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Development of validated Nursing Interventions for Home Health Care to Women who have had a Caesarian Delivery (조기퇴원 제왕절개 산욕부를 위한 가정간호 표준서 개발)

  • HwangBo, Su-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.135-146
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    • 2000
  • The purpose of this study was to develope, based on the Nursing Intervention Classification (NIC) system. a set of standardized nursing interventions which had been validated. and their associated activities. for use with nursing diagnoses related to home health care for women who have had a caesarian delivery and for their newborn babies. This descriptive study for instrument development had three phases: first. selection of nursing diagnoses. second, validation of the preliminary home health care interventions. and third, application of the home care interventions. In the first phases, diagnoses from 30 nursing records of clients of the home health care agency at P. medical center who were seen between April 21 and July 30. 1998. and from 5 textbooks were examined. Ten nursing diagnoses were selected through a comparison with the NANDA (North American Nursing Diagnosis Association) classification In the second phase. using the selected diagnoses. the nursing interventions were defined from the diagnoses-intervention linkage lists along with associated activities for each intervention list in NIC. To develope the preliminary interventions five-rounds of expertise tests were done. During the first four rounds. 5 experts in clinical nursing participated. and for the final content validity test of the preliminary interventions. 13 experts participated using the Fehring's Delphi technique. The expert group evaluated and defined the set of preliminary nursing interventions. In the third phases, clinical tests were held at in a home health care setting with two home health care nurses using the preliminary intervention list as a questionnaire. Thirty clients referred to the home health care agency at P. medical center between October 1998 and March 1999 were the subjects for this phase. Each of the activities were tested using dichotomous question method. The results of the study are as follows: 1. For the ten nursing diagnoses. 63 appropriate interventions were selected from 369 diagnoses interventions links in NlC., and from 1.465 associated nursing activities. From the 63 interventions. the nurses expert group developed 18 interventions and 258 activities as the preliminary intervention list through a five-round validity test 2. For the fifth content validity test using Fehring's model for determining lCV (Intervention Content Validity), a five point Likert scale was used with values converted to weights as follows: 1=0.0. 2=0.25. 3=0.50. 4=0.75. 5=1.0. Activities of less than O.50 were to be deleted. The range of ICV scores for the nursing diagnoses was 0.95-0.66. for the nursing interventions. 0.98-0.77 and for the nursing activities, 0.95-0.85. By Fehring's method. all of these were included in the preliminary intervention list. 3. Using a questionnaire format for the preliminary intervention list. clinical application tests were done. To define nursing diagnoses. home health care nurses applied each nursing diagnoses to every client. and it was found that 13 were most frequently used of 400 times diagnoses were used. Therefore. 13 nursing diagnoses were defined as validated nursing diagnoses. Ten were the same as from the nursing records and textbooks and three were new from the clinical application. The final list included 'Anxiety', 'Aspiration. risk for'. 'Infant behavior, potential for enhanced, organized'. 'Infant feeding pattern. ineffective'. 'Infection'. 'Knowledge deficit'. 'Nutrition, less than body requirements. altered', 'Pain'. 'Parenting'. 'Skin integrity. risk for. impared' and 'Risk for activity intolerance'. 'Self-esteem disturbance', 'Sleep pattern disturbance' 4. In all. there were 19 interventions. 18 preliminary nursing interventions and one more intervention added from the clinical setting. 'Body image enhancement'. For 265 associated nursing activities. clinical application tests were also done. The intervention rate of 19 interventions was from 81.6% to 100%, so all 19 interventions were in c1uded in the validated intervention set. From the 265 nursing activities. 261(98.5%) were accepted and four activities were deleted. those with an implimentation rate of less than 50%. 5. In conclusion. 13 diagnoses. 19 interventions and 261 activities were validated for the final validated nursing intervention set.

