• 제목/요약/키워드: Refusal

검색결과 316건 처리시간 0.022초

Causes of Failure during the Management Process from Identification of Brain-Dead Potential Organ Donors to Actual Donation in Korea: a 5-Year Data Analysis (2012-2016)

  • Kim, Mi-im;Oh, Jaesook;Cho, Won Hyun;Kim, Dong-Sik;Jung, Cheol Woong;You, Young-Dong;Gwon, Jun-Gyo;Lee, Jae-myeong
    • Journal of Korean Medical Science
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    • 제33권50호
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    • pp.326.1-326.10
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    • 2018
  • Background: This retrospective study analyzed the causes of failure in the management process from the identification of brain-dead potential organ donors to actual donation in Korea over the past 5 years. Methods: Data of 8,120 potential brain deaths reported to the Korea Organ Donation Agency were used, including information received at the time of reporting, donation suitability evaluation performed by the coordinator after the report, and data obtained from interviews of hospital medical staff and the donor's family. Results: From January 2012 to December 2016, the total number of brain-dead potential organ donors in Korea was 8,120, of which 2,348 (28.9%) underwent organ procurement surgery with designated recipients. While the number of transplant donors has increased over time, the ratio of transplant donors to medically suitable brain-dead donors has decreased. The common causes of donation failure included donation refusal (27.6%), non-brain death (15.5%), and incompatible donation (11.6%); 104 potential donors (7.8%) were unable to donate their organs because they were not pronounced brain dead. Conclusion: The rate of successful organ donation may be increased by analyzing the major causes of failure in the brain-dead organ donation management process and engaging in various efforts to prevent such failures.

VoIP 서비스의 도청 공격과 보안에 관한 연구 (A Study about Wiretapping Attack and Security of VoIP Service)

  • 박대우;윤석현
    • 한국컴퓨터정보학회논문지
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    • 제11권4호
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    • pp.155-164
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    • 2006
  • Ubiquitous-IT839전략 중에 8대 신규서비스에 VoIP 기술이 들어있다. 본 논문은 VoIP 인터넷 네트워크에 연결된 소프트폰과 LAN 구간과 연결된 인터넷전화 및 디바이스, IP PBX, 기간사업자 망이 연결된 WAN 구간에서의 VoIP 서비스의 도청 실험을 하였다. 실험 네트워크에서 도청 실험을 한 결과 CVE 리스트에 따르는 단말기와 Proxy 및 허브와 같은 VoIP 네트워크의 연결점에서의 취약점이 발견되었고, 해커의 공격에 의한 도청이 성공되었다. 현재 070으로 명명된 VoIP 네트워크에서 각 도청 구간별로 접근제어, 기밀성, 신뢰성, 가용성, 무결성, 부인봉쇄의 6가지 보안기능의 관점에서 도청의 보안방안을 적용하였다. 보안 방안의 적용 후에 도청 실험을 실시한 결과, 패킷에 대한 AES 암호화로 내용의 도청을 방지하였으며, 접근차단과 인증 및 메시지 해시함수 및 착신거절의 사용으로 도청을 예방하였고. 네트워크 모니터링과 감사기록으로 보안성과 감사기록을 유지하여 VoIP 정보보호를 이룩할 수 있었다.

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노년기 정신장애의 전기경련치료 (Electroconvulsive Therapy for Psychiatric Disorders in Elderly Adults)

