• Title/Summary/Keyword: Trial Results

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A Clinical Study of Tinnitus (耳鳴에 관한 임상적 연구)

  • Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.2
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    • pp.134-145
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    • 2001
  • Introduction: Noises in the ear, whether real or imagined, are called tinnitus. Subjective causes of tinnitus(which is heard only by the patient) are extremely common and the majority of them are treated conservatively. For certain individuals their tinnitus is a major handicap; for others a trivial concern. The most common from of subjective tinnitus is a rushing, hissing or buzzing noise; it is frequently associated with sensorineural heanng loss. The patient may be unaware of the hearing loss, especially if it is a high frequency deficit of moderate severity. The character of the tinnitus may give a clue to the etiology. But the patient often has difficulty in explaining his/her tinnitus in absolute terms, as they have no other tinnitus with which to compare it but their own Tinnitus, like pain, is a subjective state and trying to objectively assess the severity is problematic. Audiological techniques to match subjective loudness to machine-produced noise may offer some help, in that sound intensity matches can bear little correspondence to subjective complaint. In spite of many studies, most patients presently seen complaining of tinnitus are told by their doctors that there is no treatment and that they will have to learn to live with this symptom. Objectives: To perform a clinical analysis of tinnitus and estimate the efficacy of Oriental Medical treatment according to the Byeonjeung(辨證). Subject: We studied 34 patients with complaints of tinnitus who had visited Pundang Cha Oriental Medicine Hospital Department of Otorhinolaryngology from March 1998 to February 2000. All of them had been treated 2 or 3 times a week with acupuncture treatment and had taken herbs according to the Byeonjeung(辨證) method. It was therefore possible for me to know whether their symptoms improved or not. Parameters Observed and Method: We treated them with acupuncture & herb-medication. Sometimes we gave them moxibustion or negative therapy with bloodletting at the acupuncture points(耳門, 聽宮, 聽會). Parameters Observed 1) Distribution of age & sex 2) Chief complaints 3) The sites of tinnitus 4) The quality of tinnitu 5) The duration of disease 6) The problem induced tinnitus 7) Factors increasing disease severity 8) The classification of the Byeonjeung(辨證) 9) The efficacy of treatments Results: 1. Age and sex distribution: The most common occurrence was found in males in their twenties: 6 males($17.7\%$), and in females in their thirties and over sixty: 8 females($23.5\%$). Total patient numbers for men and women were 20 men($58.8\%$), 14 women ($41.2\%$). 2. The most frequent major complaints were hearing disturbances related to tinnitus; and dizziness with tinnitus; each comprising 10 cases($29.4\%$). There were also 7 patients($20.6\%$) with only tinnitus. 3. Tinnitus sites: 13($38.2\%$) said that they felt tinnitus in both ears, equally. In the right ear, 9($26.5\%$), in the left, 6($17.7\%$). 4. The most frequent descriptive symptoms of tinnitus were: humming, hissing, buzzing etc. 5. The duration of disease. 14cases($41.2\%$) had a duration of less than 1 year. 6. 15cases($44.1\%$) complained that it was hard to watch TV or make a phone call because of tinnitus. 10 cases($29.4\%$) complained about depression. 7. Factors increasing severity of tinnitus: ⅰ) fatigue: 18cases($52.9\%$) ⅱ) stress/ tension: 10 cases($29.4\%$) ⅲ) alcohol and tobacco: 5cases($l4.7\%$) 8. Classification through Byeonjeung : ⅰ) 19 cases($55.9\%$) were classified as showing Deficiency syndrome. ⅱ) 15 cases($44.l\%$) were classified as showing Excess syndrome. The deficiency of Qi was 7($20.6\%$), deficiency of Xue, 8($23.5\%$) and insufficiency of the Kidney Yin & Yang, 4($11.8\%$). The flare of Liver fire was 8($23.5\%$) and phlegm-fire, 7($20.6\%$), 9. The efficacy of treatments showed: an improvement in 17cases($50.0\%$); no real improvement or changes in 13 cases($38.2\%$); and some worsening in 4 cases($11.8\%$). In the group with deficiency in Qi, 4($57.1\%$) improved, 1($14.3\%$) showed no change and 2($28.6\%$) were aggravated. In the cases of deficiency in Xue, 6($75.0\%$) improved, 2($25.0\%$) showed no change. In the cases of insufficiency of Kidney Yin & Yang, 3($75.0\%$) showed no change and 1($25.0\%$) were aggravated. In the group of flare of Liver fire, 4($50.0\%$) improved, 3($37.5\%$) no change and 1($12.5\%$) were aggravated. In the cases of phlegm-fire, 3($42.9\%$) improved, 4($57.1\%$) showed no change. Conclusion: We would recommend that any further studies of tinnitus utilize trial treatments of longer than 2 months duration, as any positive effects observed in our study showed that improvement occurred fairly slowly. And we suggest that this study could be utilized as a reference for clinical Oriental Medical treatment of tinnitus. If we try to apply music or sound therapy treatment properly combined with ours, we expect it to provide psycological stability in addition to inducing masking effects, even though it may not directly decrease or completely remove tinnitus.

