• Title/Summary/Keyword: 중재원(仲裁員)

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Cardiac Intracoronary Stenting vs CABG: Prevention of Medical Accident (심장 스텐트 시술과 의료사고 예방)

  • Kim, Kyoung Reay;Park, Kook Yang
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.163-194
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    • 2017
  • Coronary artery disease has increased in Korea as the country enters the aged society. It is well known that the incidence of coronary artery disease is related to aging, hypertension, diabetes, hyperlipidemia, and dietary habit. For effective treatment of significant coronary stenosis, close coordination between cardiac surgery and cardiology team is essential. Especially cardiologists' decision whether to do the stent placement or CABG is very important because the cardiologists usually start to consult the patients for their treatment. Recently, non-surgical interventions(that is stent placement) in cardiology field have dramatically increased as the national insurance system removed the limitation of the number of stents deployed. However, accidents are often caused by inappropriate use of stents, especially in patients with triple coronary disease or left main disease with heavy coronary calcifications. Another aspect of stent placement is to cope with an emergency case in the event of coronary rupture or pericardial tamponade during coronary interventions without cardiac surgeons. In the past two years, the Korea Consumer Agency (Consumer Dispute Coordination Committee) analyzed eight cases of medical dispute settlement. Only two hospitals were manned with both cardiologists and cardiac surgeons. Seven patients died of procedures of stenting and five patients died on the day of the procedure. Among the 8 cases, 5 cases showed 3 vessel disease and the rest of the cases had either severe calcification, complete occlusion or poor coronary antomies for stenting According to a 2017 national data registry of coronary stenting, less than 3 drug-eluting stents were implanted in 98% of all patients. In 2015, the number of stent procedures was 38,922, and approximately in 800 (2%) cases, more than four stents were used per patient. We emphasize that it is necessary to seriously consider the cost-benefit analysis between stent and CABG. The patient has the right to choose the right procedure by asking the liability of 'instruction explanation obligation'. He should be well informed of the pros and cons of both procedures to avoid overuse of stent. It can be solved by intimate discussion of individual cases with the cardiac surgeon and the patient. Unilateral dialogue with the patient, forceful restriction on the number of stenting, lack of surgeon's backup in difficult cases should all be avoided. It is also necessary to solve the problem not only at the hospital level, such as multidisciplinary integrated medical care, but also a nationwide solution such as expanding cardiac surgeons as essential personnel to public officials.

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Effects of an Individual Health Counseling Program for Community: Health One-stop Service Program (지역사회 대상의 개인별 건강상담서비스 프로그램 중재 효과: 건강원스톱서비스 사업)

  • Kim, Hyun;Lee, Sok-Goo
    • Korean Journal of Health Education and Promotion
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    • v.29 no.2
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    • pp.13-21
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    • 2012
  • Objectives: The aim of the study was to identify the effects of a community-level individual health counseling program for community. Methods: Data included baseline demographics, blood pressure, blood sugar, waist circumference, total cholesterol and health behavior index(body mass index, dietary practice guidelines score, physical activity, high-risk drinking) collected at public health centers in Chungnam province from January to September, 2011. Data obtained from the individual health counseling program in Chungnam province were analyzed using Wilcoxon Signed Rank Test and McNemar Test. Results: After the individual health counseling intervention, the results of health measurement index; systolic blood pressure, diastolic blood pressure, total cholesterol, waist circumference decreased in the health risk group, while total cholesterol and waist circumference decreased in the disease management group. Health behavior change in both groups. Body mass index, moderate physical activity, dietary practice guidelines scores were improved. Conclusions: These results indicate that the individual health counseling program for community was effective in improving health behaviors and status. The results demonstrate that step-by-step counseling program development and intervention studies are needed.

Development of Wearable Assistance Suite for Interaction with Ubiquitous Environment (유비쿼터스 환경과 상호작용을 위한 착용형 도움 슈트 개발)

  • Seo, Yong-Ho;Han, Tae-Woo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.9 no.5
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    • pp.93-99
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    • 2009
  • The wearable computer that can understand the context of human life and intelligently communicate with various electronic media in ubiquitous computing environment would be very useful as an assistant for humans. In this paper we introduce an intelligent wearable assistance suite. The proposed wearable suite can interact with both humans and electronic media in ubiquitous computing environment. The developed system can sense the interactive electronic media that a user wants to use and also communicate with it. By utilizing these interaction capabilities, it intermediates between each media and the user and offers a friendlier interface to the user who wears this system. We also show the usages of the proposed system by demonstrating its interaction with the interactive electronic media in ubiquitous computing environment.

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Attitude about multicultural society of Korea male-female in the middle age (한국 중년기 남녀의 다문화사회에 대한 태도)

  • Park, Euna;Lee, Eunju
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.2
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    • pp.131-138
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    • 2018
  • The study objective was to identify attitude types about multicultureal society of Korea male-female in the middle age. Data was obtained from a total of 25 in the middle age with 42 questionnaires. Data analysis was used by PC QUANL program. The study result had shown the three types such as an anger-reject style, a concern-acceptance style, and a boundary-adaptation stype. All study participants had perception about multicultural society. Therefore, the study results would used the basic data to develop program considered the types according perception and attitude about multicultural society.