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The Building Plan of Online ADR Model related to the International Commercial Transaction Dispute Resolution (국제상거래 분쟁해결을 위한 온라인 ADR 모델 구축방안)

  • Kim Sun-Kwang;Kim Jong-Rack;Hong Sung-Kyu
    • Journal of Arbitration Studies
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    • v.15 no.2
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    • pp.3-35
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    • 2005
  • The meaning of Online ADR lies in the prompt and economical resolution of disputes by applying the information/communication element (Internet) to existing ADR. However, if the promptness and economical efficiency are overemphasized, the fairness and appropriateness of dispute resolution may be compromised and consequently Online ADR will be belittled and criticized as second-class trials. In addition, as communication is mostly made using texts in Online ADR it is difficult to investigate cases and to create atmosphere and induce dynamic feelings, which are possible in the process of dispute resolution through face-to-face contact. Despite such difficulties, Online ADR is expanding its area not only in online but also in offline due to its advantages such as promptness, low expenses and improved resolution methods, and is expected to develop rapidly as the electronic government decided to adopt it in the future. Accordingly, the following points must be focused on for the continuous First, in the legal and institutional aspects for the development of Online ADR, it is necessary to establish a framework law on ADR. A framework law on ADR comprehending existing mediation and arbitration should be established and it must include contents of Online ADR, which utilizes electronic communication means. However, it is too early to establish a separate law for Online ADR because Online ADR must develop based on the theoretical system of ADR. Second, although Online ADR is expanding rapidly, it may take time to be settled as a tool of dispute resolution. As discussed earlier, additionally, if the amount of money in dispute is large or the dispute is complicated, Online ADR may have a negative effect on the resolution of the dispute. Thus, it is necessary to apply Online ADR to trifle cases or domestic cases in the early stage, accumulating experiences and correcting errors. Moreover, in order to settle numerous disputes effectively, Online ADR cases should be analyzed systematically and cases should be classified by type so that similar disputes may be settled automatically. What is more, these requirements should reflected in developing Online ADR system. Third, the application of Online ADR is being expanded to consumer disputes, domain name disputes, commercial disputes, legal disputes, etc., millions of cases are settled through Online ADR, and 115 Online ADR sites are in operation throughout the world. Thus Online ADR requires not temporary but continuous attention, and mediators and arbitrators participating in Online ADR should be more intensively educated on negotiation and information technologies. In particular, government-led research projects should be promoted to establish Online ADR model and these projects should be supported by comprehensive researches on mediation, arbitration and Online ADR. Fourth, what is most important in the continuous development and expansion of Online ADR is to secure confidence in Online ADR and advertise Online ADR to users. For this, incentives and rewards should be given to specialists such as lawyers when they participate in Online ADR as mediators and arbitrators in order to improve their expertise. What is more, from the early stage, the government and public institutions should have initiative in promoting Online ADR so that parties involved in disputes recognize the substantial contribution of Online ADR to dispute resolution. Lastly, dispute resolution through Online ADR is performed by organizations such as Korea Institute for Electronic Commerce and Korea Consumer Protection Board and partially by Korean Commercial Arbitration Board. Online ADR is expected to expand its area to commercial disputes in offline in the future. In response to this, Korean Commercial Arbitration Board, which is an organization for commercial dispute resolution, needs to be restructured.

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Effects of the Supplementation of Fermented Food Wastes on the Performances of Pigs (발효 남은 음식물의 급여가 비육돈의 생산성에 미치는 영향)

