• Title/Summary/Keyword: Recommended Treatment Order

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Therapeutic Effect of Weizhong(BL40) Venepuncture on Low Back Pain (위중혈(委中穴) 자락(刺絡)의 요통(腰痛)에 대(對)한 치료효과(治療效果))

  • Lee, Sang-Hoon;Cheong, Byung-Shik;Yun, Hyoung-Seok;Cho, Seong-Gyu;Lee, Yun-Ho;Kim, Sung-Uk
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.65-75
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    • 2002
  • Objective : Since ancient times venepuncture has been widely used as a useful treatment for low back pain. This study is made in order to objectively evaluate the therapeutic effect of Weizhong(BL40) on low back pain. Methods : Total 46 cases of low back pain patients were divided into 2 groups; one group took only acupuncture therapy, and the other group took acupuncture and venepuncture therapy together. Each patient's pain was evaluated before the treatment and the 3 or 4 days later after the treatment. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. Results : Both acupuncture therapy group and acupuncture & venepuncture group showed good effect on low back pain. Though the latter group showed better pain release effect than the former, there was no statistical significance between pain rating score of two groups. Sciatica group showed no significant difference from non-sciatica group in pain rating score. Palpation on Weizhong(BL40) group showed significant difference only in pain duration from non-palpation group. Exposed vessel around Weizhong(BL40) group showed significant difference in pain rating score from non-exposed vessel group. Conclusion : Weizhong(BL40) venepuncture can be highly recommended as a useful therapy for low back pain patients especially who show exposed vessels on the popliteal area.

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The Surgical Treatment of Esophageal Perforation (식도 파열의 수술적 치료)

  • Hwang Jung Joo;Joung Eun Kyu;Lee Doo Yun;Paik Hyo Chae
    • Korean Journal of Bronchoesophagology
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    • v.11 no.1
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    • pp.15-20
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    • 2005
  • Background : It is well-known that esophageal perforation (EP) is difficult in diagnosis and has high mortality rate despite proper management. There are disputes in regarding the reatment in cases of delayed diagnosis although in the early diagnosed cases, operation is recommended without arguments. Methods: From April, 2001 to December, 2004, nine patients who were diagnosed as EP in our hospital were analyzed retrospectively about the causes, the interval between the cause and the treatment, and operation methods. Results: There were 8 male and one female with men age of 49.3 years (range: 25-67 years). The causes of EP included perforations following operations of corvical spine in three cases, spontaneous perforation(Boehaave syndrome) in two cases, foreign bodies in two cases, operation of esophageal diverticulum in one case and blunt trauma bytraffic accident in one case. Mean interval between the first treatments and the causes was 11.6 days (range: 2-30 days). The sites of perforation were upper third of esophagus in three cases, middle third in three cases and lower third in three cases. All except two cervical cases presented as mediastinitis or empyema at the time of diagnosis. Primary repair and irrigation had been performed in 7 cases but five cases out of them required more than two procedures. Conclusions : More than one procedure wasrequired in the treatment of EP because of contaminations and infections which had been spread at the time of initial manifestatios, howeverprimary closure and massive irrigation is the best method in order to preserve esophagus unless the remaining esophagus is extensively damaged.

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An Analysis of the Water Quality Improvement Measures and Evaluation of Wonju Stream (원주천 수질개선 방안 및 개선효과 평가)

  • Kum, Donghyuk;Shin, Minhwan;Yu, Nayeong;Lee, Seolo;Kim, Dongjin;Sung, Younsoo;Lee, Sang Soo
    • Journal of The Korean Society of Agricultural Engineers
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    • v.63 no.1
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    • pp.61-73
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    • 2021
  • Recently, the deterioration of water quality in Wonju stream has been reported due to the increase in diverse pollution sources along with community development and urbanization. Various types of attempts with a huge budget were made for better water quality so far, but its effectiveness is still doubted. In order to establish site-oriented measures for water quality improvement, the topographic and hydrologic factors were evaluated based on site inspection and survey. As the major streams merged into the Wonju stream, the Hwa and Heungyang streams were found to have higher pollution loads and contributions compared to other streams due to the scattered livestock farms and industries, and vulnerable land use. Notably, the discharge water from the Wonju Public Sewage Treatment Plant had the highest level of pollution load, impacting on the water quality of Wonju Stream. According to the SWAT model as water quality measures, the improvement effect of water quality in this treatment plant can be reached to the reductions in BOD 11.06%, T-N 23.56%, T-P 10.60% when the proper managements applied, whereas the improvement of water quality would be 3.89%, 1.23%, and 3.32% for BOD, T-N, T-P, respectively, for the industries. The reduction of the livestock industry was generally very high as a pollution source, but it was not much higher at the end of Wonju Stream than other measures. These results recommended that the water q uality improvement measures should be designated for each upper-middle-lower section in Wonju stream.

