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어머니와 영아의 수면문제가 영아의 문제행동 및 어린이집 적응에 미치는 영향에서 모아애착의 매개효과
배정인(Jung In Bae) 한국열린유아교육학회 2014 열린유아교육연구 Vol.19 No.4
본 연구는 영아의 사회부적응적 행동을 발생시키는 경로와 선행요인에 대해 탐색하고자 한 것으로 어머니수면문제와 영아수면문제가 영아문제행동 및 어린이집 적응에 영향을 미치는지, 여기서 모아애착의 매개효과가 나타나는지 살펴보고자 하였다· 이를 위해 서울지역 어린이집에 재원중인 영아의 부모 및 교사를 대상으로 설문조사를 실시하였으며 상관관계분석과 회귀분석, 구조모형 분석을 통해 본 연구의 가설을 검증하였다· 연구결과 첫째, 어머니수면문제는 모아애착을 매개로 영아문제행동을 증가시키고 있었고 둘째, 영아수면문제 역시 모아애착을 매개로 영아문제행동을 증가시키고 있었다· 셋째, 영아수면문제가 낮을수록 어린이집 적응이 높았으나 여기에서 모아애착의 매개효과는 나타나지 않았다· 마지막으로 어머니수면문제는 영아수면문제에 영향을 미쳐 어린이집 적응 및 모아애착을 통한 영아문제행동에 관여하고 있음을 알 수 있었다· 일련의 연구결과들은 후속연구를 위한 이론적 대안을 제시하며 또한 영아의 사회부적응 문제를 감소시키기 위한 사회적·정책적 대안마련의 필요성을 시사한다. This study examines the mediation effects of mother attachment between mother sleep problems, infant sleep problems and infant problem behaviors, adaptation in child care centers. The study surveys the mothers and teachers of infants’ who attended child care centers. This study also conducts a correlation analysis, regression analysis, and structural equation model analysis. Results show that, first, mother sleep problems increased infant problem behaviors; second, infant sleep problems increased mother attachment. Third, infant sleep problems increase adaptation in child care centers but no mother attachment mediation effects are found. Lastly, mother sleep problems influence infant sleep problems, infant sleep problems increased mother attachment, mother attachment increased infant problem behaviors. This study suggests that theoretical basis for a follow-up study and social and political alternatives to help decrease infant social-maladjustment action.
실험연구 : 상복강 대동맥 교차차단 및 재관류 시 Fenoldopam 투여가 허혈성 신 손상에 미치는 영향
유진균 ( Jin Gyun Yoo ),박혜령 ( Hye Ryoung Park ),이용철 ( Yong Cheol Lee ),김진모 ( Jin Mo Kim ),장영호 ( Young Ho Jang ),김애라 ( Ae Ra Kim ),배정인 ( Jung In Bae ),홍지희 ( Ji Hee Hong ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.2
Background: The overall rate of renal complication after surgery on the suprarenal aorta remains high. In this study, the changes in renal blood flow (RBF), urinary oxygen tension (PuO2), renal vascular resistance (RVR), and urinary volume following fenoldopam administration were investigated in supraceliac aortic cross-clamping and unclamping animal model. Methods: Twelve dogs were divided into two groups; control group (n = 6), fenodopam group (n = 6). After brachial, femoral, and pulmonary arterial catheterization, midline abdominal incision was made. For the aortic cross-clamping the supraceliac aorta was exposed. A doppler flowmeter probe was placed around right renal artery. A ureteral catheter was positioned at the right renal pelvis to measure urine volume and urinary oxygen tension (PuO2). In fenoldopam group, 0.5μg/kg/min of fenoldopam was administered immediately before suprarenal aortic reperfusion. Systemic hemodynamics, renal blood flow, renal vascular resistance, PuO2, and urine volume were compared between two groups. Results: The systemic hemodynamics were not significantly different between the two groups throughout the experiment. After aortic reperfusion, the RVR significantly increased in control group, but the RVR in fenoldopam group remained to baseline level. The urine output, RBF, and PuO2 significantly increased in fenoldopam group compared to control group. BUN and serum creatinine were not different between the two groups. Conclusions: High dose of fenoldopam administration reverse ischemic renal insufficiency after supraceliac aortic cross clamping. (Korean J Anesthesiol 2007; 52: 202~11)
임상연구 : 후두경을 이용한 이중관 기관지 튜브 삽관 시 심혈관계 반응을 억제하는 Remifentanil의 적정 용량