  • Jo Ik-Hwan;Kim Guk-Won;Lee Sung-Hun
    • Korean Journal of Organic Agriculture
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    • v.13 no.3
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    • pp.315-332
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    • 2005
  • This study was conducted to assess the nutritional value and the safety of the fermented food wastes (FFW) made by adding lactobacillus spp. and bacillus spp. at the ratio of 3:7, respectively to food wastes collected everywhere, and also to determine effects on the performances, carcass characteristics and economical profitability when FFW was fed to pigs. For swine trial, FFW was formulate to pellet by utilizing different feed ingredients, and its formulated FFW pellet was used in this feeding trial. Treatments were consisted of different ratios (T1: $100+0\%$, T2: $75+25\%$, T3: $50+50\%$, T4: $25+75\%$, T5: $0+100\%$) of FFW pellet to commercial diet. A total of 20 male pigs were allotted to treatments of five groups of four pigs per pen. Experimental period lasted for 4 months. The nutritional composition of FFW was 56.7, 19.5 and $19.5\%$ for moisture, crude protein and ether extract, respectively. Salt content was $0.39\%$. Noxious microorganisms such as salmonella and E. coli were not detected in FFW, and contents of heavy metal and aflatoxin B1 were lower than the standard. Nutritional values of FFW pellet satisfied over $100\%$ of requirements presented in official Korean feeding standard for swine. Feeding trial for pigs showed that feed intakes were significantly (P<0.05) decreased with increasing levels of FFW pellet. T2 treatment was ideal ratio under the consideration of economical value of feeds and body weight gain of pigs. For carcass characteristics, dressing rate ($\%$) was highest in T3, and carcass grades for T2, T3 and T4 treatments were estimated as 'A'. Feed cost for FFW per kg was ${\won}167.95$, which implies $52\%$ of commercial feed cost (${\won}350/kg$). Thus, this result implied the decreased feed cost in the swine farm. Conclusively, the utilization of food wastes as feed source may lead to the reduced environmental pollution and the practice of organic livestock farming. However, our results showed that excessive amount of fermented food wastes supplementation to pigs might give rise to their reduced palatability and delayed growth.

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Taxonomical Classification and Genesis of Donggui Series in Jeju Island (제주도 토양인 동귀통의 분류 및 생성)

  • Song, Kwan-Cheol;Hyun, Byung-Keun;Moon, Kyung-Hwan;Jeon, Seung-Jong;Lim, Han-Cheol;Kang, Ho-Jun
    • Korean Journal of Environmental Agriculture
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    • v.29 no.1
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    • pp.20-26
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    • 2010
  • This study was conducted to reclassify Donggui series based on the second edition of Soil Taxonomy and to discuss the formation of Donggui series in Jeju Island. Morphological properties of typifying pedon of Donggui series were investigated and physico-chemical properties were analyzed according to Soil survey laboratory methods manual. The typifying pedon has very dark grayish brown (10YR 3/2) silt loam A horizon (0~17 cm), gravelly very dark grayish brown (10YR 3/2) silt loam BA horizon (17~42 cm), gravelly very dark grayish brown (10YR 3/2) silty clay loam Bt1 horizon (43~80 cm), brown (7.5YR 4/6) silty clay Bt2 horizon (80~105 cm), and brown (10YR 5/4) silty clay Bt3 horizon (105~150 cm). It is developed in lava plain and are derived from basalt and pyroclastic materials. The typifying pedon contains 1.3~2.1% oxalate extractable (Al + 1/2 Fe), less than 85% phosphate retention, and higher bulk density than 0.90 $Mg/m^3$. That can not be classified as Andisol. But it has an argillic horizon from a depth of 22 to 150 cm and a base saturation (sum of cations) of less than 35% at 125 cm below the upper boundary of the argillic horizon. That can be classified as Ultisol, not as Andisol and Inceptisol. It has udic soil moisture regime, and can be classified as Udalf. Also that meets the requirements of Typic Hapludalf. It has 18-35% clay at the particle-size control section, and have thermic soil temperature regime. Therefore Donggui series can be classified as fine loamy, mixed, thermic family of Typic Hapludalfs, not as fine silty, mixed, thermic family of Dystric Eutrudepts.

Taxonomical Classification and Genesis of Anryong Series Distributed on Mountain Foot Slope (산록경사지 토양인 안룡통의 분류 및 생성)

