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A study on educational need of nurses for home care (간호사의 가정간호를 위한 교육요구 분석)

  • Moon Jung-Soon
    • Journal of Korean Public Health Nursing
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    • v.5 no.2
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    • pp.5-25
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    • 1991
  • This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

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Emplacement Depth of Cretaceous Granites in Kyeongsang Basin, E Korea (경상분지내 백악기 화강암류의 정치 깊이에 관한 연구)

  • Ko, Jeong-Seon;Yun, Sung-Hyo;Ahn, Ji-Young;Kim, Hyang-Soo;Choi, You-Jong
    • Journal of the Korean earth science society
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    • v.21 no.1
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    • pp.59-66
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    • 2000
  • In Kyeongsang basin, there were very dynamic magmatic activities, resulting to form volcanic and plutonic rocks. A plutonic recycle appeared in this region. Presumption of the pressure for hornblende-bearing granitic rock among the plutonic rocks, can support important informations for the emplacement depth of Cretaceous Bulgugsa granites in Kyeongsang basin. $Al^T$(Al total) contents of hornblende is related to the pressure, oxygen fugacity, and compositions of other minerals having the solid solution. So we apply the $Al^T$ content of hornblende to several empirical and experimental geobarometer systems to presume the pressure and to determine the emplacement depth of Cretaceous Bulgugsa granites in Kyeongsang basin from the inferred pressure. With the result that we applied the $Al^T$ contents of hornblende to the various geobarometers, there was a positive relationship between the pressure and $Al^T$. The minimum pressure value ranges from 0.73 to 1.70kbar in Kyeongju and the maximum value from 2.02 to 3.16kbar in Kimhae. And then the tectonic setting in Kyeongsang basin has no relation to the emplacement depth of Cretaceous granites and means variations with the movement of vertical component in each area. As we suppose that the density of earth's crust is $2.8g/cm^3$, the average values of the emplacement depth ranges in each area range from 2.6 to 11.4km. These data confirm the previous idea about the emplacement depth of Cretaceous granites in Kyeongsang basin, and these geobarometers using the $Al^T$ contents of hornblende is available though they have much limits. Therefore Cretaceous Bulgugsa granites in Kyeongsang basin was the shallow depth intrusive rut and the exposed granites was the shallow depth crust.

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Hydrogeochemistry of Some Abandoned Metal Mine Creeks in the Hwanggangri Mining District, Korea : A Preliminary Study (황강리 광화대에 분포하는 일부 폐금속 광산수계의 수리지구화학적 특성 : 예비연구)

  • 이현구;이찬희;이종창
    • Journal of the Korean Society of Groundwater Environment
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    • v.6 no.4
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    • pp.194-205
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    • 1999
  • Hydrogeochemical variation and environmental isotope at the some abandoned metal mine (Sanggok, Keumsil, Jangpung and Samdeok) creeks of the Hwanggangri mining district were carried out based upon the physicochemical properties for surface water collected of February in 1998. Hydrogeochemical composition of the all water samples are characterized by the relatively significant enrichment of Ca$^{2}$, alkaline ions, N $O_3$$^{-}$ and Cl$^{-}$ in normal surface water, whereas the surface waters near the mining area are relatively enriched in Ca$^{2+$, Mg$^{2+}$, heavy metals. HC $O_3$$^{-}$ and S $O_4$$^{2-}$. Surface waters of the mining creek have low pH, high EC and extremely high concentrations of TDS compared with surface water of the non-mining creeks. The range of $\delta$D and $\delta$$^{18}$O values (SMOW) in the waters are shown in -65.0 to-71.2$\textperthousand$ and -9.1 to-10.2$\textperthousand$. The d($\delta$D-$\delta$$^{18}$O) value with those of water samples ranged from 7.3 to 10.9. These $\delta$D and $\delta$$^{18/}$ of the acid mine water are more heavy values than those of surface water. The values have revealed the positive correlation between isotopic compositions and major elements, because those $\delta$D and $\delta$$^{18}$O values increase with increasing TDS. HC $O_3$$^{-}$ , S $O_4$$^{2-}$ and Ca$^{2+}$ concentration. Using WATEQ4F, saturation index of albite calcite, dolomite and mostly clay minerals in water of the mining area show undersaturated and progressively evolved toward the equilibrium condition due to fresh water mixing, however, surface waters of the non-mining area are nearly saturated and/or supersaturated. Geochemical modeling showed that mostly toxic heavy metals within water in the mining creek may exist largely in the from of metal-sulfate (MS $O_4$$^{2-}$), free metal (M$^{2+}$/), C $O_3$$^{-}$ and/or OH$^{-}$ complex ions. Based on the geology, water chemistry and environmental istopic data the water compositions from the Sanggok and Keumsil mine creek (consist mainly of Cambro-Ordovician carbonate rocks of the Cho-seon Supergroup) show higher PH, Ca$^{2+}$, Mg$^{2+}$ , HC $O_3$$^{-}$ and more heavy $\delta$D and $\delta$$^{18}$O values than those from the Jangpung and Samdeok mine creek (consist of age -unknown metasedimentary rocks of the Ogcheon Supergroup and/or Jurassic grani-toids), but each of these waters represents a similar hydrogeochemical evolution path by the mine water mixing.

