고령자 가구 구성에 관한 통계적 연구 : 경북지역 기혼자녀와 동거가구의 변천경향을 중심으로

배정인 安東大學校 安東地域社會開發硏究所 2000 安東開發硏究 Vol.11 No.-

경상북도의 고령자 가구구성을 기혼자녀와의 동거가구를 중심으로 고찰해 본 결과, 1995년 현재 65세 이상 고령자 총가구수 중에 차지하는 3세대이상동거가구의 비율은 경상북도가 전국평균보다 낮았다. 지역별로는 동부, 읍부, 면부의 순으로 낮아 농촌이 도시보다 동거율이 낮은 것으로 드러났다. 반면, (편)부모+부부가구는 경상북도가 전국 평균보다 높으며, 동부, 읍부, 면부의 순으로 높아지고 있음이 드러나, 장차 노인이 노인을 부양하는 문제점이 농촌이 도시보다 클 것이 예견되었다. 1985년에서 1995년까지의 경년 변화에서는 3세대이상동거가구의 비율이 감소되고 있음이 밝혀졌고, (편)부모+부부가구의 증가, 고령자 가구구성에 있어서의 도시와 농촌의 차이라는 현재의 상태가 앞으로도 더욱 심화될 것으로 추측할 수 있으므로 이에 대한 학계와 정부의 적극적인 대비가 필요하다고 보여진다.

보르비꽁트 정원의 형태학적 분석에 관한 연구

배정인 安東大學校 農業科學技術硏究所 1999 農業科學技術 硏究論文集 Vol.6 No.-

보르비꽁트의 정원을 香山壽夫의 형태론을 적용하여 분석한 결과, 강한 심메트리를 기본으로 하고, 공간감을 주기위해 수평적 형태와 수직적 형태를 사용하였으며, 자수화단, 잔디밭, 수면, 총림, 원추형나무, 원로의 조각상 등의 다양한 형태요소에 의한 수평, 수직 방향의 반복적 지시로 공간감을 줌과 동시에 변화를 주었음을 알 수 있었다. The outcome of the analysis by applying Hisao Koyama's morphology to the garden of Vaux-le-vicomte was as follows. 1. Symmetrical plan 2. Horizontal and vertical form to give a feeling of space 3. Repeat the horizontal and vertical direction by various form such as parterre, green, pond, bosquet, conical tree, sculpture of garden road

Change in Household Arrangement for the Elderly in the United States, Korea, and Japan

배정인 일본건축학회 2003 게재 Vol.- No.563

간질수술에서 Pofol^�과 Diprivan^� 의 비교임상연구

배정인,손은익,이창영 대한정맥마취학회 1998 정맥마취 Vol.2 No.4

서론: 간질수술시 이용되는 propofol은 마취유도가 신속하고 의식회복이 빠른 정맥마취제이다. 의식회복 후 절제할 간질부위를 정확하게 확인한 후 가장 근접한 부위까지 절제함으로 후유증을 적게할 수 있다. 간질수술환자에서 propofol제품인 Pofol^?? (동국제약, 한국)과 Diprivan^?? (ICI Pharm, Co, UK)을 이용하여 전정맥마취를 시행한 후 혈역학적 변화 및 효능을 비교, 연구하였다. 방법: 두군 모두 12명의 환자를 각각 대상으로 하였으며 마취유도는 2㎎/㎏를 일회용량으로 주입하고 마취유지는 100 mcg/㎏로 하였다. 수술단계는 6단계로 분류하였다. (Ⅰ: Carniotomy, Ⅱ: Electrocorticography, Ⅲ: Functional mapping, Ⅳ: Cortical resection, Ⅴ: Post-resection, Ⅵ: Craniotomy closure). 결과: 두군 모두 동맥혈가스 분석과 활력징후를 분석하였따. 의식회복시간은 Diprivan^??군(10.6±3.22min.)보다 Pofol^??군(8.9±2.64min.)에서 약간 빨랐다. 다른 결과는 두군간에 의의있는 차이는 없었다. 결론: Pofol^??과 Diprivan^?? 모두 수술시간이 장시간 소요되는 간질수술에 이상적인 정맥마취제이다. 의식회복시간은 Diprivan^??보다 Pofol^??이 약간 빨랐고 술중 뇌피질파 및 기능적 뇌지도화검사시 약간 도움이 되었다.

