• Title/Summary/Keyword: Ethical Decisions

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BEHAVIORAL CHANGES IN KOREAN ELEMENTARY, MIDDLE, AND HIGH SCHOOL STUDENTS FOLLOWING BASIC EDUCATION IN MEDICAL RADIATION

  • Han, Eun Ok;Kim, Jae Rok;Kye, Suh Youn;Choi, Yoon Seok
    • Journal of Radiation Protection and Research
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    • v.40 no.1
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    • pp.36-45
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    • 2015
  • by providing objective information regarding medical radiation for elementary, middle, and high school students in Korea, who are expected to have a high ripple effect in education, and by analyzing behavioral changes in the selection of medical radiation, this study aimed to deduce the basis for educational intervention. The tools used in the study were a questionnaire, including questions about perception, knowledge, attitude, and behavior toward medical radiation; video and Power-point materials for the lesson; simulated radiation diagnosis selection form; and radiation treatment selection form to find out about behavior. A post-test demonstrated that the objective knowledge about medical radiation of all the students turned out to be significantly higher (p<0.000) after the lesson compared to before the lesson. However, there were no statistically significant behavioral changes. Rather, for high school students, the behavior of selecting medical radiography and treatment was significantly lower (p<0.000) after the lesson. For the more impressionable children in the lower grades, the lesson must not only provide an opportunity to understand and pay attention to diverse viewpoints, but also encourage them to make ethical decisions based on value. Since it can be predicted that attitude or behavioral changes through education or publicity can be expected from adults older than high school students, issues regarding dangers like radiation exposure must be treated as an issue of value judgment predicated on multifaceted considerations.

Surgical Decision Making for the Elderly Patients in Severe Head Injuries

  • Lee, Kyeong-Seok;Shim, Jae-Jun;Yoon, Seok-Man;Oh, Jae-Sang;Bae, Hack-Gun;Doh, Jae-Won
    • Journal of Korean Neurosurgical Society
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    • v.55 no.4
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    • pp.195-199
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    • 2014
  • Objective : Age is a strong predictor of mortality in traumatic brain injuries. A surgical decision making is difficult especially for the elderly patients with severe head injuries. We studied so-called 'withholding a life-saving surgery' over a two year period at a university hospital. Methods : We collected data from 227 elderly patients. In 35 patients with Glasgow Coma Score 3--8, 28 patients had lesions that required operation. A life-saving surgery was withheld in 15 patients either by doctors and/or the families (Group A). Surgery was performed in 13 patients (Group B). We retrospectively examined the medical records and radiological findings of these 28 patients. We calculated the predicted probability of 6 month mortality (IPM) and 6 month unfavorable outcome (IPU) to compare the result of decision by the International Mission for Prognosis and Analysis of Clinical Trials in TBI (IMPACT) calculator. Results : Types of the mass lesion did not affect on the surgical decision making. None of the motor score 1 underwent surgery, while all patients with reactive pupils underwent surgery. Causes of injury or episodes of hypoxia/hypotension might have affected on the decision making, however, their role was not distinct. All patients in the group A died. In the group B, the outcome was unfavorable in 11 of 13 patients. Patients with high IPM or IPU were more common in group A than group B. Wrong decisions brought futile cares. Conclusion : Ethical training and developing decision-making skills are necessary including shared decision making.

Two Cases of Methylmalonic Acidemia where Refusal to Blood Transfusion Led to Death (종교상의 이유로 수혈을 거부하여 사망한 메틸 말로닌산 혈증 환아 2례)

  • Jang, Ha Won;Lee, Yong Wook;Chang, Meayoung;Kil, Hong Ryang;Kim, Sook Za
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.18 no.2
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    • pp.50-54
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    • 2018
  • Jehovah's Witnesses do not accept blood transfusions, because of their particular interpretation of the Old and New Testaments. When people with such religious convictions are in need of medical care, their faith and belief may become an obstacle for proper treatment, and pose legal, ethical, and medical challenges for the health care providers. We report two inherited metabolic disorder cases in South Korea where the infants died whilst under medical care because of parental refusal of blood transfusions for religious reasons. Case 1 had methylmalonic acidemia, Down syndrome and associated congenital cardiac anomalies requiring surgery. Case 2 had anemia and methylmalonic acidemia requiring dialysis to treat hyperammonemia and metabolic acidosis. For effective medical management, they needed life-saving blood transfusions. As a part of alternative treatment, Erythropoietin was administered in both cases. As a result, two babies died from their extremely low hemoglobin and hematocrit. The hemoglobin concentrations below 2.7 g/dL without cardiac problem and 5.4 g/dL with cardiac anomaly complicated by pulmonary hypertension are considered life-threatening hemoglobin threshold. The medical professional must respect and accommodate religious beliefs of the patients who can make informed decisions. However, when parents or legal guardians oppose medical treatment of their babies and incompetent care receivers on cultural and religious grounds, the duty to assist and save persons exposed to serious danger, particularly life-threatening events must come first.

