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A Clinical Study of Child Abuse (아동학대로 진단된 환아의 임상적 고찰)

  • Choi, Yoon Jin;Kim, Shin Mi;Sim, Eun Jung;Cho, Do Jun;Kim, Dug Ha;Min, Ki Sik;Yoo, Ki Yang
    • Clinical and Experimental Pediatrics
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    • v.50 no.5
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    • pp.436-442
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    • 2007
  • Purpose : To promote awareness and efforts by pediatricians to identity and prevent child abuse by investigation of characteristics of victim and types of injury caused by abuse. Methods : A retrospective study was performed with 20 patients who had been diagnosed or suspected as child abuse at Hallym University Hospital from January 1999 to December 2005. The medical records, radiologic documents, and social worker's notes were reviewed to investigate age, sex, visiting time, form of abuse, perpetrator, risk factor, and type of injury. Results : The mean age of the subjects was 2.8 years. Fourteen patients were between 0-1 years old, 2 patients between 1-6 years old, 3 patients between 7-12 years old, and 1 case over 13 years old. The ratio of male to female was 1:1. The majority of these patients (70%) visited via emergency department. Eight five percent of these patients reported with physical abuse, 5% psychological abuse, 5% sexual abuse, and 5% neglect respectively. The suspected perpetrator was the biological father in six cases, the biological mother in three cases, the stepmother in two cases, caregiver in one case, relatives in one case and "unknown" in six cases. Bruise and hematoma (80%) were the most common physical findings. Skull fractures were diagnosed in six cases, long bone fractures in two cases, hemoperitoneum in two cases, subdural hemorrhage in 10 cases, epidural hemorrhages in two cases, subarachnoidal hemorrhages in two cases, and retinal hemorrhages in five cases respectively. Seventeen cases required hospitalization and surgical operations performed were in nine cases. Four patients died and three patients had sequalae such as developmental delay and quadriplegia. Conclusion : Child abuse results in high mortality and morbidity in victims. Therefore early recognition and prevention is very important. Pediatricians should always suspect the possibilities of abuse in cases of fracture, intracranial hemorrhage, abdominal injury, or even any injury to the body. We recommend that the clinical investigation of suspicious children should include a full multidisciplinary social assessment, a skeletal survey and CT or MRI.

The Diagnostic Significances of D.I.T.I. on the Patients of Cold-limbs (수족냉증(手足冷症) 환자(患者)에 대(對)한 컴퓨터 적외선(赤外線) 체열촬영(體熱撮影)의 의의(意義))

  • Cho, Yu-Kyung;Oh, Su-Wan;Cho, Nam-Hee;Kim, Dong-Mook;Kim, Jin-Seong;Ryu, Bong-Ha;Park, Dong-Won;Ryu, Ki-Won
    • The Journal of Internal Korean Medicine
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    • v.19 no.2
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    • pp.37-49
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    • 1998
  • To make a objective diagnosis of the syndrome of cold-limbs, We investigated the 20 patients with cold limbs and GI trouble and 20 normal people as a control group. And we compared the thermal difference between Chon-jung(CV17) and Chung-wan(CV12 中脘), Chon-jung(CV17) and Ki-hae(氣海 CV6) and we compared the thermal differences of No-gung(PE8 勞宮) and Yong-chon(湧泉 KI1), too. The results were as follows. 1. All 20 patients had GI trouble and cold limbs. They had the symptom-Indigestion(16 cases-80%) with heart burn, tympanites, abdominal distention, hiccup, belching. Beside that symptom they also had constipation(6 cases-30%), diarrhea(3 cases-15%), headache & dizziness(6 cases-30%). And some had the menstrual syndrome, chronic fatigue, palpitation, insomnia, edema, arthralgia. 2. The thermal difference of the palms between the patients group and the control group were $25.70^{\circ}C,\;25.82^{\circ}C$, but they were not significant. 3. The thermal difference of the soles between the patients group and the control group were $23.58^{\circ}C,\;24.42^{\circ}C$ and the significancy was P=0.020 so it was significant(P<0.05). 4. The thermal difference of the palms and Chon-jung(CV17) between the patients group and the control group were $1.08^{\circ}C,\;0.76^{\circ}C$, but they were not significant. 5. The thermal difference of the sales and Chon-jung(CV17) between the patients group and the control group were $3.01^{\circ}C,\;1.90^{\circ}C$ and the significancy was P=0.003 so it was significant(P<0.05). 6. The thermal difference of Chon-jung(CV17) and Chung-wan(CV12 中脘) between the patients group and the control group was $0.30^{\circ}C,\;0.62^{\circ}C$ and the significancy was P=0.793 so it was significant(P<0.05). 7. The thermal difference of Chon-jung(CV17) and Ki-hae(CV6 氣海) between the patients group and the control group was $0.53^{\circ}C,\;0.68^{\circ}C$, but they were not significant. From the above, I could find the significance of D.I.T.I to diagnose the cold-feet not the cold-hands and the thermal difference between the trunk and limbs was more significant on cold-feet than on cold-hand, either.

