• Journal of Korean Society of Forest Science
• /
• v.79 no.3
• /
• pp.285-289
• /
• 1990

Soil N mineralization and nitrification can be measured conveniently using mixed bed (cation and anion) exchange resin bags. However, appropriate use of these resin bags requires pretreatment to avoid colorimetric interference and standardize N ion adsorption. Three pretreatments were evaluated : control (untreated), 2 M NaCl with a distilled water rinse, and 4 M NaCl. The 4 M NaCl treatment was effective at removing background levels of $NH_4{^+}$ and $NO_3{^-}$, but adsorbed low amounts (about 40%) of inorganic N from standard solutions. Untreated resin bags adsorbed a constant, higher amount of $NO_3{^-}$ (60%), but did not remove background levels of $NH_4{^+}$. The 2 M NaCl treatment followed by a distilled water rinse performed best : it removed background $NH_4{^+}$ and adsorbed a constant amount of both $NH_4{^+}$ (70%) and $NO_3{^-}$ (60%). Because the ion exchange resin is fairly expensive, we also tested if the resin bags could be reused. Resin bags were either loaded with $NH_4{^+}$ and $NO_3{^-}$ in the laboratory or incubated in soil in the field, desorbed with the 2 M NaCl treatment, and then loaded with standard $NH_4{^+}$ and $NO_3{^-}$ solutions. Lab loaded resin bags adsorbed about 60% of inorganic N then loaded with 2.5 or $5.0mgN\;1^{-1}$ and 70% when loaded at 10 or $20mgN\;1^{-1}$, whereas reused field incubated bags showed the opposite adsorption efficiency. These results demonstrate that resin bags can give reproducible results, but care must be taken to evaluate the effect of pretreatment and potential for reuse.

• Journal of Hospice and Palliative Care
• /
• v.8 no.2
• /
• pp.152-155
• /
• 2005

Purpose: The lower extremity edema (LEE) is a common distressful symptom in advanced cancer patients and is hard to manage. We analyze the characteristics of LEE in patients with advanced cancer to provide the basic information of causes and adequate management. Methods: Physical examination, assessment of the location and severity of edema, blood chemistry (albumin, creatinine), Doppler Sono for patients with suspecting deep vein thrombosis (DVT), and abdomen CT scan for patient with suspecting lymph edema were performed. Severity of edema was classified according to NCI lymph edema scaling and improvement was defined as lowering at least 1 grade of edema after management. Results: Among 154 patient who had been admitted to Hospice Ward from Mar 2003 to Jan 2004, 33 had LEE, and 6 had both upper extremity edema and LEE except generalized edema. Their underlying cancers were stomach (7), lung (6), biliary tract (5), liver (5), colorectal (5), pancreas (2), and others (9). There were 12 patient with grade I, 20 patients with grade II, and 7 patients with grade III edema. The causes were hypoalbuminemia (11), lymph edema (10), DVT (7), obstruction of inferior vena cava (IVC) or portal vein (6), and dependent edema (5). The common managements were including leg elevation and diuretics. Elastic stocking was applied for patients with DVT and leg massage and pneumatic compression was used for lymph edema. The 2/3 patients were improved after management. Conclusion: The incidence of LEE in terminal cancer pts was high (25.3%) and their causes were variable including lymph edema, DVT, hypoalbuminemia and dependent edema. Active noninvasive management according to causes could result in good palliation.

• Journal of Chest Surgery
• /
• v.39 no.7 s.264
• /
• pp.544-548
• /
• 2006

Background: The purpose of this study is to evaluate the validity of a combined high saphenous vein division and sclerotherapy without sacrificing saphenous vein for varicose vein. Material and Method: Between August 2004 and October 2005, 70 limbs in 50 patients were treated by a combined high saphenous vein division and sclero-therapy. The operative indication is valvular incompetence of femoral-saphenous or popliteal-saphenous junction. Patients received local anesthesia and were treated by a combined high saphenous vein division, ligation of incompetent perforating vein and $1{\sim}3%$ sclerosant. Patients received 1 day hospitalization and applied in com-pression stocking for 6 weeks. Patients followed after 1 week, 1 and 3 months. Result: Mean age of patients was $50{\pm}11$. The female was more common. 8 patients was no symptom, another 42 patients complained of pain, heaviness and fatigue of limbs. The symptoms of varicose vein disappeared 1 month after the procedure in all symptomatic patients. 8 patients needed a adjuvant sclerotherapy for residual varicose vein on 1 week after the procedure. There were only minor complications such as hematoma (1), wound infection (1), thrombophlebitis (20), skin blister (10), hyper-pigmentation (1), and skin ulcer (1). Conclusion: We concluded that a combined high saphenous vein division and sclerotherapy without sacrificing saphenous vein for varicose vein is simple, less invasive, economical, and effective treatment for primary varicose vein, and it has a special advantage that saphenous vein can be used as a bypass conduit later. The method was selective in old aged patients.