• Title/Summary/Keyword: 인공 계

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Long-term Results of Surgical Correction for Partial Atrioventricular Septal Defects -Seventeen-year Experience - (부분방실중격결손증에 대한 외과적 교정의 장기 결과)

  • 이정렬;박천수;임홍국;김용진;노준량;배은정;노정일;윤용수
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.911-920
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    • 2003
  • In this study, we analyzed the long-term surgical outcome of partial atrioventricular septal defects during the past 17 years at Seoul National University Hospital. Material and Method: A retrospective analysis on mortality, survival, and reoperation and their risk factors was done in 93 patients who underwent surgical correction of partial atrioventricular septal defects between April 1986 and December 2002. 32 patients were male and 61 were female with a median age of 68 months (3∼818 months) and a mean follow-up period of 108 months (1∼200 months). Result: There were 4 operative deaths (4.3%) and one mortality during the follow-up period. 3, 5, 10, and 15 year actuarial survival rates were 95.7%, 94.3%, 94,3%, and 94.3%, respectively. After the surgical correction, left atrioventricular valve Incompetence was improved in 61patients (67.7%), remained same as the preoperative status in 14 patients (15.1%), and was aggravated in 12 patients (12.9%). Reoperation was performed in 8 patients (9.0%) after a mean interval of 38.6 months (3∼136 months). Freedom from reoperation rates at 3, 5, 10, and 15 years after surgical correction were 94.0%, 91.4%, 91.4%, and 88,2%, respectively Reasons for reoperation were 7 left atrioventricular valve incompetence, 2 left ventricular outflow tract obstruction, a residual atrial septal defect, a left atrioventricular valve stenosis, and a right ventricular failure. Left ventricular outflow tract obstruction was the only statistically significant factor. In ten patients, significant arrhythmia was developed and three of them were supraventricular arrhythmia. Complete atrioventricular block occurred in 7 patients and permanent pacemakers were implanted in six of them. Conclusion: Surgical corrections of partial atrioventricular septal defects were performed with low operative mortality. Since left atrioventricular valve incompetence was the most common cause of reoperation and left ventricular outflow tract obstruction was the only risk factor for reoperation, a precise estimation of the left atrioventricular valve morphology and the structure of left ventricular outflow tract are needed. Although left ventricular outflow tract obstruction rarely developed, reoperation was frequently required and resection of subaortic tissue could be peformed but the possibility of recurrence was high, so modified Konno operation could be performed with satisfactory results. Complete atrioventricular block developed frequently in early periods, but was overcome with a precise anatomical understanding of conduction system and experience.

Long Term Results of Valve Replacement with the St. Jude Medical Heart Valves: Thirteen Year Experience (St. Jude 기계판막을 이용한 판막 치환술의 장기 성적)

  • Kim, Chang-Gon;Gu, Ja-Hong;Jo, Jung-Gu;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.30 no.9
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    • pp.891-898
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    • 1997
  • Between May 1984 and January 1996, 130 patients were replaced cardiac valve using 150 St. Jude Medical prosthetic valves(42 aortic, 68 mitral, 20 aortic and mitral valve replycements). Follow-up was 97.6% complete. The early mortality rate was 5.4%, and late mortality rate was 4.9%. The valve-related late mortality rate was 3.3%. Of late complications, there were 6 anticoagulant related hemorrhages, 4 thromboembolisms and 1 paravalvular leakage. Linearized rates of late complication and valve-related late mortality were as follows: total late complications, .1.68o per patient-year: anticoagulant related hemorrhages, 0.92% per patient-year: thromboembolism, 0.61% per patient-year: paravalvular leakage, 0.15% per patient-year: reoperation, 0.15% per patient-year: and valve-related late mortalities, 0.61% per patient-year. Actuar al event free rate at 10 years was 87.4 $\pm$ 3.2%. The overall actuarial survival rate was 90.4$\pm$2.7% at 5 years, 87.5$\pm$3.3% at 10 years. Ninety eight percent of the survivors were in the New York Heart Association functional class I or II at the end of follow-up. There was significant improvement of cardiothoracic ratio. In conclusion, this study suggests the excellent durability of the St. Jude Medical Heart valve and remarkable functional benefit for the majority of the patients. However, prosthesisrelated complications are still common. Outcome is strongly related to the patient's preoperative cardiac condition and to the adequacy of anticoagulation control.

