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A Study on Satisfaction level with Herbal Public Health Services and its Improvement Plans (한방공중보건서비스 만족도와 개선방안)

  • Lee, Jae-Won;Koo, Jin-Suk;Seo, Bu-Il
    • Korean Journal of Oriental Medicine
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    • v.18 no.2
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    • pp.65-89
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    • 2012
  • Objective : In order to investigate and improve public Korean medical health service satisfaction level, this study was designed. Method : A questionnaire has been conducted on 212 patients who received treatments at six public health centers in the northern part of Gyeongbuk during 15 days between Sep. 24 and Oct. 8, 2011. Result : 1. An Investigation on the usage of herbal clinics in public health centers reveals that 63.7% have received three times or more medical treatments previously and 61.8% have had their illness treated at other medical institutions. In regard to illness 32.1% have had arthritis or muscle aches. 50.9% have taken insurance medication after having had treatments at the public health centers. 66% have assessed acupuncture and moxa cautery the most satisfying. 2. To a question regarding whether herbal health treatment costs higher than that of physician's, the highest response at 31.6% is 'No'. And to a question regarding whether herbal medicines administered at public health centers have more side effects than that of physician's, the highest response at 39.6% is 'No'. 3. To a question regarding whether herbal treatment of public health centers has little effect against acute disease, 48.1% of responses are 'Fair'. To a question regarding whether herbal treatments, when compared with physician's treatments, boost better recovery of patients, 48.1% of responses are 'Fair'. To a question regarding whether herbal medicine is unscientific, when compared with that of western medicine, 38.2% of responses are 'Fair', To a question regarding whether herbal medicine has faster effect on disease than western medicine, 41.0% of responses are 'Fair'. To a question regarding whether herbal medicine is more effective on disease prevention and promotion of health than disease treatment, 38.2% of responses are 'Fair'. And to a question regarding whether the lack of various types of physical therapy devices in herbal medicine, when compared with western medicine causes inconvenience in herbal treatment, 42.0% of responses are 'Fair'. Those responses take up highest portion at each questionnaire. 4. A comparative study between herbal treatments and physician's treatments has also been conducted. To questions regarding which one of the two considering types of disease is the better, responses are the latter accounted for 43.9% against 'Cancer', the latter accounted for 45.3% against 'Endocrine disorders', the former accounted for 30.7% against 'Psychiatric disorders', the latter accounted for 38.2% gainst 'Otolaryngological(ENT) disease', the former accounted for 47.6% against 'Post traumatic stress disorder', and the former accounted for 52.4% against 'Muscle-skeletal disease'. 5. An investigation on frequency of patients' visits via (p<0.05) of subjects show a statistically significant difference. 6. First, an investigation on frequency of reasons of medical treatments reveal that age, occupation, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of subjects taking insurance medicines after herbal health treatments reveal that monthly income (p<0.05) of subject shows a statistically significant difference. 7. First, an investigation on frequency of a claim that herbal treatments of public health center does not have great effect on acute disease reveals that age, education, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of analysis that herbal treatments has faster effect on disease compared with western treatments reveals that education level, religion, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. 8. When herbal clinics of public health centers and general herbal medicine institutions are compared, a survey on additional treatments that herbal clinics need the most reveals that education level, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of subjects who want various forms of herbal medicines reveals that occupation and insurance type (p<0.05) of subjects show a statistically significant difference. Conclusion : In order to improve efficiency of treatments and enhance patient's satisfaction level, this study suggests measures such as providing a differentiated acupuncture treatments as a whole, streamlining an reception procedure, adopting more elaborated computer system for a patient to get proper medical attention, standardizing a treatment duration in order for a maximum result, keeping regular office hours, and optimizing a consultation time for a patient.

Analysis of Year-round Cultivation Characteristics of Artemisia princeps in Greenhouse and Enhancement of Eupathilin Content by Environmental Stress (강화쑥의 온실 주년 재배 특성 분석 및 환경 처리를 통한 유파틸린 성분 증대)

