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안전 불감증$\cdot$전기제품 사용 부주의 등으로 화재$\cdot$감전사고 우려돼
최재희 한국제품안전협회 1999 제품안전 Vol.68 No.-
전기에 의한 안전사고는 소비자가 조금만 주의를 기울인다면 미연에 방지할 수 있는 것. 특히 가정내 콘센트가 있는 곳에서 어린이 감전사고가 많이 발생하고 있고 누전이나 변압기의 과부하 등으로 인한 화재가 우려되고 있어 소비자들의 안전 의식이 요망된다.
내과계 중환자실 약료 서비스 도입과 약물상호작용 모니터링
최재희,최경숙,이광섭,이정연 한국임상약학회 2015 한국임상약학회지 Vol.25 No.3
Objective: It is to evaluate the drug interaction monitoring program as a pilot project to develop a pharmaceutical care model in a medical intensive care unit and to analyze the influencing factors of drug interactions. Method: Electronic medical records were retrospectively investigated for 116 patients who had been hospitalized in a medical intensive care unit from October to December in 2014. The prevalence of adverse reaction with risk rating higher than ‘D’ was investigated by Lexi-Comp® Online database. The factors related with potential drug interaction and with treatment outcomes were analyzed. Results: The number of patients with a potential interaction of drug combination was 92 (79.3%). Average ages, the length of stay in the intensive care unit and the numbers of prescription drugs showed significant differences between drug interaction group and non-drug interaction group. Opioids (14.4%), antibiotics (7.2%), and diuretics (7.2%) were most responsible drug classes for drug interactions and the individual medications included furosemide (6.4%), tramadol (4.9%), and remifentanil (4.5%). There were 950 cases with a risk rating of ‘C’ (84.6%), 142 cases with a risk rating of ‘D’ (12.6%), and 31 cases with a risk rating of ‘X’ (avoid combination) (2.8%). The factors affecting drug interactions were the number of drugs prescribed (p < 0.0001) and the length of stay at intensive care unit (p < 0.01). The patients in intensive care unit showed a high incidence of adverse reactions related to potential drug interaction. Therefore, drug interaction monitoring program as a one of pharmaceutical care services was successfully piloted and it showed to prevent adverse reaction and to improve therapeutic outcomes. Conclusion: Active participation of a pharmacist in the drug management at the intensive care unit should be considered.
한국어 버전 일상생활 청각행동 설문지의 신뢰도와 타당도
최재희,윤건석,장현숙 한국청각언어재활학회 2017 Audiology and Speech Research Vol.13 No.1
Purpose: The Auditory Behavior in Everyday Life (ABEL) questionnaire has been proven for its reliability and validity across various cultures for assessing auditory behaviors of children with hearing loss. The study’s purpose was to translate the ABEL questionnaire into Korean and verify reliability and validity of Korean version of ABEL (ABEL-K). Methods: After translation, the ABEL-K evaluated for appropriateness, and back translated by a bilingual user to compare to the original regarding semantic equivalence. ABEL-K was completed by 48 parents of children (from ages 3-15 years) with hearing loss (9 children with hearing aids and 39 children with cochlear implants). Among the 48 children, 11 were in preschool, 16 in elementary, and 21 in secondary. Internal consistency reliability of ABEL-K was verified by Chronbach’s alpha. The mixed factorial ANOVA was conducted to compare the age group and the evaluation areas (aural-oral, auditory awareness, and social/conversational skills). The Pearson Correlation Coefficient between the scores and chronological age, and scores and period of CI experience were evaluated, respectively. Results: The results indicated that although ABEL-K showed good internal consistency reliability (α = 0.90), there seems to be issues in its validity due to ambiguous expression and the cultural differences. The ABEL scores among age groups were not significantly different. However, there was a significant difference in ABEL scores between auditory awareness and social/conversational skill areas. There was significant correlation with CI experience, but not with chronological age. Conclusion: Thus, this study suggests a way that ABEL-K should be utilized, taking precautions in the interpretation of the results.