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Feasibility Test on Automatic Control of Soil Water Potential Using a Portable Irrigation Controller with an Electrical Resistance-based Watermark Sensor (전기저항식 워터마크센서기반 소형 관수장치의 토양 수분퍼텐셜 자동제어 효용성 평가)

  • Kim, Hak-Jin;Roh, Mi-Young;Lee, Dong-Hoon;Jeon, Sang-Ho;Hur, Seung-Oh;Choi, Jin-Yong;Chung, Sun-Ok;Rhee, Joong-Yong
    • Journal of Bio-Environment Control
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    • v.20 no.2
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    • pp.93-100
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    • 2011
  • Maintenance of adequate soil water potential during the period of crop growth is necessary to support optimum plant growth and yields. A better understanding of soil water movement within and below the rooting zone can facilitate optimal irrigation scheduling aimed at minimizing the adverse effects of water stress on crop growth and development and the leaching of water below the root zone which can have adverse environmental effects. The objective of this study was to evaluate the feasibility of using a portable irrigation controller with an Watermark sensor for the cultivation of drip-irrigated vegetable crops in a greenhouse. The control capability of the irrigation controller for a soil water potential of -20 kPa was evaluated under summer conditions by cultivating 45-day-old tomato plants grown in three differently textured soils (sandy loam, loam, and loamy sands). Water contents through each soil profile were continuously monitored using three Sentek probes, each consisting of three capacitance sensors at 10, 20, and 30 cm depths. Even though a repeatable cycling of soil water potential occurred for the potential treatment, the lower limit of the Watermark (about 0 kPa) obtained in this study presented a limitation of using the Watermark sensor for optimal irrigation of tomato plants where -20 kPa was used as a point for triggering irrigations. This problem might be related to the slow response time and inadequate soil-sensor interface of the Watermark sensor as compared to a porous and ceramic cup-based tensiometer with a sensitive pressure transducer. In addition, the irrigation time of 50 to 60 min at each of the irrigation operation gave a rapid drop of the potential to zero, resulting in over irrigation of tomatoes. There were differences in water content among the three different soil types under the variable rate irrigation, showing a range of water contents of 16 to 24%, 17 to 28%, and 24 to 32% for loamy sand, sandy loam, and loam soils, respectively. The greatest rate increase in water content was observed in the top of 10 cm depth of sandy loam soil within almost 60 min from the start of irrigation.

Activities of esterase and acetylcholinesterase on the diamond backmoth, Plutella xylostella (Lepidoptera : Yponomeutidae) and beet armywarm, Spodoptera exigua (Lepidoptera : Noctuidae) and inhibitions of acetylcholinesterase with flupyrazofos (배추좀나방과 파밤나방의 효소활성 및 flupyrazofos 에 의한 AChE 활성 저해)

  • Lee, Sang-Guei;Chon, Gil-Hyong;Lee, Hoi-Seon;Hwang, Chang-Yeon;Han, Man-Jong;Park, Hyung-Man
    • The Korean Journal of Pesticide Science
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    • v.7 no.1
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    • pp.18-24
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    • 2003
  • The activities of esterase and acetylcholinesterase(AChE) on the Diamond backmoth (DBM), Plutella xylostella (Lepidoptera: Yponomeutidae) and Beet armywarm (BAW), Spodoptera exigua (Lepidoptera: Noctuidae) and inhibitions of AChE with flupyrazofos were clarified from the results of a series of experiments. These findings are described in brief as follows. The AChE activities of DBM and BAW in heads were $1.5{\sim}11.1{\mu}$mol/g/min in $1st{\sim}4th$ instar larvae of DBM and $1.7{\sim}45.2{\mu}$mol/g/min in $1st{\sim}6th$ instar larvae of BAW, respectively. Those were $25{\sim}30$ times higher in above 4th instar larvae of BAW than that of the 1st instar larvae of DBM. The activities of aliesterase in heads were $1.7{\sim}4.7$ times higher in $2nd{\sim}4th$ instar larvae of DBM and $8{\sim}55$ times higher in $3rd{\sim}6th$ instar larvae of BAW than 1st instar larvae of DBM. In abdomens, those were $3{\sim}17$ times higher in $2nd{\sim}4th$ instar larvae of DBM and $12{\sim}30$ times higher in $3rd{\sim}6th$ instar larvae of BAW than 1st instar larvae of DBM. Median AChE inhibition concentration $(I_{50})$ of flupyrazofos to the 2nd instar larvae of DBM and BAW were 92 nM and $15{\mu}M$, respectively, and those to the 4th instar larvae of DBM and BAW were $1.8{\mu}M$ and 3.1 mM, respectively. Insensitivity ratio of flupyrazofos in the 2nd instar BAW larvae showed ca. 162 times higher than that in the 2nd instar larvae of DBM, and that of the 4th instar BAW larvae showed ca. 1,720 times higher insensitivity to flupyrazofos than that of the 4th instar DBM larvae. AChE activities in the 2nd instar larvae of DBM and BAW at 32 h after applicaton of flupyrazofos decreased from 67.6% to 32.4% of the activity of the untreated control. That of the 4th instar larvae of DBM increased for 0.5 h after application flupyrazofos up to 75% of the untreated control, and after that it decreased to 34.5% of the untreated control at 32 h. In contrast, in the 4th instar larvae of BAW AChE activities increased for 8 h gradually up to 102 % of the activity of the untreated control, and then the activity decreased to 97% of the untreated control at 16 h after treatment.

