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

  • Cho, In-Ho
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.319-382
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    • 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).

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ESG Management Strategy and Performance Management Plan Suitable for Social Welfare Institutions : Centered on Cheonan City Social Welfare Foundation (사회복지기관에 적합한 ESG경영 전략도출 및 성과관리방안 : 천안시사회복지재단을 중심으로)

  • Hwang, Kyoo-il
    • Journal of Venture Innovation
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    • v.6 no.3
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    • pp.165-184
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    • 2023
  • Since municipal welfare institutions operate for different purposes from general companies or public enterprises, ESG practice items and model construction should be conducted through various and comprehensive social welfare studies. Since there are not many studies available in domestic welfare institutions yet and there are no suitable ESG management utilization indicators, the Cheonan Welfare Foundation's strategy and management strategy system were established to spread the model to other welfare institutions and become a leading foundation through education and training. The foundation and front-line welfare institutions selected issues identification and key issues through the foundation's empirical analysis and criticality analysis, focusing on understanding ESG management and ways to establish a practice model that positively affects institutional image and business performance. Based on this, the promotion system was examined by establishing a performance management plan after deriving appropriate strategies and establishing a strategic system for social welfare institutions. Environmental and social responsibility, transparent management, safety management system establishment, emergency and prevention, user (customer) satisfaction system establishment, anti-corruption prevention and integrity ethics monitoring and evaluation, responsible supply chains, and community contribution programs. This study attempted to specifically present efforts to settle ESG management through the consideration of the Cheonan Welfare Foundation. Therefore, it is considered to be useful data for developing ESG management by referring to the systematic development process of the Cheonan City Restoration Foundation to develop ESG measurement indicators.

Case study of Journal Article and Reference Mapping (학술논문과 참고문헌의 자동매핑 사례 분석)

  • Kim, Jayhoon;Kim, Soon Young;Lim, Seok Jong;Hwang, Hyekyong
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.262-269
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    • 2019
  • References at the end of an academic paper are information that helps authors keep their research ethics, readers refer to related prior studies. Also references are useful information for linking citations and citations between articles. As bibliography metrics develops, bibliographic data is used as an important data for assessing the academic influence of countries, institutions and individual researchers. However, it is not easy to identify and link the reference data due to the diversity of the bibliographic citation formats, the loss of information due to the abbreviation of journal names and author names, and typos by authors. This study investigated the method of improving the bibliographic data mapping rate by analyzing the unmapped cases. As a result, it was found that the main cause of the article-reference mapping failure was the similarity of abbreviated journal names. Research team suggested that continuous management of journal title authority data and improving the DOI registration rate as ways to improve the identification and mapping rate. This study is differentiated from other studies in used database. Bibliography mapping was attempted for domestic and foreign integrated journal database that is mainly subscribed, used, published and cited in Korea. Through reference construction volume and mapping rate improvement, it can be used as citation analysis and service database reflecting domestic situation that is different from overseas citation index database.

Nurses' Emotional Responses and Ethical Attitudes towards Elderly Patients' DNR Decision (노인환자 심폐소생술금지 결정에 대한 간호사의 윤리적 태도와 정서상태)

  • Mun, Junghee;Kim, Sumi
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.216-222
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    • 2013
  • Purpose: The purpose of this study was to examine nurses' emotional responses and ethical attitudes towards elderly patients' Do-Not-Resuscitate (DNR) decision. Methods: Data were collected using a questionnaire which was filled out by 153 nurses who worked in nursing homes and general hospitals. Data were analyzed using real numbers, percentages, means, standard deviations and Pearson's correlation coefficients with SPSS 19.0 program. Results: The average score for ethical attitudes towards the DNR decision was 2.68 out of 4. Under the ethical attitudes category, the highest score was found with a statement that said 'Although they will not perform cardiopulmonary resuscitate (CPR), it is right to do their best with other treatments for DNR Patients'. Items regarding emotional responses to the DNR decision, the average score was 2.36 out of 4. Among them, the highest score was achieved on 'I understand and sympathize'. No significant correlation was found between ethical attitudes and emotional responses in relation to patients' DNR decision (r=-0.12, P=0.13). Conclusion: Regarding elderly patients' DNR decision, nurses showed somewhat highly ethical attitudes and slightly positive emotional response. A follow-up study is needed to investigate variables that affect our results.

