• Title/Summary/Keyword: 동의서

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Application of Animation Mobile Electronic Informed Consent in Inpatient of Long-term Care Hospital: Focused on DNR Informed Consent (요양병원 입원환자의 애니메이션 모바일 전자동의서 적용: DNR 동의서를 중심으로)

  • Park, Ji-Kyeong;Kim, Ji-On
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.187-196
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    • 2015
  • The purpose of this study was to examine the understanding of contents and the convenience of use of the DNR animation mobile electronic informed consent. The subjects in this study were inpatients of long-term care hospital. As for data analysis, a statistical package SPSS 21.0K was employed. The findings of the study were as follows: First, DNR choice was 33.0%, CPR choice was 54.0% in case of the outbreak of cardiac arrest. Their principal diagnosis made statistically significant differences to their choice of DNR and CPR. Second, they got 2.50 in the understanding of the content of the DNR electronic informed consent, and got 2.37 in the convenience of use. Given the findings of the study, the DNR animation electronic informed consent is expected to help patients to have a better understanding of contents, to make their decision to choose DNR or CPR, and to sign the DNR informed consent forms themselves.

An Improved Model of Effectiveness on the Implementation of Personal Information Utilization Agreement in Financial Companies (금융회사의 개인정보 이용 동의 구현에 대한 효과성 개선 모델)

  • Jang, Gi-hyun;Lee, Kyung-ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.26 no.1
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    • pp.247-257
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    • 2016
  • It is required to have Personal Information Agreement when a financial company uses personal information by the Law of Privacy. So, financial companies have to demand customers the submission of Personal Information Agreement. Thus, financial companies have made Personal Information Agreement in various formats for customers. However, financial companies are lack of a verification process, the cases of collecting invalid Agreement often occurred. This study focuses on the verification process of Personal Information Agreement and the contents of Personal Information Agreement. In conclusion, this study proposes an improved model that added to the process of verification for the concept of Agreement. Based on this study, I hope financial companies to reform their agreement process and to improve the effectiveness on the implementation of Personal Information Utilization Agreement.

How Patients in Clinical Trials Understand Informed Consent (만성신장질환자의 임상시험 설명문 및 동의서 이해도와 관련 요인)

  • YEO, Won-Kyeong;YANG, Sook-Ja
    • Korean Journal of Medical Ethics
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    • v.21 no.4
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    • pp.344-359
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    • 2018
  • The purpose of this study was to identify how patients with chronic kidney disease understand informed consent and related factors for clinical trials. Data from a paper-based survey was collected from July 1, 2017 to April 30, 2018. The subjects for this study were 85 adult patients with chronic kidney disease who were participating in clinical trials. Surveys were conducted by a tool modified from QuIC as designated by Joffe in 2001. The QuIC consists of two parts: objective and subjective cognition. These tools were modified for this study. The average score for the objective understanding (OU) of informed consent for clinical trials was 69.56; the average score for the subjective understanding (SU) of informed consent for clinical trials was 3.28. It was found that health literacy predicted OU (F=27.709, p<.001) while SU was predicted by additional information (F=-3.095, p<.003), question (F=13.603, p<.001), and informed consent (F=-4.833, p<.001). In conclusion, the results of this study indicate that the understanding of informed consent for clinical trials among patients with chronic kidney disease is relatively low. Accordingly, alternative methods that consider each patient's health literacy levels and related factors need to be considered in order to improve their understanding of informed consents during the clinical trial process.

Nurse and Patient's Experiences Regarding the Use of Electronic Informed Consent in Hospital: A Qualitative Study (의료기관에서 간호사와 환자의 전자동의서 사용 경험: 질적 연구)

  • Kim, Sun Hee;Kang, Hee Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.619-628
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    • 2020
  • This study examined the experiences of users regarding their use of electronic informed consent in hospital. A qualitative descriptive study was conducted using focus groups and in-depth interviews with 30 Korean nurses and 27 patients. Data were collected from one university hospital. The responses were analyzed by qualitative content analysis. Most participants perceived the use of electronic informed consent as convenient and straightforward, as well as saving space and money. On the other hand, the participants stated that the system was unsatisfactory in part because of the occasional unexpected machinery error or malfunction. Some patients wished for function improvements related to the e-signature, making it more comparable to a handwritten signature, and the adjustability of the font size. The nurses wanted a wider implementation of electronic informed consent because it was not being used for all informed consent cases, resulting in confusion and an additional workload. For the use of an electronic informed consent system, it is important to minimize the inconvenience and to maximize the satisfaction of the users, including nurses and patients.

