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실제 체중과 이상적 체중에 근거한 Remifentanil 투여 용량이 기관 내 삽관 상태와 혈역학적 부작용에 미치는 영향
김신성 대한마취통증의학회 2007 Anesthesia and pain medicine Vol.2 No.1
Background: Remifentanil presents good intubation conditions and blunting adverse hemodynamic responses following intubation. So, we evaluated to determine optimal dosage of remifentanil for intubation which consider ideal body weight. Methods: 160 ASA class 1-2 patients were selected and divided 4 groups, which were composed of 40 patients. Group 1 and 2 were administrated dosage calculated by TBW (total body weight). Each group was administrated intravenous continuous infusion dose of 1.0 ug/kg/min of remifentanil during 2 minutes followed by intravenous bolus dose of 2 mg/kg of propofol (Group 1) and 2.0 ug/kg/min of remifentanil followed by same dose of propofol (Group 2). Group 3 and 4 were administerated same dosage of Group 1 and 2 but administrated dosage calculated by IBW (ideal body weight). We didn’t use any muscle relaxant. Intubation conditions and postintubation hemodynamic responses were assessed by 5 items based on GCRP (good clinical research practice), MAP (mean arterial pressure) and HR (heart rate). Results: We have done intubation safely 60, 75, 55 and 98% of Group 1, 2, 3 and 4 respectively. Group 1, 3 have ‘technically unacceptable’ cases, but group 2, 4 have ‘clinically unacceptable’ cases. Hemodynamic responses of Group 4 were more stable than Group 2, especially obese patients. Obese patients present a problem for the appropriate dosing of remifentanil and profound hypotension and/or bradycardia developed more frequently when administerated agent calculated by total body weight. Conclusions: The optimal dosage which produce best intubation conditions and least side effects has to be determined according to IBW.
김신성,박병순,이영진 대한마취통증의학회 2006 Korean Journal of Anesthesiology Vol.50 No.3
Cervicogenic headache (CGH) is not universally accepted as terminology used to discuss headaches associated with disorders of the cervical spine. Sjaastad was the first to describe CGH that its definition and diagnosis relied entirely on clinical features. Pain is often triggered by irritation of nociceptors from structures in the cervical spine, and so diagnostic criteria of CGH have been established with agreement that these headaches start in the neck or occipital region and are associated with tenderness of cervical paraspinal tissues. Past history and clinical features are important to detect and diagnose the disease because the significance of radiological findings and advanced diagnostic testing is unclear. Gunn's intramuscular stimulation (IMS) is a treatment modality of CGH upon radiculopathic model. We tried IMS for treatment of 3 patients with CGH. After IMS, the patients were well respond the therapy and the results were satisfactory. Therefore we recommend the IMS for the treatment of CGH. (Korean J Anesthesiol 2006; 50: 355~60)
블로그 텍스트 분석을 통해 살펴본 도시공원의 경험적 공간 소비 양상 - 뚝섬한강공원을 중심으로 -
김신성 한국조경학회 2023 韓國造景學會誌 Vol.51 No.2
With the recent changes in society and the introduction of new technologies, the usage patterns of parks have become diverse, leading to increased complexity in park management. As a result, there is a growing demand for flexible and diverse park management that can adapt to these new requirements. However, there is inadequate discussion on these new demands and whether urban park management policies can respond. Therefore, empirical research on how park usage patterns are evolving is critical. To address this, blog data, in which individuals share their experiences, was used to examine the spatial consumption patterns through semantic network and topic analysis. This study also explored whether these spatial consumption patterns exhibit experiential consumption characteristics according to the experience economy theory. The results showed that consumption behaviors, such as renting picnic sets and having food and drinks delivered, were prominent and that emotional experiences were pursued. Furthermore, these findings were consistent with the experiential consumption characteristics of the experience economy theory. This suggests that park planning and maintenance methods need to become more flexible and diverse in response to the changing demands for park usage. 최근 사회의 변화와 새로운 기술 등의 도입으로 공원 이용행태가 다양해지면서 공원 관리의 복잡성이 증가하고 있으며, 이에 따른 유연하고 다양한 공원관리가 요구되고 있다. 그러나 이러한 새로운 요구에 대한 현황이 어떠한지, 도시공원 운영관리 정책이 이러한 수요에 대응가능한지에 대한 논의는 미흡한 실정으로, 공원 이용행태가 어떻게 다변화되고 있는지 실증적인 연구가 필요한 시점이다. 이에 본 연구는 다양한 사람들이 개인의 경험을 작성한 블로그 데이터를 활용하여 의미네트워크 분석과 토픽분석을 통해 공간 소비 양상을 고찰하고, 이러한 공간 소비 양상이 체험경제이론에 따른 경험적 소비 특성을 보이는지 살펴보았다. 연구 결과 피크닉 세트 대여, 식음료 배달 등 소비행위가 두드러지며, 감성적 경험을 추구하는 것으로 나타났다. 또한 이는 체험경제이론에 따른 경험적 소비 특성과도 부합하였다. 이는 다변화되고 있는 공원이용 수요에 맞춰 계획 및 유지관리 방법이 보다 더 유연해지고 다양해질 필요가 있다는 것을 시사한다.
김신성(Kim, Shinsung) 한국주거학회 2016 한국주거학회 논문집 Vol.27 No.4
Low-rise Residential neighborhoods of Hongdae area, Garosu-gil, Samchung-dong, Itawon etc. are currently emerging new spaces for cultural consumption in the city. Nonetheless undiscerning excessive commercialization often results in monotonous urban space and deportation of residents and leaders of change; Due to commercialization and popularization recently this phenomenon is influencing surrounding low-rise residential neighborhoods. The main objective of this study is to examine how surrounding low-rise residential neighborhood transforms according to the expansion of culture-commerce spaces. Hongdae area’s culture-commerce spaces and its expansion into Yeonnam-dong is investigated in specific. Especially attributes and main causes of transformation in physical and experiential space of neighborhood living facilities and residential buildings, when changed into culture-commerce related use is examined in detail. The expansion of culture-commerce space of Hongdae to Yeonnam-dong area has positive meaning in aspects of everyday experience. First, physical alteration of street-building relation increases direct and indirect contact of people. Contact opportunity carries important meaning in sense that it is prerequisite for next stage contact of network and exchange. Second, culture-commerce related programs provide the third place, where various leisure activities can take place. Attributes of transformation and positive meaning of culture-commerce spaces expanding its territory presents the need of management.