마석은 어디에나 있다

이한숙 부산대학교 한국민족문화연구소 2014 로컬리티 인문학 Vol.0 No.12

마음속 혐오를 끄집어내는 이주민 건강보험 차별

이한숙 참여연대사회복지위원회 2023 월간 복지동향 Vol.- No.292

Cardiac arrest with pulmonary edema in a non-parturient after ergonovine administration recovered with extracorporeal membrane oxygenation -A case report-

이한숙,민지영,이윤기 대한마취통증의학회 2012 Korean Journal of Anesthesiology Vol.63 No.6

Ergonovine have been used for the prevention and treatment of postpartum or postabortion hemorrhage. Although this modality has been considered relatively safe in the obstetric patients, there were a few cardiac events associated with this drug in the post-delivery or post-abortion patients, especially in patients with cardiovascular risk factors. We experienced cardiac arrest in a non-parturient with no discernible risk factors. Although resuscitated, she also suffered from pulmonary edema with unstable hemodynamics and low oxygenation. To manage the patient, extracorporeal membrane oxygenation was used and she recovered successfully without cardiopulmonary complications. Therefore, we recommend that when ergonovine is chosen as a modality, special caution should be paid to the pulmonary events, as well as cardiac, especially when administered by intravenously even in patients with no cardiovascular risk factors. If cardiac events occur, extracorporeal membrane oxygenation or other measures, such as intra-aortic balloon pump can be helpful when conventional cardiopulmonary resuscitation is not effective.

보건소 중심의 물리치료 활성화 모델

이한숙,배성수,김중선 대한물리치료학회 1999 대한물리치료학회지 Vol.11 No.3

The purpose of this study deals will, the physical therapy and the delivery system of public health center, as a center, in community based rehabilitation and delivery system. We hope that the system of physical therapy of public health center in community based rehabilitation spreads all over the country and contributes to the promotion of national health and social welfare. There are many public health center in the country because it can serve inhabitants with the medical benefits in the first line. public health relater continuously provides poor inhabitants who can't pay medical expenses care of health. It has the public health center branches that take care of inhabitants who live a remote village and hiterland. Additionally, many people want to receive physical therapy. Therefore, the physical therapy of public health center becomes the central point in community based rehabilitation so that we supply the inhabitants with superior rehabilitation service. We can approach them as a team that be constituted with physical therapist, speech therapist, psychologist, nurse, social work. Also, the role of physical therapist is divided into two parts, which are home visiting part that individually takes care of patients and public health part that takes care of patient, family, home, community. We connect with both self-governing body and the government so that we may receive government subsidies. Also, we must prepare regular school education for community based rehabilitation

일부 대학생의 물리치료와 재활치료의 차이점에 대한 인지도

이한숙,Lee, Han Suk 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.5

Purpose: This study was conducted in order to investigate the awareness of physical therapy and difference between physical therapy and rehabilitation therapy. Methods: A total of 183 subjects who gave consent to participate in the survey at five universities in Gyenggi-do were randomly selected and the survey was conducted from February 2012 to July 2013 by a questionnaire consisting of 13 questions. Frequency analysis for the awareness of the general characteristics of physical therapy, anticipated cost, awareness of difference, and cross tab analysis for correlation with each item were used. Results: Participants recognized the academic ability, and the department for management of physical therapist licensing very well. The kindness and workmanship of physical therapists were average. According to their experience of physical therapy, most participants received a hot pack and electrical therapy at a local clinic and satisfaction with treatment was high. The percentage of students who recognized a difference between physical therapy and rehabilitation therapy was high, however, they misunderstood only electrical therapy for physical therapy and they recognized the exercise method of physical therapy for rehabilitation therapy. No correlation of the awareness of difference was observed between physical therapy and rehabilitation therapy and the awareness of physical therapy, experience, and anticipated cost, except the major of students. Conclusion: We found that people can misunderstand exercise therapy for rehabilitation therapy even though they have good awareness of physical therapy. Therefore, a physical therapist has to find the ways to express their identity while working.

혈소판 불응증이 있는 재생불량성 빈혈 산모의 제왕절개술을 위한 전신마취 - 증례 보고 -

이한숙 대한마취통증의학회 2007 Anesthesia and pain medicine Vol.2 No.4

Aplastic anemia is pancytopenia with bone marrow hypocellularity. The major risks to the pregnant women with aplastic anemia are hemorrhage and infection. Mortality during or after pregnancy is very high, especially thrombocytopenia complicated by platelet refractoriness, due to bleeding and sepsis. There is no therapeutic guideline for aplastic anemia with platelet refractoriness about cesarean section. A multidisciplinary approach to patients with aplastic anemia refractory to platelet transfusion is essential. Close consultation among the hematologist, anesthesiologist and obstetrician, and a management plan are important. We report the successful management of such a patient during cesarean section under general anesthesia.

