• 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.

• Social Workers
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• no.2 s.34
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• pp.24-27
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• 2005

2000년 10월 사회복지분야에서 커다란 변혁이 일어났다. 그동안 우리나라 빈곤정책의 근간이었던 생활보호제도가 국민기초생활보장제도로 대체된 것이다. 변혁이라는 용어를 사용할 수 있는 이유는 크게 두 가지 측면 때문으로 볼 수 있다. 즉 근로능력의 유무와는 상관없이 소득, 재산기준이 일정수준 이하이면 국가가 기본적인 생활을 보장해주는 생계급여의 한 축과, 강제성에 대한 논란은 있으나 근로능력이 있는 빈곤계층이 스스로 가난을 탈피할 수 있는 자활지원의 또 다른 한 축이 균형을 이루며 제도를 구성하고 있다는 점이다. 결국 자활지원 사업은 빈민운동에서부터 출발하여 90년대 중반 시범사업의 과정을 거쳐 국민기초생활보장제도의 시행과 함께 안정적인 제도화의 길을 걸을 수 있게 되었다. 자활지원사업과 관련된 민간 전달체계로는 현재 자활후견기관 242개소가 전국적으로 운영되고 있고, 수급자를 포함하여 빈곤소외계층을 대상으로 적절한 일자리 창출을 통한 경제적 자립을 목표로 하고 있다.

• The Korean Society of Law and Medicine
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• v.10 no.2
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• pp.203-249
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• 2009

It is the so-called Shinchon Severance Hospital Case brought to an end by the decision of the Supreme Court that opened the real discourse of withholding or withdrawing of LST (Life-Sustaining Treatment) in the legal profession as well as medical profession in Korea. Everyone has sympathy with the validity and necessity of legal regulation on withdrawing-including withholding-of LST save the requirements & procedure of withdrawing of LST. In this situation, the legislative bill of amendment to the Korean Civil Law introducing of adult guardianship was pre-announced by the Ministry of Justice on September 18th 2009. The adult guardianship is a guardianship system that supports an mentally handicapped adult to deal with his affairs by support of a guardian. The object of adult guardianship includes affairs of body or well-being as well as property of adult wards. In particular, affairs of medical matters are of importance in the duty and authority of adult guardians. So, the introduction of adult guardianship is of much importance de lege lata as well as de lege ferena in the discussion of withdrawing of LST as a medical treatment. Since the legislation on withdrawing of LST intents to protect the right of death with dignity on the basis of patients' autonomy, the ratio legis of withdrawing of LST is variant from that of adult guardianship. In this context, it seems reasonable to legislate the withdrawing of LST separately from the adultguardianship. In the meantime, the adult guardianship of the legislative bill of amendment to the Korean Civil Law is related to the withdrawing of LST, since the main purpose of adult guardianship is to protect patients' quality of lives and to regulate guardianship contracts based on patients' autonomy. In that context, it seems reasonable to incorporate the legislation of withdrawing of LST into the adult guardianship system. In the latter case, it is not easy to adopt the withdrawing of LST into the legislative bill of the Korean Civil Law for the bill is pre-announced already as previously stated. However, the legislation of withdrawing of LST is not inferior to the legislation of adult guardianship as a matter of urgency. Moreover, it is likely that the legislative bill of Amendment to the Korean Civil Law generates discrepancies in interpretation of the requirements & procedure of withdrawing of LST as the amended German Civil Law did. In short, it is desirable for the legislator to revise the legislative bill despite delay.

• Journal of Digital Contents Society
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• v.1 no.1
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• pp.1-11
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• 2000

A variety of educational digital contents are provided for both distance and on-line learning on the Internet recently. Especially, as edutainment fields are activated, fun-centered educational contents are improved so much. But it is still lack of high quality, which could lead a learner to study by himself without losing enjoyment for an appropriate duration (about $1{\sim}2$ years). A system, which enforces learning motivation for a learners positive learning, is demanded. This paper shows the planning and the implementation of learning Reward System (LRS) which is providing rewards a learner for achievement of the teaming object which is suggested by him (her) and his (her) mentors. LRS is aiming at enhancement of educational effects by providing both amusements and rewards employing edutainment contents.

