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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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Flow Resistance and Modeling Rule of Fishing Nets -2. Flow Resistance of Bag Nets- (그물어구의 유수저항과 모형수칙 -2. 자루형 그물의 유수저항-)

  • KIM Dae-An
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.28 no.2
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    • pp.194-201
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    • 1995
  • In order to make clear the resistance of bag nets, the resistance R of bag nets with wall area S designed in pyramid shape was measured in a circulating water tank with control of flow velocity v and the coefficient k in $R=kSv^2$ was investigated. The coefficient k showed no change In the nets designed in regular pyramid shape when their mouths were attached alternately to the circular and square frames, because their shape in water became a circular cone in the circular frame and equal to the cone with the exception of the vicinity of frame in the square one. On the other hand, a net designed in right pyramid shape and then attached to a rectangular frame showed an elliptic cone with the exception of the vicinity of frame in water, but produced no significant difference in value of k in comparison with that making a circular cone in water. In the nets making a circular cone in water, k was higher in nets with larger d/l, ratio of diameter d to length I of bars, and decreased as the ratio S/S_m$ of S to the area $S_m$ of net mouth was increased or as the attack angle 9 of net to the water flow was decreased. But the value of ks15m was almost constant in the region of S/S_m=1-4$ or $\theta=15-90^{\circ}$ and in creased linearly in S/S_m>4 or in $\theta<15^{\circ}$ However, these variation of k could be summarized by the equation obtained in the previous paper. That is, the coefficient $k(kg\;\cdot\;sec^2/m^4)$ of bag nets was expressed as $$k=160R_e\;^{-01}(\frac{S_n}{S_m})^{1.2}\;(\frac{S_m}{S})^{1.6}$$ for the condition of $R_e<100$ and $$k=100(\frac{S_n}{S_m})^{1.2}\;(\frac{S_m}{S})^{1.6}$$ for $R_e\geq100$, where $S_n$ is their total area projected to the plane perpendicular to the water flow and $R_e$ the Reynolds' number on which the representative size was taken by the value of $\lambda$ defined as $$\lambda={\frac{\pi d^2}{21\;sin\;2\varphi}$$ where If is the angle between two adjacent bars, d the diameter of bars, and 21 the mesh size. Conclusively, it is clarified that the coefficient k obtained in the previous paper agrees with the experimental results for bag nets.

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Improvement of Small Wetland and Stream in Cultivated Area in point of Landscape Ecology (경작지 내 소규모 습지 및 소하천의 경관생태적 개선방안)

  • Cho, Hyun-Ju;Ra, Jung-Hwa;Kim, Jin-Hyo
    • Current Research on Agriculture and Life Sciences
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    • v.29
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    • pp.11-19
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    • 2011
  • This research gives weight to establish practical improvement based on analysis of the landscape ecological character and value to realize the importance of small wetland and stream in cultivated areas functioning as a residual landscape element in rural landscape and to deal with ecological depression effectively. The results of summary are as follows. 1) The results of landscape ecological character analysis of wetlands biotop in total of 7 sites, for example, size of surface in site 5 was widely formed about $10,600m^2$, which was assessed satisfactory in terms of slope of waterfront, width of hedgerow, vegetation condition of composition and so on. Also, The number of flexibility showed 2 in site 8-1, the highest, and morphological diversity showed 1.47, the highest. 2) The results of problem analysis of wetland biotop, most of wetlands are analyzed that the width of hedgerow was below 1m. Also, the 4 wetlands in site 8 are appeared that hard to live slope vegetation in there because of slope of waterfronts are above $45^{\circ}$. 3) The results of landscape ecological character analysis of stream in total of 6 sites, for example, width of waterfront in site 4 showed 55m, the widest, and investigated consist of natural ingredients such as soil, rock, gravel. However, width of waterfront in site 2-2 showed 4m, the narrowest, and inclined angle of slope was formed a right angle. 4) The results of problem analysis of stream, width of waterfront hedgerow in site 2-1 showed about 5m, which was very narrower than width of waterfront, and toxic chemicals discharged from near cultivated area without any filtering. Also, all areas of site 2-2 was formed concrete, and was assessed dissatisfactory in terms of capacity of nature purification, flood control, habitat living space because of straight stream. 5) Based on the result above landscape ecological character and problem analysis, main improvement guidelines are set in terms of shape, vegetation, topography in case of wetlands, and which are set in terms of vertical, horizontal structure in case of stream.

