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노인들의 생활체육 참여 욕구에 대한 노인체육지도자 역할모형 구축
안민주(Min Ju An),김홍식(Hong Sik Kim),강원재(Won Jae Kang),김공(Kong Kim) 한국사회체육학회 2010 한국사회체육학회지 Vol.0 No.41
This study has the purpose of providing a differentiated program accommodating the participational desire of physical activities in elderlies, and effective teaching methods, member management, improvement of drawbacks of teachers, expert teacher distribution, and additionally, the basic data for the smooth performance of the role as a teacher and measure for the initiation of physical activities in elderlies, by constructing a role template of teachers based on the participational desire of physical activities in elderlies. To achieve this purpose, the opinions of an elderly physical activity expert (university `elderly physical activity` department professor, researcher in its laboratory, administrative management employee, and site leader) on participational desire of elderlies in physical activities (reliance on teacher, HSP value, intention of continued participation, intention of conversion) was collected. 35 aspects based on the role of the teacher was acquired through similar delphi analyses, with the ultimate extraction of 27 aspects passing through an editing process of synthesis and separations. Further collection of subjective opinions have been executed from physical activity teachers, comparing with prior perceptions in which common positive opinions were seen, resulting in a more practical analysis of the role of an elderly physical activity teacher, leading to the construction of its template, giving the following conclusions. Firstly, the elderly physical activity teacher must induce motivation within the participating elderly. Secondly, the planning and preparation of classes must be thoroughly conducted. Thirdly, the teacher must induce recognition of the effect of exercise by the participating elderly. Fourthly, a sense of professionalism must be attained. Lastly, the teacher must induce recognition of the necessity of exercise by the participating elderly. Further concurrence of the role of the teacher included systematic process, providing of various information, understanding of the elderly, composition of class atmosphere, program development/distribution, maintenance of friendliness, responsibility, personalized teaching, goal proposal, providing of opportunities, and grasp of individual nature. On the other hand, an insufficient awareness of the role of a teacher was seen relating to member management.
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Enflurane 마취하 간절제술시 간혈류차단이 술후 간기능에 미치는 영향
박찬홍,김봉일,강원재 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.1
Background: The most common cause of postoperative hepatic dysfunction is decreased hepatic blood flow due to decreased cardiac output and vasoactive substance during anesthesia. It might be suggested that hepatic blood flow occlusion affects postoperative dysfunction. This study was designed to investigate this possible effect on postoperative liver function. Methods: Forty-seven patients; hepatic resection with temporarily hepatic vascular occlusion (Pringle's maneuver) under enflurane anesthesia were involved. The duration of liver ischemia was 44.2 20.0 min. Blood transfusions (8.3 5.1 pints) were administered to nine patients intraoperatively. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), and total bilirubin (TB) were measured at preoperation, postoperative 6 hours, 1, 3, 7 and 14 days. Alkaline phosphatase (AP) was measured also but not at postoperative 6 hrs. Results: The values of postoperative AST, ALT, LDH were increased sharply but returned at postoperative 7th day. AP did not change significantly. TB levels rose for 7 days postoperatively and then fell. Conclusion: From these results, it is inferred that the effect of hepatic ischemic insult under enflurane anesthesia on postoperative liver function is not significant. (Korean J Anesthesiol 1999; 37: 19∼24)
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뇌동맥류 환자에서 요골동맥 카테터 거치 후 발생한 가성동맥류
박찬홍,김봉일,강원재 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.3
The arterial cannulation has been performed for continuous blood pressure monitoring and blood gas analysis in operating room. The radial artery, ulnar artery, dorsalis pedis artery and others have been used for the site of cannulation. Although arterial cannulation offers many advantages, complications can developed. The complications of arterial cannulation are pain on puncture site, hematoma, infection, and so on. However pseudoaneurysm is a rare complication. We experienced a case of pseudoaneurysm at the radial artery following catheter indwelling for 7 days in a 54-year-old rnale patient undergoing cerebral aneurysm clipping which was found at 84 days after operation. (Korean J Anesthesiol 2000; 38: 559~562)
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