  • 주은정;김희철;강웅구;이남영;박승현;김정민;김용식;정인원
    • 생물정신의학
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    • 제27권2호
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    • pp.42-57
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    • 2020
  • Electroconvulsive therapy (ECT) is indicated for various mental disorders (e.g., major depressive disorder, schizophrenia, and bipolar disorder) and the behavioral and psychological symptoms of dementia in elderly patients. Furthermore, ECT is a useful first-line treatment in emergency and crisis situations such as suicide risk, violent behavior, catatonia, and food refusal, which are more frequent in elderly patients. ECT is also effective in the treatment of the motor symptoms of neurological disorders, such as Parkinson's disease and Huntington's disease. Due to the high risk of various physical diseases, the comorbid physical conditions of elderly patients should be individually controlled to optimize ECT treatment. Compared to young adults, in elderly patients the seizure threshold is higher, the seizure duration is shorter, and the anesthetic dose is lower. On the contrary, the response rate in the elderly is both faster and higher. Considering potential cognitive decline and the prevention of further deterioration of cognitive function in elderly patients, in the absence of significant comorbidities, twice weekly sessions and right unilateral electrode placement with a lower seizure threshold and less cognitive effect are preferred to bilateral electrode placement, which has a high risk of adverse cognitive effects. After an acute course of ECT, continuation and maintenance of ECT, combined with prescription of therapeutic drugs, may prevent possible relapse or recurrence of mental disorders. In conclusion, ECT can be used to treat mental disorders in elderly adults, with safety and effectiveness comparable to that in young adults.

일개 도 지역 자살 시도 환자에 대한 병원전 단계 분석 (The pre-hospital analysis of patients with suicide attempts in Gangwon-do)

  • 김기환;조준휘;문중범;박찬우;신명철;김가을;이준석;박윤수;옥택근
    • 대한응급의학회지
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    • 제29권6호
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    • pp.687-698
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    • 2018
  • Objective: This study examined the characteristics of suicidal attempters, including pre-hospital patients and those who visited the emergency department. Methods: Suicidal attempters who had been reported to the 119 call center were selected between July 2015 and June 2016. Sex, age, place, methods of suicidal attempt, season, time, and suicide success rate were reviewed in the fire center records. Results: A total 961 suicide attempters were enrolled. Among them, 53.6% were males who had an approximately 2.6 times higher mortality than that of females (9.2%). The most preferred place to commit suicide was the home in both sexes (68.0% in male, 82.8% in female) and the most preferred methods was drug intoxication, particularly pesticide. The method with the highest mortality was hanging and the lowest was self-harm. The season of the highest mortality was spring. The success of suicide and the time variation were similar. Most of the un-transferred patients also selected fatal suicide attempts compared to transfer patients. Conclusion: Unlike previous studies, this study includes information on un-transferred patients. Overall, the probability of death was highest as more than 50 years men chose hanging as a method, which had an influence on the un-transferred patients group.

Improvement Plans of the Parliamentary Inspection System in the Information Society

  • Park, Jong-Ryeol;Lee, Young-Woo
    • 한국컴퓨터정보학회논문지
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    • 제24권3호
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    • pp.181-190
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    • 2019
  • Today, in the information society, since the government administration of all countries places importance on clarity and efficiency, the authority concentration of the administration is inevitable. Therefore, the Parliament, which is a legislative body, is at a time when the policy control function to check and monitor it is becoming more important. In particular, due to the emergence of parliamentary democracy, in the reality that the people must elect representatives and represent their own opinions, the parliamentary inspection system is very valuable in that it satisfies the right of the people to know and ultimately enables the people to democratically control the administration. The role of the Parliament moves from the inherent legislative function to the information collection and disclosure of government administration, discussion and resolution of political issues, and observation and supervision of the administration. And it can be seen as the global trend. As a result of this trend, status and role of the National Assembly is being strengthened from the legislative body to the control agency of government administration. Thus, the most substantive authority of Article 61 of the Constitution can be deemed the parliamentary inspection system. The parliamentary inspection system is a system that let exercise the legislation, budget, and authority to control of state administration by identify the challenges and policy implementation of each country's institutions through the audit of the executive administration's overall government administration performance outside the National Assembly. However, due to the amendment of Constitution in 1988, the parliamentary inspection right and investigation of state administration right had reinstated and the parliamentary inspection system, which is being implemented annually, is the 31st year of the year in 2019. However, the general evaluation of the public is negative and insufficient time for inspections, lack of sanctions on nonattendance witnesses, excessive data submission, and refusal to submit materials by the administration were pointed out as the problem. Therefore, in this paper, the researcher tries to point out the overall problems of the parliamentary inspection system and to summarize the effective improvement plans.