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Aluminum-induced Root Growth Inhibition and Impaired Plasma Membrane $H^+-flux$ in Mung Bean (알루미늄에 의한 녹두 뿌리의 생장 억제와 원형질막 $H^+-flux$의 손상)

  • Ahn, Sung-Ju;Kim, Yu-Sun;Park, Won;Ku, Yang-Gyu;Min, Kyung-Soo;Whang, Tei-Ik
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.52 no.2
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    • pp.213-219
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    • 2007
  • It has been well established that aluminum (Al) inhibits root tip growth rapidly in acid soil. We report the correlation between Al induced growth inhibition and impaired $H^+-flux$ in mung bean (Vigna radiate L. cv. Kumsung). The root growth inhibition was dependent on Al concentration (0, 10, 25, 50, $100{\mu}M$) and exposure time (12 and 24 h). Using Hematoxylin staining, it was observed that the root damage was occurred preferentially in regions with high Al accumulation. Using the pH indicator, it was shown that the surface pH of root tip was strongly alkalized in the control whereas changed only slightly in the $50{\mu}M$ Al-treated root. The $H^+-ATPase$ activity of plasma membrane vesicles was inhibited by 56% in the Al-treated roots compared to control root. Decrease in the amount of the plasma membrane $H^+-ATPase$ (100 kDa) translation in the plant roots under Al stress was demonstrated by Western blot analysis. These results indicate that the dynamics of $H^+-flux$ across the root tip play an important role in root growth under Al stress.

Germination and Viability of Green Manure Crop Seeds Produced from Domestic and Foreign Countries (국내 채종 및 수입 녹비작물 종자의 발아 및 활력 특성 구명)

  • Kim, Sang-Yeol;Oh, Seong-Hwan;Han, Sang-Ik;Seo, Woo-Duck;Jang, Ki-Chang;Na, Ji-Eun;Lee, Jong-Hee;Cho, Jun-Hyeon;Lee, Ji-Yoon;Choi, Kyung-Jin;Song, You-Chun;Yeo, Un-Sang;Kang, Hang-Won
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.56 no.4
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    • pp.308-314
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    • 2011
  • Seed germination and dormancy of three green manure seeds such as hairy vetch, crimson clover and narrow-leaved vetch (Vicia angustifolia L.) produced in Milyang, southern part of Korea were investigated to provide a basic information on the stability of seedling establishment in green manure seeds. In addition, the effect of seed storage duration on the germinability of imported hairy vetch and crimson seeds was also investigated. To determine the seed maturity time of three green manure seeds, the seeds were harvested manually at May 25, May 30, and June 4, and the 100-seed weight, germinability and percentage of hard seed were evaluated. Freshly harvested seeds of three green manure crops were strongly dormant because of hard seed coat. Germination percentage of the three green manure crops varied depending on the seed harvest time ranging from 30 - 52% in hairy vetch, 16 - 35% in crimson clover and 2 - 61% in V. angustifolia, respectively. Of the three crops, crimson clover and V. angustifolia matured early on May 30 to June 4 (around 35 to 40 days after flower) but hairy vetch seed did not mature until June 4 based on the seed germinability. The matured seed of crimson clover and V. angustifolia germinated less than 20% while scarification on seed coat significantly overcome the innate dormancy. On the other hand, the seed germination of hairy vetch and crimson clover was lower under dark than in the presence of light. The germination percentage of the imported hairy vetch and crimson clover seeds showed high with 77 - 79%, 94 - 95%, respectively, but the seed germination significantly declined by 21 - 32%, 30 - 40% after one-year of storage under natural conditions. The seeds germinated only 8 - 13% for hairy vetch but crimson clover did not germinate at all after two years storage. These results indicate V. angustifolia and crimson clover mature at May 30 to June 4 but hairy vetch did not. The imported hairy vetch and crimson clover seeds should be used within one-year after import for stable seedling establishment in green manure-rice cultivation cropping system.