  • Kang, Woo Hyun;Han, Zeesoo;Lee, Seung Jun;Shin, Jong Hwa;Ahn, Tae In;Lee, Joo Young;Kang, Suk Woo;Jung, Sang Hoon;Son, Jung Eek
    • Journal of Bio-Environment Control
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    • v.27 no.1
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    • pp.94-101
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    • 2018
  • Mugwort (Artemisia princeps) is a medicinal plant that has a substance called euphatilin, which is effective for cell damage and gastritis recovery. The objectives of this study were to investigate the annual growth characteristics of Artemisia princeps in greenhouse and to increase the eupatiline content by environmental stresses. Growth and eupatilin content of the plants were compared after 6 weeks of seedling and subsequent 8 weeks of greenhouse cultivation. Photosynthesis of mugwort plants did not saturate even at a relatively high light intensity of $1,200{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$. Growth rate of the plants reached its highest at two weeks after transplanting and began to decrease since 8 weeks after transplanting. The plants showed typical characteristics of a perennial herbaceous plant as they were sensitive to seasonal changes. In particular, the plants showed high growth and eupatilin content in spring and summer as vegetative growth periods, but flowering and wintering caused considerable decreases in growth and eupatilin content in fall and winter. Therefore, application of night interruption is essential for year-round cultivationof the plant. Two stresses and a elicitor were treated: drought stresses by stopping irrigation at 5, 6, 7, and 8 days before harvest; salt stresses with nutrient solution concentrations of 2, 4, 6, 8, and $10dS{\cdot}m^{-1}$ by adding sodium chloride at 3 days before harvest; and foliar applications of methyl jasmonates of 12.5, 25, 50, and $100{\mu}M$ at 3 days before harvest. Significant increase in eupatilin content was observed at drought stresses of 7- and 8-days of irrigation stop and foliar application of $25{\mu}M$ methyl jasmonate, while no significant increase observed at salt stresses. From the results, it was confirmed that the environmental treatments can improve the productivity and quality of Artemisia princeps as a phamaceutical raw material.

Effects of Postharvest 1-MCP Treatment, Storage Method, and Shelf Temperature on Quality Changes of 'Gamhong' Apples during Export Simulation (수확후 1-MCP 처리, 저장 방법 및 현지 유통온도가 모의수출 '감홍' 사과의 품질에 미치는 영향 분석)

  • Park, Youn-Moon;Yoon, Tae-Myung
    • Horticultural Science & Technology
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    • v.30 no.6
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    • pp.725-733
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    • 2012
  • Effects of postharvest 1-methylcyclopropene (1-MCP) treatment, controlled atmosphere (CA) storage, and shelf temperature on quality of 'Gamhong' apples were analyzed during export simulation. Fruits were harvested at the optimum maturity for long-term storage, treated with $1{\mu}L{\cdot}L^{-1}$ 1-MCP for 16 hours, and then stored for 6 months under air and CA conditions at $0^{\circ}C$. Poststorage export procedure was performed by applying additional 2-week refrigerated storage and 7-day shelf-life test at 7 and $20^{\circ}C$, which simulated container shipment and local distribution, respectively. After storage and during export simulation, rates of respiration and ethylene evolution were significantly lower in 1-MCP treated and CA-stored apples. For the reduction of respiration, CA storage was more effective than 1-MCP treatment. Soluble solids content was maintained higher in 1-MCP treated apples, while titratable acidity was maintained better both in the 1-MCP treated and CA-stored apples. Effects of 1-MCP treatment and CA storage were highly significant in maintaining flesh firmness and sensory texture ratings. Additive effects from combined application of 1-MCP treatment and CA storage were occasionally observed. Shelf temperature during the local distribution simulation seemed not to significantly influence quality changes only showing limited effects on flesh firmness. Overall results suggest that storage potential of 'Gamhong' apples is shorter than 4 months in control fruit under refrigerated air conditions, whereas the potential can be extended to longer than 6 months by 1-MCP treatment and CA storage. Postharvest program should be provided considering the time of export, i.e. period of storage, and duration of local distribution.

Experimental Study on the Effect of Filter Layers on Pumping Capacity and Well Efficiency in an Unconfined Aquifer (자유면대수층에서 필터층이 취수량 및 우물효율에 미치는 영향에 대한 실험적 연구)

  • Song, Jae-Yong;Lee, Sang-Moo;Choi, Yong-Soo;Jeong, Gyo-Cheol
    • The Journal of Engineering Geology
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    • v.27 no.4
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    • pp.405-416
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    • 2017
  • This study evaluated a model unconfined aquifer comprising a sand or gravel layer, a filter layer, a pumping well, and an observation well. The model was employed in step drawdown tests and then used to assess the permeability of each test tank. The optimal yield and well efficiency were then calculated. Evaluation of yield by step in sand layer filters of equal thickness gave optimized watering rates of 22.03 L/min in the double filter and 19.71 L/min in the single filter. The double filter's yield was 115.0% that of the single filter. A comparison of double and single filters, each 10 cm thick, showed the double filter to have a maximum yield of 182.7%. Yields for the gravel layer were 73.56 L/min for a double filter and 65.47 L/min for a single filter of the same thickness; the former value is 112.3% of that of the latter. Comparison of double and single filters with 10-cm-thick gravel layers revealed that the double filter had a maximum yield of 160.9%. Results for sand wells showed the double filter to have a maximum efficiency of 70.4% and the single filter to have a minimum efficiency of 37.1%. Gravel-layer well efficiencies were >66.5% for both double and single filters (each 30 cm thick), but only 22.5% for a 10-cm-thick single filter. This study confirms that permeability improved as the filter material became thicker; it also shows that a double filter has a higher yield and well efficiency than a single filter. These results can be applied to the practical design of wells.

