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시각장애노인의 운동 참여수준과 주관적 건강 평가의 관계
김봉덕 ( Bong Deok Kim ),김춘종 ( Chun Jong Kim ) 한국특수체육학회 2013 한국특수체육학회지 Vol.21 No.3
이 연구의 목적은 2011 장애인 실태조사의 원자료(raw data)를 바탕으로 시각장애노인의 운동 참여수준과 주관적 건강 평가의 관계를 분석하는데 있다. 이를 위해 만 65세 이상 되는 시각장애인(148명)을 연구대상으로 선정하였다. 자료분석은 SPSS 20.0을 이용하여 교차분석과 로지스틱 회귀분석을 실시하였으며, 유의 수준은 p<.05로 설정하였다. 로지스틱 회귀분석 결과는 다음과 같다. 시각장애노인들 중에서 운동 참여 집단이 비참여 집단에 비해 주관적 건강 평가가 통계적으로 유의하게 높게 나타났으며, OR값은 2.05(95% CI=2.00-2.11)나타났고, 운동주기는 “거의 매일” 집단이 “주 1-3회 이하” 집단에 비해 통계적으로 유의하게 높게 나타났으며, OR값은 1.05(95% CI=1.02-1.09)나타났다. 그리고 운동시간은 “30분 이상” 집단이 “30분 미만” 집단에 비해 통계적으로 유의하게 높게 나타났으며, OR값은 1.63(95% CI=1.57-1.69)나타났다. 따라서 시각장애노인의 주관적 건강 평가를 높이기 위해 운동주기는 거의 매일, 운동시간은 30분 이상 참여할 필요가 있다. The purpose of the study is to analyze association between participation level in exercise of the elderly people with visual impairment and self-rated health assessment. To this end, 2011 study on national survey of the disabled person was used and the subjects were people with visual impairment(n=148) over 65 years old. Collected data were analyzed with crosstabulation and logistic regression analysis(p<.05). The results of logistic regression analysis were as follows. For the elderly people with visual impairment, exercise participation group showed 2.05(95% CI=2.00-2.11) in OR(Odds ratio) figure compared to non-participation group; in exercise frequency, almost everyday group showed 1.05(95% CI=1.02-1.09) in OR compared to less than 1-3 times a week group; in exercise hours, more than 30 minutes group showed 1.63(95% CI=1.57-1.69) compared to less than 30 minutes group, which is statistically significant. Accordingly, to raise self-rated health assessment of elderly people with visual impairment, it is suggested that exercise frequency is almost everyday; for exercise hour have more than 30 minutes.
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김성덕,김광우,곽일용,김봉덕,유승근 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.1
The management of patient undergoing thoracic aortic surgical procedures represents a major challenge for the anesthesiologists. Aortic cross-clamping and unclamping are particularly hszardous during the- course of the thoracic aortic operation. Proximal hypertension, myocardial ischemia and arrhythmia have been reported to occur after application of the aortic cross-clampmg. Removal of the cross-clamp often results in severe hypotension with subsequent myocardial, cerebral and renal ischemia. In this case, the patient was managed successfully using Regitine drip during the cross-clamp and slow release of clamp during unclamp, combined with slight overhydration juat before unclamp.
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비탈분극성 근육이완제(Pancuronium)에 대한 Atropine 과 Neostigmine 의 혼합 주사로 인한 심박수의 변화
김규삼,김성덕,김광우,권무일,오용석,김봉덕 대한마취과학회 1979 Korean Journal of Anesthesiology Vol.12 No.4
Around the time of recovery from general anesthesia we usually use atropine and neostigmine to counteract the effect of muscle relaxant that is remaining in the body. We used various kinds of combinations of atropine and neostigmine to see the effect of them on heart rate. The combinations were as follows: I) atropine 0.02mg/kg+neostigmine 0. 02mg/kg. 2) atropine 0. 2mg /kg+neostigmine 0.03mg/kg. 3) atropine 0. 02mg/kg+neostigmine 0.04mg/kg. 4) atropine 0.02mg/kg+neostigmine 0.05mg/kg. 5) atropine 0.02mg/kg+neostigmine 0.06mg/kg. 6) atropine 0.02mg/kg+neostigmine 0.07mg/kg. Ten subjects(ps.I.ASA) were taken for each combination. Thus total sample size of the six combinations were sixty, Each study has been performed in the state of ASA P.S.1, and anesthetized for b but two hours. N₂O-O₂-Halothane technique was used for anesthesia. The dosage of pancuronium was 0. 08mg/kg. The age distribution of the sample was 2 to 60, and male to female ratio was 4 to 6. We came to the following conclusions from this stud 1) Types of dosage combinations those caused little change in heart rate were; atrop!ne 0.02mg/kg+neostigmine 0.02mg/kg, and atropine 0.02mg/kg+ neostigmine 0.03mg/kg. 2) Just after the simultaneous injection of the drugs, there appeared mild tachycardia, but fifteen minutes after the administration severe bradycardia came on and, after that the heart rate returned to normal. 3) The combinations which included neostigmine, more than 0. 04mg/kg, caused severe braycardia, and the most severe bradycardia was seen with a combination of atropine 0.02mg/kg and neostigmine 0.06mg/kg.
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방성호,김성덕,김광우,장호조,권무일,김봉덕 대한마취과학회 1979 Korean Journal of Anesthesiology Vol.12 No.4
Changes of body temperature were observed in the esophagus and rectum by telethermometer during extracorporeal circulation in 40 cases of open heart for detection of significant differences in survivals and non-survivals. The following results were obtained; 1) Esophageal and rectal temperature(just prior to extracorporeal circulation) were 36.4±0.69。C, 36.8±0.8。C respectiyely in non-survivals and 36.0±0.73。C, 36.4±0.8。C in survivals after open heart surgery 2) Normal differences between rectal and esophageal temperature came to disappear after 30 minutes of extracorporeal circulation in two groups. 3) Esophageal temperatures were higher than rectal temperatues after extracorporeal circulation for open heart surgery in both groups. 4) Changes of temperature diferences between rectum and esophagus have no correlation with mortality because of the variation in two areas in both groups.
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