• 제목/요약/키워드: IRB

검색결과 220건 처리시간 0.027초

인체유래물연구에 해당되는 의약품임상시험에서 동의 획득 기준의 법적 문제: <인체유래물연구동의서> 법정 서식의 사용을 중심으로 (Legal issues of obtaining informed consent in pharmaceutical clinical trial as human material research : Focusing on the use of statutory form )

  • 유수정;김은애
    • 대한기관윤리심의기구협의회지
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    • 제1권2호
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    • pp.30-42
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    • 2019
  • In pharmaceutical clinical trials as human material research, the collection, use, storage and provision of human materials must be in accordance with the criteria stipulated in 「Bioethics and Safety Act」, except in the case that some criteria about it is in the law related to clinical trials such as 「Pharmaceutical Affairs Act」 and 「Enforcement Rule on Safety of Drugs, etc.」 so these take precedence over. Under 「Bioethics and Safety Act」, the core aspect of the legal standard for obtaining informed consent is the use of statutory form . The use of statutory form ensure that both those who obtain informed consent and those who give it can know the contents contained this form as well as recognize its importance. Thus, the person who has the right to informed consent can sign the statutory form after correct understanding of the contents. In reality, however, some researchers and IRB members determine that only the main informed consent form is to be used because most of contents on statutory from are included in the main informed consent form. Some other researchers and IRB members judge that the use of statutory form is not needed if human materials may only be used for laboratory testing and the rest will not be stored and provided for future use. Most of these determination and judgement is based on the interpretation of the Korea National Institute for Bioethics Policy(hereafter, KoNIBP) on IRB Information Portal Site. But, it is questionable whether the KoNIBP's interpretation is legally valid and the KoNIBP is the legal entity having authority to interpret existing statute. In some cased not only using the main informed consent form including enough information about the collection, use, storage and provision of human materials but also collecting necessary minimum human materials, and discarding the rest, unusing the statutory form may not cause the problem to respect and protect the research participant's rights. Therefore, the provision stipulating the criteria about the use of statutory form as the legal standard of obtaining informed consent that applies all human material research without exception should review to revise. At least, straighten out the confusion surrounding whether or not the statutory form is to be used, before the revision of related provision, considering the logical opinions of some researchers and IRB Members, the Ministry of Health and Welfare as the legal entity having authority to interpret existing statute should represent its opinion about permission of the acceptable exceptions.

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불임에 관한 국내 한의학 임상연구의 동향 분석 (Analysis of Studies Directed at Elucidating Sterility in Korean Medicine)

  • 양인석;임채광;김광중
    • 동의생리병리학회지
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    • 제27권1호
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    • pp.26-33
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    • 2013
  • The present study explored studies directed at elucidating the effectiveness of Korean medicine in the treatment of sterility and systematically analyzed the trends of studies on sterility. The standardization and objectification based on results for this study may contribute to the development of effective Korean medicine in reducing sterility. In the annual tendency of sterility-related clinical studies, the number of papers began to increase rapidly from 2000, and 15 papers were published from 2000 till 2011. Then, in the technical journals publishing them, The Journal of Oriental Obstetrics & Gynecology published 13 the most papers. In the institutions to which the first authors belonged, Dongguk University Hospital had 5 the most papers. In the number of test subjects was also analyzed and as the result the studies with 1~9 were the most as 10. In the study design analysis, there were 10 case reports, 5 case series and 4 before and after studies. In the analysis of intervention methods, there were 10 papers where only the Korean medicines were given, next 6 papers where the acupuncture and moxibustion were added, and 3 papers where the Korean medical therapies and other subsidiary therapies were used. In the analysis on the existence of pattern identification, there were 12 papers with the pattern identification, 6 without the pattern identification and 1 with the four constitution identification. In the IRB approval, 18 or most papers had not received the IRB approval and just 1 paper got the IRB approval. When the sterility-related clinical studies published in the Korean medical journals were surveyed, it turned out that there are no RCT studies and there is just one study with the IRB approval. And there were 6 papers without the pattern identification of Korean medicine. So, it seems necessary in the future to improve the papers in these respects for the development of Korean medicine sterility treatment with a good basis through the more systematic and accurate study method.