Assessment of the Cause and Pathway of Contamination and Sustainability in an Abandoned Mine (폐광산 오염원인 분석 및 오염경로, 향후 지속가능성에 대한 평가)

  • Kim, Min Gyu;Kim, Ki-Joon;Jeong, Gyo-Cheol
    • The Journal of Engineering Geology
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    • v.28 no.3
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    • pp.411-429
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    • 2018
  • Daeyoung mine (also called "Daema mine") produced gold and silver from mainly gold- and silver-bearing quartz veins. The mine tailings are a waste hazard, but most of the tailings were swept away or dispersed throughout the area around the mine long before the tailing dump areas were transformed into agricultural land. Soil liner and protection facilities, such as retaining walls, were constructed in the mine area to prevent the loss of tailings. The content of the tailings is 3,424.41~3,803.61 mg/kg, which exceeds the safety standard by a factor of 45. In addition, contamination was detected near agricultural areas and in the sediments in downstream drainage channels. A high level of As contamination was concentrated near the waste tailings yard; comparaable levels were detected in agricultural areas close to streams that ran through the waste dump yard, whereas the levels were much lower in areas far from the streams. The contamination in stream sediments showed a gradual decrease with distance from the mine waste yard. Based on these contamination patterns, we concluded that there are two main paths that affect the spread of contaminants: (1) loss of mine waste, and (2) the introduction of mine waste into agricultural areas by floods after transportation by streams. The agricultural areas contaminated by mass inflow of mine waste can act as contamination sources themselves, affecting other agricultural areas through the diffusion of contaminants. At present, although the measured effect in minimal, sediments in streams are contaminated by exposed mine waste and surface liners. It is possible for contaminants to diffuse or spread into nearby areas if heavy elements trapped in soil grains in contaminated agricultural areas leach out as soil solution or contaminant particles during diffusion into the water supply.

Analysis of Test Operations Effect of Open-Closed Loops Complex Geothermal System Combined with Groundwater Well (지하수정호 결합 복합지열시스템의 시범운영 효과분석)

  • Song, Jae-Yong;Kim, Ki-Joon;Lee, Geun-Chun;Jeong, Gyo-Cheol
    • The Journal of Engineering Geology
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    • v.28 no.3
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    • pp.475-488
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    • 2018
  • This study evaluates geothermal system efficiency in terms of input power and heat exchange volume on the heat-source and load sides, by applying a combined open-closed type loop system comprising a geothermal system and a groundwater well to a cultivation site. In addition, this study analyzes the effects of heating and cooling for a complex geothermal system, by evaluating the temperatures of an external site and a cultivation site during operation. During cooling operations the heat exchange volume on the heat source side, average 90.0kW/h for an open type system with an input of 235L/minute groundwater, and 40.1kW/h for a closed type system with an input of 85L/minute circulating water, for a total average heat exchange volume of 130.1kW/h. The actual heat exchange volume delivered on the load side averages 110.4kW/h. The average EER by analysis of the geothermal system's cooling efficiency is 5.63. During heating operation analysis, the heat exchange volume on the heat source side, average 60.4kW/h in an open type system with an input of 266L/minute groundwater, and 22.4kW/h in closed type system with an input of 86L/minute circulating water, for a total average heat exchange volume of 82.9kW/h. The actual heat exchange volume delivered on the load side averages 112.0kW/h in our analysis. The average COP determined by analysis of the geothermal system's heating efficiency is 3.92. Aa a result of the tradeoff between the outside temperature and the inside temperature of the production facility and comparing the facility design with a combined well and open-closed loops geothermal(CWG) system, we determine that the 30RT-volume CWG system temperature are lower by $3.4^{\circ}C$, $6.8^{\circ}C$, $10.1^{\circ}C$ and $13.4^{\circ}C$ for ouside temperature is of $20^{\circ}C$, $25^{\circ}C$, $30^{\circ}C$ and $35^{\circ}C$, respectively. Based on these results, a summer cooling effect of about $10^{\circ}C$ is expected relative to a facility without a CWG system as the outside temperature is generally ${\geq}30^{\circ}C$. Our results suggest that a complex geothermal system provides improvement under a variety of conditions even when heating conditions in winter are considered. Thus It is expected that the heating-cooling tradeoffs of complex geothermal system are improved by using water screen.

