• 제목/요약/키워드: Consultation opinion

검색결과 20건 처리시간 0.019초

세포 병리 자문 재판독의 진단 불일치에 관한 연구: 서울아산병원의 경험 (Second Opinion Diagnoses of Cytologic Specimens on Consultation : Asan Medical Center Experience)

  • 박소형;노재윤;조경자;공경엽;조영미;강신광
    • 대한세포병리학회지
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    • 제19권2호
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    • pp.99-106
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    • 2008
  • Background : Second opinion diagnosis of outside pathology slides is a common practice for efficient and proper patient management. We analyzed cytology slides from outside hospitals submitted for a second opinion diagnosis to determine whether the second opinion diagnosis had any influence on patient care. Methods : We reviewed 1,153 outside cytology slides referred to Asan Medical Center for second opinions from January, 2007, to December, 2007. All cases were categorized into three groups; no diagnostic discrepancy, minor diagnostic discrepancies (no impact on the management), and major diagnostic discrepancies (significant impact on the management and subsequent follow-up). Results : The thyroid was the most common organ system (933 cases, 80.9%), Forty cases (3.6%) belonged to the major diagnostic discrepancy group and 149 cases (12.8%) to the minor discrepancy group. For validation of second opinion diagnoses in major discrepancy cases, subsequent biopsy or surgical resection specimens and clinical information were reviewed, which were available in 29 cases. The second opinion diagnoses resulted in alteration of clinical management in 21 of 29 cases. Conclusion : For all referred patients, second opinion diagnosis is important and mandatory for appropriate patient care.

한방 소아과 외래환자의 휴일 및 평일 진료시간 연장의 필요성 및 선호시간대 조사 (The Research on Necessity of Overtime Hospital Business Hours and Patient's Visiting Time Preferences)

  • 김초영;장규태;한윤정
    • 대한한방소아과학회지
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    • 제22권2호
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    • pp.171-186
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    • 2008
  • Objectives : The purpose of this study is to investigate necessity of overtime hospital business hours and patient's visiting time preferences. Methods : The study was composed of 117 children's protectors who visited the pediatrics department in Kyunghee university oriental medicine hospital between on April 14th and on July 4th in 2008. Results and Conclusions : 1. Question for asking the preference of weekdays regular consultation hours 27% of preschool children preferred time around 11 am to 12 pm, each 32% of school aged children preferred time around 3:30 to 4:30 pm, 4:30 to 5:30 pm. 2. Question for 'Have you ever experienced inconvenience for regular consultation hours' 41% of them said 'Yes', and 59% said 'No'. 3. School aged children more experienced inconvenience for regular consultation hours than preschool children, and more likely to come at overtime hospital business hours. 4. Question for 'If the hospital extends the business hours for holidays and weekdays and Saturdays, would you prefer to come at that time?' 88% of them answered 'Yes'. 5. Question for asking the preference time on weekdays, 35% of them preferred 6:30 to 7:00 p.m. 6. Question for asking the preference time on Saturdays, 44% of them preferred 1:30 to 2:30 p.m. 7. Question for 'Do you willing to pay extra charges if you visit in non office hours?' 66% were willing to pay, 24% of them said "no", 'the other opinion' is 10%.

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군용 항공기지법상의 협의제도에 대한 법적고찰 (Review of Consultation Requirements Under Military Air Base Law)

