• 제목/요약/키워드: Case-Study

검색결과 58,979건 처리시간 0.068초

치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로- (A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment)

  • 조인호
    • 의료법학
    • /
    • 제9권1호
    • /
    • pp.319-382
    • /
    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

  • PDF

소뇌경새(小腦硬塞) 환자(患者)의 기도진전(企圖振顫)에 대한 치험(治驗) 보고(報告) (A case study on Intention tremor of Cerebellar Infarction)

  • 성강경
    • 대한한의학회지
    • /
    • 제15권2호
    • /
    • pp.40-45
    • /
    • 1994
  • A case study was done on 1 case of cerebellar infarction which was diagnosed with brain CT scan. the following conclusions were obtained: 1. Intention tremor was improved 10 days after administration of Youngyang gaksan. 2. Intention tremor was nearly disappeared 14 days administration of Young yanggaksan.

  • PDF

A STUDY ON THE AVERAGE CASE ERROR OF COMPOSITE NEWTON-COTES QUADRATURES

  • Park, Sung-Hee;Park, Jung-Ho;Park, Yoon-Young
    • Journal of applied mathematics & informatics
    • /
    • 제12권1_2호
    • /
    • pp.107-117
    • /
    • 2003
  • We study the integration problem in which one wants to compute the approximation to the definite integral in the average case setting. We choose the composite Newton- Cotes quadratures as our algorithm and the function values at equally spaced sample points on the given interval[0, 1]as information. We compute the average case error of composite Newton-Cotes quadratures and show that it is minimal (modulo a multi-plicative constant).

엔진정지 중 전기적인 원인에 의해 발생한 자동차화재의 분석 연구 (A Study on Analysis on an Automotive Fire Case that Broke Out due to an Electrical Cause during Engine Stopping)

  • 이의평
    • 한국자동차공학회논문집
    • /
    • 제21권1호
    • /
    • pp.9-16
    • /
    • 2013
  • Although it is widely accepted that a fire can occur due to electrical causes even when an engine stops, there is little introduction of detailed case analysis. This study analyzed a fire case caused by an electrical cause during engine stopping at parking lot in detail. Moreover, it was revealed that the fire was mainly caused by design defect.

Proto-Role Theory and the Accusative Case Marker ul/lul in Korean

  • Lee, Sun-Hee
    • 한국언어정보학회지:언어와정보
    • /
    • 제2권2호
    • /
    • pp.81-120
    • /
    • 1998
  • The case marking phenomenon in Korean is closely related to semantic entailment and should be studied as an interface between syntax and semantics. Assuming a direct mapping between syntactic realization and semantic information, this study investigates the role of the accusative marker ul/lul in Korean, and explores the semantic constraints working on the argument realization on the basis of proto-roles hypothesis. Specifically, I will study various types of case alternations in Korean and clarify the role of the accusative marker ul/lul, which manifests the distinction between direct object NPs and oblique NPs.

  • PDF

Hybrid Case-based Reasoning and Genetic Algorithms Approach for Customer Classification

  • Kim Kyoung-jae;Ahn Hyunchul
    • Journal of information and communication convergence engineering
    • /
    • 제3권4호
    • /
    • pp.209-212
    • /
    • 2005
  • This study proposes hybrid case-based reasoning and genetic algorithms model for customer classification. In this study, vertical and horizontal dimensions of the research data are reduced through integrated feature and instance selection process using genetic algorithms. We applied the proposed model to customer classification model which utilizes customers' demographic characteristics as inputs to predict their buying behavior for the specific product. Experimental results show that the proposed model may improve the classification accuracy and outperform various optimization models of typical CBR system.

라디에이터 커버 제조공정의 근골격계 질환 유발 작업분석 (Job Analysis inducing the Musculoskeletal Disorder on the Process for Manufacturing of Radiator Case)

  • 김대식;김세환
    • 산업융합연구
    • /
    • 제7권1호
    • /
    • pp.33-43
    • /
    • 2009
  • The purpose of this study was to analysis to jobs inducing the Musculoskeletal Disorders(MD) and improve the working environment. The case study was conducted at S company where makes radiator case of heavy profile equipment. Most of works are plating and welding. Bending and welding are works which induce MD. The adjustable workstation and fatigue prevention mat were recommended for the welding and bending. A standing posture was recommended for the welding.

  • PDF

메가 스포츠이벤트의 기록화를 위한 사례연구 (The Case Study on a Documentation of Mega Sports Event)

