95% CI, 0.96-0.99), family history of scrub typhus (OR, 10.18; 95% CI, 1.37-75.99), history of receiving prevention education (OR, 8.47; 95% CI, 1.14-63.00). Conclusions: The rate of awareness was relatively low in study population. Thus, effective working guidelines and educational program to prevent scrub typhus must be developed, and publicity activities about the prevention of scrub typhus are needed for high-risk groups.

Personnel's Perception toward Conducting an Autopsy in General Hospital (대학병원 직원들의 부검에 대한 인식도)

  • Lee, Ho-Beom;Kwak, Jyung-Sik
    • Journal of forensic and investigative science
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    • v.2 no.2
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    • pp.30-49
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    • 2007
  • An autopsy is a postmortem assessment or examination of a body to determine cause of death or manner of death. The author had surveyed Personnel's perception toward conducting an autopsy in general hospital with autopsy at YeungNam University Medical Center, Daegu, Korea from April, to May, 2007. The total number of 286 personnel consisted of 121 men(42.3%), 165 women(57.7%). There were 57 doctors(19.9%), 71 nurses(24.8%), 83 medical technicians (29.0%), 58 office workers(20.3%), and 17 others(5.9%). 61.4% of doctors had an experience of education for autopsy more than 2 times, but nurses(1.4%), medical technicians(15.7%), office workers(1.7%), and others(5.9%) had little experience. Response of conducting an autopsy for sudden death of respondent or respondent's family member was 59.6% of doctors, 22.5% of nurses, 39.8% of medical technicians, 41.4% of office workers, and 35.3% of others. Response of conducting an autopsy for sudden death of respondent's companion was 66.7% of doctors, 33.8% of nurses, 39.8% of medical technicians, 43.1% of office workers, and 17.6% of others. Response of conducting an autopsy for sudden death of patients in general hospital was 50.9% of doctors, 8.5% of nurses, 19.3% of medical technicians, 24.1% of office workers, and 17.6% of others. Survey about a proper institution for autopsy showed 73.7% of doctors for department of forensic medicine in medical school, and 62.0% of nurses, 59.0% of medical technicians, 46.6% of office workers, and 58.8% of others for National Institute of Scientific Investigation. Most of the respondents agreed with the forensic pathologist as the director of autopsy:98.2% of doctors, 94.4% of nurses, 96.4% of medical technicians, 89.7% of office workers, and 88.2% of others. Survey for necessity for autopsy showed responsiveness of doctors, 23.9% of nurses, 47.0% of medical technicians, 34.5% of office workers, and 23.5% of others. Survey for donation of him- or herself after death to the medical school or institution for the death investigation revealed responsiveness of 22.8% of doctors, 11.3% of nurses, 24.1% of medical technicians, 22.4% of office workers, and 23.5% of others. The result of the survey questionnaire showed more negative awareness for autopsy in nurses, medical technicians, office workers, others and than doctors. To improve the negative awareness for autopsy and settle proper postmortem inspection system, education of professional manpower for forensic medicine and inaction of law which is adequate for the actual circumstance of Korea should be considered.

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The Child Sexual Assaults by Kin -The Experience of YoungNam District Sunflower Center for Prevention of Child Sexual Assaults- (친족에 의한 아동 성폭력 실태 - 영남권역 해바라기 아동센터의 경험 -)

  • Seo, Sun-Ki;Lee, Sang-Han
    • Journal of forensic and investigative science
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    • v.2 no.2
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    • pp.21-29
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    • 2007
  • News from the media on sexual assaults to children committed by natural fathers doesn't attract social attention any more. The number of crimes related to Child Sexual Assault(CSA) is increasing every year in spite of the "Special Act on Prevention of Sexual Assault in Korea". The YoungNam District Sunflower Center for prevention of Child Sexual Assaults(SC-CSA) was established in Daegu, June 2005. The YoungNam District SC-CSA provides forensic evaluation of physical evidence, medical and psychological treatment for the victims less than 13 years of sexual assaults simultaneously. This study carried out 36 cases of CSA by kin reported to YoungNam District SC-CSA, among 180 cases in total until December 2006 since its opening. Most of the victims were girls (32 cases). 28 cases (78%) were indecent assaults (78%) and 8 cases (22%) were rapes. The assailants were overwhelmingly males (35 cases). The assailants of 21 cases (58.3%) were identified as the victims' natural fathers. The incident locations were victim's residence (31 cases, 86.1%) and the victims had been sexually assaulted regularly for many years (25 cases, 69.4%). Considering the above research, we can conclude that CSA committed by kin has specific characteristics. CSA is not a one-time incident, but consistently occurring crime. However, in 22 cases (61.1%), the victim's guardian didn't want to report about it or punish the assailants. As the assailants were natural fathers or relatives of the victims, the other family members probably thought it might be shameful to reveal their wrong doings and would lead to defamation of their family's reputation. The SC-CSA provides the counseling and medical treatment to the victims with the consent of the parents. Due to the guardians' misjudgment, the incident is sometimes not reported to the police. By not reporting the incident to the police, the assailant freely commits other crimes, which multiplies victims. The legal Act of supporting the management of the SC-CSA is still not regulated, so the stability of the SC-CSA is not guaranteed, yet. Even though it is obligatory to report incidents to the police, some cases are still not reported. Currently, there are three SC-CSA centers : in Seoul, in Daegu, and in Gwangju. More centers need to be established to diminish CSA cases in Korea.

