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Survival and Problems after Repair of Tetralogy of Fallot (Fallot 4징 교정수술후의 생존 및 문제점)

  • 손세정;한재진;이영탁;김성호
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.237-248
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    • 1999
  • Background: The late results of repair of tetralogy of Fallot(TOF) are favorable in most patients. Some portion of the patients with tetralogy, however, require reoperation for residual lesions or result in late death. The outcome of patients after tetralogy repair performed during the past 13 years was studied, with an emphasis on postrepair survival and problems including reoperations. Material and Method: A retrospective review of clinical, echocardiographic and catheterization data was performed in 569 of 775 patients with TOF who underwent corrective repair between 1983 and 1995 at Sejong General Hospital, Buchon, Korea. Result: Of 28(4.9%) early deaths(defined as 30 days postrepair), 12 deaths(42.9%) were <1 year of age, with an operative mortality of 15.4%. The surviving 541 patients(age 2.8 months to 43.4 years, median 23 months) have been followed up from 1 month to 12.6 years(median 35 months) postoperatively. Most patients were in good functional class and had normal right ventricular(RV) function. Postrepair results were compared between the transatrial-transpulmonary approach and the conventional right ventriculotomy. The former technique provided a lesser incidence of significant pulmonary regurgitation(P<0.001) and alesser degree of RV dysfunction(P<0.05) compared with those in the latter. There were 10(1.8%) late deaths during the follow-up period and 6 of the deaths were directly related to reoperation or ventricular dysfunction. The 10-year actuarial survival rate was 96.7%. There were 44 reoperations(8.1%) in 39 patients(7.2%), with an operative mortality of 10.3%. The main indications or reoperation included residual ventricular septal defect(VSD) (n=6), pulmonary stenosis(PS) (n=11), VSD with PS(n=17), pulmonary regurgitation(n=7), and tricuspid regurgitation(n=2). The 5- and 10-year freedom from reoperation were 89.4% and 76.1%, respectively. Conclusion: Although the majority of patients with repaired TOF are clinically well, with a high rate of survival, approximately 7% of patients have residual lesions that require surgical therapy. Therefore, the timely and meticulous corrective repair is mandatory to avoid reoperation, and continued close surveillance is also needed for the early detection of residual problems.

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Coronary Artery Bypass Surgery with Radial Artery -Early Results (요골동맥을 이용한 관상동맥우회술 -조기성적)

  • 나찬영;이영탁;박국양;이해영;김욱성;박?현;홍민수;심재천;권오춘
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.275-281
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    • 1997
  • The radial artery as a graft for myocardial revascularization was introduced by Carpentier in the early 1970s. Mid-term results were unfortunately discoura ing, and the clinical experience with this graft was interrupted. At the end of the 1980s, these authors reproposed the same arterial conduit with more satisfying results, because of improved technique and pharmacological management of the graft. Between October 1994 and July 1995, 36 patients underwent myocardial revascularization with a radial artery graft in Seiong General Hospital. Left internal mammary artery was concomitantly used as a pedicled Vift in 34 patients. Fifteen patients (42%) had a complete arterial waft revascularization. A total of 12) distal anastomoses were performed (average 3.4 per patient), including 36 left internal mammary artery wafts (two sequential in 2 patients), and 23 saphenous vein grafts. The remaining 64 distal anastomoses were perFormed with radial artery grafts (mean 1.8 per patient). The radial arteries were anastomosed to the circumflex (n=38), diagonal (n= 18), right coronary(n=G), and left anterior descending coronary artery(n=2). The percent ge of radial artery graft anastomoses (64) to the total anastomoses(123) was 52%. The radial artery was used as a single graft in 10 patients, as a sequential graft in 25 patients, and two grafts in 1 patient. Twenty patients underwent associated procedures coronary endarterectomy (14), coronary artery patch angioplasty (4), mitral valve repair (1), and repair of ventricular septal rupture (1). One patient died of low cardiac output syndrome and the others had no perioperative myocardial infarction. There are no ischemic and functional complications in the arm or hand aftcr removal of the radial artery. Only 1 patient required reexploration of the am, for the hematoma evacuation, and 2 patients complained transient thumb dysesthesia of the side of the havested arm. This dysesthesia improved within one month. Postoperative angiovaphic controls were obtained in 11 patients(31%) postoperative 79 to 210 days (mean 126 days). The patency rate were as follows : left internal mammary artery (100%), saphcnous vein (100%), and radial artery(95%). We concluded that the radial artery is useful alternative graft, but long term clinical and angiographic studies are required to derterminc whether wider application is warranted.

