• 제목/요약/키워드: Consent form

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이혼예방을 위한 최근 미국 가족정책에 관한 소고 -결혼허가증제도 및 서약결혼제도를 중심으로- (Some Thoughts on Recent Family Policies Designed to Prevent Divorce in the United States of America: With Special Regard to the Marriage License and the Covenant Marriage)

  • 김혜선;박희성
    • 가정과삶의질연구
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    • 제19권2호
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    • pp.13-21
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    • 2001
  • The purpose of this study is to examine the Marriage Preparation and Preservation Act adopted in Florida which require premarital counseling and covenant marriage laws of Louisiana and Arizona among many kinds of family policy which recently are designed to prevent divorce in the United States of America. Most of states in the U.S. require the marriage license prior to having a marriage ceremony. Covenant marriage legislation has admirable motives to strengthen marriage and cure the defects of the no-fault system. In that legislation, the imposition of waiting period for the no-fault ground of divorce, proof of fault requirements, consent requirements, and mandatory course or counseling attendance will likely serve as deterrents to those seeking divorce as a first resort. To sum up, by offering preventive measures in the form of premarital counseling and waiting period before marriage, covenant marriage will force couples entering marriage to carefully consider their actions before they act and prevent broken marriages in the first place. In response to rising divorce rates, the Koreas family policy has put its emphasis of fixing social problems accompanied with family dissolution. Rather, this study suggests that attention in Korea also should be shifted from broken marriages to preventing them.

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견갑 - 골반 동시 사용 패턴이 뇌졸중 환자의 보행요소에 미치는 효과 (Effects of Using Scapular-Pelvic Patterns Simultaneously to Improve the Components of Gait in Patients with Stroke)

  • 김승지;최재원;정현애
    • PNF and Movement
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    • 제14권2호
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    • pp.75-81
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    • 2016
  • Purpose: This study used a comparative analysis to propose the effectiveness of using scapular and pelvic patterns of proprioceptive neuromuscular facilitation simultaneously (USPS) on the components of gait in patients with stroke. Methods: Subjects who signed a written consent form to participate in the experiment and attended voluntarily were divided randomly into two groups: the USPS group (12) and the control group (9). The USPS group received pattern training for 30 minutes a day, 3 days per week for 6 weeks. The control group received general physical exercise for the same duration. Gait ability was tested and analyzed before and after the 6 weeks of training with the GAITRite system. Results: The components of gait increased significantly in the USPS group after training (p < 0.05) and did not increase significantly in the control group. Conclusion: According to the results of this study, USPS training improves the components of gait more than general physical exercise. The USPS training method is effective for improving motor functions in patients with stroke, especially for gait rehabilitation.

집중력, 청각반응속도, 순발력이 민첩성에 미치는 영향 (The effects of a concentration, an auditory reaction time and a muscle power on an agility)

  • 김미경;남지윤;노수영;한동욱
    • 대한물리치료과학회지
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    • 제19권3호
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    • pp.17-22
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    • 2012
  • Background : The purpose of this study was to investigate the relationship between an agility and a concentration, an auditory reaction time and a muscle power. Methods : Twenty one healthy female college students who were 20-21 years participated in the experiment; after being introduced to the methods, they voluntarily signed a consent form. And they received several test related with this study; side step test for an agility, Harris & Harris test for a concentration, brain auditory evoked potential test for an auditory reaction time and vertical jump test for a muscle power. Result : There was no relationship between the agility and the concentration and the auditory reaction time. However, the muscle power related with the agility significantly. Conclusion : In conclusion, these findings suggest that a muscle power training is a good way to promote an agility. So, we can find out that, in an player who requires an agility, a muscle power training is the most important way for promoting an agility than a concentration training or an auditory reaction time training.