기관내삽관 후 발생한 후두육아종

배정인 계명대학교 의과학연구소 2000 계명의대학술지 Vol.19 No.1

Post-intubation granuloma of the larynx is a rare complication. Post-intubation granuloma are associated with direct mechanical irritation of laryngeal mucosa from trauma, prolonged period of endotracheal intubation, multiple intubation, endotracheal movement. This study was performed retrospectively to evaluate symptom, location of lesion. treatment and prevention of the intubation granuloma. The patients aged from 26 to 64 years old. The male to female ratio was 3:12 in favor of female, predominantly female. The location of lesion was bilateral(4 cases) and unilateral(left side 2 cases, right side 9 cases). The clinical symptom was hoarseness and dyspnea. The peak duration between endotracheal intubation and symptom development was 4∼5 weeks. Duration of endotracheal intubation was 1 hour in 2 cases, 1∼3 hours in 9 cases, 3∼6 hours in 1 case, 6∼9 hours in 1 case, more than 3 days in 2 cases. 2 cases were recurred. To remove post-intubation granuloma of the larynx, all patients were administered triflupro-mazine(VeprinR). nalbuphine hydrochloride and glycopyrrolate intramuscular before anesthe-sia-induction 1 hour for premedication. Induction was established with pentothal sodium and succinylcholine after preoxygenation. N2O/O2(2: 1), enflurane and vecuronium chloride were administered for maintenance. ECG, pulse oximeter and ETCO2 were monitored. To remove the post-intubation granuloma of the larynx, laryngeal irritation and duration of intubation must be minimized.

Nalbuphine HCL (Nubain)을 이용한 균형마취

배정인 啓明大學校 醫科大學 1998 계명의대학술지 Vol.17 No.2

Nalbuphine hydrochloride을 사용하여 균형마취를 시행한 20례의 환자 중 남녀는 각각 8례, 12례이며 연령은 평균 49±6.8세였다. 수술시간은 평균 207±33.0분이며 회복시간은 평균 247±34.8분이였고 평균 동맥압은 술전 93.6±7.8 mmHg, 피부절개시 116.2±18.0 mmHg, 술후 95.1±14.8 mmHg였다. 수술을 시행한 환자는 위 절제술 12례, 난관절제술 2례, 담낭 절제술 6례였다. 동맥혈 가스분석치를 비교하면 술전 PH는 7.39±0.03 PaCO₂는 42.9±2.8 mmHg, PaO₂는 91.9±6.42 mmHg이고 술후 PH는 7.35±0.02, PaCO₂는 41.4±1.2 mmHg, PaCO₂는 93.8±3.91 mmHg이였다. 호습수는 술전 평균 1.±1.8회/분, 술후 평균 19±1.4회/분이였다. 합병증은 구역질 및 구토, 두통, 발한, 구내건조 및 호흡저하는 1례도 없었다. 이상의 결과로 nalbuphine hydrochloride를 사용하여 균형마취를 시행한 결과 nabuphine hydrochloride는 심혈관계에 미치는 영향이 적고 호흡저하가 적은 약제이며 마취종료 후 의식회복이 빨랐으며 약 자체의 독성이 적고 효력이 강해서 술후 통증을 호소하지 않는 약이다. 또한 부작용이 적고 약값이 비싸지 않기 때문에 균형마취시 사용하기에 적당한 약제라고 사료된다. Nalbuphine hydrochloride produces agonistic analgesic effects at the kappa-receptor and antagonistic effects at the mu-receptor. The aim of this study was to evaluate the hemodynamic effects of nalbuphine hydrochloride during balanced anesthesia. 20 patients, American Society of Anesthesiologists physical status ⅠandⅡ, were scheduled for elective surgery. All patients were administered nalbuphine hydrochloride and glycopyrrolate IM 60 min. for premedication. Induction was established with pentothal sodium and succinylcholine after preoxygenation. 1.0 ㎎/㎏ of nalbuphine hydrochloride, and non-depolarizing muscle relaxant were administered for maintenance. The mean age of the patients was 49±6.8 years and there were eight men and twelve women. The duration of the operation and recovery time were 207±3.3 min. and 247±34.8 min. respectively. The mean arterial pressure was 93.6±7.8 mmHg preoperatively, 116.2±18.0 mmHg intraoperatively, 95.1±14.8 mmHg postoperatively. The arterial blood gases were analysed for the evaluation of ventilatory function. The PaCO₂ was 412.9±2.8 mmHg preoperatively, 41.1±1.2 mmHg postoperatively. The PaO₂was 91.9±6.42 mmHg preoperatively, 93.8±3.91 mmHg postoperatively, pH was 7.39±0.03 preoperatively, 7.35±0.02 postoperatively. There were no statistically significant differences regarding vital signs, arterial blood gas analysis and respiratory rate measured at preoperative, intraoperative, and postoperative states. Taken these all together, we conclude that nalbuphine hydrochloride is the safe drug for balanced anesthesia because of its cardiovascular stability, no respiratory disturbance, tolerable postoperative pain, rapid recovery of consciousness, few side effects, drug toxicity and low cost of drug.

