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Aquatic exercise for the treatment of knee osteoarthritis: a systematic review & meta analysis (무릎 골관절염 환자를 대상으로 한 수중 운동과 지상운동 비교: 체계적 문헌고찰 및 메타분석)

  • Kim, Young-il;Choi, Hyo-Shin;Han, Jung-haw;Kim, Juyoung;Kim, Gaeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6099-6111
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    • 2015
  • This study was a systematic review and meta-analysis comparing the effects of aquatic exercise and land-based exercise in the treatment of knee osteoarthritis. 7 studies (n=449) met selection and exclusion criteria out of 287 potential studies obtained from the literature search via Ovid-Medline, Cochrane Library CENTRAL, CINAHL, RISS and KISS. The overall risk of bias of selected studies using SIGN (Scottish Intercollegiate Guidelines Network) checklist for randomized controlled trials (RCT) was regarded as low. As a result of meta analysis, Standardized Mean Difference (SMD) for pain was -0.26(95% CI -0.49, -0.03, p=0.03, $I^2=14%$), which implies that aquatic exercise groups had significant less pain than land-based exercise groups. On the other hand, there was no significant difference between aquatic exercise groups and land based exercise groups for flexion Range of Motion (ROM) (-0.12, 95% CI -0.51, 0.27, p=0.53, $I^2=0%$), extension ROM (-0.04, 95% CI -0.55, 0.48, p=0.89, $I^2=43%$), physical function (-0.12, 95% CI -0.44, 0.19, p=0.44, $I^2=0%$), Quality of Life (QOL) (-0.15, 95% CI -0.54, 0.24, p=0.46, $I^2=0%$). This study has some limitations due to few RCTs comparing aquatic exercise groups and land-based exercise groups in the treatment of knee osteoarthritis. Therefore, further RCTs should be conducted along with long-term outcomes.

The Radioprotective Effect of Ginseng Extracts on the liver in Mice that was irradiated by radiation (방사선이 조사된 생쥐 간에서 인삼추출물이 방사선 방어효과에 미치는 영향)

  • Ko, In-Ho;Chang, Chae-Chul;Koh, Jeong-Sam
    • Journal of radiological science and technology
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    • v.27 no.2
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    • pp.35-43
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    • 2004
  • Radioprotective effects of ginseng extracts on liver damage induced by high energy x-ray were studied. To one group of ICR male mice were given white(50 mg/kg/day for 7days, orally) and fermenta ginseng extracts(500 mg/kg/day for 7days, orally) before irrdiation. To another group were irradiated by 5 Gy dose of high energy x-ray. Contrast group were given with saline(0.1 ml). This study also investigated the radioprotective effect between SOD, CAT, hydrogen peroxide and ginseng extracts on hepatic damage. This study measured the level of superoxide dismutase(SOD), catalase(CAT), hydrogen peroxide($H_2O_2$) in liver tissue. Administrating orally white (50 mg/kg/day for 7days, orally) and fermenta ginseng extracts(500 mg/kg/day), the activity of SOD, CAT were generally increased and the hydrogen peroxide($H_2O_2$) was decreased. After irradiation, the activity of SOD, CAT were generally decreased and the hydrogen peroxide($H_2O_2$) was increased. Therefore, ginseng extracts increased antioxidative enzyme activity. And We know that the antioxidatant effect of extracts from white and fermenta ginseng protect radiation damage by direct antioxidant effect involving SOD, CAT. It was included that ginseng can protect against radiation damage through its antioxidatant properties.

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Assessment of The Biomass Potential Recovered from Oil Palm Plantation and Crude Palm Oil Production in Indonesia (인도네시아 오일 팜 바이오매스 잠재량 평가)