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Studies on the Performance of Korean Native Chickens I. Effect of Various Feeding Systems on Performance of Korean Native Chickens (한국재래닭의 능력에 관한 연구 I. 서로 다른 사료 급여가 한국재래닭의 능력에 미치는 영향)

  • 김상호;이상진;강보석;최철환;장병귀;오봉국
    • Korean Journal of Poultry Science
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    • v.25 no.4
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    • pp.169-175
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    • 1998
  • A feeding trial was carried out to evaluate optimum feeding system to Korean Native Chicken (KNC) with various feeding programs for 64 weeks. Eight hundreds and ten KNC'one day birds were assigned to three feeding systems, NRC(T1), Japanese Feeding Standard(T2), Korean Feeding Standard(T3). Each treatment had three replicates of 90 birds a replicate. Data were obtained growing performance to 20 week of age and laying performance from twenty one to sixty four week. Viability to 20 week of age was similar to treatments. Growth characteristics by feeding systems were not significantly difference on body weight, feed intake and 50% egg production days. However, body weight was less about 100g in T2. There were no different on egg production, egg weight, and egg mass during laying period. Feed intake of T1 was 104g daily and showed lower than other treatments, but was not different significantly. Feed conversion was significantly improved in T2(P <0.05) compared to other treatments(P<0.05). Egg production of all treatments was the highest between 27 to 30 week of age. ME intake of T1 was significantly maximized, whereas CP intake was the lowest of all treatments(P < 0.05). Nutrient requirements for egg mass tended to depend on nutrients intake. Interior egg and eggshell characteristics were not different among treatments except yolk color. Fertility and hatchability were similar to treatments, and the results at 39 week of age were higher than at 62 week in all treatments. In conclusion, treatments fed three or four phase feeding would be superior to other treatments during the growing period and suggest 2,800 ㎉/kg ME, 15% CP for Korean native laying hen.

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A Comparison of Dietary Supplemental Conjugated Linoleic Acid and Various Gil on Performance and Fatty Acid Composition of Broiler Chicks (육계사료에 CLA와 다른 유지의 첨가가 생산성 및 계육의 지방산 조성에 미치는 영향 비교)