SHEAH BOND STRENGTH OF VENEERING CERAMIC TO ELECTROFORMED GOLD WITH THREE DIFFERENT SURFACE TREATMENT (표면처리방법에 따른 전기성형금속의 도재결합강도)

  • Kim Cheol;Lim Jang-Seop;Jeon Young-Chan;Jeong Chang-Mo;Jeong Hee-Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.5
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    • pp.599-610
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    • 2005
  • Purpose: The success of the bonding between electroformed gold and ceramic is dependent on the surface treatment of the pure gold coping. The purpose of this study was to evaluate the bonding strength between the electroformed gold and ceramic with varying surface treatment. Materials and methods: A total of 32 disks,8 were using conventional ceramometal alloy, 24 were using electroforming technique as recommended by manufacturer, were prepared. 24 electroformed disks were divided 3 groups according to surface treatment, i.e. 50 microns aluminium oxide sandblasting(GES-Sand), gold bonder treatment(GES-Bond) and $Rocatec^{TM}$ system(GES-Rocatec). For control group of conventional alloy 50 microns aluminium oxide treatment was done(V-Supragold). Energy dispersive x-ray analysis and scanning electron microscope image were observed. Using universal testing machine, shear bond strength and bonding failure mode at metal-porcelain interface were measured. Results and Conclusion: The following conclusions were drawn: 1. In the energy dispersive x-ray analysis, the Au was main component in electroformed gold(99.9wt%). After surface treatment, a little amount of $Al_2O_3(2.4wt%)$ were found in GES-Sand, and $SiO_2(4wt%)$ in GES-Bond. In GES-Rocatec, however, a large amount of $SiO_2(17.4wt%)$ were found. 2. In the scanning electron microscopy, similar pattern of surface irregu larities were observed in V-Supragold and GES-Sand. In GES-Bond, surface irregularities were increased and globular ceramic particles were observed. In GES-Rocatec, a large amount of silica particles attached to metal surface with increased surface irregularities were observed. 3. The mean shear bond strength values(MPa) in order were $22.9{\pm}3.7(V-Supragold),\;22.1{\pm}3.8(GES-Bond),\;20.1{\pm}2.8(GES-Rocatec)\;and\;13.0{\pm}1.4(GES-Sand)$. There was no significant difference between V-Supragold, GES-Bond, and GES-Rocatec. (P>0.05) 4. Most bonding failures modes were adhesive type in GES-Sand. However, in V-Supragold, GES-Bond and GES-Rocatec, cohesive and combination failures were commonly observed. From the result, with proper surface treatment method electroformed gold may have enough strength compare to conventional ceramometal alloy.

A Study on New Working System of Machanical Land Clearing and Development of Rertile Soil (기계 개간의 새로운 작업 체계와 숙지화 촉진에 관한 연구)

  • Hwang, Eun
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.14 no.1
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    • pp.2535-2548
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    • 1972
  • Instead of fertilizing the lands they moved to find other fertile lands and lived a feudal life agriculture and various machincs played a main role in the land reclamation. The best method of land clearing, the time and capacity in the operation and the effect of growing crops should systematically analized prior to the time of 3rd Five-year Economic Development(1972-1976) in order to cultivate 210,000ha of wasteland or the modernization of our country. The present study was investigated to find out a new working-system of mechanical land clearing and development of fertile soil. The results are as follows: 1) The first stage of productive power increases when weeds were mixed soil in the land clearing work in order to supply organic materials and to make soil swollen instead of burning or just removing. 2) The equipments such as bulldozers, harrows, power tillers and so on should be prepared in order to do a systematic work in the land clearing. 3) The work of pulling-up roots is dependent upon the forms of roots spreading under the ground. The work of the pulling-up of the straight roots was most difficult. But before the roots are pulling-up we do not know the forms of roots. 4) The cutting of soil from upside to under side land clearing method (II) Spent 6 hr 7 min 43 sec per 1 Danbo in doing land clearing and control method spent 4 hr 52 min 30 sec per 1 Danbo in doing land cearing. No significant difference could be found between II treatment type and I treatment type. 5) The volume of soil carried by bulldozer $270.38m^3$ per 1 Danbo in I type and in II type, $368.58m^3$ per 1 Danbo or about 36% increased in II type then in I type. But that is not a significant difference when considering the whole productive power of soil. 6) The land clearing of terrace by bulldozers cannot escape making the embankment slope of about $45^{\circ}$, and 25.3% should be decreased in the area. It is recommended to make use of the embankment slope by planting grass for cows. 7) The time of retary tilling increased 2.3 times or 1 hr 42 min 22 sec per 1 Danbo compared to the timesrequired in the harrowing. Because it mixed the Organic matter on ground and the harrowing of subsoil. 8) The havest of pasture growing on the land reclamation in natural slope is as follows. (a) The none fertilizers with reclaimed block of productivity decresed 1/10 than that of the farmland. Therefore the none fer tilizing in the cultivated pasture is unprofitable. (b) The havest of the manured IV treatment block was the best not only in the kinds of fertilizers but also in the kinds of pasture grass.

