• 대한한방내과학회지
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• 제44권5호
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• pp.1071-1082
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• 2023

Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (曲池), L14 (合谷), TE5 (外關) on her hands, LR3 (太衝), SP6 (三陰交), SP9 (陰陵泉) ST36 (足三里), GB41 (足臨泣) on Feet, GV4 (命門), GV3 (腰陽關), BL23 (腎兪), BL24 (氣海兪), BL25 (大腸兪), and BL26 (關元兪) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed. Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.

• 한방재활의학과학회지
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• 제33권4호
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• pp.125-144
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• 2023

Objectives This study aimed to investigate domestic clinical research trends in Shinbaro pharmacopuncture, identify diseases managed using Shinbaro pharmacopuncture, and suggest the direction for future studies to increase its clinical utilization. Methods This study used five steps proposed by Arksey and O'Malley and the PRISMA-extension for scoping reviews checklist. We examined published literature on Shinbaro pharmacopuncture studies reported until June 5, 2023, in the following eight databases (Research Information Sharing Service, Science ON, Oriental Medicine Advanced Searching Integrated System, KMBASE, The Society of Internal Korean Medicine, PubMed, EMBASE, and the Cochrane Library). The search terms used were 'Shinbaro' or 'Sinbaro'. Results A total of 47 studies were included in our analysis. Of these, 37 (78.7%) were interference time series studies. Shinbaro pharmacopuncture was the most frequently used treatment for lumbosacral disease (n=15). In the facial area, ST4 and ST6 were used in five out of six studies, and in the shoulder area, TE14 and LI15 were used in all studies. Nine of the 15 studies in the lumbosacral area used the EX-B2. The other parts mostly used the pressure points. Compared to other pharmacopuncture methods, the treatment effect was similar to that of bee venom, and faster than that of jungsongouhyul. Conclusions This is the first scoping review of Shinbaro pharmacopuncture therapy in South Korea. Studies with a high level of evidence based on sole treatment, large capacities, and standardization of Shinbaro pharmacopuncture need to be conducted to increase its clinical utilization.

• Korean Journal of Radiology
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• 제1권1호
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• pp.25-32
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• 2000

Objective: The purpose of our study was to determine the ability of H-1 MR spectroscopy (MRS) to lateralize the lesion in patients with hippocampal sclerosis. Materials and Methods: Twenty healthy volunteers and 25 patients with intractable temporal lobe epilepsy whose MR imaging diagnosis was unilateral hippocampal sclerosis were included. This diagnosis was based on the presence of unilateral atrophy and/or high T2 signal intensity of the hippocampus. Single-voxel H-1 MRS was carried out on a 1.5-T unit using PRESS sequence (TE, 136 msec). Spectra were obtained from hippocampal areas bilaterally with volumes of interest (VOIs) of 6.0 cm³ and 2.25 cm³ in healthy volunteers, and of either 6.0 cm³ (n = 14) or 2.25 cm³ (n = 11) in patients. Metabolite ratios of NAA/Cho and NAA/Cr were calculated from relative peak height measurements. The capability of MRS to lateralize the lesion and to detect bilateral abnormalities was compared with MR imaging diagnosis as a standard of reference. Results: In healthy volunteers, NAA/Cho and NAA/Cr ratios were greater than 0.8 and 1.0, respectively. In patients, the mean values of these ratios were significantly lower on the lesion side than on the contralateral side, and lower than those of healthy volunteers (p < .05). The overall correct lateralization rate of MRS was 72% (18/25); this rate was lower with a VOI of 6.0 cm³ than of 2.25 cm³ (64% versus 82%, p < .05). Bilateral abnormalities on MRS were found in 24% (6/25) of cases. Conclusion: Although its rate of correct lateralization is low, single-voxel H-1 MRS is a useful and promising diagnostic tool in the evaluation of hippocampal sclerosis, particularly for the detection of bilateral abnormalities. To improve the diagnostic accuracy of H-1 MRS, further investigation, including the use of a smaller VOI and measurement of the absolute amount of metabolites, are needed.

