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성인 뇌성마비의 신체활동이 건강관련 삶의 질에 미치는 영향: 한국과 일본 뇌성마비를 대상으로
유정완,박규남 한국체육교육학회 2023 한국체육교육학회지 Vol.28 No.4
목적: 본 연구의 목적은 신체활동 (Physical Activity: PA)가 성인 CP(Cerebral Palsy: CP)의 건강관련 삶의 질(Health-Related Quality of Life: HRQOL)에 어떠한 영향을 미치는지를 조사하는 것이었다. 또한, 한국과일본 양국의 CP의 PA수준과 HRQOL을 비교하여 한국의 PA의 여건과 환경에 대해 조사함에 있다. 방법: 본 연구는 2018년부터 S시 소재 두 곳의 뇌성마비복지관 및 P시 소재 뇌병변복지관을 이용 하고 있는CP와 CP 축구대회에 참가한 총 152명의 한국인 CP와 츄우고쿠 지방의 H시 소재 한 곳의 장애인재활센터및 칸사이 지방의 H시 소재 장애인재활센터를 이용 하고 있는 CP와 롤링배구대회에 참가한 총 82명의 일본CP 총 215명의 성인 CP가 대상자였다. PA를 조사하기 위하여 운동에 관련된 요인들인 운동실시의 유무, 운동 지속 기간, 월 운동 빈도 3개의 질문으로 구성하여 조사하였으며, 건강관련 삶의 질을 평가하기 위한 척도로써 Medical Outcome Study 36-Item Short - Form Health Survey (SF-36)을 사용하여 조사하였다. 결과: 일본의 성인 CP가 한국의 성인 CP에 비하여 PA의 요인인 운동의 실시 유무와 운동 지속 기간 그리고월 운동 빈도의 모든 부분에서 통계적으로 유의하게 높은 것으로 나타났다 (p<.01). 또한, HRQOL의 하위영역 중 통증 (BP)을 제외한 7개의 하위영역 신체적 기능 (PF), 신체적 일상생활 기능 (RP), 일반적 건강(GH), 일상생활 기능 (RE), 활력 (VT), 사회적 기능 (SF), 정신적 건강 (MH)과 신체적 건강도 (PCS) 및 정신적 건강도(MCS)에서도 일본 성인 CP가 한국 성인 CP에 비하여 유의하게 높은 수치를 나타내었다 (p<.05). 결론: 한국 성인 CP의 PA와 체력수준 그리고 HRQOL에 증가를 위해서는 장애인의 생활체육 참여율을 올려야 하며, 이러한 문제점을 해결하기 위해선 체육시설의 접근성 향상, 생활체육 프로그램개선 및 지도자의양성을 위한 개선이 필요하다고 사료된다. Purpose: This study aimed to investigate how the physical activity (PA) affects the health-related quality of life (HRQOL) in adults with Cerebral Palsy (CP). In addition, it sought to investigate the conditions and environment of PA in Korea by comparing the PA level and HRQOL of CP in both Korea and Japan. Methods: This study was conducted on a total of 152 Koreans with CP, including those who were using two CP welfare centers in S city and a brain lesion welfare center in P city and those who participated in a soccer tournament for patients with CP, and on a total of 215 adults with CP, including 82 Japanese with CP who were using rehabilitation centers for the disabled in H city of the Chugoku region and in H city of the Kansai region and participated in a rolling volleyball tournament. A survey was conducted with questions about three exercise-related factors: whether or not exercise was performed, duration of exercise, and monthly exercise frequency to investigate PA, and the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36) was used as a measure of evaluating HRQOL. Results: Compared to Korean adults with CP, Japanese adults with CP were statistically significantly higher in all of whether or not exercise was performed, duration of exercise, and monthly exercise frequency (p<.01). In addition, Japanese adults with CP showed significantly higher values than Korean adults with CP in terms of the remaining 7 sub-domains of HRQOL, excluding back pain (BP), such as physical function (PF), role limitation physical (RP), general health (GH), role emotional (RE), vitality (VT), social function (SF), and mental health (MH), and in terms of physical components summary (PCS) and mental component summary (MCS) (p<.05). Conclusions: In order to increase the PA, fitness levels, and HRQOL of Korean adults with CP, it is necessary to increase the participation rate of people with disabilities in sports for all by strengthening their access to sports facilities, improving sports programs for all, training leaders, etc.
Spinal epidural hematoma in a gastric cancer patient after epidural catheterization −A case report−
유정완,한종인,이희승,김동연 대한마취통증의학회 2011 Anesthesia and pain medicine Vol.6 No.2
Spinal epidural hematoma is a rare event that is usually thought to require immediate surgical therapy. A variety of predisposing factors have been demonstrated for this malady and hemostatic abnormalities are rather frequent in cancer patients. In this report,we present a case of an old man who was diagnosed with early gastric cancer. He had normal coagulation function. After performing hemodynamically stable surgery, an epidural catheter was inserted. The patient underwent reoperation due to postoperative wound bleeding on postoperative day 1. In the evening of the 2nd postoperative day, emergency magnetic resonance imaging (MRI)revealed an epidural hematoma extending from T5 to T8. The patient’s coagulation function became even worse. We thought that acute DIC had developed on the patient. Approximately 2 months later, he finally showed spontaneous clinical improvement. (Anesth Pain Med 2011; 6: 121∼124)
유정완,신동훈 (사)위기관리이론과실천 2023 Journal of Safety and Crisis Management Vol.13 No.7
As climate change is a global agenda that requires combined and collective global efforts, each country, developed or developing, needs to mainstream climate change policies, both domestic and external, to achieve its' Nationally Determined Contribution (NDC) targets and ultimately the goals of the Paris Agreement (PA). For this end, climate finance, domestic or international, public or private, plays crucial role in the much-needed transitioning of carbon-intensive industries as well as adapting to the effects of climate change. This study, within the context of Climate-Related Development Finance (CRDF) for developing countries as part of bilateral Official Development Assistance (ODA), aims to derive policy implications for South Korea's CRDF by means of empirical analyses of CRDF determinants for Japan, Germany, and France, which are one of the largest donor countries of CRDF among member countries of the Development Assistance Committee for the Organization for Economic Co-operation and Development (OECD DAC). South Korea should scale up CRDF to recipient countries to which export volume is comparatively higher, reflecting its economic interest, as largest donor countries do consider export volume in their CRDF allocations.