Development of A Two-Variable Spatial Leaf Photosynthetic Model of Irwin Mango Grown in Greenhouse (온실재배 어윈 망고의 위치 별 2변수 엽 광합성 모델 개발)

  • Jung, Dae Ho;Shin, Jong Hwa;Cho, Young Yeol;Son, Jung Eek
    • Journal of Bio-Environment Control
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    • v.24 no.3
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    • pp.161-166
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    • 2015
  • To determine the adequate levels of light intensity and $CO_2$ concentration for mango grown in greenhouses, quantitative measurements of photosynthetic rates at various leaf positions in the tree are required. The objective of this study was to develop two-variable leaf photosynthetic models of Irwin mango (Mangifera indica L. cv. Irwin) using light intensity and $CO_2$ concentration at different leaf positions. Leaf photosynthetic rates at different positions (top, middle, and bottom) were measured by a leaf photosynthesis analyzer at light intensities (0, 50, 100, 200, 300, 400, 600, and $800{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$) with $CO_2$ concentrations (100, 400, 800, 1200, and $1600{\mu}mol{\cdot}mol^{-1}$). The two-variable model consisted of the two leaf photosynthetic models expressed as negative exponential functions for light intensity and $CO_2$ concentrations, respectively. The photosynthetic rates of top leaves were saturated at a light intensity of $400{\mu}mol{\cdot}^{-2}{\cdot}s^{-1}$, while those of middle and bottom leaves saturated at $200{\mu}mol{\cdot}^{-2}{\cdot}s^{-1}$. The leaf photosynthetic rates did not reach the saturation point at a $CO_2$ concentration of $1600imolmol^{-1}$. In validation of the model, the estimated photosynthetic rates at top and bottom leaves showed better agreements with the measured ones than the middle leaves. It is expected that the optimal conditions of light intensity and $CO_2$ concentration can be determined for maximizing photosynthetic rates of Irwin mango grown in greenhouses by using the two-variable model.

Factors Affecting Use Satisfaction of Medical Institutions on Korean Society Adaptation of the Multicultural Families' Woman (다문화 가정 여성의 한국 사회 적응도가 의료기관 이용과정 만족도에 미치는 영향)

  • Choi, Sung-Suk;Yun, Hyun-Kyuong;Choi, Gyu-Yil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5875-5881
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    • 2012
  • Research objectives: This research is focused on the multicultural families based on the existing studies. The problems that the women of the multicultural families experience in this society were studied, in relation to the adaptability to Korea by identifying the elements related to the use of and satisfaction level towards medical institutions. As such, this research is expected to be used as a data that can help to provide quality medical service to the women of the multicultural families. Research method: 188 women of the multicultural families were targeted to carry out research by conducting interview and by leveraging translated survey questionnaire. Then, SPSS 18.0 program was used to conduct statistical analysis. As for the analysis methods, frequency analysis, technical statistics, ANOVA and multiple regression analysis method were used. The results of the research were as follows. First, for the satisfaction level towards medical institutions for each class following each nation, Vietnam manifested highest satisfaction level when it comes to the public sanitation clinic, followed by the Philippines and China in the order listed. Meanwhile, Japan manifested the lowest satisfaction level. In case of the Asian medicine hospital, Japan manifested the highest satisfaction level contrary to the public sanitation clinic, followed by Philippines and China in the order listed. Meanwhile, Vietnam manifested the lowest satisfaction level. Second, 'satisfaction level towards nationality, education level, income, degree of adaptation and access to the medical institutions via transportation,' degree of adaptation towards the Korean society was manifested as an influential variable. As the degree of adaptation towards the Korean society increased, satisfaction level towards the degree of access to the medical institutions via transportation was proven to be high. Third, 'Nationality, education, income, hospital administration to help adapt the level of satisfaction' income if the first 1,5 million to 2,0 million won that low satisfaction than from 1 million to 1,5 million won and Higher of Korean society to adapt was higher Hospital Administrationon the level of satisfaction Conclusion: Nationality, education level, income, degree of adaptation towards the Korean society affect satisfaction level towards medical institutions. To increase the elements that increase the satisfaction level towards the medical institutions, multi-dimensional approach by each nationality, education level and income is required. In particular, it would be considered necessary to increase the level of adaptability to Korea.

