• Title/Summary/Keyword: 과실판단

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Review of 2021 Major Medical Decisions (2021년 주요 의료판결 분석)

  • Park, Taeshin;Yoo, Hyunjung;Lee, Jeongmin;Cho, Woosun;Jeong, Heyseung
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.171-209
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    • 2022
  • There were also many medical-related rulings in 2021, among which the rulings reviewed in this paper are as follows. The first relates to a case in which the medical record, which is the primary judgment data regarding the presence or absence of medical negligence, has been modified. The court judged whether there was negligence on the basis of the first written medical record without considering the contents of the medical record that was later modified. Next, the ruling on the case of asking for liability for damages for prescription of anti-obesity drugs recognized negligence related to prescription, but denied liability for property damage by denying a causal relationship, and recognized only alimony for violation of the duty of explanation. The a full-bench ruling on the scope of subrogation of the National Health Insurance Corporation, which subrogates the claims for compensation for medical expenses against the perpetrator of the patient, changed the existing precedent that had taken the 'deduction method after offsetting negligence' and judged it as 'the method of offsetting negligence after deduction'. In addition, in the ruling on whether or not there was negligence, the court was not bound by the medical record appraisal result. Lastly, in relation to the National Health Insurance Service's disposition of reimbursement for medical care benefit costs, we reviewed the ruling that discretion should be exercised even when a non-medical person makes a refund to a medical institution opened by a non-medical person. And we also reviewed the ruling that the scope of reimbursement for medical institutions jointly using facilities and manpower specifically should be determined.

해양안전심판원 재결에 대한 사법부의 인용 사례

  • Heo, Yong-Beom
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2007.12a
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    • pp.56-57
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    • 2007
  • 해양안전심판원에서 재결한 내용을 몇 가지의 사례 분석을 통하여 우리나라 사법부에서 현재 어떻게 인용하고 있는가를 조사한 것으로 이를 통하여 해양안전심판원의 재결에 대한 전문성 및 신뢰성 등이 점차 견고하게 쌓아지고 있음을 밝히려는 것이다.

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Die Fahrlässigkeit im medizinischen Behandlungsfehler (의료사고에 있어서 과실 - 과실판단에 대한 판례의 태도를 중심으로-)

  • Yi, Jaekyeong
    • The Korean Society of Law and Medicine
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    • v.17 no.2
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    • pp.29-56
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    • 2016
  • $F{\ddot{u}}r$ den Schadensersatzhaftung des Arztes, sog. die Arzthaftung, ist es vornehmlich vorauszusetzen: die $Sch{\ddot{a}}digungsbehandlung$ des Arztes, die Rechtswidrigkeit und das Verschulden. Zur Problematik der $Fahrl{\ddot{a}}ssigkeit$ in der Stufe des Verschuldens handelt sich es in dieser Beitrag um die Kritisierung der Rechtsprechung. $F{\ddot{u}}r$ die Entscheidung des Verschulden im medizinischen Fehler kommt es darauf an, ob die Sorgfaltspflicht des Arztes verletzt wird. $Daf{\ddot{u}}r$ wird der medizinische Standard rekurriert, den die Rechtsprechung nicht aus materieller, sondern aus normativer Sicht begreift. Erstaunlich $un{\ddot{u}}bereinstimmend$ mit deren Leitsatz wird der medizinische Standard als $Ma{\ss}stab$ der Sorgfaltspflicht materiell - zutreffend nur im Ergebnis - behandelt. Die Sorgfaltspflicht in der Medizin bedeutet nicht die natur-wissenschaftliche Erkenntnisse, sondern eine "Best-$M{\ddot{u}}ssen$" Pflicht. Demnach ist der Standpunkt der Rechtsprechung, wonach den med. Standard normativ bewertet und die Sorgfaltspflicht darduch wieder normativ entscheidet, nicht anders als eine $w{\ddot{o}}rtliche$ Wiederholung. Die Arzthaftung in der Rechtsprechung ist aufgrund mit der Verneinung von der Sorgfaltspflichtverletzung nicht angenommen, welche in der Tat jedoch aus verschiedenen $Gr{\ddot{u}}nden$, wie die Rechtswidrigkeit, die $Fahrl{\ddot{a}}ssigkeit$ oder $Kausalit{\ddot{a}}t$, nicht angenommen. Der $Fahrl{\ddot{a}}ssigkeitsbeweis$ in der Rechtsprechung entwickelt sich mit dem Beweis nach objektivem $Ma{\ss}stab$, der Vermutung nach Anschein-Beweis und der $Beschr{\ddot{a}}nkung$ mit der Wahrscheinlichkeit. Bei Letzterem $geh{\ddot{o}}rt$ es $schlie{\ss}lich$ zum medizinischen Bereich. Ein Eintritt in den fachliche Bereich im Rahmen der Beweislast stellt der Beweiserleichterung $gegen{\ddot{u}}ber$. Aus diesem Hintergrund ist ${\S}630$ h Abs. 5 BGB bemerkenswert, wonach das Vorliegen eines groben Behandlungsfehler $regelm{\ddot{a}}{\ss}ig$ zur Vermutung von der $Kausalit{\ddot{a}}tszusammenhang$ $f{\ddot{u}}hrt$. Dieser Paragraph ist inhaltlich als Beweislastumkehr angesehen. Damit ist es von Nutzen im Fall des groben Fehler, der beim - elementaren - kunstgerechten Verhalten nicht entstanden $h{\ddot{a}}tte$, wie $Hygienem{\ddot{a}}ngel$, ${\ddot{U}}berdosierung$ des Narkotikum.