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What Can Radiation Protection Experts Contribute to the Issue of the Treated Water Stored in the Damaged Fukushima Daiichi Nuclear Power Plant?

  • Yamaguchi, Ichiro
    • Journal of Radiation Protection and Research
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    • v.46 no.1
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    • pp.24-31
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    • 2021
  • Decommissioning efforts are underway at the reactor where the accident occurred, namely the damaged Tokyo Electric Power Company (TEPCO) Fukushima Daiichi Nuclear Power Plant (FDNPP). However, a large amount of groundwater flowing into the site has become contaminated with radioactive substances and is stored in tanks on site, which has hampered the decommissioning work. Although the inflow of groundwater has been greatly reduced through measures such as the construction of frost walls, approximately 170 ㎥ of water treated by the Advanced Liquid Processing System (ALPS) is being stored in tanks, each day. The tanks used to store this treated water are expected to become full by around the summer of 2022. It is not easy to get people to understand the efforts of all concerned parties, and providing clear information to these concerned parties is also a challenge. Questions have also been raised regarding whether other alternatives have been fully explored in the ALPS subcommittee. Some people have commented that the answers to the questions raised regarding the biological effects of tritium transmutation are inadequate. Some suspect that the answers are too detailed and incomprehensible, and that the respondents may be manipulating the public with some malicious intent. In any case, each possible plan presents both advantages and disadvantages, depending on the people who are involved. That makes it an ethical and vexing issue that can sway decisions, as perspectives change. While the environmental release plan is scientifically safe, it may represent a painful alternative. On the other hand, a more careful and imaginative approach to the idea of continued storage in tanks or other forms of storage may reveal some troublesome hidden disadvantages. Under these circumstances, experts must be prepared to answer people's questions in a comprehensive and robust manner.

Designing a Longitudinal Database for Cohort Construction in Medical Education (의학교육의 코호트 구축을 위한 종단 데이터베이스 설계방안 연구)

  • Hanna Jung;Hae Won Kim;I Re Lee;Shinki An
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.84-101
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    • 2023
  • Longitudinal data can provide important evidence with the potential to stimulate innovation and affect policies in medical education and can serve as a driving force for further developments in medical education through evidence-based decisions. Tracking and observing cohorts of students and graduates using longitudinal data can be a way to link the past, present, and future of medical education. This study reviewed practical methods and technical, administrative, and ethical considerations for the establishment and operation of a longitudinal database and presented examples of longitudinal databases. Cohort study design methods and previous examples of research using longitudinal databases to explore major topics in medical education were also reviewed. The implications of this study are as follows: (1) a systematic design process is required to establish longitudinal data, and each university should engage in ongoing deliberation about this issue; (2) efforts are needed to alleviate "survey fatigue" among respondents and reduce the administrative burden of those conducting data collection and analysis; (3) it is necessary to regularly review issues of personal information protection, data security, and ethics regarding the survey respondents; and (4) a system should be established that integrates and manages a longitudinal database of medical education at the national level. The hope is that establishing longitudinal data and cohorts at individual medical schools will not be a temporary phenomenon, but rather that they will be well utilized at the national level to innovate and implement ongoing changes in medical education.

Research on ESG management rationality through comparison of Aristotle's concept of 'citizen' and 'corporate citizenship' (아리스토텔레스의 '시민' 개념과 '기업시민' 개념의 비교를 통한 ESG 경영 합리성 연구)

  • YUN JIN PARK
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.333-341
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    • 2024
  • So far, the rationality of management decisions has been limited to the economic rationality of maximizing self-interest. However, management rationality in the ESG era, which pursues the interests of the environment, society, and the company from the perspective of harmony and balance, requires new judgment standards. The goal of ESG management is sustainable development. Sustainable development goes beyond the accumulation of wealth, which was the goal of the past economy, and aims for the happiness of the entire society, including coexistence and fair development that develops together with the entire society. From Aristotle's perspective, the happiness of the entire society promoted by sustainable development is no different from the highest good of citizens, members of the community. Accordingly, this paper attempted to explore the new management rationality required for managers in the ESG era by comparing Aristotle's concept of citizenship with the concept of 'corporate citizenship', one of the main concepts of ESG management. Through this, we sought to show that companies are essentially communal entities and that the company's pursuit of profit requires rationality of balance and harmony with environmental and social interests.