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Comparison of the Effects of Different Adduction Loads on EMG Activities of Selected Shoulder Muscles During Shoulder External Rotation Exercise in Healthy Young People

  • Peng, Cheng;Bae, Chang-Hwan;Choi, Eun-Hong;Kim, Myoung-Kwon
    • 대한물리의학회지
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    • 제14권2호
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    • pp.1-7
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    • 2019
  • PURPOSE: This study was conducted to investigate effects of shoulder adduction load on rotator cuff muscles, including the infraspinatus, during the external rotation exercise of shoulder. METHODS: This study investigated 16 healthy university students from Daegu University. Before the study started, all participants understood the content of this study. They signed an informed consent form. Five electrodes for surface electromyography (sEMG) were attached to their infraspinatus, middle deltoid, posterior deltoid, upper trapezius and pectoralis major. The participants then underwent the shoulder external rotation exercise with the shoulder adduction at three loads (0 mmHg, 20 mmHg and 40 mmHg) that were controlled using a stabilizer Pressure $Bio-feedback^{TM}$ device. The surface electrodes recorded the electromyographic data during the external rotation exercise of shoulder. RESULTS: The infraspinatus was most activated when the shoulder adduction pressure was 40 mmHg during the external rotation exercise of shoulder. The infraspinatus activation significantly increased when the shoulder adduction pressure intensity increased, while the middle deltoid activation and the posterior deltoid activation significantly decreased (p<.05). CONCLUSION: In conclusion, increases in shoulder adduction load intensity during shoulder external rotation exercises can have a positive effect on the infraspinatus, which consists of rotator cuff muscles, with minimal activity in the middle and posterior deltoid.

Gait Pattern of Hemiplegic Patients with Swimming Aqua-noodles

  • Kim, Suk-Bum;O'Sullivan, David
    • 한국운동역학회지
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    • 제29권1호
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    • pp.15-21
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    • 2019
  • Objective: The purpose of this study was to investigate the effects of aqua-noodles on the practice of underwater walking in patients with hemiplegia. Method: After an oral explanation and signing an IRB approved consent form 10 participants ($66.8{\pm}10.75yr$, $165.3{\pm}8.79cm$, $73.6{\pm}46kg$) agreed to participate in this study. Each of the participants was required to walk with the aqua noodles and without the aqua-noodles in a swimming pool. Each participant was asked to walk a distance of 5 m a total of 10 times, 5 with and 5 without the aqua-noodles. The depth of the swimming pool was at 1.3 m, approximately chest height. The following variables were calculated for analysis; height of the knee (m), knee joint ROM ($^{\circ}$), ankle joint ROM ($^{\circ}$), knee joint maximum angular velocity ($^{\circ}/sec$), and ankle joint maximum angular velocity ($^{\circ}/sec$). Results: First, there was a significant increase in time (s) for the maximum knee height to reach as well as the maximum knee height (m) increased when the participant used the aqua-noodles. Second, there was a statistically significant decrease in stride length when the aqua-noodles were used. Conclusion: This study helps to verify that the effect of underwater walking exercise can provide a suitable walking exercise environment. The results of this study provide systematic scientific information about how walking in water can be used for the rehabilitation of patients and the elderly.

동서간호학연구지에 게재된 논문의 내용과 경향 분석: 1997-2008 (Trend Analysis of Articles Published in the Journal of East-West Nursing Research: 1997-2008)

  • 신현숙;김원옥;박선희;신혜숙;이지아;황지인
    • 동서간호학연구지
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    • 제14권2호
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    • pp.81-86
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    • 2008
  • Purpose: To analyze characteristics and trend of articles published in Journal of East-West Nursing Research. Methods: The 133 articles published from 1997-2008 were reviewed using a structured form. The form included items on the topics, subjects, study designs, sample size calculation, ethical consideration, and research funds. Data were summarized using descriptive statistics. Results: Oriental studies accounted for 42.9% of the 133 articles. The subjects were general population (32.3%), chronically-ill patients (17.3%), and nurses (12%). The most common design was survey (57.2%). Of the 32 experimental studies, 65.6% were associated with oriental nursing intervention. Many studies (66.2%) collected data using questionnaire. However, only two articles reported sample size calculation and 15.8% were performed after receiving written consent from the study participants. About 7% were studies were conducted with acquired research funds. Conclusions: Journal of East-West Nursing Research has appropriately published the studies about both oriental and Western nursing. However, application of scientific and rigorous research methodologies needs to be emphasized.

