• Title/Summary/Keyword: 생명의료

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Analysis of Security Issues in Healthcare and Suggestions for Improvement through Blockchain Technology (헬스케어 분야 보안 이슈 분석 및 블록체인 기술을 통한 개선 방안 제시)

  • Lee, Hee-Je;Lee, Ho-Joon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2021.05a
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    • pp.144-147
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    • 2021
  • 헬스케어 분야에서 제공되는 서비스는 의료 및 건강과 같은 의료정보를 다루기 때문에 개인의 생명과 밀접한 관계를 가지고 있다. 개인 의료 정보는 매우 민감하고 개인적인 정보이기 때문에 만약 이 정보가 불법적으로 유출되거나 악용된다면 개인의 프라이버시 침해뿐만 아니라 생명까지도 위협받을 것이다. 그렇기 때문에 개인의 건강 및 의료 정보가 체계적으로 관리되고 의료 서비스 기관에 의한 개인 의료 정보 유출 및 남용을 방지하기 위해 정보 보안 시스템이 강화되어야 한다. 따라서 본 논문에서는 헬스 케어 분야에서 발생할 수 있는 정보 보안 취약점에 대한 이슈를 분석하고 블록체인 기술을 바탕으로 보안 취약점에 대한 해결책을 제시하고자 한다.

"생명윤리 및 안전에 관한 법률", 반드시 개정되어야 한다

  • Lee, Chang-Yeong
    • Health and Mission
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    • s.1
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    • pp.17-20
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    • 2004
  • 다수결 원칙으로 결정될 사안이 아닌 '생명의 존엄성'이 '생명윤리 및 안전에 관한 법률'의 제정으로 흔들리고 있다. 인간배아복제는 난치병 환자들을 치료하기 위한 획기적인 방법으로 포장되고 있으나 결국은 한 인간을 수단으로 이용하는 생명파괴 행위일 뿐이다.

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Informed Consent and Refusal of Treatment in Emergency Medical Situation (응급의료에서의 설명·동의 원칙과 응급의료거부죄)

  • Lee, Jung-eun
    • The Korean Society of Law and Medicine
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    • v.23 no.1
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    • pp.37-80
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    • 2022
  • By analyzing informed consent and the refusal of emergency medical treatment (called patient dumping) under the current Emergency Medical Service Act, this study suggests that an emergency medical professional is only liable for patient dumping if their duty to protect the patient's life takes precedence over the patient's right to self-determination. In emergency medical situations, as in general medical situations, medical treatment should be performed after the emergency medical professional informs the patient about the medical treatment, including its necessity and methods, and obtains consent from the patient. Refusing or evading the performance of emergency medical services on the excuse of the informed consent not considering a waiver or alteration of informed consent requirements without reasonable reasons violates the Emergency Medical Service Act and thus makes an emergency medical professional liable to administrative disposition or criminal penalty. In other words, depending on the existence of a waiver of alteration of the informed consent, patient dumping may be established. If the patient is a minor or has no decision-making ability, and their legal representative makes a decision against the patient's medical interests, the opinion of the legal representative is not unconditionally respected. A minor also has the right to decide over their body, and the decisions of their legal representatives should be in the patient's best interests. If the patient refuses treatment, in principle, the obligation of life protection of emergency medical professionals is the top priority. However, making these decisions in the aforementioned situations in the emergency medical field is difficult because of the absence of explicit regulations regarding these exceptional problems. This study aims to organize the following precedents of the Supreme Court of Korea. The court states that, when balancing the conflicting interests between the duty to provide emergency medical service and the duty to inform is unavoidable for emergency medical professionals, they should put the duty to protect the patient's life ahead of the duty to inform if the patient's life matters. Exceptionally, when a patient has seriously considered whether they should receive treatment before the emergency medical situation, their right to self-determination can be considered equal to the obligation of emergency medical professionals to provide emergency medical treatment. This research also suggests that an amendment of the Emergency Medical Service Act should include the following. First, the criteria for determining the decision-making ability of emergency patients should consist of medical content. Second, additional consent from a medical professional is unnecessary for first-aid treatment. Finally, new provisions for emergency medical obligations for minors, new provisions for the decision standard when there are conflicting opinions about the treatment of a patient, and new penalty provisions for professionals who suspend emergency medical examinations and treatments need to be established.