기능성식품 인체적용시험 제도 비교 (Human Studies on Functional Foods: How They Are Regulated)

  • 김주희;김지연;원혜숙;권혜진;권혜영;정혜인;권오란
    • Journal of Nutrition and Health
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    • 제43권6호
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    • pp.653-660
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    • 2010
  • Along with the steady growth of health functional food (HFF) markets, research evaluating the human effects of HFF has been expanding. In this study, we investigated the regulatory and management system of human study on HFF in the USA, Japan and UK, and the Korean domestic regulations on HHF, medicines, medical devices, cosmetics and biotechnology in order to improve the domestic management system. In these four countries, institutional review board (IRB) or research ethics committee (REC) approvals are required for on human study of HHF, but regulatory and management systems differ from country to country. In the USA, human studies on HFF for structure/function claims do not require the FDA's prior approval but clinical trials of the disease treatment effects of HHF require prior approval from the FDA. In the USA, IRBs are managed by the Department of Health and Human Services (DHHS) rather than the FDA, and IRBs in those institutions which would execute the clinical trials requiring prior approval from the FDA or human studies funded by the USA federal government are required to be registered on the DHHS. In the UK, although the government does not require prior approval of human study, authorized RECs managed by the National Research Ethics Service (NRES) and other independent RECs review the human study. In Japan, human study for HFF must conform with "Ethical guidelines for epidemiological research" and IRB registration has not been required. In Korean domestic regulations, the responsibilities, compositions, functions and operations of IRBs on medicines, medical devices and biotechnology are legally specified, but not those of IRB on HHF. These foreign statuses for the management of human study on HFF and comparisons with Korean regulations are expected to be used as basic data to improve the domestic legal system.

의약품 임상시험에서 피험자 보호 (A Study on the Protection of Trial Subjects in Clinical Trials of Investigational New Drug)

  • 위계찬
    • 의료법학
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    • 제13권2호
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    • pp.79-113
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    • 2012
  • This study focuses on the protection of trial subjects, who participate in clinical trials for new drug. It takes long time to develop new drugs and the clinical trials are required. Usually, pharmaceutical company, which develop new drug, request a research institution(usually, hospital) to investigate the examination of security and side effects of new drug. The institution recruit trial subject to participate in the trials. The contract for clinical research of investigational new drug is concluded between the pharmaceutical company and the institution. This thesis studies the legal regulations for protection of participants of clinical research for new drug. In this respect the first matter of this study is to seek which relation between pharmaceutical firm and participants of clinical trials. Especially, there is a question which the trial subject is entitled to demand the pharmaceutical company which requested clinical trials the institution to supply the investigational new drug, after the contract for clinical trials had terminated or cancelled. This study take into account the liability of the pharmaceutical company to trial subject. Secondly, it is researched the roles and authority of Institutional Review Board(IRB). IRB is Research Ethics Committee of the institution, in which clinical trials for new drug are conducted. According to the rule of Korea good clinical practice(KGCP), IRB is the mandatory organization which is authorized to approve, secure approval or disapprove the clinical trials for investigational new drug in the institution. The important roles are the review of ethical perspective of trial research and the protection of trial subject. Thirdly, this paper focuses if the participants are to be paid for the participation for clinical research. This is ethical aspect of clinical trials. It is resonable that the participant is reimbursed for expenditure such as travels, and other expenses incurred in participation in trials. It is not allowed that the benefit of clinical trials is paid to trial subject. The payment should not function as financial inducements for participations of trials. Finally, the voluntary consent of the trial subject is required. The institution ought to inform the subject, who would like to participate in trials, and it ought to received informed consent in writing for subject. In this regard, it is matter that trial subject has ability of consent. It is principle that the subject as severely psychogeriatric patient has not ability of consent. However, it is required that not only healthy people but also patients are allowed to take part in clinical trials of new drug, in order to confirm which the investigation new drug is secure. Therefore there are cases, in which the legal representative of subject consent the participation of the trials. In addition, it is very important that the regulations concerning clinical trials of new drug is to be systematically well-modified. The approach of legal and political approach is needed to achieve this purpose.

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개정된 IMO 요건을 만족하는 AIS-EPIRB 설계에 관한 연구 (Study on AIS-EPIRB Design that Satisfies Revised IMO Performance Requirements)

  • 박청룡
    • 한국항해항만학회지
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    • 제48권3호
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    • pp.137-145
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    • 2024
  • 최근 선박자동식별장치의 활용이 증대되어 국제항해에 종사하는 선박을 대상으로 하는 종별 A AIS와 함께 국내 연안을 항행하는 소형선박의 안전을 위한 종별 B AIS, 항로표지용 AtoN AIS, 수색·구조 항공기용 AIS, AIS-SART(AIS 기술을 사용하는 수색·구조용 트랜스폰더) 등이 세계적으로 널리 보급되었다. 이에 따라 2022년 국제해사기구(IMO)의 해상안전위원회(MSC)에서는 위성비상위치지시용무선표지설비(EPIRB)의 성능 기준을 개정하여 그동안 호밍신호로 사용되어 왔던 항공기용 121.5MHz 신호와 함께 AIS 신호를 호밍신호로 함께 사용하도록 권고하게 되었고 2022년 7월 1일부터는 개정된 성능기준을 만족하는 AIS-EPIRB가 기존의 EPIRB를 대체하도록 결정하였다. 본 논문에서는 아직 국내에서 개발되지 않은 AIS-EPIRB에 대한 구현 가능성을 검증하기 위해 AIS를 위한 하나의 전용 칩셋을 활용하여 161.975MHz 와 162.025MHz의 주파수 발생과 GMSK 변조를 추가 구현하여 요건에 만족하도록 하였다.

