• 제목/요약/키워드: Rib

검색결과 1,645건 처리시간 0.035초

다발성 외상환자에서 혈관계 접근을 통해 치료한 쇄골하동맥 손상 2례 (Treatment of Subclavian Artery Injury in Multiple Trauma Patients by Using an Endovascular Approach: Two Cases)

  • 조자윤;정희경;김형기;임경훈;박진영;허승
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.243-247
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    • 2013
  • Introduction: Surgical treatment of subclavian artery (SA) injury is challenging because approaching the lesion directly and clamping the proximal artery is difficult. This can be overcome by using an endovascular technique. Case 1: A 37-year-old male was drawn into the concrete mixer truck. He had a right SA injury with multiple traumatic injuries: an open fracture of the right leg with posterior tibial artery (PTA) injury, a right hemothorax, and fractures of the clavicle, scapula, ribs, cervical spine and nasal bone. The injury severity score (ISS) was 27. Computed tomography (CT) showed a 30-mm-length thrombotic occlusion in the right SA, which was 15 mm distal to the vertebral artery (VA). A self-expandable stent($8mm{\times}40mm$ in size) was deployed through the right femoral artery while preserving VA flow, and the radial pulse was palpable after deployment. Other operations were performed sequentially. He had a viable right arm during a 13-month follow-up period. Case 2: A 25-year-old male was admitted to our hospital due to a motorcycle accident. The ISS was 34 because of a hemothorax and open fractures of the mandible and the left hand. Intraoperative angiography was done through a right femoral artery puncture. Contrast extravasation of the SA was detected just outside the left rib cage. After balloon catheter had been inflated just proximal to the bleeding site, direct surgical exploration was performed through infraclavicular skin incision. The transected SA was identified, and an interposition graft was performed using a saphenous vein graft. Other operations were performed sequentially. He had a viable left arm during a 15-month follow-up period. Conclusion: The challenge of repairing an SA injury can be overcome by using an endovascular approach.

총상 골절 개에서 자가골 이식과 주관절 고정술 (Elbow Arthrodesis with bone Autograft for the Management of Gunshot Fracture in a Dog)

  • 이종일;알람;김남수
    • 한국임상수의학회지
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    • 제22권1호
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    • pp.60-64
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    • 2005
  • 체중 23kg, 나이 6세된 수캐 잡종 사냥개가 왼쪽 주관절에 총상을 입어 전북대학교 수의과대학 동물병원에 내원하였다. 방사선 사진에서 요골 척골 근위부에 복잡골절과 주관절 돌기 후방에 금속성 탄환이 발견되었다. 첫 번째 외과처치는 탄환을 제거하고 bone plate, bone screw, K-wire등을 이용하여 정복 고정하였으나 실패하였다. 두 번째 시도는 주관철 고정술과 13번째 늑골로부터 얻은 자가골을 이용하여 결손부를 충진 하였다. 결과가 만족스럽지 못하여 자가골 재이식과 3번째 수술을 실시하여 주관절의 안정된 고정상태를 유지 할 수 있었다. 60주가 지난 현재 평상시 활동에는 커다란 문제점이 없지만 속보 혹은 뛰는 경우 관절 고정술을 실시한 다리를 들고 세 다리만 사용하는 아쉬움이 있다.

자가 생산 유기볏짚을 이용한 거세한우 생산성 연구 (Study on the Productivity of Hanwoo Steers with Self-product Organic Rice Straw)