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An Overview of Clinical Studies on Pelvic Correction in Korea (골반교정에 대한 국내 임상 연구 동향)

  • Beag, Ji You;Bae, Jae Ryong;Ahn, Hun Mo;Lee, Jae Heung
    • Journal of Korean Medical Ki-Gong Academy
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    • v.20 no.1
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    • pp.118-147
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    • 2020
  • Objective : The purpose of this study is to understand trends of pelvic correction therapy in Korea and to assist research activities on pelvic correction therapy. Also, this study selected and presented indicators for measuring pelvic slope to help ensure consistent studies with uniform indicators in future studies related to pelvic correction. Methods : The following keywords "골반", "골반 교정", "골반 변위" "Pelvic correction" were searched on three specialized search sites (RISS, NAI, DBpia). Trends in pelvic correction therapy were analyzed through the selected researches suitable among these searched researches in an overview format. Results : 1. A total of 7,806 studies were searched and a total of 268 studies were finally selected. 2. Studies began in 1977 and have been actively studied until recently, with 35 studies in 2017 being the most recent trend since 2000. 3. In the results according to the Main Field of Research, the 'Arts and Kinesiology'(113, 42.16%) and 'Medicine and Pharmacy'(103, 38.43%) were the most in order. To the Middle Field, the 'Kinesiology was the largest with 96(35.82%) studies. 4. In the results according to the study design, 'Pre-Post Test(PPT)' was the largest with 107 studies. 5. In the results according to the Intervention, 'Exercise' was the largest with 165 studies, of which 'Pilates' and 'Yoga' in 'Training' was the largest. 6. Among the evaluation method, the 'Pelvic Index' was used 146 times, followed by 'Spinal Alignment (99)', 'Other Joints (93)', and 'Kinetic Specialized Measurement Test (56)'. 7. Among the evaluation methods, the pelvic slope measurement indicators were PT (58), PH (48), Pelvic Torsion (40), Iliac Crest (38), ASIS-PSIS distance/angle (27), and Pelvic Width (I.W., I.L., S.W) (25) in order. 8. The journals that published the most researches were KJSS(Korean Alliance For Health, Physical Education, Recreation, And Dance;9), and JKPT(Korean Physical Therapy;9). Among the University, the Graduate School of Silla University published the most papers (12). 9. The author who published the most studies were Seungjin Park(3), the co-authors were Hoseong Lee, Gideok Park, Seongsu Bae(3), and the Thesis-Director Gyeongok Lee(7). Conclusions : 1. Studies on pelvic correction treatment continue to increase every year. 2. The main academic field of pelvic correction is 'Sports', 'Physical Therapy', and 'Medical Science'. 3. The most chosen research design method in the study on pelvic correction treatment was 'Pre-Post Test(PPT)', primarily as an intermediary, Pilates and yoga during exercise therapy, and then Chiropractic during handcraft were used as multiple frequencies. 4. Among the various measurement method indicators of pelvic correction previously used, multiple frequency was taken up in the order of PT, PH, Pelvic Torsion, iliac crest, ASIS-PSIS distance/angle, and pelvic width (I.W.,I.L.,S.W). Typically, measurements through "ASIS-PSIS angle" are recommended and are considered as the most rational in clinical trials.

