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FOLFIRI Regimen as a Second-line Chemotherapy after Failure of First-line Chemotherapy in Advanced Gastric Cancer (진행성 위암에서 1차 항암화학요법에 실패한 환자에서 2차 항암화학요법으로 FOLFIRI요법의 효용성에 대한 연구)

  • Yong Kang Lee;Jae Hyun Kim;Jun Chul Park;Hee Seok Moon;Sung Eun Kim;Jin Seok Jang;Joo Young Cho;Eun Sun Kim;Si Hyung Lee;Sang Kil Lee
    • Journal of Digestive Cancer Research
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    • v.5 no.2
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    • pp.113-119
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    • 2017
  • Background: Second line chemotherapy is often considered in advanced gastric cancers. We assessed irinotecan in combination with fluorouracil in patients experienced diseases progression after first line chemotherapy. Methods: Prospective trial was done at 7 centers in republic of Korea. Patients aged 18 years or older with advanced gastric adenocarcinoma and disease progression on or within 4 months after first-line chemotherapy were assigned to receive irinotecan 180 mg/m2 and 5-fluorouraicl 400 mg/m2 intravenously bolus injection on days 1 and leucovorin 200 mg/m2 for 2 hours and 5-fluorouracil 600 mg/m2 for 22 hours intravenously infusion on day 2 of a 14-day cycle (FOLFIRI group). The primary endpoint was objective tumor response (OR). Efficacy analysis was by per-protocol, and safety analysis included all patients who received at least one treatment with study drug. Results: Between January 1, 2014 and December 31, 2016, 28 patients were assigned to FOLFIRI treatment. Of those 20 patients were completed the study protocol. Per-protocol analysis, two patients among 20 subjects (10.0%) showed partial response. Overall survivals of FOLFIRI group; median 10.1 months [95% CI 4.9-15.3] Grade 3 and higher adverse event that occurred about 5%, but grade 3 or higher febrile neutropenia or life threatening complication was not reported. Conclusion: Combination chemotherapy with irinotecan, 5-FU, and LV is feasible in gastric cancer patients previously treated with platinum-based chemotherapy

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Increased Utilization of LTE-Maritime Networks Based on User Requirements (사용자 요구사항 기반 초고속 해상무선통신망 활용성 증대 방안에 대한 연구)

  • Sangjin JANG;Bu-Young KIM;Si-Hwan LEE;Hyo-Jeong KIM;Taehan SONG;Woo-Seong Shim
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.7
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    • pp.812-818
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    • 2023
  • During the years 2016 to 2020, the Ministry of Oceans and Fisheries embarked on a strategic initiative to develop a comprehensive Korean e-navigation system, which encompassed the establishment of an 'Long Term Evolution for Maritime (LTE-M).' The primary objectives were to proactively align with international navigation standards and enhance maritime safety for small vessels, particularly fishing boats. However, limitations were identified in the utilization of this network, primarily its constrained application for specific purposes. In response to these limitations, this study delves into user-centric investigations through surveys and interviews, with the goal of expanding the horizon of network utilization. User requirements emerged as the result of study, emphasizing the need for broader network applications, a wider range of target users, diverse network utilization methods, and regulatory streamlining. The user-driven insights gleaned from this study hold the potential to inform and shape future legislative measures, fostering more versatile and inclusive LTE-M network utilization for enhanced maritime safety.

