• 제목/요약/키워드: Protein Feeding

검색결과 1,718건 처리시간 0.027초

난용계(卵用鷄) 육성기(育成期)의 선택채식(選擇採食)에 관(關)한 연구(硏究) (Studies on the Dietary Self-selection by Egg-type Growing Pullets)

  • 이규호;이덕수
    • 한국가금학회지
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    • 제21권1호
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    • pp.35-40
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    • 1994
  • 본(本) 연구(硏究)에서는 난용계(卵用鷄) 육성기(育成期) 사료비(飼料費)를 절감(節減)할 수 있는 새로운 사양체계(飼養體系)를 개발하기 위한 기초자료를 얻기위하여 각종 선택채식방법(選擇採食方法)에 의해 육성기의 사료(飼料) 및 영양소(營養素) 섭취(攝取) 형태(形態)를 조사하였다. 선택 채식시험을 위하여 옥수수사료, 대두박사료, 밀기울사료 그리고 대두박+어분사료를 각각 만든 후 배합사료(配合飼料)를 급여하는 대조구(對照區)(C)와 옥수수-대두박사료 선택채식구($T_1$), 옥수수-대두박-밀기울사료 선택채식구($T_2$), 옥수수-대두박+어분-밀기울사료 선택채식구($T_3$)등 4개 처리에 유색난용계(有色卵用鷄) 초생추(初生雛) 380수를 공시(供試)하여 육성기간(育成期間)(0~20주령) 동안 시험(試驗)한 결과(結果)는 다음과 같다. 1. 선택채식구(選擇採食區)들의 육성기간중 평균체중(平均體重)은 대조구(對照區)에 비해 억제(抑制)되었으며 특히 성장초기에 현저히 억제(抑制)되어 대조구(對照區) 체중(體重)(100%) 대비 6주령에 70%, 14주령에 81%, 20주령에 88%로 억제(抑制)되었다. 2. 육성기간(育成期間)중 사료섭취량(飼料攝取量)은 대조구(對照區)(100%)에 비해 $T_1$은 86%로 적었으나 선택채식사료(選擇採食飼料) 중에 밀기울이 포함된 $T_2$(106%)와 $T_3$(112%)는 대조구(對照區)보다 오히려 많았다. 3. 선택채식구(選擇採食區)들의 육성기간(育成期間)중 에너지와 단백질(蛋白質) 섭취량(攝取量)은 선택채식방법(選擇採食方法)에 따라 차이가 있었으나 평균적으로 대조구(對照區)에 비해 각각 11%와 9% 정도 적었다. 4. 육성기간중 섭취(攝取)된 사료(飼料)의 대사에너지 수준(水準)은 모든 처리에서 성장기별(成長期別) 차이(差異)는 없었으며 대조구(對照區)(C)가 2,900 kcal/kg인데 비해 옥수수-대두박사료 선택채식구(選擇採食區)인 $T_1$은 3,200 kcal/kg정도로 매우 높았으며 선택채식사료중에 밀기울이 포함된 $T_2$$T_3$는 2,300 kcal/kg내외로 극히 낮았다. 한편 섭취된 사료의 단백질수준(蛋白質水準)은 대조구(對照區)가 2~6주령에 18%, 6~14주령에 15%, 14~20주령에 12%였는데 비해 선택채식구(選擇採食區)들 ($T_1$, $T_2$$T_3$)은 모두 선택채식(選擇採食) 방법(方法)이나 성장기에 관계없이 12~13%정도로 매우 낮았다. 결론적(結論的)으로 난용계(卵用鷄) 육성기(育成期)에는 육성기(育成期) 체중(體重)을 효과적(效果的)으로 조절(調節)하고 사료비(飼料費)를 절감(節減)할 수 있는 사료체계(飼料體系)의 근본적인 개선(改善)이 필요하다고 생각된다.

