• Title/Summary/Keyword: 사전 동의서

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Awareness toward the informed consent in the dental hygienists and the patients (치과진료 시 사전 동의서에 대한 치과위생사와 환자의 인식 조사)

  • Jin, Hye-Jeong;Kim, Ga-Young;Seong, Mi-Gyung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.5
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    • pp.881-887
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    • 2015
  • Objectives: The purpose of the study was to investigate the awareness toward the informed consent in the dental hygienists and the patients before treatment. Methods: A self-reported questionnaire was completed by 200 dental hygienists and 200 dental patients in Changwon after explaining the purpose of the study from June 15 to September 15, 2014. The questionnaire was developed as two types for the dental hygienists and the patients. The questionnaire consisted of general characteristics of the subjects, awareness toward the informed consent before treatment, and experience before the treatment. Results: In the necessity of informed consent, 49.5% of dental hygienists and 72.0% of the patients answered that informed consent is very necessary. In the written informed consent, 33.3% of dental hygienists and 54.9% of the patients answered that the dispute can always happen during treatment. Conclusions: The informed consent is recognized as a defensive means for medical malpractice. For the sake of the dental hygienists and the patients, mutual respect and compromise is the very important factor.

A Study on Decision Making Model for Personal Information Collection and Use Policy Establishment through Internet Homepage of Financial Companies (금융회사 인터넷 홈페이지를 통한 개인정보 수집 및 이용 동의 정책 수립 모델 연구)

  • Kim, Seong-hoon;Lee, Kyeong-ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.27 no.3
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    • pp.637-651
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    • 2017
  • In order for a financial company to collect personal information, it explicitly notifies consumers of the contents stipulated by law and gets consent beforehand. As a result, as financial products became more complicated and diverse, and the contents of 'Consent form for providing personal information' became more complicated and more. In particular, in the case of internet or mobile, the letter became smaller as the screen size limit, making it more difficult to understand. This is because almost all companies that collecting personal information are in a similar situation, In the position of consumers who use services are, contradictions arise that habitually agree without understanding the consent contents. In this research, in order to present a consent policy establishment decision-making model to rationally collect and use personal information through the Internet website of financial companies, consider the domestic and foreign legal system Then, derive a problem To present improvement measures. In addition, the evaluation factors selected through the research are verified by presenting decision making models and formulas using AHP (Analytic Hierarchy Process) method.

Performance of Position Based Fast Fault Recovery Protocol for Industrial Bridged Ring Networks (산업용 브리지 망을 위한 위치 기반의 신속한 망 장애 복구 절차의 성능분석)

  • Seo, Ju Sang;Yoon, Chong Ho;Park, Hong Soon;Kim, Jin Uk
    • KEPCO Journal on Electric Power and Energy
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    • v.6 no.3
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    • pp.259-269
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    • 2020
  • With the proposal-agreement procedure, RSTP can reduce the network recovery time to 400 ms or less in the case of 40 bridges. While the legacy RSTP reverts the previous agreement at the bridge with the alternate port role in the ring during the fault recovery, a new position based fast fault recovery procedure is proposed in this paper to guarantee a single proposal-agreement transaction which can provide more faster recovery. By knowing the relative position of the faulty link or bridge in hops, the bridge on the middle of the ring can complete the recovery procedure without revert. The performance of proposed procedure is numerically calculated and verified by simulation and the result shows that the recovery time can be reduced up to 100 ms, which is 1/4 times of the legacy RSTP.

A Legal Analysis on the Absence of Provisions Regarding Non-relative Patients in the Act of Decisions-Making in Life-Sustaining Medicine (연명의료결정법에서 무연고자 규정미비 등에 관한 법적 고찰)