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Improvement of Green-up of Zoysiagrass and Cool-season Grass during Early Spring in Korea (한국잔디 및 한지형 잔디의 초봄 그린업 촉진)

  • Lee Jae-Pil;Kim Doo-Hwan
    • Asian Journal of Turfgrass Science
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    • v.19 no.2
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    • pp.103-113
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    • 2005
  • This study was conducted to improve the green up of zoysiagrass(2. japonica) and cool-season grass($80\%$ Kentucky bluegrass+$20\%$ Perennial ryegrass) during early spring in Korea. Treatments fur zoysiagrass were control, Polyethylene film, Black screen, Black screen+polyethylene film, Green screen+polyethylene film, Polyethylene film+Black screen, Polyethylene film+Green screen, low mowing height(1.5-2cm) and homing. For cool-season grass, non-punched Polyethylene film, punched Polyethylene film treatments were included. Application dates of covering with Polyethylene film were Feb. 22, Feb. 28, March 7, and March 14. Green up was evaluated by visual color rating. The results are as follows; 1. The best method for improving green up of zoysiagrass were Polyethylene film and optimal covering day for zoysiagrass was on Feb. 22. 2. Low mowing height(1.5-2cm) and burning of zoysiagrass showed the faster greening 1$\sim$weeks before than control. .3 Non-punched Polyethylene film covering was best to improve green up of cool-season grass. More time of covering time with cool-season grass induces rapid green up.

The study examined characteristics of 20 patients who visitied Kongju (비만환자(肥滿患者) 20명(名)에 대(對)한 임상적(臨床的) 연구(硏究))