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유유아(乳幼兒) 및 성장기아동을 위한 영양식품 개발에 관한 연구 -(4) F-P-5, F-P-6 및 F-P-7의 영양학적, 생화학적 검토 및 그 저장성- (Development of Protein-rich Food Mixtures for Infants and Growing Children in Korea -(4) Nutritional and Biochemical Evaluation of Formulas F-P-5, F-P-6, F-P-7 and storage stability of F-P-4-)

  • 권태완;최홍식;김숙희;이현금
    • Journal of Nutrition and Health
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    • 제3권3호
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    • pp.129-135
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    • 1970
  • 우리나라 유유아 및 성장기아동을 위한 영양식품 개발을 목표로 시작한 일련의 연구 중 시제품 F-P-4가 단일 완전식품 및 다목적 식품으로서 가장 우수하였다. 본 연구는 F-P-4 보다 영양가를 향상시키면서도 제품의 가격을 저하시킬 수 있는 가능성을 구명하기 위하여 이를 기준으로 새로이 F-P-5, F-P-6 및 F-P-7을 조제하고, 재차 화학적 성분분석, 동물사육시험, 유유아 급식시험을 실시하므로서 시제품에 대한 영양학적 생화학적 검토와 함께 그 저장성을 검토하였다. 1. F-P-5, F-P-6 및 F-P-7의 단백질 함량은 구성 원료의 배합비에 다소 변동이 있으나 F-P-4의 경우와 마찬가지로 약21%이였다. 2. 흰쥐에 급식, 7주간 사육한 결과 F-P-4, F-P-5 및 F-P-6군은 그 성장도가 서로 비슷하고 FER이 다같이 0.20이었으나, F-P-7군은 FER이 0.16으로 가장 낮고 타군에 비하여 성장도 떨어졌다. 3. F-P-4, F-P-5 및 F-P-6를 $3{\sim}12$개월 되는 유유아에게 30일간 급식한 결과 잘 먹었고 전반적으로 체온, 대변의 성상, 체중증가 등이 정상이었고 발육도 좋았다. 그리고 Hemoglobin 함량은 급식 전에는 정상치보다 다소 낮았으나, 30일 급식 후에는 0.6{\sim}2.2g%$가 증가하여 정상범위에 이르렀고, 혈청 albumin 및 총단백질량도 급식 후에는 전반적으로 증가하는 경향을 보였다. 한편 BUN도 대체로 소아표준치의 정상범위내에 있었다. 4. F-P-4를 8개월간 $25^{\circ}C,\;65{\sim}80%$의 상대습도에서 polyethlene film (0.04mm)으로 포장 저장한 결과 비타민 C와 생균수가 감소, POV, TBA value가 증가하였으며, spectral reflectance intensity, organoleptic quality에도 역시 변화가 있어서 식용할 수 있는 범위는 2개월 이내로 판정되었다. 따라서 저장성을 높이기 위한 제품 및 포장에 대한 검토가 필요하다. 5. F-P-5와 F-P-6 제품은 F-P-4에 비하여 그 영양가는 비등하되, 약 10%의 원료비의 절약이 예상된다. 원료배합 공정까지를 고려할 때 F-P-5가 가장 우수한 제품으로 밝혀졌다. 6. 식물성 혼합물인 F-P-7은 유아를 위한 단일 완전식품으로서는 불충분하나, F-P-4보다 20%나 원료비가 낮으므로 성장기 어린이를 위하여 값싼 보충식품으로 활용할만하다고 생각된다.

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원주지역 남은 음식물의 계절별 성분 함량 및 비육돈에 대한 건조 남은 음식물 급여 효과 (Seasonal Variations in Chemical Composition of Dried Food Waste in Wonjusi and Its Feeding Effects in Finishing Pigs)

  • 채병조;주지환;심영호;권일경;김상헌
    • Journal of Animal Science and Technology
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    • 제45권3호
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    • pp.377-386
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    • 2003
  • 본 연구는 남은 음식물(FW)의 성분변이를 조사하고, 그것의 급여시 비육돈의 성장과 육질에 미치는 영향을 조사하기 위하여 실시하였다. 사료화를 위해 기초자료로 활용하고져 FW를 1년간 (월 6회) 수집하였다. 8주간의 사양시험을 위해 삼원교잡종(L${\times}$Y${\times}$D) 비육돈 $\pm$ 4.60kg) 117두를 공시하였다 (3처리 3반복, 반복당 13두). 처리는 대조구 (옥수수-대두박 위주사료), 건조 방법에 따른 단순 건조 (simple dry: SD) 및 진공발효 (vacuum fermentation: VF)로서 구분하였다. FW의 건물기준으로 에너지, 조단백질, 조지방, 회분, 칼슘 및 인의 4계절 평균치는 각각 5,111kcal/kg, 22.92%, 14.31%, 15.48%, 2.7% 및 1.05%였다. 에너지와 단백질 함량은 각각 겨울과 여름에 가장 높았다 (p<0.05). 건조한 FW의 유산균 함량은 SD와 VF 처리간에 차이가 없었다. 사양성적에서는 ADG에서 대조구가 FW이 첨가된 사료에 비해 유의적으로 높았으나 (p< 0.05), FCR에서는 처리간에 차이가 없었다. SD와 FD와의 생산성 비교에서는 유의차가 인정되지 않았다. 지육율, 등지방두께, 그리고 기타 육질(색깔, drip loss 및 TBARS)에서 처리간에 차이가 없었다. 전 시험기간의 증체 kg당 사료비를 살펴보면, FW가 포함된 사료급여군이 대조구에 비해 낮았다. 이상의 결과를 요약해 보면, 남은 음식물을 건조한 후 사료에 20% 이내를 첨가하여 펠렛사료로 급여할 경우 비육돈의 사료비를 절감할수 있을 것으로 사료된다. 그러나 FW의 가공시 FD공정은 필요치 않을 것으로 사료된다.