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A Study of Epstein-Barr Virus, and Human Leukocyte Antigen Typing in Children with Acute Infectious Mononucleosis (급성 전염성 단핵구증 환아에서 Epstein-Barr 바이러스의 감염형과 사람 백혈구 항원형 연구)

  • Hahn, Seung-Hoon;Shin, Wan-Shik;Han, Hoon;Kang, Jin-Han
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.467-473
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    • 2003
  • Purpose : The Epstein-Barr virus(EBV), gamma herpesvirus, is an important pathogen that is widespread around the world. The EBV causes various diseases depending on the geographic location, and on the immunity or the premorbid condition of the person exposed to EBV. To evaluate EBV typing may be the most important step to figure out the pathogenesis of EBV associated diseases, and we need to re-evaluate the pathologic role of human leukocyte antigen(HLA) in developing Epstein- Barr virus associated acute infectious mononucleosis by using newly developed methods. Methods : This study included 24 children(age range : 6 to 13 years), serologically confirmed with acute infectious mononucleosis. The control group for the HLA type consisted of 200 age-matched healthy children. To classify HLA I, modified ARMs-PCR was used, while modified PCR-SSOP was utilized in typing of HLA II. Also, we performed EBV typing in study patients by using a one-step PCR. Results : The results of HLA types : In HLA class I, HLA-A24 was positive in 69 of 200 healthy children and positive in 14 of 24 patients in the study group(relative risk : 3.5724, chi-square; 5.26, P<0.05). In HLA class II, HLA-DRB1*07 was detected in 18 of 200 healthy children, and eight of 24 patients in the study group(relative risk; 506173, chi-square; 9.73, P<0.01). The results of EBV types : In the research group, 20(83.8%) of 24 patients were shedding type A virus, while 4(16.7%) were type B. Conclusion : We conclude that development of infectious mononucleosis may be associated with HLA types, and these results suggest that acute infectious mononucleosis could have hereditary traits. And we confirm that type A EBV is highly prevalent in patients with acute infectious mononucleosis in Korea. Also, our results suggest that further large scale studies, including adult groups, regarding the association between pathogenesis of EBV with HLA-DP or HLA-DQ will be warranted.

Somatotopic Mapping of the Supplementary Motor Area (부운동영역의 뇌지도화)

  • Han Young Min;Jeong Su-Hyun;Lee Heon;Jin Gong Yong;Lee Sang Yong;Chung Gyung Ho
    • Investigative Magnetic Resonance Imaging
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    • v.8 no.1
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    • pp.9-16
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    • 2004
  • Purpose : The purpose of this study was to assess supplementary motor area (SMA) activation during motor, sensory, word generation, listening comprehension, and working memory tasks using functional magnetic resonance imaging (fMRI). Materials and Methods : Sixteen healthy right-handed subjects (9M, 7F) were imaged on a Siemens 1.5T scanner. Whole brain functional maps were acquired using BOLD EPI sequences in the axial plane. Each paradigm consisted of five epochs of activation vs. the control condition. The activation tasks consisted of left finger complex movement, hot sensory stimulation of the left hand, word generation, listening comprehension, and working memory. The reference function was a boxcar waveform. Activation maps were thresholded at an uncorrected p=0.0001. The thresholded activation maps were placed into MNI space and the anatomic localization of activation within the SMA was compared across tasks. Results : SMA activation was observed in 16 volunteers for the motor task, 11 for the sensory task, 15 for the word generation task, 5 for the listening comprehension task, and 15 for the working memory task. The rostral aspects of the SMA showed activity during the word generation and working memory tasks, and the caudal aspects of the SMA showed activity during the motor and sensory tasks. Right (contralateral) SMA activation was observed during the motor and sensory tasks, and left SMA activation during the word generation and memory tasks. Conclusion : Our results suggest that SMA is involved in a variety of functional tasks including motor, sensory, word generation, and working memory. The results obtained also support the notion that functionally specific subregions exist within the region classically defined as the SMA.