Age Variation in Extractive Nitrogenous Constituents of the Cultured Ascidian, Halocynthia roretzi Muscle (양식산 우렁쉥이, Halocynthia roretzi 함질소 엑스성분의 연령차)

  • PARK Choon-Kyu
    • Journal of Aquaculture
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    • v.5 no.1
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    • pp.69-79
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    • 1992
  • The muscle extracts of the ascidian, Halocynthia roretzi cultured for two and three years old on the southern coast near Chungmu and the eastern coast near Pohang of Korea, were analyzed for extractive nitrogen (EN), free amino acids (FAA), combined amino acids (CAA), nucleotides and related compounds (NRC), quaternary ammonium bases and guanidino compounds using specimens collected in February 1989 and in April 1989, and compared for those contents with each other. As for the amount of EN, no remarkable difference was found between two- and three-year-old samples collected at St. 1 in the spring and winter seasons, while at St. 2 in the spring season the two-year-old sample was distinctly lower than the three-year-old one. Taurine, proline, glutamic acid, glycine and alanine were the major FAA in every sample. The amount of taurine, the most prominent FAA, was higher in three-year-old sample than in two-year-old one regardless of sampling station and season. Most of the other major FAA showed a similar tendency to EN at both sampling stations in both seasons. Adenosine 5'-triphosphate (ATP), adenosine 5'-diphosphate (ADP), adenosine 5'-monophosphate (AMP), inosine 5'-monophosphate (IMP), inosine (Ino) and hypoxanthine (Hyp) were detected in all the samples and ATP, ADP and AMP were the major ingredients. The amounts of total NRC were in parallel with those of EN and total FAA. As for the contents of betaines, two- and three-year-old samples collected in the winter season exhibited a great discrepancy each other, the former being clearly lower than the latter, but no remarkable difference was observed between two samples of two groups in the spring season. In proximate composition of the muscles, the two-year-old sample was considerably higher in moisture content and lower in protein and glycogen contents than the three-year-old one at St. 2 in the spring season. The large discrepancies observed between two- and three-year-old samples from St. 2 seems to be attributable to the difference in size of samples rather than to the difference in age.

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The effect of the revolution and forwarding speed of the rotary blade on the tilling power requirement (로우터리 경운(耕耘)날의 회전속도(回轉速度) 및 작업속도(作業速度)가 경운소요동력(耕耘所要動力)에 미치는 영향(影響))

  • Kwon, Soon Goo;Kim, Soung Rai
    • Korean Journal of Agricultural Science
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    • v.11 no.1
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    • pp.160-175
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    • 1984
  • This study was carried out to analyze the effects of the revolution and forwarding speed of the rotary blade and the edge curves which were $30^{\circ}$ and $40^{\circ}$, on the power requirement of rotary tillage. In this study, the revolutions of the rotary blade considered were 204, 243, 285, 360 rpm, and the forwarding speeds of the rotary system considered were 29.40cm/sec, 46.93em/sec. The power requirements of rotary blade were measured by a dynamic strain gage systems at the soil bin which was filled with artificial soil. The results of the study were summarized as follows: 1. The response surface analysis showed that the revolution and forwarding speed of the rotary shaft had an interacting influence on the torque requirement of the rotary blade. The mathematical model developed by the above was repersented as follow. $$T=a_0+a_1V+a_2R +a_3VR+a_4VR^2$$ where, $a_0=constant$ $a_1,\;a_2,\;a_3,\;a_4=coefficients$ V=forwarding speed of the rotary system. (em/sec) R=revolution of the rotary shaft. (rpm) T=tilling torque requirement. (kg-m) 2. When the maximum tilling torque requirement was analyzed, ${\partial}T/{\partial}R$ was decreased with the increasing revolution of rotary shaft, while ${\partial}T/{\partial}V$ was increased, which was minimum at 200~220 rpm. When the forwarding speeds were increased, ${\partial}T/{\partial}R$ was decreased with increasing rate. 3. When the mean tilling torque requirement was analyzed, ${\partial}T/{\partial}V$ was constant at 320~360 rpm and ${\partial}T/{\partial}R$ was decreased with increasing rate along with the increasing revolution of rotary shaft. 4. When the mean tilling torgue requirement per unit volume of soil was analyzed, ${\partial}T/{\partial}V$ was minimum at 270~300 rpm. ${\partial}T/{\partial}R$ for the forwarding speeds of 29.40cm/sec and 46.93cm/sec was same as that for 280~290 rpm. 5. Increasing the edge curves of the rotary blades, the tilling torque requirement was increased. But other studies showed that the smaller the edge curve, the more straw could be wrapped on blades which resulted in increasing torque requirements. Therefore, the edge curve of rotary blade should be considered for the future study.