Capnography

배정인 대한마취과학회 1992 Korean Journal of Anesthesiology Vol.25 No.5

노인주택 공급을 위한 고령자가구구성의 변화에 관한 통계적 연구 -제주도를 중심으로-

배정인 한국주거학회 2002 한국주거학회 논문집 Vol.13 No.2

This paper aims to analyze the changes in the living arrangements of the elderly in Chejoo-do for the elderly housing supply by using census data. The conclusions are as follows; The rate of living alone and living with spouse only of the elderly have been increasing. The trend in county was higher than that in city. Living alone rate of the elderly of Chejoo-do was higher than that of Korean average. Even in the oldest old, living alone rate has been increasing in Chejoo-do. It is a unique phenomenon in Korea and similar with U.S. In Chejoo-do, it is strongly required to evolve elderly housing by universal design for living alone elderly in county as well as for living alone elderly in city.

뇌지주막하 출혈 후 발생된 심전도 異常

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)

고령1인 및 고령부부가구수의 예측에 관한 연구 - 경상북도를 중심으로 -

배정인,Bae, Jeong-In 한국주거학회 2008 한국주거학회 논문집 Vol.19 No.2

Research outcome shows the following: 1. Estimation by the year 2015 on the number of the aged people and on the number of the household of living alone and living with spouse only, per age-cohort by 5 years, per basic self-govern-ins local groups and the city of Daegu. The result is supposed to serve as meaningful basic material in building up future policies in many areas for the aged people living in their homes. 2. Estimation varies according to the areas and the age-cohorts. In urban areas, increase of the numbers of the households of the aged people living alone and living with spouse only is estimated in every age-cohort. In rural areas, variance between two age-groups, old-old and young-old, is observed. Both of the numbers of the households for the aged living alone and the aged living with spouse only have increased continuously by the year 2005. But the hither-to increase tendency is estimated to reverse itself to a decrease starting from the younger within the young-old age group, and the ratio of the old-old age-group in rural population will sharply increase starting from the year 2005. Such increase in the number of the aged people in need of the housing and the social support requires the increasing policy consideration for the issue of housing for the aged living in their homes. In spite of the decreasing tendency in the number of the aged people living alone and living with spouse only in rural areas, still there will continue to be more number of such households than in urban area for the time being. The government of Gyeongsangbuk-Do should pay more consideration to the old-old aged living alone and living with spouse only in rural areas, while being prepared for the sharply increasing households for the aged living alone and living with spouse only in urban areas.