  • 류경선;류명선;김은성;최형송;정문웅
    • Korean Journal of Poultry Science
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    • v.29 no.2
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    • pp.125-134
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    • 2002
  • Two experiments were conducted to compare the dietary supplemental influence of conjugated linoleic acid(CLA), soybean oil(SBO) and commercial tallow(CT) on MEn, performance and breast meat composition of broiler chicks. Diets contained 21.5, 19% CP and 3,100, 3,100kcal/kg ME for starter and finisher, respectively. Each three levels(1.0, 2.0, 3.0%) of CLA, SBO, CT were supplemented to basal diets. Five hundred fDrty and three hundred sixty one day old, male broiler chicks were replaced to 3$\times$3, 2$\times$3 factorial design with four replicates in Expt 1 and 2. Weight gain, fled intake, fled conversion, W antibody titer and fatty acid composition were measured. Metabolizable energy(ME) were measured through the metabolic feeding trial in each oil. ME was 8,542, 9,179, 8,733 kcal/kg in CLA, SBO and CT, respectively. In Expt 1, weight gain was not statistically different between dietary oil treatments. Feed intake was significantly increased by CLA supplement(P<0.05). Feed conversion was significantly improved in SBO supplemental groups of all treatments(P<0.05). Weight gain and feed intake were significantly increased and fled conversion was significantly improved in CLA 2% and 3% supplemental groups compared with CLA 1% group(P<0.05). Fatty acid composition of breast meat was changed by CLA supplement. CLA content of breast meat was 12.23, 18.74, 25.67 mg/g in 1, 2, and 3% CLA treatments and showed significant difference between them(P<0.05). In Expt 2, CLA supplements increased weight gain signi(icantly for (inishing period(P<0.05) compared to that of other treatments. There was no significant difference in M Antibody titer in Expt 1 and Expt 2. As the results of these experiments, birds fed CLA tended to gain higher weight and significantly increased CLA contents of breast meat(P<0.05).

Effect of Nitrogen Rate on the Ionic Balance and the Variance with Leaf Sequance in Mulberry (Morus alba L.) Leaves (시용질소양이 상엽중 이온 균형 및 엽위별 변화에 미치는 영향)

  • 이운주
    • Journal of Sericultural and Entomological Science
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    • v.24 no.2
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    • pp.43-54
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    • 1983
  • In a field trial, the influence was studied by measurement of growth and leaf yields and chemical composition (in organic cations and anions and total nitrogen) with two nitrogen dressings (lower nitrogen treatment 25kg and higher nitrogen treatment 75kg urea/10a as the summer fertilizer) after the summer cutting. The results were as follows; 1. With increasingn nitrogen dressing, branch length and weight were enchanced. The fresh weight of leaves was higher to be 273.6kg/10a in the higher nitrogen treatment than in the lower nitrogen treatment on 20 September. 2. The moisture content of leaves lasted above 73% until on 30 August. Afterward it decreased sharply upto 63% on 20 September. In higher nitrogen treatment it was higher about 0.1∼1.8% than in lower nitrogen treatment. The increasing nitrogen dressings combined with leaf condition led to be soft until on 10 October. 3. Dry matter weight of leaves started decreasing around on 10 September, whereas that of branches increased until around 30 September indicating that the dry matter moved to branch and root from leaves. 4. The increase in Ca$\^$2+/ content was particularly evident, whereas the K$\^$+/ and Mg$\^$2+/ decreased with growth. The Ca$\^$2+/ content was much higher in the high nitrogen treatment than in the low nitrogen treatment. 5. With rapid decrease in total nitrogen and water in the leaves around the end of August, the Ca$\^$2+/ and Cl$\^$-/ which were higher in the lower part moved up to the upper part. Whereas the K$\^$+/, H$_2$PO$_4$$\^$-/ and SO$_4$$\^$2-/ which were higher in the upper part moved down to the lower part. 6. Total nitrogen content decreased sharply 3,200me/kg DM to 2,000me/kg DM at the end of August changing the maxmium content of total nitrogen from upper to lower part in the low nitrogen treatment on 12 September and in the high nitrogen treatment on 22 September, and an apex of branches was died and fallen 10 days after respectively. 7. The sum of cation in leaves (∑C) increased from 1400me/kg DM to 1600me/kg DM with growth, wherease that of anions (∑A) was approximatly the same during the whole growing season. As the result, the ionic balance (C-A) increased from 1000me/kg DM to 1200me/kg DM. 8. ∑C, ∑A and (C-A) were higher in the high nitrogen treatment than in the low nitrogen treatment due to be much higher of Ca$\^$2+/ content and higher of NO$\^$-/$_3$, SO$\^$2-/$_4$ and H$_2$PO$_4$$\^$-/ content.