Assessment of Distribution Patterns and Sources for PAHs, OCPs, and Co-PCBs in the Surface Sediments from the Nakdong River Basin, Korea (낙동강 하천 및 호소 퇴적물에서의 PAHs, OCPs, Co-PCBs 농도 분포와 발생원 평가)

  • Kang, Hee-Hyung;Lee, In-Seok;Huh, In-Ae;Shin, Won-Sik;Hwang, In-Sung;Kim, Young-Hoon;Hur, Jin;Shin, Hyun-Sang;Kim, Joon-Ha;Oh, Jeong-Eun
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.7
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    • pp.656-664
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    • 2010
  • We investigated the levels and distribution patterns of 16 priority polycyclic aromatic hydrocarbons (PAHs), 12 Coplanar polychlorinated biphenyls (Co-PCBs) and organochlorine pesticides (OCPs) in the surface sediments from the Nakdong river basin, Korea. The levels of 16 PAHs and 12 Co-PCBs in the river sediment samples ranged from not detected (N.D.)~969.3 ng/g-dry, 4.2~7716.5 pg/g-dry (0.0~10.1 pg-TEQ/g-dry), respectively. Also, the levels of 16 PAHs were from 5.8~2987.2 ng/g-dry and 4.3~461.1 pg/g-dry (0.0~0.6 pg-TEQ/g-dry) for 12 Co-PCBs in the lake sediment samples. Only dichloro-diphenyl-trichloroethane (DDT) were detected among target OCPs and the concentration ranged from N.D.~1.5 ng/g-dry in the river sediment samples. These contamination levels were far below the guideline values suggested for environmental quality assessment. Low molecular weight PAHs were dominant in the river sediment samples, while middle and high molecular weight PAHs were dominant among 16 PAHs in the lake sediment samples. PCB-118 and PCB-105 were predominant congeners in the sediment, which were similar to the results obtained from previous studies. With these results, the assessment of potential sources of PAHs and Co-PCBs contamination in the sediments of the Nakdong river basin was performed. The pyrogenic-PAHs originated from combustion of fossil fuel and biomass were related with the PAHs contribution in most of the sediment samples, and Co-PCBs in the sediment samples were related with commercial PCB products.

Effect of water extract and distillate from the mixture of black goat meat and medicinal herb on osteoblast proliferation and osteoclast formation (흑염소와 약용식물 복합 증탕추출액 및 증류액이 조골세포 증식과 파골세포 형성에 미치는 영향)

  • Song, Hyo-Nam;Leem, Kang-Hyun;Kwun, In-Sook
    • Journal of Nutrition and Health
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    • v.48 no.2
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    • pp.157-166
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    • 2015
  • Purpose: The effects of water extract and distillate from the mixture of black goat meat and medicinal herb on MG-63 osteoblast proliferation and mouse bone marrow derived osteoclast formation were investigated. Methods: Proximate composition, volatile basic nitrogen (VBN), mineral content, free amino acid composition and free fatty acid composition in black goat meat were determined. Water extract and distillate were prepared with three groups; goat meat only (BG-E, BG-D), six herbs added group (BG-E6, BG-D6), and eight herbs added group (BG-E8, BG-D8). Osteoblast proliferation, mineralization and calcium uptake activity of MG-63 cells were measured and tartrate resistant acid phosphatase activity of osteoclasts was analyzed. Results: Black goat meat had remarkably low fat and high level of calcium. Glutamic acid was the most abundant amino acid. Herbs added extract groups (BG-E6 and BG-E8) showed increased MG-63 cell proliferation in a concentration dependent manner, while all the distillates did not show the effect. All extracts and distillates showed significantly increased osteoblast mineralization depending on the concentration. In particular, herb added extract, BG-E6, increased 170.3% of control and the distillate of BG-D and BG-D6 increased up to 168.5% and 159.8%, respectively. Calcium uptake activities of all water extracts showed remarkable increase of BG-E6 and BG-E8 up to 615.5% and 628.1% of control, respectively. Ditillates had no effect except BG-D6. All water extracts significantly reduced the activity of tartrate-resistant acid phosphatase (TRAP) in osteoclasts derived from mouse bone marrow. Conclusion: Combination of black goat meat and medicinal herb increased the MG-63 cell proliferation and effectively inhibited osteoclast differentiation in both water extracts and distillate of them, which implies that they could be used as potent functional food materials for bone health.