국내, 외 광우병의 발생 현황과 대응 방안 (The current status and control measures of BSE in the worldwide)

  • 유한상
    • 한국환경농학회:학술대회논문집
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    • 한국환경농학회 2009년도 정기총회 및 국제심포지엄
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    • pp.273-282
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    • 2009
  • The transmissible spongiform encephalopathies (TSEs) disease group are fatal neurodegenerative disorders affecting a wide range of hosts. The group includes kuru and Creutzfeldt-Jakob disease (CJD) in humans, scrapie in sheep and goats and Bovine spongiform encephalopathy (BSE) in cattle. The exact nature of the infectious agent involved in the transmission of these diseases remains controversial. However, a central event in their pathogenesis is the accumulation in infected tissues of an abnormal form of a host-encoded protein, the prion protein (PrP). Whereas the normal cellular protein is fully sensitive to protease ($PrP^{sen}$), the disease-associated prion protein ($PrP^d$) is only partly degraded ($PrP^{res}$), its amino-terminal end being removed. BSE was first reported in the mid-80s in the UK. Ten years later, a new form of human prion disease, variant CJD (vCJD) developed in the wake of the BSE epidemic, and there is now strong scientific evidence that vCJD was initiated by the exposure of humans to BSE-infected tissues, thus indicating a zoonotic disease. However, the ban on the feeding of animal-derived proteins to ruminants, and the apparent lack of vertical transmission of BSE, have led to a decline in the incidence of the disease within cattle herd and therefore, an assumed decreased risk for human contacting vCJD. The origin of the original case(s) of BSE still remains an enigma even though three hypotheses have been raised. Hypotheses are i) sheep- or goat-derived scrapie-infected tissues included in meat and bone meal fed to cattle, ii) a previously undetected sporadic or genetic bovine TSE contaminating cattle feed or iii) originating from a human TSE through animal feed contaminated with human remains. A host cellular membrane protein ($PrP^C$), which is abundant in central nervous system tissue, appear to be conformationally altered in the diseased host into a prion protein ($PrP^{Sc}$). This $PrP^{Sc}$ is detergent insoluble and partially protease-resistant ($PrP^{res}$). The term $PrP^{res}$ is normally used to describe the protein detected after protease treatment, in techniques such as Western immunoblotting, and enzyme-linked immunosorbant assay using fresh/frozen tissue. Immunohistochemistry may performed with formalin-fixed tissues. Also, clinical signs of the BSE are one of the major diagnostic indicators. Recently, atypical forms (known as H- and L-type) of BSE have appeared in several European countries, Japan, Canada and the United States. An unusual case was also reported in a miniature zebu. The atypical BSE fall into two groups based on the relative molecular mass (Mm) of the unglycosylated $PrP^{res}$ band relative to that of classical BSE, one of the higher Mm (H-type) and the other lower (L-type). Both types have been detected worldwide as rare cases in older animals, at a low prevalence consistent with the possibility of sporadic forms of prion diseases in cattle. This raises the unwelcome possibility that vCJD could increase in the human population. Now, active surveillance program against BSE is going on in Korea. In regional veterinary service lab, ELISA is applied to screen the BSE in slaughter and confirmatory tests by Western immunoblotting and immunohistochemisty are carried out if there are positive or suspect in the screening test. Also, the ruminant feed ban is rigorously enforced. Removal of specified risk materials such as brain and spinal cord from cattle is mandatory process at slaughter to prevent the infected material from entering the human food chain.

