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'아래로부터의 역사' 서술과 기록의 상호 관계 - 영국의 역사워크숍운동을 중심으로 -
최재희,Choi, Jae Hee 한국비블리아학회 2014 한국비블리아학회지 Vol.25 No.3
This research aims to analyze the reciprocal relation between 'history from below' and archives and to set forth the overall tides of records management in England. For the Study, the articles published in the History Workshop Journal were analyzed. They used public records and private records such as newspapers, diaries, letters and oral records. Consequently Various kinds of community archives have recently flourished in England and endeavour is being made to expand the horizon of records management by TNA. This can be assessed as a new sort of soil for the history from below.
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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.
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최재희 한국기록관리학회 2014 한국기록관리학회지 Vol.14 No.4
이 글은 2007년부터 도입된 기록관리기준표 체계에서의 국내 기록물 평가제도와 실무의 현황과 문제점을 진단하고 개선방안을 모색하고 있다. 평가주체, 평가시점, 평가기준이라는 평가의 세 가지 요소를 중심으로 분석했다. 기록물법령과 제도에 나타난 평가 관련 규정에 모순된 부분이 많았다. 특히 평가기준은 기록물을 대상으로 하는 것과 기록물을 생산하는 업무를 대상으로 하는 두 가지 기준이 혼재되어 있었다. 평가정책을 마련하는 일이 시급했다. 이러한 현황을 토대로 기록관 및 영구기록물관리기관 소속 기록관리 전문직의 역할을 확대하고 지금과 다른 형태로 민간전문가가 평가에 참여하는 방향으로 개선방안을 제시했으며 일부 평가 실무프로세스의 변화도 제안했다. This paper tries to survey the problems of the archival appraisal system and practice through the appraisal agent, timing, and criteria in Korea. There are two sorts of appraisal criteria that contradict each other. This requires an urgent need for an appraisal policy statement. On this survey result, it suggests the trend to shift from passive and neutral appraisal to participatory appraisal by the active and conscious archivists and records managers.
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