  • 조원모;전병수;김형철;양승학;김상범;이현준;기광석;여준모
    • 한국유기농업학회지
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    • 제17권3호
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    • pp.393-403
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    • 2009
  • 자가 생산 유기볏짚을 이용하여 한우사육농가(홍성)에서 공시축 16두(일반축 8두, 유기시험축 8두)을 공시하여 생후 8개월령부터 28개월령까지 20개월간 사양시험을 한 결과는 다음과 같다. 발육에 있어 전기간 증체량은 대조구 492.6kg, 유기구 478kg이며, 일당증체량은 대조구 0.81kg, 유기구 0.79kg으로 대조구가 유기구에 비하여 증체량 및 일당증체량은 약간 높았다. 배합사료의 건물섭취량은 대조구(6.39kg)가 유기구(6.13kg)보다 높았으며, CP 및 TDN 섭취량도 대조구가 유기구에 비하여 약간 높았으나 차이는 보이지 않았다. kg증체당 배합사료요구율은 유기구(7.86kg)가 대조구(7.77kg)보다 개선된 경향을 보였으나 차이는 보이지 않았다. 비육중기 단계에서 유기구(T2)가 일당증체량이 0.84kg으로 대조구(T1) 0.99kg 보다 낮은 것은(p<0.05) 유기 배합사료의 에너지 함량이 낮고 기호성에 따른 원인에 기인한 것으로 판단된다. 비육후기(23-28개월령) 사료섭취량의 증가로 발육(일당증체량 : 대조구 0.59, 유기구 0.64) 및 도체등급(육량 및 육질)에 영향을 미친것으로 사료된다. 대조구가 유기구에 비하여 육량지수에 미치는 등지방두께가 감소하고 등심단면적으로 증가하는 경향을 보였다. 또한 육질등급의 경우 근내지방도가 유기구(3.75)가 대조구(3.13)에 비하여 향상되는 결과를 보였다.

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양념 소갈비의 조리과정에서의 물리화학적 특성 평가 (The Physicochemical Characteristics of Marinated Beef Galbi under Different Cooking Conditions)

  • 홍상필;김영호;이남혁;허영욱
    • 한국식생활문화학회지
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    • 제28권1호
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    • pp.78-88
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    • 2013
  • Marinated beef galbi is a traditional Korean dish cooked with soy sauce, pear juice, onion, sesame oil, and sugar. However, there are many differences in beef galbi, including flavor and physicochemical aspects, depending on cooking conditions. Therefore, the physicochemical characteristics of marinated beef galbi prepared through various recipes was evaluated for its effects on pH, texture, aging, proteolysis, heating conditions, cooking time, and flavor compounds (pyrazines, IMPs, or FAAs). There were significant differences in salt concentration (0.8~3.03%), pH (4.89~6.22), and solid soluble contents (1.34-6.31 Brix) between recipes in this study. In the Pearson assay for sensory evaluation, overall preference correlated well with texture (a well-known sensory attribute in meat evaluation). Controlling the pH of meat through soaking in lemon solution, alkali water, phosphate, and baking powder solution, improved water holding capacity as much as 9 to 15% compared with the control. The myofibril index (MFI) of marinated meat stored at $4^{\circ}C$ increased 32% with 24 hours of aging and reached 39% at 48 hours of aging, and its fragmentation was observed through microscopy. SDS-PAGE showed hydrolysis of acid-soluble collagen by the pear juice, possibly related to meat tenderness. On the basis of surface temperature, the cooking time was estimated to be 8 minutes with pan heating at $170^{\circ}C$, 6 minutes at $270{\sim}300^{\circ}C$, and 4 minutes with charcoal at $700{\sim}900^{\circ}C$. Different pyrazine compounds, such as 2-methyl-3-phenylpyrrol(2,3-b) pyrazine (the typical product of the browning reaction) was mainly detected, and IMP (one of the main taste compounds in beef) was in higher amounts with the charcoal treatment, potentially related to its flavor preference among treatments. Our results demonstrate an effective case study and cooking system for beef galbi.

