• 의료법학
• /
• 제11권2호
• /
• pp.11-74
• /
• 2010

This article analyzes legal meaning and definition of medical practice examining Korean Supreme Court cases. Until now, there is no right answer about the meaning of medical practice and it is also hard to define of it. Moreover, not only Acts and regulations containing medical practice but also many cases ruling a person who practice medicine, the concept of medical practice involves various meanings. So, it has caused confusion. In order to solve this problem, this article divides the medical practice's meaning into range and nature within prohibition article of the Medical Act about unlicensed personnel who practice medicine. After providing a explanation of the meaning of medical practice according to amendment of the Act, this article disputes the meanings of the several cases following the amendment. And then analyzing non-medical person's unlicensed medical practice and medical person's unlicensed medical practice. In order to provide more accurate legal concept of medical practice when Korean government amends the Medical Act or making policies in this field, this classifying analysis approach should be needed. Looking at the result, in general, Korean Supreme Court has interpreted unlicensed prohibition clause of the Medical Act widely; not only non-medical person's unlicensed medical practice but also medical person's unlicensed medical practice. Therefore, this article suggests that the prohibition clause needs to be careful applying to non-medical practice. Because, in fact, even though there are some necessity of non-medical practice, there are no qualificatory or license system of non-medical practitioner in the Medical Acts or regulations forbidding whole non-medical practices. Furthermore, the Supreme Court has decided medical person's unlicensed medical practice too narrowly, thus it does not keep up with rapid change of medical development and people's demands these days. Regarding this subject, in order to take advantage of medical practitioners effectively and cope with increasing people's medical demands, this article proposes that medical person's unlicensed medical practice only to be prohibited in case of endangering our public health.

• 한국응급구조학회지
• /
• 제10권1호
• /
• pp.13-21
• /
• 2006

Purpose: This study aims to examine characteristics and actual conditions of patients using emergency room at farming and fishing villages, solve overcrowding of emergency room at the tertiary hospital and activate local emergency clinics. Methods: It examines department of diagnosis and treatment, vehicles used, sex, age, residential area, visit hour, length of stay, presence or absence of trauma, measures after first aid and degree of severity based on medical records of 6,740 patients using emergency room at farming and fishing villages from Jan. 1 to Dec. 31, 2005. Conclusion : 1. Sex distribution of patients of emergency room was male 54.9% and female 45.1% and age distribution between over 40 and below 50 was most as 15.9%. 2. Transport means to emergency room were 91.4 of private car and others (public transport and going on foot), 7.5 of 119, 129 and police car and 1.0% of ambulance. 3. According to distribution of residential areas of emergency patients, 38.9% were Eup area, 42.1% Myeon area, 11.4% distant area and 7.5% adjacent area. 4. According to distribution of emergency patients by department of diagnosis and treatment, internal medicine was most as 35.8% and 55% of patients visited emergency room from 3:31 p.m. to 11:30 p.m.. 5. According to total hours of diagnosis and treatment of subjects, 51.2% were within 30min. and cases of non-trauma disease were 68.2%. 6. According to degree of emergency of emergency patients, non-emergency cases were 65.3%, urgent cases 27.7% and emergency cases 7.0% and 74.2% of patients returned home after first aid and 20.6% of them hospitalized. In conclusion, characteristics and diversification of patients should be examined and efforts by government and local medical institutions which must organize emergency system and facility and personnel levels suitable to regional conditions are needed in order to prevent overcrowding of emergency center of the tertiary hospital and activate local emergency center.

• 대한한의학회지
• /
• 제18권2호
• /
• pp.187-198
• /
• 1997

The degree of KAP study on Chinease traditional medicine and doctor was examined with some chinease living yenbian district(延邊) from July 1st to August 30th in 1996. The result of the study for predicting health and ill patterns runs as fellows. 1. It is understand to strength and variety about role of chinease traditional medicine doctors and the curable disease. 2. Although most patients go to chinease traditional medicine clinic for the purpose of medicine herbs in package, acupuncture and industry-made pharm, they think the medical fee a little high(70.6%). 3. The 66.7% of respondents recognize chinease traditional medicine doctors as a profession and others think them only abundant works ; therefore it is rather low to ink chinease traditional doctors a profession. 4. Most respondents think that chinease traditional medicine should improved in the inside ; such as scientific reinforcement of theory, lack of univerality, improvment and enlargement of insurance, unkindness, shortage of publicity, dropped equipment, system of medical specialist, lack of integration with westem medicine, exact diagnosis and confidence of remedy, and low efficacy, etc. 5. Chinease likes more experienced-traditional doctor than beginner(78.3%) 6. The policy of korean government against 100 herbal prescription right by western pharmacy has taken the negative recognition(74.6%), 7. The degree that acknowleges of chinease traditional medicine through thease basic contents is average 47.3 mark. To be brief, although the step of the recognition and attitude of oriental medicine is less or very affirmative aspect, actully considerable positive factors is in the last chosen step. In conclusion KAP study connected chinease traditional medicine and doctor has very much postive factors.

