• 의료법학
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• 제13권1호
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• pp.359-395
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• 2012

In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

• 환경영향평가
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• 제27권2호
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• pp.232-239
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• 2018

이 연구는 국내 로드킬(Roadkill) 피해 발생건수가 가장 높은 야생동물인 고라니(Hydropotes inermis)를 대상으로 로드킬 예방에 필요한 저감시설인 유도울타리의 적정 높이 기준을 마련하기 위해 이루어졌다. 이를 위해 국외 사슴류 흰꼬리사슴(Odocoileus virginianus)의 울타리 월장 측정 연구사례와 비화학적 포획 방법을 검토하여 국립생태원 사슴생태원에서 관리하는 고라니 27마리를 대상으로 울타리 월장 실패율 측정 방법에 적용하였다. 펜스(test fence) 높이 0.5m에서부터 단계별 10cm씩 높여가며 넘을 수 없는 높이를 검증하였다. 그 결과 1.5m로 설치할 경우 고라니의 침입을 96.7% 차단 가능하고, 1.8m 높이에서는 100% 차단하는 것으로 확인되었다. 이 연구결과를 토대로 향후 환경부 "생태통로 설치 및 관리지침" 개정 시 유도울타리 적정 높이 기준 설정에 의미 있는 자료로 활용될 것으로 기대된다.

• 한국의학물리학회지:의학물리
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• 제26권2호
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• pp.112-117
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• 2015

미국의학물리학회(AAPM) TG-100 위원회에서 제시하고 있는 가이드 라인에 준하여 환자 안전에 대한 정도관리를 수립하기 위하여 영남대학교병원 방사선종양학과에서 환자를 치료하는 중에 발생한 오류들을 중심으로 오류 유형을 분석하여, 환자중심의 방사선치료를 시행할 때 환자 안전을 위한 정도관리의 가이드 라인을 정립하고자 한다. 방사선종양학과에서 방사선 치료를 하는데 있어서 일으킬 수 있는 오류들을 분석하여 오류를 일으키는 빈도와 오류가 일어날 때 환자 에게 미치는 심각성과 오류가 일어났을 때 감지하지 못하고 지나치는 확률을 점수로 평가하고자 한다. 오류를 일으킬 수 있는 곳으로는 CT 모의치료실, 치료계획실, 치료실로 나누어 조사하였다. CT 모의치료실에서는 고정기구 사용의 오류가 위험중요지수의 값이 60으로 가장 높았고, 모의치료 정보입력의 오류가 6으로 가장 낮게 나타났다. 치료계획실에서는 선량계산 모델 선택의 오류가 위험중요지수의 값이 168로 가장 높았고, 환자의 치료 시작일 오류가 36으로 가장 낮게 나타났다. 치료실에서는 테이블 Bar 오류가 위험중요지수의 값이 252으로 가장 높았고, 체중변화 오류가 190을 나타내었으며, 배게 오류가 24로 가장 낮게 나타났다.

• 한국지리정보학회지
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• 제14권2호
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• pp.40-52
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• 2011

본 연구에서는 탄소배출 인벤토리 구축에 있어서 지리정보시스템을 활용하여 공간 특성에 따라 분포되고 있는 탄소 배출 규모를 살펴 보고자 하였다. 궁극적으로는 공간대응형 탄소배출 인벤토리를 구축함으로서 온실가스 저감형 도시 공간구조 조성을 위한 기본방향을 제시하고, 친환경적인 녹색 도시로의 변화에 기여하고자 하였다. 지리정보시스템에 입력되는 기초 Data 중 속성정보는 대구광역시 에너지 부문(전력, 도시가스)의 2009년 연간 사용량을 가지고 IPCC 가이드라인에서 제시하고 있는 Tier 1에 대입하여 $CO_2$ 배출량을 추정하였다. 공간정보는 대구광역시 건축물 대장과 지적도를 연계하여 지번에 따라 건축물 용도별로 토지이용 분류를 실시하여 구축하였다. 에너지 부문의 $CO_2$ 배출 인벤토리 구축에 지리정보시스템을 접목함으로서 공간별 $CO_2$ 배출 규모를 파악할 수 있었으며, 토지이용에 따라 $CO_2$ 배출 현황이 각기 상이한 특성을 가지고 있다는 것을 확인할 수 있었다.