  • 이관형
    • 항공우주정책ㆍ법학회지
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    • 제18권
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    • pp.385-444
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    • 2003
  • 현행 군용항공기지법은 군용항공기의 비행안전과 군용항공기지를 보호하기 위하여 사인의 일정한 행위에 대한 관계행정청의 기타 처분시 사전에 국방부장관 또는 관할부대장과 협의를 거치도록 규정하고 있다. 이러한 협의 절차는 행정절차를 간소화하고, 행정업무처리에 있어서 행정기관사이의 의사통일을 도모한다는 점에서 그 제도적 의의가 있으나, 민 관 군의 이해관계가 대립되는 경우 많은 법적 문제점이 발생된다. 그러나, 이러한 군사협의에 대하여서는 물론이고 행정처분 과정에서 이루어지는 협의에 관해서 학계의 연구가 충분치 못한 상황이다. 본 논문은 이러한 관점에서 협의의견 제출시 관할부대장등에게 재량이 인정되는 지 여부, 협의의견 자체가 위법한 경우 민원인이 이에 대하여 행정쟁송으로 다툴 수 있는 여부, 군용항공기지법상의 협의대상에 관한 몇 가지 문제점, 행정청은 행정처분시 관할부대장등과 협의절차를 거치지 않거나 관할부대장등의 협의의견과 다른 행정처분을 한 경우 그 처분의 효력여하, 이러한 협의의무등을 위반한 행정처분을 시정하는 방법으로서 제거명령 항고소송 권한쟁의심판등에 관한 법적 문제점등을 해결해 보고자 노력하였다.

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A Study on Character analysis and make up design in TV action drama 'ya-cha(夜叉)'

  • Kim, Yuk-Young;Shin, Sae-Young
    • 패션비즈니스
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    • 제16권3호
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    • pp.63-77
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    • 2012
  • This study action drama TV drama 'Ya-ha'(夜叉) the actual work practices of the pre-consultation stage through the Writers, Producer, Art directors and in consultation with the opinion of the character set the record of the contents and character changes over time in accordance with characters makeup the design elements were analyzed. The methods of study was used local and abroad related books, studies, publications and cases and the subjects were limited to be four male make up characters in drama 'Ya-cha'. As a result, TV action drama 'Ya-cha' make up design elements and representation techniques were classified as description of skin tone, wound, the shape of eyebrows, hair type, shape of beard and materials and carried out an important role in the character representation. First, presentation techniques changed skin tones depending on character and position and described wound shape as expression technique and materials were analyzed. Second, the shape of eyebrows was based on the physiognomy of the form. And hair type changed volume, thickness, length and texture depending on character. Third, shape of beard is expressed different kinds of volume, thickness, length and texture depending on character. There fore, that systematization of the make-up design elements is useful to express stable characters and make drama for make up in various image genres.

신.재생에너지 활성화를 위한 제도의 설계와 남북한 신.재생에너지 협력 추진방안 - 전문가 설문에 나타난 신.재생에너지 현황 - (System Design for Activation of Renewable Energy and Cooperative Renewable Energy Plan Between South and North Korea -Based on the Survey of Renewable Energy Experts-)

  • 임소영;허은녕
    • 신재생에너지
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    • 제1권3호
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    • pp.24-34
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    • 2005
  • Ministry of Commerce, Industry [MOCIE] has taken it into consideration to introduce a Renewable Portfolio Standard (RPS) that is a purchase obligation program as an alternative plan to the FIT. We conducted a survey of renewable energy companies and experts to ask their opinions about renewable energy policy, the introduction of the RPS, and the scheme for aid of North Korea with renewable energy. Korean renewable energy companies show an impartial opinion about a FIT and a RPS system overall, although they tend to have distinctive opinions by technology each other. With respect to eligible resources for a RPS, the industries want to extend the scope of it as broad as possible. In addition, experts prefer the multi-tiered and energy production based RPS to the sing1e-tiered and installed capacity based RPS. We also conducted a surrey to find the best renewable energy sources. Wind, Geothermal, Solar-thermal, and Photovoltaic were selected to have the best potential capacities to support North Korea by renewable energy experts. However, these energy resources also have several problems to overcome in the aid of North Korea, and thus, the plans for solving them and for giving efficient support to North Korea in the area of Renewable Energy are discussed.