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Effects of Organic Mulches on the Quality of "Niitaka" Pear Trees and Fruit (유기질 멀칭이 배 '신고' 나무의 과실 품질에 미치는 영향)

  • Wu, Xiu-Yu;Kim, Wol-Soo;Choi, Hyun-Suk;Jo, Jung-An
    • Food Science and Preservation
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    • v.17 no.4
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    • pp.466-470
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    • 2010
  • We investigated the effects of organic mulches on the tree and fruit qualities of "Niitaka" (Pyrus pyriforia) pear trees. Trees grown with rice straw mulch had significantly greater potassium (K), magnesium (Mg), and calcium (Ca) concentrations in leaves compared with control trees and those mulched using bark or polyethylene, but the concentrations were below the recommended levels for these nutrients in pear leaves. Bark mulch increased fruit firmness and soluble solid (SS) levels, compared with rice straw mulch. The fruit of trees grown with bark mulch had a higher ratio of SS to total acidity in fresh fruit, and the fruit was dark red in color. The K and Ca concentrations were highest in fruit grown on trees mulched with rice straw and bark, respectively, and competition between the levels of these cations was evident in fresh fruit. Bark and rice straw mulches increased overall fruit quality, and reduced fruit stone size, whereas a polyethylene mulch, devoid of organic material, resulted in a fruit stone size similar to that of the control.

Regarding Issues on the Lawsuit of Medical Malpractice in the Implant Procedure -Focusing on the contract's legal character and the mitigation of burden of proof- (임플란트 시술상 의료과오의 소송상 쟁점에 관하여 -계약의 법적성격 및 입증책임 완화를 중심으로-)

  • Han, Taeil
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.143-163
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    • 2018
  • Implant procedure belongs to so called a commercialized medical treatment, its procedure is simple and clear, and the possibility of success is almost 100%. In addition, it is a selective method rather than an inevitable method for a patient's health, so the importance of liability for explanation is especially emphasized for protection of autonomous decisions by patients. Considering these characteristics, the plaintiff in the relevant case said that the contract of implant procedure has the characteristic of subcontract, and only the failure of implant itself and the violation of liability for explanation should be the defendant's fault liability. In addition, although the above procedure contract is considered as delegation rather than subcontract, whether it's the defendant's malpractice should be judged by general people's common sense rather than average people in the industry. Therefore, if all the implanted teeth were removed due to bleeding and pains, and the patient suffered from dysaesthesia during the process, the defendant's malpractice is fully proved. When the judgements of implant medical malpractice were researched, the court doesn't consider implant contract as subcontract, but it judges dentist's malpractice by whether the implant itself is successful, so it seems that the court acknowledges similar characteristics with subcontract whose purpose is completion of work to some degree. In addition, considering the detailed contents of presented medical malpractices, it seems that judging medical malpractice is based on the common sense of general people. Therefore, the argument of the plaintiff is valid when the fact the adjustment amount is relevant to the amount that the plaintiff initially claimed is considered even though the relevant case was decided to be compulsory mediation.

