• The Korean Society of Law and Medicine
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• v.9 no.1
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• pp.319-382
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• 2008

As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

• Journal of Trauma and Injury
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• v.33 no.1
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• pp.1-12
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• 2020

Purpose: Despite recent developments in the management of trauma patients in South Korea, a standardized system and guideline for trauma treatment are absent. Methods: Five guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation II instrument. Results: Restrictive volume replacement must be used for patients experiencing shock from trauma until hemostasis is achieved (1B). The target systolic pressure for fluid resuscitation should be 80-90 mmHg in hypovolemic shock patients (1C). For patients with head trauma, the target pressure for fluid resuscitation should be 100-110 mmHg (2C). Isotonic crystalloid fluid is recommended for initially treating traumatic hypovolemic shock patients (1A). Hypothermia should be prevented in patients with severe trauma, and if hypothermia occurs, the body temperature should be increased without delay (1B). Acidemia must be corrected with an appropriate means of treatment for hypovolemic trauma patients (1B). When a large amount of transfusion is required for trauma patients in hypovolemic shock, a massive transfusion protocol (MTP) should be used (1B). The decision to implement MTP should be made based on hemodynamic status and initial responses to fluid resuscitation, not only the patient's initial condition (1B). The ratio of plasma to red blood cell concentration should be at least 1:2 for trauma patients requiring massive transfusion (1B). When a trauma patient is in life-threatening hypovolemic shock, vasopressors can be administered in addition to fluids and blood products (1B). Early administration of tranexamic acid is recommended in trauma patients who are actively bleeding or at high risk of hemorrhage (1B). For hypovolemic patients with coagulopathy non-responsive to primary therapy, the use of fibrinogen concentrate, cryoprecipitate, or recombinant factor VIIa can be considered (2C). Conclusions: This research presents Korea's first clinical practice guideline for patients with traumatic shock. This guideline will be revised with updated research every 5 years.

• 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.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.10 no.5
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• pp.124-134
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• 2011

To make popular the NEV(Neighborhood Electric Vehicles) uses, it must be considered the supply of infrastructure and the political decision for NEV. However, the guidelines of infrastructure for NEV are not prepared. The guidelines of infrastructure for NEV should be performed in many research and case. The purpose of this study is to reveal the influence of NEV on the two-lane highway traffic flows by TWOPAS simulation model. The main items to check the influence are Average Travel speed, Percent Time Spent Following and Total Delay. The scenario were setup by traffic volume. And the NEV percentages are changed from 1% ~ 30%. The scenario 1 which traffic volume are 650veh/h and the scenario 4 which traffic volume are 2,600veh/h are less influenced by NEV, compare to scenario 2, scenario 3. Because the scenario 1 is more free to make passing other cars and Scenario 4 is fully saturated with existing traffic volumes. The urban two-lane highway which has much traffic volume and the rural two-lane highway which has little traffic volume has affinity for NEV than the other two-lane highway.

• Korean Journal of Cognitive Science
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• v.26 no.3
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• pp.357-375
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• 2015

In our daily life, the probability of target prevalence in visual search varies from very low to high. However, most laboratory studies of visual search used a fixed probability of target prevalence at 50%. The present study examined the properties of information processing during visual search where the probability of target prevalence was manipulated to vary from low (20%), medium (50%), to high (80%). The search items were made of simple shape stimuli, and search accuracy, signal detection measures, and reaction times (RTs) were analyzed for characterizing the effect of target prevalence on the information processing strategies for visual search. The analyses showed that the rates of misses increased whereas those of false alarms decreased in the search condition of low target prevalence, whereas the pattern was reversed in the high prevalence condition. Signal detection measures revealed that the target prevalence shifted response criterion (c) without affecting sensitivity (d'). In addition, RTs for correct rejection responses in the target-absent trials became delayed as the prevalence increased, whereas those for hits in the target-present trials were relatively constant regardless of the prevalence. The RT delay in the target-absent trials indicates that increased target prevalence made the 'quitting threshold' for search termination more conservative. These results support an account that the target prevalence effect in visual search arises from a shift of decision criteria and the subsequent changes in search information processing, while rejecting the account of a speed-accuracy tradeoff.

• Journal of Korea Spatial Information System Society
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• v.7 no.3 s.15
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• pp.107-118
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• 2005

Various spatial data are utilized, through geographic information system, for the process to make a decision related to space. Generally, spatial data is large in quantity and it costs high and takes quite a long time for producing and maintaining it. An existing spatial data management system, tile-based one, for digital map manages spatial data being separated by a uniform data unit called tile. These systems can be implemented easily but have many problems such as they can directly store and manage feature included in tile. Therefore, in this paper, we suggest a feature-based spatial data management system for digital map. The proposed system is able to store and manage spatial data in the unit of feature directly. Hence this system is able to immediately update any change in the data and to supply users with the updated data without any delay. The proposed system can not only support a function of data input, management, supplying and update but also support unity origin coordinate conversion, UFID creation, feature unifying, feature dividing and metadata input which is not supported by the existing tile-based system. The proposed system can easily manage spatial data and can increase efficiency in processing and application.