  • Park, Tae Gyun;Lee, Byung Ryul
    • Journal of Haehwa Medicine
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    • v.11 no.1
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    • pp.137-149
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    • 2002
  • Dong-Eui-Bo-Gham Oriental medicine clinic on the purpose of losing their weight, from March 1, 2001 to March 1, 2002. The characteristics studied were gender, average weight, average height, distribution of body fat rate, base body metabolism rate, distribution of bmi, purpose of losing weight, treatment history, cause of gaining weight, clinical symptoms, distribution of Sahsang constitution, and change of body constituent. The conclusions drawn from this study were: 1. Among patients who came to the clinic for weight loss, there were 16 females (80%), and 4 males (20%). The ratio of gener was 1 to 4 (male to female) The distribution of their ages were 1 in one's teens (5%), 6 in their 20s (30%), 7 in their 30s (35%), and 6 in their 40s (30%). 2. The average weight of the patients was 72.155kg, and their average height was 163.2 cm. 3. The body fat rates of patients were distributed as: 2 were below 25 (10%), 3 were 25 to 30 (15%), 8 were 30 to 35 (40%), 5 were 35 to 40 (25%), and 2 were 40 to 45 (10%). 4. The base body metabolism rates of the patients were distributed as: 1 was below 1000Kcal (5%), 6 were 1100 to 1200Kcal (30%), 5 were 1200 to 1300Kcal (25%), 6 were 1300 to 1400Kcal (30%), and 2 were 1400 to 1500Kcal (10%). 5. The distribution of the patients bmi was: 4 were below 20 (20%), 5 were 20 to 25 (5%), 11 were 25 to 30 (55%), and 4 were 30 to 35 (20%). 6. The patients visited the clinic to lose their weight for the follwoing purposes: 5 were related to health concerns (25%), and 15 were to imprve their physical apprearnce (75%). Among patients who wanted to lose their weight becase of health concerns, 4 were married (20%) and 1 was single (5%). Among patiens who wanted to lose their weight to improve their physical appearance, 6 were married (30%) and 9 were single (45%). 7. As for the past treatment methods, physical exercises were most frequently used (19 patiens, 43%). 14 tried diet (32%), 8 used food substitues (19%), 1 was treated through Western medicine, and 1 was not related to any of these (2%). 8. Main reasons for weight gains were: 12 were related to overeating (40%), 10 were stress (33%), and 8 were lack of physical exercise (27%). 9. Physical symptoms included: 15 were fatigue (29%), 14 were constipation (26%), 13 were body swelling (25%), 3 were headache (5%), menstruation pain (4%), one was stomach upset (2%), 2 were related to physical structure, and 2 were related to other (4%). 10. As for the distribution of Sahsang constitution, 10 were Taeum (50%), 9 were Sohyang (45%), and 1 was Sohum (5%). 11. The average muscle weight was 44.87kg, average abdomen fat rate was 0.8999, and average base body metabolism rate was1369.2Kcal. 12. For the 5-week period, The body fat rate changes were 35.93 1.56% to 30.40 1.98% for A group, and 34.27 1.19% to 31.73 1.38% for B group. The abomen fat rate changes were 0.90 0.02% to 0.86 0.03 for A group, and 0.89 0.02% to 0.83 0.02% for B group. The body fat weight changes were 26.92 2.04kg to 20.74 1.98kg for A group, and 27.86 3.37kg to 24.58 3.02kg for B group. The body weight chages were 72.36 3.18kg to 64.54 2.55kg for A group, and 72.48 3.14kg to 67.74 3.11kg for B group. The muscle rate changes were 43.86 1.63kg to 43.10 1.76kg for A group, and 42.72 1.22kg to 41.60 1.86kg for B group. Overall, A group was superior to B group. 13. After being treated for obesity, 13 patients used exercise treatment (65%), 5 continued to receive obesity treatment (25%), and 2 used diet (10%). Based on these results, we could conclude that the importande of setting a criterion of obesity and weight control have changed according to changes in social and cultural values, and that treatment of obesity through Oriental medicine and research should keep up with changes in esthetic and psychological values.

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Starch Structure and Physicochemical Properties of Colored Rice Varieties (유색미 품종별 전분 구조 및 이화학적 특성)

  • Park, Ji-Young;Oh, Sung-Hwan;Han, Sang-Ik;Lee, Yu-Young;Lee, Byung-Won;Ham, Hyeonmi;Choi, Yong Hwan;Oh, Sea-Kwan;Cho, Jun Hyeon;Song, You Chun
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.61 no.3
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    • pp.153-162
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    • 2016
  • We investigated the physicochemical properties and starch structure of various rice varieties including 15 colored cultivars. NKHC showed the highest level of protein, lipid, and total dietary fiber levels. Reddish brown rice showed higher lipid content than that in black rice cultivars. Apparent amylose content of waxy and non-waxy colored rice varieties was within the range of 3~5% and 15~18%, respectively. IP exhibited the highest total starch (TS) content, whereas, NKHC and HJJ showed lower TS content than that in other cultivars. Pasting temperature of all colored rice cultivars, except IP, was about $68^{\circ}C$. Peak viscosity of IP, JJJ, Hong, and GGHM showed high values of 138, 130, 128, and 124, respectively. All the colored rice cultivars presented A-type X-ray diffraction pattern and polygonal shapes of starch granules were observed using scanning electron micrographs (SEM). Major groups of amylopectin chain lengths were B (12 < DP ${\leq}$ 24) and A (DP ${\leq}$ 12). SMHC showed the highest B chain content and the lowest A chain content (P < 0.05). These experimental results provided useful information for scientists and the food industry regarding colored rice starches.