A Study on the Optimum Stocking Density of Abalone, Haliotis discus hannai, reared in Net Cage Culture (북방전복, Haliotis discus hannai의 해상가두리 양성 시 적정 수용밀도에 관한 연구)

  • Kim, Byeong-Hak;Park, Min-Woo;Son, Maeng-Hyun;Kim, Tae-Ik;Lee, Si-Woo
    • The Korean Journal of Malacology
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    • v.30 no.3
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    • pp.219-226
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    • 2014
  • The effects of different stocking densities on the growth and survival rate of the abalone, Haliotis discus hannai, were investigated in marine net cage for two years. Stocking density was set 15, 30, 45 and 60 percentage $(=per.)/m^2$ with share to cross-sectional area per shelter. The primary rearing period (PRP) and the secondary rearing period (SRP) were conducted by a year. One year mean water temperature of PRP and SRS showed the difference about $2^{\circ}C$. In the growth (initial mean shell length of abalone : $36.14{\pm}2.28mm$) of PRP, the absolute growth rate (ARG), daily growth rate (DGR) and specific growth rate (SGR) of the $15per./m^2$ were higher than those of density groups (P < 0.05). Survival rates of all density groups were showed no significant difference. In the growth (mean shell length of abalone : $55.26{\pm}6.93mm$) of SRP, ARG, DGR and SGR of stocking density groups showed no significant difference except for $45per./m^2$ density group. Survival rate in the low-density (15, $30per./m^2$) was more than 70%, and those of the high-density (45, $60per./m^2$) were less than 31% and 9%, respectively. These results showed that the appropriate stocking density for $15per./m^2$ was seven hundred fifty number per one net cage ($2.4{\times}2.4m$), during PRP using 3-4 cm abalone in length. Also for the secondary rearing period, the optimal stocking density (shell length 5-6 cm of abalone) consider with the economical efficiency was determined to be $30per./m^2$, resulting the productivity improved.

Utilization Rate and Related Factors of Unified Health Sub-center Among Rural Residents (통합보건지소 설치 전후 주민들의 보건지소 이용율 변화 및 관련요인)

  • Hwang, Tae-Yoon;Kang, Pock-Soo;Kim, Seok-Beom;Lee, Kyeong-Soo;Kang, Young-Ah
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.107-126
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    • 2002
  • Health sub-centers(HSCs) have played an important role in primary health care in rural area in Korea. The unification of neighboring HSCs was a strategy to improve the role of HSCs. This study was conducted to reveal the efficacy of the unified HSC established in Yangbuk-myeon, Gyeongju-si in1997. The utilization patterns of HSC and its related factors, and satisfaction of consumer on HSC were compared before and after unification of two HSCs in Gampo-eup, Yangnam-myeon using questionnaire survey, and also the statistics of medical care services and public health services were compared. Four hundred forty nine subjects were questioned in survey, 156 from Gampo-eup, 147 from Yangbuk-myeon, and 146 from Yangnam-myeon. Following unification, the utilization rates and the frequency of visits in Gampo-eup declined. In all three areas, chronic illness was the common factor influencing the utilization and change in frequency of visits to the unified HSC. Following unification, aspects of consumer satisfaction, for example; accessibility and affordability decreased in Gampo-eup, but increased in both Yangbuk-myeon and Yangnam-myeon. The statistics relating to medical care, X-ray examination, home visiting service, vaccination, and health education showed an increase for the unified HSC when compared to the sum of the statistics for the previous two. The execution rates for other public health services were the same, or a little decreased. Clinical laboratory examinations and the issuing of civil affair documents were new services offered by the unified HSC. It is concluded, the overall consumer satisfaction with the unified HSC was improved. In Gampo-eup, where after unification there was no HSC, it seemed to be a barrier to accessing the unified HSC. The effect of the unified HSC, in the respect of medical care and public health services, was not as significant as expected at the time of being established. Therefore, the strategies to reenforce the unified HSC should be developed to provide all residents with comprehensive primary health care services.