  • Moon, Sang Hyuk
    • The Korean Society of Law and Medicine
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    • v.24 no.4
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    • pp.103-128
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    • 2023
  • According to the current act of Decision-Marking in Life-Sustaining Medicine, the decision to withhold or discontinue life-sustaining treatment is primarily based on the wishes of a patient in the dying process. Decision-making regarding life-sustaining treatment for these patients is made by the patient, if he or she is conscious, directly expressing his/her intention for life-sustaining treatment in writing or verbally or by writing an advance medical directive and physician orders for life-sustaining treatment. It can be exercised. On the other hand, if the patient has not written an advance medical directive or physician orders for life-sustaining treatment, the patient's intention can be confirmed with a statement from the patient's family, or a decision to discontinue life-sustaining treatment can be made with the consent of all members of the patient's family. However, in the case of an unrelated patient who has no family or whose family is unknown, if an advance medical directive or physician orders for life-sustaining treatment are not written before hospitalization and a medical condition prevents the patient from expressing his or her opinion, the patient's will cannot be known and the patient cannot be informed. A situation arises where a decision must be made as to whether to continue or discontinue life-sustaining treatment. This study reviewed discussions and measures for unbefriended patients under the current law in order to suggest policy measures for deciding on life-sustaining treatment in the case of unbefriended patients. First, we looked at the application of the adult guardian system, but although an adult guardian can replace consent for medical treatment that infringes on the body, permission from the family court is required in cases where death may occur as a direct result of medical treatment. It cannot be said to be an appropriate solution for patients in the process of dying. Second, in accordance with Article 14 of the Life-Sustaining Treatment Decision Act, we looked at the deliberation of medical institution ethics committees on decisions to discontinue life-sustaining treatment for patients without family ties.Under the current law, the medical institution ethics committee cannot make decisions on discontinuation of life-sustaining treatment for unbefriended patients, so through revision, matters regarding decisions on discontinuation of life-sustaining treatment for unbefriended patients are reflected in Article 14 of the same Act or separate provisions for unbefriended patients are made. It is necessary to establish and amend new provisions. In addition, the medical institution ethics committee must make a decision on unbefriended patients, but if the medical institution cannot make such a decision, there is a need to revise the law so that the public ethics committee can make decisions, such as discontinuing life-sustaining treatment for unbefriended patients.

Nursing Students' Exposure to NeedleStick and Sharp Injuries, Faculty's Stress and Necessity of Informed Consent in Fundamental Nursing Practice (기본간호학 주사실습에서 발생한 찔림사고 현황, 교수의 스트레스 및 사전동의서의 필요성)

  • Chaung, Seung-Kyo;Choi, Min-Jung;Park, Jin Hee;Kim, Hyun-Ju;Song, Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.4
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    • pp.277-285
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    • 2017
  • Purpose: The purpose of this study was to identify occurrence of needle stick and sharp injuries(NSI) among students, level of faculty stress, and necessity of informed consent when students practice injection skills in fundamentals of nursing practice (FNP). Methods: Data were collected using self-reporting questionnaires and 74 faculty members who teach FNP responded it. Questionnaires included general characteristics, experiences of NSI, stress level, and informed consent. Data were analyzed using frequency, percent and paired t-test. Results: Of 74 faculty members, 51.4% experienced NSI 3~4 times or more during their FNP classes. Major procedures causing NSI during FNP were 'breaking the neck of ampules', 'disposing of used items', and 'inserting needles'. The stress level of faculty was higher and more than doubled when training with human beings compared to manikins. Most faculties (86.5%) agreed to the necessity of informed consent so that the safety of faculty and students could be protected and to provide enough information even though only 10.8% of faculty in this study got informed consent. Conclusion: Because there is high risk in every procedure of NSI, faculty has a high level of stress during injection practice in FNS. Therefore, it is necessary to develop a standard NSI precaution program for junior nursing students and discuss informed consent.

A Efficient Key Generation and Renewal for Broadcast Encryption (브로드캐스트 암호화에서의 효율적인 키 생성과 갱신 방법)

  • Lee, Deok-Gyu;Lee, Im-Yeong
    • The KIPS Transactions:PartC
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    • v.11C no.2
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    • pp.149-156
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    • 2004
  • Broadcast encryption schemes are applied to transmit digital informations of multimedia, software, Pay-TV etc. in public network. Important thing is that only user who is permitted before only must be able to get digital information in broadcast encryption schemes. If broadcast message transfers, users who authority is get digital information to use private key given in the advance by oneself. Thus, user acquires message or session key to use key that broadcaster transmits, broadcaster need process that generation and distribution key in these process. Also, user secession new when join efficient key renewal need. In this paper, introduce about efficient key generation and distribution, key renewal method. Take advantage of two technique of proposal system. One is method that server creates key forecasting user without user's agreement, and another is method that server and user agree each other and create key Advantage of two proposal system because uses a secret key broadcast message decryption do can and renewal is available effectively using one information whatever key renewal later.

