• 대한한방소아과학회지
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• 제37권3호
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• pp.35-48
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• 2023

Objectives We aimed to analyze changes in growth indicators before and after Korean medicine treatment in patients treated at the pediatric department of a hospital. Methods We analyzed the medical records of children and adolescents under 18 years of age who underwent growth assessment between January 1, 2017 and December 31, 2022. Results A total of 21 patients were selected for this study. After treatment, there was a significant increase in the height percentile, whereas bone age-chronological age (BA-CA) and predicted adult height (PAH) did not show significant changes. No major adverse reactions were observed during the treatment. Growth reassessment was conducted twice for 10 participants. When comparing the growth indicators between the assessment sessions, the height percentile showed an increasing trend between the initial and the first growth reassessment. However, there were no significant differences between BA-CA and PAH across the different assessment periods. Conclusions There is a need to establish evidence for the efficacy and safety of continuous Korean medicine growth treatment through the long-term observation of growth indicators in patients undergoing treatment for two or more periods, as well as observational studies on liver and renal function indicators.

• 보건행정학회지
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• 제26권4호
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• pp.333-342
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• 2016

Background: The use of therapeutic materials based on new health technology has increased in recent years in the field of medicine, raising concerns for medical practitioners regarding increased spending on the new therapeutic materials amid the rapid population ageing and increase of chronic diseases in Korea. While therapeutic materials have significant importance in the health care system, they have not been given appropriate attention in the academic world of Korea. The purpose of this study is to identify factors that affect the growth of expenditure on therapeutic materials and to derive implications for an effective management considering the diversity of therapeutic materials. Methods: Using the claims data of the National Health Insurance Services, specific utilization patterns of groups of therapeutic materials in the middle classification level of Health Insurance Review and Assessment Service from 2007 to 2014 were analyzed. Four categories (J5083: drug eluting coronary stent, D0302: nonmetallic anchor, K6014: gauze, K6023: gauze) that exhibit unique patterns with respect to price and volume were selected. Then, decomposition analysis was performed to identify the largest contributor to the spending growth by dividing the products into existing, new, and abandoned products for the period between 2010 and 2013. Results: The effect of new products had larger impact on spending growth than the effect of core items in drug eluting coronary stent (J5083) and nonmetallic anchor (D0302). In addition, existing products in general included items priced relatively lower when compared with another item manufactured by the same company. In the gauze category, however, existing products had the largest impact on expenditure and the effect of volume was greater than that in other categories. Conclusion: This study provides evidence that appropriate management measures classified by the characteristics of therapeutic materials are required for therapeutic materials pricing and reassessment in Korea.

• 한국균학회지
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• 제41권4호
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• pp.231-235
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• 2013

붉은자루동충하초의 이용성을 증대하기 위한 기초자료로서 확보하고자 배지종류, 배양법, 산도, 탄소원, 그리고 질소원이 균사생장에 미치는 영향을 4개 균주를 대상으로 재평가하였다. 시험한 8종의 고체배지에서의 균사생장은 배지 종류 및 배양일수에 따라 균주간에 차이가 있었다. 8종의 고체배지 중 PDA 및 MMMA(mushroom minimal medium agar)서 균사생장이 우수하였다. 반면에 8종의 액체배지 중에서는 4개 균주 모두 SDYM(Sabourand's dextrose yeast extract medium) 배지에서 모두 우수한 균사생장을 보였다. 액체배지에서의 균사생장은 pH 4.0에서 pH 9.5 사이의 범위에서 큰 차이 없이 양호한 생장을 보였다. 일부 균주는 pH 8.0에서 pH 9.5의 알카리 조건에서 생장이 양호하였다. 탄소원의 경우 xylose 이용 능력이 균주간에 차이가 크게 나타났다. 질소원 경우에 Urea 이용 능력이 있는 균주가 존재함이 새로이 확인되었다. 이런 결과는 기존에 보고되지 않은 붉은자루동충하초의 새로운 균사생육 특성을 보여준다. 결론으로서 향후 새로운 붉은자루동충하초 균주를 이용하고자 할 경우는 반듯이 사전에 적정 균사생육 조건을 검토하는 것이 필요하다고 사료된다.