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A Study on the Major Issues and Legislative Considerations of CCTV Installation in an Operating Room (수술실 CCTV 설치의 쟁점과 입법방향에 관한 소고(小考))

  • Kim, Sungeun;Choe, A Reum;Bae, Kyounghee
    • The Korean Society of Law and Medicine
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    • v.22 no.2
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    • pp.111-138
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    • 2021
  • 'Unlicensed medical practice by a non-medical practitioner' often represented by surrogate surgery or so-called 'ghost surgery,' causes irreparable damage to life or body, and therefore calls for very strict and effective controls. The 'bill on installment of CCTVs in an operating room' to prevent unlicensed surrogate surgery has been discussed for a long time, but due to numerous issues and heated confrontations, it has been pending in the National Assembly. Nevertheless, it is expected that the bill will be discussed again in earnest in the National Assembly because surrogate surgery and factory-type cosmetic surgery, which has been performed mainly in the field of cosmetic surgery, has also been occurring in the field of therapeutic surgery. In general, an operating room is considered as being locked or closed, as well as disallowing implicit complicity among insiders. Hence, if the insiders conspire to commit or cover up an illegal act, or if a surgeon performs rapid cosmetic surgery and then leaves the recipient (or medical institution) so as to perform more operations for profit - even if it is legitimate practice - it may result in serious consequences in terms of the recovery of a patient. In this case, installation of CCTVs can be of great help in identifying an illegal act and assessing any occurrence of negligence. On the other hand, while the fundamental purpose of therapeutic surgery is to restore a patient's life or body - that is, lifesaving - installation of CCTVs may base the relationship between a surgeon and a patient on distrust and surveillance, so it may increase the number of requests for CCTV footage or lead to more disputes, as well as placing a burden on the surgeon when best results are not achieved for a patient. As a result, the surgeon may choose non-invasive treatment contrary to conscience instead of risky but necessary surgery, or he/she may have significant difficulty in determining the timing of surgery, which may limit the provision of effective surgical medical care. Then, in terms of the relationship between a surgeon and patient, and in the long run, there could be significant disadvantages for the public and patients if CCTV footage is allowed. In this paper, we review domestic and overseas cases and issues regarding installation of CCTVs in an operating room, and present various viewpoints and suggestions to promote legislation with minimized legal problems and side effects, thereby contributing to protection of the lives and health of the public, patients, and recipients of surgery.

Clinical Utility of the MMPI-A-RF's Internalization and Externalization Higher-Order Scales: Comparison With the K-CBCL's Internalization and Externalization Scales (MMPI-A-RF의 내재화 및 외현화 상위 척도의 임상적 유용성: K-CBCL의 내재화 및 외현화 척도와의 비교)

  • Eun-Bin, Shin;Eun-Hee, Park;Hyun-Joo, Hong
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.119-126
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    • 2022
  • Objectives : The purpose of this study was to examine the clinical utility of the internalization and externalization higher-order scales of the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form (MMPI-A-RF), compared with those scales of the Korean Child Behavior Checklist (K-CBCL). Methods : 43 adolescents with internalizing disorders and 44 adolescents with externalizing disorders and their parents were administered the MMPI-A-RF and K-CBCL each. To verify the difference between the internalization and externalization scales of the MMPI-A-RF and K-CBCL for each group, independent-sample t test was performed. To compare the agreement between the MMPI-A-RF and K-CBCL, correlation analysis was also conducted. Lastly, to identify which scales significantly best predict each of the internalizing and externalizing disorder, logistic regression analysis was conducted. Results : Internalization scales of the MMPI-A-RF and K-CBCL were significantly higher in the internalizing disorder group, and the externalization scales were significantly higher in the externalizing disorder group. The positive correlation was significant only for internalization problems between the two evaluation measures in both groups (each r=0.360, p<0.05, r=0.572, p<0.05). In addition, the scales significantly predicted internalizing and externalizing disorders were the internalization and externalization scales of the MMPI-A-RF, followed by the externalization scale of the K-CBCL (R2=0.407, p<0.05). Conclusions : The internalization and externalization higher-order scales of the MMPI-A-RF were found to reliably reflect the characteristics of each disorder in adolescents and be useful evaluative scales to differentiate disorders. Moreover, if adolescents show externalization problems, additional information from the K-CBCL can be more useful to differentiate disorders.