How is it possible to use the human body material for research without the written consent of the donor? (바이오뱅크 내 동의서 없는 폐기용 인체유래물 자원의 재활용을 위한 정당성 모색)

  • JEONG, Chang Rok;HEO, Eusun
    • The Korean Society of Law and Medicine
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    • v.18 no.1
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    • pp.199-235
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    • 2017
  • A topic of particular interest for biotech researchers are handling of human tissue specimens that may be used for present, or stored for future, research purposes. This article examines the ethical and legal legitimacy of using human materials for research purposes with special attention to the issues of informed consent and confidentiality. The purpose of this paper is moral and for law legitimacy exploring of the utilization of the human material without donator's consent. It is a known fact that future medical care should be exchanged a paradigm by preventive health care through a human meterial research. The developed country have established a biobank for a human meterial research and supported a researcher. Korea is the same, too. When it is done a defect, as for the thing researcher derived from the Korean human meterial research. The written consent of the donator can keep a human meterial research origin thing, but cannot use it now. I will justify morally and for law that researcher can use the human material without written consent. We can change the concept of recycling of human material. It is not mean only burning that recycling of human materials for research.

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The medical system of Donguibogam is based on the relationship between body, Disease, symptom-complex and recipe (체(體), 병(病), 증(證)과 방(方)의 대응이 "동의보감(東醫寶鑑)"의 진료체계이다)

  • Cui, Zhengzhi
    • Korean Journal of Oriental Medicine
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    • v.15 no.2
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    • pp.125-130
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    • 2009
  • 동의보감(東醫寶鑑) "내경편(內景篇)"에 "사람의 형은 긴 것이 짧은 것만 못하며, 큰 것이 작은 것만 못하고, 살찐 것이 마른 것만 못하다. 사람의 색은 흰 것이 검은 것만 못하고, 옅은 것이 짙은 것만 못하며, 엷은 것이 두터운 것만 못하다. 더욱이 살찐 사람은 습이 많고, 마른 사람은 화가 많으며, 흰 사람은 폐기가 허하고, 검은 사람은 신기가 넉넉하다. 사람마다 형색이 다르면 오장육부 역시 다르기 때문에 외증이 같더라도 치료방법을 달리해야 한다."고 하였다. 이것은 "동의보감(東醫寶鑑)"의 체 병 증을 서로 결합하여 진단 치료하는 사상으로 "이체질동병이치", "이체질동증이치"의 체질진료사상을 나타낸 것이다. "동의보감(東醫寶鑑)" "탕액편(湯液篇)"에서 "약이란 병을 치료하는 것이다. 변화하는 것은 병에 있고, 병 치료를 주관하는 것은 약에 달렸으며, 약을 만들어 쓰는 것은 사람에게 달려 있다. 이 셋 중 하나라도 빠지면 안된다."고 하였다. 이것은 체 병 증과 방약이 서로 대응하는 용약사상을 보여주는 것으로 동의약의 진료체계를 건립하였는데 이 점이 바로 동의약학의 장점이자 특색이라 할 수 있다.

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DNR (Do-Not-Resuscitate) Order for Terminal Cancer Patients at Hospice Ward (호스피스 병동에서 시행되는 말기 암 환자의 DNR (Do-Not-Resuscitate) 동의)

