• 의료법학
• /
• 제13권2호
• /
• pp.285-308
• /
• 2012

The Korean supreme court said that Mrs Kim who was in a persistent vegetative state had a right to die if she had a presumed will or assumption of dying against Severance hospital in 2009. Presumed would be vague and can not be subjective to conjecture though, the court had a developed trial on the case. I recommend the higher valued notion such as the 'right to decide on the life extension' is more logical than assumptive will. To achieve this recommendation, I will search right to life, right to decision, human dignity and find the good relationship between them. In conclusion, I will announce that if PVS patients without advanced directives aren't able to express their will and no one could not assume their right to die in spite of meaningless life extension. So only the due and strict procedure about the extinction of meaningless PVS patients will allow them to sacrifice themselves or remove life extension ventilators. Also active euthanasia would be possible under the strict procedure of making advanced directives and the act of helping active euthanasia additionally, the crime of abetting suicide would not be executed in the legal scope.

• Korean Journal of Acupuncture
• /
• 제24권3호
• /
• pp.33-45
• /
• 2007

Background : Hot flushes are general postmenopausal symptoms which about 75% of climacteric women undergo. They affect hotness, perspirations, systemic weakness, panic disorders, insomnia. Acupuncture is effective in alleviating hot flushes in practice. Assessment effectiveness and safety of acupuncture in hot flushes would be needed through multi-center trial. Objectives : Purpose of this study is to develope the protocol of effects of acupuncture on hot flushes, a postmenopausal symptom in climacteric women. Methods & Results : It will be a multi-centered, randomized, sham controlled, comparative trial. It will be performed by Good Clinical Practice after approval of Institutional Review Board. Selection criteria will be set according those of FDA above moderate degree. There will be a notice on concomitant medication, other herbs, dietary supplements. Superficial needling on sham points will be used for control group. Treatment period will be 8 weeks with 12 weeks' follow up. Some questionnaire scale will be used as the primary and secondary outcome. Conclusions : The clinical trials based on this protocol will be performed.

• 한국문헌정보학회지
• /
• 제16권
• /
• pp.33-53
• /
• 1989

The purpose of this paper is to forecast the future of library education in Korea. Toward this purpose, first, the historical events of library education in the United States of America and in the United Kingdom are introduced along with the IFLA Standards for Library Schools and the Unesco's General Information Programme. Secondly, the theoretical foundations of library education are extracted from the events. Thirdly, the factors influencing library education as well as library developments are identified, and, finally, the prospects of library education are forecasted in the light of the various factors in the Korean society and the theoretical foundations. The prospects are forecasted as follows: 1. The education for information science will be incorporated in library education. 2. The number of courses related to library services and uses will be increased. 3. The students should be provided with enough hands-on experiences to be familiar with new information technology. 4. The cooperation between library schools and libraries will be reinforced. 5. The departments of library science will cooperate with other departments in the universities in order to utilize the expertise and facilities. 6. The education of graduate schools will be specialized to produce subject specialist librarians and the undergraduate education will produce public and school librarians. 7. Opportunities for continuing education will be provided more and librarians encouraged to participate in those activities. 8. Library association should actively be involved in library education as a provider of continuing education or as a liaison between library schools and libraries. 9. The courses of foundations including library history, library research and preservation of culture will never be neglected.

• 한국수자원학회:학술대회논문집
• /
• 한국수자원학회 2019년도 학술발표회
• /
• pp.327-327
• /
• 2019

The study will quantify the total uncertainties in streamflow and precipitation projections for Upper Awash River Basin located in central Ethiopia. Three hydrological models (GR4J, CAT, and HBV) will be used to simulate the streamflow considering two emission scenarios, six high-resolution GCMs, and two downscaling methods. The readily available hydrometeorological data will be applied as an input to the three hydrological models and the potential evapotranspiration will be estimated using the Penman-Monteith Method. The SCE-UA algorithm implemented in PEST will be used to calibrate the three hydrological models. The total uncertainty including the incremental uncertainty at each stage (emission scenarios and model) will be presented after assessing a total of 24 (=$2{\times}6{\times}2$) high-resolution precipitation projections and 72 (=$2{\times}6{\times}2{\times}3$) streamflow projections for the study basin. Finally, the primary causes that generate uncertainties in future climate change impact assessments will be identified and a conclusion will be made based on the finding of the study.