  • Ahn, Byoung-Jun;Han, Gyu-Seoung;Choi, Don-Ha;Cho, Sung-Taig;Lee, Soo-Min
    • Journal of the Korean Wood Science and Technology
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    • v.42 no.3
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    • pp.231-243
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    • 2014
  • In this study, the potential of biomass, which is generated from oil palm cultivation and crude palm oil (CPO) production of Indonesia was assessed in the aspect of energy content. The types of oil palm biomass were classified on the basis of the cultivation stage and the CPO production stage. In the cultivation stage, biomass is considered to be produced from its' root, trunk and frond. Other possible biomass resources such as empty fruit bunch (EFB), palm kernel shell (PKS) and fiber were included in the CPO production stage. As results, total biomass from damaged plantation area of Indonesia was estimated to be annually from 3 million to 16 million tons in 2011. From CPO mills, approximately 49 million tons/yr of biomass residues were estimated to be annually occurred. Their total energy content from each biomass source in cultivation stage was analyzed to be from 593,000 to 3,197,000 TOEs in terms of gross calorific value. In the case of CPO mills, around 22.7 million TOEs was estimated to be potential energy producible by biomass based on gross calorific value of dry basis. If moisture content considered, net calorific value was analyzed to be decreased to 16.3 million TOEs. Based on the results, the total energy contents of all oil palm biomass were estimated to be up to 25,919,000 TOE in terms of gross calorific value. CPO : Crude Palm Oil, EFB : Empty Fruit Bunch, FFB: Fresh Fruit Bunch, PKS : Palm Kernel Shell, OPF : Oil Palm Frond, PKOC : Palm Kernel Oil Cake, ISPO : Indonesia Sustainable Palm Oil Commission, TOE : Tone of Oil Equivalent.

Prevention of thromboembolism with ticlopidine and aspirin after cardiac valve replacement (심장변막치환후 Ticlopidine과 Aspirin의 혈전방지 효과)

  • Kim, Gwang-Taek;Kim, Hak-Je;Kim, Hyeong-Muk
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.35-42
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    • 1986
  • Prevention of thrombombolism after rosthetic cardiac valve replacement is essential for the patients. About 90% of patients are free of major and minor thromboembolic complications 5 year after replacement of cardiac valves with prosthetic devices when they are under control of anticoagulant therapy. Ticlopidine is a drug that alter platelet function to have an antithrombotic effect. It is an antiaggregating agent which inhibits primary platelet function to have an antithrombotic effect. It is an antiaggregating agent which inhibits primary platelet aggregation induced by ADP and increases the production of prostaglandin $D_{2}$. Aspirin in small doses inhibits platelet synthesis of prostaglandins by irreversibly blocking the enzyme cyclo-oxygenase. Platelet secretion and aggregation are impaired with Ticlopidine and Aspirin. the thromboembolic event sof 54 patient s who were treated with Ticlopidine and Aspirin after cardiac valve replacement were evaluated and compared with that of 79 patients who were treated with Wafarin and Aspirin after the same type of operation. The follow-up period ranged from 4 to 110 months (mean of 48 months). there were 11 major thromboembolic episodes including three deaths in the warfarin goup during mean follow-up period of 56 months. two cases of CVA and one hemoarthrosis were noted due to overdose of Warfarin. Inticlopidine group, there was only one fatal thromboembolic epdisode three month after mitral valve replacement during mean follow-up period of 18 months. Two episodes of hypermenorrhea resulting anemia ere noted in the ticlopidine group. We measured the parameters of platelet function in aggreagation curve of platelet with platelet aggregometer (chrono-log Aggregometer, Model No. 430) Aggregation test was performed with three final concentrations of epinephrine in 10 uM/L, ADP in 5uM/L. 28 patients with prosthetic cardiac valves and 35 healthy volunteers were subgrouped as follows to analyze the effect of antithrombotic drugs used. Group I ; 11 patients treated with 250-500 mg of ticlopidine and 0.5gm of Aspirin as a daily single dose after cardiac valve replacement (14 St. Jude Medical and 1 Carpentier-Edwards, 9 patients with atrial fibrillation among them) Group II ; 10 patients treated with 3-5 mg of Warfarin and 0.75 gm of Aspirin daily to prolong prothrombin time around 20 seconds for more than 6 months and single Aspirin dose was maintained afterward as a life-long regimes(3 St. Jude Medical, 1 Hall-Kaster and 7 Carpentier-Edwards valve, 9 patients in atrial fibrilation). Group III ; 7 patients who quit anticoagulant treatment (Warfarin + Aspirin) 6-12 months after the regime as group II (3 St. Jude Medical. 1 bjork-Shiley, 1 Hall-Kaster, 3 Carpentier-Edwards valve, 2 of them are with atrial fibrillation). Group IV ; 35 healthy vounteers (28 males and 7 females). The following results were obtained. 1. The mean maximal platelet aggregability in Group I induced by 10uM/L epinephrine was 15.6%, and 17.5 and 18.7% in BM in proportion to the induction by 5 and 10 uM/L ADP. 2. The mean maximal platelet aggregability in Group II induced by 10uM/L epinephrine was 16.5%, and 27.4 and 44.7% in BM in proportion to the induction by 5 and 10uM/L ADP. 3. The mean maximal platelet aggregability in group III induced by 10uM/L epinephrine was 65%, and 56.5 and 51.8% in BM in proportion to the induction by 5 and 10 uM/L ADP. 4. The mean maximal platelet aggregability in the normal subjects induced by 10 uM/L epinephrine was 64%, and 65 and 69% in Bm inproportion to the induction by 5 and 10 uM/L ADP. 5. Reversible change of platelet aggregation curve induced by 5 and 10uM/L was noted all of the patients in Group I. conclusion : Ticlopidine is an antiaggregating agent which inhibits primary platelet aggregation induced by ADP, and increases the production of prostaglandin $D_{2}$. Ticlopidine and Aspirin produced a significant inhibition of platelet in the presence of ADP and epinephrine in our study. Acccording to our brief experience, 250 mg of ticlopidine and low dose of Aspirin resulted synergistic superior effect to each drug alone in prevention of thromboembolism after prosthetic cardiac valve replacement.