Influences of Seasonal Rainfall on Physical, Chemical and Biological Conditions Near the Intake Tower of Taechung Reservoir (대청호의 취수탑 주변의 이화학적${\cdot}$생물학적 상태에 대한 계절강우의 영향)

  • Seo, Jin-Won;Park, Seok-Soon;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.34 no.4 s.96
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    • pp.327-336
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    • 2001
  • Physical, chemical, and biological parameters were measured during the period from July 1993 to August 1994 near the Munui intake tower of Taechung Reservoir to evaluate effects of nutrients and suspended solids on algal chlorophyll-a and water clarity. Large amounts of precipitation during summer 1993 produced minimum conductivity ($88\;{\mu}S/cm$), minimum TN : TP (<40), and maximum total phosphorus (TP;$59\;{\mu}g/L$) and resulted in a chlorophyll-a peak ($79\;{\mu}g/L$) and minimum transparency (<1.5 m) among the seasons. At the same time, ratios of volatile suspended solids (VSS): non-volatile suspended solids (NVSS) were maximum (13.0),indicating that the reduced transparency was mainly attributed to biogenic turbidity in relation to phytoplankton growth. In contrast, severe drought in summer 1994 resulted in greater conductivity (>$120\;{\mu}S/cm$), water clarity (%gt;2 m), and lower TP and chlorophyll- a (<$10\;{\mu}g/L$) relative to those of summer 1993. Total phosphorus ($R^2=0.46$, n=59) accounted more variations of chlorophyll- a compared to total nitrogen ($R^2=0,29$, n=59). The mass ratios of TN : TP ranged from 39 to 222 and were strongly correlated with TP (r = -0.80) but not with concentrations of TN (r = 0.05). Ambient nutrient concentrations and TN : TP mass ratios indicated that seasonality of chlorophyll- a was likely determined by concentrations of phosphorus reflected by the distribution of rainfall. It was concluded that reductions of phosphorus during heavy rainfall may provide better water quality for the drinking water in the intake tower.

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A Comparative Study of Measles According to Age (홍역에서 연령별 임상상 비교)

  • Eun, Eun-Sung;Choi, Sang-Lim;Lee, Kyung-Yil;Lee, Hyung-Shin;Hong, Ja-Hyun;Kang, Jin-Han;Whang, Kyung-Tai
    • Clinical and Experimental Pediatrics
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    • v.46 no.1
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    • pp.33-36
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    • 2003
  • Purpose : We evaluated clinical manifestations and laboratory findings in patients with measles according to age distribution. Methods : Retrospective analyses were performed using medical records of patients with measles admitted to The Catholic University of Korea, Daejon St. Mary's Hospital from October 2000 to May 2001. We divided the patients with measles into three age groups, i.e., those who were under two years of age(159 patients), those between 9-11 years of age(39 patients), and those older than 16 years of age who were hospitalized in the department of internal medicine(young adult group; 23 patients). We compared clinical and laboratory characteristics among these three groups. Results : Almost all patients with measles were presented with fever, skin rash and cough. No statistical differences were present between the three groups in total fever duration, number of hospitalization days, complications determined with longer hospitalization for more than eight days, and positive values of anti-measles IgM. Patients under 2 years of age showed statistically higher levels of white bood cell and lymphocyte counts. However, neutropenia and lymphopenia were observed in all age groups compared with age-matched standard values. Campared with the other two age groups, the young adult group showed a higher mean level of liver enzymes(AST/ALT) and more patients with a level twice as high as the normal values. Conclusion : Clinical manifestations including complications according to age groups showed no significant differences in patients with measles. Hepatic involvement was more prevalent in the young adult group.