• 한국식품저장유통학회지
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• 제30권2호
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• pp.300-310
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• 2023

본 연구는 시판용 감잎분말을 이용한 침출차 제조 시 시료의 양 및 pH 조건이 감잎차의 색 품질과 항산화능에 미치는 영향을 알아보기 위해 수행되었다. 차 내 감잎의 양이 많을수록 차의 명도는 감소하고 적색도와 황색도는 증가하였다. 항산화 특성 관련 지표 분석 결과, 감잎 함량이 가장 높았던 감잎차(10 mg/mL)에서 항산화력(DPPH 라디칼 소거 활성: 0.138±0.000 mg AAE/mL, ABTS 라디칼 소거 활성: 0.908±0.003 µmol TE/mL, FRAP 환원력: 0.111± 0.004 mg AAE/mL)과 항산화 성분 함량(총폴리페놀 함량: 0.219±0.010 mg/GAE mL, 총플라보노이드 함량: 0.107±0.003 mg/CE mL)이 가장 높았다. 다음으로, 감잎차 내 시료의 양은 10 mg/mL로 고정하고, 침출 용매의 pH 조건을 pH 4에서 7 범위로 설정하여 색도와 항산화성을 분석하였다. 분석 결과, pH가 증가함에 따라 감잎차의 명도는 감소하고 적색도와 황색도는 증가하였다. 또한, DPPH 라디칼 소거 활성과 FRAP 항산화력은 pH가 낮을수록 높은 경향을 보였다. 일관되게, 가장 낮은 pH 4에서 다른 군에 비해 폴리페놀 함량과 플라보이드 함량이 가장 높은 것을 확인하였다. 전반적으로, pH 4 조건에서 제조한 감잎차의 항산화 활성이 다른 pH 조건 대비 더 우수하였고 폴리페놀 화합물 함량도 더 많았다. 동시에 색도는 더 밝으면서 붉은 정도와 황색 정도가 적었다. 결론적으로, 시료의 양을 높이면서 낮은 pH 조건에서 감잎차를 준비하는 것이 항산화 기능성 측면에서 더 나은 건강 효과를 나타내는 것으로 사료된다.

• Korean Journal of Radiology
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• 제23권2호
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• pp.246-255
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• 2022

Objective: To determine the usefulness of Silent MR angiography (MRA) for evaluating intracranial aneurysms treated with stent-assisted coil embolization. Materials and Methods: Ninety-nine patients (101 aneurysms) treated with stent-assisted coil embolization (Neuroform atlas, 71 cases; Enterprise, 17; LVIS Jr, 9; and Solitaire AB, 4 cases) underwent time-of-flight (TOF) MRA and Silent MRA in the same session using a 3T MRI system within 24 hours of embolization. Two radiologists independently interpreted both MRA images retrospectively and rated the image quality using a 5-point Likert scale. The image quality and diagnostic accuracy of the two modalities in the detection of aneurysm occlusion were further compared based on the stent design and the site of aneurysm. Results: The average image quality scores of the Silent MRA and TOF MRA were 4.38 ± 0.83 and 2.78 ± 1.04, respectively (p < 0.001), with an almost perfect interobserver agreement. Silent MRA had a significantly higher image quality score than TOF MRA at the distal internal carotid artery (n = 57, 4.25 ± 0.91 vs. 3.05 ± 1.16, p < 0.001), middle cerebral artery (n = 21, 4.57 ± 0.75 vs. 2.19 ± 0.68, p < 0.001), anterior cerebral artery (n = 13, 4.54 ± 0.66 vs. 2.46 ± 0.66, p < 0.001), and posterior circulation artery (n = 10, 4.50 ± 0.71 vs. 2.90 ± 0.74, p = 0.013). Silent MRA had superior image quality score to TOF MRA in the stented arteries when using Neuroform atlas (4.66 ± 0.53 vs. 3.21 ± 0.84, p < 0.001), Enterprise (3.29 ± 1.59 vs. 1.59 ± 0.51, p = 0.003), LVIS Jr (4.33 ± 1.89 vs. 1.89 ± 0.78, p = 0.033), and Solitaire AB stents (4.00 ± 2.25 vs. 2.25 ± 0.96, p = 0.356). The interpretation of the status of aneurysm occlusion exhibited significantly higher sensitivity with Silent MRA than with TOF MRA when using the Neuroform Atlas stent (96.4% vs. 14.3%, respectively, p < 0.001) and LVIS Jr stent (100% vs. 20%, respectively, p = 0.046). Conclusion: Silent MRA can be useful to evaluate aneurysms treated with stent-assisted coil embolization, regardless of the aneurysm location and type of stent used.