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다수당사자중재의 문제점에 관한 고찰 (A Study on Some Problems in Multiparty Arbitration)

  • 김명엽
    • 한국중재학회지:중재연구
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    • 제13권1호
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    • pp.207-244
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    • 2003
  • There are many parties who connected with contracts like a contract for construction. Dispute arising from the two parties can be souled by themselves. but it grows the necessity of settlement at one effort. The meaning of multiparty arbitration is solution of mixed disputes without inconsistency through multiparty concerned. H the parses wish to settle the disputes by arbitration, they must come to an arbitration agreement. The arbitration agreement is necessary to resolve disputes autonomously, that may be in the form of a separate agreement or in the form of a clause in a contract. More ever it is resonable to view the arbitration agreement as a substantive contract in its legal nature enabling the authority for dispute resolution by the arbitrator. I had argument about who should appoint the arbitrator. That is to say, each party can appoint the arbitrator, otherwise the courts can appoint one. The basis of multiparty arbitration is focused on the factor that the courts may have the right to order the consolidation of arbitration proceedings without consent of the parties. The dispute can be settled by the arbitrators who are appointed. Appointing arbitrator is very important because it affects the party's equality. The right to appoint arbitrator shall be entitled each party in multiparty arbitration. Therefore they can appoint plural arbitrators by mutual agreement. for .reference to Rules of Arbitration of The International Chamber of Commerce, the Court shall appoint a sole arbitrator or three arbitrators in condition. The Arbitration Act of Korea dose not have the clause on multiparty arbitration including the arbitration rules. But if we have the clause enacted, it brings a situation in which both parties gain a benefit.

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인체 유래 물질의 재산권성에 대한 의료법학적 고찰 (Medicolegal Study on Human Biological Material as Property)

  • 이웅희
    • 의료법학
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    • 제10권2호
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    • pp.455-492
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    • 2009
  • (Background) Recent biotechnological breakthroughs are shedding new lights on various ethical and legal issues about human biological material. Since Rudolph Virchow, a German pathologist, had founded the medical discipline of cellular pathology, issues centering around human biological materials began to draw attention. The issues involving human biological materials were revisited with more attention along with series concerns when the human genome map was finally completed. Recently, with researches on human genes and bioengineering reaping enormous commercial values in the form of material patent, such changes require a society to reassess the present and future status of human tissue within the legal system. This in turn gave rise to a heated debate over how to protect the rights of material donors: property rule vs. no property rule. (Debate and Cases) Property rule recognizes the donors' property rights on human biological materials. Thus, donors can claim real action if there were any bleach of informed consent or a donation contract. Donors can also claim damages to the responsible party when there is an infringement of property rights. Some even uphold the concept of material patents overtaking. From the viewpoint of no property rule, human biological materials are objects separated from donors. Thus, a recipient or a third party will be held liable if there were any infringement of donor's human rights. Human biological materials should not be commercially traded and a patent based on a human biological materials research does not belong to the donor of the tissues used during the course of research. In the US, two courts, Moore v. Regents of the University of California, and Greenberg v. Miami Children's Hospital Research Institute, Inc., have already decided that research participants retain no ownership of the biological specimens they contribute to medical research. Significantly, both Moore and Greenberg cases found that the researcher had parted with all ownership rights in the tissue samples when they donated them to the institutions, even though there was no provision in the informed consent forms stating either that the participants donated their tissue or waived their rights to ownership of the tissue. These rulings were led to huge controversy over property rights on human tissues. This research supports no property rule on the ground that it can protect the human dignity and prevent humans from objectification and commercialization. Human biological materials are already parted from human bodies and should be treated differently from the engineering and researches of those materials. Donors do not retain any ownership. (Suggestions) No property rule requires a legal breakthrough in the US in terms of donors' rights protection due to the absence of punitive damages provisions. The Donor rights issue on human biological material can be addressed through prospective legislation or tax policies, price control over patent products, and wider coverage of medical insurance. (Conclusions) Amid growing awareness over commercial values of human biological materials, no property rule should be adopted in order to protect human dignity but not without revamping legal provisions. The donors' rights issue in material patents requires prospective legislation based on current uncertainties. Also should be sought are solutions in the social context and all these discussions should be based on sound medical ethics of both medical staffs and researchers.