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Studies on the Effects of various Levels of Protein in the Artificial Diet on Nutritional Physiology of the Silkworm, Bombyx mori (인공사료의 단백질수준이 가잠의 영양생리에 미치는 영향에 관한 연구)

  • 설광열
    • Journal of Sericultural and Entomological Science
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    • v.23 no.2
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    • pp.37-49
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    • 1982
  • Larvae of the silkworm (Bombyx mori L.) were reared during the 5th instar on the four kinds of artificial diets on the basis of the different amounts of soybean meal used as the protein source. In this experiment it was shown that the various levels of protein in the diet affected not only the growth and silk production but the digestibility of the diet. haemolymph protein and uric acid excretion. The results obtained are summarized as follows; 1. By an increase of the level of protein in the diet the apparant digestibility was increased. but the protein digestibility was comparatively decreased. 2. Larval body weight increment was not observed by the 3rd day of the 5th instar, but was increased from the 4th day as the level of protein was increased in the diet. 3. After the 3rd day of the 5th instar, protein content in the hemolymph was increased steeply by an increase of the protein content in the diet. However, the percentage of hemolymph protein to the ingested protein was decreased from the 2nd day of the 5th instar and increased more or less after the 4th day. 4. An increase of the uric acid excretion was observed as the content of protein in the diet was increased but the pattern of the uric acid excretion was different between high and low-protein diet. However, the percentage of the uric acid excretion to the ingested protein and to the hemolymph protein were both decreased steeply after the 2nd day of the 5th instar. 5. It was also evident that the high-protein diet increased the cocoon productivity. 6. It showed that the feed efficiency for body weight increment and silk formation was high by an increase of the level of protein in the diet, but the protein efficiency was not.

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A Study on Seasonal Pollutant Distribution Characteristics of Contaminated Tributaries in Nakdong River Basin (낙동강 중점관리지류·지천의 계절적 오염발생특성 분석)

  • Na, Seungmin;Kwon, Heongak;Shin, Sang Min;Son, YoungGyu;Shin, Dongseok;Im, Tae Hyo
    • Journal of Wetlands Research
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    • v.18 no.3
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    • pp.301-312
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    • 2016
  • This study has performed comparative analysis on characteristics of contaminated 35 tributaries on seasonal variation/point discharge load/pollutant distribution of water quality factors(8) in order to understand the effect of the watershed in Nakdong River Basin. As a results, the water quality of $BOD_5$(Biochemical Oxygen Demand), Chl-a(Chlorophyll a) and Fecal E. Coli shows II grade at tributaries of more than 50% without COD(Chemical Oxygen Demand), TP(Total Phosphate), TOC(Total Oxygen Carbon) and TN(Total Nitrogen) factors. The specific discharge(Q) were occupied about 54.4% (19 sites) as $0.05m^3/sec/km^2$ value. Among these results, the contaminant level of Dalseocheon, Hyeonjicheon, Seokkyocheon 1, Uriyeongcheon and Dasancheon was also high, which has to consider a discharged pollutant load(kg/day). The 35 major tributaries of Nakdong River were included in 7 mid-watershed, such as Nakdong Waegwan, Geumho River, Nakdong Goryung, Nakdong Changnyung, Nam River, Nakdong Milyang, Nakdong River Hagueon. Especially, the discharged pollutant load of Nam River and Geumho River also was high according to the amount of discharge such as Kachang dam, Gongsan dam and Nam river dam. Seasonal difference of the water quality factors such as $BOD_5$, TN, SS and Q was observed largely, on the other hand the TP and Chl-a was not. This is guessed due to the precipitation effect of site, biological and physicochemical degradation properties of pollutant and etc. The co-relationship between the seasonal difference and water quality factors was observed using a Pearson correlation coefficients. Besides, the Multiple Regression analysis using a Stepwise Regression method was conducted to understand the effect between seasonal difference and water quality factors/regression equations. As a result, the Multiple Regression analysis was adapted in the spring, summer and autumn without the winter, which was observed high at spring, summer and autumn in the order COD/TP, Chl-a/TOC, TOC/COD/$BOD_5$ water quality factors, respectively.