• 한국항만경제학회지
• /
• 제32권4호
• /
• pp.15-28
• /
• 2016

대한민국 제2의 도시인 부산에 위치한 부산항은 연간 18,000천 TEU 이상의 물동량을 처리하는 초대형 글로벌 컨테이너 항만이다. 이러한 부산항의 급격한 성장으로 인한 선박 물동량의 증가는 동시에 대기오염문제를 야기시켰고, 특히 항구는 인구가 밀집되어 있는 도심과 인접해있기 때문에 시민들은 대기오염으로 인한 건강상의 문제에 쉽게 노출되어 있는 것이다. 본 연구에서는 2011년부터 2년간 부산항의 선박 활동 자료를 통해 정박하는 대형 선박으로부터 발생되는 배기가스 배출량 및 연간 환경비용을 추정하였다. 그 결과 2011년도와 2012년도에 부산항에 입항한 50,686척과 48,842척의 선박으로부터 각각 2,343,037톤과 2,297,118톤의 배기가스가 배출되었고, 선종별로는 유조선이, 오염원 중에는 CO2가 가장 많은 부분을 차지하였다. 또한 이러한 배출량을 비용으로 환산한 결과, 연간 약 1조 2천억 원의 환경비용이 추정됨을 알 수 있었다. 본 연구는 이러한 분석을 통해 선박 대기오염 배출에 대한 엄격한 조치와 규제의 필요성을 제시하고, 부산항의 체계적인 선박 배출물 관리 체계를 구축하는데 적절하게 활용이 가능할 것으로 기대해본다.

• 한국입자에어로졸학회지
• /
• 제17권1호
• /
• pp.9-20
• /
• 2021

As a large city advanced, the urban environment is becoming an issue. The contribution of vehicle emissions in air pollutants was very high according to the clean air policy support system (CAPSS). In order to improve the air quality in large cities, it is necessary to establish improvement measures by sources, analyzing the air quality of roadside. We divided Bucheon city into 4 regions to investigate the roadside pollutants of each district using the mobile laboratory (ML) and air quality monitoring station (AQMS). ML was used to measure pollutants emitted from vehicles and AQMS data was used as a comparison group of ML data. As a measurement result of pollutants in the roadside, the concentration of air pollutants in industrial & engineering complex area was the highest and concentration of air pollutants in residential & forest complex area was lower. By street, Bucheon-ro, Sinheung-ro, Sosa-ro, and Gyeongin-ro were identified as high concentrations. Therefore, further researches on preparing management measures for roads in the hot-spot area are needed.

• Journal of Veterinary Science
• /
• 제25권1호
• /
• pp.13.1-13.9
• /
• 2024

Background: Foot-and-mouth disease (FMD) is a highly contagious viral disease in livestock that has tremendous economic impact nationally. After multiple FMD outbreaks, the South Korean government implemented a vaccination policy for efficient disease control. However, during active surveillance by quarantine authorities, pig farms have reported an insufficient antibody positivity rate to FMD. Objective: In this study, the spatial and temporal trends of insufficiency among pig farms were analyzed, and the effect of the number of government veterinary officers was explored as a potential preventive factor. Methods: Various data were acquired, including national-level surveillance data for antibody insufficiency from the Korea Animal Health Integrated System, the number of veterinary officers, and the number of local pig farms. Temporal and geographical descriptive analyses were conducted to overview spatial and temporal trends. Additionally, logistic regression models were employed to investigate the association between the number of officers per pig farm with antibody insufficiency. Spatial cluster analysis was conducted to detect spatial clusters. Results: The results showed that the incidence of insufficiency tended to decrease in recent years (odds ratio [OR], 0.803; 95% confidence interval [95% CIs], 0.721-0.893), and regions with a higher density of governmental veterinary officers (OR, 0.942; 95% CIs, 0.918-0.965) were associated with a lower incidence. Conclusions: This study implies that previously conducted national interventions would be effective, and the quality of government-provided veterinary care could play an important role in addressing the insufficient positivity rate of antibodies.

