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Der Begriff der Heilkundeausübung nach deutschem Medizinrecht (독일법상 의료행위 개념)

  • Seok-Bae Lee
    • The Korean Society of Law and Medicine
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    • v.24 no.2
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    • pp.3-31
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    • 2023
  • Der Begriff der Heilkundeausübung ist im positiven Recht in Korea nirgends festgelegt. Der wurde jedoch indirekt durch die Auslegung der Heilkundeausübung ohne Erlaubnis gemäß § 27 Abs. 1 des "Medizingesetzes" geregelt. In der Vergangenheit beschränkte der kOGH(the Supreme Court of Korea) die Heilkundeausübung auf die "Behandlung von Krankheiten und stellte fest, dass "medizinische und technische Maßnahmen, die keine pathologischen Symptome oder Funktionsdefizite im Körper voraussetzen, nicht zur Heilkundeausübung gehören." Danach änderte der kOGH seine Rechtsprechung auf "Vorbeugung oder Behandlung von Krankheiten durch Durchführung ärztlicher Untersuchungen, Optometrie, Verschreibung, Medikation oder chirurgischer Eingriffe auf der Grundlage von Erfahrung und Fähigkeiten, die auf medizinischem Fachwissen basieren, und anderer Gesundheitsfürsorge, definiert "medizinische Maßnahmen" als "eine Handlung, die eine gesundheitliche Gefahr darstellen kann, sofern diese nicht von einem Mediziner durchgeführt wird". Der Begriff der Heilkundeausübung in der Rechtsprechung ist einerseits zu abstrakt und kann eine Leerformel sein, andererseits kann seine Einschränkung eine Gefahr für die öffentliche Gesundheit erbringen. Daher besteht Bedarf an einem Kriterium, das dar derzeitige Begriff der Heilkundeausübung entsprechend dem gesetzgeberischen Ziel reduzieren kann, das Risiko für das Leben, den Körper oder die öffentliche Gesundheit von Menschen zu verhindern, das durch die Durchführung medizinischer Arbeiten durch nichtmedizinisches Personal entstehen kann. Um ein Kriterium vorzustellen, das das aktuelle Konzept der Heilkundeausübung reduzieren kann, werden in diesem Artikel das positive Recht, Theorien und Rechtsprechung zum Begriff der Heilkundeausübung in Deutschland untersucht und nach einer Alternative gesucht.

Class Classification and Validation of a Musculoskeletal Risk Factor Dataset for Manufacturing Workers (제조업 노동자 근골격계 부담요인 데이터셋 클래스 분류와 유효성 검증)

  • Young-Jin Kang;;;Jeong, Seok Chan
    • The Journal of Bigdata
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    • v.8 no.1
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    • pp.49-59
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    • 2023
  • There are various items in the safety and health standards of the manufacturing industry, but they can be divided into work-related diseases and musculoskeletal diseases according to the standards for sickness and accident victims. Musculoskeletal diseases occur frequently in manufacturing and can lead to a decrease in labor productivity and a weakening of competitiveness in manufacturing. In this paper, to detect the musculoskeletal harmful factors of manufacturing workers, we defined the musculoskeletal load work factor analysis, harmful load working postures, and key points matching, and constructed data for Artificial Intelligence(AI) learning. To check the effectiveness of the suggested dataset, AI algorithms such as YOLO, Lite-HRNet, and EfficientNet were used to train and verify. Our experimental results the human detection accuracy is 99%, the key points matching accuracy of the detected person is @AP0.5 88%, and the accuracy of working postures evaluation by integrating the inferred matching positions is LEGS 72.2%, NECT 85.7%, TRUNK 81.9%, UPPERARM 79.8%, and LOWERARM 92.7%, and considered the necessity for research that can prevent deep learning-based musculoskeletal diseases.

Longitudinale Study on the Psychological Trauma of Victims of Housing Damage (주택파손 피해자의 심리적 충격 변화에 관한 추적조사 연구)

  • Son, Hee Joo;Choi, Yeol
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.1
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    • pp.119-129
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    • 2023
  • In many cases, trauma is overcome in a short periodtime, but for some, trauma results in long-term mental health issues such as in the form of post-traumatic stress disorder (PTSD). Natural disasters cause different types and extent of damage, meaning the degree of stress experienced also varies. In the case of damage to a house, the impact can be considerable. Therefore, this study examined the trauma experienced by households whose homes were damaged by natural disasters and to confirm the characteristics of psychological trauma. It was confirmed that traumas was greater when a house was damaged, compared with damage to other types of items. In addition, even in the case of trauma occurring, factors that affect the pattern of change to someone's mental state vary depending on the state's classification. And In addition, health services is significantly analyzed in all variables, and it was considered that the provision of basic services related to safety after a disaster is paramount. However, while psychological counseling has a positive effect on short-term traumas that manifests as anxiety and depression, it has an adverse effect on PTSD because of the depth and complexity of the suffering in PTSD, meaning the type of psychological support needs changing.

