• 대한약침학회지
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• 제16권2호
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• pp.28-32
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• 2013

Objective: This study was performed to analyze the single-dose toxicity of D-amino acid oxidase (DAAO) extracts. Methods: All experiments were conducted at the Korea Testing & Research Institute (KTR), an institution authorized to perform non-clinical studies, under the regulations of Good Laboratory Practice (GLP). Sprague-Dawley rats were chosen for the pilot study. Doses of DAAO extracts, 0.1 to 0.3 cc, were administered to the experimental group, and the same doses of normal saline solution were administered to the control group. This study was conducted under the approval of the Institutional Animal Ethics Committee. Results: In all 4 groups, no deaths occurred, and the $LD_{50}$ of DAAO extracts administered by IV was over 0.3 ml/kg. No significant changes in the weight between the control group and the experimental group were observed. To check for abnormalities in organs and tissues, we used microscopy to examine representative histological sections of each specified organ, the results showed no significant differences in any organs or tissues. Conclusion: The above findings suggest that treatment with D-amino acid oxidase extracts is relatively safe. Further studies on this subject should be conducted to yield more concrete evidence.

• 한국콘텐츠학회논문지
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• 제11권7호
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• pp.298-305
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• 2011

본 논문의 목적은 안락사의 개괄적인 의미와 형태를 살펴보고 논쟁의 핵심이 되는 안락사의 찬반론을 통해 형법적으로 고찰하고, 현행 안락사 법제의 필요성과 제도적 정립에 관하여 검토하여야 할 사항을 모색하고자 한다. 현대의 의학은 눈부신 발전을 통해 치료가 불가능한 환자들을 치료할 수 도 있고 인공적인 생명유지장치를 통해 생명을 인위적으로 연장시킬 수도 있게 되었다. 이러한 의료환경의 변화는 안락사와 관련된 일련의 형법적 논의를 넘어 안락사의 허용범위도 점점 확장되어 가고 있으며 의료시술도 소극적인 면에서 적극적 면까지 논의가 되어 가고 있는 실정이다. 이에 법적, 윤리적 문제를 뒤로하고 현행 법체계에서 보다 명확한 기준이 될 수 있는 현실적인 방안이 모색 되어야 함은 시대적 요청이라 할 수 있다. 따라서 법제도화에 필요한 사항을 검토하여 보고 생명존엄성에 관한 가치들을 재정립하고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6289-6294
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• 2012

Background: Research evidence suggests a debilitating impact of the diagnosis of cancer on the quality of life of the afflicted individuals, their spouses and their families. However, relatively few studies have been carried out on the impact on the QOL of adolescents living with parents diagnosed with cancer. This paper presents a sub-analysis on the impact of parental cancer (colorectal, breast and lung) on adolescents. Materials and Methods: This is a cross-sectional study on adolescents aged 13-18 years old. Upon ethical clearance obtained from UMMC Medical Ethics Committee, patients with colorectal, breast or lung cancer and their adolescent children were recruited from the Clinical Oncology Unit of University of Malaya Medical Centre. Respondents who gave consent completed a demographic questionnaire and the Pediatric Quality of Life Inventory, via the post, email, home visit or meetings at the clinics. Results: 95 adolescents from 50 families responded, giving a response rate of 88 percent. The adolescent's mean age was 16 years (ranging between 13-18 years). Adolescents with parental cancer had the lowest mean score in emotional functioning (p<0.05). Male adolescents had significantly higher quality of life overall and in physical functioning compared to female adolescents. Adolescents with a father with cancer had better school functioning compared to adolescents whose mothers had cancer. Families with household income of RM 5000 and above have significantly better quality of life compared to families with lower household income. Conclusions: Adolescent sons and daughters of parents with a cancer diagnosis show lowered QOL, particularly with reference to emotional functioning and school performance. Addressing the needs of this young group has been slow and warrants special attention. Revisiting the risk and resilience factors of adolescents might also inform tailored programs to address the needs of this neglected adolescent population.