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Effects of Combining Feed Grade Urea and a Slow-release Urea Product on Characteristics of Digestion, Microbial Protein Synthesis and Digestible Energy in Steers Fed Diets with Different Starch:ADF Ratios

  • Lopez-Soto, M.A.;Rivera-Mendez, C.R.;Aguilar-Hernandez, J.A.;Barreras, A.;Calderon-Cortes, J.F.;Plascencia, A.;Davila-Ramos, H.;Estrada-Angulo, A.;Valdes-Garcia, Y.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제27권2호
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    • pp.187-193
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    • 2014
  • As a result of the cost of grains, the replacement of grains by co-products (i.e. DDGS) in feedlot diets is a common practice. This change produces diets that contain a lower amount of starch and greater amount of fibre. Hypothetically, combining feed grade urea (U) with slow release urea (Optigen) in this type of diet should elicit a better synchrony between starch (high-rate of digestion) and fibre (low-rate of digestion) promoting a better microbial protein synthesis and ruminal digestion with increasing the digestible energy of the diet. Four cannulated Holstein steers ($213{\pm}4$ kg) were used in a $4{\times}4$ Latin square design to examine the combination of Optigen and U in a finishing diet containing different starch:acid detergent fibre ratios (S:F) on the characteristics of digestive function. Three S:F ratios (3.0, 4.5, and 6.0) were tested using a combination of U (0.80%) and Optigen (1.0%). Additionally, a treatment of 4.5 S:F ratio with urea (0.80% in ration) as the sole source of non-protein nitrogen was used to compare the effect of urea combination at same S:F ratio. The S:F ratio of the diet was manipulated by replacing the corn grain by dried distillers grain with solubles and roughage. Urea combination did not affect ruminal pH. The S:F ratio did not affect ruminal pH at 0 and 2 h post-feeding but, at 4 and 6 h, the ruminal pH decreased as the S:F ratio increased (linear, p<0.05). Ruminal digestion of OM, starch and feed N were not affected by urea combination or S:F ratio. The urea combination did not affect ADF ruminal digestion. ADF ruminal digestion decreased linearly (p = 0.02) as the S:F ratio increased. Compared to the urea treatment (p<0.05) and within the urea combination treatment (quadratic, p<0.01), the flow of microbial nitrogen (MN) to the small intestine and ruminal microbial efficiency were greater for the urea combination at a S:F ratio of 4.5. Irrespective of the S:F ratio, the urea combination improved (2.8%, p = 0.02) postruminal N digestion. As S:F ratio increased, OM digestion increased, but ADF total tract digestion decreased. The combination of urea at 4.5 S:F improved (2%, p = 0.04) the digestible energy (DE) more than expected. Combining urea and Optigen resulted in positive effects on the MN flow and DE of the diet, but apparently these advantages are observed only when there is a certain proportion of starch:ADF in the diet.

Effects of amino acid composition in pig diet on odorous compounds and microbial characteristics of swine excreta

  • Recharla, Neeraja;Kim, Kihyun;Park, Juncheol;Jeong, Jinyoung;Jeong, Yongdae;Lee, Hyunjeong;Hwang, Okhwa;Ryu, Jaehyoung;Baek, Youlchang;Oh, Youngkyun;Park, Sungkwon
    • Journal of Animal Science and Technology
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    • 제59권12호
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    • pp.28.1-28.8
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    • 2017
  • Background: Major amino acids in pig diets are Lys, Met, Thr, and Trp, but little is known about the requirements for the other essential amino acids, especially on odorous compounds and microbial characteristics in feces of growing-finishing pigs. To this end, different levels of amino acid composition added to diets to investigate the effects of amino acid composition on microbial characteristics and odorous compounds concentration. Methods: A total eight (n = 8) barrows (Landrace ${\times}$ Yorkshire ${\times}$ Duroc) with an average bodyweight of $89.38{\pm}3.3kg$ were individually fed diets formulated by Korean Feeding Standards 2007 (old version) or 2012 (updated with ideal protein concept) in metabolism crates with two replication. After 15-day adaptation period, fresh faecal samples were collected directly from pigs every week for 4 weeks and analysed for total volatile fatty acids (VFA), phenols and indoles by using gas chromatography. The nitrogen was determined by Kjeldahl method. Bacterial communities were detected by using a 454 FLX titanium pyrosequencing system. Results: Level of VFA tended to be greater in 2012 than 2007 group. Among VFAs, 2012 group had greater (p < 0.05) level of short chain fatty acids (SCFA) than control.Concentration of odorous compounds in feces was also affected by amino acid composition in pig diet. Levels of ammonium and indoles tended to be higher in 2012 group when compared with 2007 group.Concentration of phenols, p-cresol, biochemical oxygen demand, and total Kjeldahl nitrogen, however, were lower (P < 0.05) in 2012 treatment group compare to 2007. The proportion of Firmicute phylum were decreased, while the Bacteriodetes phylum proportion increased and bacterial genera includingCoprococcus, Bacillus, and Bacteroides increased (p < 0.05) in 2012 compare to 2007 group. Conclusion: Results from our current study indicates that well balanced amino acid composition reduces odor by modulating the gut microbial community. Administration of pig diet formulated with the ideal protein concept may help improve gut fermentation as well as reduce the odor causing compounds in pig manure.

