폐경 후 여성의 골다공증 및 심혈관계질환 위험도에 따른 영양소 및 식품섭취상태: 제5기 국민건강영양조사(2010-2011) 자료를 이용하여

김효빈,김혜숙,권오란,박희정 대한지역사회영양학회 2019 대한지역사회영양학회지 Vol.24 No.2

Objectives: The purpose of this study was to investigate the food, nutrient intake, and diet quality of postmenopausal women at high risk of osteoporosis (OP) and cardiovascular disease (CVD) compared with those of control subjects. Methods: A total of 1,131 post-menopausal women aged over 45 years, who took the 2010-2011 Korean National Health and Nutrition Examination Survey (KNHANES), were included for analysis. These participants were classified into the following groups: the OP group, with a risk of OP (n=135); the CVD group, with a risk of CVD (n=373); the OP+CVD group, with a risk of OP and CVD concurrently (n=218); and the control group (n=405) according to bone mineral density (BMD) and CVD risk. Anthropometric measurements, blood profiles, dietary intake, and dietary quality indices were measured and compared among the four groups. Results: Waist circumference, total body fat percentage, blood pressure, fasting plasma glucose, total cholesterol, triglyceride, and LDL-cholesterol were higher, and HDL-cholesterol and BMD were lower in the OP+CVD group than in the control group. In the food frequency questionnaire, the OP+CVD group had significantly higher frequencies of grain (except for multi-grain) and lower frequencies of fruit and dairy product. The frequency of consumption of red meat, processed meat, and carbonated beverages was higher in OP+CVD group. In nutrient density analysis, proteins and vitamin B2 levels were significantly lower in the OP+CVD group than in the control group. The nutritional quality index (INQ) values of calcium were in the order of 0.63, 0.58, 0.56, and 0.55 in each group, and it was urgent to improve the dietary intake for calcium in postmenopausal women. In addition, vitamin B2 was inadequately consumed by all groups. Conclusions: These results suggest that it is necessary to increase the intake of vitamin B2 and calcium and decrease the frequency of intake of red meat, processed meat, and carbonated beverages in postmenopausal women with the risk of OP and CVD.

무력감에 대한 개념 분석

김효빈 진주간호보건전문대학 1999 진주간호보건전문대학 논문집 Vol.22 No.2

[무용(4)] 김진미의 개인 춤판 ‘풍유’ - 김진미 춤의 힘과 풍유적 향취

김효빈 현대미학사 2009 공연과 리뷰 Vol.65 No.-

활성제 이온이 Ca₂ZrO₄ 형광체의 특성에 미치는 효과

김효빈,임지윤,조신호 한국표면공학회 2019 한국표면공학회 학술발표회 초록집 Vol.2019 No.11

Analysis of Traditional Medical Disputes: Data from the Korean Acupuncture and Moxibustion Medicine Society (2013-2017)

김효빈,김재익,이예지,전주현,김은석,김영일 대한침구의학회 2019 대한침구의학회지 Vol.36 No.3

Background: The purpose of this study was to analyze the medical dispute cases in Acupuncture and Moxibustion treatment, and present the guidelines of treatment to prevent medical disputes. Methods: Korean Acupuncture and Moxibustion Medicine Society medical dispute cases from January 2013 to September 2018 were collected and analyzed. Results: There were 80 cases, which included acupuncture treatment (54 cases), cupping treatment (7 cases), local infection / inflammation (17 cases), and neurological symptoms (13 cases). Analysis of the correlation between types of medical accidents and the treatment methods, showed that local infection and inflammation (12 cases) were the most reported in acupuncture treatment. Conclusion: This study was performed to analyze the current status of medical disputes in the field of acupuncture and moxibustion, and provide basic data for guidelines to prevent them. Further study preparing for clinical guidelines to prevent medical disputes in specific departments are warranted in the future.

