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A Study about the Legal Nature of Negotiations between NHIS and Pharmaceutical Company (국민건강보험공단과 제약사 간 의약품 관련 협상 행위의 법적 성격에 관한 고찰)

  • DUCKGYU JANG
    • The Korean Society of Law and Medicine
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    • v.23 no.4
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    • pp.3-28
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    • 2022
  • Recently, the targets and clauses of negotiation between 'National Health Insurance Service (NHIS)' and Pharmaceutical companies has been expanded. Due to newly adopted 'Quality management clause', 'Compulsory supply maintenance clause' and 'Penalty for breach of contract clause', not only 'Ministry of Health and Wellfare (MOHW)'s 'drug listing' and 'Price cap' announcement, but also 'negotiation between NHIS and pharmaceutical companies' can be a legal sanction to the suppliers. Once secretary of MOHW order NHIS to negotiate with pharmaceutical company, NHIS notify this order to the company and enter into the negotiation. 'The order' exists in the public domain between the government (MOHW) and public institutions (NHIS) and does not constrain the legal rights of companies (Therefore companies cannot pile a lawsuit about the order). However, 'the notice' or 'negotiation' is an act which has a counterpart, can be a target of administrative litigation if the company get some disadvantages from the talks. Negotiations can be divided into four types according to "the target (whether it is listed on the insurance benefit list)" and "the purpose (whether the target is price or conditional)." In particular, negotiations on listed drugs, whose goal is to set unfavorable conditions for companies, can be illegal if there is no price. So we need to consider compensation for the company as an incentive to negotiate.

Pan-Yellow Sea Cooperation for the Conservation of Ecosystems in Coastal Wetlands of Yellow Sea - Focusing on the World Natural Heritage of coastal wetland- (황해 연안습지 생태계 보전을 위한 초국경협력 방향 - 갯벌의 세계자연유산 등재를 중심으로 -)

  • Hun-Ah Choi;Donguk Han
    • Journal of Wetlands Research
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    • v.25 no.3
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    • pp.213-219
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    • 2023
  • The wetland ecosystem has a key role in climate change and can capture and store carbon long-term as blue carbon. Currently, the Republic of Korea and People's Republic of China are preparing for the UNESCO World Natural Heritage Phase II inscription, and cross-border cooperation among the two Koreas and the People's Republic of China is expected in term of the coastal wetland in the Yellow Sea region. However, there is a lack of research on the importance of coastal wetland in the Yellow Sea region for migratory bird habitats, roosting sites, feeding grounds, and stop-over sites. Thus, this study focused on the coastal wetland of the Yellow Sea region, including the southwestern coastal wetlands in the Republic of Korea, the Yancheng National Nature Reserve in the People's Republic of China designated as UNESCO World Natural Heritage, and the Mundok Migratory Bird Reserve in the Democratic People's Republic of Korea, which is listed on the Tentative List. The cooperation for ecosystem conservation between the two Koreas and China was analyzed. The importance of coastal wetlands in the Yellow Sea region as habitats for migratory birds, roosting sites, feeding grounds, and stop-over sites, significant characteristics of Yellow Sea coastal wetlands, and conditions for cooperation among three countries, were analyzed. The direction of ecosystem conservation cooperation for coastal wetlands in the Yellow Sea region in this study will be developed into Pan-Yellow Sea conservation.

Efficient QoS Policy Implementation Using DSCP Redefinition: Towards Network Load Balancing (DSCP 재정의를 통한 효율적인 QoS 정책 구현: 네트워크 부하 분산을 위해)