• KIPS Transactions on Computer and Communication Systems
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• v.4 no.11
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• pp.369-382
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• 2015

Energy aware server clusters aim to reduce power consumption at maximum while keeping QoS(quality of service) compared to energy non-aware server clusters. They adjust the power mode of each server in a fixed or variable time interval to activate only the minimum number of servers needed to handle current user requests. Previous studies on energy aware server cluster put efforts to reduce power consumption or heat dissipation, but they do not consider energy efficiency well. In this paper, we propose an energy efficient cluster management method to improve not only performance per watt but also QoS of the existing server power mode control method based on autonomous learning. Our proposed method is to adjust server power mode based on a hybrid approach of autonomous learning method with multi level thresholds and power consumption prediction method. Autonomous learning method with multi level thresholds is applied under normal load situation whereas power consumption prediction method is applied under abnormal load situation. The decision on whether current load is normal or abnormal depends on the ratio of the number of current user requests over the average number of user requests during recent past few minutes. Also, a dynamic shutdown method is additionally applied to shorten the time delay to make servers off. We performed experiments with a cluster of 16 servers using three different kinds of load patterns. The multi-threshold based learning method with prediction and dynamic shutdown shows the best result in terms of normalized QoS and performance per watt (valid responses). For banking load pattern, real load pattern, and virtual load pattern, the numbers of good response per watt in the proposed method increase by 1.66%, 2.9% and 3.84%, respectively, whereas QoS in the proposed method increase by 0.45%, 1.33% and 8.82%, respectively, compared to those in the existing autonomous learning method with single level threshold.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.25 no.9A
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• pp.1290-1298
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• 2000

Turbo Code decoder is an iterate decoding technology, which extracts extrinsic information from the bit to be decoded by calculating both forward and backward metrics, and uses the information to the next decoding step Turbo Code shows excellent performance, approaching Shannon Limit at the view of BER, when the size of Interleaver is big and iterate decoding is run enough. But it has the problems which are increased complexity and delay and difficulty of real-time processing due to Interleaver and iterate decoding. In this paper, it is analyzed that MAP(maximum a posteriori) algorithm which is used as one of Turbo Code decoding, and the factor which determines its performance. MAP algorithm proceeds iterate decoding by determining soft decision value through the environment and transition probability between all adjacent bits and received symbols. Therefore, to improve the performance of MAP algorithm, the trust between adjacent received symbols must be ensured. However, MAP algorithm itself, can not do any action for ensuring so the conclusion is that it is needed more algorithm, so to decrease iterate decoding. Consequently, MAP algorithm and Turbo Code performance are analyzed in the nongaussian channel applying Robust equalization technique in order to input more trusted information into MAP algorithm for the received symbols.

• Journal of Environmental Impact Assessment
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• v.30 no.5
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• pp.328-338
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• 2021

EIA consultation is a final decision-making process that enables a variety of stakeholders to participate in and to share important information about the expected environmental impacts caused by development projects. However, this process is often undermined through re-consultation processes by significant changes in the proposed plans. EIA re-consultation is a necessary process when an approved plan needs to be changed for a variety of importantreasons including the changes of land use, delay of construction, and surrounding environments. EIA re-consultation is also important to resolve conflicts among stakeholders and to respond flexibly to unexpected changes in surrounding environment. This study aims to analyze the operation status and the problems of current institutional systems of EIA re-consultation, and to draw implications by reviewing institutional systems of other countries such as U.S. EU, Scotland, and Japan. On the basis of the previous analysis, we propose recommendations to improve the existing EIA re-consultation process. We expect this study helps understand operation status and problems of EIA re-consultation, and provides meaningful implications to improve the existing institutional systems and practice of re-consultation.

• Journal of radiological science and technology
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• v.28 no.4
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• pp.317-325
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• 2005

The recent medical treatment guidelines and the development of information technology make hospitals reduce the expense in surrounding environment and it requires improving the quality of medical treatment of the hospital. That is, with the new guidelines and technology, hospital business escapes simple fee calculation and insurance claim center. Moreover, MIS(Medical Information System), PACS(Picture Archiving and Communications System), OCS(Order Communicating System), EMR(Electronic Medical Record), DSS(Decision Support System) are also developing. Medical Information System is evolved toward integration of medical IT and situation si changing with increasing high speed in the ICT convergence. These changes and development of ubiquitous environment require fundamental change of medical information system. Mobile medical information system refers to construct wireless system of hospital which has constructed in existing environment. Through RFID development in existing system, anyone can log on easily to Internet whenever and wherever. RFID is one of the technologies for Automatic Identification and Data Capture(AIDC). It is the core technology to implement Automatic processing system. This paper provides a comprehensive basic review of RFID model in Korea and suggests the evolution direction for further advanced RFID application services. In addition, designed and implemented DB server's agent program and Client program of Mobile application that recognized RFID tag and patient data in the ubiquitous environments. This system implemented medical information system that performed patient data based EMR, HIS, PACS DB environments, and so reduced delay time of requisition, medical treatment, lab.