Method of Environmental-Friendly Fertilization for Rice Cultivation after Vegetable Copping in Green House Soil (시설재배 후작 벼 재배를 위한 친환경적 시비 기술)

  • Jeon, Weon-Tai;Lee, Jae-Sang;Park, Ki-Do;Park, Chang-Yeong;Roh, Sug-Won;Yang, Won-Ha
    • Korean Journal of Environmental Agriculture
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    • v.24 no.2
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    • pp.191-197
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    • 2005
  • Green house soils have been intensively cultivated with excessive application of compost and chemical fertilizer for vegetable growth. The objective of this study was to establish the reasonable fertilizer application system for rice cultivation in green house soil. Field experiment was carried out with rice cv. Geumo-byeo 1 in Jisan series soil (fine loamy, mixed, mesic family of Fluventic Haplaquepts) that was previously cropped with green pepper (Capsicum annuum L.) for the last 3 years. Treatment consisted of conventional fertilization $(N-P_2O_5-K_2O=11-4.5-5.7kg\;10a^{-1})$, no basal fertilization, 50% reduction of basal fertilization no top dressing, bulk blending fertilizer, and no fertilizer. The value of pH, available phosphate, and exchangeable potassium after experiment was lower than those before experiment while organic matter content was not difference in all treatment. The value of salt elusion was the highest in no basal fertilization plot. The amount of $NH_4-N$ in soil was higher in growth stage of rice as fertilizer amount increased in 1998. The changes of plant height and tiller were higher as fertilizer amount increased. Thousand-grain weight as yield component was higher in no basal fertilization plot all the year because of decreasing panicle. There was no significant difference in rice yield between treatments in 1998. However, conventional fertilization resulted in significantly increased rice yield in 1999. Nitrogen use efficiency was the highest in no basal fertilization plot in 1998 and in conventional fertilization plot in 1998. Our results suggest that no basal fertilization be best to increase salt elusion with slightly increased yield in first year for rice cropping after vegetable harvesting, which method improves fertilization efficiency. However, conventional fertilization was good for second rice cropping after vegetable harvesting in greenhouse.

Ontogeny of the Digestive Organ during Early Life Stages of the Black Sea Bream, Acanthopagrus schlegeli(Teleostei: Sparidae) (감성돔(Acanthopagrus schiegeli)의 초기생활사 동안 소화기관 발달)

  • LEE Jung Sick;KIM Heung-Yun;BYUN Soon Gyu;KIM Jin Do;GO Chang Soon;CHIN Pyung
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.33 no.2
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    • pp.129-136
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    • 2000
  • Differentiation and development of the digestive organ of the black sea bream, AcanHepagus schlegeli were studied by means of histological methods. The hatched lawn if TL(total length) $2.0 mm (n=10)$ had a yolk sac of $1,000{\times}590 {\mu}m$ and simple straight digestive tract, which was composed of cuboidal epithelium. In the pre-larval stage of TL $3.5 mm$, digestive tract could be distinguished into esophagus, stomach and intestine, and the exocrine glands were appeared in the pancreas. In this stage mucosal folds, eosinophilic granule cells and brush border were observed in the posterior intestine. Yolky materials were completely absorbed and the brush border was recognized in the free surface of anterior intestine in TL $3.7 mm$. In the stomach mucosal folds began to appear from TL $4.0 mm$. In this time the zymogen granules were recognized in the cytoplasm of pancreatic exocrine cells. In the post-larval stage ranged from $4.5 to 5.0 mm$ in TL, hepatic cords started to develop, and the mucous secretory cells of PAS positivewere observed at esophagus and intestine. In the post-larval stage ranged from $6.3 to 7.0 mm$ in TL, histological layer of esophagus and intestine could be distinguished into serous membrane, muscular layer, submucosal layer and mucosal layer. From over TL $9.0 mm$, stomach could be distinguished into cardiac, fundic and pyloric portion, and the gastric gland began to appear at mucosal fold of fundic stomach. In the juvenile stage ranged from $10.0 to 11.0 mm$ in TL, histological structures of esophagus and intestine were similar to those of adult. From over TL $15.0 mm$, histological structures of stomach were similar to those of adult. Structural and functional digestive organ of black sea bream was present from the juvenile stage ranged from $15.0 to 17.0 mm$ in TL.