• 한국유기농업학회지
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• 제21권2호
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• pp.233-246
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• 2013

본 연구에서는 친환경유기농자재를 사용하는 농업인을 대상으로 친환경유기농자재 구입실태 및 친환경유기농자재 안전관리방안에 대한 인식도 등을 조사하였다. 친환경 유기농자재를 구입하는 가장 큰 경로는 친환경농업단체였으며, 자재의 구입을 결정하는 가장 큰 근거는 '생산되는 농산물이 안전할 것 같아서'로 나타났다. 현재 친환경유기농자재에 대한 정보를 가장 많이 입수하는 경로는 '농업기술센터가 주최하는 교육'이었으며, 향후에도 국가 및 관련기관의 교육이나 홈페이지를 통해 정보를 제공받기를 희망하는 비율이 69.0%에 달하였다. 반면 '농자재판매상'을 통한 정보제공의 희망 비율이 매우 낮아 제도적으로 농자재 판매상 교육을 지원함으로써 농업인에게 정확한 농자재의 정보가 제공될 수 있도록 할 필요가 있다. 또한 국가기관에서 농업인들에게 제공하는 교육을 통한 안전성 관련 정보 제공의 필요성을 높게 인식하고 있었으며, 특히 농자재의 안전교육을 안전한 제품개발 다음으로 중요하게 여기는 것으로 조사되었다. 또한 조사대상 농업인은 친환경유기농자재의 유통기한 설정, 사용자 취급지침 설정과 독성구분 표기가 모두 필요하다고 응답하였다. 설문문항간 신뢰성을 검증하기 위하여 실시한 크론바하 알파계수는 0.699로 본 연구에서 설문한 문항에 대해 조사대상자들이 신뢰 있게 응답하였음을 알 수 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.4137-4141
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• 2016

Background: A recent guideline by the American Cancer Society recommended that mammography (MMG) should be done for women starting in their mid-40s. In Thailand, information on opportunistic mammography screening is limited and data on the total incidence of breast cancer are also lacking. The purpose of this study was to estimate the breast cancer detection, incident and prevalence rates among Thai women. Materials and Methods: We retrospectively reviewed the opportunistic mammography screening of normal women between 30 and 80 years who underwent the procedure between 2001 and 2010. All cases were followed until 2012. The detection rate was calculated for the whole period of observation using 'number of women with positive findings' divided by 'total number of women screened'. The incidence rate was calculated only at the first MMG while the subsequence rate was calculated based on all new cases detected at each subsequent MMG. Results: Among the 47,430 women, there were 152,091 MMGs or approximately 3.2 occasions per person (range, 1-10). The average duration of the interval between each subsequence visit was 1.8 years. Overall, breast cancer was detected in 543 women, with a detection rate of 10.3 per 1,000 persons. The prevalence rate of breast cancer at the first visit was 5.78 per 1,000 persons. The incidence or new cases detected at any follow-up visit was 10.4 per 1,000 persons. The overall interval cancer was 0.91 per 1,000 women, mainly detected before their second and third MMG, with a rate of 0.0.47 and 0.76 per 1,000 women. Conclusions: Opportunistic mammography screening in Thailand detected 10 case of breast cancer from each 1,000 women. This paper indicated a high rate of cancer detection during a two year interval, hence, a screening mammogram should be performed more often.

• 농업생명과학연구
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• 제45권6호
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• pp.81-88
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• 2011

산양삼 재배를 위한 기초자료를 제공할 목적으로 9개도 18 재배지를 대상으로 입지환경, 토양환경, 생육과정, 재배방법과 시기를 조사 분석하였다. 산양삼 재배 입지환경은 활엽수림, IV영급 기준 ha당 잔존본수 500~1,000본, 해발 500 m 미만, 경사 $25^{\circ}$ 이하, 재배사면은 북, 북동, 동, 북서방향에서 주로 재배되는 것으로 나타났다. 토양은 유기물함량 3.43~24.07%, pH 3.8~5.7, 토성은 사토~사양 토로 재배지 간에 많은 차이를 나타내었다. 생육과정은 발순, 개엽, 개화, 결실, 홍숙, 낙과, 낙엽까지 조사되어 평균 98일의 생육기간이 소요되었다. 재배방법은 파종과 이식 형태로 증식되고 있었으며, 파종은 개갑처리(발아촉진처리)와 직파형태로 파종하고 있으며 각각 70%, 30%로 처리되는 것으로 나타났다.