A review of the contents about childhood health care in middle & high school textbooks (중·고등학교 교과서에 실린 소아 관련 정보의 조사)

  • Kim, Jung Hun;Park, Sung Won;Shin, Son Moon;Sung, In Kyung;Park, Mi Jung;Chung, Yoo Mi;Ha, Jeong Hun
    • Clinical and Experimental Pediatrics
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    • v.50 no.4
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    • pp.340-347
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    • 2007
  • Purpose : The purpose of this study is to investigate the material in middle school and high school textbooks covering child care and children's health for medically inaccurate content and to make sure that the correct information is given to students. Methods : We have examined 47 kinds of textbooks on the subjects 'Home economics' and 'Technology and home economics' published in 2007 to find out how much importance is placed on children's health and childcare and to search for incorrect definitions, inaccurate facts or insufficient explanations. We have also analyzed the credentials of the writers of these textbooks. Results : Textbooks of middle school cover psychological and physical changes during adolescence and nutrition, and those of high school cover marriage and childcare. These materials covering health made up 27.5%, 11.7% of middle & high school texts. Age definitions of neonate and infant were incorrect. Inaccurate facts were mostly about fontanelles, primitive reflexes, breastfeeding and weaning. There also were wrong informations on the umbilical cord care and developmental milestones during infancy. The childhood immunization schedules and the growth curves were not up to date. Most of the authors major in home economics and the others were school teachers. There was no evidence of any review by a medical society or an expert. Conclusions : When writing about children's health and childcare in textbooks, a board-certified pediatrician or The Korean Pediatric Society should be consulted to provide accurate medical information to middle and high school students.

A Study on Personalized Product Demand Manufactured by Smart Factory (스마트팩토리 환경의 개인맞춤형 제품 구매의도의 영향요인에 관한 연구)

  • Woo, Su-Han;Kwon, Sun-Dong
    • Management & Information Systems Review
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    • v.38 no.1
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    • pp.23-41
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    • 2019
  • Smart Factory is different from existing factory automation in that it aims to produce personalized products with minimum time and cost through ICT. However, previous researches, not from consumers but from product suppliers, have focused on technology trends and technology application methods. In order for Smart Factory to be successful, it must go beyond supplier-focus to meet the needs of consumers. In this study, we surveyed the purchase intention of the personalized product manufactured by smart factory. Influencing factors of purchase intention were drawn as consumers' need for uniqueness, innovativeness, need for touch, and privacy concern, based on previous research. As results of data analysis, it was confirmed that respondents were willing to purchase personalized products, and that consumers' need for uniqueness, innovativeness, and need for touch had a significant impact on purchase intention of personalized products. Our findings can be summarized as follows. First, Consumers' need for uniqueness was found to have positive effects(${\beta}=0.168$) on purchase intention of personalized products. The desire to differentiate themselves from others will be reflected in their personalized products. Therefore, consumers with a higher desire for uniqueness tend to be more willing to purchase personalized products. Second, consumer innovativeness was found to have positive effects(${\beta}=0.233$) on purchase intention of personalized products. Personalized shoes suggested in this study is a new type of personalized product that is manufactured by the latest information and communication technologies such as multi-function robots and 3D printing. Therefore, consumers seeking innovative new experiences are more willing to purchase personalized products. Third, need for touch was found to have positive effects(${\beta}=0.299$) on purchase intention of personalized products. In a smart factory environment, prosuming participation is given to consumers. If consumers participate in the product development process and reflect their requirements on the product, they are expected to increase their purchase intention by virtually satisfying the need for touch. Fourth, privacy concern was found to have no significantly related to purchase intention of personalized products. This is interpreted as a willingness to tolerate the risk of exposing personal information such as home address, telephone number, body size, and preference for consumers who feel highly useful in personalized products.