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Early Result of Proximal Anastomosis Methods of Radial Artery in Coronary Artery Bypass Surgery (관상동맥우회술 시 요골동맥의 근위부 문합방법에 따른 조기결과)

  • Park Jong Un;Shin Yoon Cheol;Kim Eung-Jung;Chee Hyun Keun
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.91-98
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    • 2006
  • Background: There are many different opinions regarding the proximal anastomotic sites of radial artery in coronary artery bypass surgery. Therefore, we compared the clinical and angiographic findings according to anastomosis of radial artery to develop a guideline. Material and Method: From January 2003 to December 2004, 48 patients who underwent coronary artery bypass surgery using radial artery in Kangdong Sacred Heart Hospital were studied for clinical and coronary angiographic findings and were divided into group I for radial artery that anastomsed to aorta independently and group II that anastomosed to left internal mammary artery. Result: Patients in group I were 33 (men 26, women 7; mean age 61.93$\pm$6.56) and group II were 15 (men 13, women 2; mean age 59.53$\pm$6.02) and there was no difference in preoperative characteristics. Patients in group I had longer cardiopulmonary bypass time (169.36$\pm$40.28 versus 139.40$\pm$20.45, p=0.026) and patients in group II had more sequential grafts with RA per patients (5/33 versus 11/15, p < 0.05). Patients in group I used more vein graft for distal anatstomosis (47/117 ($40\%$) versus 9/48 ($18\%$), p=0.011) and there was no difference in perioperative outcome and overall survival. Mean follow-up time was 15.87$\pm$7.33 (1 to 28) months in patients of the group I and 21.40$\pm$2.85 (17 to 25) months in group II. Postoperative coronary angiography was performed 17/33 ($51.5\%$) in group I and 14/15 ($93.3\%$) in group II. Early perfect patency rate was not statistically different in left anterior descending artery (15/17 ($88.2\%$) versus 2/14 ($85.7\%$), p=1.00) and radial artery (17/20 ($85\%$) versus 30/30 ($100\%$), p=0.058). Late mortality was 1/33 ($3.0\%$) in group I and 1/15 ($6.7\%$) in group II. Conclusion: There was no difference in terms of clinical and postoperative angiographic findings except in cardiopulmonary bypass time, the number of sequential grafts with the RA per patients and the number of the used vein graft.

Study on Improvement of Family Assistance System for Victim's Family of Air Traffic Accident (항공사고 피해자 가족지원 제도개선 연구)

  • Jeon, Jong-Jin;Kim, Hui-yang;Yoo, Kwang-Eui
    • The Korean Journal of Air & Space Law and Policy
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    • v.33 no.2
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    • pp.315-343
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    • 2018
  • In the event of an air accident, the media and members of the general public pay attention to the victim of the accident and are deeply concerned about their actions and rewards. However, through the accident of Air China(CCA) Flight 129, which occurred in 2002, we were able to confirm that it is a real problem that the victims of the air accident as well as the victims suffer much suffering and serious aftermath. Nevertheless, Korea's system for assistance the families of victims of air accident is very poor. On the other hand, when Trans-World Airlines(TWA) Flight 800 exploded and crashed over the Atlantic Ocean in 1996, the United States enacted a law to assistance the families of the victims of the accident. According to this law, systematic assistance and management of not only the victims of the accident but also their families, minimize the additional damage of victims and victims' families and help them to get rid of the accident after the accident. In particular, the measures taken by the US authorities in response to an accident in which an Asiana Airlines flight(AAR) 214 crashed during a landing at San Francisco International Airport in 2013, made a lot of suggestions for us to assistance the victims and their families in an air accident. The purpose of this paper is to suggest the necessity of improving the system for victims and victim's family assistance in air accident. In this paper, we analyze the domestic and foreign legal systems and related cases in past accidents, identify the deficiencies of the Korean system, and derive the necessity to improve the related system. It is also important to make sure that victims' families are relieved from early psychological and economic shocks and that the results of accident investigations are reliable. Relevant ministries, airlines, and related agencies should recognize that prompt and systematic assistance and cooperation is needed to ensure that victims and families are relieved of the impact and confidence in the investigation, as is the case in the United States. In addition, efforts should be made to supplement the related laws for the assistance of aircraft victims and victims' families, to establish manuals for implementation, to plan and to implement them promptly in the event of an accident. To achieve this, it is necessary to establish regulations for the legal institutionalization of the roles and responsibilities of national and state agencies on victims of aviation accidents and family assistance. And the victim and family assistance plan that the airline has to submit to it, as specified in the current law, need to specify that item. In addition, new and supplemented contents should be integrated into a single clause or proposed as a separate special law for the purpose of applying a clear law.