Manufacture of Pear Bag Having Anti-insect and Anti-fungi Properties for WhangKeumBae and Niitaka(II) (황금배 동녹 방지용 및 갈색균 방균. 방충처리용 봉지 개발(II))

  • 류정용;윤혜정;김용환;신종호;송봉근
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2000.11a
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    • pp.82-82
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    • 2000
  • 16세기부터 씌워진 과실봉지는 초기 병해충을 방지할 목적만으로 사용되었지만, 현재는 방균과 방충의 효과와 함께 자연현상의 최적화를 위한 차광성, 발수성, 투기성 및 투습성 등 을 조절하며 과실의 외관과 과중 및 당도에까지 영향을 미치는 바 과실봉지의 기능성 부여 를 위해서는 고도의 기술력이 요구되고 있다 하겠다. 실제 과실봉지를 적용하는 한 예로서 “배”를 들 수 있는데, 그 중 황금배는 흑반병, 각 종 병충해 및 동녹으로 인한 상품가치의 하락으로 현재 수요를 충족시키지 못하고 있는 실 정이다. 과피의 비정상적인 코르크화로 인해 발생하는 동녹은 과피의 물리적 할렬과 생리적 장해에 의해 발생하는 것으로 알려져 있다. 과실이 비대해짐에 따라 과피의 기공(과점)이 할 렬하면서 코르크화가 진행되는데 그 발생정도나 시기는 배의 품종에 따라 다르나 일반적으 로 코르크화는 기상조건, 특히 습도와 밀접한 관련이 있다. 황금배의 재배에 봉지를 적용하면 과피의 코르크화가 억제되는데 봉지 내의 대기 환경 이 외기보다 안정적으로 유지되고 직사광선이나 농약 및 마찰로부터 과실을 보호해 주기에 동녹이 어느 정도 방지될 수 있다. 만일 과실이 외부로부터 받는 자극을 적절히 조절하는 기능성 봉지가 제 역할을 다해줄 수 있다면 동녹을 방지하여 외관을 개선함은 물론, 배의 성장에 적합한 미시대기 조건을 제공함에 따라 보다 높은 당도를 지닌 대과의 재배가 가능 하다고 판단된다. 그러나 기존의 황금배봉지는 동녹의 정도를 완화시킬 뿐 완전히 방지할 수 없었으며, 봉지를 적용한 재배조건에서의 동녹 발생기구를 정확히 이해하지 못했었기에 효과적으로 봉지의 기능을 개선하는 것이 불가능하였다. 과실의 미려도는 과실의 맛과 함께 그 가치를 결정짓는 중요한 물성으로서 우리나라 황 금배 재배환경과 특성에 알맞은 배봉지의 제작이 선결될 때, 배 품질의 향상, 안정된 공급이 가능하게 될 것이며 아울러 농가의 수입증대와 수출 경쟁력 강화가 이루어질 수 있을 것으 로 판단된다. 이러한 측면에서 황금배 재배농가가 당면한 동녹발생의 문제점을 효과적으로 해결하고 아울러 기타 과실의 재배용 봉지의 기능성 부여를 위한 새로운 과실 봉지 처리 기 술의 개발이 절실히 요구되고 있다. 상기한 측면에서 본 연구에서는 과실봉지를 적용했을 때 봉지 내의 미시대기 조건이 봉 지의 특성에 따라 변화되는 양상을 파악하기 위해서 실험실적으로 field 조건을 모사하고 봉 지 내의 온도 및 습도를 측정 분석하였다. 아울러 봉지 종류간에 동녹발생 정도가 상이한 점에 예의 주시하여 다양한 봉지의 적용실험을 통해 최적의 과실봉지 조건을 탐색하였다.