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Effects of Fractionated Stereotactic Radiotherapy for Primary Hepatocellular Carcinoma (원발성 간암의 분할 정위방사선치료 효과)

  • Choi Byeong Ock;Kang Ki Mun;Jang Hong Seok;Lee Snag-wook;Kang Young Nam;Chai Gyu Young;Choi Ihl Bhong
    • Radiation Oncology Journal
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    • v.23 no.2
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    • pp.92-97
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    • 2005
  • Purpose : Reports on the outcome of curative radiotherapy for the primary hepatocellular carcinoma (HCC) are rarely encountered in the literature. in this study, we report our experience of a clinical trial where fractionated stereotactic radiotherapy (SRT) was used in treating a primary HCC. Materials and Methods : A retrospective analysis was peformed on 20 patients who had been histologically diagnosed as HCC and treated by fractionated SRT. The long diameter of tumor measured by CT was $2\~6.5$ cm (average: 3.8 cm). A single dose of radiation used in fractionated SRT was S or 10 Gy: each dose was prescribed based on the planning target volume and normalized to $85\~99\%$ isocenter dose. Patients were treated $3\~5$ times per week for 2 weeks, with each receiving a total dose of 50 Gy (the median dose: 50 Gy). The follow up period was $\~55$ months (the median follow up period: 23 months). Results : The response rate was $50\%$ (12 patients), with 4 patients showing complete response ($20%$), 8 patients showing partial response ($40\%$), and 8 patients showing stable disease ($40\%$). The 1-year and 2-year survival rates were $70.0\%$ and $43.1\%$, respectively, and the median survival time was 20 months. The 1-year and 2-year disease free survival rates were $65\%$ and $32.5\%$, respectively, and the median disease-free survival rate was 19 months. Some acute complications of the treatment were noted as follows: dyspepsia in 12 patients ($60\%$), nausea/emesis in 8 patients ($40\%$), and transient liver function impairment in 6 patients ($30\%$). However, there was no treatment related death. Conclusion : The study indicates that fractionated SRT is a relatively safe and effective method for treating primary HCC. Thus, fractionated SRT may be suggested as a local treatment for HCC of small lesion and containing a single lesion, when the patients are inoperable or operation is refused by the patients. We thought that fractionated SRT is a challenging treatment modality for the HCC.

Etiology and Analysis of Severity in Childhood Pancreatitis (소아 췌장염의 원인과 중증도 분석)

  • Park, Jun-Eun;Kim, Kyong-Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.2
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    • pp.194-203
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    • 1999
  • Purpose: Childhood pancreatitis has more various and somewhat different etiology than adult. Until now the analysis of severity in childhood pancreatitis were not well-known, although several studies have been made. Therefore, we studied the etiology and complications in childhood pancreatitis and analyzed whether Ranson and CT criteria could be applicated to evaluate the severity of childhood pancreatitis patients. Methods: The records of 30 patients with pancreatitis under 15 years of ages who were diagnosed in Asan medical center were reviewed. Age, sex, history, etiology, clinical features and treatment was reviewed in all patients but complications, Ranson and CT criteria were available in only 12 patients. Correlation between the number of complications and both Ranson and CT criteria were calculated with Spearman correlation coefficient. Results: 1. Median age at diagnosis was 7.3 years of age. 28 cases were acute pancreatitis and 2 cases were chronic pancreatitis. 2. Etiology: choledochal cyst(8 cases), drug (7 cases), trauma (4 cases), infection (3 cases), biliary stone or bile sludge (3 cases), idiopathic (2 cases) Hemolytic uremic syndrome, pancreatic duct obstruction, iatrogenic (1 case). 3. Local complications were ascites (5 cases), pseudocyts (4 cases) and systemic complications were hyperglycemia (4 cases), hypocalcemia (3 cases), pleural effusion (3 cases), etc. 4. Positive correlation was found between the number of complication and Ranson creteria (r=0.78, P=0.0016) and between the number of complication and CT criteria (r=0.65, P=0.015) in 13 cases. Conclusion: A trial to search the biliary duct anomaly may help to find the causes of childhood idiopathic pancreatitis, and both Ranson and CT criteria can be applicated to pediatric patients to evaluate the severity of childhood pancreatitis.