Evaluation of Available Water Resources of Soyang Reservoir and Chungju Reservoir according to Climate Change Scenarios (기후변화 시나리오에 따른 소양강댐과 충주댐의 가용수자원 평가)

  • Choi, Sung-Gyu;Yi, Jae-Eung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.147-151
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    • 2007
  • 인위적인 온실가스 증가의 영향으로 지구의 기온이 상승하고 있으며, 우리나라에서도 이러한 전 지구적인 온난화 추세를 상회하는 경향을 보이고 있다. 20세기 후반부터 기후변화에 따른 강수량 및 집중호우의 증가 추세가 보고되고 있으며, 이에 따른 피해 또한 증가하고 있다. 이러한 이상기후 현상이 전 세계적으로 빈번히 발생하여 가용 수자원의 변동이 커지고 있다. 추가적인 댐 건설이 어려운 상황이고, 댐 운영의 불확실성에 의한 현실적인 운영의 어려움으로 인하여 보수적인 댐 운영이 이루어지고 있는 실정이므로, 한정된 수자원의 효율적인 이용과 예측이 요구되고 있다. 본 연구에서는 기상연구소에서 개발된 A2, B2 기후변화 시나리오에 따른 다목적댐에서의 용수공급능력의 변화에 대한 평가를 수행하였다. 대규모 유역의 대표적인 다목적댐을 선정하고 기후변화 시나리오별 유입량을 분석하였으며, 이를 저수지 모의운영 기법을 이용하여 기후변화 시나리오에 따른 각 댐의 신뢰도 95% 용수공급능력과 예상발전량을 산정함으로써 가용수자원을 평가하였다. 또한 다목적댐의 과거 실적 유입량 자료를 이용한 모의운영 결과와 비교하여 제시하였다. 과거 실적에 의한 결과와 비교할 때, 기후변화 시나리오에 따른 향후 국내 가용 수자원량에도 큰 변화가 있을 것으로 예측되었다. 이로부터 댐 운영에 있어서 홍수기의 안정적인 댐관리와 갈수기의 적절한 수자원 분배를 위한 방향을 제시할 수 있다. 본 연구의 결과는 향후 기후변화에 따른 저수지의 효율적인 운영을 위한 유역의 수자원 영향 평가에 활용할 수 있을 것으로 기대된다.댐의 순기능에 대한 정량적인 분석을 수행하였다. 또한 댐별 방류량을 변동하여 하류 주요지점에 미치는 유황개선효과를 정량화하였다. 마지막으로 댐의 효율을 최대화한 하류확보가능하천유지유량을 월별평균량으로 산정하였다. 이는 향후 오염총량제 기준유량 및 환경용수의 법제화를 통한 하천유지용수의 증가시 비구조적 대책의 공급가능 최대량으로 활용가능할 것으로 사료된다.원에서 인위적으로 방류한 양이 많았기 때문으로 추정할 수 있다. 두 지점의 1월 유출이 100 % 이상인 것은 동절기 하천 결빙으로 인한 유량파악이 힘든 것으로 나타났다. 1월의 하천수위는 계측기에 기록된 수위값으로 유량을 산정한 것이다. 3월, 10월, 12월의 유출이 많은 것은 전월말 발생한 강우의 영향으로 크게 나타났다.다. 5. 초장의 절대치는 품종간에 차이는 있으나 비교적 조파구간에는 초장에 큰 변이가 없었고 파종기가 늦어짐에 따라 짧아졌다. 초장의 신장속도는 파종기가 늦어짐에 따라 현저하게 빨라지고 특히 조생종이 만생종보다 더욱 가속적인 경향이었다. 따라서 최고초장과 최저초장과의 절대치의 차이는 조생종일수록 적고 만생종일수록 큰 격차를 보이었다. 6. 간직경에 있어서도 만생종은 일반적으로 조기파종할수록 굵고, 조생종과 중생종은 4월 25일 파종기가 가장 굵은 편이며 이보다 파종기가 지연 가늘어지는 경향이었다. 7. 간중은 품종의 조만생에 따라 약간의 차이는 있으나 대체로 적기(4월 25일~5월 15일)보다 조기 혹은 만기 파종하면 작아지나 파종기 이동에 따른 간중의 변화는 품종의 조만성에 따라 양상을 달리하여 조생종은

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A Study on the Musical Characteristics of Fishing songs in North Korea (북한 어업노동요의 음악적 특징)