Nursing Students' Awareness of Biomedical Ethics and Attitudes toward Death of Terminal Patients (간호대학생의 말기환자에 대한 생명의료윤리 인식과 죽음에 대한 태도)

  • Kim, Young-Hee;Yoo, Yang-Sook;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.16 no.1
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    • pp.1-9
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    • 2013
  • Purpose: The aim of this study was to investigate nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. Methods: A structured questionnaire was developed to examine nursing students' biomedical ethics. Their attitudes toward terminal patients' death were measured by using the Collett-Lester Fear of Death Scale. Surveys were conducted with 660 nursing students enrolled at a three-year college located in Daejeon, Korea. Data were analyzed using descriptive statistics, Wilcoxon rank sum test and Kruskall Waills test. Results: Students who have experienced biomedical ethics conflicts, agreed to prohibition of cardiopulmonary resuscitation (CPR) and have no religion exhibited more negative attitudes toward death compared to students without the above characteristics. Of the participants, 81.2% answered that life sustaining treatment for terminal patients should be discontinued and 76.4% replied that CPR on terminal patients should be prohibited. The majority of the correspondents stated that the two measures above are necessary "for patients' peaceful and dignified death". Conclusion: Study results indicate the need to establish a firm biomedical ethics value to help nursing students form a positive attitude toward death. It also seems necessary to offer students related training before going into clinical practice, if possible. The training program should be developed by considering students' religion, school year, experience with biomedical ethics conflicts and opinion about CPR on terminal patients. The program should also include an opportunity for students to experience terminal patient care in advance via simulation practice on standardized patients.

Changes in periodontal pathogens and chronic disease indicators through adjunctive probiotic supplementation : a case report (보조적 프로바이오틱스 복용을 통한 치주 병원성 세균 및 전신질환 지표 변화: 증례보고)

  • Mu-Yeol Cho;In-Seong Hwang;Young-Yeon Kim;Hye-Sung Kim
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.2
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    • pp.91-98
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    • 2024
  • Objectives: This case study aimed to evaluate changes in periodontal pathogens and systemic disease indicators following the adjunctive use of probiotics for periodontal treatment. Methods: Two adults, a 64-year-old male and 71-year-old female, were selected with ethical approval and underwent comprehensive oral and systemic health assessments before and after probiotic intake with periodontal debridement. Results: There was a significant reduction in the periodontal pathogens, particularly Porphyromonas gingivalis and Treponema forsythia, and no adverse systemic indicators were observed. Moreover, a trend toward improved lipid profiles was noted, suggesting a potential positive impact on systemic health. Conclusions: This study shows the potential role of probiotics in enhancing oral health and preventing systemic diseases, thus highlighting the need for further research and clinical trials.

첨단과학기술현장 - 21세기 생활을 바꿀 21가지의 새로운 의료기술(1)

  • Hyeon, Won-Bok
    • The Science & Technology
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    • v.32 no.2 s.357
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    • pp.69-73
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    • 1999
  • 1953년 제임스 와트슨과 프란시스 크릭이 DNA(유전자를 구성하는 분자화합물질)의 2중 나선구조를 발견한 이래 40여년의 세월이 흐르는 동안 분자생물학은 마침내 생명 그 자체를 연구하는 학문이 되어 버렸다. 오늘날 의학연구자들은 생물학자와 화학과 그리고 물리학자들과 일찌기 없었던 긴밀한 협력을 통해 질병 뿐 아니라 건강의 정상적인 메커니즘과 생명시스템 연구에 집중적인 노력을 기울인 결과 의학발전에 새로운 지평을 열기 시작했다. 생명과학의 세기를 앞두고 최근 외지(라이프특별호)가 선정한 '21세기 생활의 질을 바꿀 스물한가지의 새로운 의료기술'을 간추려 본다.