Adiponectin induced AMP-activated protein kinase impairment mediates insulin resistance in Bama mini-pig fed high-fat and high-sucrose diet

  • Niu, Miaomiao;Xiang, Lei;Liu, Yaqian;Zhao, Yuqiong;Yuan, Jifang;Dai, Xin;Chen, Hua
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권8호
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    • pp.1190-1197
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    • 2017
  • Objective: Adipose tissue is no longer considered as an inert storage organ for lipid, but instead is thought to play an active role in regulating insulin effects via secretion adipokines. However, conflicting reports have emerged regarding the effects of adipokines. In this study, we investigated the role of adipokines in glucose metabolism and insulin sensitivity in obese Bama mini-pigs. Methods: An obesity model was established in Bama mini-pigs, by feeding with high-fat and high-sucrose diet for 30 weeks. Plasma glucose and blood biochemistry levels were measured, and intravenous glucose tolerance test was performed. Adipokines, including adiponectin, interleukin-6 (IL-6), resistin and tumor necrosis factor alpha ($TNF-{\alpha}$), and glucose-induced insulin secretion were also examined by radioimmunoassay. AMP-activated protein kinase (AMPK) phosphorylation in skeletal muscle, which is a useful insulin resistance marker, was examined by immunoblotting. Additionally, associations of AMPK phosphorylation with plasma adipokines and homeostasis model assessment of insulin resistance (HOMA-IR) index were assessed by Pearce's correlation analysis. Results: Obese pigs showed hyperglycemia, high triglycerides, and insulin resistance. Adiponectin levels were significantly decreased (p<0.05) and IL-6 amounts dramatically increased (p<0.05) in obese pigs both in serum and adipose tissue, corroborating data from obese mice and humans. However, circulating resistin and $TNF-{\alpha}$ showed no difference, while the values of $TNF-{\alpha}$ in adipose tissue were significantly higher in obese pigs, also in agreement with data from obese humans but not rodent models. Moreover, strong associations of skeletal muscle AMPK phosphorylation with plasma adiponectin and HOMA-IR index were obtained. Conclusion: AMPK impairment induced by adiponectin decrease mediates insulin resistance in high-fat and high-sucrose diet induction. In addition, Bama mini-pig has the possibility of a conformable model for human metabolic diseases.

넙치 육성용 실험 부상사료, 시판 부상사료 및 생사료의 사육효과 비교 (Evaluation of Experimental Extruded Pellet, Commercial Pellet and Raw Fish-based Moist Pellet for Growing Flounder, Paralichthys olivaceus)

  • 이상민;서주영;이용환;김경덕;이종하;장현석
    • 한국양식학회지
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    • 제18권4호
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    • pp.287-292
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    • 2005
  • 본 연구는 넙치 육성용으로 실험 부상배합사료와 시판사료 및 생사료의 효능을 비교하기 위해 평균 체중 43.5 g의 넙치를 8주 동안 사육하였다. 실험사료로 4종류의 부상배합사료(EPl-EP4), 시판사료 4종류(EP5-EP8)및 습사료(MP)를 준비하여 1일 3회 만복으로 공급하였다. 사육실험 결과, 생존율은 모든 실험구에서 $85\%$ 이상으로 양호하였으며, 증중률은 EP2-EP4 실험구에서 가장 높은 값을 보였으며, EP6 실험구에서 가장 낮았다. 사료효율과 단백질효율은 MP 실험구에서 가장 낮은 값을 보인 반면, 일일 사료섭취율과 일일 단백질섭취율은 MP 실험구에서 가장 높은 값을 보였다. 어체의 단백질 함량은 실험구간에 유의한 차이가 없었으나, 수분, 지질 및 회분 함량은 사료에 따라 유의한 차이를 보였다. 혈액의 총 단백질은 모든 실험구간에 유의한 차이가 없었으며 , 중성지방은 EP3 실험구에서 높은 값을 보이긴 하였지만, EP7 실험구를 제외한 모든 실험구간에 유의한 차이는 없었다. 이상의 결과들로 보아 평균체중 42 g${\~}$108 g인 넙치의 성장을 위해 EP2-EP4를 공급하여도 좋을 것으로 판단된다.

