• 의료법학
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• 제16권2호
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• pp.27-53
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• 2015

최근, 서울의 성형수술 병원에서 중국 여성 환자가 사망한 원인이 대리 의사의 무단 유령수술 때문이 아니냐는 의혹이 제기되었다. 사고가 발생한 후, 소비자시민모임과 한국환자단체연합회는 지난 3월 유령수술감시운동본부를 발족시켰다. 환자가 알지 못하는 상태에서 환자의 동의 없이 담당 의사를 교체하는 것은 사기행위이자 기본적인 윤리를 저해하는 행위이다. 환자는 1명의 인간으로서 자신을 치료할 의사를 선택할 권리가 있으며, 대리의사를 용인하거나 거부할 수 있는 권한도 환자에게 부여되어야 한다. 환자가 수술을 허락한 사람은 집도의라는 점을 유의해야 한다. 환자는 자신이 계약한 의사로부터 치료를 받을 권리가 있다. 환자를 치료하는 의사는 환자-의사 관계를 창출하는 계약이 허용하는 범위 내에서 자신의 능력껏 수술을 시행할 의무가 있다. 그는 환자로부터 부여 받은 수술 권한을 다른 사람에게 위임할 수 없다. '유령수술은 형법 제257조(상해, 존속상해)가 적용된다. 환자가 알지 못하는 상태에서 환자의 동의 없이 집도의를 교체하는 것은 상해행위이다. 이 부분이 쟁점인데, '유령 수술이 형법 제347조(사기)와도 연관이 있기 때문이다. 환자가 알지 못하는 상태에서 환자의 동의 없이 다른 의사가 수술을 대신하는 것이 사기 행위에 해당하는지 하는 문제도 쟁점이 될 수 있다. 뿐만 아니라, 유령 수술은 의료법 제27조(무면허 의료행위 등 금지), 제22조(진료기록부 등), 제33조(개설 등)와도 관련이 있다. 환자에 대한 의사의 의무는 (1) 수술 동의를 통해 자신에게 주어진 권한의 범위 내에서; (2) 계약 조건에 따라; (3) 수술의 필요성/진행과 관련된 모든 사실을 완전하게 공개하고, (4) 자신의 모든 역량을 발휘하면서 수술에 임하는 것이다.

• 디지털융복합연구
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• 제12권8호
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• pp.187-196
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• 2014

국내에서는 대규모의 개인정보 유출 사건을 통해 소비자들이 개인정보의 제3자 제공에 대한 불안감을 느끼고 있다. 사전적으로 제3자는 소비자가 직접 거래하는 당사자를 제외한 모든 경우를 의미하며, 법률적으로는 소비자가 제3자 정보제공에 동의하면 사업자는 정당하게 제3자에게 정보를 제공할 수 있도록 하고 있다. 그러나 실제로 소비자는 제3자 정보제공에 대해 맥락(context) 의존적으로 이해하고 있어, 소비자의 제3자 정보 제공에 대한 인식을 정확히 파악하고 이에 근거한 정보정책 수립의 기반을 마련해야 한다. 본 연구결과 소비자는 제3자 관련 정보를 거래계약 서비스와의 관련성 여부로 구분하여 인식하고 있으며, 맥락상 이해하기 어려운 경우에 해당하는 제3자에게 정보를 제공하는 것에 대해 부정적 인식을 가지고 있다. 이에 제3자 정보 제공 관련 동의서식은 소비자의 인식과 맥락을 반영하는 서식으로의 개선 및 업계 표준서식의 개발을 통하여 개인정보 제공 동의권의 실현을 강화할 수 있을 것으로 보았다.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.19-33
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• 2020

본 연구의 목적은 빅데이터 분석 기법을 이용하여 세종시 건설 계획에 대한 여론 변화를 분석하는 것이다. 연구 자료는 세종시 건설 계획과 관련된 한겨레와 동아일보, 한국일보 등 언론사의 신문기사이다. 세종시 건설 계획은 신행정수도, 행정중심복합도시, 세종시 수정안 등 3개 시기로 구분되었다. 분석 방법은 파이썬과 Gephi 0.9.2 프로그램을 활용한 빈도분석, 감성분석, 사회연결망분석이다. 세종시 건설에 따라 각 신문사의 쟁점에 대한 변화가 있었다. 첫째, 빈도분석 결과, 한겨레의 키워드는 세종시 건설 시기에 따라 찬성-찬성-반대의 특성을 나타내고 있었다. 동아일보는 반대-반대-찬성의 입장을 갖는 것으로 분석되었다. 한국일보는 반대-찬성-반대 경향을 갖는 것으로 분석되었다. 둘째, 감성분석 결과, 각 언론사는 논조의 특성이 변화되고 있었다. 한겨레는 긍정-긍정-부정 논조 특성을 보이고 있었고, 동아일보는 부정 - 부정 - 긍정으로 변화되었다. 한국일보는 부정-긍정-부정으로 변화되었다. 셋째, 사회연결망분석 결과는 다음과 같다. 각 언론사는 세종시 건설 시기에 진보와 보수, 중도 등 정치적, 이념적 특성에 따라 변화를 보이고 있었다. 한겨레는 지역균형발전에 초점을 맞추고 있었으며, 동아일보는 보수의 의견을 대변하고 있었다. 한국일보는 세종시 건설 시기에 여·야가 대립하는 이슈에 대해 부각 시키고 있었다.