암환자 인식에 관한 연구 - 간호사ㆍ의사를 중심으로

  • Jo, In-Hyang
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.58-74
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    • 2002
  • This paper constitutes a descriptive investigation and used a structured questionnaire to investigate nurses' and doctors' recognition of cancer patients. The subjects were extracted from the medical personnel working at the internal medicine, the surgery ward, the obstetrics and gynecology department, the pediatrics department, the cancer ward, and the emergency room of five general hospitals located in Seoul and Gyeonggi Province. The research lasted from August, 2001 to September 2001. Total 137 nurses and 65 doctors were included and made out the questionnaires directly distributed by the investigator. The study tool was also developed by the investigator and consisted of such items as the demographic and social characteristics, the medical personnel's recognition degree of cancer and cancer patients, their recognition of the management of cancer patients, and their participation in a hospice. The results were analyzed using the SPSS Window program in terms of technological statistics, ranks, t-test, and ANOVA. The reliability was represented in Cronbach' α=.75. The nurses' and doctors' recognition degree of cancer and cancer patients had an overall average of 3.86 at the 5 point-scale. The items that received an average of 4.0 or more included 'Medical personnel should explain about the cancer cure plans to the cancer patient and his or her family', 'A patient whose case has been diagnosed as a terminal cancer should be notified of it, 'If I were a cancer patient, I would want to get informed of it,' and 'Cancer shall be conquered whenever it is'. In the meantime, the items that received an average of 3.0 or less was 'My relationship with the cancer patient's family has gotten worse since I announced his or her impending death.' And according to the general characteristics and the difference test, the recognition degree of cancer and cancer patient was high among the subgroups of nurses, females, married persons, who were in their 30s, who had a family member that was a cancer patient, and who received a hospice education. The biggest number of the nurses and doctors saw 'a gradual approach over several days'(68.8%) as a method to tell a cancer patient about his or her cancer diagnosis or impending death. Those who usually tell tragic news were the physician in charge(62.8%), the family members or relatives(32.1%) and the clergymen(3.8%) in the order. The greatest number of them recommended a cancer patient's home as the place where he or she should face death because they thought 'it would stabilize his or her mentality'(91.9%) while a number of them recommended the hospital because they 'should give the psychological satisfaction to the patient'(40%) or 'should try their best until the last moment of the patient's death'(30%). A majority of the medical personnel regarded 'smoking or drinking' and 'diet' as the causes of cancer. The biggest symptom of a cancer patient was 'pain' and the pain management of a cancer patient was mostly impeded by the 'excessive fear of drug addiction, tolerance to drugs and side effects of drugs' by medical personnel, the patient, and his or her family. The most frequently adopted treatment plan of a terminal cancer patient was 'to do whatever the patient or his or her family wants' to resort to a hospice' and 'to continue active treatment efforts' in the order. The biggest reasons why a terminal cancer patient went to see a doctor were 'pain alleviation' 'control of symptoms other than pain(intravenous supply)' and 'incapability of the patient's family' in the order. Terminal cancer patients placed their major concern in 'spiritual(religious) matter' 'emotional matters' their family' 'existence' and 'physical matters' in the order. 113(58.5%) of the whole medical personnel answered they 'would recommend' an alternative treatment to a terminal cancer patient mostly because they assumed it would 'stabilize the patient's mentality.' Meanwhile, 80(41.5%) of them chose 'not to recommend it mostly due to the unverified effects and high cost of it(78.7%). A majority of them, I. e. 190(94.1%) subjects said they 'would recommend' a hospice to a terminal cancer patient mostly because they thought it would help the patient to 'mentally prepare'(66.6%) Only 17.3% of them, however, had received a hospice education, most of which was done through the hospital duty education(41.4%) and volunteer training(34.5%). The follows are results of this study: 1. The nurses and the doctors turned out to be still passive and experience confusion in dealing with a cancer patient despite their great sense of responsibility for him or her. 2.Nurses and Doctors realize the need of a hospice, but an extremely small number of them participate in a hospice education or performance. Thus, a whole recognition of a hospice should be changed, for which purpose a hospice education for nurses and doctors should be provided. 3.Terminal cancer patients preferred their home to a hospital as the place to face their impending death because they felt it would bring 'mental stability.' And most of nurses and doctors think it would be unnecessary for them to be hospitalized just for control of their symptoms. Accordingly a terminal cancer patient can be cared at home, and a home hospice care needs to be activated.