• Journal of Acupuncture Research
• /
• 제35권2호
• /
• pp.95-100
• /
• 2018

Background: The aim of this study is to assess the feasibility of acupuncture treatment for the management of subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures. Methods: A total of 30 participants who have undergone thoracotomy after traumatic multiple rib fractures will be recruited. Participants will be invited and equally randomised into acupuncture plus usual care and usual care alone groups. A computer-generated random number sequence will be used and concealed using opaque, sealed, sequentially numbered envelopes. Twelve sessions of manual and electrical acupuncture performed by Korean medicine doctors will be provided over a span of 3 months to participants allocated to the acupuncture group. Participants in the usual care group will continue pain medication, exercise and physical therapy as required. Study feasibility will be measured based on the proportion of patients who complete the measurement of pain at 12 or 24 weeks after baseline. The clinical outcomes will include; the average pain intensity over the recent week at rest, movement and cough, quality of life, patient's global assessment of recovery, respiratory function measured by the pulmonary function test and use of pain medication at 4, 8, 12 and 24 weeks after enrolment. Adverse events will be recorded for all participants. Written informed consent will be obtained from all participants. The local ethics committee has approved the study. This pilot trial will inform further studies investigating the potential role of acupuncture for subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures.

• Journal of Acupuncture Research
• /
• 제36권2호
• /
• pp.100-106
• /
• 2019

Background: In Korean medicine, carpal tunnel syndrome is treated by stimulating the acupoints around the wrist. Although a deep understanding of anatomy and guidance is needed to stimulate these acupoints to avoid undesirable side-effects, currently there are no published guidelines for acupotomy treatment. The aim of this study is to evaluate the effectiveness and safety of fluoroscopy-guided acupotomy compared with conventional acupotomy treatment. Methods: This is a randomized, patient-assessor, patient blind, parallel clinical trial. A total of 30 patients will be enrolled at Wonkwang University Gwangju Hospital, and will be allocated to either an experimental group or a control group. The experimental group will be treated using fluoroscopy-guided acupotomy and the control group will be treated using the conventional acupotomy method. Results: The primary outcome measure will be identification of a cross-section area of the median nerve measured by ultrasonography, and the secondary outcome measure will be the alleviation of pain measured by the Visual Analogue Scale, improvement in the Nerve Conduction Study, Tinel test, Phalen's test, EuroQol 5-dimension scale, and Boston Carpal Tunnel Questionnaire score. Safety components will be measured by monitoring vital signs, electrocardiographs, blood tests, general chemical tests, urine tests and pregnancy tests. In addition, observations for adverse effects will be performed during the trial. Conclusion: This study will provide a more effective, and less harmful way of treating carpal tunnel syndrome compared with conventional acupotomy. Fluoroscopy-guided acupotomy will help practitioners to be accurate in direction and depth of the needle for treating carpal tunnel syndrome.

• 식품과학과 산업
• /
• 제49권4호
• /
• pp.40-63
• /
• 2016

John Glenn, America's first man to eat anything in the near-weightless environment of Earth orbit, found the task of eating fairly easy. With improved packaging came improved food quality and menus. By the time of the Apollo Program, the quality and variety of food increased even further. Apollo astronauts were the first to have hot water, which made rehydrating foods easier and improved the food's taste. Thermostabilized pouches were also introduced on Apollo. The task of eating in space got a big boost in Skylab. It also had a food freezer and refrigerator a convenience offered by no other vehicle before or since. Two different food systems will be used for future long-duration missions to other planets, one for traveling to and from the distant body and one for use on the surface of the moon or Mars. The transit food system will be similar to the space station food system with the exception that products with three-to five-year shelf lives will be needed. Thus, this part of the trip will be similar to what occurs aboard space missions now. The surface food system, be it lunar or planetary, will be quite different. It will be similar to a vegetarian diet that someone could cook on Earth. Once crew members arrive on the surface and establish living quarters, they can start growing crops. Once the crops are processed into edible ingredients, cooking will be done in the spacecraft's galley to make the food items. Disposal of used food packaging will be an issue since there will be no Progress vehicles to send off and incinerate into the Earth's atmosphere. Packaging materials will be used that have less mass but sufficient barrier properties for oxygen and water to maintain shelf life as those now in use.