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Study on the Characteristics and Non-point Source Pollution Loads in Stormwater Runoff of Shihwa Lake (시화호 유역 비점오염물질의 유출특성 및 부하량 연구)

  • Ra, Kong-Tae;Kim, Kyung-Tae;Kim, Joung-Keun;Bang, Jae-Hyun;Lee, Jung-Moo;Kim, Sung-Keun;Kim, Eun-Soo;Yun, Min-Sang;Cho, Sung-Rok
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.14 no.1
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    • pp.40-50
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    • 2011
  • We study the characteristic and total flux of non-point pollutants such as total suspended solids (TSS), chemical oxygen demand (COD), dissolved nutrients, total phosphorus (TP) and total nitrogen (TN) in the storm water runoff from urban streams and sewer outlets of Banweol Industrial Complex around Shihwa Lake. The concentrations of non-point pollutants were generally increased with increasing of the duration and intensity of rainfall. Mean TSS concentration of Ansan stream was higher than that of sewer outlets but mean concentrations of COD, TP and TN were approximately 2~5 times higher of sewer outlet than of urban stream. TSS showed statistically positive relationships with COD and TP but it had negative correlation with dissolved nutrients. There was a significant correlation between total flux of non-point pollutants in the storm water runoff and total basin area of each sewer outlet, showing that the highest runoff flux was observed at 3rd sewer outlet which represents the largest basin area from Banweol industrial complex. Total runoff fluxes for TSS, COD, TP and TN in this study were 187,536 kg, 17,118 kg, 922 kg, 13,519 kg, respectively. Given the basin area of sewer outlet in Banweol industrial complex which corresponds only 3% from total catchment area around Shihwa Lake, enormous amount of non-point pollutants will be entered into Shihwa Lake without any treatment. It is necessary to manage and reduce of various non-point sources and pollutants because the runoff of nonpoint pollutants during storm events should be deteriorating the water quality of Shihwa Lake. Our results provides useful informations on the development of best managements practices (BMPs) for effective implementation of total pollution loads management system of Shihwa Lake.

Analysis of the Lower Extremity's Coupling Angles During Forward and Backward Running (앞으로 달리기와 뒤로 달리기 시 하지 커플링각 분석)