Consumer Awareness and Evaluation of Retailers' Social Responsibility: An Exploratory Approach into Ethical Purchase Behavior from a U.S Perspective (소비자인지도화령수상사회책임(消费者认知度和零售商社会责任): 종미국시각출발적도덕구매행위적탐색성연구(从美国视角出发的道德购买行为的探索性研究))

  • Lee, Min-Young;Jackson, Vanessa P.
    • Journal of Global Scholars of Marketing Science
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    • v.20 no.1
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    • pp.49-58
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    • 2010
  • Corporate social responsibility has become a very important issue for researchers (Greenfield, 2004; Maignan & Ralston, 2002; McWilliams et al., 2006; Pearce & Doh 2005), and many consider it necessary for businesses to define their role in society and apply social and ethical standards to their businesses (Lichtenstein et al., 2004). As a result, a significant number of retailers have adopted CSR as a strategic tool to promote their businesses. To this end, this study sought to discover U.S. consumers' attitudes and behavior in ethical purchasing and consumption based on their subjective perception and evaluation of a retailer. The objectives of this study include: 1) determine the participants awareness of retailers corporate social responsibility; 2) assess how participants evaluate retailers corporate social responsibility; 3) examine whether participants evaluation process of retailers CSR influence their attitude toward the retailer; and 4) assess if participants attitude toward the retailers CSR influence their purchase behavior. This study does not focus on actual retailers' CSR performance because a consumer's decision making process is based on an individual assessment not an actual fact. This study examines US college students' awareness and evaluations of retailers' corporate social responsibility (CSR). Fifty six college students at a major Southeastern university participated in the study. The age of the participants ranged from 18 to 26 years old. Content analysis was conducted with open coding and focused coding. Over 100 single-spaced pages of written responses were collected and analyzed. Two steps of coding (i.e., open coding and focused coding) were conducted (Esterberg, 2002). Coding results and analytic memos were used to understand participants' awareness of CSR and their ethical purchasing behavior supported through the selection and inclusion of direct quotes that were extracted from the written responses. Names used here are pseudonyms to protect confidentiality of participants. Participants were asked to write about retailers, their aware-ness of CSR issues, and to evaluate a retailer's CSR performance. A majority (n = 28) of respondents indicated their awareness of CSR but have not felt the need to act on this issue. Few (n=8) indicated that they are aware of this issue but not greatly concerned. Findings suggest that when college students evaluate retailers' CSR performance, they use three dimensions of CSR: employee support, community support, and environmental support. Employee treatment and support were found as an important criterion in evaluation of retailers' CSR. Respondents indicated that their good experience with a retailer as an employee made them have a positive perception and attitude toward the retailer. Regarding employee support four themes emerged: employee rewards and incentives based on performance, working environment, employee education and training program, and employee and family discounts. Well organized rewards and incentives were mentioned as an important attribute. The factors related to the working environment included: how well retailers follow the rules related to working hours, lunch time and breaks was also one of the most mentioned attributes. Regarding community support, three themes emerged: contributing a percentage of sales to the local community, financial contribution to charity organizations, and events for community support. Regarding environments, two themes emerged: recycling and selling organic or green products. It was mentioned in the responses that retailers are trying to do what they can to be environmentally friendly. One respondent mentioned that the company is creating stores that have an environmentally friendly design. Information about what the company does to help the environment can easily be found on the company’s website as well. Respondents have also noticed that the stores are starting to offer products that are organic and environmentally friendly. A retailer was also mentioned by a respondent in this category in reference to how the company uses eco-friendly cups and how they are helping to rebuild homes in New Orleans. The respondents noticed that a retailer offers reusable bags for their consumers to purchase. One respondent stated that a retailer uses its products to help the environment, through offering organic cotton. After thorough analysis of responses, we found that a participant's evaluation of a retailers' CSR influenced their attitudes towards retailers. However, there was a significant gap between attitudes and purchasing behavior. Although the participants had positive attitudes toward retailers CSR, the lack of funds and time influenced their purchase behavior. Overall, half (n=28) of the respondents mentioned that CSR performance affects their purchasing decisions making when shopping. Findings from this study provide support for retailers to consider their corporate social responsibility when developing their image with the consumer. This study implied that consumers evaluate retailers based on employee, community and environmental support. The evaluation, attitude and purchase behavior of consumers seem to be intertwined. That is, evaluation is based on the knowledge the consumer has of the retailers CSR. That knowledge may influence their attitude toward the retailer and thus influence their purchase behavior. Participants also indicated that having CSR makes them think highly of the retailer, but it does not influence their purchase behavior. Price and convenience seem to surpass the importance of CSR among the participants. Implications, recommendations for future research, and limitations of the study are also discussed.