• 대한한방내과학회지
• /
• 제44권3호
• /
• pp.285-293
• /
• 2023

Background: Irritable bowel syndrome (IBS) is a digestive disorder characterized by abdominal discomfort or pain accompanied by a change in stool condition. Owing to its complicated mechanisms, a standard treatment for IBS has not yet been established. Yukgunja-tang (YGT) is a Korean herbal medicine known in Asia to be effective in the treatment of gastrointestinal symptoms. In this study, we will conduct a systematic review of randomized controlled trials (RCTs) to assess the efficacy and safety of YGT in IBS treatment. Methods and analysis: English databases, such as Embase, Medline (via PubMed), Allied and Complementary Medicine Database, and Cochrane Central Register of Controlled Trials, will be searched for articles published up to April 2023. Additional databases, such as five Korean, one Chinese, and one Japanese database, will be included. RCTs and quasi-RCTs will also be included in the assessment of the efficacy of YGT. The overall efficacy rate will be the primary outcome, and data such as IBS quality-of-life measurements, global symptom scores, and adverse events will be the secondary outcomes. Review Manager Version 5.3 will be used for evaluation, and the risk of bias (RoB) will be evaluated using Cochrane Collaboration's RoB tool. The Grading of Recommendations Assessment, Development, and Evaluation approach will be used to score the quality of evidence. Conclusion: This study will demonstrate the efficacy and safety of YGT for treating patients with IBS.

• 동남아시아연구
• /
• 제21권3호
• /
• pp.139-203
• /
• 2011

This paper attempts to review of recent development of ASEAN financial integration and to evaluate it and predict its future aspect. For this purpose, we first examine the historic aspect of ASEAN financial integration such as ASEAN financial service open agreement or ASEAN capital market forum report and currently agreed integration plan. In addition, we study the development stages of ASEAM member countries in terms of its economic size or income level. Finally, we look at the financial market and institutional aspect of ASEAN member countries and the recent development of global financial market. From these analyses, we find several important facts. First, it is true that ASEAN, in general, will enjoy the effect of expanding regional investment and improving the quality of financial service through the financial integration. We think that its long term benefit is too large for ASEAN member states to avoid. Second, as a result, it is certain that ASEAN will corporate further to make its financial market to be integrated in the future. Third, however, despite these benefits and continuing efforts, we expect that it will be very difficult for ASEAN to reach a stage of financial integration as suggested in the Blueprint of ASEAN Economic Community by the year of 2015. The large difference among member states in term of economic and financial development will not allow for them to reach a single goal within a short time. Instead, we expect the following scenario for the integration process will hold. First, ASEAN will reach an agreement on the institutional framework by 2015 and afterwards, slowly the markets will begin to integrate. Second, at the earlier stage, not all but some countries will start the integration process. We expect that the financial market of ASEAN 5 will first be integrated and other 5 will join to it later.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 1999년도 하계학술대회 논문집 F
• /
• pp.2626-2627
• /
• 1999

The device we have developed is the automatic shut off equipment which will reduce energy consumption when an equipment is in stand by power state. The principle for this system is when a man is moving, electricity will flow by setting a on-off light system. At night, in the stand-by power state the electric supply will be shut off immediately which will reduce energy consumption. Energy consumed by 24hour operating machines and stand-by electronic devices will be reduced by pulse signals which will give power supply when needed.