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Effects of Fermented feed with Agricultural by-products on the Growth Performance and Nutrients Utilization in Fattening Korean Black Goats (농산부산물 발효사료 급여가 비육흑염소의 생산성 및 영양소 이용율에 미치는 영향)

  • Choi, Sun-Ho;HwangBo, Soon;Kim, Sang-Woo;Cho, Young-Moo;Yoo, Yeoung-Hee;Kim, Tae-Il;Kim, Maeong-Joung;Lee, Sang-Min;Choi, Chang-Weon;Seo, Byeong-Bu;Jo, Ik-Hwan;Hong, Seonng-Gu
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.32 no.1
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    • pp.49-58
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    • 2012
  • This study was conducted to investigate the feeding fermented agro-industrial by-products on estimating the productivity and nutrient utilization of fattening black goats. Four experimental groups were set up with each of 6 animals for a 30 days feeding trial on growth performance and 12 black goats on nutrient digestibility were allocated to 4 groups of 3 animals each by latin-square design, control (offered concentrate and rice straw) and 3 treatment groups (offered fermentation feed and rice straw). Average daily gain (ADG) showed a significant high in control group, T3 was lower than other groups (p<0.05). DM and OM intake (kg/head) were 718.8, 680.9 g and 634.2~699.2 g, 602.8~660.4 g for control and treatment groups, respectively. As increasing of rice bran content was decreased feed intake. Digestibility of DM and OM for control group were significantly higher than treatment groups (p<0.05), and T3 treatment group with 30% rice bran was the lowest among treatment groups. Nitrogen retention was significantly higher in control and T1 groups. Thus, these results showed that productivity and nutrient utilization were similar between fermentation feeds with agricultural by-products and commercial feeds. However, this study was suggested that it must contain less than 5.0% crude fat because of feed efficient was decreased by increasing of rice bran content.

Effect of Seleniferous Whole Crop Barley Silage on Growth Performance, Blood and Carcass Characteristics, and Tissue Selenium Deposition in Finishing Hanwoo Steers (셀레늄 강화 청보리 사일리지 급여가 비육기 거세한우의 생산성, 혈액성상 및 도체특성과 조직 내 셀레늄 축적에 미치는 영향)

  • Hwangbo, Soon;Jo, Ik Hwan;Kim, Guk Won;Choi, Chang Weon;Lee, Sung Hoon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.33 no.4
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    • pp.281-289
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    • 2013
  • This study was conducted to investigate the effects of feeding seleniferous whole crop barley silage (WCBS) on the growth performance, blood and carcass characteristics, and tissue selenium deposition infinishing Hanwoo steers. A total of 20 growing Hanwoo steers were selected and assigned to one of the following feed groups: control (0.1 ppm Se), T1 (0.3 ppm Se), T2 (0.9 ppm Se), and T3 (0.9 ppm of inorganic Se). Five steers were allocated to each treatment group, and the trial lasted for 90 days. All experimental diets combined seleniferous and/or non-seleniferous WCBS up to a ratio of 30%. For the T3 diet, 0.9 ppm Se in the form of sodium selenite was added to the control diet. Dietary level and type of selenium did not affect feed intake and body weight gain. Blood total lipid and triglyceride concentrations were significantly (p<0.05) lower in the T2 group than in control. Blood immunoglobulin G concentration increased significantly (p<0.05) with increasing levels of dietary selenium; concentrations were significantly (p<0.05) higher in T2 and T3 than in control. Blood selenium concentration was the highest (p<0.05) in T2. No significant difference was observed in dressing rate, ribeye area, marbling score, meat color and fat color. Further, no association was found between levels and chemical form of dietary selenium and quality and quantity of meat. To the contrary, tissue selenium content in kidney, liver, and hind leg increased significantly (p<0.05) with increasing levels of selenium; however, feeding inorganic selenium did not introduce a significant increase in tissue selenium content of finishing Hanwoo steers. The results indicated that the selenium present in seleniferous WCBS was an effectively absorbable selenium source, suitable for increasing tissue selenium content in beef. Approximately 100 g of hind leg muscle from steers fed on the T2 diet met approximately 69% of the recommended daily selenium requirements.