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Population density of potato virus vectors In the Kwanghwal Area, Kimje-gun, Cholla-Pukto, on the western coast (씨감자 생산을 위한 매개 진딧물 조사 - 전북 김제군 광활면의 진딧물 분포상 -)

  • Paik Woon Hah
    • Korean journal of applied entomology
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    • v.7
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    • pp.5-13
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    • 1969
  • Present system of seed potato production in Korea has several weak points and consequently has difficulties in covering annual shortage of 60,000 tons of seed potatoes. The author has an opinion that this so called 'High land system' of seed potato production adopted by the Government should be replaced by the 'Coastal area system' which is proposed by the author and has many advantages over present 'High land system'(2). In coastal areas where enormous acreage of rice paddies are spread, mostly around the villages. the primary host plants of the vectors are found. Therefore, the only source of aphid vectors are limited to the villages. The farmer's houses scattered more sparsely also have minor importance. In the previous paper(2), the author reported that the aphid vector populations were lower in the coastalareas than at Taegwanryong where the Alpine Experiment Station for the production. of seed potatoes is located. However, the number to vectors at Okku showed rather high density, where the trap was placed at the distance of 200 m from a village where peach and Hibiscus trees, the primary hosts of Myzus pesrsicae and Aphis gossypii were grown. To clarify the flight distance from the source of the aphid vectors, a trial was carried out in the Kwanghwal area, Kimje-gun, Cholla-pukto. on the western coast. 13 traps were placed at four directions and the distances between the traps were 250 m. (Fig. I) The traps 'Were operated from June 21 to October 31. The results are shown in Table 1. A total of some 70 species of aphids were found, including 5 speceis of potato virus vectors. The vectors are as follows: I. Myzus persicae (Sulzer) 2. Aphis gossypii Glover 3. Aulacorthum solani (Kaltenbach) 4. Lipaphis erysimi (Kaltenbach) 5. Macrosiphoniella sanborni (Gillette) Out of a total of 12,797 aphids, 5,187$(48\%)$ vectors were found. The trap catches at the 13 locations are shown in Fig. 2 and the numbers of the vectors at each location for each vector, except Macro-siphoniella sanborni. of which only a single individual was caught, are shown in Fig. 3-6. Number of vectors at C (3,279) (Centre of the village) is considerably higher than that at Suwon (763); however, EI. SI. WI and NI. where the distanecs from Care 250 m, showed lower numbers of vectors than that at Taegwanryong (347). The number of vectors at NI was rather than at the other 3 locations at the distance of 250m from the village. This was because C was in the southern part of the village. Consequently NI was much closer to the village than the other 3 locations of the same distance from C. Numbers of catches of the most important vector. Myzus persicae, are shown in Fig.3. The distribution pattern is typical except $S-2\;and\;W_3$, where several farmer's houses were found. If only the rice paddies were found in these locations. the numbers of the vectors would be small as the distances increase. Numbers of catches of the other 3 vectors are shown in Fig. 4-6. From these results. the author has drawn the following conclusions: 1. The aphid vector sources at the rice paddy belt in the western coast are the villages. 2. The vector densities at the locations where the distances are 250 m from the centre of the village are lower than that at Taegwanryong. 3. The vector densities become gradually lower as the distances from the centre of village increase. However. depending on the host plant situation at each location, the vector densities are variable. These minor sources of aphid vectors may be eliminated so that seed potatoes can be grown. 4. Thus. under the direction of specialists, fields suitable for seed potato production can be found in the coastal areas.

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A re-appraisal of scoring items in state assessment of NATM tunnel considering influencing factors causing longitudinal cracks (종방향균열 영향인자 분석을 통한 NATM터널 정밀안전진단 상태평가 항목의 재검토)