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A case study of monitored natural attenuation at the petroleum hydrocarbon contaminated site: I. Site characterization (유류오염부지에서 자연저감기법 적용 사례연구: I. 부지특성 조사)

  • 윤정기;이민효;이석영;이진용;이강근
    • Journal of Soil and Groundwater Environment
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    • v.8 no.4
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    • pp.27-35
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    • 2003
  • The study site located in an industrial complex has a Precambrian age gneiss as a bedrock. The poorly-developed, disturbed soils in the study site have loamy-textured surface soil (1 to 2 m) and gravelly sand alluvium subsurface (2 to 6 m) on the top of weathered gneiss bedrock. The depth of the groundwater table was about 3.5 m below ground surface and increased toward down-gradient of the site. The hydraulic conductivity of transmitted zone (gravelly coarse sand) was in the range of 5.0${\times}$10$\^$-2/∼1.85${\times}$10$\^$-1/ cm/sec. The fine sand layer was in the range of 1.5${\times}$10$\^$-3/ to 7.6${\times}$10$\^$-3/ cm/sec. and the reclaimed upper soil layer was less than 10$\^$-4/ cm/sec. Toluene, ethylbenzene, and xylene (TEX) was the major contaminant in the soil and groundwater. The average depth of the soil contamination was about 1.5 m in the gravelly sand alluvium layer. At the depth interval 2.4∼4.8 m, the highest contamination in the soil is located approximately 50 to 70 m from the suspected source areas. The concentration of TEX in the groundwater was highest in the suspected source area and a lesser concentration in the center and southwest parts of the site. The TEX distribution in the groundwater is associated with their distribution in the soil. Microbial isolation showed that Pseudomonas flurescence, Burkholderia cepacia, and Acinetobactor lwoffi were the dominant aerobic bacteria in the contaminated soils. The analytical results of the groundwater indicated that the concentrations of dissolved oxygen (DO), nitrate, and sulfate in the contaminated area were significantly lower than their concentrations in the none-contaminated control area. The results also indicated that groundwater at the contaminated area is under anaerobic condition and sulfate reduction is the predominant terminal electron accepting process. The total attenuation rate was 0.0017 day$\^$-1/ and the estimated first-order degradation rate constant (λ) was 0.0008 day$\^$-1/.

Effect of Long-term Organic Matter Application on the Fine Textured Paddy Soils of Double Cropping System in Temperate Area (난지(暖地) 2모작(毛作) 세입질(細粒質) 논에서 유기물(有機物)의 연용(連用) 효과)

  • Yoo, Chul-Hyun;So, Jae-Don;Ida, Akira;Tanaka, Fukuyo;Nishida, Mizuhiko
    • Korean Journal of Soil Science and Fertilizer
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    • v.25 no.4
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    • pp.325-333
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    • 1992
  • An investigation was carried out to find out the effects of long-term application (14 and 28 years) of rice straw, compost and wheat straw on changes in soil chemical and physical properities, aspests of releasing potential nitrogen and nitrogen uptake by rice and maize from fine textured paddy soils with double cropping system in warm temperate area. The result obtained were summarized as follows : 1. The long-term application of organic matters improved plow layer and soil physical properties : bulk density and solid phase were decreased, while porosity and gaseous phase were decreased. 2. Average increment of total carbon per year was 0.0371% and 0.0407% for rice straw and compost, respectively, from 1 through 14 years ; it was 0.0007% and 0.0014% for the rice straw and compost, respectively, from 15 years through 28 years. The average increment of total notrogen per year was 0.0025% and 0.038% for the rice straw and compost, respectively, from 1 through 14 years ; 0.0014% and 0.0024% for the same treatments from 15 through 28 years. 3. $NH_4-N$ and amide-N were high in the soils with wheat straw application for 28 years ; the amino sugar-N in the soils with compost application for 28 years ; amino acid -N in the soils with rice straw application for 14 and 28 years ; and unidentified-N, in the control. 4. The released amount of available nitrogen with the submerged condition was higher at $30^{\circ}C$ than at $25^{\circ}C$ during the incubation. The amount of released available nitrogen at the field was aproximately same as that of $25^{\circ}C$ incubation. However, the released amounts from the incubation and the field were always lower than those extracted with reagents. 5. The amount of nitrogen uptake by rice and maize was highly correlated with available nitrogen extracted with phosphate buffer(pH 7.0). 6. The ratio of yield increase(milled rice) was 17, 12 and 7%, respectively, by application of rice straw, compost and wheat straw for 28 years, and 11% by application of rice straw for 14 years.

