• Title/Summary/Keyword: 설명 후 동의

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A Study on Recent Discussions ahout the Pysician's Explanation in Medical Litigation (의료소송에서 의사의 설명에 대한 최신 지견)

  • Baek, Kyounghee
    • The Korean Society of Law and Medicine
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    • v.24 no.4
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    • pp.37-63
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    • 2023
  • In medical litigation, there are various cases where a doctor's 'explanation' of a patient becomes problematic. Medical explanations and guidance are required from the doctor, starting from the beginning of diagnosis, through treatment processes such as surgery, when hospitalization is necessary for treatment, during hospitalization, upon discharge, and after discharge. Furthermore, notification from the doctor or medical institution may be requested regarding the economic costs that will be incurred due to medical treatment. South Korea's judiciary has been developing legal principles regarding such doctor's explanations by distinguishing between explanations for obtaining consent for medical treatment and medical explanations related to guidance on patient treatment methods, taking into account related laws such as the stage of treatment and the Medical Service Act. Additionally, the Constitutional Court recently ruled on the non-benefit cost notification system linked to the explanation of economic costs. However, holding a doctor accountable solely because the doctor's explanation was insufficient has aspects that do not correspond to the actual situation in clinical reality, and may have a reflexive disadvantage that results in a decline in legal rights. Therefore, the doctor's explanation needs to be examined from both perspectives: guaranteeing the patient's right to self-determination and protecting his or her right to decision.

Health Inequality of Local Area in Seoul : Reinterpretation of Neighborhood Deprivation (서울시 소지역 건강불평등에 관한 연구 : 지역박탈에 대한 재해석)

  • Kim, HyoungYong;Choi, Jinmu
    • Journal of the Korean association of regional geographers
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    • v.20 no.2
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    • pp.217-229
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    • 2014
  • This study was performed to identify neighborhood deprivation indicators associated with health and to test the contextual effects of those indicators on individual health. This study calculated SMR based on Dong district and see the differences of prediction across deprivation index and indicators. Then, a multi-level analysis using HGLM was conducted to test the contextual effect of neighborhood depreivation indicators on health after controlling for demographic and socioeconomic status of individuals. The results showed that regional SMR had strong correlations with land price, education, welfare recipients, female household proportion in Dong district but failed to show the correlation with individual health and neighborhood deprivation. Individual health was only associated with individual level of demographic and socioeconomic status. That is, spatial dispersion of illness is understood as the distribution of social classes in terms of socioeconomic status of individuals, not the contextual aspects of community.

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Vibration Reduction for a Railway Depot Building (I): Vibration/Noise Evaluation (철도인공대지에 건설된 아파트의 방진대책(I): 진동소음 평가)

  • Kim, Jeung Tae
    • Journal of the Korean Society for Railway
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    • v.16 no.5
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    • pp.353-357
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    • 2013
  • Property development along railway lines is a critical issue at present. Because various railway lines exist in most large cities, there are numerous properties and open spaces to be developed for communities associated with these lines. The active development of railway properties can be a means to resolve housing shortage problems in cities. In this first part of this paper, noise and vibration levels of an artificial area of land and apartment complex are measured and evaluated to derive a design strategy for vibration reduction purposes.

Effects of Lecturer Appearance and Speech Rate on Learning Flow and Teaching Presence in Video Learning (동영상 학습에서 교수자 출연여부와 발화속도가 학습몰입과 교수실재감에 미치는 효과)

  • Tai, Xiao-Xia;Zhu, Hui-Qin;Kim, Bo-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.267-274
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    • 2021
  • The purpose of this study is to investigate differences in learning flow and teaching presence according to the lecturer's appearance and the lecturer's speech rate. For this experiment, 183 freshman students from Xingtai University in China were selected as subjects of the experiment, and a total of four types of lecture videos were developed to test the lecturer's appearance and their speech rates. Data was analyzed through multivariate analysis of variance. According to the results of the analysis, first, learning flow and teaching presence of groups who experienced the presence of the lecturer appeared were significantly higher than the groups who learned without the appearance of the lecturer. Second, the groups who learned from videos with a fast speech rate showed higher learning flow and teaching presence than the group who learned at a slow speech rate. Third, there were no significant differences in both learning flow and teaching presence according to the lecturer's appearance and speech rate. This result provides a theoretical and practical basis for developing customized videos according to learners' characteristics.

A Prediction Model of Fear of Falling in Older Adults Living in a Continuing-Care Retirement Community(CCRC) in United States (미국 노인의 낙상에 대한 두려움 예측모형에 관한 연구)

  • Jung, Dukyoo
    • 한국노년학
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    • v.29 no.1
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    • pp.243-258
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    • 2009
  • Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

Trends in Visual Quality Assessment (영상 화질평가 기술동향)

  • Lee, S.K.;Yoo, W.Y.;Suh, Y.H.
    • Electronics and Telecommunications Trends
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    • v.27 no.3
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    • pp.83-91
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    • 2012
  • 디지털 영상은 캡처 디바이스를 통해 획득된 후, 처리, 압축, 저장, 전송, 재생산 등의 과정을 거치면서 반드시 왜곡이 수반된다. 이렇게 왜곡된 영상은 인간 지각이 허용할 수 있는 범위 내에서 정확히 재생되어야 한다. 따라서, 영상이 재생되기 전 영상의 화질을 평가할 필요가 있다. 실제 응용에 있어서, 인간의 견해로 영상 화질의 점수를 정하는 주관적 화질평가는 일반적으로 불편하고 시간도 많이 소요되며, 비용이 많이 든다. 예를 들어, 사진, 동영상 등의 영상 콘텐츠를 대규모로 저장하고 있는 클라우드 서비스의 경우, 영상 콘텐츠가 상용으로 서비스되기 전 모든 영상의 화질을 인간이 직접 평가하는 것은 불가능하다. 영상 화질평가(visual quality assessment)에 대한 연구목적은 지각된 영상의 화질을 자동으로 예측하는 측도를 개발하는 것이다. 본고에서는 기존에 제안된 영상 화질평가 기술들을 설명하고, 앞으로의 연구에서 해결해야 할 이슈들을 살펴본다.