The importance of NIR spectroscopy in the estimation of nutritional quality of grains for ruminants

  • Flinn, Peter C.
    • 한국근적외분광분석학회:학술대회논문집
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    • 한국근적외분광분석학회 2001년도 NIR-2001
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    • pp.1612-1612
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    • 2001
  • The production of grain for export and domestic use is one of Australia's most important agricultural industries, and the NIR technique has been used extensively over many years for the routine monitoring of grain quality, particularly moisture and protein content. Because most Australian grain is intended for human food production, the determinants of grain quality for livestock feed, apart from protein, have been largely ignored. However the increasing use of grain for feeding to pigs, poultry, beef cattle and dairy cows has led to an important national research project entitled “Premium Grains for Livestock”. Two of the objectives of this project are to determine the compositional and functional characteristics of grains which influence their nutritional quality for the various classes of livestock, and to adopt rapid and objective analytical tests for these quality criteria. NIR has been used in this project firstly to identify a set of grain samples from a large population of breeders' lines which showed a wide spectral variation, and hence a potentially wide variation in nutritional value. The selected samples were not only subjected to an extensive array of chemical, physical and in vitro analyses, but also were grown out to produce sufficient quantities of grain to feed to animals in vivo studies. Additional grains were also strategically selected from farms in order to include the effect of weather damage, such as rain, drought and frost. In this study to date, NIR calibrations have been derived or attempted, on both ground and whole grains, for in vivo dry matter digestibility (DMD), pepsin-cellulase dry matter disappearance, protein, fat, acid detergent fibre, neutral detergent fibre, starch, in sacco DMD and in vitro assays to simulate starch digestion in the lumen and small intestine. Results so far indicate high calibration accuracy for chemical components (SECV 0.3 to 2.6%) and very promising statistics for in vivo DMD (SECV 1.8, $R^2$ 0.93, SD 7.0, range 61.9 to 92.3, n=60). There appears to be some potential for NIR to estimate some in vitro properties, depending upon the accuracy of reference methods and appropriate sample populations. Current work is in progress to extend the range of grains with in vivo DMD values (a very laborious and expensive process) and to increase the robustness of the various NIR calibrations, with the aim of implementing uniform testing procedures for nutritional value of grains throughout Australia.

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미음 수유만으로 발생한 치명적인 Kwashiorkor 1례 (A case of lethal kwashiorkor caused by feeding only with cereal grain)

  • 이현주;금경혜;박혜진;이계향;이경훈;최은진;김진경;정혜리;김우택
    • Clinical and Experimental Pediatrics
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    • 제51권3호
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    • pp.329-334
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    • 2008
  • Kwashiorkor는 단백질 결핍으로 인한 영양실조로 저알부민혈증, 설사, 피부염, 부종을 증상으로 나타낸다. 단백질-열량 결핍은 면역결핍을 초래하고 이는 감염에 대한 감수성을 높임으로써 생명을 위협하는 상태가 될 수 있다. 치료는 조기 영양공급, 감염증 치료가 주이며, 치료 경과 중 확장성 심근증이 나타날 수 있으며 이 경우 예후가 안 좋다. Kwashiorkor는 주로 빈곤한 나라에서 생긴다고 알려져 왔으며, 기술적으로 진보한 나라에서 치명적인 결과까지 낳은 예는 보고된 바가 없었다. 치명적인 kwashiorkor 1례를 경험하였기에 보고하는 바이다. 환아는 가난때문이 아니라 부모의 잘못된 생각으로 2개월 동안 곡물에 태운 곡식가루만 먹었으며, 설사, 전신 부종, 홍반, 저체온증 등을 주소로 입원하였다. 면역 결핍이 있는 상태였으며, 혈액 배양 검사상 Alcaligenes Xylosoxidans가 동정되었다. 단백질 보충식이 및 항생제 치료, 정주용 면역글로불린치료, 미세영양소 보충하였으나 확장성 심근병증, 다발성 장기 부전으로 사망하였다.