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Synthesis of Ultra High Refractive Index Monomer for Plastic Optical Lens and Its Ophthalmic Lens Preparation (플라스틱 안경렌즈용 초고굴절 모노머 합성 및 이를 이용한 안경렌즈 제조)

  • Jang, Dong Gyu;Kim, Jong Hyo;Lee, Soo Min;Roh, Soo Gyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.3
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    • pp.1-6
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    • 2008
  • Purpose: Plastic optical monomer materials having ultra high refractive index have an income of the whole quantity from advanced nations to domestic companies which are related to plastic optical lens. It is necessary to develop novel plastic optical lens materials in order to overcome a FTA provision and revitalize a stagnating optical lens industry in the interior optical lens industries. The new plastic optical lens materials against the substitution effect of income should be gradually demanded. This work will be synthesized novel super high refractive monomer resin materials of urethane lens series and studied the properties of optical lens using it. Methods: ETS-4 (2-(2-mercaptoethylthio)-3-{2-[3-mercapto-2-(2-mercaptoethylthio)propyl thio]ethylthio}propane -1-thiol), which is optical lens monomer resin having super high refractive index, was synthesized and identified its structure and property by elemental analysis, EI-MS, TGA, FT-IR spectroscopy, $^1H$ and $^{13}C$ NMR spectroscopies. After mixing evenly from mixed monomer resin and diisocyanate series, it was casting in glass mold. After thermal curing, the obtained optical lenses were measured and compared with the refractive index and Abbe number for studies of their optical properties. Results: We have synthesized the novel ultra high refractive index monomer resin, ETS-4, and have identified its structure and property by elemental analysis, EI-MS, TGA, FT-IR spectroscopy, $^1H$ and $^{13}C$ NMR spectroscopies. The existence of three isomers for EST-4 was identified by $^{13}C$ NMR spectroscopy. The refractive index ($N_d$ at $25^{\circ}C$) of monomer resin in liquid state obtained from the Abbe refractometer was 1.647. The refractive indexes of raw plastic optical lenses prepared from the mixed ETS-4 monomer and diisocyanate series were in the range of 1.656~1.680. Conclusions: Novel super high refractive index plastic optical lens monomer was synthesized and analysed, the optical lenses prepared using it were colorless transparency and excellent properties. It is of utility for the industrialization.

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The Implementation and limits of Involuntary Detention of the Tuberculosis Prevention Act (결핵예방법의 격리명령의 실행과 한계에 관하여)

  • Kim, Jang Han
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.55-84
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    • 2015
  • The tuberculosis is the infectious disease. Generally, the active tuberculosis patient can infect the 10 persons for one year within the daily activities like casual conversation and singing together. The infectivity of tuberculosis can continue for a life time, and infected persons can remain at risk for developing active tuberculosis. To control this contagious disease, along with the active tuberculosis patients, non-infectious but non-compliant patients who can be infectious if their immune systems become impaired have to be managed. To control the non-complaint patients, medical treatment order should be combined with the public order. Because tuberculosis is the risk of community health, the human rights like liberty and freedom of movement can be restricted for public welfare under the article 37(2) of constitution. Even when such restriction is imposed, no essential aspect of the freedom or right shall be violated. The degree of restriction on the rights of citizens is different what methods are chosen to non-complaint patients. For example, under the directly observed therapy program, the patients and medical staffs make an appointment and meet to confirm the drug intakes according to the schedule, which is the medical treatment combined with the mildest public order. If the patients break the appointments or have the history of disobedient, the involuntary detention can obtain the legitimate cause. The Tuberculosis Prevention Act has the two step programs on this involuntary detention, The admission order (Article 15) is issued when the patients are infectious. The quarantine order (Artle 15-2) is issued when the patients are infectious and non-complaint. The legal criteria for involuntary detention are discussed and published through the international conventions and covenants. For example, World Health Organization had made guidance on human rights and involuntary detention for tuberculosis control. The restrictions should be carried out in accordance with the our law and in the legitimate objective of public interest. And the restriction should be based on scientific evidence and not imposed in an unreasonable or discriminatory manner. We define and adopt these international criteria under our constitution and legal system. Least restrictive alternative principle, proportionality principle and the individual evaluation methods are explained through the reviews of United States court decisions. Habeas Corpus Act is reviewed and adopted as the procedural due process to protect the patient rights as a citizen. Along with that, what conditions and facilities which are needed to performed quarantine order are discussed.

