• Title/Summary/Keyword: Self respect

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Patient's Right of Self-determination and Informed Refusal: Case Comments (환자 자기결정권과 충분한 정보에 근거한 치료거부(informed refusal): 판례 연구)

  • Bae, Hyuna
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.105-138
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    • 2017
  • This is case comments of several representative legal cases regarding self- determination right of patient. In a case in which an intoxicated patient attempted suicide refusing treatment, the Supreme Court ruled that the medical team's respect for the patient's decision was an act of malpractice, and that in particular medical situations (medical emergencies) the physician's duty to preserve life supersedes the patient's rights to autonomy. Afterwards, at the request of the patient's family, and considering the patient's condition (irrecoverable death stage, etc.) consistent with a persistent vegetative state, the Supreme Court deduced the patient's intention and decide to withdraw life-sustaining treatment. More recently, regarding patients who refuse blood transfusions or other necessary treatment due to religious beliefs, the Supreme Court established a standard of judgment that can be seen as conferring equal value to the physician's duty to respect patient autonomy and to preserve life. An empirical study of legal precedent with regard to cases in which the physician's duty to preserve life conflicts with the patient's autonomy, grounded in respect for human dignity, can reveal how the Court's perspective has reflected the role of the patient as a decision-making subject and ways of respecting autonomy in Korean society, and how the Court's stance has changed alongside changing societal beliefs. The Court has shifted from judging the right to life as the foremost value and prioritizing this over the patient's autonomy, to beginning to at least consider the patient's formally stated or deducible wishes when withholding or withdrawing treatment, and to considering exercises of self determination right based on religious belief or certain other justifications with informed refusal. This will have a substantial impact on medical community going forward, and provide implicit and explicit guidance for physicians who are practicing medicine within this environment.

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The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients

  • Shon, Kyung-Hee
    • Journal of Korean Academy of Nursing
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    • v.33 no.8
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    • pp.1145-1152
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    • 2003
  • Propose. An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. Methods. The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls. Results. The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls. Conclusion. This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

Tribological behaviors of polymer coated carbon composite with small surface grooves (코팅된 요철표면을 가지는 탄소/에폭시 복합재료의 마찰 및 마모 특성)

  • Kim, Seong-Su;Lee, Hak-Gu;Lee, Dai-Gil
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2005.04a
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    • pp.107-110
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    • 2005
  • Tribological behaviors of carbon epoxy composites whose surfaces have many small grooves were compared with respect to coating method under dry sliding and water lubricating conditions. The surface coating materials were epoxy (Ep) and polyethylene (PE) mixed with self-lubricating $MoS_2$ and PTFE powders. The wear morphology of the composites observed with a scanning electron microscopic (SEM) revealed that the surface coating layer mixed with the self-lubricating powder on the grooved surface significantly improved the wear resistance under water lubricating condition because the surface coating layer blocked water to penetrate the composite surface and the self-lubricating powder reduced the wear on the coating by suppressing the generation of blisters.

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Segmentation of the Internet Stock Trading Market Using Self Organizing Map (SOM을 이용한 인터넷 주식거래시장의 시장세분화 전략수립에 관한 연구)

  • 이건창;정남호
    • Journal of the Korean Operations Research and Management Science Society
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    • v.27 no.3
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    • pp.75-92
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    • 2002
  • This paper is concerned with proposing a new market strategy for the segmented markets of the Internet stock trading. Many companies are providing various services for customers. However, the internet stock trading market is glowing rapidly absorbing a wide variety of customers showing different tastes and demographic information, so that it is necessary for us to investigate specific strategy for the segmented markets. General strategy so far in the Internet stock trading market has been to lower transaction fee according to the market trend. As the advent of rapidly enlarging market, however, more specific strategies need to be suggested for the segmented markets. In this respect, this paper applied a self-organizing map (SOM) to 83 questionnaire data collected from the Internet stock trading market in Korea, and obtained meaningful results.

FINITE GROUPS WHICH ARE MINIMAL WITH RESPECT TO S-QUASINORMALITY AND SELF-NORMALITY

  • Han, Zhangjia;Shi, Huaguo;Zhou, Wei
    • Bulletin of the Korean Mathematical Society
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    • v.50 no.6
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    • pp.2079-2087
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    • 2013
  • An $\mathcal{SQNS}$-group G is a group in which every proper subgroup of G is either s-quasinormal or self-normalizing and a minimal non-$\mathcal{SQNS}$-group is a group which is not an $\mathcal{SQNS}$-group but all of whose proper subgroups are $\mathcal{SQNS}$-groups. In this note all the finite minimal non-$\mathcal{SQNS}$-groups are determined.