  • Kim, Jeong-Hee
    • (The) Research of the performance art and culture
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    • no.39
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    • pp.279-323
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    • 2019
  • The musical characteristics of Fishing songs in North Korean which recorded on Anthology of North Korean Folk Songs were examined in this paper. The results are as follows. Among Fishing songs in North Korea, there are "Rowing Song," the "Song for Hauling Nets," and the "Song for Picking Up Fish" in songs related to walleye pollack fishing and in songs related to croaker fishing, the "Song for Dropping Anchor" and the "Full-Load-of-Fish Song" in songs related to croaker fishing, the "Song for Weighing Anchor," the "Song for Shaking Fish," the "Full-Load-of-Fish Rowing Song," and the "Song for Hanging Walleye Pollack" in songs related to walleye pollack fishing. There are the "Song for Setting a sail" and the "Song for catching shells" in Fishing songs in North Korea, too. In the rhythmic elements of Fishing songs in North Korea, the tempo of the "Songs for Setting a sail" is moderato, and that of the "Songs for Picking Up Fish" of songs related to anchovy or herring fishing is quite slow. "Rowing Songs"(croaker fishing) have various tempos but faster than moderato, and usually get faster and faster as time goes by. Most songs have 4/♩. time and there are some of 2, 3 or 5 time. Some songs use irregular time or 6 time overlapping 2 beats. The mode Menari is the most common tonal system used in fishing songs of North Korea. And the mode Susimga, the mode Changbutaryeong, the mode Nanbongga, and the mode Odolttogi are also used in the tonal system of Fishing songs in North Korea. There are shoutting intonations that have indefinite pitch, too. Modulation or interaction by the mode Changbutaryeong appeared in songs of the mode Menari. There is a tendency to favor a certain tonal system by category. Responsorial form is mostly used, but in the most cases, they were sung in solo. In responsorial songs, several calling songs overlap with the responding songs. Durchkomponiert form is sung by antiphon or in solo, but the case sung in solo originally seems to have been sung by antiphon or unison, if we consider the procedure of the work. The "Song for Picking Up Fish" of Seonbong-gun of North Hamgyeong Province and Yangyang-gun of Gangwon Province, the "Full-Load-of-Fish Song-Bongjuktaryeong" of Jeungsan-gun of South Pyeongan Province and "Full-Load-of-Fish Song-Baechigisory" of Taean-gun of South Chungcheong Province, "Rowing Song" of Nampo City and Ganghwa-gun of Gyeonggi Province are resembled. In neighboring areas, even if the songs of different categorys, sometimes share a same melody. In a certain category, sometimes a same melody is shared to a considerable distance. It was first identified that in anchovy or herring fishing or dybowskii' sand eel fishing, the "Song for Picking Up Fish" is widely shared in the East Sea Coast area.

Development of Early Maturing Rice Stripe Virus Disease-Resistant 'Haedamssal' through Marker-Assisted Selection (MAS를 이용한 줄무늬잎마름병 저항성 조생종 벼 '해담쌀' 개발)

  • Lee, Jong-Hee;Cho, Jun-Hyeon;Lee, Ji-Yoon;Oh, Seong-Hwan;Kim, Choon-Song;Park, No-Bong;Hwang, Un-Hwa;Song, You-Chun;Park, Dong-Soo;Yeo, Un-Sang
    • Korean Journal of Breeding Science
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    • v.51 no.4
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    • pp.448-453
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    • 2019
  • 'Haedamssal' is an early maturing and rice stripe virus disease-resistant cultivar adaptable for early-transplanting cultivation that was developed by the rice breeding team of the Department of Southern Crop, NICS, RDA, in 2014. This cultivar was derived from the cross YR25869 (YR21247-B-B-B-49-1/Sasanishiki BL4//Koshihikari) and YR25868 (Unkwang//YR21247-B-B-B-49-1/Sasanishiki BL4) made in the 2005/2006 winter season and was advanced to the F5 generation by a bulk breeding method using rapid generation advance. To incorporate rice stripe virus resistance, marker-assisted selection on the RSV gene was conducted in 3-way and 6-way cross F1 generation using the tightly linked marker RM6897. From testing in the replicated yield trial in 2011, a promising line YR26258-B-B-B-33-3 was selected and it was designated as 'Milyang276'. A local adaptability test of 'Milyang276' was performed at three locations from 2012 to 2014 and it was named as 'Haedamssal', which was a good eating quality variety. The culm length was 67 cm in yield trials, which was 4 cm shorter than 'Jopyeong'. The number of spikelets per panicle was lower than 'Jopyeong', whereas the number of tillers per hill was higher. This variety was resistant to RSV disease, bacterial blight, and leaf blast disease. The milled rice yield of 'Haedamssal' was 5.48 MT per ha at the early transplanting in the local adaptability test. 'Haedamssal' is well adapted to early transplanting cultivation in the southern plain area (Registration No. 6811).