  • Song, Kwan-Cheol;Hyun, Byung-Keun;Sonn, Yeon-Kyu;Zhang, Yong-Seon;Park, Chan-Won;Jang, Byoung-Choon
    • Korean Journal of Environmental Agriculture
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    • v.29 no.1
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    • pp.27-32
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    • 2010
  • This study was conducted to reclassify Anryong series based on the second edition of Soil Taxonomy and to discuss the formation of Anryong series distributed on the mountain foot slope. Morphological properties of typifying pedon of Anryong series were investigated and physico-chemical properties were analyzed according to Soil survey laboratory methods manual. The typifying pedon of Anryong series has brown (7.5YR 4/4) loam Ap horizon (0-22 cm), strong brown (7.5YR 4/6) cobbly clay loam BAt horizon (22-35 cm), strong brown (7.5YR 4/6) cobbly clay loam Bt1 horizon (35-55 cm), reddish brown (5YR 5/4) cobbly clay loam Bt2 horizon (55-82 cm), and brown (7.5YR 5/4) cobbly clay loam Bt3 horizon (82-120 cm). The typifying pedon has an argillic horizon from a depth of 22 to 120 cm and a base saturation (sum of cations) of less than 35% at 125 cm below the upper boundary of the argillic horizon. It can be classified as Ultisol, not as Alfisol. It has udic soil moisture regime, and can be classified as Udult. Also that meets the requirements of Typic Hapludults. It has 18-35% clay at the particle-size control section, and have mesic soil temperature regime. Therefore Anryong series can be classified as fine loamy, mesic family of Typic Hapludults, not as fine loamy, mesic family of Ultic Hapludalfs. Anryong series occur on mountain foot slope positions in colluvial materials derived from acid and intermediate crystalline rocks. They are developed as Ultisols with clay mineral weathering, translocation of clays to accumulate in an argillic horizon, and leaching of base-forming cations from the profile for relatively long periods under humid and temperate climates in Korea.

Evaluation of Possibility of Water Plant Wastes in Composting for Agricultural Recycling (수생식물 고사체의 농업적 재활용을 위한 퇴비화 가능성 평가)

  • Choi, Ik-Won;Seo, Dong-Cheol;Kang, Se-Won;Seo, Young-Jin;Lee, Sang-Gyu;Kang, Seog-Jin;Lim, Byung-Jin;Lee, Jun-Bae;Heo, Jong-Soo;Cho, Ju-Sik
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.2
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    • pp.248-252
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    • 2012
  • To evaluate the possibility of water plant wastes in composting for agricultural recycling, Phragmites communis (PHRCO), Typha orientalis (TYHOR) and Zizania latifolia (ZIZLA) were used as a compost materials. In composting basin, cumulative oxygen consumptions of the compost used by water plant wastes were rapidly increased at the early stage and slightly decreased in around 15 days. Cumulative oxygen consumptions under different water plant wastes were higher in the order of TYHOR > ZIZLA > PHRCO. Temperature changes during composting process were rapidly increased at the early stage and then slowly decreased to $30{\sim}40^{\circ}C$. The maximum temperatures were higher in the order of ZIZLA ($72.2^{\circ}C$ at 11 days after starting composting) > TYHOR ($70.2^{\circ}C$ at 10 days after starting composting) > PHRCO ($66.5^{\circ}C$ at 7 days after starting composting). Oxygen consumptions at maximum temperature were higher in the order of TYHOR ($12,485mg\;O_2\;kg^{-1}$) > ZIZLA ($12,400mg\;O_2\;kg^{-1}$) > PHRCO ($9,340mg\;O_2\;kg^{-1}$). Organic matter contents, moisture contents and OM/N rates in the compost ranged 39.5~44.8%, 29.6~35.6% and 27.9~32.9, respectively. Considering that water plant waste can supply some of the nutrient requirements of crops and is a valuable fertilizer.

Assessment of nutritional status of patients with chronic obstructive pulmonary disease (만성 폐쇄성 폐질환 환자의 영양상태 평가)

