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치매노인을 위한 주간보호시설의 물리적 환경 특성에 관한 연구 : 미국의 사례를 중심으로
곽인숙 대한가정학회 2002 Human Ecology Research(HER) Vol.40 No.7
The purpose of this study is to identify the characteristics of physical setting of adult day care as a place for the elders and adult and to develop an basic understanding of the architectural program and physical setting for adult day care for the cognitively- impaired in the U.S.A. The data was collected from 13 Adult Day Care Centers(ADCC) from 2001 to 2002 by interview and the documents about those facilities. Physical environment should be viewed as an element in the care of individuals with dementia, and that the principles used to plan and design environment should be consistent with the principles used in providing other aspects of care. The results of the study provided the information about the best condition of physical setting of ADCC for the elderly with dementia. Memory Loss Adult Day Center and St. Ann Center for Intergenerational Care have better architectural program than other facilities. It is the hope of this study to provide guideline for design and care professionals with a first draft of a "sense-making" template and to slow down the progression of the disease by the appropriate physical environment.
郭仁淑 又石大學校 1986 論文集 Vol.8 No.-
Than aim of this study is an development of methodology for the research of housing environment of home economics, The housing environment do affect the function of social group of family as well as psychoogical physical development of an indivdual. As the needs for the housing environment is increased and varied, the details meaterials of human action and psychology are rugently needed with social economical betterment. While the study of housing environment are doing in many fields, the results are not identical, because the approach and analysis methods are not same. So this study try to examine the application of environmental psychological approach to Home Economics.
郭仁淑 又石大學校 1983 論文集 Vol.5 No.-
The energy crisis that our nation faces today could be solved by Solar Energy without undue harm to the environments. This research is tried to plan the housing form adaptable to family and lifestyle in using solar heating system. Methodology. 1) The perceived compatibility of solar system to values, needs, and past experiences of housholds. 2) How perceptions of compatibility relate to the adaption of solar heating systems for the home. 3) How socioeconomic variables (Income, Occupation, Family Life-Cycle, Age, Education) affects on their evaluation of the compatibility of solar systems. The results of this study will be, in detail, exposed in the next paper with thorough data.
화상으로 인한 반흔에 에피네프린 국소 침윤시 혈역학적 영향
곽인숙 대한마취통증의학회 2008 Anesthesia and pain medicine Vol.3 No.3
Background: As a method for reducing bleeding, epinephrine local infiltration is used in hypertrophic scar release. However, this can induce unexpected increased absorption and increase the cardiovascular risk. Therefore we evaluated the hemodynamic effects of epinephrine local infiltration. Methods: Sixty patients underwent hypertropic scar release under general anesthesia. Thirty patients who do not have a history of hypertension were classified as group 1, and thirty patients who had a history of hypertension were classified as group 2. The heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were observed before injection of epinephrine and every minute up to six minutes after injection of epinephrine. Results: Even though the HR significantly increased at 1 and 2 minutes in each group, the difference between the two groups was not significant. The SBP, DBP and MAP were significantly increased in group 2 compared to group 1. The SBP of group 2 significantly increased at every minute up to six minutes and group 1 had a significant increased for 2 minutes. The DBP of group 2 significantly increased for 3 minutes and group 1 significantly increased for 2 minutes. The MAP of group 2 significantly increased for 2 minutes and group 1 significantly increased for 2 minutes (P < 0.05). Conclusions: Local infiltration of epinephrine in hypertrophic scar temporarily increases the heart rate and blood pressure. Therefore, the patient with hypertension can have an increased the cardiovascular risk and this should be carefully considered.
5-HT3A receptor, ondansetron, polymorphism, PONV, Pro16Ser.
곽인숙 대한마취통증의학회 2008 Anesthesia and pain medicine Vol.3 No.4
Background: Major burns can alter the hemodynamic effect caused by anesthesia. Total intravenous anesthesia induces little hemodynamic change and desflurane has a rapid induction advantage among the different kinds of inhalation anesthesia. The study compared propofol and remifentanil anesthesia with desflurane anesthesia during induction and maintenance anesthesia. Methods: Forty patients, who were scheduled for burn surgery, were randomly assigned to either Group 1 (n = 20) or Group 2 (n = 20). Group 1 was induced and maintained with an infusion of propofol and remifentanil. After inducing anesthesia with propofol and rocuromium, group 2 was maintained with desflurane. The heart rate and mean arterial pressure, and cardiac index were measured in the operation room, after induction (AI), after intubation (AT) and at 5, 10, 15 and 20 minutes after intubation. Results: There was a significantly lower heart rate in group 1 than in group 2. The heart rate of group 2 showed a significant increase at AI, AT, 5, 10, 15 and 20 minutes after intubation. There was no significant difference in the mean arterial blood pressure and cardiac index between the two groups. Conclusions: During burn surgery, total intravenous anesthesia was effective in attenuating the hemodynamic effects.