  • 천호준
    • 기록학연구
    • /
    • 제42호
    • /
    • pp.37-71
    • /
    • 2014
  • 현대 사회에서 메가 스포츠이벤트는 한 지역이나 국가의 스포츠 역사를 이해하는데 중요한 키워드로서 자리매김하고 있다. 이러한 역사적 의미를 지닌 메가 스포츠이벤트를 효과적으로 기록화 하여 후대에 전달하는 일은 매우 중요한 일이다. 그러나 국내에서 1986년서울아시안게임을 시작으로 1988년서울올림픽대회 그리고 2002FIFA월드컵대회 등과 같은 메가 스포츠이벤트가 다수 개최되었음에도 불구하고 한국의 체육 스포츠 현장에서는 기록의 중요성에 대한 인식 부재로 이를 체계적으로 기록화 하여 후대에 전달하려는 방법론에 대한 논의는 미진한 실정이다. 따라서 이 연구의 목적은 국내에서 개최할 예정인 메가 스포츠이벤트를 효과적으로 기록화 할 수 있는 방법론을 탐색하기 위하여 메가 스포츠이벤트의 진행 단계별로 기록화 사례를 분석하여 시사점을 도출하는데 있다. 이와 같은 연구목적을 수행하기 위해 문헌고찰을 통해 메가 스포츠이벤트의 진행단계를 이벤트 이전단계, 운영단계 그리고 이후단계로 구분하였고, 각각의 단계별로 참고할 수 있는 기록화 사례를 선정하였다. 이후 문헌고찰을 통해서 각 단계별로 선정된 사업의 개요를 파악하였고, 이를 토대로 현지 방문조사를 실시하여 구체적인 사업내용을 분석하였다. 각 단계별로 선정된 사례는 다음과 같다. 이벤트 이전단계는 국민의 기록(The People's Record)사업, 운영단계는 올림픽대회 지식관리(Olympic Game Knowledge Management)사업 그리고 이후단계는 올림픽 구술사(Olympic Oral History)사업이다. 이들을 분석한 결과는 다음과 같다. 첫째, 국민의 기록 사례는 다양한 계층의 경험을 포착하여 기록화 하는데 유용한 방법으로 이벤트 이전단계에서 활용이 가능하다. 올림픽대회 지식관리 사례는 대회운영을 위한 조직위원회의 업무 활동과 지식을 기록화하는데 효과적인 방법으로 이벤트 운영단계에서 이용이 가능하다. 셋째, 올림픽 구술사 사례는 이벤트의 전 단계에서 발생한 결락기록을 보완할 수 있는 방법으로 이벤트 이후단계에서 적용이 가능하다. 이상의 연구결과는 국내에서 개최가 예정된 메가 스포츠이벤트의 기록화에 일정한 역할을 할 것이며, 메가 스포츠이벤트의 기록을 관리하고 있는 기관에서 기록관리 방법론을 마련하는데 활용이 가능할 것이다.

CARE 지침에 따른 대한한의학회지의 증례보고에 대한 질 평가 (Evaluation of the Quality of Case Reports from the Journal of Korean Medicine Based on the CARE Guidelines)

  • 최성열
    • 대한한의학회지
    • /
    • 제41권2호
    • /
    • pp.122-136
    • /
    • 2020
  • Objectives: A case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. The purpose of this study is to evaluate the quality of case reports from the Journal of Korean Medicine by the CARE (CAse REport) Guideline. Methods: Case reports published in the Journal of Korean Medicine from January 2016 to March 2020 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE (CAse REport) guideline as 'Sufficient', 'Not-Sufficient' and 'Not-Report'. Results: A total of 22 case reports were finally included for the assessment. The reporting items were reported as of reporting quality. After checking the result, there was a deviation in the sub-item reporting rate by a maximum 89.29%, a minimum 66.67% and a median 82.14% in case reports. Also after checking the quality in case reports by 28 detailed items in CARE guidelines, there were not reported 77% or more in the 5 sub-items 'Intervention adherence and tolerability', 'Informed consent', 'Adverse and unanticipated events', 'Diagnostic challenges', 'Patient perspective'. Conclusion: There is a need to improve the quality of case reports in the journal of Korean Medicine based on various studies using CARE guideline.

건염의 물리치료 후 VAS의 변화와 초음파 영상소견상의 면적 변화에 대한 상관성 연구 - 극상근 건염, 외측상과염, 아킬레스건염을 중심으로 - (Interrelationship research between difference of VAS and lesion area in Sono-Graphic after physical therapy of tendinitis. - Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis -)

  • 김정선;박지환
    • 대한정형도수물리치료학회지
    • /
    • 제14권1호
    • /
    • pp.24-30
    • /
    • 2008
  • Purpose : The patients who have Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis are our targets, so we want to know their opinions in order to take Sono-graphic tests and to study utility value of Sono-graphic. Object and Methods : The case of 30 patients with Tendinitis results, we classified with three categories, Supraspinatus tendinitis, Lateral epicondylitis and Achilles tendinitis. Case by case, before medical treatment, we executed the inspections which are Sound side and Affected side. After 4 weeks of medical treatment, we executed the inspection which is Sono-graphic. Objectively comparing with Sono-graphic, we measured VAS(Visual Analog Scale) before and after physical therapy. Results : We could learn that VAS (Visual Analog Scale) and Sono-graphic wore decreased about changing the lesion area of each disease. For example, Supraspinatus tendinitis is from case 1 and case 2, Lateral epicondylitis is from case 8, case 9 and case 10, Achilles tendinitis is from case 16, case 17 and case 18. Conclusion : About organization of complicated anatomy, we could learn general ideas about Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis. And finally the results which appeared between the decrements of VAS and Sono-graphic are similar.

  • PDF