자연기흉에 대한 Thoracoscopy 의 임상적의의 (Clinical Significance of Thoracoscopy on Spontaneous Pneumothorax)

  • 김영태;김근호
    • Journal of Chest Surgery
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    • 제8권1호
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    • pp.19-28
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    • 1975
  • The thoracoscopic study was reported on 21 cases of spontaneous pneumothorax requiring surgical management, and clinical values of thoracoscopic examination on spontaneous pneumothorax were also discussed. patients were treated in the Department of .Thoracic Surgery, Hanyang University Hospital for the period of two Years from May 1972 to April 1974. For exact detection of etiologic factors on spontaneous pneumothorax, the thoracoscopic examination in the intrapleural space was performed in parallel with X-ray study. this study, the difference of diagnostic and therapeutic significance between radiological and thoracoscopic findings were observed and compared simultaneously. The results are summerized as follows: Patients age was distributed between 3 and 70 years old with highest incidence in the age group of sixty decade [33. 3%], and sex ratio of male to female was 5:2. The tuberculous processes which developed superficial subpleural layer in the lung parenchyme, on the pulmonary surface could be observed by thoracoscopic examination in a characteristic picture. detection ratio of pulmonary tuberculosis by the radiologic study to that by thoracoscopy was 8:2. The adhesion between the visceral and the parietal pleura which could possibly make a rupture of the alveola and the visceral pleura was found to be localized in a small area of the lung surface. The other part of the lung surface was free of the adhesion and, therefore, the movement of the lung took place completely without any difficulty. The ruptured orifice of the pleura and pathological changes surrounding the orifice can be detected by thoracoscopy, but not by other means such as radiologic examination. A single tuberculous bleb and multiple emphysematous blebs were found on 6 cases out of 21 cases of spontaneous pneumothorax. Among these cases, radiologic Study revealed the bleb only in one patient. On the other hand, the blebs were found in all the six patients by means of thoracoscopic examination. It gives the detection ratio of bleb by radiologic study to that by thoracoscopy was 1:6. By thoracoscopy, the rupture on the lung surface were visualized on the 10 patients out of a total of 21 patients [10 patients of visual rupture]. However, the rupture of the pleura was not observed on the rest of 11 patients even by thoracoscopic examination [11 patients of non visual rupture]. Five patients [50%] out of ten who had the visual rupture on the lung surface was required a surgical operation to remove pneumothorax. For the patients who were detected to have the visual rupture of the pleura by thoracoscopy, be considered in the early stage of closed thoracostomy. of 21 patients, 16 patients [11 patients of non visual rupture of the pleura and 5 patients of visual rupture of the pleura] who received no surgical management, were treated with closed thoracostomy with continuous suction, and the` pneumothorax was healed completely up in each cases. Therapeutic measures for the remaining 5 patients of visual rupture of the pleura who were subjected to surgical approach for radical treatment of spontaneous pneumothorax were accordingly complicated, and the following different procedures were properly indicated case by case, that is, rib resection thoracostomy, simple closure of ruptured visceral pleura, wedged resection of the lung, and lobectomy.

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악성종양에서 골수면역신티그라피를 이용한 골수전이의 평가 : $^{99m}Tc$-MDP 뼈스캔과의 비교 (Bone Marrow Immunoscintigraphy for the Detection of Skeletal Metastasis in Malignant Tumors: A Comparison with $^{99m}Tc$-MDP Bone Scan)