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Effects of Concentration and Size of Porous Calcium Silicate (PCS) in Broiler Feeds on Performances, Fly Generation and Malodorous Gas Emission (Porous Calcium Silicate(PCS)의 급여수준 및 PCS 입자 크기가 육계의 성장, 파리 및 악취 발생에 미치는 영향)

  • Jeon, B.S.;Song, J.I.;Jeon, J.H.;Kwag, J.H.;Kang, H.S.;Choi, H.C.;Kim, T.I.;Lee, E.S.;Nahm, K.H.
    • Journal of Animal Environmental Science
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    • v.15 no.2
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    • pp.115-130
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    • 2009
  • Three experiments on the addition of Porous Calcium Silicate (PCS) to broiler feed were conducted at different time periods in the same house. Each treatment had 4 replicates with 12 chicks in each treatment. Weight gain and feed intake were higher ($P{\le}0.05$) in the control groups. Feed conversions' were better ($P{\le}0.05$) in the PCS group, 3.0% PCS and 20 mesh size of PCS than the control group from 21 to 49 days, and for the overall period. $NH_3$ and $H_2S$. gas production were decreased ($P{\le}0.05$) when zeolite was added in broiler feeds. 1.5% or 3.0% PCS in broiler feed was better ($P{\le}0.05$) than the 4% PCS. More than 90 mesh size PCS was better ($P{\le}0.05$) in controlling $CO_2$ production in the 5th period than the 20 or 50 mesh size or control groups. The control and PCS groups produced more flies ($P{\le}0.05$) than zeolite group during the 2nd and 3rd weeks. The 3.0% or 4.5% PCS or 50 or 90 mesh size of PCS in broiler feed produced more flies than the 20 mesh size or control groups although 50 or 90 mesh size of PCS during 5th week tended to have lower fly production than the 20 mesh size of PCS and control group.

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Effects of Combined Micronutrient(Fe, Mn, Cu, Zn, Mo and B) Application on Forage Traits in Pure and Mixed Swards of Orchardgrass and White Clover II. Changes in the yields and concurrence index of forage plants (Orchardgrass 및 White Clover의 단파 및 혼파 재배에서 미량요소(Fe, Mn, Cu, Zn, Mo, B)의 조합시비가 목초의 여러 특성에 미치는 영향 II. 초종별 건물수량 및 식생 경합지수의 변화)

  • Jung, Yeun-Kyu
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.23 no.4
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    • pp.237-246
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    • 2003
  • This pot experiment was conducted in order to find out the effects of application of combined micronutrients(T$_1$: control. T$_2$; Fe, T$_3$; Fe+Mn, T$_4$; Fe+Mn+Cu, T$_{5}$; Fe+Mn+Cu+Zn, T$_{6}$;Fe+Mn+Cu+Zn+Mo, T$_{7}$; Fe+Mn+Cu+Zn+Mo+B) on forage performance of pure and mixed cultures of orchardgrass and white clover The 2nd part was concerned with the changes in the forage yields and concurrence index. The results obtained are summarized as follows: 1. The effects of combined micronutrient applications on the forage yields were different according to the forage species, whether it was a pure or mixed cultures, and additional fertilization(especially N). The effects of them on the forage productivity and botanical composition were more obvious in white clover, especially in mixed culture, than in orchardgrass. By the significant role of B as a regulator, the yields of both forages were best in the T$_{7}$, respectively. 2. In the pure culture, the high yields of both forages were obtained by the T$_{7}$ and T$_2$, whereas the T$_{6}$ and T$_3$resulted in the low yields. The best yields of both forages were obtained by the T$_{7}$ with relatively optimum ratios among the micronutrients as follows; Fe/Mn/Cu/Zn, Fe/Mo, Mo/B, and ∑ cation/∑anion. It was observed the multiple interaction of Fe${\times}$Mn${\times}$Mo${\times}$B, and the significant role of B as a regulator. The effects of them on white clover were more distinct at no additional fertilization than at the additional fertilization(especially N). 3. In mixed culture, the optimum applications of them resulted in the positive increase of yield and botanical composition of white clover, whereas orchardgrass tended to be inversely except the T$_{7}$.X> 7/. 7/.