• 의료법학
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• 제12권2호
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• pp.219-263
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• 2011

"Wrongful conception" is a medical malpractice claim in which the plaintiff is the parent of a normal, healthy infant whose conception was unplanned and unwanted. Medical malpractice in wrongful conception can be the result of a failure to provide informed consent to a patient, failure to properly perform a surgery, or a physician's negligent handling of a patient's problems. In the concrete, wrongful conception cases fall into two categories; those involving pre-conception negligence, such as a failed contraceptive, sterilization or failing of the controlling of embryo-number on the IVF, and those involving post-conception negligence, such as a failure to diagnose a pregnancy or to perform an abortion procedure. In addition, Medical malpractice can be the result of a failure to provide informed consent to a patient. When bad results occur by medical malpractice or failure to provide informed consent to a patient, the range of recovery of damages is decided by a traditional civil liability law. However the calculation of damages for wrongful conception is not easy because the high value of life is included in that case. So many courts opinions in foreign country and Seoul High Court decision in 1996 allow damages for the pregnancy, birthing process and sterilization costs, but refuses to allow damages for child rearing expenses. As to the range of recovery of damages for wrongful conception, one approach says that to allow damages in a suit such as this would mean that the physician would have to pay for the fun, joy and affection which plaintiff will have in the rearing and educating of the plaintiff's baby. To allow such damages would be against the dignity of the baby based on article 10 of the Constitution. However another approach says that damages are recoverable for all expenses related to child birth as well as for child rearing costs. Because the damages that the parents should bear a burden to the tort damage done is not a baby itself but child rearing costs. In other words, although the baby is healthy or not, economic burden of the parents can not be disregard. And denial of compensation for costs of child rearing may invalidate the role of liability law, grant the physician with a exemption certificate of liability. As a result, the medical field of procreation can be easily isolated from a liability of reparation. Therefore, on the liability law like the other medical malpractice action, parents who became pregnant or gave a birth by physician, wrongfully performed sterilization operation, etc. should be compensated for all damages relevant to unplanned and unwanted conception or birth as well as costs of child rearing.

• 기본간호학회지
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• 제26권2호
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• pp.96-106
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• 2019

Purpose: The purpose of this study is to investigate the safety of nursing students during fundamentals of nursing practicum in Korea. Methods: This study used a descriptive design. A total of 106 nursing instructors teaching fundamentals of nursing longer than one year participated in this study. Data were collected using self-report questionnaires from July 24 to August 28, 2018. The questionnaires consisted of general characteristics, characteristics of fundamentals of nursing course, physical and emotional safety issues during fundamentals of nursing practicum, and obtaining an informed consent prior to practicum. Results: The average number of physical safety accidents during practicum of fundamentals of nursing in the past 5 years was $1.12{\pm}2.44$. The most common safety accident was punctured wound. The mean score of the participants' stress on physical safety accidents was $3.53{\pm}1.12$ out of 5. The average number of emotional safety accidents of fundamentals of nursing practicum in the past 5 years was $1.05{\pm}2.72$. The mean score of stress on emotional safety accident was $3.00{\pm}1.09$ out of 5. We found that 47.2% of the participants obtained an oral consent or a written consent for safety of fundamentals of nursing practicum. Conclusions: The results of this study indicate that it is necessary to establish safety strategies for fundamentals of nursing practicum for nursing students.