• 대한한방내과학회지
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• 제45권3호
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• pp.497-507
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• 2024

Objectives: This study investigated the treatment response to Korean medicine of a paraneoplastic cerebellar degeneration (PCD) patient with dysarthria and weakness of distal extremity. Case presentation: A 53-year-old female diagnosed with PCD complained of dysarthria and weakness of distal extremity. During 32-day hospitalization, she was treated with Korean medicine, namely, herbal medicine (modified Gamiguibi-tang), acupuncture (15 minutes twice a day at CV23, HT7, LI4, LR3, ST36, SP6, GB20, TE17, PC6, GV20, Ex-HN1, GV24 etc.), moxibustion, and cupping, combined with Western medicine (prednisolone, azathioprine) and physical therapy. Post-treatment, the patient global assessment (PGA) score of dysarthria fell from 100 to 60; grasp power rose from 15 kg to 19 kg and 13 kg to 17 kg in the right and left hands, respectively; and the 5-level EQ-5D version (EQ-5D-5L), EQ visual analogue scale (EQ-VAS), and Beck depression inventory (BDI-II) scores changed from 10 to 8, 0 to 80, and 34 to 7 respectively. Follow-up visits continued for about a month after discharge, improvement in symptoms maintained, and there were no significant side effects. Conclusions: Given the lack of standard treatment for PCD, Korean medicine can be tried clinically for the treatment of PCD patients with dysarthria and weakness of distal extremity. However, further studies with control groups are needed.

• 기술혁신연구
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• 제5권2호
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• pp.1-21
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• 1997

The objective of this paper is to think about what structural reforms of the Korean government S&T development management system might be. Korean society is currently experiencing a drastic socio-economic transformation. The results of this transformation should be reflected on the determining process of the directions and breadths of structural reforms of government S&T development management system. Because the government system design will be based on the premises of socio-economic conditions under which administrative activities perform and also this socio-economic changes can influence on changes of the premises of government management system design. Moreover, S&T development management system is a subsystem of government system so that the directions of structural reform of those subsystems should be considered in the broad framework changes in the development management system of the government. For the last forty years, the Korean government S&T development management system has been based on the premises including transformation from an agrarian society to an industrial society, authoritarianism and centrally controlled institutions, and exteremely small portions of private investments for science and thechonology R & D of the total. Recently, however, the premises of Korean government S&T development management system have rapidly changed. the characteristics of these changes are including tranformation from an industrial society to a knowledge and information intensive society, globalization, localization, and relatively large portion of private investments for science and technology R & C of the total. The basis of government reforms in Korea was the realization of the performances and values through the enhancement of national competitive capacity, attainment of lean government, decentralization and autonomy. However, the Korean government has attached a symbolic value of strategic organizations representing strong policy intentions of government for the science and technology based development. Most problems associated with the Korean government S&T development management system have grown worse during 1990s. Many people perceive that considerable part of this problem was generated because the government could not properly adapt itself to new administrative environment and the paradigm shift in its role. First of all, the Korean government S&T development management system as a whole failed to develop an integrated vision under which processes in formulating science and thechology development goals and developing consistent government plans concerning science and technology development are guided. Second, most of the local governments have little organizational capacity and manpowers to handle localized activities to promote science and technology in their regions. Third, the measure to coordinate and set priorities to invest resources for the development of science and technology was not effective. Fourth, the Most has been losing its reputation as the symbol of ideological commitment of the top policy maker to promote science and technology. Various ideas to reform government S&T development management system have been suggested recently. Most frequently cited ideas are as follow : (ⅰ)strengthen the functions of MoST by supplementing the strong incentive and regulatory measures; (ⅱ)create a new Ministry of Education, Science & Technology and Research by merging the Ministry of Education and the MoST; (ⅲ)create a new Ministry of Science & Technology and Industry ; and(ⅳ)create a National Science and Technology Policy Council under the chairmanship of the President. Four alternatives suggested have been widely discussed among the interested parties and they each have merits as well as weaknesses. The first alternative could be seen as an alternative which cannot resolve current conflicts among various ministries concerning priority setting and resource allocation. However, this alternatives can be seen as a way of showing the top policymaker's strong intention to emphasize science and technology based development. Second alternative is giving a strategic to emphasize on the training and supplying qualified manpower to meet knowledge and information intensive future society. This alternative is considered to be consistent with the new administrative paradigm emphasizing lean government and decentralization. However, opponents are worrying about the linkages and cooperative research between university and industry could be weakening. The third alternative has been adopted mostly in nations which have strong basic science research but weak industrial innovation traditions. Main weakness of this alternative for Korea is that Korean science and technology development system has no strong basic science and technology research traditions. The fourth alternative is consistent with new administrative paradigms and government reform bases. However, opponents to this alternative are worried that the intensive development of science and technology because of Korea's low potential research capabilities in science and technology development. Considerning the present Korean socio-economic situation which demands highly qualified human resources and development strategies which emphasizes the accumulations of knowledge-based stocks, I would like to suggest the route of creating a new Ministry of Education, Science & Technology and Research by intergrating education administration functions and science & technology development function into one ministry.