  • 이경한;최창운;방영주;정준기;정홍근;이명철;김병국;김노경;고창순
    • 대한핵의학회지
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    • 제28권1호
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    • pp.89-97
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    • 1994
  • Although bone scan is a highly sensitive test for detecting bone metastasis, its findings are often limited in specificity and cannot be used for assessing the bone marrow. Bone marrow scintigraphy may provide useful information but previous experience with radiolabelled colloid has been disappointing. Recently, $^{99m}Tc$ labeled anti-granulocyte monoclonal antibody (anti-NCA-95 MAb) has been introduced as a new bone marrow imaging agent. To evaluate the usefulness of $^{99m}Tc$ anti-NCA MAb bone marrow scans for detecting skeletal metastasis, bone marrow scans of 44 malignant tumor patients were evaluated and compared with bone scan findings. Bone scan showed abnormal lesions in 26(59%) cases, and 18 of these patients also had an abnormal bone marrow scan. Seven of the 8 patients who had normal bone marrow scan despite bone scan lesions were confirmed to be free from metastasis. There was one case with a marrow defect despite normal bone scan but the presence of metastasis was not determined due to loss of follow up. Bone scan demonstrated a total of 64 lesions while bone marrow scan showed 38 lesions. Fifty percent (32/64) of the bone scan lesions had matching marrow defects while the remaining 50% did not. Most of these non matched lesions were suggested to be nonspecific lesions such as rib fractures or degenerative change. Meanwhile bone marrow scan was able to detect 6 new lesions not detected by bone scan, bit metastasis in each lesion was not confirmed. Bone marrow scan was also helpful in assessing equivocal bone scan lesions to be of metastatic nature in 10 patients by demonstrating a matched marrow defect. Thus $^{99m}Tc$ anti-NCA MAb bone marrow scan can help exclude metastasis in patients with nonspecific bone scan lesions and may be able to detect metastatic lesions not seen with bone scan. It appears useful as a complementary study to bone scan in evaluating malignant tumor patients.

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Variety and phosphate fertilizer dose effect on nutrient composition, in vitro digestibility and feeding value of cowpea haulm

  • Ansah, Terry;Algma, Henry Ayindoh;Dei, Herbert Kwabla
    • Journal of Animal Science and Technology
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    • 제58권6호
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    • pp.19.1-19.7
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    • 2016
  • Background: Cowpea (Vigna unguiculata [L.]) is a legume cultivated throughout most tropical countries and is valued as food and feed for human and livestock respectively. The search for an improved cowpea variety has been on-going with the aim of improving traits such as grain yield, drought and pest resistance. But no information exist on the feeding value of these improved varieties. Phosphate (P) fertilizer application is recommended to augment grain yield in grain legumes but data on the effect of P fertilizer on haulm quality is limited. Results: Two separate experiments were conducted to determine the effect of P fertilizer dose on the nutritive value of haulms from different cowpea varieties (V). In experiment 1, effect of three P doses (30, 60 and 90 kg $P_2O_5/ha$) on in vitro gas production (IVGP) characteristics, concentrations of digestible organic matter (DOM), crude protein (CP), acid detergent fiber (ADF) and neutral detergent fiber (NDF) of haulms from five cowpea varieties (Zaayura-SARC 4-75, Songotra-IT97K-499-35, Hewale-IT93K-192-4, IT99K 573-1-1 and Asomdwe-IT94K-410-2) were investigated using the $3(P){\times}5(V)$ factorial treatment arrangements in a completely randomized design. In experiment 2, the effects of two P doses (30 and 90 kg $P_2O_5/ha$) and two varieties (Zaayura-SARC 4-75 and Hewale-IT93K-192-4) on the voluntary feed intake, live weight, haematology and carcass characteristics of Djallonke lambs were also assessed using a $2(P){\times}2(V)$ factorial treatment arrangement. The $V{\times}P$ interaction significantly affected CP, NDF and ADF with CP concentration increasing with increase in P doses in Zaayura-SARC 4-75 and Asomdwe-IT94K-410-2. Whilst an increase (P < 0.05) in NDF was observed in Songotra-IT97K-499-35and Asomdwe-IT94K-410-2 as P doses increased, the other V only increased from P dose 30 to 60 kg/ha and declined at P dose 90 kg/ha. The ADF decreased (P < 0.05) with increase in P dose for all V with the exception of Songotra-IT97K-499-35. There was a significant V effect on DOM with the highest reported in Zaayura-SARC 4-75 (43.44 %). Daily DM intake, carcass length and blood urea nitrogen of the lambs were significantly affected by the V x P interaction. There was a significant V effect on globulin and P effect on live weight at slaughter, dressed weight, chuck, leg, loin, rib and flank and liver and lungs. Conclusion: It can be concluded that nutrient concentrations of cowpea haulms were positively influenced by different P dose and varieties with favorable effects on growth, haematology and carcass composition of lambs. Varieties Zaayura-SARC 4-75 and Hewale-IT93K-192-4 at P dose at 90 kg/ha are recommended to enhance growth performance and carcass yield of Djallonke lambs.