A Study on the Status and Direction of the Nursing Hospital Certification System (요양병원 인증제도의 현황과 방향에 대한 연구)

  • Park, Jong-won
    • Journal of Venture Innovation
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    • v.5 no.1
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    • pp.145-154
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    • 2022
  • This study briefly compares the first-cycle certification of nursing hospitals with the second-cycle certification, reviews the changes and achievements of the second-cycle certification and the third-cycle certification, and examples of challenges and solutions in the process of preparing the third-cycle certification. In this study, it is suggested as follows. First, in order to see the practical effect of certification intended by the government, the exhibition is prepared in a short period of time before certification. Second, after the implementation of the nursing hospital certification system, research on the hospital performance of the medical institution certification system is insufficient in terms of quality and quantity. Therefore, in order to see the effect on the certification system, various research support is also required so that research on this can be actively conducted. Third, design certification standard guidelines from a long-term perspective so that the standard guidelines for certification do not change significantly, and certify not only the guidelines but also individual standards and forms that can be used by medical institutions. Fourth, in the four-cycle certification, accurate and realistic guidelines for infection control and quarantine ward operation support should be developed. The importance of managing infectious diseases will be highlighted in the future due to COVID-19. Fifth, medical institutions can improve the quality of medical care in nursing hospitals and have competitiveness if their daily activities, not short-term certification preparation, are carried out in accordance with certification standards, which affects performance. Sixth, when preparing for certification, nursing hospital officials have problems in organizing documents or processing administratively in the short term as in the past. This is also based on the certification criteria for the usual business process.

A Bibliometric Study on Sustainable Development Goals (SDGs) Research Trends in Entrepreneurship (키워드 네트워크 분석을 활용한 창업분야 지속가능발전목표(SDGs) 연구동향 분석)

  • An, Seung Kwon;Choi, Min Jung
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.18 no.2
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    • pp.21-34
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    • 2023
  • The purpose of this study is to examine the extent of Sustainable Development Goals (SDGs)-related research in the field of entrepreneurship globally since the adoption of the SDGs at the UN General Assembly, and to compare international and domestic research trends in order to determine the direction of SDGs-related research in entrepreneurship in Korea. Utilizing three databases-Web of Science (WoS), KCI, and DBpia- SDGs-related studies in entrepreneurship were extracted by employing specific search terms. After data purification, a total of 356 studies abroad and 4 studies in Korea were used for analysis. After data purification, a total of 356 international studies and 4 Korean studies were analyzed. Due to the limited number of domestic studies, the research trends were examined by conducting frequency analysis and keyword network analysis on international studies alone. Frequency analysis revealed that SDGs research in entrepreneurship primarily focused on sustainability-related terms and was conducted in conjunction with business models, innovation, entrepreneurship education, and strategies. Furthermore, yearly frequency analysis demonstrated an expansion of topics to encompass research on entrepreneurship and SDGs policies, the roles and capabilities of female entrepreneurs in SDGs implementation, energy start-ups and SDGs, directions for implementing SDGs in business schools and SDGs education, indicators for SDGs implementation and evaluation, and technologies for sustainability. The keyword network analysis identified central topics such as business, sustainability, SDGs, innovation, entrepreneurship, business models, and education, with research areas extending to entrepreneurship ecosystems, change and strategy, ethics, and climate. This study holds significance in establishing a foundation for SDGs research in entrepreneurship, which is currently an underexplored area in Korea, by presenting emerging research trends related to SDGs in entrepreneurship.

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A Clinical Study to Evaluate the Efficacy and Safety of Hair Ampoules Containing Malva Verticillata Seed Extract in Subject with Alopecia (탈모 환자에서 동규자(冬葵子) 추출물을 함유하는 두피 앰플의 탈모 증상 완화 기능성 및 안전성을 평가하기 위한 임상적 연구)