  • Choo, Jin-Ho;Yoo, Chang-Kyoon;Oh, Young-Chul;Lee, In-Mo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.21 no.4
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    • pp.479-499
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    • 2019
  • State assessment of an operational tunnel is usually done by performing visual inspection and durability tests by following the detailed guideline for safety inspection (SI) and/ or precision inspection for safety and diagnosis (PISD). In this study, 12 NATM tunnels, which have been operational for more than 10 years, were inspected to figure out the cause of longitudinal cracks for the purpose of modifying the scoring items in the state assessment NATM tunnel related to the longitudinal crack and the thickness of concrete lining. All investigated tunnels were classified into four groups depending on the shape and usage of each tunnel. The causes of longitudinal crack occurrence were analyzed by investigating the correlations between the longitudinal crack and the following four factors: the patterns of ground excavation; construction state of primary support system; characteristics of material properties of the concrete lining; and thickness of lining which was obtained by Ground Penetration Radar (GPR) tests. It was found that influencing factors causing longitudinal cracks in the lining were closely related with the construction condition of the primary support system, i.e. shotcrete, rockbolt, and steel-rib; crack occurrences were not much affected by the excavation patterns. As for the properties of concrete lining materials, occurrence of the longitudinal crack was mostly affected by the following three items: w/c ratio; contents of cement; and strength of lining. When estimating the lining thickness of the concrete lining by GPR tests and taking thickness effect into account in the statement assessment, it was concluded that increase of the index score by an average of 0.03 (ranging from 0.01 up to 0.071) is needed; a more realistic way of state assessment should be proposed in which the increased index score caused by lack of lining thickness should be taken into account.

Elevated On-Treatment Diastolic Blood Pressure and Cardiovascular Outcomes in the Presence of Achieved Systolic Blood Pressure Targets

  • Dae-Hee Kim;In-Jeong Cho;Woohyeun Kim;Chan Joo Lee;Hyeon-Chang Kim;Jeong-Hun Shin;Si-Hyuck Kang;Mi-Hyang Jung;Chang Hee Kwon;Ju-Hee Lee;Hack Lyoung Kim;Hyue Mee Kim;Iksung Cho;Dae Ryong Kang;Hae-Young Lee;Wook-Jin Chung;Kwang Il Kim;Eun Joo Cho;Il-Suk Sohn;Sungha Park;Jinho Shin;Sung Kee Ryu;Seok-Min Kang;Wook Bum Pyun;Myeong-Chan Cho;Ju Han Kim;Jun Hyeok Lee;Sang-Hyun Ihm;Ki-Chul Sung
    • Korean Circulation Journal
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    • v.52 no.6
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    • pp.460-474
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    • 2022
  • Background and Objectives: This study aimed to investigate the association between cardiovascular events and 2 different levels of elevated on-treatment diastolic blood pressures (DBP) in the presence of achieved systolic blood pressure targets (SBP). Methods: A nation-wide population-based cohort study comprised 237,592 patients with hypertension treated. The primary endpoint was a composite of cardiovascular death, myocardial infarction, and stroke. Elevated DBP was defined according to the Seventh Report of Joint National Committee (JNC7; SBP <140 mmHg, DBP ≥90 mmHg) or to the 2017 American College of Cardiology/American Heart Association (ACC/AHA) definitions (SBP <130 mmHg, DBP ≥80 mmHg). Results: During a median follow-up of 9 years, elevated on-treatment DBP by the JNC7 definition was associated with an increased risk of the occurrence of primary endpoint compared with achieved both SBP and DBP (adjusted hazard ratio [aHR], 1.14; 95% confidence interval [CI], 1.05-1.24) but not in those by the 2017 ACC/AHA definition. Elevated on-treatment DBP by the JNC7 definition was associated with a higher risk of cardiovascular mortality (aHR, 1.42; 95% CI, 1.18-1.70) and stroke (aHR, 1.19; 95% CI, 1.08-1.30). Elevated on-treatment DBP by the 2017 ACC/AHA definition was only associated with stroke (aHR, 1.10; 95% CI, 1.04-1.16). Similar results were seen in the propensity-score-matched cohort. Conclusion: Elevated on-treatment DBP by the JNC7 definition was associated a high risk of major cardiovascular events, while elevated DBP by the 2017 ACC/AHA definition was only associated with a higher risk of stroke. The result of study can provide evidence of DBP targets in subjects who achieved SBP targets.