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A Study on the Historical Development of Library law in Korea (도서관 및 독서진흥법 변천과정에 관한 연구)

  • 한성택
    • Journal of Korean Library and Information Science Society
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    • v.33 no.4
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    • pp.307-330
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    • 2002
  • I explained about the process of enactment revision, background and main prints of Library Law enacted on October 28, 1963 and the subsequent revised or enacted laws, dealt with the important contents of the laws and suggested the problems md improvements of the early laws and the late laws by compraing, analyzing and examining.

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Improvement of Speed Search of Permanent Magnet Synchronous Machine (영구자석형 동기기의 속도 써치 방법 개선)

  • Lee, Eun-Woo;Park, Cheol-Hyun;Kim, Jeong-Bin
    • Proceedings of the KIPE Conference
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    • 2015.07a
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    • pp.481-482
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    • 2015
  • 모터의 효율 규제에 따른 영구자석형 동기전동기의 사용확대에 따라서 유도기에 적용되었던 기술들이 동일하게 동기기에도 필요하게 되었다. 이 중에서 정전시 전동기가 자유회전하는 상태에서 복전된 후에 전동기를 재기동할 때 회전자의 현재 속도부터 지령속도로 제어해주는 방법을 속도써치라고 한다. 유도기에 사용되었던 방법을 동기기에 그대로 적용하기에는 무리가 있어 영구자석이 회전시에 발생하는 역기전력을 이용한 회전자 위치 및 속도 판별 방법에 대해서 설명하고 기존의 방법을 최소 자승법을 사용하여 개선하였다.

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Application and Simulation for Performance Test of Turbine Control System in Power Plant (발전소 터빈제어시스템의 성능시험을 위한 모의시험 및 현장 시운전 적용)

  • Woo, Joo-Hee;Kim, Jong-Ahn;Jeong, Chang-Ki;Kim, Byung-Chul;Choi, In-Kyu
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.1607-1608
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    • 2007
  • 국내 발전소의 아날로그 전기식 터빈제어시스템을 디지털 삼중화 제어시스템으로 개조하여 현재 성공적으로 운전되고 있다. 현장 적용하기 이전에 자체 개발한 시작품의 성능을 검증하는 절차가 필요하고, 본 현장 적용에서는 여러 가지 방법 중 발전소 동특성을 모사한 터빈 시뮬레이터를 사용하여 검증하였다. 본 논문에서는 이 시뮬레이터를 사용하여 모의시험 한 방법을 설명하고, 실제 현장 적용 후 시운전 결과와 비교하였다.

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Removal of phosphorus from solution using bark with polyallylamine hydrochloride (Polyallylamine hydrochloride로 처리한 수피를 이용한 수용액상의 인 제거)

  • Yang, Kyung-Min;Kim, Ha-Na;Kim, Yeong-Kwan
    • Journal of Industrial Technology
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    • v.27 no.A
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    • pp.203-209
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    • 2007
  • 본 연구는 목재로서 활용가치가 적은 수피(bark)를 활용하여 수질오염물질을 제거할 수 있는 여과 시스템에 대한 기초연구로서 소나무의 일종인 loblolly pine(Pinus taeda L.) 수피의 인 ($PO_4-P$) 흡착특성을 연구하였다. 실험에 사용된 수피는 입상형태로서 polyallylamine hydrochloride로 전처리하여 회분식 등온 흡착실험을 수행하였다. 회분식 등온흡착실험은 수용액 pH 3~pH 8범위에서, 인의 농도별(10, 20, 30, 40 mg/L)로 수행하였다. pH 5에서 가장 높은 인 제거 효율을 나타냈으며, 수용액의 pH는 실험 후 pH 3으로 감소하였다. 이러한 감소는 수피에 의한 phosphate의 흡착이 Lewis acid-base 반응으로서 이 과정에서 $H^+$의 방출로 인하여 나타난 현상인 것으로 여겨지며, 주된 반응 메카니즘은 더 연구할 필요성이 있다. 인 흡착은 초기에 빠른 속도로 진행되었으며 대략 200분 이후에 평형에 도달하였고, 시간이 지날수록 흡착양이 증가하는 경향을 보였다. 인의 흡착특성 결과는 Langmuir 등온흡착식과 Freundlich 등온흡착식으로 설명될 수 있으며, 등온흡착식 적용결과, 흡착제에 대한 최대 흡착능은 7.14 mg/g 이며 다른 흡착제와 비교하여 더 높았다. 실험결과와 모델에 의한 흡착능을 비교하고자 pseudo second-order model을 적용하여 흡착 동역학 상수를 구하였다. 또한 EDXA분석으로 회분식 흡착실험 후 수피와 인이 결합되어있는 것을 확인할 수 있었다.

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