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Effect of Germanium Treatment on the Quality of 'Niitaka' Pear Fruit (게르마늄 처리가 배 '신고' 과실품질 특성에 미치는 영향)

  • Kim, Tae-Yeon;Kim, Wol-Soo;Choi, Hyun-Sug
    • Food Science and Preservation
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    • v.16 no.5
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    • pp.675-679
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    • 2009
  • We investigated how Germanium (Ge) application, and the application method, affected 'Niitaka' (Pyrus pyrifolia) fruit quality in a conventional orchard. Ge-treated pears weredark yellow in color, indicating appropriate maturation. Other fruit characteristics, and weight, did not significantly differ between tests and controls. Compared to controls, fruit from Ge-treated trees had more soluble solids, a lower acid content, and fewer stone cells, which reduced fruit chewiness. Ge-treated trees showed a higher Ge concentration in fruit but a lower calcium (Ca) concentration. Other fruit mineral nutrients, includingP, K, and Mg, did not differ in level between Ge-treated fruit and controls. Ge-treated fruit showed greater firmness and a heavier specific weight during 6 months of storage, compared to control fruit. Therefore, Ge treatment reduced fruit pithiness, which can be a problem in 'Niitaka' pears. Overall, there was no significant difference between Ge-treated and control fruit qualities, but a combined Ge treatment (fertilization plus foliar application plus trunk injection) slightly improved fruit quality.

Diurnal Change in Water Statue of Fruit Tissues During the Growth of Kiwifruit(Actinidia deliciosa) (참다래 과실의 생장에 따른 과실조직의 일중 수분상태 변화)

  • Han Sang Heon
    • Journal of Bio-Environment Control
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    • v.10 no.1
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    • pp.1-9
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    • 2001
  • Fruit growth in kiwifruit shows double sigmoid curve, but it does not certainly indicate as years. Therefore, I though the reason to be easy to the effect of water state change in kiwifruit, investigated diurnal change in water status of fruit tissues with an isoipiestic psychrometers against the fruit growth stage of kiwifruit in 1995 and 1996. Diurnal change in the fruit tissue water potential were little, but violent for fruti growth state III in 1996. The potential of two years dropped gradually approach to harvest time. On the other hand, osmotic potential of the tissues indicated to very similar to water potential, dropped rapidly -1.5MPa before dawn, recovered -1 MPa after 3 h on October 14, were -1~-1.7 MPa at the fruit commercial harvest in 1995. It had a tendency to lower in 1996 than in 1995. It was recorded to the minimum air temperature at the first for an autumn in 1995; 13$^{\circ}C$ from the middle night of October 13 to dawn of October 14. Leaves water potential, which is related to water status of xylem, nearly fell below -1 MPa at before dawn from stage II in 1996. However, it fell so low only at commercial in 1995. At the stage II, osmotic potential and ascent of the turgor pressure was high than 1995-fruit. There parameter suggested that three of kiwifruit in 1996 were status of water stress for stage III. The results from this study indicated that difference of fruit growth between 1995-fruit and 1996-fruit was affected by water status of the fruit tissues, which was influenced by weather condition.

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A Study on the Cause of the Fault on Underground Distribution Line (지중배전선로 고장요인에 관한 연구)

  • Jung, Jong-Yon;Seon, Sang-Jin
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.302_303
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    • 2009
  • 지중배전선로 고장발생현황을 분석한 결과 설비별로는 케이블 고장이 가장 많았고, 그 다음으로 개폐기, 접속재, 변압기 순으로 고장이 많이 발생하였다. 원인별로 보면 일반인 과실과 자연열화에 의한 고장이 대부분을 차지하였다. 지중고장 유형 중 가장 많은 케이블 외상 고장은 인적 과실에 의한 고장으로 이와 같은 인적 과실에 의한 고장이 전체 지중고장의 50% 이상을 차지하며 케이블 및 접속재 열화고장 등 관리소홀에 의한 고장은 전체 지중고장의 20% 이상을 차지하였다. 인적 과실 및 관리소홀에 의한 고장은 천재지변과는 달리 설비관리 노력으로 충분히 감소시킬 수 있다. 지중고장을 감소시키기 위한 구체적인 방안으로는 선로굴착개소 순시 및 입회 철저, 굴착개소 관련 DB의 정확도 유지, 설비열화 진단 및 보강, 설비진단 신기술 개발 및 도입, 접속개소 시공품질 향상 등이 필요할 것으로 판단된다.

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