• 시큐리티연구
• /
• 제10호
• /
• pp.355-385
• /
• 2005

본 논문은 오랫동안 논의되어 왔던 자치경찰제의 도입방안에 대한 참여정부의 도입안이 확정됨에 따라 주요내용을 분석하고 쟁점사항을 검토하여 보완책을 제시하는데 목적이 있다. 참여정부의 자치경찰 구성은 해당 시${\cdot}$군${\cdot}$구가 자치경찰제 도입의 필요성이 있다고 판단되면 의회에서 조례를 제정하여 실시할 수 있도록 했으며, 시장, 군수, 구청 조직에 과단위의 기구로 운영되도록 한다는 것이다. 주요 업무는 방범, 순찰, 교통단속 등 주민생활과 밀접한 치안서비스와 현재 자치단체가 벌이고 있는 보건, 위생, 환경단속의 업무를 수행하게 된다. 그러나 정부안의 수용을 전제로, 예상되는 몇 가지 쟁점사항을 정리하면 다음의 세가지로 요약할 수 있다. 첫째, 경찰의 기본기능과 관련된 논점이다. 정부안에는 자치경찰에게 일반범죄에 대한 수사권을 주지 않고 있어 ‘경찰의 보조원’에 불과한 것이 아닌가, 하는 것이 논점이 되고 있다. 둘째, 지자체간의 치안서비스의 균형성 논란이 제기될 수 있다. 지방 자치단체간에는 치안환경이 상이하고, 따라서 치안수요도 각기 다르다. 그러기에 자치경찰의 치안서비스는 지자체에 따라 질적인 면에서 차이를 보이게 될 것이다. 셋째, 자치단체 예산으로 운영됨으로서 예상되는 논점이다. 자치경찰이 지자체의 예산으로 운영된다는 점에서, (1) 경찰행정이 일반행정의 하위에 놓여 집행력이 약화 될 수 있다. (2) 경찰기관 간에 협조가 원활하게 이루어지지 않을 수 있다. (3) 예비경찰 보유의 어려움으로 인해 경찰의 기동성(機動性)이 다소 떨어질 수도 있다.

• 한국조경학회지
• /
• 제48권1호
• /
• pp.1-14
• /
• 2020

세계적으로 공공자전거 공유시스템(PBSS) 및 프로그램(PBSP)이 증가하면서 다양한 정책과 연구들이 진행되었다. 오늘날 PBSS가 일상생활에서 밀접하게 이용되면서 다양한 현상과 수요가 발생하고 있으나, 아직 국내에서는 통근통학에 초점을 맞춘 정책과 연구들이 주로 이루어지고 있다. 이에 본 연구는 다양한 PBSS 수요를 파악하기 위해서 서울시 여의도를 대상으로 2018년도 한 해 동안 발생한 PBSS 이용 데이터를 분석하여 이용 패턴을 유형화하고 특징을 분석하였다. 서울시에서 제공하는 PBSS 자료를 기반으로 주중/주말 이용률에 따라 대여소를 3개 유형으로 구분하여 각각의 특징을 분석하였다. 여의도의 PBSS는 이용량의 경우에는 서울시 전체에서 4.3%, 대여소 개소수의 경우에는 2%에 해당하는 것으로 나타났다. 주중 이용률이 높은 대여소는 다른 유형에 비하여 사계절 모두 높은 이용률을 보였으며, 업무 및 주거지역에 주로 분포하였다. 주말 이용률이 높은 대여소의 경우에는 봄(4~5월)과 가을(9~10월)에 집중된 이용 패턴이 나타났으며, 대여소에서 공원입구까지의 거리가 가까운 것으로 나타났다. 또한, 주중 이용률이 높은 패턴에 비해서 동일한 대여소를 통해 대여 및 반납이 이루어진 경우가 많고, 특정 대여소에 PBSS 이용이 집중된 쏠림현상이 나타나고 있는 것을 확인할 수 있었다. 따라서, 획일적인 PBSS 운영보다는 대여소별로 다양한 이용수요와 현상을 반영한 PBSS의 관리와 프로그램이 운영되어야 할 것이다. 본 연구결과는 PBSS 이용에 대한 수요를 유형에 따라 시공간적으로 파악함으로써 효과적인 PBSS 운영이 이루어질 수 있도록 기초자료를 제공하는 것에 의의가 있다.