• The Korean Society of Law and Medicine
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• v.10 no.2
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• pp.183-201
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• 2009

Im Allgemeinen auch psychische Patienten k$\ddot{o}$nnen sich daruber selbst entscheiden, $\ddot{a}$rztliche Behandlung zu nehmen und ins Krankenhaus aufgenommen zu werden. Im S$\ddot{u}$dkorea bei der zwangsweisen Unterbringung wird kein KBGB des privatlichen Rechts, sondern Gesetz $\ddot{u}$ber psychisch Gesundheitspflege des $\ddot{o}$ffentlichen Rechts vorz$\ddot{u}$glich verwandt. Aber das noch kann ein selbst Bestimmungsrecht von der psychischen Patient verletzen. Im Deutschland regelt BGB $\S$ 1906 Zwangsunterbringung der psychische Patienten, die Gef$\ddot{a}$hr des Selbstmord oder der Eigengef$\ddot{a}$hrdung haben. Au$\ss$erdemhat jedes Land eigen Gesetz $\ddot{u}$ber psychischen Kranken, das $\ddot{o}$ffentliche Vorschrift f$\ddot{u}$r Zwangsunterbringung regelt. Im Fall der Zwangsunterbringung im Deutschland BGB $\S$ 1906 wird prim$\ddot{a}$rer als $\ddot{o}$ffentlich Rechts verwandt, um die Selbstbestimmungsrecht der Patienten zu unterstutzen. Auch im Korea KBGB (koreanisches B$\ddot{u}$rgerliches Gesetzbuch) Ver$\ddot{a}$nderungen f$\ddot{u}$r die Einf$\ddot{u}$hrung des Betreuungsrechts, die sich mit der Zwangsunterbringung befassen, sollten diskutiert werden, damit die Selbstbestimmung sch$\ddot{a}$tzen.

• The Korean Society of Law and Medicine
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• v.15 no.1
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• pp.303-333
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• 2014

The right to self-determination in regard to one's body is a key element of human dignity, privacy and freedom. It is constitutionally enshrined in the guarantee of human dignity, in the general right of personality and, most concretely of all, in the right to physical integrity. In principle No-one may trespass another person's body against his will, whether this act improves his physical condition or not. This right of self-determination applies equally to healthy and to sick people. Hence everyone has the right either to permit or to refuse a medical treatment, unless he can not make a rational decision. If the person does not consent himself, for whatever reason, another one must do for him as guardian. Representation in consent to medical treatment is therefore the exception of self-determination rule. This article explored, 1. who can consent to the medical treatment in the case of the mentally incapacitated adult and the infant, 2. what kind of consent to the medical treatment can the deputy determinate for the mentally incapacitated adult and the infant, 3. when the deputy can not determinate without permission of the court, and 4. what can the doctor do in the case of conflict between minors and guardians.

• Journal of Acupuncture Research
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• v.23 no.4
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• pp.69-80
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• 2006

Objectives : The occurrence of shoulder pain after attack of stroke varies from 15% to about 80% in patients. Hemiplegic shoulder pain has been shown to affect stroke outcome in a negative way that it interferes with recovery after a stroke. These following processes have been all postulated as causes of a shoulder pain: glenohumeral subluxation, spasticity, impingement, soft tissue trauma, glenohumeral capsulitis, shoulder hand syndrome. And stroke patients may suffer from pain caused by stroke itself(central post-stroke pain). The aim of this study is to investigate the effectiveness of Bee venom therapy for shoulder pain in stroke patients. Methods : To evaluate the effectiveness of Bee Venom Acupuncture Therapy, 40 patients were allocated into control and treatment group. They were monitored for 3 weeks and followed up with VAS score(with the interval of Initial(YAS1)), 1 week later(VAS2), 2 weeks later(VAS3), 3 weeks later(VAS4), Motor Grade and Passive ROM. Results : VAS score decrease in treatment group compared to control group. Bee Venom Acupuncture Therapy seems to decrease hemiplegic shoulder pain and this effect was statistically significant after 3 weeks. Therefore this therapy could be recommended for the treatment of patients with shoulder pain after stroke and further extensive clinical studies are expected. Conclusion : We suggest that GDS oral administration and electro-acupuncture at $BL_{52}$ & $GB_{39}$ are available for prevention and curing about the postmenopausal osteoporosis.

• KDI Journal of Economic Policy
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• v.17 no.4
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• pp.3-61
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• 1995