Effect of the Visually Handicapped's Participation in an Aerobic Exercise Program on Cardiorespiratory Function and Arterial Pulse Wave (유산소 운동프로그램 참여가 시각장애인의 호흡순환기능 및 동맥파속도에 미치는 영향)

  • Kim, Won-Hyun;Kim, Seung-Suk
    • Journal of Digital Convergence
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    • v.11 no.3
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    • pp.337-344
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    • 2013
  • This research has been conducted to determine the effect that the visually handicapped's participation in an aerobic exercise program has on cardiorespiratory function and arterial pulse wave. The subjects of this research were 20 people who have a 1st degree visual impairment. They recognized the purpose of this research and agreed to take part in it. After receiving agreements from their guardians, we divided them into an exercise group of 10 and a comparison group of 10 at random. The exercise group conducted a 50-70%HRmax treadmill exercise for 60 minutes a day, five times a week, for 12 weeks, including warm up and warm down exercises. We then conducted a two-way repeated ANOVA, which regards the period of exercise and the two groups as independent variables. The follow-up verification for exercise periods according to each group was carried out with a paired t-test. The statistical significance level was p<.05. The following are the results of this research. First, the weight and body fat of the experiment group after exercise show a meaningful reduction compared to before the exercise program (p<.05).Second, the VO2max, HRmax, and VEmax of the experiment group after exercise show a meaningful increase compared to before the exercise program (p<.05). Third, the arterial pulse wave of the experiment group after exercise display a meaningful increase compared to before the exercise program (p<.05). Fourth, the systolic blood pressure of the experiment group after exercise does not show a meaningful reduction compared to before the exercise program (p>.05). These results prove that the visually handicapped's participation in an aerobic exercise program is effective in the improvement of their cardiorespiratory function, bloodstream circulation function and blood vessel function.

Construction of e-Emergency Service System Infrastructure in Busan Metropolitan City (부산광역시 e-응급서비스시스템 인프라 구축)

  • Kim, Hyung-Hoi;Cho, Hune;Kim, Hwa-Sun;Cho, Suck-Ju
    • Journal of Korea Multimedia Society
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    • v.11 no.9
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    • pp.1267-1276
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    • 2008
  • The time taken for an ischemic heart disease patient to have a percutaneous coronary intervention because of acute myocardial infarction after arriving at the hospitals (door-to-balloon time) affects the patient's mortality significantly. To improve the emergency service system that has been previously used in the hospitals, this study focused on reducing door-data time and data-to-decision time among three time stages. The newly established e-emergency service system has set up the database of patients that had an emergency operation for acute myocardial infarction in the emergency service system of the hospital and has issued health cards for the patients that regularly visit the Busan National University Hospital. In addition, it has stored prior operation permits in the form of a certified electronic document. The new electronic system will reduce the complex treatment and operation procedures innovatively. Therefore, it is expected that this will make the life save (or the emergency patients easier and reduce the mortality. Moreover, it will also settle down the hospital staff's and patients' predicaments caused by the complex procedure of the legacy system.

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The Computational Extraction of Semantic Hierarchies for Korean Adjectives (한국어 형용사 의미계층의 전산적 추출)

  • Song, Sang-Houn;Choe, Jae-Woong
    • Annual Conference on Human and Language Technology
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    • 2006.10e
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    • pp.109-116
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    • 2006
  • 자연 언어의 각 어휘는 서로 관계를 가지고 계층적 입체적 모델로 존재한다. 이러한 전제에서 출발한 연구 가운데 대표적인 것이 의미 계층이다. 본고에서는 한국어 형용사의 의미 계층을 추출하는 것을 목표로 하여, 형식적 객관적 방법론을 정립하고, 결과를 비교적 신속하고 정확하게 이끌어 낼 수 있는 전산적 처리 도입하였다. 우선 전체 구축에 필요한 절차를 세우고 각 단계에서 필요한 방법과 휴리스틱을 정리하였다. 이를 바탕으로 사전 뜻풀이말을 이용하여 반자동으로 작업하였으며, 일부 코퍼스를 활용하였다 최종 알고리즘으로는 Top-Down 방식을 택하였다. 이렇게 추출된 한국어 형용사 의미 계층은 226개의 최상위어에서 시작하여 총 3,792개의 표제어를 망라한다. 또한 수직적 계열 관계만을 명시했을 경우 나타날 수 있는 한계를 보완하기 위해, 동의어 반의어와 같은 수평적 의미 관계와 공기 명사와 같은 결합 관계 등을 함께 기술하였다. 한편 표제항을 뜻풀이말의 공기 명사를 이용하여 의미별로 분류하고 각 분류마다 별도의 의미 계층을 수립하였다.

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End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience (심폐소생술 금지 동의 후 사망한 환자의 현황과 연명의료 실태 조사: 단일 의료기관 경험)

  • Yoon, Sang Eun;Nam, Eun Mi;Lee, Soon Nam
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.51-57
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    • 2018
  • Purpose: End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order. Methods: We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed. Results: Of total 375 patients, 170 patients (45.3%) died with malignancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (median 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P<0.05). Conclusion: EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.