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Incidental occurrence of an unusually large mastoid foramen on cone-beam computed tomography and review of the literature

  • Syed, Ali Z.;Sin, Cleo;Rios, Raquel;Mupparapu, Mel
    • Imaging Science in Dentistry
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    • 제46권1호
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    • pp.39-45
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    • 2016
  • The incidental finding of an enlarged mastoid foramen on the right posterior mastoid region of temporal bone is reported, together with a discussion of its clinical significance. A 67-year-old female underwent the pre-implant assessment of a maxillary left edentulous region. A cone-beam computed tomographic (CBCT) image was acquired and referred for consultation. Axial CBCT slices revealed a unilateral, well-defined, noncorticated, low-attenuation, transosseous defect posterior to the mastoid air cells in the right temporal bone. The borders of the osseous defect were smooth and continuous. No other radiographic signs suggestive of erosion or sclerosis were noted in the vicinity. The density within the defect was homogenous and consistent with a foramen and/or soft tissue. The patient's history and physical examination revealed no significant medical issues, and she was referred to a neuroradiologist for a second opinion. The diagnosis of an enlarged mastoid foramen was made and the patient was reassured.

환경영향평가서 내 건강영향 항목 추가·평가의 방법론적 현황과 개선 (Methodological Status and Improvement of Additional Evaluation of Health Impact Items in Environmental Impact Assessment)

  • 하종식
    • 환경영향평가
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    • 제29권6호
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    • pp.453-466
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    • 2020
  • 환경영향평가서 내 건강영향 항목 추가·평가는 특정 개발사업에 한하여 위생·공중보건 항목에 작성되어 검토되고 있다. 하지만 2011년 건강영향 항목 추가·평가 관련한 평가 매뉴얼이 발간된 이후에 부분적인 개선에도 불구하고 지속적인 방법론의 구체화 및 개선방안 마련을 요구하는 실정이다. 이에 본 기술논문은 평가 매뉴얼의 방법론적 개선방안을 제안하고자 위생·공중보건 항목의 협의의견을 바탕으로 세부적인 개선요구 사항을 파악하고 그간 연구내용을 고찰하여 이를 해결하기 위한 방안을 조사·제시하였다. 개선요구 사항으로는 저감방안, 사후관리, 영향예측, 평가, 현황조사 순서로 관련한 내용들이 전체 개발사업의 평가서에서 각각 93%, 85%, 80%, 74%, 67% 빈도로 제시되었다. 특히 저감방안 관련한 세부적인 개선요구 사항은 저감방안의 수립방향 설정과 금회 개발사업의 관리방안에 대한 내용이 대부분이었다. 현행 평가 매뉴얼 및 개선 요구사항의 빈도를 고려하여 위생·공중보건 항목의 구분별 주요 방법론에 대한 구체화 또는 개선방안을 제안하였다. 나아가 현행 평가 매뉴얼에는 제시되어 있지 않은 사업시행여부 관련한 종합적인 평가 방법론도 제안하였다.

간접수용의 보상에 관한 ICSID 중재사례 연구 (A Study on the ICSID Arbitration Cases for Compensation of Indirect Expropriation)

  • 오원석;황지현
    • 무역상무연구
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    • 제66권
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    • pp.149-170
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    • 2015
  • State's compensation obligation accompanied in case of indirect expropriation of foreign investor's investment asset has been established definite principle under international investment law. But the concrete and unified application criterion regarding valuation methods for measuring compensation have not been established yet. The World Bank investment guideline is adopting the Hull's Formula, which is understood as the full compensation standard with prompt adequate effective compensation and Fair Market Value method. It is a general principle that compensation should be equal to the fair market value of investment asset just before indirect expropriation date. However, there is a problem of the valuation method of fair market value of investment asset. In general, discounted cash flow, liquidation value, replacement value, book value, etc. can be the applicable standards. Arbitral tribunals determine compensation by adopting proper valuation method on a case-by-case basis according to the discretion based on the arbitration parties' experts' review on the presented opinion and by considering fact relevance of the issued dispute. This compensation includes also interest, recently it tends to award according to compound interest rather than simple interest. Beginning of the period to generate interest is the next day of the indirect expropriation occurrence date. And it should be considered that interest until the payment of compensation is also included. In addition, it should be considered that mental damages is available only when there's a basis to prove this or special case. Therefore, this study suggests to review of precedents related to indirect expropriation and concretely specify compensation valuation standard and method of indirect expropriation on investment agreements through enough consultation beforehand.