General Population's View on Euthanasia (안락사에 대한 일반인들의 인식도)

  • Kim, Sun-Hyun;Lee, Hye-Ree
    • Journal of Hospice and Palliative Care
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    • v.6 no.2
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    • pp.133-143
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    • 2003
  • Purpose : Amont the various issues concerning bio-ethics, the concern on euthanasia has increased along with the development of medical technology. Thus, the general public tends to have more liberal opinion. They have detail research data and real practices in US, Europe and Australia, but we lack such studies in our country. This study was undertaken to address the need of studies on the recognition of euthanasia among the public because the existing studies have been focused on the medical staff. Methods : Survey 413 people the age of 17 or more, from May to July 2000. Testify the data on the variation of demography and the recognition of euthanasia by using SAS 6.12, the statistic program. Results : 304 people (73.6%) think that euthanasia should be legislated, 156 people (37.8%) permit euthanasia to the rage of voluntary one, and 234 people (56.6%) permit passive euthanasia. When the subject of voluntary euthanasia was himself, more people whose age is 35 or more (P=0.001) responded that they will undertake euthanasia. And, on issues related to the passive euthanasia, one's educational background (P=0.046) and economic power (P=0.040) arrangement showed significant differences. When the subject of voluntary euthanasia is other people, more people whose age is 35 or more than 35 (P=0.001), whose sex is male (P=0.001), and married people (P=0.002) were for allowing the matter. For the subject of passive euthanasia, survey participant's occupation (P=0.016) created meaningful difference. More people whose age is 35 or more than 35 responded that they want voluntary euthanasia for themselves (P=0.001), and in the case when euthanasia is legislated, marital status (P=0.002) also shows meaningful difference. Passive euthanasia is permitted by the more people whose age is less than 35 for respondents other people (P=0.001), marital status show meaningful difference in case for respondent himself. In the case of legal euthanasia is more people whose age is 35 or more than 35 (P=0.001), sex is male (P=0.004) and more married people (P=0.001) responded that they want voluntary euthanasia for other people. And, age (P=0.002), sex (P=0.001), education (P=0.025) and economic power (P=0.001) show meaningful difference for case the subject of passive euthanasia. Conclusion : Most of general public responded that the legislation on euthanasia is required; and, age, education and economic power seem to have an influence on their decisions on euthanasia. Not only such a study of demographic and sociological correlation; but, various basic data on the legislation of euthanasia are needed.

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Level of Moral Development in Pre-dental Professionals (일부 예비치과 전문인력의 도덕성 발달수준)

  • Kwag, Jung-Sook;Moon, Sang-Eun;Kim, Yun-Jeong
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.103-108
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    • 2012
  • A study was designed to evaluate the level of moral development in 450 pre-dental professionals of 2 educational institution in Jeollabukdo, Ik san city. Data were collected through self-reported questionnaires from October 2010. The Korean version of the DIT(Defining Issues Test) was adopted to evaluate level of moral development with the score of P(%) and stage. The data were analyzed by descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficient. The mean scores of P(%) was 43.10 in dental students and 41.21 in dental hygiene students(p=0.190). The score of stage 5A was highest which was followed by S3, S4, S6, S5B, S2. The score of stage 5B and 6 revealed sigificant difference by groups. The score of stage 6 revealed significant difference by sex in dental students(p=0.003). In dental hygiene students, it's significant difference by religion(S5B, p=0.044), birth order(S2, p=0.027) and growth area(S4, p=0.015). As for the correlations between moral development and the score of the stage, the score of P(%) was negatively correlated with the scores of stage 2, 3, 4 and 5B. On the other hand, the score of P(%) was positively correlated with the scores of stage 5A and 6. In conclusion, for enhancing dental students' moral development it is necessary a systemic ethics education and program development in curriculum.

A Study for Historical Consideration of "The Golden Age" of Chinese Comics -Focusing on and - (중국만화의 "황금시기"에 관한 역사적 고찰 -<왕 선생>, <삼모 유랑기> 중심으로-)

  • Jin, Li-Na
    • Cartoon and Animation Studies
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    • s.34
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    • pp.197-217
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    • 2014
  • The 1920s and 1930s ushered in "the golden age" of Chinese comics when the comics flourished. Satirical cartoons in modern Chinese comics were popular due to emotional instability and war caused by foreign powers. Among many popular comics, this paper analyzes in the 1920s and in the 1930s which were made into films and dramas. Chapter Two shows that China in the Republican era of China expanded its consumer culture into some sectors like films, novels, magazines and fashion in the 1920s and 1930s. However, more than any other things, this chapter considers from the historical perspective "the golden age" of comics including comic magazine in the 1930s and a history of comic magazines that gained popularity with conventional and common story. Chapter Three explains that social satire cartoons were in vogue since the May Fourth Movement and anti-imperialistic and semi-feudalistic stories in the 1920s were realized in life. It also says that comics that describes the negative sides of its society were popular. Ye QianYu, a cartoonist, portrayed many facets of Shanghai through : the daily life of the middle and lower classes, bureaucratic corruption and sympathy for the working class. drawn by Zhang LePing describes the unfair social system between the bourgeoisie and the proletariat and the gap between the rich and poor through the main character, the powerless and poor orphan. and lampooned the reality of its time in an objective, witty and humorous way in terms of ethics and economy respectively. The researcher chooses to study and which are very familiar to us, because good cartoons, animations and movies stimulate the feelings about our surroundings.