An Exploratory Study of REID Benefits for Apparel Retailing (의류소매업에서의 RFID 이점에 대한 탐색적 연구)

  • Kim, Hae-Jung;Kim, Eun-Young
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.12 s.159
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    • pp.1697-1707
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    • 2006
  • Relentless advances in information technology are constantly transforming market dynamics of the retail industry. RFID is an emerging innovative technology that can reduce labor costs, improve inventory control and increase sales by effective business processes. Apparel retailers need to recognize the benefits of RFID and identify critical success factors. By focusing on apparel retailers, this study attempts (1) to identify the reality of RFID associated with benefits; and (2) to prospect the implementation of RFID in apparel retailing. We conducted a focus group interview with selected six panels who were experts of retail industry in the United States to obtain data regarding RFID attributes. Content analysis was used to generate related excerpts and classify 31 attributes of RFID benefits from the meaningful 173 responses. For experience of RFID, retailers were familiar with RFID technology and expressed the belief that RFID basically would support an existing retail system for speed to markets. However, retailers addressed the level of experience with RFID technology that they were still in the early adoption stage among few innovative companies. The content analysis identified five dimensions of RFID benefits for apparel retailing: Visibility and Velocity, Revenue Enhancement, Customer Service, Security, and Employee Productivity. This result lends support to the belief that RFID has a significant potential to streamline supply chain management, store operation and customer service for apparel retailing. This study provides intellectual and managerial implications far practitioners and researchers by postulating the effective use of RFID in the apparel retail industry.

The Clinical Usefulness Measurement of the Whole Body Percent Fat Calculated by the Part Bone Mineral Density Measurement (부분골밀도 측정을 통해 산출되는 체지방률의 임상적 유용성에 대한 평가)

  • Kang, Young-Eun;Kim, Eun-Hye;Kim, Ho-Sung;Choi, Jong-Sook;Choi, Woo-Jun
    • The Korean Journal of Nuclear Medicine Technology
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    • v.15 no.1
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    • pp.3-9
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    • 2011
  • Purpose: Generally dual energy X-ray absorptiometry has been used for the purpose of evaluation of osteoporosis and treatment. Recently the interest of obesity came to be high and body percent fat test is increasing. Existing measure of body fat have to scan the whole body can be evaluated, but only lumbar spine and hip measurements was assumed to be whole body fat as well as improving the software. It tries to check whether the part measured value not being whole body measurement has the validity or not compared with the value calculated with the method that it is different, it forgives through a correlation with a (BIA) and (BMI). Materials and Methods: In 2010, the body percent fat was measured among the examinee coming to the Asan Medical Center public health care center from March till August against 90 females more than 40 years old through (DXA) and BIA. BMI utilized the value which wrote an hight and weight measured through the body measuring instrument in the examinee information and is automatically calculated. In addition, it classified as the low weight ($13-18.5kg/m^2$), normal ($18.5-25kg/m^2$), and corpulence ($25-30kg/m^2$) based on BMI and so that it could check whether there was the difference according to the weight or not BMI and BIA and correlation between DXA were analyzed in each group. The statistical program for the analysis used SPSS 12.0. Results: The comparison of DXA at 3 which it divides into the low weight and normal and corpulence groups and BIA did not show the difference noted statistically in all groups and the between group comparison was exposed to do not have a meaning. The body percent fat measured by the correlation analysis result DXA at the state that it doesn't divide into the group showed the high correlation (r=0.908, p0.01) noted statistically compared with BMI and showed the high correlation noted statistically in a comparison with BIA (r=0.927, p0.01). Conclusion: It confirmed that the whole body percent fat presumed from the part bone density measurement showed the excel correlation compared with BIA and BMI and information is high. There is still no clear standard about the presumed whole body percent fat and it is difficult to evaluate the fat evaluation by the bone mineral density measurement. However, it is determined that the information offering which is more objective through the comparative study with the body percent fat which is very efficient and in that it can obtain till the information about a fat as well as diagnosis of the osteoporosis through the bone density checkup is measured by the afterward telegraph bone density checkup and is clinically useful is possible.

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The Effect of Urban Open Space on Outdoor Leisure Activities - Focusing on Whole Residents and the Elderly - (도시 오픈스페이스가 옥외 여가활동에 미치는 영향 - 전체 주민과 노인을 대상으로 -)

  • Youn, Jeong-Mi;Choi, Mack Joong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.42 no.4
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    • pp.21-29
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    • 2014
  • In terms of quality of life, leisure and health have become important issues with increasing incomes and decreasing working hours in Korea. This study empirically investigates the effects of urban open space on outdoor leisure activities, emphasizing that parks, river banks, and physical activity sites can provide opportunities such as walking, jogging, stretching, and cycling, free of charge to all residents. Based on 2010 sample survey data on leisure activities, multiple regression model as well as hierarchical linear model are estimated, taking account of both individual characteristics on demand and environmental/areal factors on supply side, including open space. Major findings include: first, urban open space significantly increases residents' outdoor leisure activities, second, the effect is more significant for the elderly and third, the effect is more valid for those with relatively low incomes and less education. These results imply that urban open space could be available as a local public good to cope with population aging and to realize health city and social welfare, since this space is not only a leisure place but also public health and welfare facilities.