Distribution of Nitrogen Components in Seawater Overlying the Gomso Tidal Flat (곰소만 조간대 해수 내 질소 성분의 시공간적인 분포)

  • 양재삼;김기현;김영태
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.8 no.3
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    • pp.251-261
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    • 2003
  • As a part of an on-going project investigating flux of materials in Gomso Tidal Flat, we have monitored temporal and spatial distribution of nitrogen components(TN, PON, DON, DIN) and have sought the relationships with the freshwater input(tidal range, salinity), the biological activities(chlorophyll-${\alpha}$, TP, DIP, silicate) and the resuspended bottom sediment in seawater(SPM) from 1999 to 2000. TN in seawater was 39.05 $\mu\textrm{m}$ol 1$\^$-1/ (31.03∼42.93 $\mu\textrm{m}$ol 1$\^$-1/) without any statistical difference(p<0.05) between the studied periods. Organic nitrogen (DON and PON) occupied 75%, 95%, 73%, and 75% in April, August, September and November, respectively. DON and PON have been found within the narrow concentration ranges of 11.30∼16.38 $\mu\textrm{m}$ol 1$\^$-1/ and 13.16∼20.04 $\mu\textrm{m}$ol 1$\^$-1/ in spite of severe environmental differences through the studied periods. Dissolved fractions of nitrogen(DON and DIN) occupied 53∼65% of TN. Only DIN varied with an evident temporal variability: low concentrations(1.325∼1.616 $\mu\textrm{m}$ol 1$\^$-1/) in August and high enrichment(8.377∼14.65 $\mu\textrm{m}$ol 1$\^$-1/) in September. High consumption rate of DIN by phytoplankton and a long-lasted drought probably induced such low concentration of DIN in August. Eventually heavy precipitation probably introduced plenty of new nitrogen sources into Gomso Bay in September. The portion of PON, DON and DIN in the total nitrogen was 40%, 38% and 22%, respectively. Their contents were in the order of DON>PON>DIN for the year round except PON>DON>DIN only in September. The highest DON portion in August probably due to the active microbial decomposition of organic material in summer. Only in April, some evident negative correlations have been found between chlorophyll-${\alpha}$ and DIN mostly nitrate(-0.64, p<0.01), phosphate(-0.46, p<0.01) and silicate(-0.55, p<0.01). The Si(OH)$_4$/DIN/DIP ratios in the water column suggests the limitation of DIN for the growth of phytoplankton during the dry summer in Gomso Bay, which was the case of August in this work. Even with some difference between the studied periods, the primary factors on the distribution of nitrogen components in seawater overlying the Gomso Tidal Flat have been the tidal range and the freshwater input, but the additional variations were due to the biological activities.

Petrochemical study on the Daejeon-sa basalt in the Mt. Juwang area, Cheongsong (청송 주왕산지역 대전사 현무암의 암석화학적 연구)

  • 윤성효;이문원;고정선;김영라;안지영
    • The Journal of the Petrological Society of Korea
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    • v.9 no.2
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    • pp.84-98
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    • 2000
  • Daejeon-sa basalt in the Mt. Juwang area composed of 12 basalt flows alternate with 9 peperites and each basalt and peperite has the variety of thickness. Peperites yielded in Daejeon-sa basalt are mixed of basalt with reddish shale, of which textural type is globular peperite. Basalts yielded in Daejeon-sa basalt are massive basalt without vesicule, although sometimes vesicules are founded in upper within a flow unit. The basalt has mainly pseudomorph of olivine as phenocryst, and also plagioclase and clinopyroxene phenocryst. Matrix is mainly subophitic texture. The plotting result on the TAS diagram shows these basalts belong to the sub-alkaline, and it can be subdivided into calc-alkaline series on the basis of the diagram of Si02 vs. K20 and of alkali index vs. A1203 diagram. According to plots of wt.% oxides vs. wt.% MgO, abundances of A1203 and CaO increase with decreasing MgO while F ~ dOecre~ase . With decreasing MgO compatible elements decrease while incompatible elements increase. In spider diagram of MORB-normalized trace element patterns, HFS elements are nearly similiar with MORB, but LIL elements are enriched. Especially, contents of Ce, F: and Sm are enriched but Nb is depleted. In the chondrite-normalized REE patterns light REEs are enriched than heavy REEs. Tectomagmatic discrimination diagrams shows basalts in the study area are formed in the tectonomagmatic environment of subduction zone under continental margin. This result accord with characters of chemical composition mentioned above. Cr vs. Y diagram and CeM, vs. Ce diagram show that the primary magma of the basalts may formed by the about 15% partial melting of garnet-peridotite in the mantle wedge. After then, Daejeon-sa basalts may formed from evolved magma undergone mainly olivine fractional crystallization and contarnination of crustal materials before eruption.