• 한국융합학회논문지
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• 제2권2호
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• pp.57-65
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• 2011

이 연구는 김천대학교 보건계열의 의료봉사 교과목의 운영과 보건복지 임상센터의 물적 인적자원의 효율을 높일 수 있는 방안을 제시하여 의료봉사를 체계적이며 예측가능하게 운영하는데 기여하고자 시도하였다. 이러한 연구결과로부터 얻은 결론은 아래와 같다. 1) 사회봉사 교과목의 운영은 1학점 이상을 교양필수 또는 전공필수로 2학년에 개설하여 학습과 봉사의 혼합 형태로 개설 운영하여야 한다. 2) 의료봉사 활동대상은 독거노인, 고아원 아동, 독거 장애인, 소년소녀가장, 양노원 노인 등이어야 한다. 3) 다양한 프로그램 개발과 봉사학생에 대한 인센티브 제공이 필요하며, 보건복지임상센터는 주 1회 지역소외 계층을 대상으로 운영하여야 한다.

• 보건의료생명과학 논문지
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• 제9권1호
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• pp.179-184
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• 2021

본 연구는 치과위생사와 치과기공사 면허증을 발급받았으며 현재 병원에서 근무하는 대상자로 편의 표본추출하여 자료를 분석하였다. 회수된 설문자료 가운데 75부의 치과위생사 설문지와 90부의 치과기공사 설문지를 이용하여 최종자료로 선정하였다. 분석결과로는 두 집단 모두 윤리적 가치관이 높게 나타났고, 봉사기회가 주어진다면 봉사 할 의사가 있음으로 조사되어 직업적 직업적 사명의식도 높은 것으로 나타났다. 또한 조사대상자 두 집단 모두 임상활동에서 윤리적 문제가 대두 될 것임을 과반수 이상에서 응답했고, 이에 따른 직업윤리 교육이 절실히 필요하다고 응답했다. 이에 따른 윤리적 기반이 확립된 지속가능한 전문직업적 교육과 프로그램 개발로 직업적 전문성 함양을 위한 방안이 모색되어야 한다.

• 한국의료질향상학회지
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• 제26권2호
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• pp.56-65
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• 2020

Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

• 치위생과학회지
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• 제21권1호
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• pp.8-18
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• 2021

The purpose of this study is to provide the general history of fostering dentists in Japan and introducing their new roles. This research was conducted based on the government policy report on dentists and the information published by each educational institution. Based on the collected data, the official websites were used to represent the latest statistics of the institutions. The number of dentists in Japan has increased. The government established the National Examination for Dentists to guarantee the quality of dentists. After the standards for developing questions for the national examination were established in 1985, the contents of the examination have been appropriately improved by revising the standards every four years. This improvement has required dental students to study a variety of subjects for six years at dental school. Since dentists in Japan are required to respond to various demands from the nation; the Model Core Curriculum for Dental Education was developed to teach medical ethics and abilities to ensure that dentists conduct themselves professionally. Recently, the roles of dentists have been changing in Japan. When providing dental services to older patients over the age of 65, dentists and other dental professions focus on maintaining oral functions, such as saliva secretion, bite force, tongue movement, and masticatory/swallowing functions. However, oral function-related services for children are different. In addition to providing essential dental services, dental practitioners also provide special treatment, such as oral muscle training, myofunctional therapy, health guidance, and space retainers to the child patients with developmental insufficiency in oral functions. Dentistry in Japan has undergone numerous changes over the years and has continued to offer high-quality dental health services. Thus, information gained from the Japanese experience may be helpful to dental professions in other developed countries for planning oral health measures.