Abstracts in Medical Science Journals: An Analysis of Subheadings in Structured Abstracts (의학 저널에서 사용되는 구조적 초록의 소표제들에 관한 분석)

  • Kim, Eungi
    • Journal of Korean Library and Information Science Society
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    • v.47 no.1
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    • pp.199-216
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    • 2016
  • This study aimed to investigate the current uses of subheadings that appear in medical science journal abstracts and to discuss its potential implications for medical science from the perspectives of library and information science. To conduct this study, the following nine sub-fields in medical science were selected: cancer, ethics, genetics, infectious disease, neurology, pediatrics, immunology, psychiatry, and cardiology. Random sample data were drawn based on the years 2010 to 2015 from the PubMed database. This study investigated the extent of the uses of subheadings, variants of subheadings, and common formation of subheadings with the help of a frequency analysis. The specific findings of this study are summarized as the following: 1) more traditional abstracts are used across almost all sub-fields of medical science; 2) on average, 4.1 subheadings were used in the sample dataset; and 3) the most frequently used set of subheadings is OBJECTIVES, METHODS, RESULTS, and CONCLUSIONS. This subheading set appears to be the de facto standard across all medical science journals. The analysis of subheadings in structured abstracts and the issues raised in this study can be beneficial for journal editors and other academics in medical science as well as library and information science.

Bio-technology and Citizen Participation - A Case Study of Re-combinant DNA Debate (생명공학과 시민참여 - 재조합 DNA 논쟁에 대한 사례 연구)

  • Kim Dong-Kwang
    • Journal of Science and Technology Studies
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    • v.2 no.1 s.3
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    • pp.107-134
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    • 2002
  • Recently, society's relationship with science is in a critical phase. There was never a time when the issues involving science were more exciting. Many people are deeply uneasy about the safety and ethics of bio-technology. On the other hand, this could be interpreted as a dynamic process in which a new relationship between science and public is reshaping. And in this new relationship citizen participation in science is not a option but a necessity. This article is a case study of 1970's re-combinant DNA debate. Early 1970's bio-technology saw the emergence of an enormously powerful new methodology, recombinant DNA technology. But, at the outset, this technology posed many potential dangers. Concern over possible hazards prompted hot debates and conflict between leading scientists and community, In this process Cambridge Laboratory Experiment Lion Review Board (CERB) is organized by Cambridge City Coun il for assessing the possible risk of recombinant DAN technique. This is one of the first citizen-initiated participation movement in bio-technology. And the debates has come to be a principal focus for many of the most important questions concerning citizen participation in science. This study make a attempt to analyze CERB case. In conclusion, we can confirm the possibility of civil participation in science policy making and decision making from CERB case study. Still, we also realize the limit of CERB case.

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A Exploratory Study on Press Fairness Concept Held by Ordinary People (언론 수용자의 공정성 개념에 대한 탐색적 연구)

  • Moon, Jong-Dae;Ahn, Cha-Soo;Jin, Hyun-Seong;Ahn, Soon-Tae
    • Korean journal of communication and information
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    • v.38
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    • pp.183-210
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    • 2007
  • The study tried to explore ordinary people's press fairness concept being neglected by the mainstream of fairness research thus far. With empirical standpoint, this study first investigated (un)fairness concept held by general audience, and then compared it with existing ones long suggested by experts such as scholars and media workers. Also, the study examined audience's concept construct in terms of its characteristics and implications. A systematic sample of 300 adults in Seoul was interviewed and their answers (instances of press unfairness) were analyzed and categorized. The most serious problem in fairness, they pointed, was that the press's not neutral. Also, truth and balance were importantly raised as a press problem with regard to fairness. The result showed press ethics and commercial morals could be a significant element for people's view on press fairness. These elements are new to the literature and heuristic regarding how to approach toward fairness issue in our society. The study also discusses the implications of other findings.

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