  • Park, Kwang Joo;Ahn, Chul Min;Kim, Hyung Jung;Chang, Joon;Kim, Sung Kyu;Lee, Won Young
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.1
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    • pp.93-103
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    • 1997
  • Background : Malnutrition is a common finding in patients with chronic obstructive pulmonary disease, especially in the emphysema group. Although the mechanism of malnutrition is not confirmed, it is believed to be a relative deficiency caused by hypermetabolism due to increased energy requirements of the respiratory muscles, rather than a dietary deficiency. Malnutrition in chronic obstructive pulmonary disease is not a merely coincidental finding. It is known that the nutritional status correlates with physiologic parameters including pulmonary function, muscular power, and exercise performance, and is one of the important and independent prognostic factors of the disease. Methods : Patients with chronic obstructive pulmonary disease Yongdong Severance Hospital from May, 1995 to March, 1996 and age-matched healthy control group were studied. Survey of nutritional intake, anthropometric measurements and biochemical tests were done to assess nutritional status. Relationship between nutritional status and FEV1 (forced expiratory volume at one second), which was a significant functional parameter, was assessed. Results : 1) The patient group was consisted of 25 males with mean age of 66.1years and FEV1 of $42{\pm}14%$ of predicted values. The control group was consisted of 26 healthy males with normal pulmonary function, whose mean age was 65.0 years. 2) The ratio of calorie intake/calorie requirement per day was $107{\pm}28%$ in the patient group, and $94{\pm}14%$ in the control group, showing a tendency of more nutritional intake in patient group(B=0.06). 3) There were significant differences between the patient group and control group in percent ideal body weight(92.8% vs 101.6%, p=0.024), body mass index($20.0kg/m^2$ VS $21.9kg/m^2$, p=0.015), and handgrip strength(29.0kg vs 34.3kg, p=0.003). However, there were no significant differences in triceps skinfold thickness, mid-arm muscle circumference, albumin, and total lymphocyte count between two groups. Percentage of underweight population was 40%(10/25) in the patient group, and 15%(4/26) in the control group. 4) The percent ideal body weight, triceps skinfold thickness, and mid-arm muscle circumference had significant correlation with FEV1. Conclusion : The patients with chronic obstructive pulmonary disease showed significant depletion in nutritional parameters such as body weight and peripheral muscle strength, while absolute amount of dietary intake was not insufficient. Nutritional parameters were well correlated with FEV1.

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Establishment of an Analytical Method for Prometryn Residues in Clam Using GC-MS (GC-MS를 이용한 바지락 중 prometryn 잔류분석법 확립)

  • Chae, Young-Sik;Cho, Yoon-Jae;Jang, Kyung-Joo;Kim, Jae-Young;Lee, Sang-Mok;Chang, Moon-Ik
    • Korean Journal of Food Science and Technology
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    • v.45 no.5
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    • pp.531-536
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    • 2013
  • We developed a simple, sensitive, and specific analytical method for prometryn using gas chromatography-mass spectrometry (GC-MS). Prometryn is a selective herbicide used for the control of annual grasses and broadleaf weeds in cotton and celery crops. On the basis of high specificity, sensitivity, and reproducibility, combined with simple analytical operation, we propose that our newly developed method is suitable for use as a Ministry of Food and Drug Safety (MFDS, Korea) official method in the routine analysis of individual pesticide residues. Further, the method is applicable in clams. The separation condition for GC-MS was optimized by using a DB-5MS capillary column ($30m{\times}0.25mm$, 0.25 ${\mu}m$) with helium as the carrier gas, at a flow rate of 0.9 mL/min. We achieved high linearity over the concentration range 0.02-0.5 mg/L (correlation coefficient, $r^2$ >0.998). Our method is specific and sensitive, and has a quantitation limit of 0.04 mg/kg. The average recovery in clams ranged from 84.0% to 98.0%. The reproducibility of measurements expressed as the coefficient of variation (CV%) ranged from 3.0% to 7.1%. Our analytical procedure showed high accuracy and acceptable sensitivity regarding the analytical requirements for prometryn in fishery products. Finally, we successfully applied our method to the determination of residue levels in fishery products, and showed that none of the analyzed samples contained detectable amounts of residues.

The Present State and Solutions for Archival Arrangement and Description of National Archives & Records Service of Korea (국가기록원의 기록물 정리기술의 현황과 개선방안)