• 대한영상의학회지
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• 제83권4호
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• pp.752-758
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• 2022

저자됨은 연구 진실성과 출판 윤리적 측면에서 중요하다. 저자됨은 학문적 성취를 증명하는 신용(credit)의 주된 수단으로 저자의 출판 업적은 연구비 수혜와 학술 경력에 중요한 영향을 미친다. 복잡한 이해관계와 경쟁적인 환경 등 다양한 이유에 의해 부적절한 저자됨이 보고되었다. 대표적인 저자됨 오남용에는 명예저자됨과 유령저자됨이 있다. 친족 공저자 또한 부적절한 저자됨이며, 최근 사회적 문제로 대두된 부모 자녀간 부적절한 저자됨이 이에 포함된다. 의학잡지편집인 국제위원회(International Committee of Medical Journal Editors; ICMJE)는 저자됨의 기준을 제시했다. 저자됨의 오남용을 막고 저자의 신용과 책임 평가를 체계적으로 하기 위해 많은 저널들이 기여자 역할 분류(Contributor Roles Taxonomy; CRediT)와 Open Researcher and Contributor ID (ORCID) 체계를 사용하고 있다. 이 종설에서는 올바른 저자됨과 부적절한 저자됨에 대해 알아보고 저자됨 오남용을 피하기 위한 방법을 소개하고자 한다.

• 의료법학
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• 제20권3호
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• pp.47-79
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• 2019

대한의료법학회는 지난 20년 동안 의료법 관련 학회의 향도로서, 학술활동과 그 축적된 업적, 그리고 학회 회원 구성의 다양성 및 전문성, 학계에 미치는 영향력 면에서 전문학술단체의 역할을 충실히 수행해 왔다. 대한의료법학회의 활동과 학술지 『의료법학』은 의료법학 관련 학술정보 및 의견교류의 플랫폼으로 기능하고 있다. 의료과오로 인한 갈등과 분쟁이 잦아지고 증가하는 상황, 의료에 대한 법제화와 법적 강제가 의료인을 직업수행에 압박으로 다가오는 상황 속에서 『의료법학』은 시작되었다. 의학과 법학의 조우와 융합을 통해서 서로 상생하는 방안을 찾고자 노력했던 것이다. 의료형법은 생명 및 신체보호의 영역에서 발생하는 전통적인 범죄에서 더 나아가 생명의료기술의 발전에 따른 생명윤리위반 행위와 의료영역에서의 부패 및 경제범죄 등으로 넓어지고 있다. 의료법학은 의료, 보건, 생명윤리, 생명과학기술 등에서 제기되는 법적 문제를 다루는 포괄적 법영역으로 발전하였다. 법적인 측면에서 보면 민법, 행정법, 형법, 사회법, 민·형사소송법 등 전통적인 법영역이 독립적이거나 중첩적으로 관련된 영역으로서 독자적인 법영역은 아니다. 그러나 이제는 법학 내에서의 여러 분야뿐만 아니라 의학, 생명윤리, 생명과학 등과의 융합법학으로서 자리하게 되었다. 법학, 의학, 윤리학, 사회학, 경제학 등 협업이 필요한 영역이 되었다. 의료형법은 지난 20년간 역동적인 발전을 거듭했다. 의학과 의료기술발전에 따라 새롭고 혁신적인 진단 및 치료방법을 제공하고 있다. 생명공학·유전공학과 의학의 혁명적 발전이 가져온 성과와 위험은 병존한다. 질병퇴치와 건강개선이라는 인류가 바라던 눈부신 성과가 있는 반면 원치 않은 부수적 효과와 인간에 대한 위험이 야기된다. 윤리적 및 법적 원칙들을 재고해야 할 필요성이 대두된다. 환자의 주체성과 자율성의 발견과 발전은 의사와 환자의 관계를 변화시켰다. 더 나아가 환자·의사·보험이라는 삼각관계로 법적인 문제도 복잡해진 것이다. 법제화의 필요성이 대두되는 이유다. 형사처벌 규정도 필요하다. 의료법 및 (생명)의료관계법령은 충분한 제·개정절차가 진행되기보다는 사회적 이슈와 시민의 요구, 의료인 등 이익단체의 요구가 있을 때마다 행해지는 모자이크식 입법으로 체계성과 정합성이 흠결되어 있다. 재정비가 필요한 부분인데, 이것이야말로 학회의 장점인 학제 간 협업으로 가능한 일이다.

• 대한간호학회지
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• 제30권6호
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• pp.1467-1478
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• 2000

The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.