Productivity and Density Control of Stands of Japanese Larch (일본잎갈나무 임분(林分)의 생산력(生產力)과 밀도관리(密度管理)에 관(關)한 연구(硏究))

  • Ma, Sang Kyu
    • Journal of Korean Society of Forest Science
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    • v.34 no.1
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    • pp.21-30
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    • 1977
  • Japanese larch (Larix leptolepis) is one of main timber species in Korea that could find much plantation and growing stands on all over the country. It is thought to be in meaningful that a guiding diagram for density control of Japanese larch stands is made to estimate easily the density conditions in the quantitaive, ecological and economic viewpoint. Sample plots for this study are selected from the stands that have not been thinned in recent years, and mean height, mean diameter, dominant height, tree numbers per hectare and stem volume of mean tree are calculated from the each sample plots among total 165 plots In this study, especially, the theory of slenderness of mean tree are applied, that have been identified through the results of the spacing trial. Relative growth characteristics of this species are calculated from the general logistic curve and its formula is $Y=ax^b$. Relatwion between the measured items are found out as follows: 1. Relation between the mean height and tree numbers per hectare by slender class is showing the high correlation as table 1 and fig. 2, and between mean diameter and tree numbers per hectare is also high correlation as table 1 and fig 3. 2. The stem volume can be correctly estimated from height in case that slender class may be known, as showing in table 3 and fig. 4. 3. The stem volume can be more correctly estimated from the relation with $D^2H$ as formula, $Log_e\;V=0.9569\;Log_eD^2H-9.8431$, and relation between stem volume of single tree or volume per hectare and tree numbers per hectare are as following formulas: $Log_e$ stem volume=9.5026-1.6800 $Log_e$ tree numbers per hectare $Log_e$ stem volume per hectare=9.4911-0.6784 $Log_e$ tree numbers per hectare. Stem volume of mean tree, tree numbers per hectare and stem volume per hectare correspond to the mean tree height are calculated to slender class as table 5, 6, 7. Through the above steps, the diagram for density control of Japanese larch are produced as fig. 9. It is thought that this diagram could be applied to control the density of Japanese larch stands.

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Classifying Forest Habitat Types Based on Potential Polyclimax Vegetation (다극성상(多極盛相) 잠재식생개념(潜在植生槪念)에 의거(依據)한 삼림환경형(森林環境型) 분류(分類)에 관(關)한 연구(硏究))

  • Hong, Sung Cheon
    • Journal of Korean Society of Forest Science
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    • v.78 no.2
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    • pp.177-188
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    • 1989
  • The habitat typing method of classification based on community has been developed on many forested areas in the ROCKY MOUNTAINS of WESTERN NORTH AMERICA, and is being used in providing an objective principle of guide for classification of forest sites, land classification, vertical distribution and multipurpose management of forest. I actually made a trial of forest habitat type classification - The methodology can be segmented into a number of tasks including reconnaissance, selection of stands to be sampled, location of plots, data gathering, preliminary and computer analysis, preparation of key- and map of habitat type and description for each habitat type in a view of forest management - on UNIVERSITY OF MONTANA FORESTS in order to examine whether its application is fit or not in korean forest circumstances : these are composed mainly of artificial forest and forest in the early stage of succession. The main results obtained from this study were summarized as follows 1. A hierarchical classification-Climax, Habitat type and Phases-of forest sites was developed using the habitat typing method of classification. 2. A diagnostic key is provided for field identification of the types based upon presence and number of indicator species, and forest managers could prepare a map of habitat type and classify forest habirat types by reference to it. 3. The classified habitat types were considered to be effective on providing an objective principle of guide for multipurpose management of forest including potential productivity for timber, feed productivity of forage and wildlife, selection of the right species in the right sites, application of method of treatment and so forth. 4. Forest habitat type classifications based upon extrapolation which used relict species and associated stands is considered to be suitable for korean forest circumstances and objective in studying potential vegetation, vertical and horizontal distribution of forest.

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