독일민사소송법상 외국중재판정의 승인 및 집행 - 「독일민사소송법」 제1061조를 중심으로 - (Recognition or Enforcement of Arbitral Awards under the German Civil Procedure Act)

  • 성준호
    • 한국중재학회지:중재연구
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    • 제29권2호
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    • pp.107-132
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    • 2019
  • The arbitration procedure, which is a private trial, does not have a separate enforcement agency. Therefore, unless a party consents to the arbitration award and voluntarily fulfills the award, its execution is accomplished through the implementation of the national court. In particular, the decision in the foreign arbitration procedure will be refused or rejected for the arbitration award in case the proceedings of the law and procedure on which the judgment is based are caused by inconsistency with the domestic law or procedural defect. However, all foreign arbitration awards generally do not have to go through the approval process, and it will come into force with the arbitration award. In the case of Germany in the revision of the German Civil Procedure Act of 1996, the main provisions of the New York Convention concerning the ratification and enforcement of arbitration proceedings are reflected. Germany provides for the arbitration procedures in the arbitration proceedings of Book 10 of the Civil Procedure Act. Particularly, with Article 1061 in Book 10 Section 8 below, the approval and enforcement of foreign arbitrators shall be governed. Article 1061 has been referred to as "The New York Convention on the Recognition and Enforcement of Foreign Jurisdictions," Article 5 (1). The main reasons for approval and enforcement rejection are: (1) Reason for the acceptance or refusal of enforcement by request of the parties: Reason for failure of subjective arbitration ability, invalidation of arbitration agreement, collapse of attack or defense method, dispute not included in arbitration agreement, (2) Reasons for the approval and enforcement of arbitration considered by the competent authority of the arbitrator: violation of objective arbitration ability, violation of public order, but not based on the default of German statute.

미국의 대 아세안 수산물 수입거부조치 파급효과 연구 (Spillover Effects Study of US Import Refusals on ASEAN Countries' Fishery Products)

  • 이평;김학민
    • 무역학회지
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    • 제44권2호
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    • pp.109-126
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    • 2019
  • Import refusals can be considered a new method of non-tariff barriers. This study aims to analyze reputation spillover effects on fish and fishery products imported from ASEAN countries to the U.S. FDA. The supply of aquatic products is not stable due to various factors such as reduction of fish stocks and climate change. Fish is a basic food ingested directly, but there are many ways to control the safety of aquatic products. ASEAN countries account for about 20% of U.S.imports in fish and fishery products. For Southeast Asian countries, fish and fishery products comprise a high proportion of exports revenue. Despite the large share of exports to the U.S., Southeast Asia countries have been receiving many import refusals from the United States. In this study, a theoretical model for examining import refusals is suggested using the negative binomial counting process. The reputation spillover effect, was divided into two spillover effects of 'neighbor reputation' and 'sector reputation'. Results show that there exists a neighbor reputation spillover effect. It can be said if there was a import refusal of the same product from neighboring countries in the preceding year, the home country have a possibility to experience import refusals of the same product. Therefore, it is interpreted that neighboring countries have good standard compliance can help home countries to effectively reach the target markets. Our findings have a important policy implication for ASEAN exporters of fish and fishery products.