• 한국자원식물학회지
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• 제9권2호
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• pp.105-112
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• 1996

고들빼기의 채취 시기별 및 가공 방법에 따른 가공적성을 조사하기 위하여 9월 20일 (초가을)과 11월 9일 (김장시기)에 채취한 고들빼기를 가공 전처리 방법인 소금물에 침지시간을 다르게 하였을 때 재료의 성질과 김치의 성질에 미치는 영향을 조사한 결과는 다음과 같다. 채취 시기에 의한 일반성분은 9월20일 채취 재료의 수분의 함량이 많았고 그 외의 성분들은 비슷한 함량 이었으며 다른 김치의 재료인 배추나 무보다 수분함량이 적은 것으로 나타났다. 유리당의 함량은 11월 9일 채취 재료에 많았고 과당이 뿌리와 잎에서 모두 가장 많았으며 뿌리에 함유된 과당은 잎의 함량의 약 2.5배, 포도당과 설탕은 잎의 1.5 2배가 함유되었다. 가공한 고들빼기 김치의 독특한 조직감(씸힘성)을 조사하기 위하여 고들빼기 뿌리의 경도를 측정하였는데 9월 20일 보다는 11월 9일 채취 재료의 경도가 높았고, 김치 제조 전처리인 침지시간이 길수록 경도는 저하되었다. 제조된 김치의 경도는 11월 9일 채취 재료로 가공된 김치가 높았고 숙성온도 $4{\circ}C$가 $8^{\circ}C$ 보다 높았으며 병포장이 필름 포장보다 높았다. 김치의 짠맛에 영향을 주는 염도를 측정하였는데 시기별 재료에서 11월 9일 채취 재료에서, 전처리 과정중 소금물에 침지 시간이 길었던 재료에서 그리고 부위는 잎에 소금의 침투량이 많았고 가공품인 김치의 염도는 숙성 온도 $4^{\circ}C$와 $8^{\circ}C$ 거의 차이가 없었으며 병포장 보다는 필름포장 김치에서 더 많은 량이 침투되는 것으로 나타났다. 김치의 산도와 맛에 영향을 미치는 유기산의 함량을 11월 9일 채취 재료에서 조사하였는데 사과산, 수산, 호박산의 함량이 많았고 젖산과 구연산의 함량은 적었으며 사과산이 잎에 뿌리보다 많은량 함유되었고 나머지 유기산들은 뿌리와 잎에 비슷한 함량이 함유되었다.te의 생성수율이 높았으나 pH 6~8에서 생성되는 calcite는 크기가 $1mu extrm{m}$이상인 조립의 능면체였으며 pH 11~13에서 생성되는 calcite는 미립의 능면체였다. 4. 종결정으로 calcite, aragonite, vaterite을 각각 생성 $CaCO_3$에 대한 중량백분율로 0~10% 첨가할 경우 calcite과 aragonite 종결정은 자신의 결정구조와 같은 $CaCO_3$동질이상의 생성수율을 증가시키나, vaterite은 불안정하여 종결정으로서의 역할을 하지 못하였다. 본 연구의 실험 조건중 $47^{\circ}C$에서 calcite Seed를 첨가하지 않을 경우 calcite의 생성수율은 50% 정도이나 calcite Seed를 6%이상 첨가하면 calcite의 생성수율이 거의 100%에 가깝게 증가하며, 동일조건에서 aragonite Seed를 첨가할 경우는 무첨가시 약 50%였던 aragonite의 생성수율이 2%이상 첨가하면 85%이상으로 증가하였다. 유의적인 차이가 없었다. 남자의 경우 HDL-C은 비만도가 증가함에 따라 유의적으로 감소하는 경향을 보였으나(p<0.05) 여자의 경우는 유의적인 차이가 없었다. 6. 조사 대상자의 체지방량 측정결과 체기방률은 남자의 겨우 16.4% 여자의 겨우 24.0%로 나타나 여자의 체지방률이 남자보다 높았다. 7. 신체계측치, 혈압, 혈청 지질간의 상관관계를 살펴보면 TC, TG는 KI, BMI와 유의적인 양의 상관관계를 보였고 (p<0.01), HCL-C은 비체중, BMI, LBM, TBM와 유의적인 음의 상관관계를 보였으며, (p<0.01), KI, SBP와도 음의 상관관계를 보였다. (p<0.05), LCL-C는 KI와 유의적이인 양의 상관관계를 나타내었으며 (p<0.01) BF%, TBF, BMI와도 양의 상관관계를 나타냈었다. (p<0.05)