  • Hanwoo Lee;Suhwan Kim;Gunwoo Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.715-720
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    • 2023
  • The military is driving innovative changes such as AI, cloud computing, and drone operation through the Fourth Industrial Revolution. It is expected that such changes will lead to a rapid increase in the demand for information exchange requirements, reaching all lower-ranking soldiers, as networking based on IoT occurs. The flow of such information must ensure efficient information distribution through various infrastructures such as ground networks, stationary satellites, and low-earth orbit small communication satellites, and the demand for information exchange that is distributed through them must be appropriately dispersed. In this study, we redefined the DSCP, which is closely related to QoS (Quality of Service) in information dissemination, into 11 categories and performed research to map each cluster group identified by cluster analysis to the defense "information exchange requirement list" on a one-to-one basis. The purpose of the research is to ensure efficient information dissemination within a multi-layer integrated network (ground network, stationary satellite network, low-earth orbit small communication satellite network) with limited bandwidth by re-establishing QoS policies that prioritize important information exchange requirements so that they are routed in priority. In this paper, we evaluated how well the information exchange requirement lists classified by cluster analysis were assigned to DSCP through M&S, and confirmed that reclassifying DSCP can lead to more efficient information distribution in a network environment with limited bandwidth.

Distribution Status and Extinction Threat Evaluation of the Short Ninespine Stickleback Pungitius kaibarae (Gasterosteidae) in Korea (잔가시고기 Pungitius kaibarae (큰가시고기과)의 분포 현황 및 멸종위협평가)

  • Myeong-Hun Ko;Mee-Sook Han;Hyeong-Su Kim
    • Korean Journal of Ichthyology
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    • v.34 no.4
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    • pp.262-269
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    • 2022
  • A distribution survey was conducted from 2018 to 2020 to evaluate the distribution status, habitat characteristics, and extinction threat of the short ninespine stickleback Pungitius kaibarae (Gasterosteidae). Literature reports of P. kaibarae distribution have been sorted by each period, 1980~1996, 1997~2005, and 2007~2017, and the samples were collected in 32, 43, and 64 stations for each period. Among the 75 streams and 193 sampling sites investigated during the study period, 1,400 P. kaibarae individuals were collected from 26 streams at 39 sites. The main habitat of P. kaibarae was downstream or brackish water zones with a low altitude, slow water velocity, and many aquatic plants. The main reasons for the decline in population size were assumed to be drought and flood, river work for flood restoration and river maintenance, bridges construction, and predation by the exotic fish species Micropterus salmoides. Previous evidence reported a 42.6% reduction in occupancy within 10 years, a decline in habitat quality, and the spread and impact of the exotic fish species Micropterus salmoides. Therefore, P. kaibarae is now considered a Vulnerable (VU A2ace) species based on the IUCN Red List categories and criteria. Therefore, P. kaibarae should be redesignated as an endangered species by the Ministry of Environment and systematically managed.

Case Studies of Site Investigation Factors and Methods for Site Selection for High-Level Radioactive Waste Disposal (고준위방사성폐기물 처분 부지선정을 위한 조사인자 및 조사기법에 대한 국외사례 분석)

  • Hyo Geon Kim;Si Won Yoo;Dae Seok Bae;Soo Hwan Jung;Ki Su Kim;Jun Kyum Kim;Man Ho Han;Junghae Choi
    • The Journal of Engineering Geology
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    • v.33 no.4
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    • pp.611-626
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    • 2023
  • Overseas examples of the characterization stage of site selection proposed by the International Atomic Energy Agency were reviewed to highlight the factors necessary for consideration in the deep disposal of high-level radioactive waste. Studies in Sweden, Finland, the USA, and Canada were considered. Site investigations in Sweden and Finland commonly covered the fields of geology, hydrogeology, and hydrogeochemistry using similar field investigation techniques. The USA considered survey groups and factors under pre- and post-lockdown guidelines, as well as those for desaturated and saturated surveys. involving geophysical, hydrological, hydrogeological, hydrogeochemical, mechanical/physical, and thermal-characterization investigations. Canada provided a list of investigative methods for both preliminary and detailed site assessments including geological, physical, boring, hydrological, laboratory testing, and chemical analysis studies. Results of this study should elucidate site-selection investigation factors and survey methods applicable to Korea.