  • Young-Chae Song;Bich-Euro Park;Kim Tae-Jun;Yong-Min Kim;Sang-Jun Lee;Su-Hyun Ahn;Chun-Mong Lee;Kwang-Sik Lee;Jung-No Lee;Hee-Taek Kim
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.2
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    • pp.37-57
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    • 2024
  • Objectives : The purpose of this study is to evaluate the efficacy and safety of hair Ampoules with Malva Verticillata Seed Extract in alopecia patients. Methods : This 24-week clinical study enrolled 70 patients with Alopecia. A series of clinical examinations, subjects were evaluated at 0, 8, 16 and 24-week, counting of the number of hairs on the crown, and subject survey after using the Ampoules. Results : The clinical evaluation showed a significantly difference (p<0.05) after 24 weeks of product use compared to the baseline in the change in hair count in the treatment group compared to the control group within and between groups. It showed greater improvement in the treatment group than in the control group in hair count, hair thickness, and hair loss symptoms in the top of the head and forehead. No severe adverse events were observed during the clinical trial. Counclusions : This suggests that this hair ampoules containing Malva Verticillata Seed Extract could help prevent hair loss in alopecia patients without inducing side effects.

Transformation of Asbestos-Containing Slate Using Exothermic Reaction Catalysts and Heat Treatment (발열반응 촉매제와 열처리를 이용한 석면함유 슬레이트의 무해화 연구)

  • Yoon, Sungjun;Jeong, Hyeonyi;Park, Byungno;Kim, Yongun;Kim, Hyesu;Park, Jaebong;Roh, Yul
    • Economic and Environmental Geology
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    • v.52 no.6
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    • pp.627-635
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    • 2019
  • Cement-asbestos slate is the main asbestos containing material. It is a product made by combining 10~20% of asbestos and cement components. Man- and weathering-induced degradation of the cement-asbestos slates makes them a source of dispersion of asbestos fibres and represents a priority cause of concern. When the asbestos enters the human body, it causes cellular damage or deformation, and is not discharged well in vitro, and has been proven to cause diseases such as lung cancer, asbestos, malignant mesothelioma and pleural thickening. The International Agency for Research on Cancer (IARC) has designated asbestos as a group 1 carcinogen. Currently, most of these slats are disposed in a designated landfill, but the landfill capacity is approaching its limit, and there is a potential risk of exposure to the external environment even if it is land-filled. Therefore, this study aimed to exam the possibility of detoxification of asbestos-containing slate by using exothermic reaction and heat treatment. Cement-asbestos slate from the asbestos removal site was used for this experiment. Exothermic catalysts such as calcium chloride(CaCl2), magnesium chloride(MgCl2), sodium hydroxide(NaOH), sodium silicate(Na2SiO3), kaolin[Al2Si2O5(OH)4)], and talc[Mg3Si4O10(OH)2] were used. Six catalysts were applied to the cement-asbestos slate, respectively and then analyzed using TG-DTA. Based on the TG-DTA results, the heat treatment temperature for cement-asbestos slate transformation was determined at 750℃. XRD, SEM-EDS and TEM-EDS analyses were performed on the samples after the six catalysts applied to the slate and heat-treated at 750℃ for 2 hours. It was confirmed that chrysotile[Mg3Si2O5(OH5)] in the cement-asbestos slate was transformed into forsterite (Mg2SiO4) by catalysts and heat treatment. In addition, the change in the shape of minerals was observed by applying a physical force to the slate and the heat treated slate after coating catalysts. As a result, the chrysotile in the cement-asbestos slate maintained fibrous form, but the cement-asbestos slate after heat treatment of applying catalyst was broken into non-fibrous form. Therefore, this study shows the possibility to safely verify the complete transformation of asbestos minerals in this catalyst- and temperature-induced process.

A Review of the Systemic Analysis Method on Dental Sedation for Children (소아 치과환자에 대한 진정법의 체계적 분석 방법 고찰)

  • An, Soyoun;Lee, Jewoo;Kim, Seungoh;Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.4
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    • pp.331-339
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    • 2015
  • The first priority of sedation for incorporative children in pediatric dentistry is a safety. Therefore, evidence-based practices in health care are needed for preventing medical accidents. In accordance with the rise of the evidence based medicine, the interest in Evidence-Based Dentistry is increasing in the field of dentistry. However, systematic research about Evidence-Based sedation in Korea has rarely been done. As such, the purpose of this systematic review is to critically analyze the available scientific literature regarding dental sedation and to seek the next developmental strategies about evidence based pediatric dental sedation. A broad search of the 5 databases of the systematic reviews manual of the National Evidence-based Healthcare Collaborating Agency in Korea were referenced: 1) Core search database- KMbase, KISS; 2) Academic information and portal; 3) the National Assembly Library; 4) DBpia, and 5) RISS. Of a total 470 themes limited to the search term of "dental sedation", in accordance with the PRISMA statement for reporting systematic reviews of health sciences interventions, a literature selection process, which includes the removal of overlapping down the flow chart, was performed. Of the remaining 31 articles, two authors read through articles independently and added or removed articles using the exclusion criteria. Finally, twenty published papers of acceptable quality were identified and reviewed. This systemic review of Korean pediatric dental sedation practices for the last twenty-five years was based on the objective criteria defined in the GRADE process and identified consistent evidence. The results were evidence of moderate quality. Therefore, more systemically well-designed clinical studies are needed about the safe use of a sedative medicines (drugs).