A Critical Examination of the Uncodifiability Thesis in Anti-theory Argument: Focusing on the Problems of the Uncodifiability Thesis in the Theoretical and Practical Implications (반이론주장의 조직불가능성명제에 대한 비판적 검토: 조직불가능성명제의 이론적 의미와 실천적 의의에서 발생하는 문제를 중심으로)

  • Roh, YoungRan
    • Journal of Korean Philosophical Society
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    • no.93
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    • pp.121-148
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    • 2011
  • The uncodifiability thesis in anti-theory argument is the typical claim for the impossibility of ethical theorizing. Based on this thesis reflecting particularism strongly, contemporary anti-theorists in ethics argue that individual decisions in particular situations cannot be codified into moral principles. The uncodifiability thesis needs to be examined by the following two issues: a theoretical issue of whether the object of codification is moral practices or not; and a practical one of whether moral principles present the decision procedure of moral reasoning or not. The characteristics of practical reasoning show that the object of codification in ethics, as moral theorists insist, is not moral practices but morality itself. Also moral theorists, contrary to the criticisms of anti-theorists, insist that moral reasoning is comprised of not only moral principles but also moral judgments with contextual knowledge and moral wisdom. In brief, moral theorists make a persuasive response to the uncodifiability thesis when they do neither intend to codify moral practices into moral principles nor to deduce the moral reasoning from moral principles. For them moral judgments should be examined by the moral principles which present universal and idealistic morality.

A Study on the integrative ways of moral education for the building of children's social awareness and relationship skills (초등학생의 사회인식 및 대인관계 능력 함양을 위한 도덕교육의 통합적인 방안 연구)

  • Lee, In Jae;Chi, Chun-ho
    • The Journal of Korean Philosophical History
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    • no.29
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    • pp.375-396
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    • 2010
  • The aim of this paper is to suggest some ways of moral education for the building of children's social awareness and relationship skills as social and emotional competencies. Based on the social and emotional learning(SEL), this paper is tried to provide the effective ways to develop children's social awareness and relationship skill. According to SEL, social and emotional competence is the ability to understand, manage, and express the social and emotional aspects of one's life in ways that enable the successful management of life tasks such as learning, forming relationships, solving everyday problems, and adapting to the complex demands of growth and development. And it is also the process of acquiring and effectively applying the knowledge, attitudes, and skills necessary to recognize and manage emotions. Five key competencies such as self-awareness, social awareness, responsible decision making, self-management, relationship skills are taught, practiced, and reinforced through SEL programming. Moral education and social and emotional learning have emerged as two prominent formal approaches used schools to provide guidance for students' behavior. social awareness and relationship skills are necessary for succeeding in school, in the family, in the community, in life in general. Equipped with such skills, attitudes and beliefs, young children are more likely to make healty, caring, ethical, and responsible decisions and to avoid engaging in behaviors with negative consequences such as interpersonal violence and bullying.

A Study to Improve the Trustworthiness of Data Repositories by Obtaining CoreTrustSeal Certification (CoreTrustSeal 인증 획득을 통한 데이터 리포지토리의 신뢰성 향상을 위한 연구)

  • Hea Lim Rhee;Jung-Ho Um;Youngho Shin;Hyung-jun Yim;Na-eun Han
    • Journal of the Korean Society for information Management
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    • v.41 no.2
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    • pp.245-268
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    • 2024
  • As the recognition of data's value increases, the role of data repositories in managing, preserving, and utilizing data is becoming increasingly important. This study investigates ways to enhance the trustworthiness of data repositories through obtaining CoreTrustSeal (CTS) certification. Trust in data repositories is critical not only for data protection but also for building and maintaining trust between the repository and stakeholders, which in turn affects researchers' decisions on depositing and utilizing data. The study examines the CoreTrustSeal, an international certification for trustworthy data repositories, analyzing its impact on the trustworthiness and efficiency of repositories. Using the example of DataON, Korea's first CTS-certified repository operated by the Korea Institute of Science and Technology Information (KISTI), the study compares and analyzes four repositories that have obtained CTS certification. These include DataON, the Physical Oceanography Distributed Active Archive Center (PO.DAAC) from NASA, Yareta from the University of Geneva, and the DARIAH-DE repository from Germany. The research assesses how these repositories meet the mandatory requirements set by CTS and proposes strategies for improving the trustworthiness of data repositories. Key findings indicate that obtaining CTS certification involves rigorous evaluation of organizational infrastructure, digital object management, and technological aspects. The study highlights the importance of transparent data processes, robust data quality assurance, enhanced accessibility and usability, sustainability, security measures, and compliance with legal and ethical standards. By implementing these strategies, data repositories can enhance their reliability and efficiency, ultimately promoting wider data sharing and utilization in the scientific community.