Scientifically Gifted Students' Perception of the Learning Support System based on Korea Science Academy Survey (과학영재학교의 학습 지원 체제 유용성에 대한 학생들의 인식 : 한국과학영재학교를 중심으로)

  • Bae, Sae-Byok;Kim, Kyoung-Dae;Kang, Soon-Min;Yune, So-Jung
    • Journal of The Korean Association For Science Education
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    • v.29 no.5
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    • pp.552-563
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    • 2009
  • The purpose of this study is to investigate the students' perception of the learning support system of Korea Science Academy and to propose improvements to it. The impact of the science learning support system on 129 gifted students in Korea Science Academy (KSA) was estimated by using Likert-type items and the multiple-choice method approach for more comprehensive evaluation. The results of our investigation are as follows: First, the learning support system of KSA appears globally useful to the students. The list of educational usefulness to the students comprises, in the decreasing order of utility, classroom work, Internet, lab activities, reading rooms, library, research meetings and clubs, academic advisors (AA), SAF (Science Academy Fair), e-learning system, and finally colloquia by invited lecturers. Second, what the gifted students hope for in the realm of learning support from KSA are learning guides by subject teachers, presentation skill program, the constructions of on/off-line learning communities, etc. It seems that the results of this study would be helpful in improving the learning support system, and will provide useful information for planning the direction of future science-gifted education programs at the high-school level.

Type Analysis of Secondary School Students' and Science Teachers' Criteria for Classifying the States of Matter (물질의 상태에 관한 중 . 고등학생들과 과학교사들의 분류 기준에 대한 유형 분석)

  • Kim, Sun-Kyoung;Kim, Young-Mi;Paik, Seoung-Hey
    • Journal of The Korean Association For Science Education
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    • v.27 no.4
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    • pp.337-345
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    • 2007
  • The purposes of this study are to investigate and compare the characteristics of classification criteria of secondary school students and science teachers in relation to the three statesof matter. For this research, 76 middle school students in the7th grade who studied microscopic viewpoints about classifying the state of matter for the first time, 69 high school students in the 12th grade who studied Chemistry I and IIcourses successfully, and 130 secondary school science teachers, through a questionnaire. As a result, while having learned the three states of matter in the microscopic viewpoints, the majority of middle school students showed a high percentage of classification in the macroscopic viewpoints. For high school students, their percentage of classification included highmicroscopic viewpoints about solid and gas, the percentage of classification included macroscopic viewpoints about liquid state as alsohigh. The secondary school teachers gave answers in the macroscopic viewpoints and microscopic viewpoints equally, but their answers were just representation of the viewpoints list without the meaningful connection of the two type of viewpoints. To solve these problems, It is necessary to form connective change from the macroscopic viewpoints to the microscopic viewpoints about the criteria for classifying the States of Matter and various educational efforts.

Layered structure of sialoliths compared with tonsilloliths and antroliths

  • Buyanbileg Sodnom-Ish;Mi Young Eo;Yun Ju Cho;Mi Hyun Seo;Hyeong-Cheol Yang;Min-Keun Kim;Hoon Myoung;Soung Min Kim
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.50 no.1
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    • pp.13-26
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    • 2024
  • Objectives: The aim of this study was to perform a comparative analysis of the ultrastructural and chemical composition of sialoliths, tonsilloliths, and antroliths and to describe their growth pattern. Materials and Methods: We obtained 19 specimens from 18 patients and classified the specimens into three groups: sialolith (A), tonsillolith (B), and antrolith (C). The peripheral, middle, and core regions of the specimens were examined in detail by histology, micro-computed tomography (micro-CT), scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy, and transmission electron microscopy (TEM). Results: In the micro-CT, group A showed alternating radiodense and radiolucent layers, while group B had a homogeneous structure. Group C specimens revealed a compact homogeneous structure. Histopathologically, group A showed a laminated, teardrop-shaped, globular structure. Group B demonstrated degrees of immature calcification of organic and inorganic materials. In group C, the lesion was not encapsulated and showed a homogeneous lamellar bone structure. SEM revealed that group A showed distinct three layers: a peripheral multilayer zone, intermediate compact zone, and the central nidus area; groups B and C did not show these layers. The main elemental components of sialoliths were O, C, Ca, N, Cu, P, Zn, Si, Zr, F, Na, and Mg. In group B, a small amount of Fe was found in the peripheral region. Group C had a shorter component list: Ca, C, O, P, F, N, Si, Na, and Mg. TEM analysis of group A showed globular structures undergoing intra-vesicular calcification. In group B, bacteria were present in the middle layer. In the outer layer of the group C antrolith, an osteoblastic rimming was observed. Conclusion: Sialoliths had distinct three layers: a peripheral multilayer zone, an intermediate compact zone and the central nidus area, while the tonsillolith and antrolith specimens lacked distinct layers and a core.

