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외래 항암주사병동 복약상담 현황 및 만족도 조사를 통한 복약상담 개선 방안
차현경,류수경,허영설,김희세,송영천 한국병원약사회 2012 병원약사회지 Vol.29 No.2
In this study, we measured the satisfaction and demand of counseling by a survey to cancer center, which counseled patient and family members, and it aimed to study the way to in which improvements of the medication counseling could be made, based on an analysis of pharmacist’s intervention. Satisfaction of counseling, contents, when patient want to be counseled, counseling time, and number of counseling were surveyed by 148 patients, who were counseled for 3 weeks, from May 12 to June 1 in 2011, and pharmacist’s interventions were analyzed. Providing information (25 cases) is mostly rated in the content of pharmacist interventions of surveyed patients. In this satisfaction of the survey results, the most patients answered that pharmacists’medication counseling is helpful for getting the information of the medicine’s name, the effects, and usage. The side effects are mostly indicated with what they want to be counseled, by 74 patients (51%), patients’requirement was diversely shown in the question about asking what the proper number for counseling is. Most patients were satisfied with the questions,which were asked of counseling, kindness and satisfaction level. On this basis, improving medicine explanation, adjusting the number of counseling times, according to patients need, developing standardized patients counseling software and managing it, we are expecting that the effective and high quality pharmacist medical counseling will be achieved.
차현경,임소라 한국유럽학회 2022 유럽연구 Vol.40 No.1
The Arctic coastal countries that currently belong to the EU are Denmark, Sweden, and Finland, which share interests with several countries. Among them, Sweden and Finland have similar contexts in terms of cultural homogeneity and quality of life, so it is advantageous to draw a very meaningful conclusion as a comparison group. The EU has shown a movement to seek sustainable aspects of development and peaceful solutions while establishing environmental governance. EU policy has influenced Sweden and Finland, especially in terms of their own monitoring systems and education. In this paper, the meaning of the Arctic region in the EU and its strategies will be reviewed in Sweden and Finland. This paper assumes that Sweden and Finland share the same perception on environmental issues. Based on this, it will be emphasized more about the differences in the policies between the two countries by the intervention of other external variables. After that, this thesis will be concluded by inferring subtle differences in the surveillance system and educational direction among the Arctic policies of Sweden and Finland. Both countries have the same priorities to take the lead in the discussion of environmental issues. In the difference in method between two countries, Sweden tries to negotiate when a dispute over the Arctic arises in the international community by proving this effect through official proposal to try to get a solid position. However, Finland focuses on external relationship with other stakeholders to extend their influence to other nations. So, in the question of which country is more aggressive in the struggle for dominance, it can be seen that Finland is more active.
차현경,곽혜선,박윤희,유성길,김재연,송영천 한국병원약사회 2008 병원약사회지 Vol.25 No.2
Liver disease predisposes to aminoglycoside nephrotoxicity but specific features of such disease that may predispose to amikacin-induced renal injury have not been identified. The objective of this study was to identify risk factors associated with amikacin-induced renal injury. A retrospective chart review of 90 patients who had received more than three doses of amikacin between December 2005 and August 2006 was conducted; 35 patients with liver disease and 55 controls were included. Patients with liver disease showed more nephrotoxicity than control based on the creatinine level changes. (0.05 ± 0.09 mg/dL vs 0.51 ± 0.72 mg/dL, p < 0.05). The initial pre-treatment serum albumin level was lower in patients who developed amikacin-induced nephrotoxicity(3.19 ± 0.72 g/dL vs 2.77 ± 0.61 g/dL, p < 0.05). The pre-treatment albumin level correlated with the change in creatinine level during amikacin therapy(p < 0.05). Based on the results, it was concluded that amikacin should be avoided in liver disease patients with low serum albumin level.
Feasibility of Surgical Treatment for Laryngomalacia Using the Spontaneous Respiration Technique
차현경,이도영,김은희,이지현,장영은,김희수,권성근 대한이비인후과학회 2021 Clinical and Experimental Otorhinolaryngology Vol.14 No.4
Objectives. In this study, we review our institutional experience with pediatric laryngomalacia (LM) and report our experiences of patients undergoing supraglottoplasty using the spontaneous respiration using intravenous anesthesia and high-flow nasal oxygen (STRIVE Hi) technique. Methods. The medical records of 29 children with LM who visited Seoul National University Hospital between January 2017 and March 2019 were retrospectively reviewed. Surgical management was performed using the STRIVE Hi technique. Intraoperative findings and postoperative surgical outcomes, including complications and changes in symptoms and weight, were analyzed. Results. Of the total study population of 29 subjects, 20 (68.9%) were female. The patients were divided according to the Onley classification as follows: type I (n=13, 44.8%), II (n=10, 34.5%), and III (n=6, 20.7%). Twenty-five patients (86.2%) had comorbidities. Seventeen patients (58.6%) underwent microlaryngobronchoscopy under STRIVE Hi anesthesia. Four patients with several desaturation events required rescue oxygenation by intermittent intubation and mask bagging during the STRIVE Hi technique. However, the procedure was completed in all patients without any severe adverse effects. Overall, 15 children (51.7%) underwent supraglottoplasty, of whom 14 (93.3%) showed symptom improvement, and their postoperative weight percentile significantly increased (P=0.026). One patient required tracheostomy immediately after supraglottoplasty due to associated neurological disease. Conclusion. The STRIVE Hi technique is feasible for supraglottoplasty in LM patients, while type III LM patients with micrognathia or glossoptosis may have a higher risk of requiring rescue oxygenation during the STRIVE Hi technique.
차현경(Hyun Kyung Cha),장진석(Jin Seok Jang),유완석(Wan Suk Yoo),손정현(Jeong Hyun Sohn) 대한기계학회 2014 大韓機械學會論文集A Vol.38 No.11
회로차단기에서 가장 중요한 성능은 전기시스템의 이상전류를 신속하게 차단하는 것이다. 이러한 차단시간은 조작기구의 동적 특성에 의한 영향을 받는다. 따라서 회로차단기의 차단시간 단축을 위해서는 조작기구의 최적화가 이루어져야 한다. 본 논문의 가스회로차단기의 조작기는 스프링으로 구동되며 여러 개의 Latch 로 구성되어있다. Latch 들의 상대적 위치와 길이로 정의된 각 설계변수의 차단시간에 대한 영향을 분석하고 이 결과를 통해 설계변수를 선정하여 ADAMS 와 VisualDOC 의 연동을 통해 최적화를 수행하였다. Latch 들의 최적화를 통해 약 22.5% 개극시간을 향상을 확인하였다. Breaking time is an important performance indicator of a circuit breaker. Thus, the operating mechanism of the circuit breaker should be optimized for reducing the breaking time. The operating mechanism in a gas circuit breaker is made up of several latches. Specifically, the geometry and relative positions of latches influence the dynamic behaviors of the operating mechanism. In this study, a three-stage latch operating mechanism is analyzed on the basis of the verified multibody dynamics model constructed using the MSC.ADAMS program. The relative positions and lengths of latches are selected as design variables. The dominant design variables are selected by a design study. Optimization is performed using a genetic algorithm (GA). The study results demonstrate that the performance of the circuit breaker improves by about 22.5.