중기 노인 여성의 점진성 저항운동이 악력과 균형에 미치는 영향

이한숙,이춘희,Lee, Han Suk,Lee, Chun Hee 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.2

Purpose: This study was conducted in order to determine the physical effect on grip strength and balance ability of progressive resistance training using an elastic band for middle elderly women. Methods: We randomly recruited 13 middle elderly female subjects (from 75 years old to 84 years old). They practiced the elastic band exercise for 50 minutes once every week and were instructed to perform the same exercise as a home exercise for 16 weeks. Subjects who participated voluntarily had not participated in any other exercise program. Grip strength, one leg stance, and TIme Up & Go Test (TUG) were measured before and after elastic band exercise using the one group pre-posttest design. Wilcoxon's signed ranks test and simple regression analysis were performed using SPSS 18.0. Results: Significant differences in TUG and grip strength test scores were observed pre and post exercise (p<0.05), except one leg stance test. Significant correlation was observed only between age and change of right one leg stance. Conclusion: Progressive resistance training using an elastic band for middle elderly women was effective for dynamic balance and grip strength, but was not effective for static balance. Therefore, investigation of factors that affect improvement of static balance using an elastic band and the lasting duration of the effect and its association with age will be necessary in the future.

자기조절 집단상담 프로그램이 초등학교 고학년 학생의 인간관계 만족도에 미치는 효과

이한숙 한국초등상담교육학회 2003 초등상담연구 Vol.2 No.1

The Effect of Balance Task-Related Circuit Training on Chronic Stroke Patients

이한숙,김명철,Lee, Han-Suk,Kim, Myung-Chul The Korean Society of Physical Therapy 2009 대한물리치료학회지 Vol.21 No.4

Purpose: This study investigated the efficacy of task-related circuit training aimed at improving balance in individuals discharged from rehabilitation facilities following a stroke. Methods: We recruited 12 stroke patients (34-66 years of age) to participate in a task-related circuit training program. Baseline assessment included a history of stroke and an assessment using the Mini-Mental State Examination Korea (MMSE-K). After a baseline assessment, follow-up assessments were administered pre- and post-training. These included Berg Balance Scale (BBS), Functional Reach Test (FRT), and the Time Up & Go Test (TUG). Physiotherapists trained study subjects under the one-to-one supervision of students from the department of physical therapy. Circuit class study participants attended 90-minute treatment sessions, one day a week for 12 weeks (from September to December 2008). The program consisted of a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period (10 min). Results: Scores for the BBS assessment increased significantly (from 43.2 to 49.7) after the training (p<0.05). Reach distance on the FRT increased substantially (from 27.7 cm to 47.0 cm), although the improvement was not significant (p>0.05). The average time on the TUG test decreased significantly (from 23.7 sec to 19.5 sec) after the training (p<0.05). Conclusion: The task-related circuit training program improved the balance and mobility of subjects, indicating that such a group program is useful for stroke patients who are discharged from the hospital. More such task-related programs set in a community environment should be developed.

지역중심재활사업을 위한 보건소 활성화 방안

이한숙 대구대학교 특수교육재활과학연구소 2008 특수교육재활과학연구 Vol.47 No.4

고령화 사회로 접어들면서 만성질환을 가진 노인인구가 증가되었으며, 산업화와 환경오염으로 선천성, 후천성 장애자의 수가 급증하고 있다. 노인인구, 장애인구의 증가 및 건강에 대한 관심의 증가로 보건의료에 대한 사회적인 요구가 증가하게 되었다. 또한, 시설의 문제점이 제기되면서 탈시설화와 더불어 장애인의 생활기점이 가정과 지역사회를 중심으로 그 안에 통합을 이루도록 하는 지역중심 재활사업이 대두하게 되었다. 정부는 보건의료에 대한 사회적인 요구가 증가되고 있음을 감안하여 가족 및 지역사회의 자원을 활용하고 의료이용의 적정성을 기하기 위하여 1995년 보건소를 중심으로 지역사회의 재활업무를 수행하도록 명시하였고 현재 45개의 거점보건소로 확대하였으 며 국립재활원이 그 중심에 있다. 현재에는 간호사들을 중심으로 가정간호사업이 활성화되어 있지만, 주로 가정간호사업에 치중하고 있으며 여러 지역사회재활요원들이 함께 지역중심재활사업을 시행해야 함에도 그 한계가 있다. 따라서 본 연구자는 지역자원 및 보건소 내의 여러 자원을 이용하여 실시 할 수 있는 사업에 대한 모델을 제시하고 재활요원들과 자원들과의 연계를 어떤 식으로 할 수 있는지 운영체계를 제시하고자 한다. The purpose of this study is to identify a plan of activation in community based rehabilitation to focus on Public Health Center. we must understand what is the concept of Institution Based Rhabilitation(IBR) and Community Based Rehabilitation(CBR). Additionally, we have to know the shift of paradigm of rehabilitation. According to increasing number of aged population and industrialization, the number of handicapped person is increasing. IBR can isolate handicapped person from society. As number of people per institution and the number of institution increases, the living conditon deteriorates. These in addtion to the inhuman treatment induces deinstitutionlization. CBR should use the resource of community and help handicapped person integrate into community and induce change of community. This study categorizes a service of public health center into four type of programs as rehabilitation treatment program, promotion of health program, family support program, social integration program. Besides, All of the rehabilitation workers should cooperate together. also, the departments in the public health center should cooperate and exchange the information. CBR will spread into the whole country. We have to know our role in order to prepare for the future. the public health center will take charge of important role in CBR. so, we should know our role exactly.