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IPA를 활용한 농촌중심지 활성화 사업에 대한 거주민 인식 - 장수군 장계면을 중심으로 - (The Residents' Perceptions on the Revitalization Project of Rural Centers Utilizing IPA - The Case of Janggye-myeon of Jangsu-gun -)

  • 김용진;손용훈
    • 농촌계획
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    • 제23권3호
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    • pp.133-145
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    • 2017
  • The purpose of this study is to assess residents' perception of the revitalization projects of the rural center and to evaluate their views of the projects' importance and their levels of satisfaction with how they have been carried out. In this study, we measured the residents' perceptions and preferences regarding these projects by using Importance-Performance Analysis (IPA). Results showed that residents' perceptions and satisfaction were the highest for the projects providing welfare facilities, even though this project has little relevance to the overall project goal. Residents were dissatisfied with construction projects such as the building of cultural facilities and urban parks, even while recognizing their importance. It is necessary to establish what problem the people perceive and to manage them appropriately. Next, the residents did not appreciate the community empowerment projects, nor did they evaluate the contents of the program positively. It can therefore be seen that the community empowerment projects have not been carried out well. Finally, the street landscape improvement project was not successfully implemented compared to other projects. The residents have negatively perceived the installation of facilities that they do not want, rarely use, or are poorly operated. this shows that the evaluation of residents is significant. They become the users of the revitalization project for the rural center. It is necessary to overcome problems such as project items chosen by professionals without local consultation and obvious design in the revitalization project of the local center. There is a need to ascertain the residents' opinion of each project and to encourage them to participate directly in the management operation.

어머니 역할의 개념 분석 (Concept analysis of the maternal role)

  • 고효정
    • 모자간호학회지
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    • 제4권1호
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    • pp.80-90
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    • 1994
  • Concept analysis is a strategy that examines the attributes or characteristics of a concept. It is a formal linguistic exercise to determine those defining attributes. The basic purpose of concept analysis is to clarify ambiguous concepts in theory, and to propose a precise operational definition which reflects the theoretical base of the concept. The concept of maternal role is too broad and variable in expression, therefore there has been no authentic definition nor standard opinion for this concept. The purpose of this study is to clarify the concept of maternal role which in turn will help in the development of a theory of maternal role attainment. In order to analyze the concept of maternal role, much effort was extended to look up "maternal role" in various dictionaries and literature, but only a few cases were found which listed this terminology. Consultation on the meaning of "mother" and "role" separately was then done and consequently a definition of "maternal role" was obtained through concept analysis of these two words independently, finding their attributes and unifying them. The attributes of the concept of maternal role which was analyzed based on the steps of concept analysis by Walker & Avant (1988) are : 1) Women who have pregnancies 2) Women who have a child 3) Women who rear a child 4) Expected behavior according to social status 5) Learning through social cultures 6) Social interrelationships. The antecedents of the maternal role are : 1) women who are pregnant and deliver a baby, must keep in contact with their child. 2) Circumstances for childrearing must be provided. 3) Formation of self-concept as mother should be developed, cognitive activity, which is necessary for the nurturing activity, financial support and preparation of childrearing should be provided. And the consequences of the maternal role are : 1) Improvement 2) Changeability 3) Ambiguity 4) Stability Through this concept analysis, the concept of the maternal role is defined as "expected behavior by social interrelationships and learned nurturing behavior through social cultures."

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