• 대한한의학회지
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• 제43권1호
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• pp.6-17
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• 2022

Objectives: This study describes the implementation of a training course that aimed to increase the competency of undergraduate students of Korean medicine at a single college to obtain informed consent and perform bee venom acupuncture using an objective structured clinical examination (OSCE). Methods: We developed and implemented a short training course for 111 fourth-year students of Korean medicine during their clinical rotation at the Department of Acupuncture and Moxibustion Medicine. Lectures were conducted on the effects of and hypersensitivity reactions to bee venom acupuncture, obtaining informed consent, performing skin test and bee venom acupuncture. Due to the COVID-19 pandemic, some students were offered online lectures, and some could not experience the performance of OSCE in person. A survey with 16 closed and three open questions was used to investigate self-efficacy, opinions about the online lectures, and the OSCE. Results: Out of 111 questionnaires, 104 were completed (94%). Students were generally satisfied with the online lectures and OSCE. For the subjective questionnaire about what was helpful in the training of bee venom acupuncture techniques and OSCE, the authenticity of the teaching method was recorded the highest. Conclusions: This study showed that online lectures were effective in teaching clinical skills of Korean Medicine. It is necessary to produce standard educational materials for clinical skills of Korean Medicine, and studies to analyze the reliability and validity of OSCE are needed.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1994년도 교수 연수회(역학)
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• pp.265-269
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• 1994

A brief review is presented of the strengths and weaknesses of historical controls, data banks, and randomized trials in the evaluation of clinical treatment. Use of pre randomized versus postrandomized informed consent is discussed. Recommendations are made for the development of an appropriate clinical research strategy.

• 의료법학
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• 제9권2호
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• pp.11-52
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• 2008

Based on foreign examples and past debates, the minimal conditions for passive euthanasia can be suggested as following; (1) The patient is incurable by modem medical practice and his death is impending (less than 6 months), (2) Euthanasia is practiced solely to relieve physical pain of the patient, (3) If the patient can express his will, there should be a clear and sincere request or consent, (4) More than 2 doctors including doctor in charge should consent, (5) Euthanasia should be practiced in ethical way, (6) Patient family should agree(when the patient will is assumed.) It is hard to resolve issues regarding euthanasia based on past rulings and cases without concrete law. As in United States and Germany, clear and objective provisions of euthanasia and definitive method for patient's advanced directive should be legislated to resolve medical conflict and to relieve patient and family from agony. And death with dignity debate will not be able to proceed if it is only substantively approached because of unclear definition of euthanasia and benefit comparison way of thinking. Thus it is important to establish definitive process to decided legislation of euthanasia act and resolving conflicts arising from each step of the process among interested parties exchanging medical/ethical opinions.

• 무역상무연구
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• 제50권
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• pp.89-108
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• 2011

This work intends to study some issues in relation to the cancellation and amendment of letter of credit. Those issues in relation to the cancellation are the significance and formation time of cancellation of letter of credit and some points for practical attention of UCP 600 in the case of cancellation of letter of credit. Those issues in relation to the amendment are the significance and formation requirements of amendment of letter of credit and some points for practical attention of UCP 600 in the case of amendment of letter of credit. If exporters receive letters of credit from foreign countries, they must confirm the indication of irrevocable letter of credit. When they find revocable letters of credit, they should amend the credits to be irrevocable credits. If issuing banks amend letters of credit against beneficiaries, the banks should receive the beneficiaries' consent. If amendments devalue applicants' expectations in the underlying transaction, the applicants for whom the credit issues are not liable to reimburse. Beneficiaries and issuing banks may amend a credit, but the issuing bank acts at its own peril if it does not obtain the applicant's consent.

• 한국임상약학회지
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• 제5권2호
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• pp.33-49
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• 1995

The purpose of this study is to understand present situation of clinical trials, and evaluate the preparedness of the desiRnated institutions to abide by GCP(Good Clinical Practice) standards during clinical trials. Survey on the status of clinical trials was conducted for the desienated 83 clinical trial hospitals, and response rate was $95.2\%$. The results showed that 39 hospitals have conducted clinical trials to obtain drug manufacturing approval from 1990 to 1994. Most of them were trials on Phase III. Only $46.8\%$ of the institutions had sufficient human resources to perform the clinical trials. Institutions which established IRB(Institutional Review Board) accounted for 41 or $51.9\%$, but those who have a protocol evaluation guideline, or Adverse Drug Reaction(ADR) reporting system were only 12, and 21 Places, respectively. Regarding supervision of the investigational drugs, less than 30 institutions designated pharmacist as a supervisor. In conducting clinical trials, $97.4\%$ of trials had high rates of prior consent of testees, but only part of them-$61.7\%$-gave written consent. The level of conducting GCP is found to be unsatisfactory. Institutions must build the appropriate infrastructure and government must prepare in order to protect testees' rights as well as to ensure validity of the results.