A Study of the Garden Remains in Mountain Bukak in Dohwadong, Seoul (서울 북악산 도화동 원림유적에 대한 고찰)

  • Kim, Hong-Gon;Kim, Young-Mo
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.28 no.1
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    • pp.66-80
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    • 2010
  • In this thesis, the garden remains in Dohwadong which is located in Seoul Buk-ak Mountain was examined, together with reference discovery and historical research, and onsite academic research conducted, for the purpose of studying the location of the garden remains in Dohwadong, its historical transitions and original landscape. As a result of the study, the location of the garden remains in Dohwadong was found; through the research of relevant historical sources, its historical transitions, its original landscape, and the value it has as a garden remains were examined. The following is the summary of the original form of the garden remains in Dohwadong and the value it has as a garden remains derived from this study. First, the garden remains in Dohwadong had earlier known as a remains related to the housing site of Namgon or Daeunahm. However, it has been verified that is it Dohwadong which is an original word of a royal family formed by King Kojong's order in 1889 since the characters carved on rocks which is recorded in the book of "Chong Sweh Rok" perfectly conform to those within the garden remains in Dohwadong. Second, it was learned that Dohwadong was the greatest renowned place for entertaining next to Pilundae; according to the book of "Hankyung Jiryak", the name, Dohwadong, is known to have come from the fact that there are a large number of peach trees in the area; the records of those books, "Ahjungyugoh", "Yonahmjip", etc., also state that literary men gathered in Dohwadong and held ceremonies and entertained. Third, it was learned that the garden remains in Dohwadong had been used as a place for holding ceremonies by the Ahndong Kims including Myonggongsukhyon; after Heungsundaewongun's governance, it was removed and neglected as the Ahndong Kims were purged and changed into a place for the royal family by the command of King Kojong in 1889. Fourth, Dohwadong followed the geographical features of nature, embraced the elegant surrounding scenery naturally, and gave significance to the sceneries of the season and its element and, in this way, it, as an ideal landscape model, is a valuable garden remains which realized the symbolic Dohwa landscape and presents its original scenery of the traditional garden. As mentioned above, this study, based on historical sources, has made progress in understanding the truth of the garden remains in Dohwadong and its value as a garden remains through the onsite research and academic historical investigation. However, since it is located within a military region, research was limitedly made. And also the range and structure of the garden remains was difficult to examine. Overall excavation is needed to figure out the remains and original terrain. Accordingly, in order to find out the truth of the garden remains in Dohwadong and for further preservation and application, it needs to be designated as a historical site and additional academic excavation research needs to be conducted; maintenance and preservation policies including removal of the cement and embankment, which disturb the original terrain within the remains, also need to be carried out.

Change Detection at the Nakdong Estuary Delta Using Satellite Image and GIS (위성영상과 GIS를 이용한 낙동강하구 지형변화탐지)