  • Shim, Byoung-Yong;Hong, Seok-In;Park, Jin-Min;Cho, Hong-Joo;Ok, Jong-Sun;Kim, Seon-Young;Han, Sun-Ae;Lee, Ok-Kyung;Kim, Hoon-Kyo
    • Journal of Hospice and Palliative Care
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    • v.7 no.2
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    • pp.232-237
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    • 2004
  • Purpose: DNR order is generally accepted for cancer patients near the end of life at Hospice Ward. It means not only no CPR when cardiopulmonary arrest develops but no aggressive meaningless medical interventions. Usually on admission, we discuss with the patients' family about DNR order at the Hospice Ward. Recently, we experienced a terminal lung cancer patient who had been on the ventilator for two months after pulmonary arrest. CPR and artificial ventilation were performed because patient's family refused DNR order. There is no consensus when, who, and how DNR order could be written for terminal cancer patients in Korea, yet. Methods: Hospice charts of 60 patients who admitted between Jan and Jun 2003 to Hospice Ward were reviewed retrospectively. Results: The median age was 66(range $31{\sim}93$) and there were 31 males and 29 females. Their underlying cancers were lung (12), stomach (12), biliary tract (7), colon (6), pancreas (4) and others (19). The persons who signed DNR order were son (22), spouse(19), daughter (16) and others (3). But, there was no patients who signed DNR order by oneself. Thirty families of 60 patients signed on day of admission and 30 signed during hospitalization when there were symptom aggravation (19), vital sign change (4), organ failure (3) and others (4). There were 13 patients who died within 5 days after DNR order. Most of patients died at our hospice ward, except in 1 patient. The level of care was mostly 1, except in 2 patients. (We set level of care as 3 categories. Level 1 is general medical care: 2 is general nursing care: 3 is terminal care.) Conclusion: We have to consider carefully discussing DNR order with terminal cancer patients in the future & values on withholding futile intervention.

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축산물위생처리협회지

  • 한국축산물위생처리협회
    • 한국축산물위생처리협회지
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    • no.54
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    • pp.1-2
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    • 2003
  • 등급판정수수료징수대행료 동의서 송부요망 - 3월 3일은 '삼겹살 데이'로 - 러시아로 수출 재개

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"동의보감(東醫寶鑑)" '중갈중열지변(中喝中熱之辨)'에 대한 고찰(考察);약론(略論) "동의보감(東醫寶鑑)" '중갈중열지변(中喝中熱之辯)'

  • Lee, Yong-Beom
    • Journal of Korean Medical classics
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    • v.19 no.4
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    • pp.1-11
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    • 2006
  • "동의보감(東醫寶鑑)" 근거(根據) "의학정전(醫學正傳)", 장서증분성중갈화중열양류(將署證分成中喝和中熱兩類), "의학정전(醫學正傳)" 적원문우인용료(的原文又引用了) "금궤요략" 갈병조문(喝病條文). 단시(但是) "금궤요략" 적서증분류여(的署證分類與) "의학정전(醫學正傳)" 부동(不同), 대맥여병인적설명역부동(對脈與病因的說明亦不同), 고수연(故雖然), "의학정전(醫學正傳)" 인용료(引用了) "금궤요략" 적문장(的文章), 단기내용완전불일양(但其內容完全不一樣). "의학정전(醫學正傳)" 적관점(的觀點), 시장서증분성내상허증화외감실증양류(是將署證分成內傷虛證和外感實證兩類). "동의보감(東醫寶鑑)" 기존종료(旣尊從了) "의학정전(醫學正傳)" 적분류방법(的分類方法), 우기술료동원적분류방법(又記述了東垣的分類方法). "의학정전(醫學正傳)" 대서증적분류화동원적부동(對署證的分類和東垣的不同). "의학정전(醫學正傳)" 장서증분성중갈(將署證分成中喝)(중서(中署):청서익기탕증(淸署益氣湯證))화중열(和中熱)(백호탕증(白虎湯證)), 이이동원분성중서(而李東垣分成中署)(음증(陰證):대순산증(大順散證))화중열(和中熱)(양증(陽證):창출백호탕증(蒼朮白虎湯證)). 단시(但是) "동의보감(東醫寶鑑)" 수인용료이동원적분류방법(雖引用了李東垣的分類方法), 우변경료처방중적부분내용(又變更了處方中的部分內容), 즉중서용창술출호탕지발산법(卽中署用倉朮白虎湯之發散法), 중열용인삼백호탕지보원기법(中熱用人蔘白虎湯之補元氣法). 저표시(這表示) "동의보감(東醫寶鑑)" 기장서증분성내상허증화외감실증(旣將署證分成內傷虛證和外感實證), 우부대채용료이동원적음서양서적분류방법(又附帶採用了李東垣的陰署陽署的分類方法).

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