Study of Sources Affecting Customer Satisfaction in Healthcare Service Business: with Focus on Comparison of Wellbeing Care, Yoga, and Fitness Businesses (건강관리 서비스 산업에서 고객만족에 영향을 미치는 요인에 관한 연구 - 산림 건강치유, 요가, 휘트니스 산업비교를 중심으로 -)

  • Kim, Joon-Ho;Choi, Ji-Eun
    • Management & Information Systems Review
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    • v.29 no.4
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    • pp.305-332
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    • 2010
  • This study was searching for elements affecting satisfaction of customers by comparing health management service businesses such as wellbeing care, yoga, and fitness. The discovered elements were analyzed and verified to find which elements are affecting what businesses through case studies. Multidirectional analysis was implemented for each service type using program, physical environment, and provided service drawn from the previous researches with SERVQUAL criteria and measured values on customer satisfactions. According to the analysis, physical environment in forest wellbeing care, program in yoga, and provided service in fitness were the most affecting elements. Thus, each health management service business must consider the lifestyle and trend of customers, and the specialized service corresponding to its uniqueness must be provided to customers. Surely, modernized exercise equipment, personalized program, and comfortable-luxurious settings are must have in order to be competitive. In addition, the business owners have to realize that customers are moving to quality from quantity. This means exercise must be brought up to the level of social value for relationship and links rather than left at the level of simple physical and mental trainings. To achieve these, other programs to support relationship among customers and circulating system with friendly environment must be considered at the same time.

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The influence of expectations regarding aging on health-promoting behaviors (노화기대가 성인의 건강증진행위에 미치는 영향)

  • Bae, Hyeyoung;Kim, Aranbyeol;Nam, Soojin;Youn, Jia;Youn, Haeju;Kim, Gayoung;Jang, Daehyae;Kim, Su Hyun
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.1
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    • pp.77-85
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    • 2014
  • The purpose of the current study was to identify expectations regarding aging and health-promoting behaviors and to examine whether expectation regarding aging was associated with health-promoting behaviors among community-residing Korean adults. Data were collected from 233 adults dwelling in the community of Daegu and Kyungpook province. The influence of expectations regarding on health-promoting behaviors was analyzed through hierarchical multiple regression controlling for sociodemographic variables. As a result, the mean score of expectations regarding aging was significantly lower in 40s and 50s than 20s and 30s. The participants had the lowest expectations regarding aging in terms of physical health domain and the highest expectations in terms of mental health domain. No significant differences were found in health-promoting behaviors among different age groups. After controlling for sociodemographic variables, expectations regarding aging were independently associated with health-promoting behaviors in adults in 20s~30s but not in those in 40s~50s. The findings suggest the need for encouraging Korean adults to strive for having positive and active perspective on aging and for getting higher expectations regarding aging, in particular, for 20s and 30s, as a health-promoting strategy.

Changes and determinants affecting on geographic variations in health behavior, prevalence of hypertension and diabetes in Korean (지역사회 건강행태, 고혈압, 당뇨병 유병률 변화와 변이 요인)

  • Kim, Yoo-Mi;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.241-254
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    • 2015
  • This study examined changes in health behavior and prevalence of hypertension and diabetes during five years and analyzed determinants affecting on geographic variations of them. Data from Korean Community Health Survey in the period of 2008 and 2013 with 246 small districts were analyzed. Data were analyzed using convergence tools such as geographic information system tool and decision tree. During the five years period, areas of the increases in smoking and drinking were southwest regions showed increased smoking and areas of increases in physical activity are western regions. Areas of the increases in the prevalence of hypertension were west and south regions and in the prevalence of diabetes were east and north regions. Determinants affecting on regional variations in the prevalence of hypertension and diabetes were drinking, physical activity, obesity, arthritis, depressive symptom and stress. Mental health program should be developed for non-communicable disease. Thus, to decrease the prevalence of hypertension and diabetes, our study emphasized the necessity to develop customized mental health policies according to the region-specific characteristics.