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보험업계(保險業界)의 과제(課題) (Future Medical Screening: A Challenge to the Insurance Industry)

  • 윤병학
    • 보험의학회지
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    • 제12권
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    • pp.50-55
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    • 1993
  • 1) 생명보험(生命保險)에서의 Screening은 사정조건(査定條件)이며 충분(充分)한 기능(機能)을 갖인 기구(器具)이다. 2) Screening 기술(技術)은 의학적(醫學的)으로 충분(充分)히 명시(明示)되여 있으며 장래(將來)에도 일반적(一般的)인 임상적(臨床的)인 Rule에 따라야 한다. 3) Screening Parameter는 연령(年齡)이나 Risk-Group에 의(依)한 질병(疾病)의 Pattern에 따라야 한다. 4) Screening Parameter에서의 예후(豫後)의 추론(推論)은 임상의학적관찰(臨床醫學的觀察)과 Rule를 모두 고처(考處)하는 한(限)에서는 합법적(合法的)이다. 5) 민감(敏感)한 성격(性格)의 Screening 기술(技術)은 일관성(一貫性)있게 취급(取扱)하기 의(依)해서는 대단(大端)히 특별(特別)한 Rule를 필요(必要)로 한다. 6) HIV-항체시험(抗體試驗)과 같은 Screening-Parameter는 그들의 새로운 시험범위내(試驗範圍內)에서는 계속적(繼續的)인 과학적(科學的) Feedback를 필요(必要)로 한다. 7) 유전의학적시험(遺傳醫學的試驗은 생명보험(生命保險) Screening에서는 아직 사용(使用)하고 있지 않지만 생명보험의학(生命保險醫學)에서는 장래(將來)의 역할(役割)과 가능성(可能性)에 대(對)해서 검토(檢討)해야 될 것이다. 8) 보험업계(保險業界)의 Screening은 가능한(可能限) 역선택(逆選擇)을 배제(排除)하고 보험청약자(保險請約者)나 보험자(保險者)의 쌍방(雙方)에서 평균여명(平均餘命)을 짧게하는 어떠한 결함(缺陷)에도 같은 지식(知識)으로 대비(對備)해야 한다. 9) Screening에서의 Informed Consent, Counselling과 Confidentiality는 현재나 더욱 발전된 장래에서도 알맞게 취급하지 않으면 않된다.

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EMR 인증제 교육을 위한 보건의료정보관리 실습 프로그램 모델 연구 -환자정보관리 중심- (A Study on the Health Information Management Practice Program Model for EMR Certification System Education -Focus on Patient Information Management-)

  • 최준영
    • 보건의료생명과학 논문지
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    • 제9권1호
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    • pp.1-9
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    • 2021
  • 본 연구에서는 한국보건의료정보원에서 실시하는 EMR 인증기준울 이해할 수 있도록 보건의료정보관리 실습 프로그램에 인증기준을 추가한 모델을 연구하여 제시하였다. 실습 프로그램은 EMR 인증제의 기능성 기준에 해당하는 환자정보관리를 실습하고 이해할 수 있도록 보건의료정보관리 교육시스템에 환자정보관리에 대한 인증기준 기능을 추가하였다. 환자정보관리를 위한 EMR 인증기준 실습프로그램은 다음과 같은 인증기준으로 구성되었다. 등록번호 및 인적사항 관리, 진료예약 일정관리, 인적사항 수정이력관리, 동명이인 구분자 표시, 다중 등록번호 통합관리, 식별정보를 이용한 환자 검색, 진료형태에 따른 환자 검색, 수술시술 동의서 기록·조회, 개인정보활용동의서 기록·조회, 연명의료결정정보 표시, 외부 의료기관문서 등록·조회, 외부 검사결과 등록·조회. 이와 같이 인증기준에 의한 보건의료정보시스템의 기능을 운영하여 실습해봄으로써 인증기준의 기능성 영역에서 환자정보관리의 인증기준과 내역을 이해하고 실습할 수 있다. EMR 인증 기준에 맞춰 환자정보관리 실습을 수행해봄으로써 전자의무기록시스템에서의 표준화된 환자정보관리를 이해할 수 있다. 또한 EMR 인증기준의 기능을 확인할 수 있기 때문에 의료기관에서 보건의료정보관리사의 전자의무기록시스템의 관리 능력을 향상시킬 수 있을 것이다.