• 농업과학연구
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• 제36권2호
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• pp.199-209
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• 2009

8종의 효모를 이용하여 담금한 후 배술의 pH, 산도, 에탄올 및 당도의 변화 및 기호도를 조사한 결과 사용된 효모 모두 발효가 지속되면서 일정기간까지 pH는 감소하였으며 산도는 증가하였고 에탄올함량은 발효 12일까지 증가하였고 당도는 12일까지 지속적으로 감소하였다. 효모의 종류에 따라 제조된 배술에 대한 기호도를 조사한 결과, 에탄올 생성량이 가장 높았던 처리구인 효모 B처리구에서 20-30대와 50-60대 연령층을 가진 관능요원 모두 기호도가 우수하였다. 또 효소제, 발효개선제 및 살균제의 첨가에 따른 배술의 화학적 특성을 조사한 결과, 각종 첨가제를 첨가함으로써 무 첨가구에 비하여 pH값이 낮아졌으며 산도는 ammonium phosphate 첨가구가 가장 높았다. 그러나 발효 4일 이후 산도의 변화는 거의 나타나지 않았다. 효소제, 발효개선제, 살균제를 첨가하여 담금한 술의 당도를 측정한 결과 $K_2S_2O_5$ 350ppm 첨가구가 가장 빠르게 당도가 감소하였으며 무 첨가구, ammonium phosphate, hemicellulase, pectinase, $K_2S_2O_5$ 175ppm순으로 나타났다. 6개의 실험구 모두 발효 과정 중 당도의 감소 속도는 큰 차이 없이 꾸준히 감소하였으며 발효 7일 이후 당도의 감소변화는 거의 없었다. 최종 당도는 $9.5{\sim}9.8^{\circ}Brix$로 큰 차이는 나타나지 않았다. 에탄올 함량변화는 모든 실험구에서 발효 개시 7일 후 11~12.4%의 에탄올을 생성하였으며 ammonium phosphate을 첨가한 구가 12.4%로 알코올 생성속도가 가장 빨랐고 hemicellulase 첨가구는 전반적으로 알코올 생성속도가 늦었다. 메탄올 함량은 무 첨가구 및 $K_2S_2O_5$ 첨가구는 0.05%정도의 함량으로 거의 미비하게 검출되었으며 hemicellulase 및 pectinase 첨가구에서는 0.5%이상의 함량으로 다소 높은 함량을 보여주었다.

• 한국식품영양과학회지
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• 제44권8호
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• pp.1186-1193
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• 2015

발아 온도와 기간에 따른 발아현미 홍국배양물의 홍국색소, monacolin K, citrinin 및 페놀 화합물 생성량과 항산화 활성 변화를 조사하였다. 발아 기간이 증가함에 따라 명도는 증가하였으나 적색도와 황색도는 감소하였고, 적색($A_{500}$), 오렌지색($A_{470}$) 및 황색($A_{400}$) 색소 생성량도 동일한 경향이었다. 총 monacolin K는 현미(215.85 mg/kg)가 백미(40.41 mg/kg)보다 높았으며, $32^{\circ}C$에서 1일간 발아시킨 발아현미 (1,263.04 mg/kg)에서 가장 높은 함량을 보였으나 발아 기간이 증가함에 따라 감소하였다. 곰팡이 독소인 citrinin은 모든 처리구에서 검출되지 않았다. 총 폴리페놀과 플라보노이드 함량은 발아 온도와 기간이 증가함에 따라 유의적으로 증가하여 $37^{\circ}C$에서 4일간 발아시킨 발아현미에서 13.80 mg/g과 1.30 mg/g으로 가장 높았다. 전자공여능과 총 항산 화력은 발아에 의해 증가되어 $32^{\circ}C$에서 1일간 발아시킨 발아 현미에서 각각 22.16 mg TE/g과 62.27 mg AAE/g으로 가장 높았으나 발아 기간이 증가함에 따라 감소하였다. 이상의 결과로부터 홍국색소와 monacolin K 생성량을 증가시키기 위한 기질로 발아현미가 유용하며, 배양에 사용된 Monascus pilosus 305-9는 citrinin을 생성하지 않고 monacolin K 생성량을 증가시켜 식품의 기능성 증진용 소재 및 균주로서의 활용이 기대된다.