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Correlation between Leaf Size and Seed Weight of Soybean (콩의 잎 크기와 종실 무게와의 상관)

  • Park, Gyu-Hwan;Baek, In Youl;Han, Won Young;Kang, Sung Taek;Choung, Myoung Gun;Ko, Jong Min
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.58 no.4
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    • pp.383-387
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    • 2013
  • This study was carried out to examine whether the leaf size is likely to be used as a selection criterion for large seed genotype in soybean (Glycine. max (L.) Merr.) breeding program. Two hundred twenty nine soybean germplasms which had collected in Korea, United States, China and Japan were used in this experiment. The area of unifoliate leaf, middle leaflet of first trifoliate and third trifoliate leaf ranged from $3.2cm^2$ to $33.8cm^2$, 9.2 to $29.5cm^2$, and 7.2 to $58.9cm^2$, respectively. One hundred seed weight also showed great variation from 2.7 to 39.0 gram. The average leaf area of unifoliate, middle leaflet of first trifoliate and third trifoliate leaf were $15.7cm^2$, $18.1cm^2$ and $32.7cm^2$, respectively, and that of seed average weight was 17.2 gram per one hundred seed. Significantly positive correlations were observed between seed weight and leaf area of unifoliate (r=$0.80^{**}$), first trifoliate (r=$0.75^{**}$) and third trifoliate (r=$0.67^{**}$), respectively. Both the leaf length and leaf width of unifoliate, middle leaflet of first trifoliate and third trifoliate leaf were significantly positively correlated with seed weight and both the correlations of unifoliate were higher than the other leaves. The correlations of leaf width in soybean leaflet were higher than those of leaf length. Leaf length/width (L/W) ratio of upper leaf was higher than that of lower leaf in the leaf size. Both the leaf area and leaf width of unifoliate leaf are the most suitable predictive characteristics of early selection in related to seed weight for soybean breeding program.

The Behaviour of Residues of Flonicamid and Metabolites in Sweet peppers (착색단고추 중 플로니카미드 및 그 대사산물의 잔류특성)

  • Son, Kyeong-Ae;Kwon, Hyeyoung;Jin, Yong-Duk;Park, Byeong Jun;Kim, Jinba;Park, Jung-Hwon;Kim, Taek-Kyum;Im, Geon-Jae;Lee, Key-Woon
    • The Korean Journal of Pesticide Science
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    • v.17 no.3
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    • pp.145-154
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    • 2013
  • Flonicamid was a water-soluble and systemic insecticide. It was applied to control neonicotinod pesticide-resistant cotton aphid in sweet peppers. However, the residue levels of total flonicamid in sweet pepper exported to Japan in 2009 were exceeded the maximum residue limit (MRL). This study was conducted to elucidate residual properties of flonicamid parent compound and its metabolites in sweet peppers. It was carried out to compare the variation of residues in sweet pepper in three different greenhouses for 21 days after 3 times application with 7 days interval. The mean residues were 0.176, 0.152 and 0.108 mg $kg^{-1}$ and the residue levels in sweet pepper among three greenhouses show significant difference. The maximum residue levels were detected 10 days later after last treatments. The overall residue levels were lower than MRL 2.0 mg $kg^{-1}$ (by Korea) and 0.4 mg $kg^{-1}$ (by Japan in 2009 but now revised MRL is 2.0 mg $kg^{-1}$). But the residue level of total flonicamid at the 21th day after 3 times treatment with 7 days interval was 0.429 mg $kg^{-1}$ restricted by the application of double rate than recommended rate. The amounts of metabolites, TFNA, 4-Trifluoro methyl nicotinic acid and TFNG, N-(4-trifluoro methyl nicotinoyl) glycine were increased while flonicamid parent compound was decreased over time. Therefore the longer trial period should be needed for flonicamid in sweet peppers.