Survey on the Sodium Contents of Nursery School Meals in Gyeonggi-Do (경기도지역 어린이집의 단체급식 중 나트륨 함량 실태조사 연구)

  • Jung, Hong-Rae;Lee, Myung-Jin;Kim, Ki-Cheol;Kim, Jung-Boem;Kim, Dae-Hwan;Kang, Suk-Ho;Park, Jong-Suk;Kwon, Kwang-Il;Kim, Mee-Hye;Park, Yong-Bae
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.4
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    • pp.526-534
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    • 2010
  • The prevalence rate for chronic diseases such as obesity, diabetes, hypertension etc. caused by the increment of national income and the change of food life according to the globalization in Korea have been increased. Especially excess sodium intake may contribute to the development of hypertension, increasing cardiovascular disease risk. The objective of this study was to investigate sodium intake of nursery school meals in Gyeonggi-Do, and to construct database for lesser sodium intake policy. Survey consisted of 601 sample intakes of sodium in summer and in winter. A food weighed record method was used for measuring food intakes. Average intakes of ten children per nursery school were measured. The sodium contents of meals were analyzed by ICP-OES (inductively coupled plasma-optical emission spectrometer) after acid digestion by microwave. The sodium contents on food groups showed that sources (693 mg/100 g), grilled foods (689 mg/100 g) and kimchies (643 mg/100 g) had respectively higher sodium contents and the average sodium intake per meal was $582\pm204$ mg. The sodium contents of soups & hot soups and kimchies had 37.5% and 15.8% of total sodium intakes per meal, respectively. Sodium intakes per meal in summer and winter showed 572.3 mg and 592.3 mg, respectively. Regional ranking of sodium intakes showed the ascending order of apartment (514.3 mg/meal), rural region (540.5 mg/meal), multiplex house (635.9 mg/meal) and industrial complex (696.4 mg/ meal). A habit of excessive sodium intakes in childhood will threaten their health when they grow up to be adults; thus lesser intake of sodium per meal is needed for children in nursery school.

The Study on Musculoskeletal Symptoms and it's Related Factors in Radio-Technologists (방사선사의 근골격계 증상과 유해 요인에 관한 연구)

  • Lee, Hyang-Seob;Han, Man-Seok
    • Journal of radiological science and technology
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    • v.31 no.3
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    • pp.239-247
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    • 2008
  • In order to study the occurrence of symptoms of musculoskeletal disorders of radio-technologists employed at metropolitan general hospitals and the factors that influence such occurrence, standardized questionnaire by NIOSH that was modified and supplemented to be suitable for conditions in Korea was used. Answers collected from 143 radio-technologists in two weeks from June 13, 2007 were analyzed and the results are as follows. Factor that influence symptoms of musculoskeletal disorders by area were analyzed through multiple logistic regression analysis and the results found that in the neck area, risk increased as the burdening work category 2(Korea ministry of labor)(OR=3.94) and burdening work category 9(Korea ministry of labor)(OR=4.72) increased. In the shoulder region, risk increased as burdening work category 2(Korea ministry of labor)(OR=5.36), burdening work category 7(Korea ministry of labor)(OR=3.90), and burdening work category 9 (Korea ministry of labor)(OR=5.76) increased. In the arm/hand/wrist regions, risk increased as burdening work category 2 (Korea ministry of labor) (OR=6.91), and burdening work category 9 (Korea ministry of labor)(OR=3.76) increased. In the lower back region, risk increased as burdening work category 2 (Korea ministry of labor) (OR=3.06), and burdening work category 8 (Korea ministry of labor)(OR=8.14) increased. In the leg/knees/foot regions, risk increased as burdening work category 2 (Korea ministry of labor) (OR=3.63), and burdening work category 9 (Korea ministry of labor)(OR=2.96) increased. Conclusively, in factors that influence musculoskeletal disorder symptoms in radio-technologists, influence of subjective health conditions, total work experience, experience in current division, and burdening work category 2, 7, 8, and 9 (Korea ministry of labor) were most significant. Therefore, for preventive management, in addition to ergonomic and educational intervention for correcting improper posture during work, efforts for break time adjustment and stress reduction is needed, and encouragement and support for regular exercise is needed.

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