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Geochemical Characteristics of Stream Sediments Based on Bed Rocks in the Cheongpung Area (기반암에 따른 청풍지역 하상퇴적물의 지구화학적 특성)

  • Park, Young-Seog;Park, Dae-Woo;Kim, Jong-Kyun;Song, Yeung-Sang;Lee, Jang-Jon
    • Economic and Environmental Geology
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    • v.39 no.6 s.181
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    • pp.675-687
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    • 2006
  • The purpose of this study is to determine the geochemical characteristics of the stream sediments in the Cheongpung area. So that we can understand the natural background and predict the prospects of geochemical disaster, if any. We collected the stream sediments samples by wet sieving along the primary channels and slow dried the collected samples in the laboratory and ground them to pass a 200 mesh using an alumina mortar and pestle for chemical analysis. Miner-alogical characteristics, major, trace and rare earth elements were determined by XRD, XRF, ICP-AES and NAA analysis methods. For geochemical characteristics on the geological group of stream sediments, the studied area was grouped into granitic gneiss area, metatectic gneiss area, Dado tuff area, Yuchi conglomerate area, and Neungju flow area in the Cheongpung area. Contents of major elements for the stream sediments in the Cheongpung area were $SiO_2\;47.31{\sim}72.81\;wt.%,\;A1_2O_3 \;11.26{\sim}21.88\;wt.%,\;Fe_2O_3\;2.83{\sim}8.39\;wt.%,\;CaO\;0.34{\sim}7.54\;wt.%,\;MgO\; 0.55{\sim}3.59\;wt.%,\;K_2O\;1.71{\sim}4.31\;wt.%,\;Na_2O\;0.56{\sim}2.28\;wt.%,\;TiO_2\;0.46{\sim}1.24\;wt.%,\;MnO\;0.04{\sim}0.27\;wt.%,\;P_2O_5\;0.02{\sim}0.45\;wt.%$. The con-tents of trace and rare earth elements for the stream sediments were $Ba\;700ppm{\sim}8990ppm,\;Be\;1.0{\sim}3.50ppm,\;Cu\;6.20{\sim}60ppm,\;Nb\;12{\sim}28ppm,\;Ni\;4.4{\sim}61ppm,\;Pb\;13{\sim}34ppm,\;Sr\;65{\sim}787ppm,\;V\;4{\sim}98ppm,\;Zr\;32{\sim}164ppm,\;Li\;21{\sim}827ppm,\;Co\;3.68{\sim}65ppm,\;Cr\;16.7{\sim}409ppm,\;Cs\;2.72{\sim}37.1ppm,\;Hf\;4.99{\sim}49.2ppm,\;Rb\;71.9{\sim}649ppm,\;Sb\;0.16{\sim}5.03ppm,\;Sc\;4.97{\sim}52ppm,\;Zn\;26.3{\sim}375ppm,\;Ce\;60.6{\sim}373ppm,\;Eu\;0.82{\sim}6ppm,\;Yb\;0.71{\sim}10ppm$.