Current Status and Trends of the Ginseng Industry and Research in North Korea (북한의 인삼 산업 현황과 연구 동향)

  • Seungjae Joo
    • Journal of Ginseng Culture
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    • v.6
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    • pp.80-104
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    • 2024
  • Ginseng, a representative medicinal plant of South Korea, is also highly valued in North Korea. However, due to limited access to information about North Korea, the actual cultivation, research and development trends, and related industry status of ginseng in North Korea are not well known. In this study, we aimed to understand the current status and research trends of the ginseng industry in North Korea based on limited available literature. In the North Korean pharmacopoeia, ginseng is referred to as "Koryo ginseng" and is defined as the roots of 6-year-old ginseng cultivated in the Kaesong region. The pharmacopoeia includes 22 types of ginseng preparations. In addition, 10 ginseng preparations are included in North Korea's Essential Drug List, and various health supplements, cosmetics, and toothpastes containing ginseng have been developed, distributed, and sold. Since 2014, the ginseng industry and research in North Korea have become more active overall. During this period, the ginseng cultivation area in Kaesong has been significantly expanded, and the facilities have been renovated. The Kaesong Koryo Ginseng Processing Plant has been equipped with sterilized, modernized facilities since 2016 and has been in operation. Since 2017, there has been a growing interest in quality control research, leading to the introduction of quality management regulations and certification systems in 2019. In the 1990s, there was significant research on ginseng product development, and since the 2000s, studies on the pharmacological effects and clinical research of ginseng have been reported. Additionally, research on ginseng cultivation and ginseng processing industries to increase yield has been emphasized. Ginseng, as a representative medicinal crop of Korea, holds great importance for both South and North Korea. Given its significance and the potential for synergy through mutual cooperation, ginseng serves as an ideal subject for inter-Korean exchange and collaboration.

Changes in the Law Regulating Contraband of war under the Law of Neutrality and Implications for the Korean Peninsula (중립법상 전시금제품 제도의 변천과 한반도에서의 함의)

  • Park, Ji-hong
    • Maritime Security
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    • v.8 no.1
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    • pp.41-71
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    • 2024
  • In international armed conflict, 'the contraband of war' under 'the law of neutrality' was developed to balance the interests of belligerents' belligerent rights and neutrals' economic interests and it began to change and evolve with the development of trade in the 19th century. The scope of material control expanded during the First and Second World Wars and continues to this day. In particular, a trend toward preventing the military use of 'conditional contraband' that could be used for both military and civilian purposes. In the process, the law regulating contraband of war expanded conceptually to become an 'international export control system' led by international organizations. Today, the contraband of war is still in effect, but there are no laws or guidelines related to the contraband of war in Korea in case of an emergency for the Korean Peninsula. Considering that it is an international practice to create and publicize a list of the contraband of war, it is necessary for Korea to prepare for it. Therefore, this paper examines the historical origins and development of the law regulating of war under the law of neutrality and examines the state practice of the contraband of war control over time. In doing so, this paper will examine the implications of the law regulating contraband of war for the Korean Peninsula through changing in the law regulating contraband of war and state practice.

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