  • Oh, Che-Young;Park, So-Young;Choi, Chul-Uong;Jeon, Sung-Woo
    • Journal of Korean Society for Geospatial Information Science
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    • v.18 no.1
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    • pp.21-29
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    • 2010
  • Nakdong Estuary Delta plays various roles of worldwide habitat for migratory birds and a sand supplier to Haewoondae Beach and Gwanganri, which are tourist attractions of Busan. In this study, long-term topographical changes of Nakdong Estuary (Jinwoo Islet, Sinja Islet, Doyodeung, Dadae Beach) coast were detected and interpreted. Through the analysis of 34 years' satellite images, it was found out that a part in between front side and back side of Jinwoo Islet increased, Sinja Islet was divided into two belts in 1970, and has formed an islet since the 1980s and extended westward. Due to the rapid development of small islets in front of Baekhabdeung since 1990s, Doyodeung formed in the late 1990s and is still growing. To make coastal map of Nakdong Estuary area, 13 images, of which the tide level was $99{\pm}13cm$, from the 112 Landsat images of the period from 1975 to 2009 were selected to section into water zone and land zone using NDV. And the rates of coastal line change such as MATLAB EPR(End Point Rate) and LRR(Linear Regression Rate) were calculated using DSAS 4.0(Digital Shoreline Analysis System). Through detecting topographical changes, EPR showed that the front(south) and back side(north) of Jinwoo Islet moved southward at -0.93~2.56m/yr, and changes in costal line and area of Jinwoo Islet were low and stable. The front and backside of Sinja Islet moved northward at 1~4m/yr, whereas the west side of Sinja Islet was stable at 2~3m/yr and east side of Sinja Islet moved northward at 10m/yr or faster. The front and back side of Doyodeung moved northward at 18~27m/yr, causing the increase of area, while the coastal line of Dadae Beach moved westward at 7m/yr, causing the expansion of the beach. LRR also demonstrated a similar trend to EPR. Although analysis of satellite images and GIS could enabled detection of topographical changes and quantitative analysis of natural phenomena, we found that continuous observation of natural phenomena and various analytical methods are required.

Relationships between Air Pollution by SO2 and Soluble Sulphur Contents in the Leaves and Bark pH in Urban Forest Trees (도심지역(都心地域)의 아황산(亞黃酸) 가스에 의(依)한 대기오염(大氣汚染)과 수목내(樹木內) 엽(燁)의 수용성(水溶性) 유황(硫黃) 함량(含量) 및 수피산도(樹皮酸度)와의 관계(關係))

  • Cha, Youn Jung;Lee, Kyung Joon
    • Journal of Korean Society of Forest Science
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    • v.80 no.3
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    • pp.279-286
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    • 1991
  • This study was carried out to investigate relationships between atmospheric $SO_2$ concentration and both soluble sulphur contents in the tree leaves and bark pH to test the possibility of using them as bioindicators for air pollution. Mt. Kwanak, Mt. Nam, Mt. Bukhan (located in Seoul) and Mt. Paldal (located in Suwon, Kyonggi-do) as polluted areas and Pyongchang, Kwangwon-do as an unpolluted area were selected for this study. Soluble sulphur contents in the leaves and hark pH of two tree species (Pines densiflora S. et Z. and Quercus mongolica Fisch.) were analyzed in May, August, and October, 1990 by $BaSO_4$ precipitation method and pH measurement, respectively. In both species, concentration of soluble sulphur in the leaves increased with increasing concentration of atmospheric $SO_2$ (correlation coefficient : 0.52). Soluble sulphur contents in the 2-year-old needles of Pines densiflora (0.170%) and current year leaves of Quercus mongolica (0.081%) in Mt. Nam in the center of Seoul were higher than those in unpolluted Pyongchang area (0.023% and 0.034%, respectively). Bark pH decreased with increasing atmospheric $SO_2$ concentration (correlation coefficient : -0.52). Bark pH of P. densiflora (pH 3.42) and Q. mongolica (pH 3.63) in Mt. Nam were lower than those in Pyongchang area (pH 3.94 and pH 4.93, respectively). Both soluble S content in the leaves and bark pH were recognized as suitable bioindicators for air pollution by $SO_2$. Especially, bark pH showed more sensitive response to air pollution by $SO_2$ than soluble S concentration in the leaves. The lowest concentration of soluble sulphur and the highest bark pH in August were considered to be due to heavy rain during the rainy season. Soluble S content in the leaves and bark pH were not significantly different at 5% level between the two species in polluted areas.

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