Performance and carcass characteristics of Australian purebred and crossbred lambs supplemented with Rice Bran

  • Flakemore, Aaron Ross;Otto, John Roger;Suybeng, Benedicte;Balogun, Razaq Oladimeji;Malau-Aduli, Bunmi Sherifat;Nichols, Peter David;Malau-Aduli, Aduli Enoch Othniel
    • Journal of Animal Science and Technology
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    • 제57권10호
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    • pp.36.1-36.9
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    • 2015
  • Background: This study examined the effects of dietary supplementation with rice bran, sire breed and gender on live animal performance and carcass characteristics in Australian crossbred and purebred Merino lambs. Methods: Forty-eight lambs balanced by sire breed (Dorset, White Suffolk, Merino) and gender (ewe, wether) were randomly allocated into three dietary supplementation groups (Control- 24 lambs fed wheat/barley-based pellets, Low- 12 animals fed a 50/50 ratio of wheat-based/rice bran pellets, and High- 12 lambs fed rice bran pellets). The Rice bran pellets replaced 19 % of the barley component of the feed. Animals were group-fed at the rate of 1000 g of the supplement per head per day with ad libitum access to lucerne hay as the basal diet and water. The duration of the feeding trial was 49 days with an initial 21-day adjustment period. Results: Sire breed differences were evident for initial (p < 0.0002) and final (p < 0.0016) liveweights, hot carcass (p < 0.0030) and cold carcass (p < 0.0031) weights, as well as dressing percentage (p < 0.0078), fat thickness (p < 0.0467), yield grade (p < 0.0470) and rib eye area (p < 0.0022) with purebred Merino under-performing compared to the crossbreds. Concentrate feed conversion efficiency, costs per unit of liveweight gain and over the hooks income were comparable between treatments regardless of the observed trend where the high supplementation group tended to show lower feed intake (745.8 g/day) compared to both the control (939.9 g/day) and low supplementation groups (909.6 g/day). No significant differences (p > 0.05) were observed between treatments for live animal performance, carcass characteristics, gender and their second-order interactions. Conclusions: Results indicate that Rice bran can be utilised as a cost-effective supplementary feed source in genetically divergent sheep over a 49-day feeding period without detrimental effects on overall live animal performance or carcass characteristics.

외식의 영양정보 제공을 위한 영양 평가 -한식을 대상으로- (Assessment of Nutrient Content for Providing Nutrition Information of Dishes in Restaurant and Food Service Institutions -About Korean dishes -)