  • Yoon, Ju-Bom
    • Journal of Korean Society of Archives and Records Management
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    • v.4 no.2
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    • pp.118-162
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    • 2004
  • Archival description in archives has an important role in document control and reference service. Archives has made an effort to do archival description. But we have some differences and problems about a theory and practical processes comparing with advanced countries. The serious difference in a theory is that a function classification, maintenance of an original order, arrangement of multi-level description are not reflected in practical process. they are arranged in shelves after they are arranged by registration order in a unit of a volume like an arrangement of book. In addition, there are problems in history of agency change or control of index. So these can cause inconvenience for users. For improving, in this study we introduced the meaning and importance of arrangement of description, the situation and problem of arrangement of description in The National Archives, and a description guideline in other foreign countries. The next is an example for ISAD(G). This paper has chapter 8, the chapter 1 is introduction, the chapter 2 is the meaning and importance of arrangement of description, excluding the chapter 8 is conclusion we can say like this from the chapter 3 to the chapter 7. In the chapter 3, we explain GOVT we are using now and description element category in situation and problem of arrangement of description in Archives. In the chapter 4, this is about guideline from Archives in U.S.A, England and Australia. 1. Lifecycle Date Requirement Guide from NARA is introduced and of the description field, the way of the description about just one title element is introduced. 2. This is about the guideline of the description from Public Record Office. That name is National Archives Cataloguing Guidelines Introduction. We are saying "PROCAT" from this guideline and the seven procedure of description. 3. This is about Commomon Record Series from National Archives of Australia. we studied Registration & description procedures for CRS system. In the chapter 5, This is about the example which applied ISAD to. Archives introduce description of documents produced from Appeals Commission in the Ministry of Government Administration. In the chapter 6, 7. These are about the problems we pointed after using ISAD, naming for the document at procedure section in every institution, the lack of description fields category, the sort or classification of the kind or form, the reference or identified number, the absence description rule about the details, function classification, multi-level description, input format, arrangement of book shelf, authority control. The plan for improving are that problems. The best way for arrangement and description in Archives is to examine the standard, guideline, manual from archives in the advanced countries. So we suggested we need many research and study about this in the academic field.

Distribution of Micronutrients in Plastic Film House Soils of Yeongnam Provincen (영남지역 시설재배지 토양의 미량원소 함량 분포)

  • Chung, Jong-Bae;Kim, Bok-Jin;Ryu, Kwan-Sig;Lee, Seung-Ho;Shin, Hyun-Jin;Hwang, Tae-Kyung;Choi, Hee-Youl;Lee, Yong-Woo;Lee, Yoon-Jeong;Kim, Jong-Jib
    • Korean Journal of Soil Science and Fertilizer
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    • v.39 no.4
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    • pp.214-223
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    • 2006
  • For better management of micronutrients in crop cultivation, the availability of micronutrients in the soils must be updated and evaluated as a first step. This study was conducted to investigate the distribution of micronutrients in soils of plastic film houses. Total 396 soil samples were collected from the plastic film houses of various crops in Yeongnam province (strawberry, 96; red pepper, 66; tomato, 74; oriental melon, 97; cucumber, 63). Total and available contents of B, Cu, Zn, Fe, and Mn in the soils were determined. Available B was extracted with hot water and available Cu, Zn, Fe, and Mn were extracted with 0.1 N HCl. Mean values of total contents of B, Cu, Zn, Fe, and Mn in the plastic film house soils were 25, 32, 74, 21,316, and $420mg\;kg^{-1}$, respectively. Total contents of micronutrients in the plastic film house soils were similar to those found in the open fields nearby, while they were different among the locations investigated. Mean contents extractable B, Cu, and Zn in the plastic film house soils were 2.1, 7.5, and $35mg\;kg^{-1}$, respectively. The contents of extractable B, Cu, and Zn in the plastic film house soils were higher than those found in the open fields nearby with exceptions of B in soils of strawberry and Cu in soils of red pepper and oriental melon. However, mean contents of extractable Fe and Mn in the plastic film house soils were 156 and $146mg\;kg^{-1}$, respectively, and the mean content of extractable Fe was much lower than that found in open fields nearby. The contents of extractable Zn, Fe, and Mn were higher than the sufficient levels for the crop requirements in most of the plastic film house soils investigated. Contents of extractable Cu in most soils of strawberry, tomato and cucumber cultivations were higher than the sufficient level. However, extractable Cu contents were below the sufficient level in about 30% of investigated soils of red pepper and oriental melon cultivation. Soils containing higher contents of extractable B than the sufficient level were relatively fewer in comparison to the other micronutrients.