소아 알레르기비염에서 알레르겐 감작과 대기오염과의 연관성

김효빈 대한 소아알레르기 호흡기학회 2018 Allergy Asthma & Respiratory Disease Vol.6 No.4

. 알레르기비염은 비점막에 흡입항원이 노출되었을 때 수양성 콧물, 코막힘, 재채기, 코가려움, 후비루와 같은 증상이 발생하는 질환으로,1 알레르기비염의 유병률은 전 세계적으로 증가 추세를 보여오다 최근에는 점차 지역에 따른 차이를 보이고 있다.2 그러나 개발도상국에서는 여전히 알레르기비염의 유병률이 증가 추세를 보이고 있고 국내에서도 이러한 증가 양상이 지속되고 있다.3 1995년과 2000년에 대한 소아알레르기 호흡기학회 주관으로 전국 소아청소년을 대상으로 International Study of Asthma and Allergies in Childhood (ISAAC) 설문을 이용하여 시행한 역학연구에서 알레르기비염 진단율은 초등학생의 경우 1995년 15.5%에서 2000년 20.4%로, 중학생에서는 1995년 7.7%에서 2000년 13.6%로 증가 추세를 보였고, 최근 12개월 이내 알레르기비염 증상은 초등학생에서 1995년 31.0%에서 2000년 29.7%로, 중학생에서는 1995년 30.0%에서 2000년 34.5%로 증가하는 추세를 보였다.3 2012년에서 2013년에 걸쳐 시행한 전국 소아청소년 대상 조사에서 알레르기비염 진단율은 초등학생에서 42.6%, 중학생에서는 33.9%였고, 최근 12개월 이내 알레르기비염 증상은 초등학생에서 46.0%, 중학생에서 37.0%로 계속적으로 증가하고 있었다.4 물론 이러한 역학조사는 대규모 연구로서 의미가 있지만 횡단면적인 연구로서 한계가 있으므로 장기 추적 관찰이 가능한 코호트연구를 통해 자연 경과를 확인하는 것이 필요하겠다.

A Case Report of a Patient with Miller Fisher Syndrome Treated with Traditional Korean Medicine

김효빈,정정교,김명관,김재익,이예지,전주현,김은석,김정호,김영일 대한침구의학회 2018 대한침구의학회지 Vol.35 No.3

The aim of this report is to describe improved symptom changes in eye movement disorders and dizziness of a patient with Miller Fisher syndrome after receiving combined Korean medicine treatment (CKMT). A 24-year-old male was diagnosed with MFS accompanied by eye movement disorder, diplopia, and dizziness. For 6 weeks, the patient received acupuncture, electro-acupuncture, pharmacopuncture, herbal medicine, and physical therapy treatment. Visual analogue scale were checked and other outcomes (the range of eye movement, the distance that diplopia appears, diplopia questionnaire) were measured. Following CKMT, the movement of both eyes improved in both the horizontal and vertical direction. Also for diplopia and dizziness, there was a decrease in the visual analogue scale and the distance that diplopia appeared. The present case report suggests that CKMT may have a role in treating eye movement disorders and dizziness in patient diagnosed with MFS.

혈액투석 환자의 질병대처경험 : With a Grounded Theory Approach

김효빈,백경선,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2003 중앙간호논문집 Vol.7 No.2

This study dealt with the grounded theory which was applied to Hemodialysis patients The subjects were 8 hemodialysis patients, and they were interviewed directly by the present writer. The data were collected and analysed from April through September 2003. They were analysed immediately after the interviews and new data were continually coded into categories according to Strauss & Corbin's methodology. In the process of data analysis 81concepts and 22sub-categories were identified and then finally 7categories were confirmed. They are such as suffering, powerlessness, attachment of life, love and concern, acknowledge of disease and improvement/deterioration of quality of life. Among those 7categories control of powerlessness was found to be the core phenomenon. The coping experiences of hemodialysis patients can be summarized as the process of "control of powerlessness". It is a process of a series of interaction which includes 4 stage, several hypothetical statements were developed in relation with cause & result relationship between before and after, strategy and result of interaction. These hypothetical statements were narrowed down to four types as the result of continuous comparison with the data and confirmation of the repetitious relationship between categories. Those four types of hypothetical statements are Religious Devotion Type, Social Pursuit Type, Self-initiative Type, Others-dependence. This study shows, in the area of nursing education the need of education of nurses about providing hemodialysis patients away how to cope with the difficult situations. In the study of nursing, it provides a grounded theory which can be applied to the coping experiences of hemodialysis patients. In the area of clinical practices, it can be used as a basic material to develop a series education of nursing intervention for hemodialysis patients.