Cracking of Fiber-Reinforced Self-Compacting Concrete due to Restrained Shrinkage

  • Kwon, Seung-Hee;Ferron, Raissa P.;Akkaya, Yilmaz;Shah, Surendra P.
    • International Journal of Concrete Structures and Materials
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    • v.1 no.1
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    • pp.3-9
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    • 2007
  • Fiber-reinforced self-compacting concrete (FRSCC) is a new type of concrete mix that can mitigate two opposing weaknesses: poor workability in fiber-reinforced concrete and cracking resistance in plain SCC concrete. This study focused on early-age cracking of FRSCC due to restrained drying shrinkage, one of the most common causes of cracking. In order to investigate the effect of fiber on shrinkage cracking of FRSCC, ring shrinkage tests were performed for polypropylene and steel fiber-reinforced SCC. In addition, finite element analyses for those specimens were carried out considering drying shrinkage based on moisture diffusion, creep, cracking resistance of concrete, and the effect of fiber. The analysis results were verified via a comparison between the measured and calculated crack width. From the test and analysis results, the effectiveness of fiber with respect to reducing cracking was confirmed and some salient features on the shrinkage cracking of FRSCC were obtained.

Developing an Intelligent Health Pre-diagnosis System for Korean Traditional Medicine Public User

  • Kim, Kwang Baek
    • Journal of information and communication convergence engineering
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    • v.15 no.2
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    • pp.85-90
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    • 2017
  • Expert systems for health diagnosis are only for medical experts who have deep knowledge in the field but we need a self-checking pre-diagnosis system for preventive public health monitoring. Korea Traditional Medicine is popular in use among Korean public but there exist few available health information systems on the internet. A computerized self-checking diagnosis system is proposed to reduce the social cost by monitoring health status with simple symptom checking procedures especially for Korea Traditional Medicine users. Based on the national reports for disease/symptoms of Korea Traditional Medicine, we build a reliable database and devise an intelligent inference engine using fuzzy c-means clustering. The implemented system gives five most probable diseases a user might have with respect to symptoms given by the user. Inference results are verified by Korea Traditional Medicine doctors as sufficiently accurate and easy to use.

THE DELTA STANDING WAVE SOLUTION FOR THE LINEAR SCALAR CONSERVATION LAW WITH DISCONTINUOUS COEFFICIENTS USING A SELF-SIMILAR VISCOUS REGULARIZATION

  • LI, XIUMEI;SHEN, CHUN
    • Bulletin of the Korean Mathematical Society
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    • v.52 no.6
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    • pp.1945-1962
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    • 2015
  • This paper is mainly concerned with the formation of delta standing wave for the scalar conservation law with a linear flux function involving discontinuous coefficients by using the self-similar viscosity vanishing method. More precisely, we use the self-similar viscosity to smooth out the discontinuous coefficient such that the existence of approximate viscous solutions to the delta standing wave for the Riemann problem is established and then the convergence to the delta standing wave solution is also obtained when the viscosity parameter tends to zero. In addition, the Riemann problem is also solved with the standard method and the instability of Riemann solutions with respect to the specific small perturbation of initial data is pointed out in some particular situations.

Social-Cultural Adjustment of North Korean Defectors by Self-Esteem and Internal Attribution (새터민의 자아존중감 및 내적귀인성향에 따른 사회문화적 적응)

  • Chin, Mee-Jung;Lee, Soon-Hyung
    • Journal of the Korean Home Economics Association
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    • v.44 no.7 s.221
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    • pp.141-152
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    • 2006
  • This study explores the social-cultural adjustments of North Korean defectors with respect to their self-esteem and internal attribution. The data were obtained from a survey of 195 North Korean defectors who had recently entered South Korea. The respondents had moderate difficulties in their social-cultural adjustment consisting of social activity restriction, discrimination, and social exclusion. Their social-cultural adjustment was positively associated with internal attribution. Those with internal attribution tended to have fewer problems in adjusting to the social systems and culture of South Korea. The findings of this study imply that psychological resources play a role in enhancing the social-cultural adjustment of North Korean defectors.

The Development of Intervention Programs Based on Characteristics of Children Victimized by Peers:Focus on Parent Education and Social Skills Training Programs (또래 괴롭힘 피해아의 특성에 기초한 중재 프로그램의 개발 : 부모교육 프로그램과 사회적 기술 훈련 프로그램을 중심으로)

  • Doh, Hyun-Sim;Kwon, Jung Im;Park, Bo Kyung;Hong, Seong Heun;Hong, Ju Young;Hwang, Young Eun
    • Korean Journal of Child Studies
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    • v.24 no.4
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    • pp.103-121
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    • 2003
  • Based on characteristics of victims, the parent education program focused on building a new concept of personal respect toward their children and on changing overprotective and coercive parenting styles into democratic parenting. The social skills training program focused on building self-acceptance, self-esteem and interpersonal capabilities in victimized children. Three groups, each composed of 6 victims and their mothers, were compared to examine the effectiveness of the programs. Children in experimental group I showed marked increase in self-esteem. They also reported that their mothers' overprotective parenting decreased after participation in the parent education program, indicating the effectiveness of the intervention program.

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