• 대한기관윤리심의기구협의회지
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• 제4권2호
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• pp.36-41
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• 2022

Purpose: The purpose of this study is to evaluate how university hospital Institutional Review Boards (IRBs) in Korea classify risk when reviewing clinical trial protocols. Methods: IRB experts (IRB chairman, vice chairman, IRB administrator) in the university hospitals obtaining a Human research protection program (HRPP) or IRB accreditation in Korea were asked to fill out the Google Survey from September 1, 2020 to October 10, 2020. Result: Among the 23 responder hospitals, 8 were accredited by the American Association for Human Research Protection Program (AAHRPP) and 8 were accredited by the HRPP of Ministry of Food and Drug Safety (MFDS). Seven were accredited by Forum for Ethical Review Committees in Asia and the Western Pacific or Korea National Institution for Bioethics Policy. Thirteen of 23 hospitals (56.5%) had 4 levels (less than minimal, low, moderate, high risk), 4 hospitals had 3 levels (less than, slightly over, over than minimal risk), 1 hospital had 5 levels (4 levels plus required data safety monitoring board), and 1 hospital had 2 levels (less than, over than minimal risk) risk classification system. Thirteen of 23 hospitals (56.5%) had difficulty classifying the risk levels of research protocols. Fourteen hospitals (60.9%) responded that different standards among hospitals for risk level determination associated with clinical trials will affect the subject protection. Six hospitals (26.1%) responded that it will not. Three hospitals (13.0%) responded that it will affect the beginning of the clinical trial. To resolve differences in standards between hospitals, 14 hospitals (60.9%) responded that either the Korean Association of IRB or MFDS needs to provide a guideline for risk level determination in clinical trials: 5 hospitals (21.7%) responded education for IRB members and researchers is needed; 3 hospitals (13.0%) responded that difference among institutions needs to be acknowledged; and 1 hospital (4.3%) responded that there needs to be communication among IRB, investigator, and sponsor. Conclusion: After conducting a nationwide survey on how IRB in university hospital determines risk during review of clinical trials, it is reasonable to use 4-level risk classification (less than minimal, low, moderate, high risk); the most utilized method among hospitals. Moreover, personal information and conflict of interest associated with clinical trials have to be considered when reviewing clinical trial protocols.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.24-36
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• 2018

Implementing a home modification to enable elderly's safe and independent living is the key plan to realize their aging in place. South Korea in which had entered an aged society is not yet vitalized in home modification for the elderly compared to that of welfare-developed countries, and South Korea provides support that is limited to the low-income elderly. Therefore, this purpose of this study was to analyze the laws related to the home modification, the present condition of home modification support, the standards and guidelines in home modification, the support in house modification cost, and supporting organization and working force in the home modification. Through the analyzing process, this study examined the current situation and problems of institutional support in the home modification for elderly and the proposed plan for institutional improvement. The suggestions based on the results are as in the following. 1) Home modification support law(act or regulation) is required to be improved 2) Home modification support system correspondent to aging process should be provided regardless of their income levels. 3) Delicate plan standard and guideline are necessary for a process of implementing the home modification for the elderly. 4) Information on life behavior is in need for the implementation of elderly-customized home modification. 5) Cost for the home modification should be considered to cover by the Act on Long-Term Care Insurance for the Aged. 6) Housing Welfare Center and Housing Welfare Professional should be actively utilized for the home modification support institution and work force.

• 대한간호학회지
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• 제42권6호
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• pp.799-809
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• 2012

Purpose: The purpose of this study was to examine the effects of an individualized nutritional education programs on nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy. Methods: Forty patients with colorectal cancer (19 experimental and 21 control patients) were recruited from a chemotherapy ward at S University Hospital in Seoul, Korea. The experimental group received two individualized nutritional counseling sessions and two telephone counseling sessions over 6 weeks. The control group received nutritional counseling after completion of data collection. Nutritional education included general guidelines for food intake while receiving chemotherapy, dietary guidelines for patients with colorectal cancer, daily meal schedules to overcome cancer, and dietary guideline for each chemotherapy side effect. Data were analyzed using ${\chi}^2$-test and t-test with the SPSS program 17.0. Results: Two group comparison revealed that the experimental group had significantly improved calorie (p=.038) and total protein intake (p=.001), and serum albumin percentage change (p=.040). Body weight did not increase but remained the same as the baseline in both groups. Conclusion: Study results indicate that this individualized nutritional education programs are effective in enhancing nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.