Determining the Locations of Washland Candidates in the Four Major River Basins Using Spatial Analysis and Site Evaluation (공간분석 및 현장조사 평가 기법을 활용한 4대강 강변저류지 조성 후보지 선정)

  • Jeong, Kwang-Seuk;Shin, Hae-Su;Jung, Ju-Chul;Kim, Ik-Jae;Choi, Jong-Yun;Jung, In-Chul;Joo, Gea-Jae
    • Korean Journal of Ecology and Environment
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    • v.43 no.1
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    • pp.44-54
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    • 2010
  • In this study, a comprehensive exploration and evaluation of washland candidate locations by means of field monitoring as well as spatial analysis in six major river system (Han, Nakdong, Nam, Geum, Youngsan, and Seomjin Rivers). Washland(in other words, river detention basin) is an artificial wetland system which is connected to streams or rivers likely to riverine wetlands. Major purpose of washland creation is to control floodings, water supply and purification, providence of eco-cultural space to human and natural populations. Characteristics and functions of riverine wetlands can be expected as well, thus it is believed to be an efficient multi-purpose water body that is artificially created, in terms of hydrology and ecology. Geographical information and field monitoring results for the washland candidate locations were evaluated in 2009, with respect to optimal location exploration, ecosystem connectivity and educational-cultural circumstances. A total of $269\;km^2$ washland candidate locations were found from spatial analysis (main channel of Rivers South Han, 71.5; Nakdong 54.1; Nam, 2.3; Geum, 79.0; Youngsan 46.4; Seomjin 15.7), and they tended to be distributed in mid- to lower part of the rivers to which tributaries are confluent. Field monitoring at 106 sites revealed that some sites located in the Rivers Nam and Geum is appropriate for restoration or artificial creation as riverine wetlands. Several sites in the Nakdong and Seomjin Rivers were close to riverine wetlands (e.g., Upo), habitats of endangered species (e.g., otters), or adjacent to educational facility (e.g., museums) or cultural heritages (e.g., temples). Those sites can be utilized in hydrological, ecological, educational, and cultural ways when evidence of detailed hydrological evaluation is provided. In conclusion, determination of washland locations in the major river basins has to consider habitat expansion as well as hydrological function (i.e. flood control) basically, and further utility (e.g. educational function) will increase the values of washland establishment.

Short-Term Nutrient Enrichment Bioassays and Nutrient Limitation in Daechung Reservoir (대청호에서의 단기 영양염 첨가 실험 및 제한 영양염류 분석)

  • Lee, Sang-Jae;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.43 no.1
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    • pp.136-141
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    • 2010
  • In situ experiments of Nutrient Enrichment Bioassays (NEBs) were conducted in the field along with in the laboratory to determine which nutrient limited phytoplankton growth as a indicator of primary productivity. For the NEBs, the water was sampled using a polyethylene-lined container and dispensed into 6 L water tank in the laboratory. The control (C, no nutrient spike) and six treatments of phosphorus (P), 2-fold phosphorus (2P), 4-fold phosphorus (4P), nitrate nitrogen ($NO_3$-N), 2-fold nitrate nitrogen ($2NO_3$-N), and phosphorus and nitrate nitrogen (P+$NO_3$-N) were set up in the lacustrine zone near the dam site, Daechung Reservoir in September, 2009 and analyzed the diel changes of total nitrogen (TN), total phosphorus (TP), and chlorophyll-$\alpha$ (Chl-$\alpha$) in the cubitainers. The short-term NEBs showed that algal response in the treatments spiked phosphorus (P, 2P, and 4P) were significantly (p < 0.05) greater than the response in the control (C), and nitrogen-spike. Also, the response in 4P-treatment was greater than those in the P- and 2P-treatments. In contrast, there was no significant differences (p > 0.20) between the $NO_3$-N and $2NO_3$-N treatment. The outcomes of the NEBs suggest that phosphorus limited the phytoplankton growth and nitrogen was not limited in this system. Furthermore, in the N + P treatments, the response was minimum, compared to all other treatments and the control, indicating that even if the system is evidently P-limited system, when added the nitrogen, the response showed the inhibition. Also, > 95% of observed long-term TN:TP ratios in the ambient water showed > 17, which is the criteria of P-limitation, supporting the P-limitation in the system. Overall, these results suggest that phytoplankton biomass near the dam is a direct linear function of P-loading near the watershed, if the phosphorus pool is mainly dissolved fraction.