  • 계승희;문현경
    • 한국식생활문화학회지
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    • 제9권5호
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    • pp.447-455
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    • 1995
  • The purpose of the present study is to assess nutrient content for providing nutrition information such as nutrition labeling on Korean dishes in restaurant and food service institutions. The content of nutrients was calculated in recipies used to prepare dishes which has been frequently consumed in such four groups as the literature, foodservice institutions of industries, restaurants, and households. The numbers of dishes surveyed were 15. Total numbers of literture used for recipies analysis are 20. Recipies used in foodservice institutions of industries were abstracted from the journal 'Guk-Min Young-Yang' published in Korea dietetic association and obtained with the help of dietitians working in those institutions. Also, recipies has been using in restaurants were given from the Korea restaurant association. Recipies in households was calculated from the secondary analysis of the Korean National Nutrition Survey. Nutrient content from foods except steamed rice and side dishes in each dish was calculated using data of Korean food composition table published. The content of energy and protein in 'Gal-bi tang' (beef-rib soup) were highest in recipes used at restaurants, vitamin C in recipes of food service institutions of industries due to the generous use of meats and vegetables than other recipies. 'Doen-jang chigae' (soybean paste stew) showed the lowest content of energy in results analyzing recipes presented on the literature and varied protein level by four groups for difference of protein source used. The content of energy in 'Gop-chang jeongol' (small intestines stew) is 150 kcal more than 'Soegogi jeongol' (beef stew) in general. The energy level of 'Daeji-galbi' jim (braised pork ribs) and 'Dak jim' (braised chicken) turned out to be the highest in recipies presented on literature. Variation of each nutrient content including energy and protein was relatively high, since some of foods used in 'Pibimbab' (mixed rice) varied with four groups. Amounts of energy and protein in 'Naeng-myeun' (cold noodles) is the highest in recipies of foodservice institution of industries because much amounts of noodle and meats were used comparing to other groups. The average content of energy in 'Pulgogi' (grilled meat with sauce) was 50% to Korea recommended amounts of one meal, 833.3 kcal. Content of vitamin $B_1$ in 'Jeuk pyeunuk' (boiled pork), which is made of pork meat, was higher than other dishes. The ingredients of frequently consumed Korean dishes were highly variable among the four groups which inevitably results in variation of nutrient content in each dishes. The high variation of nutrient content in each dish according to study requires careful collecting of the large number of recipies in presenting representative nutrient content for nutrition labeling on dishes in restaurant and food service institutions effectively.

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인삼 부산물 급여 돼지의 도체 및 육질 특성 (Feeding Effect of Ginseng by-product on Characteristics of Pork Carcass and Meat Quality)

  • 유영모;안종남;조수현;박범영;이종문;김용곤;박형기
    • 한국축산식품학회지
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    • 제22권4호
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    • pp.337-342
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    • 2002
  • 인삼 잎과 줄기의 crude saponin 함량은 약 8% 정도로 그 가치가 높아 사료로 이용하기 위한 방법으로, 인삼 잎과 줄기 부산물의 추출액을 사료에 3% 혼합하여 생산한 사료를 돼지에 20일, 30일 및 40일간 급여하여 생산한 돼지의 도체 및 육질특성을 조사한 결과 다음과 같다. 급여수준에 따른 돼지의 도체특성에 있어서 정육율은 20일 급여구가 65.55%로 가장 높았으며, 대조구, 30일 급여구, 40일 급여구 순으로 나타났으며, 제거 지방율은 40일 급여구가 18.32%로 가장 높았다. 부분육벽 생산율은 목심, 갈비, 등심, 삼겹살, 뒷다리, 안심부위에서는 처리간에 유의적인 차이가 나타나지 않았으나, 앞다리 부위에서는 20일급여구에서 가장 높은 11.12%로 나타났다(P<0.05). 처리별 도체등급 A 및 B 등급 출현율은 30일과 40일 급여구에서 오히려 낮게 나타났으며, 등지방 두께는 20일 급여구가 가장 적었다(P<0.05). 처리구별 명도(Hunter L)는 30일 급여구가 50.22로 가장 높은 값을 보였고, 20일 급여구가 46.91로 가장 낮은 값을 보였다. PSE 출현율은 20일 급여구가 가장 낮게 나타났고. pH는 인삼부산물을 40일 급여한 처리구에서 5.72로 가장 높게 나타났다(P<0.05). 인삼부산물 급여 돼지 등심육의 물리적 특성을 조사한 결과, 전단력은 유의적인 차이는 없었으며, 가열감량은 인삼부 산물 급여시 감소하는 경향으로 나타난 반면, 보수력은 인삼 부산물 급여시 증가하는 경향을 보였다(P<0.05). 이상의 결과에서 인삼부산물 추출액 급여에 의한 돈육 생산시 도체특성 및 부된육 수율에서 인삼부산물 급여에 의한 차이는 없었으나, pH는 인삼부산물을 40일간 급여한 처리구 에서 유의적으로 높았으며, 가열감량 및 보수력은 인삼부산 물을 각각 40일 또는 30일간 급여한 처리구가 다른 처리구에 비해 좋은 것으로 나타났다.