• 한국환경보건학회지
• /
• 제38권2호
• /
• pp.105-117
• /
• 2012

Objectives: This study aimed to assess the concentration of perfluorooctanoic acid (PFOA) and perfluorooctanesulfonate (PFOS) in blood and factors controlling their exposure among Koreans. Methods: Study subjects were selected to include 718 members of the general population residing in five metropolitan cities and the Gangwon Province area from August 2008 to January 2009. A questionnaire was administered to investigate lifestyle, socio-demographic characteristics, and other related factors. Blood samples were collected and extracted using solid-phase extraction and anion-exchange methods, and quantified by high-performance liquid chromatograph (HPLC, Agilent 1200 Series) coupled with a Triple Quad LC-MS/MS system (Agilent 6410). Results: Geometric mean concentrations of PFOA and PFOS in the blood were measured as 1.82 and 6.06 ng/ml, respectively. Mean PFOA and PFOS concentrations generally increased with age in both genders. Blood PFOA concentration was significantly different according to such variables as age, family income, residential district, and province. Blood PFOS concentration was significantly different by such variables as gender, age, lifestyle factors such as regular exercise, alcohol consumption, and smoking status. Also, family income, hazardous facilities, job classification, and province contributed significantly to differences in blood PFOS concentration levels. Conclusions: Blood PFOA and PFOS concentrations in Koreans were similar with those found in Japan, the USA, and Germany, but less than those in Australia. PFOA and PFOS exposure seems to be affected by a variety of factors in Korea. Therefore, investigation is required for each factor to assess the relative contribution of different variables.

• 한국환경보건학회지
• /
• 제19권4호
• /
• pp.51-58
• /
• 1993

The integrated solid waste management for Seoul Metropolitan city can be established on the basis of the following hierarchy of priorities: 1. Efforts for source reduction should be propelled by both government and citizens to achieve the effects of resource conservation. The adequate production and consumption which are environmentally amenable and sustainable can be induced by the reasonable imposition of deposit money for waste treatment to one-time use products. To accomplish source reduction effectively, the induction of legal and institutional regulation of producer and consumer participation is requisite. 2. For resource recovery, wastes generated should be recycled as far as practicable. Community residents are responsible to separate discharge, the authorities concerned have responsibility of separate collection, and recycling industry should be assissted through tax reduction and financing. Resource separation facilities can be constructed at Kimpo Metropolitan landfill site for wastes not separately collected due to some unavoidable circumstances. 3. Garbage should be composted. Garbage is uneconomical for incineration, because it has high moisture content and low calorie, thus there is no reason for the incineration of garbage even though garbage is classified into combustibles. Composting facilities can be located at sites which are not densely populated and easily accessible to transportation, for example, Kimpo Metropolitan landfill site. Compost produced can be managed by the authorities for the use of fertilizer to a green tract of suburban land and farms. 4. Nonhazardous combustible wastes not recyclable can be utilized for thermal recovery at the incinerators which are completely equipped with pollution control devices. According to the trend of local autonomy and the equity principle of local autonomous entities, incineration facilities of minimal capacity required can be constructed at each districts of Seoul Metropolitan city which have organized local assembly. In case of Yangcheon district, the economically combustible waste quantity is about 260 tons/day which exceeds 150 tons/day, the incineration capacity of existing facility. But, from now on, waste quantity can be reduced substantially by the intensive efforts of citizens for source reduction and recycling and the institutional support of administrative organizations. Especially, it is indispensable for the government to constitute institutional and technological bases that can recycle paper and plastics form 43% of waste generated. A good time for constructing of incineration facilities for municipal solid waste can be postponed to the time that pollution control technologies of domestic enterprises are fully developed to satisfy the standards of air pollution prevention, because the life expectancy of Kimpo Metropolitan landfill site is about 25 years. Within this period, institutional improvements and technological advancements can be attained, while the air qual. ity of Seoul Metropolitan city can be ameliorated to the level to afford incineration facilities. 5. For final disposal, incombustibles and ash are landfilled sanitarily at Kimpo Metropolitan landfill site.