Psychrophilic oyster mushroom variety 'Seolan' (느타리버섯 신품종 육성 연구 -저온성 느타리버섯 신품종 '설안'-)

  • Chi, Jeong-Hyun;Choi, Jong-In;Ha, Tai-Moon;Ju, Young-Cheul
    • Journal of Mushroom
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    • v.4 no.3
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    • pp.116-121
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    • 2006
  • 'Seoln', a new variety of oyster mushroom was developed by Mushroom Research Institute, Gyonggi Province Agricultural Research and Extension Services in 2005. It was bred with mating between monokaryotic strains isolated from KME35124 and $F{\cdot}X3$. The major characteristics of the mushroom was shown a lot of primordia, the gray-colored and bunch pileus. The optimum temperature for the mycelial growth was around $26{\sim}30^{\circ}C$ and that for the primordia and growth of fruit-body was around $10{\sim}15^{\circ}C$. Incubation period was required around 25 days with bottle culture and about 23 days in Poly Prophylene(P.P) plastic bag culture. The yield was shown high by 138.8g/bottle and 250.9%/P.P bag.

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Disease survey on bacterial leaf blight of rice in Chun Nam province (전남지방에 있어서의 수도백엽고병 발생실태조사)

  • Lee K. H.;Chung H. W.;Lee W. K.;Lee S. C.;Kim Y. S.
    • Korean journal of applied entomology
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    • v.4
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    • pp.33-38
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    • 1965
  • 1. This survey was conducted to make a basis for the cause of severe epidemic and disease control to the losses due to bacterial leaf blight of rice in Chun-Nam rice paddy field areas in the first part of October in 1965. The severe epidemic areas were included Taijun-Myun, Tamyang-Eup, riverside in Youngsanpo and seaside in the suburbs of Mokpo. 2. A drought in the period of rice transplanting and flooding due to a heavy rain in July were resulted reasonable weather conditions that the disease occurred more early and severe epidemic. 3. In Tamyang area, frist outbreak of the disease was on the middle part of July in the paddy flooded after heavy rainfall of the first fart of July. It is recognized to farmers that the disease is known as a now serious one. 4. The more date of transplanting is followed, the more serious damage is happened and especially, in the paddy field flooded, too. 5. Flooded areas showed more serious epidemic. 6. Varietal difference to the disease was surely noticed, and Kumnampoong and Chunbonwuk were susceptible, whereas Norin 6 was resistant. 7. Damage was occurred more in plant paddy area than tile slopping paddy area. 8. Fallow paddy field was more serious than the field using double cropping a year. 9. Moist and semimoist paddy field were more serious damage, while light damage in dry paddy field. 10. Near part of flood gate for drainage of submerge paddy was more serious damage than inside part of the field. 11. Soft type is often seen in the mode of the disease occurrences. 12. The most farmers insisted that dropping water is caused to promote disease dissemination when disease occurred.

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Differences of Internode Brix Degree on Different Seeding Date in Sweet Sorghum (단수수의 파종기에 따른 절간별 당도차이)

  • 김상곤;박홍재;정동희;권병선
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.40 no.4
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    • pp.451-459
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    • 1995
  • In order to clarify the growth characteristic and Brix degree at different internodes, four varieties that are M81E 71-1, a Rio, a Sart and a Tamurama were seeded on, Apr. 5, Apr. 15, Apr. 25, May 5 and May 15, respectively. Delayed seeding increased plant hight and the growth pattern of the stem diameter and weight was tapesed off and lighted to upper location. Brix degree of internode was rapidly increased from just after heading date, and was slowly increased by rising upper side till before heading date. Brix degree of middle location(6th internode) was the highest of the stem in after heading date and interior side was the lowest. Brix percentage of 40∼45 days after heading had more than 15% in case of being seeded from Apr. 5 to May 5. Sweet sorghum that was seeded on May 15 was more than 17% in the Brix percentage of 35 days after heading and so the suitable seeding date in sourthern district was suggested on May 5. The plethora of soil moisture by rainfall was made decently lower Brix degree in 130∼140 days after seeding. Among the length and the diameter of internode, and Brix degree had negative correlation, between diameter and weight of internode were significantly positive correlation. But correlation coefficient had been a little bit different by varieties.

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