Effects of Boron Application on the Forage Traits in the Pure and Mixed Swards of Orchardgrass and White Clover. II. Changes in the yields and concurrence index of forages (Orchardgrass 및 White clover의 단 파 및 혼파 재배에서 붕소의 시용이 목초의 여러 특성에 미치는 영향. II. 초종별 건물수량 및 식생 경합지수의 변화)

  • Jung, Yeun-Kyu
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.23 no.3
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    • pp.159-168
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    • 2003
  • This pot experiment was conducted in order to find out the effects of boron application($B_{0}$ /; control, $B_1$; 0.2, $B_2$; 2.0,$ B_3$; 6.0, $B_4$; 15.0 B me/pot) on the forage performance of pure and mixed cultures of orchardgrass and white clover. The 2nd part was concerned with the changes in the forage yields and concurrence index. The results obtained are summarized as follows: 1. The optimum boron application($B_2$) generally resulted in the increase of both forage yields, but the effects of boron application on them were different according to the forage species, whether it was a pure or mixed cultures, additional fertilization, and cutting order. The effects of boron application on the forage productivity were more obvious in white clover than in orchardgrass. 2. Owing to the decline of white clover as affected by the application of additional fertilizers, especially N, in the grass-clover mixed cultures, the effects of boron application on the white clover yields showed a numerical inferiority compared with the pure culture. It was recognized that the yield increase and botanical composition of white clover in grass-clover mixed cultures could be regulated by the application of additional fertilizers and boron. 3. The toxic boron application($B_3$ and $B_4$) resulted in a decreased yield of both forages. The yield change of orchardgrass tended to be similar between pure and mixed cultures, whereas it of white clover tended to be more negative in mixed than in pure cultures. 4. With the application of additional fertilizers, especially N, the botanical composition and concurrence index in grass-clover mixed cultures were relatively increased in orchardgrass, and decreased in white clover. The botanical composition of orchardgrass increased from 55% to 75%, whereas it of white clover decreased from 45% in the first half cutting to 25% in the second half cutting, respectively.

Effects of Boron Application on the Forage Traits in the Pure and Mixed Cultures of Orchardgrass and White Clover - IV. Changes in the contents of micronutrients(Fe, Mn, Zn, Cu, and B) in forages - (Orchardgrass 및 White Clover의 단파 및 혼파재배에서 붕소의 시용이 목초의 여러 특성에 미치는 영향 - IV. 목초 중 미량요소(Fe, Mn, Cu, Zn과 B)의 함량 변화 -)

  • Jung, Yeun-Kyu
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.23 no.3
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    • pp.179-186
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    • 2003
  • This pot experiment was conducted to find out the effects of boron application( $B_{0}$ ) ; control, B$_1$; 0.2, $B_2$; 2.0, $B_3$; 6.0, $B_4$; 15.0 boron me/pot) on the forage performance of pure and mixed cultures of orchardgrass and white clover. The fourth part was concerned with the changes in the contents of B, Fe, Mn, Cu, and Zn in forages. The results obtained are summarized as follows: 1. The boron(B) contents of both forages and their differences among the B treatments generally decreased according to the cutting order. The B contents of white clover were somewhat lower in the $B_{0}$ than in the $B_2$. However, the differences in the yields between $B_{0}$ and $B_2$ were relatively great. It was probably caused by the latent B-deficiency in the $B_{0}$. Compared with white clover, the B contents of orchardgrass had relatively great differences between the $B_{0}$ and B$_2$, but both yields tended to be similar. 2. The contents of Fe, Mn, Cu, and Zn in both forages were generally different according to the forage species, whether it was a pure or mixed cultures, and additional fertilization. The effects of B application on their contents were different according to the micronutrients and above factors. 3. The Fe contents of white clover were lower in the $B_{0}$ and $B_4$ than in the$ B_2$. It tended to be related to the weak growth of roots and low yields in the $B_{0}$ and $B_2$. However, there were not consistent in the changes of contents of Mn, Cu, and Zn by the rates of B application. 4. The effects of B application on the total ion concentrations of Fe, Mn, Cu, and Zn were not consistent in both forages. However, the concentrations were generally affected by the changes in the contents of Mn and Zn. The concentrations of white clover were higher in a pure than in mixed culture.