에릭슨의 발달단계 이론에 따른 4세 여아의 놀이치료에 나타난 놀이 분석 (Play Analysis of the Play Therapy conducted for a 4-year-old girl on the basis of Erikson's Psychosocial Development)

  • 전혜진;유미숙
    • 한국놀이치료학회지
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    • 제21권4호
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    • pp.449-471
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    • 2018
  • 본 연구는 도구적 사례연구로 만 4세 여아의 놀이치료 과정에 나타난 놀이를 분석하였다. 내담 아동은 어린이집에서 집단 활동에 참여하는 것을 어려워하고 낯선 사람이 말을 걸면 울어버리는 것을 주 호소로 하여 놀이치료에 의뢰되었다. 치료적 개입으로 아동에 대한 개별 놀이치료와 회기 후 10분 모(母) 상담이 제공되었고, 모 상담은 촉진적인 양육 기술과 양육 환경을 조성하는 방향으로 진행되었다. 또한 매주 담임 교사가 아동의 어린이집 생활 모습을 관찰하고 매주 관찰척도를 작성하였다. 총 12회기(주 2회, 6주)가 실시되었으며 종료 후 한 달이 지난 시점에 추수 회기가 진행되었다. 이에 따라 유아의 놀이치료 과정에 나타난 매 회기 치료 장면을 제시하고 Erikson의 발달 이론에 기초하여 놀이를 분석하였다. 이를 통하여 유아의 놀이치료 과정을 이해하고자 할 때 기초 자료를 제공하였다는데 의의가 있다.

청소년의 그릿에 미치는 요인에 관한 연구: 개인요인, 부모요인, 학교요인을 중심으로 (A Study on Factors Affecting Adolescent's Grit: Individual Factor, Parent Factor, School Factor)

  • 장윤아;김소영
    • 산업융합연구
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    • 제19권4호
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    • pp.57-64
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    • 2021
  • 본 연구의 목적은 청소년의 개인요인과 부모요인, 학교요인이 그릿 간의 관계를 분석하는 것을 목적으로 수행되었다. 이를 위해 한국아동·청소년 패널조사(KCYPS 2018)자료를 활용하여 중학교 1학년 학생 2,394명을 표본으로 선정하여 분석하였다. 분석결과는 다음과 같다. 첫째, 청소년의 개인요인인 자아존중감과 주의집중은 그릿에 유의미한 영향이 있는 것으로 확인되었다. 둘째, 청소년의 부모요인인 거부, 강요, 비일관성은 그릿에 유의미한 영향이 있는 것으로 확인되었다. 셋째, 학교요인인 교사관계는 그릿에 유의미한 영향이 있는 것으로 확인되었다. 분석결과를 토대로 청소년기에 그릿에 미치는 요인들을 예측하여 후속연구에 제언하였다.

중재판정 취소사유를 확장한 중재합의의 효력에 관한 고찰 - 미국에서의 논의를 중심으로- (A Study on the Validity of a Contract to Expand the Grounds for Vacating Awards in Arbitration Agreements - With Special Reference to the Cases and Theories in the United States -)

  • 강수미
    • 한국중재학회지:중재연구
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    • 제32권1호
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    • pp.43-69
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    • 2022
  • In the case of the United States, which has the same provision as Article 10 of the Federal Arbitration Act, a contract may be exceptionally validated if the parties have clearly concluded the contract to expand the grounds for vacating awards in an arbitration agreement. It is possible that the parties create the grounds for vacating that is not stipulated in the statue by clear agreement. However, it remains the issues when this contract is valid. If we investigate the grounds for setting aside as discussed in this paper, in cases ① where an arbitrator failed to apply the substantive law expressly designated by the parties without a good reason; ② where there was a serious error in the application of the substantive law; ③ where an arbitrator decided under ex aequo et bono despite the parties explicitly designated the substantive law, the parties may bring an action for annulment of arbitral awards in court according to their agreement to expand the grounds for vacating the awards. It is important enough to change the rights and obligations of the parties for them whether or not the substantive law of the arbitration was applied. With Regard to the contract to expand the grounds for setting aside the awards in arbitration agreement, there are still issues how to handle the case where the parties have not designated the substantive law, and the validity of a contract to expand the grounds for vacating on reasons other than violation of law application, and relations with Article 5 of the Convention on the Recognition and Enforcement of Foreign Arbitral Awards, where the misapplication of the law does not stipulated as the grounds for refusal to recognize and enforce the foreign arbitral award, and so on.