Characterization of PET fiber containing coconut activated carbon (코코넛 활성탄소 함유 PET 원사의 특성연구)

  • Ko, Jung-An;Lim, Ji-Hye;Kim, Young-Un;Ryu, Jung-Jae;Park, Yong-Wan;Kim, Eui-Hwa
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2011.03a
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    • pp.82-82
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    • 2011
  • 최근 국내외 섬유시장은 생활패턴의 변화로 레저 활동 인구가 급증하고, 스포츠 및 케쥬얼 의류의 대한 수요가 증가하고 있어 다기능성을 발휘하는 소재에 대한 관심이 높아지고 기존의 기능성과 차별화된 신소재 및 기능성 소비자 needs가 증가되고 있다. 코코넛 활성탄소 함유 PET 원사는 최근 H사에서 코코넛 열매껍질을 원료로 탄화시켜 얻어진 활성탄소를 polyester에 혼입 방사하여 상용화 단계에 있는 원사로 우수한 흡한속건성, 항균, 소취성 그리고 UV 차단 기능성 등 최근 소비자의 needs에 맞는 고기능성 신섬유 소재로 기존의 유사 기능성 섬유(숯, 대나무, 기능성 무기물 혼입 원사 등)에 비해 물질의 표면적과 공극이 넓어 보다 탁월한 성능을 발휘하는 것으로 알려져 있지만 활성탄소를 함유한 원사로 짙은 원착색으로 인해 의복의 심미성이 크게 떨어지는 단점이 있어 이를 보완 할 필요성이 있다. 본 연구에서는 상용화 단계의 코코넛 활성탄소 함유 PET 원사의 심미성을 보완 할 수 있는 편직기술과 활성탄소 입자 소실을 방지하고 기능성 발현에 알맞은 염색 가공 공정을 확립하여 심미성과 기능성을 갖는 기능성 원단을 개발하였고 개발된 원단의 물성과 기능성을 평가하였다.

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An Integrative Review of Nursing Ethics Education Programs For Undergraduate Nursing Students (국내 간호대학생 간호윤리 교육 프로그램에 관한 통합적 문헌고찰)

  • Han, Dallong
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.55-62
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    • 2020
  • The purpose of this study was to review nursing ethics education program for nursing students in Korea. An integrative literature review was applied as a research method, and the study was conducted according to five steps of problem identification, literature search, data evaluation, data analysis, and presentation. Twelve studies were analyzed, and the educational content was about biomedical ethics and nursing ethics, and most of them were through subject classes. Teaching methods included case-based debates, discussions, action learning, online learning, and problem-based learning, including traditional lectures. Through education programs, there was a significant increase in biomedical ethics, ethical values, moral judgment, and moral sensitivity. Progressive and continuous nursing ethics education for nursing college students is required within the curriculum.

Domestic Research Trends on Nurse Happiness (간호사 행복에 대한 국내 연구 동향)

  • Lee, Seonhye
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.201-206
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    • 2018
  • The purpose of this study was to investigate the characteristics of nurse' happiness by reviewing literature on happiness of nurses reported in Korea. A total of seven articles were selected as a result of searching for academic papers announced in combination with "nurses," and "happiness" from the database(via NANET, RISS, KSI-KISS, DBpia). Since 2013, a paper on the happiness of nurses has been published The results of this study are as follows: research sources are "nursing journal" and "other nursing journal", research tools are Lyuvomirsky & Lepper (1999) and OECD Better Life Index (2012), Institutional Review of Board(IRB) "approval" and "unapproved" 50% respectively. Future research seems to require the development of happiness tools for considering organizational culture and intervention program for increasing happiness of nurses.

Influences of Rotating Shift Work and Quality of Sleep on Depression in Nurses (간호사의 순환 교대근무 및 수면의 질이 우울에 미치는 영향)

  • Jung, Heeja
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.323-329
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    • 2020
  • The aim of this study was to investigate the level of depression among female hospital nurses and the influence of rotating shift work and quality of sleep on depression. A total of 295 nurses in Seoul were recruited and the data were analyzed using descriptive statistics and multiple regression analysis. The number of depressed nurses was 71.2%(CES-D total score ≥ 16) and factors influenced on nurses' depression were quality of sleep, rotating shift work, and work experience in nursing(1-2.9 years, more than 10 years). Based on the result of this study, nurse managers and hospital organization should use appropriate interventions to improve quality of sleep and negative effects of rotating shift work for nurses.

A Brokered Authentication Scheme Based on Smart-Card for Multi-Server Authentication (다중서버 인증을 위한 스마트카드 기반 중재 인증 기법 연구)

  • Kim, Myungsun
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38B no.3
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    • pp.190-198
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    • 2013
  • Since the facilities for the remote users tend to be deployed in distributed manner, authentication schemes for multi-server communication settings, which provide various web services, are required for real-world applications. A typical way to authenticate a remote user relies on password authentication mostly. However, this method is vulnerable to attacks and inconvenient as the system requires users to maintain different identities and corresponding passwords. On the other hand, the user can make use of a single password for all servers, but she may be exposed to variants of malicious attacks. In this paper, we propose an efficient and secure authentication scheme based on a brokered authentication along with smart-cards in multi-server environment. Further we show that our scheme is secure against possible attacks and analyze its performance with respect to communication and computational cost.

Morl Distress and Ethical Values of Nursing Students (간호대학생의 윤리적 가치관과 도덕적 고뇌)

  • Lee, So-young
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.3
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    • pp.119-124
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    • 2019
  • The study aimed to identify the relationship between moral distress and ethical values among nursing student. The participants were 150 nursing students. The data were analyzed with SPSS 21.0 program. In the results, moral distress and ethical values showed positive correlations. Statistically significant differences were found in moral distress according to grade, select the reason for department and ethical values according to age, grade, select the reason, one's associate for department. Moral distress was positively correlated with ethical values. The findings suggest that programs aimed at decreasing moral distress and ethical values intention should be developed. Furthermore, future studies should explore variables that influence moral distress.