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Mitigation of Greenhouse Gases by Water Management of SRI (System of Rice Intensification) in Rice Paddy Fields (논에서 SRI (System of Rice Intensification) 물 관리 방법을 적용한 온실가스 저감 효과)

  • Kim, Gun-Yeob;Lee, Seul-Bi;Lee, Jong-Sik;Choi, Eun-Jung;Ryu, Jong-Hee
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.6
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    • pp.1173-1178
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    • 2012
  • Water competition among domestic, industrial and agricultural sectors has been gradually heightened recently in Korea as the lack of water supply is expected in the near future. About 46% of nation's water use is consumed in paddy farming to produce rice. And the conservation of water resource and quality in agricultural sector is a pending issue in the nation's long term water management plan. New paddy rice farming techniques that use significantly less irrigation water are urgently required. System of Rice Intensification (SRI) that is now well known to produce more rice with less water consumption has not been tried in Korea yet. And environmental effect of SRI on greenhouse gases (GHGs) has not been well investigated. The objective of this study was to measure the effect of SRI on GHGs as well as water use and rice yield in a Korean paddy condition. Three experimental runoff plots $5{\times}15m$ in size were prepared at an existing paddy field. Runoff, GHGs emission and water quality were measured during the 2011 growing seasons while a Japonica rice variety was cultivated. Rice plants grew better and healthier in SRI plots than in continuously flooded (CF) and intermittently drained (ID) plots. Rice yield from SRI plots increased 112.8 (ID)~116.1 (CF)% compared with CF and ID plots. Irrigation requirement of SRI plots compared to CF plot reduced by 52.6% and ID plot reduced by 62.0%, meaning that about 37.9~47.4% of irrigation water could be saved. GHGs emission from SRI plots reduced by 71.8% compared to that from CF plot and by 18.4% compared to that from ID plot, meaning that SRI could help contribute to ease the greenhouse gas accumulation in the atmosphere. It was believed that SRI is a promising paddy farming technique that could increase rice yield, and reduce irrigation water requirement and GHGs emission not just in Korea but also other rice farming countries all over the world. However, it was recommended that long term studies under different conditions including rice variety, soil texture, water source, climate need to be conducted for reliable data for the development of environmental policies related to GHGs emission control and management.

Study of Oil Palm Biomass Resources (Part 5) - Torrefaction of Pellets Made from Oil Palm Biomass - (오일팜 바이오매스의 자원화 연구 V - 오일팜 바이오매스 펠릿의 반탄화 연구 -)