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The Influence of Moral Behavior, Biomedical Ethics Consciousness, and Death Attitudes on Hospice Awareness in Nursing Freshman (간호학과 1학년의 도덕적 행동, 생명의료윤리 의식, 죽음 태도가 호스피스 인식에 미치는 영향)

  • Kim, Jeong-Sook;Je, Nam-Joo
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.275-284
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    • 2021
  • The purpose of this study was to provide basic data for developing hospice intervention strategies that can enhance hospice care perception plus attitude toward death of nursing students by grasping the factors affecting the perception of first grade students. Data were collected from 185 nursing students at J university in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. Hospice care perception was correlated to moral behavior (r=.22, p=.002) and biomedical ethics consciousness (r=.29, p<.001). The most influential factor on the subjects' hospice care perception was biomedical ethics consciousness (β=.224, p=.012), followed by high financial competence of parents (β=.187, p=.027). The explanatory power was 11.5%. Therefore, systematic programs that can enhance moral behavior and biomedical ethics consciousness are necessary to promote awareness of hospice care. Also, the following data can be utilized as basic data to help develop hospice education programs.

Impacts of Biomedical Ethics Consciousness and Nursing Professionalism on Attitudes toward Organ transplantation of Nursing Students (간호대학생의 생명의료윤리의식, 간호전문직관이 장기이식 태도에 미치는 영향)

  • Kong, Hee Kyung;Yun, Mi Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.75-83
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    • 2022
  • The purpose of this study was to investigate the influence of Consciousness of biomedical ethics on Nursing professionalism on Attitudes of organ transplantation among nursing students. Data were collected among 202 nursing students in G,P city, from october 12 to 22, 2021. The collected data was analyzed a using t-test, One way ANOVA, Pearson's correlation coefficient and Stepwise multiple regression using SPSS 20.0 WIN program. The average score for Consciousness of biomedical ethics was 3.39±0.44, Nursing professionalism was 3.84±0.56 and Attitudes of organ transplantation was 3.67±0.25. Factors Influencing Attitudes of organ transplantation were Right to life of newborn, Euthanasia, Social recognition, Professionalism of nursing and Role of nursing service. These variables accounted for 52.4% of Attitudes of organ transplantation. Based on the outcome of this study, developing an education program related to organ transplantation to contribute to the activation of organ transplantation.

Self-tracking Technology and Personal Autonomy for Personalized Healthcare (정밀의료를 위한 자기추적기술과 개인의 자율성)

  • Ryu, Jae-han
    • Journal of Korean Philosophical Society
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    • v.145
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    • pp.71-90
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    • 2018
  • The purpose of this paper is to examine the concept of autonomy, which is the subject of respect, namely, narrow bioethical autonomy and relational autonomy, before discussing autonomy in the era of personalized healthcare based on self-tracking technology. There is a need to extend the scope of the autonomy concept through a review of the autonomy debates presented by Tom Beauchamp and James Childress. Then, I suggest that relational autonomy based on the capability approach as a broader autonomy than the autonomy of consultation is a suitable concept of autonomy as an object to form ethical guidelines in a new situation.

국외 의료기기 보안위협 사례 및 보안 동향 조사

  • Choi, Seong-Ho;Kwak, Jin
    • Review of KIISC
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    • v.25 no.3
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    • pp.11-18
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    • 2015
  • 정보시스템 산업의 발전은 다양한 서비스 분야에서 많은 편의성을 증가시키고 있다. 또한, IT 산업이 IoT 환경으로 집중됨에 따라 다양한 서비스가 개발 되고 있으며, 다양한 IoT 제품들은 의료기기를 포함한다, 의료 환경에서는 네트워크에 연결되는 의료기기를 통해 환자를 위한 다양한 건강관리 서비스, 생명유지 서비스 등을 제공할 수 있다. 그러나 의료기기에 대한 보안 위협이 부각되면서, 인명 피해로 확산되는 것을 막기 위한 보안 관리 체계가 필요한 실정이다. 따라서, 본 논문에서는 의료기기에 대한 보안 현황을 조사하기 위해 의료기기 관련 보안 위협 사례를 분석하고, 미국, 유럽, 일본의 의료기기 정보보호 대책 및 국제 표준화 현황을 분석한다.