  • Ryu, Ji-Seon
    • Korean Journal of Applied Biomechanics
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    • v.16 no.3
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    • pp.149-163
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    • 2006
  • The purpose of this study was to compare the lower extremity's joint and segment coupling patterns between forward and backward running in subjects who were twelve healthy males. Three-dimensional kinematic data were collected with Qualisys system while subjects ran to forward and backward. The thigh internal/external rotation and tibia internal/external rotation, thigh flexion/extension and tibia flexion/extension, tibia internal/external rotation and foot inversion/eversion, knee internal/external rotation and ankle inversion/eversion, knee flexion/extension and ankle inversion/eversion, knee flexion/extension and ankle flexion/extension, and knee flexion/extension and tibia internal/external rotation coupling patterns were determined using a vector coding technique. The comparison for each coupling between forward and backward running were conducted using a dependent, two-tailed t-test at a significant level of .05 for the mean of each of five stride regions, midstance(1l-30%), toe-off(31-50%), swing acceleration(51-70%), swing deceleration(71-90), and heel-strike(91-10%), respectively. 1. The knee flexion/extension and ankle flexion/extension coupling pattern of both foreward and backward running over the stride was converged on a complete coordination. However, the ankle flexion/extension to knee flexion/extension was relatively greater at heel-strike in backward running compared with forward running. At the swing deceleration, backward running was dominantly led by the ankle flexion/extension, but forward running done by the knee flexion/extension. 2. The knee flexion/extension and ankle inversion/eversion coupling pattern for both running was also converged on a complete coordination. At the mid-stance. the ankle movement in the frontal plane was large during forward running, but the knee movement in the sagital plane was large during backward running and vice versa at the swing deceleration. 3. The knee flexion/extension and tibia internal/external rotation coupling while forward and backward run was also centered on the angle of 45 degrees, which indicate a complete coordination. However, tibia internal/external rotation dominated the knee flexion/extension at heel strike phase in forward running and vice versa in backward running. It was diametrically opposed to the swing deceleration for each running. 4. Both running was governed by the ankle movement in the frontal plane across the stride cycle within the knee internal/external rotation and tibia internal/external rotation. The knee internal/external rotation of backward running was greater than that of forward running at the swing deceleration. 5. The tibia internal/external rotation in coupling between the tibia internal/external rotation and foot inversion/eversion was relatively great compared with the foot inversion/eversion over a stride for both running. At heel strike, the tibia internal/external rotation of backward running was shown greater than that of forward(p<.05). 6. The thigh internal/external rotation took the lead for both running in the thigh internal/external rotation and tibia internal/external rotation coupling. In comparison of phase, the thigh internal/external rotation movement at the swing acceleration phase in backward running worked greater in comparison with forward running(p<.05). However, it was greater at the swing deceleration in forward running(p<.05). 7. With the exception of the swing deceleration phase in forward running, the tibia flexion/extension surpassed the thigh flexion/extension across the stride cycle in both running. Analysis of the specific stride phases revealed the forward running had greater tibia flexion/extension movement at the heel strike than backward running(p<.05). In addition, the thigh flexion/extension and tibia flexion/extension coupling displayed almost coordination at the heel strike phase in backward running. On the other hand the thigh flexion/extension of forward running at the swing deceleration phase was greater than the tibia flexion/extension, but it was opposite from backward running. In summary, coupling which were the knee flexion/extension and ankle flexion/extension, the knee flexion/extension and ankle inversion/eversion, the knee internal/external rotation and ankle inversion/eversion, the tibia internal/external rotation and foot inversion/eversion, the thigh internal/external rotation and tibia internal/external rotation, and the thigh flexion/extension and tibia flexion/extension patterns were most similar across the strike cycle in both running, but it showed that coupling patterns in the specific stride phases were different from average point of view between two running types.

Effect of Soil Water on the Movement of Ca, Mg and K in the Soil (토양수분(土壤水分) 조건(條件)에 따른 Ca, Mg 과 K 의 이동(移動))

  • Ryu, Kwan-Shig;Yoo, Sun-Ho;Song, Kwan-Cheol
    • Korean Journal of Soil Science and Fertilizer
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    • v.27 no.4
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    • pp.255-262
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    • 1994
  • Field microplot(D 20cm, L 85cm) experiment filled with Bonryang sandy loam soil(Typic Udifluvents) was conducted to obtain quantitative information on the movement of applied nutrients under different soil moisture regimes and ladino clover cultivation. The slaked lime was detected as an exchangeable Ca in the layer applied. The released Ca into the soil water proceeded rapid downward movement. Ca content in the soil was lowest at 20~30cm and tended to increase with soil depth. Downward movement of Mg in the slaked lime was similar to the movement of Ca to a greater extent. Plant uptake of Mg and leaching loss out of the microplot increased with lowering soil moisture tension. Downward movement of K was rapid in comparision with Ca and Mg. Lowering soil moisture tension enhanced both plant uptake and leaching loss of applied K. Irrigation at 0.2bar soil miosture condition increased plant uptake of Ca, Mg and K by 55, 71 and 76 % to compare to the plant uptake of Ca:0.49g, Mg:0.21g and K:1.90g/microplot at the nonirrigated condition respectively. Distribution of each of these elements seemed to be greatly affected by the downward movement of Ca with soil moisture, plant uptake of Mg(69%), and plant uptake and downward movement of K.

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