작두콩(Canavalia gladiata) 추출물 첨가에 따른 떡의 저장성 증대 및 품질특성

김효빈,백금비,김주현,김한솔,강국인,이은혜,박건희,박수현,김다영,민혜린,박윤정,마리나,김현희,서동준,김지나,길가영,주현목,권기한 한국식품영양과학회 2014 한국식품영양과학회 학술대회발표집 Vol.2014 No.10

영유아천식 악화시 Eosinophil-derived Neurotoxin 및 Eosinophil Cationic Protein 농도와 기도벽 비후 사이의 연관성

김효빈,Rachel Fletcher,최준기,윤운기,마영수,신보문,김정숙,김창근 대한 소아알레르기 호흡기학회 2007 Allergy Asthma & Respiratory Disease Vol.17 No.2

Purpose : Eosinophilic inflammation plays a critical role in asthma and high-resolution computed tomography (HRCT) scoring systems have been used to evaluate the extent and severity in long standing adult asthma. We investigated if there is a correlation between eosinophil degranulation markers and HRCT scores in childhood asthma. Methods : Children with acute asthma exacerbation (n=25) underwent HRCT and were assessed for bronchial wall thickening (BWT), low lung density (LLD), and bronchial dilatation (BD) using semi-quantitative scoring techniques. Serum eosinophil-derived neurotoxin (EDN) and eosinophil cationic protein (ECP) levels indicating eosinophil degranulation were determined. Comparisons were made with normal control subjects (n=14). Results : BWT (P<0.001) and LLD (P<0.001) scores were higher in the childhood asthma group than in the control group, but BD scores were not. The EDN (r=0.405, P<0.05) and ECP (r=0.565, P<0.01) levels significantly correlated with BWT scores, but not with LLD and BD in the childhood asthma group. The EDN (r=0.710, P<0.0001) and the ECP (r=0.580, P<0.0001) levels were significantly correlated with serum total eosinophil counts. Conclusion : The EDN and ECP levels were correlated with BWT scores on HRCT. These findings suggest that EDN and ECP may be valuable for quantifying airway thickening in children with asthma exacerbation. 목 적 : 천식의 병태생리에 있어서 만성 호산구성 염증반응의 역할은 중요하고, 이를 평가하는데 성인천식에서는 HRCT를 이용하였다. 저자들은 영유아 천식에서 호산구의 탈과립과 HRCT 상 이상소견 사이에 연관성을 보이는지를 조사하였다. 방 법 : 급성 천식 발작을 보인 영유아 25명에서 HRCT를 시행하여 기도벽 비후(BWT)와 폐음영 감소(LLD), 기관지의 확장(BD)을 정상아 14명과 비교하였다. 혈청 EDN과 ECP 농도를 측정하여 HRCT 소견과의 상관성을 분석하였다. 결 과 : 영유아천식 환아들에서 정상아들에 비해 기도벽 비후(P<0.001)와 폐음영 감소(P<0.01) 가 의미있게 증가되어 나타났다. 또한 혈청 EDN (r=0.405, P<0.05), ECP (r=0.565, P<0.01) 농도와 기도벽 비후 점수가 영유아천식 환아들에서 의미있는 상관성을 보였고, 폐음영 감소와 기관지의 확장은 관련이 없었다. 혈청 EDN과 ECP 농도는 각각 말초혈액내 총 호산구 수와 의미있는 상관성을 보였다. 결 론 : 천식환아들에서 호산구에서 분비된 혈청 EDN과 ECP 농도는 HRCT 상 기도벽 비후와 상관성을 보였다. 따라서 혈청 EDN 및 ECP농도가 소아천식, 특히 영유아기 천식의 기도벽 비후를 평가하는 가치있는 표지자가 될 수 있겠다.