  • Lee, Ji-Young;Kim, Chul-Hwan;Sung, Yong Joo;Nam, Hye-Gyeong;Park, Hyeong-Hun;Kwon, Sol;Park, Dong-Hun;Joo, Su-Yeon;Yim, Hyun-Tek;Lee, Min-Seok;Kim, Se-Bin
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.48 no.2
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    • pp.34-45
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    • 2016
  • Global warming and climate change have been caused by combustion of fossil fuels. The greenhouse gases contributed to the rise of temperature between $0.6^{\circ}C$ and $0.9^{\circ}C$ over the past century. Presently, fossil fuels account for about 88% of the commercial energy sources used. In developing countries, fossil fuels are a very attractive energy source because they are available and relatively inexpensive. The environmental problems with fossil fuels have been aggravating stress from already existing factors including acid deposition, urban air pollution, and climate change. In order to control greenhouse gas emissions, particularly CO2, fossil fuels must be replaced by eco-friendly fuels such as biomass. The use of renewable energy sources is becoming increasingly necessary. The biomass resources are the most common form of renewable energy. The conversion of biomass into energy can be achieved in a number of ways. The most common form of converted biomass is pellet fuels as biofuels made from compressed organic matter or biomass. Pellets from lignocellulosic biomass has compared to conventional fuels with a relatively low bulk and energy density and a low degree of homogeneity. Thermal pretreatment technology like torrefaction is applied to improve fuel efficiency of lignocellulosic biomass, i.e., less moisture and oxygen in the product, preferrable grinding properties, storage properties, etc.. During torrefacton, lignocelluosic biomass such as palm kernell shell (PKS) and empty fruit bunch (EFB) was roasted under an oxygen-depleted enviroment at temperature between 200 and $300^{\circ}C$. Low degree of thermal treatment led to the removal of moisture and low molecular volatile matters with low O/C and H/C elemental ratios. The mechanical characteristics of torrefied biomass have also been altered to a brittle and partly hydrophobic materials. Unfortunately, it was much harder to form pellets from torrefied PKS and EFB due to thermal degradation of lignin as a natural binder during torrefaction compared to non-torrefied ones. For easy pelletization of biomass with torrefaction, pellets from PKS and EFB were manufactured before torrefaction, and thereafter they were torrefied at different temperature. Even after torrefaction of pellets from PKS and EFB, their appearance was well preserved with better fuel efficiency than non-torrefied ones. The physical properties of the torrefied pellets largely depended on the torrefaction condition such as reaction time and reaction temperature. Temperature over $250^{\circ}C$ during torrefaction gave a significant impact on the fuel properties of the pellets. In particular, torrefied EFB pellets displayed much faster development of the fuel properties than did torrefied PKS pellets. During torrefaction, extensive carbonization with the increase of fixed carbons, the behavior of thermal degradation of torrefied biomass became significantly different according to the increase of torrefaction temperature. In conclusion, pelletization of PKS and EFB before torrefaction made it much easier to proceed with torrefaction of pellets from PKS and EFB, leading to excellent eco-friendly fuels.

Effects of Seed Soaking of Kinetin on Alleviating Copper Toxicity during Germination in Rice (Kinetin 침종처리가 벼 발아중 구리 독성 경감에 미치는 영향)

  • 김상국;이상철;민기군;이승필;최부술
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.41 no.4
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    • pp.465-474
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    • 1996
  • The study was carried out to determine the proper concentration of plant growth regulator, kinetin on alleviating copper toxicity for two rice cultivars of seed germination. The results were as followings : Soaking treatment of kinetin 10$^{-3}$ M increased the germination rate of both cultivars, Ilpumbyeo and Hyangmibyeo 1 by 92% and 88% as compared with copper treatment (60ppm). But the soaking treatment effect of plant growth regulator, kinetin was not recognized at the kinetin 10$^{-4}$ M and 10$^{-5}$ M. Chlorophyll content of both rices was higher than that of Hyangmibyeo 1. Copper content of Ilpumbyeo was higher in leaf than in seed part. At the 3 days after treatment of copper 60ppm, both cultivars of treatment of kinetin 1O-3M showed the somewhat thin bands at the 35 and 40kDa compared with others. A new protein band pattern was only appeared to kinetin 1O-3M at approximately 54.4kDa(M. W) at the 7 days after treatment of copper 60ppm in llpumbyeo cultivar, SOD activity of copper 60ppm treatment increased in 3DAT, but there were no significant differences in 5 and 7DAT of two cultivars. Free proline contents of copper 60ppm treatment in llpumbyeo were remarkably increased about 4.996$\mu$M. In particular, free proline content of kinetin l0$^{-3}$ M in Ilpumbyeo was 5.008$\mu$M in 3DAT. In case of Hwangmibyeo 1, free proline content of copper 60ppm was 5.825$\mu$M compared with an untreated control showing 2.34l$\mu$M. The effects of kinetin treatment were recognized to promote the root growth and germination rate under copper toxicity(60ppm) condition in both cultivars.

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