신형용 ( Hyoung Yong Shin ),서보병 ( Bo Byoung Seo ),이용철 ( Yong Cheol Lee ),김진모 ( Jin Mo Kim ),김애라 ( Ae Ra Kim ),장영호 ( Young Ho Jang ),배정인 ( Jung In Bae ),홍지희 ( Ji Hee Hong ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.1
Background: The purpose of the present study was to determine the optimal dose of bolus remifentanil to attenuate hemodynamic changes to laryngoscopic double-lumen endobronchial intubation. Methods: A total of 80 ASA I or II patients requiring double-lumen endobronchial intubation were randomly assigned to receive normal saline (NS) or one of the three different doses (0.5μg/kg (group R0.5), 1.0μg/kg (group R1.0) or 2.0μg/kg (group R2.0)) of remifentanil. Study drugs for each group were administered over 30 seconds after induction of anesthesia with thiopental sodium and rocuronium. Laryngoscopic endobronchial intubation was carried out 90 seconds after the administration of study drug. Arterial blood pressure and heart rate were recorded at preanesthetic baseline, preintubation, postintubation, and every one minute during the initial 5 minute period after intubation. Results: Mean arterial pressure at postintubation period increased significantly compared to baseline value in group NS, R0.5, and R1.0, but there were no significant changes in group R2.0. Heart rate showed significant increase in comparison to baseline value at every postintubation period in group NS, R0.5, R1.0, with no significant changes in group R2.0. Conclusions: We suggest that 2.0μg/kg of remifentanil attenuate the hemodynamic changes to double-lumen endobronchial intubation without adverse effect. (Korean J Anesthesiol 2007; 53: 48~53)
실험연구 : 실험견에서 간혈류 차단 및 재관류 시 소량의 Nitroglycerin과 Dopamine 투여에 의한 신장 혈류 및 실시간 국소 신관류의 변화
한성욱 ( Seong Wook Han ),엄진원 ( Jin Won Uhm ),장영호 ( Young Ho Jang ),김애라 ( Ae Ra Kim ),김진모 ( Jin Mo Kim ),배정인 ( Jung In Bae ),정정길 ( Jung Kil Chung ),전재규 ( Jae Kyu Cheun ) 대한마취과학회 2003 Korean Journal of Anesthesiology Vol.44 No.6
배정인 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.6
Background : Electrocardiogram was one of the routine monitorings not only using for preanesthetic assessment but also in the operation room and ICU. Electrocardiographic changes are reported frequently after subarachnoid hemorrhage. Preanesthetic assessment of ECG abnormalities in the patients with subarachnoid hemorrhage is important. The aim of this study was to investigate the functional significance of ECG changes for perioperative assessment of cardiac function. Methods : For premedication, patients were administered glycopyrrolate 0.2 mg 1 hour prior to induction. Induction was established with pentothal sodium, succinylcholine after precurarization and preoxygenation. N2O/O2 (2:1), isoflurane and pancuronium were administered for maintenance. The monitorings for patients were performed ECG (5 leads), direct atrial pressure, ETCO2, CVP and rectal temperature. Results : ECG abnormalities consisted of T wave abnormalities, ST segment changes, abnormal Q wave, QT interval prolongation, LVH and arrhythmia etc. We analyzed 41 of 108 SAH patients who had ECG abnormalities of neurogenic origin preoperatively. Of these, 46% in T wave, 17% in LVH, 15% in Q wave, 15% in ST segment changes and 7% in the others (CRBBB, PAC, AF) were found. Conclusions : It is concluded that we found a poor relationship between electrocardiographic changes after subarachnoid hemorrhage and evidences of myocardial dysfunction on the echocardiogram. General anesthesia in the patients of the subarachnoid hemorrhage must not be delayed in the patients with ECG abnormalities of neurogenic origin. A preanesthetic cardiac assessment in the patients with ECG abnormalities of cardiogenic origin must be always performed. (Korean J Anesthesiol 1998; 35: 1136∼1141)