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A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Low Back Pain Based on FEAS (요통에 대한 침치료 무작위대조군임상연구(RCT)의 FEAS 분석을 통한 계통적 분석 연구)

  • Nam, Dong-Woo;Kang, Jung-Won;Kim, Eun-Jung;Kim, Hyun-Wook;Song, Ho-Sueb;Kim, Sun-Woong;Kim, Kap-Sung;Lee, Geon-Mok;Choi, Dong-Young;Lee, Jae-Dong
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.133-147
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    • 2009
  • Objectives : To review RCTs on acupuncture treatment for low back pain in order to establish a standard acupuncture treatment model in treating low back pain. Methods : RCT articles on traditional acupuncture treatment for low back pain were searched through online database. Study Quality was assessed using the FEAS. Results : Ten out of the one hundred six articles searched were reviewed. Among the ten articles reviewed, six articles compared acupuncture treatment with no treatment or non-penetrating sham acupuncture. All six articles concluded significantly positive effect of acupuncture compared to the control. Conclusions : The ideal acupuncture treatment model for low back pain was obtained as follows. A sterile disposable stainless steel(0.30mm${\times}$40mm) should be inserted to more than six acupuncture points on the BL, GV and GB meridians such as $BL_23$, $BL_25$, $BL_40$, $BL_60$, $GV_4$ and $GB_30$. Sparrow pecking method to obtain 'de-qi' is recommended and repeated stimulation during the 20 minute retention time is necessary. Ideal treatment frequency would be more than one a week for about 7 weeks.

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Suppressive Effects of Sulfur-containing Compounds on Ginseng Anthracnose (Colletotrichum gloeosporioides) and Proper Application Concentration (유황자재의 인삼 탄저병 억제효과 및 적정 살포 농도)

  • Lim, Jin-Soo;Mo, Hwang-Sung;Lee, Eung-Ho;Park, Kee-Choon;Chung, Chan-Moon
    • Korean Journal of Environmental Agriculture
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    • v.34 no.1
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    • pp.46-51
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    • 2015
  • BACKGROUND: This study aimed at investigating the effects of sulfur-containing compounds widely used as environment-friendly organic fungicides against ginseng anthracnose, and determining the appropriate application concentration for lowering chemical injury to ginseng leaves. Ginseng anthracnose, caused by Colletotrichum gloeosporioides, is a destructive disease that significantly reduces the yield of ginseng. METHODS AND RESULTS: Ginseng anthracnose, caused by Colletotrichum gloeosporioides, is a destructive disease that significantly reduces the yield of ginseng. In a 2-year-old ginseng grown in a pot, treatment with loess-sulfur complex containing 0.06% sulfur and fermented loess-sulfur complex containing 0.13% sulfur did not show any chemical injuries. In order to measure the therapeutic effectiveness, various sulfur-containing compounds were applied to the plants after they were infected with ginseng anthracnose. Treatment with lime sulfur complex (400 dilution) showed the highest ginseng anthracnose control value, followed by fermented loess-sulfur complex (20 dilution), fermented loess-sulfur complex (40 dilution), and loess-sulfur complex (400 dilution) treatments. These compounds were applied before the outbreak of anthracnose disease in order to measure the preventive effectiveness, and in this case, treatment with fermented loess-sulfur complex (40 dilution) showed the highest control value and it was comparable to the value of the pesticide treatment used as the control in this experiment. CONCLUSION: Fermented loess-sulfur complex could be recommended as an environment-friendly organic material to control the occurrence of ginseng anthracnose.

Isolation of Protoplasts from Tomato Root by Two-step Osmotic Treatment (토마토 뿌리조직으로부터 두 단계 삼투압 처리에 의한 원형질체의 분리)

  • Shin, Dae-Seop;Han, Min-Woo;Kim, Young-Kee
    • Applied Biological Chemistry
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    • v.47 no.2
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    • pp.192-196
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    • 2004
  • In order to measure cellular physiological activity including ion channel activity, protoplasts were isolated from the root tissue of tomato plant. The general methods recommended were not efficient enough to make protoplasts from the root tissue. Among various conditions tested, we found that a two-step treatment of osmosis is very efficient for the isolation of protoplasts. In this procedure, root tissues were preincubated in a solution containing 300 mM sorbitol for 30 min. Then, they moved to the reaction solution containing 700 mM sorbitol as well as cell wall-digesting enzymes. The formation of protoplast was greatly increased by this method. In order to find the optimal condition of the two-step method, various conditions of pH, osmotic pressure, incubation time, and the concentrations of cell wall-digesting enzymes were tested. The yield of protoplast isolation was maximal at pH 5.0 after 2 hr incubation. Mixed enzymes of 3% cellulase, 1 % macerozyme, and 0.1 % pectolyase showed maximal protoplast isolation. The physiological activity of isolated protoplast evaluated by measuring the cellular ATPase activity was as high as that measured from the preparation of root tissue. The protoplasts isolated by this method were remained healthy up to 4 hrs which is enough time to measure the cellular physiological activity. These results show that the two-step treatment of osmotic pressure was successful to obtain high yield of healthy protoplast from tomato root tissue.