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도시공간에서의 노인의 커뮤니티 활성화 네트워크 측정모델 구성을 위한 기초연구
이도희(Lee Do-Hee) 대한건축학회 2009 대한건축학회논문집 Vol.25 No.11
Recent statistics regarding senior citizens show that the loneliness and the sense of alienation of the elderly are serious issues as well as the increase of the senior population. Therefore to overcome their loneliness and alienation social interactions are needed and city construction studies from the viewpoint of social interactions such as senior citizens' community. However most of the studies related senior citizens' community approaching to city construction are limited to the community facilities and empirical studies do not exist. Thus this article tried to make inclusive and empirical study on the senior citizens' community in the city. This study induced key words related to the activation and promotion of senior citizens' community from the theory of ecology, surveyed and analyzed their behavioral frequency and preference quantitatively according to the interpretation of city construction. Based on the survey and analysis results in the three categories (self-catalyst network, space identity interpretation network, long-lasting network), the network configuration diagram was proposed, which was composed of major factors and elements of the senior citizens' community promotion network. It will be used as the basic materials for the successive study such as ‘A Study on the Configuration and Application of the Network Measuring Model to Promote Senior Citizens' Community in City Area‘.
경수부 척수손상 환자의 기립성 저혈압에서 플루드로코티손의 효과 - 무작위 대조군 연구
이도희(Do-Hee Lee),주민철(Min-Cheol Joo) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.6
본 연구는 기립성 저혈압이 동반된 경수부 척수손상 환자에서 플루드로코티손의 치료 효과에 대해 알아보고자 하였다. 기립경사도 검사를 통해 기립성 저혈압으로 진단된 경수부 척수손상 환자 26명을 무작위로 배정하였고, 보존적 치료 혹은 추가로 플루드로코티손 치료 중 한가지를 시행하였다. 플루드로코티손은 주마다 0.1㎎에서 0.2㎎로 증량하여 총 2주간 투약하였고, 초기 및 2주 후의 혈압 및 심박수, 혈액학적 검사 수치의 변화를 평가하였다. 치료 2주 후에 치료군에서 기저 혈압의 유의미한 상승이 나타났다(p<.05). 기립성 혈압 감소의 비율 분석에서 치료군의 기립성 혈압감소가 덜 나타나는 경향성을 보였다. 플루드로코티손 치료군의 7.69%에서 경증의 이상 반응을 보고하였다. 이를 통해 플루드로코티손이 기저 혈압의 상승 및 기립성 저혈압 감소를 통해 심혈관계 합병증 방지 및 재활치료 지속 등의 치료 효과를 나타내었음을 알 수 있으며, 척수손상 환자의 기립성 저혈압에서 하나의 치료 방안으로 고려해볼 수 있다고 생각된다. The purpose of this study was to investigate the therapeutic effect of fludrocortisone in patients suffering from cervical spinal cord injury (SCI) with orthostatic hypotension (OH). Twenty-six patients with cervical SCI diagnosed with OH through a head-up tilt test were randomly assigned, and they were given either conservative treatment or additional fludrocortisone treatment. Fludrocortisone was administered for 2 weeks, increasing from 0.1 ㎎ to 0.2 ㎎ week . Blood pressure (BP), heart rate (HR), and blood parameters were measured at the beginning and after 2 weeks. After 2 weeks of treatment, there was a significant increase in the baseline BP of the treatment groups (p<.05). When analyzing the drop ratio, there was a tendency for a lower orthostatic BP drop in the treatment groups. Mild adverse events were reported in 7.69% of the treatment groups. Fludrocortisone exhibited therapeutic effects such as preventing cardiovascular complications and continuing rehabilitation through increased baseline BP and reduced OH, and can therefore be considered as a treatment option for OH in patients with SCI.