기업활동의 범세계화(汎世界化), WTO 출범 등으로 세계경제(世界經濟)의 통합(統合)과 무국경화(無國境化)가 진행되고 있다. 이에 따라 자본 고급인력 등 국제이동성(國際移動性)이 높은 자원들이 유동화(流動化)할 것이고, 그 결과 토지, 사회간접자본, 미숙련 노동력, '경기규칙', 사회 전반적인 과학기술수준, 문화 등 국제이동성(國際移動性)이 낮은 광의(廣義)의 생산요소(生産要素)들이 한 나라의 경제적 특성을 결정하고 경제 기반을 이룰 것이다. 무국경시대(無國境時代)에는 자원배분뿐 아니라 자원유치(資源幽致)가 한 나라의 경제성과에 큰 영향을 미칠 것이며, 따라서 자원유치가 경제운영의 중요한 과제로 등장할 것으로 예상된다. 자원의 국제적(國際的) 유동화(流動化)는 국제이동성(國際移動性)이 높은 생산요소들이 국제이동성이 낮은 생산요소들을 찾아 경제활동의 근거지를 선택하는 것이므로, 무국경시대(無國境時代)에는 저이동성(低移動性) 생산요소(生産要素)들의 양적(量的) 확충(擴充)및 질적(質的) 수준(水準) 제고(提高)를 통한 자원유치(資源誘致)의 가능성이 커지며, 따라서 일부 첨단기술산업의 육성보다는 전반적인 과학기술(科學技術) 수준(水準) 제고(提高)가, 소수의 고급인력 확보보다는 다수(多數) 미숙련(未熟練) 인력(人力)의 질적(質的) 수준(水準) 제고(提高)가 경제성과를 높이는 데 상대적으로 더 중요해진다. 또한 경제적(經濟的) 무국경화(無國境化)는 국적에 관한 속인주의(屬人主義)의 퇴조와 속지주의(屬地主義)의 보편화, 한 나라 국경 안에 상이한 특성을 가진 지방경제(地方經濟)들의 부상, 국내 산업들 사이의 산업연관관계(産業聯關關係) 약화(弱化) 등의 변화를 수반할 것으로 예상된다. 이같은 변화로 개방주의(開放主義) 및 무차별주의(無差別主義)의 확대(擴大)가 불가피하게 되고 특정 산업에 대한 정부지원 및 보호의 근거가 약화되는 반면, 자원배분의 참고단위로서 개별(個別) 경제주체(經濟主體)들의 중요성이 높아지며 그만큼 시장경쟁을 지배하는 '경기규칙(鏡技規則)'의 올바른 정립이 중요해진다. 그러므로 정부는 자원배분에 대한 개업을 축소하고, 저이동성(低移動性) 생산요소(生産要素)들의 양적 질적 수준 제고, 특히 '경기규칙(競技規則)'의 공정성(公正性) 및 투명성(透明性)을 높여야 한다. 즉 정부가 폐쇄성 높은 경제의 지배인으로부터 개방(開放)된 시장경제(市場經濟)의 후견인으로 바뀌어야 한다. 이것이, 시장질서(市場秩序)가 우리를 먹여 살리는 손이라는 인식이나 국제분업(國際分業)이 살 길이라는 확신이 부족한 우리 사회에 무국경시대(無國境時代)가 던지는 어려운 도전(挑戰)이다.

• Korean Journal of Food Science and Technology
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• v.8 no.4
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• pp.236-241
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• 1976

A barley (20-30%)-wheat (80-70%) flour gave generally acceptable noodle-making characteristics, in which naked barley flour showed somewhat better results than covered barley flour. And also for over 40% barley flour in the barley-wheat flour, the addition of xanthan gum improved the noodle-making characteristics. A naked barley-defatted soy flour could make dried noodles with only high NSI (Nitrogen Solubility Index) defatted soy flour, however this mixture was not considered to be feasible for noodle-making. In cooking characteristics of barley-wheat flour noodles, naked barley flour was more acceptable than covered barley flour and xanthan gum influenced the water absorption and volume expansion of noodles during cooking. The firmness, cohesiveness and gumminess in cooked noodles made of the barley-wheat flour increased and then decreased as the amounts of barley increased. The mixing of defatted soy flour (high NSI) to naked barley flour increased the firmness and gumminess of cooked noodles.

• The Korean Society of Law and Medicine
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• v.19 no.2
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• pp.99-137
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• 2018

Under the Korean law, there are two routes of involuntary civil commitment of the mentally-ill: involuntary commitment process under the Mental Health Act (MHA) and the guardian's commitment backed up by family court approval under article 947-2 (2) of the Civil Code. Despite of the recent fundamental revision of MHA in 2016, the Korean involuntary commitment law has still serious flaws, especially the lack of due process like prior notice, hearing, and independent guardian ad litem for the mentally-ill, which has been pointed out also by the Korean Constitutional Court. Thus, a re-revision is inevitable, and this time, we should proceed to rebuild the underlying structure of involuntary commitment. In this regard, it is crucial to eliminate the old-fashioned and unjustifiable burden as well as power of the so-called responsible person to protect the mentally-ill and to readjust the causes and standings to petition of the various types of involuntary commitment process. Also it is necessary to repeal involuntary commitment by guardian under the Civil Code, article 947-2 (2), which can no longer harmonize with modern involuntary commitment system.