점토로부터 철불순물의 생물학적 제거에 미치는 탄소원의 영향

  • 이은영;조경숙;류희욱;배무
    • 한국미생물·생명공학회지
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    • 제25권6호
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    • pp.552-559
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    • 1997
  • Fe (III) impurities in clay could be microbially removed by inhabitant dissimilatory Fe (III) reducing microorganisms. Insoluble Fe (III) in clay particles was leached out as soluble reductive form, Fe (II). The microorganisms removed from 10 to 45% of the initial Fe (III) when each sugar was supplemented to be in ranges of 1 - 5 % (w/w; sugar/clay). The microorganisms reduced 2.1 - 12.8 mol of Fe (III) per 100 mol of carbon in sugars metabolized when sugars such as glucose, maltose, and sucrose were used as sole carbon source. Bacillus sp. IRB-W and Pseudomonas sp. IRB-Y were isolated from the enrichment culture of the clay. The isolates were considered to participate in metabolizing organic compounds to fermentative intermediates with relatively little Fe (III) reduction at initial Fe (III) reduction process. By the microbial treatment, the whiteness of the clay was increased form 63.20 to 79.64, whereas the redness was obviously decreased form 13.47 to 3.55. This treatment did not cause any unfavorable modifications in mineralogical compositions of the clay.

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희귀유전대사질환 아동 어머니의 양육 스트레스와 죄책감 (Parenting Stress and Guilty Feeling for Mothers Having Children with Rare Genetic Metabolic Diseases)

  • 권은경;최미혜;김수강
    • 임상간호연구
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    • 제14권3호
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    • pp.153-163
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    • 2008
  • Purpose: The purpose of this research, using descriptive correlation design was to identify the extent to which the mothers having children with rare genetic metabolic diseases(MPS, PWS) have parenting stress and guilt feeling. Method: This study used PSI /SF(Abidin, 1995) and Guilt Index as devised herein. From 156 mothers, data were collected from February to July 2006, using self-administered questionnaires. This study received the approval from IRB at S Hospital (IRB File No: 2006-02-014). Data were analyzed with descriptive statistics, t-test, ANOVA, and correlation. Results: Mothers felt very high level of parenting stress and sense of guilt. Parenting stress was related positively to guilt feeling. Conclusion: These findings could help understand the families of children with rare genetic metabolic diseases and those provide basic information in developing effective counseling and education programs for relief of parenting stress and guilt feeling. This study would be significant in the fact that it is the first research, targeting on the families of children with rare genetic metabolic diseases in Korea.

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연구 관련 이해상충에 대한 법정책적 문제와 대응방안에 관한 연구 (A Study on the Legal Policy Problems and Countermeasures about Conflicts of Interest)

  • 김은애
    • 의료법학
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    • 제19권1호
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    • pp.165-206
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    • 2018
  • 연구와 관련하여 다중적 이해관계(multiple interests)를 가지고 있는 연구자, 기관생명윤리위원회 및 임상시험심사위원회 위원, 연구기관 등은 전문적인 판단(professional judgment)을 내림에 있어 이해상충(Conflicts of Interest)의 문제가 발생하지 않도록, 즉 자신이 수행해야 하는 역할이나 이행해야 하는 의무에 의하면 반드시 고려되어야만 하거나 보다 우선시되어야하는 1차적 이해(primary interest)가 그렇지 않은 2차적 이해(secondary interest)로 인해 영향을 받지 않도록 하여야 한다. 그러므로 이해상충의 문제의 발생을 예방하거나 발생된 이해상충의 문제를 해결할 수 있도록 하기 위해 기준과 방법이 마련되어 있어야 하고, 이와 관련한 기본적인 사항은 모든 당사자가 이해하고 따를 수 있도록 하기 위해 법정책적으로 명확하게 제시될 필요가 있다. 보다 현실성 있는 법정책의 마련을 위해서는 현황 파악이 전제되어야 할 것이므로 연구 관련 주요 실무자인 기관생명윤리위원회 및 임상시험심사위원회의 운영지원인력(행정간사)을 대상으로 하여 수행된 설문조사 및 인터뷰의 결과를 살펴봄으로써 이해상충과 관련한 법정책적 쟁점과 이의 해결을 위한 대응방안에 관한 의견을 확인해보았다. 그리고 향후 이해상충에 대한 국내 법정책의 마련에 도움을 주고자 미국 보건부에서 발표한 이해상충 관련 지침의 주요 내용을 살펴보았다. 마지막으로, 이해상충과 관련한 국내 법정책의 현황을 연구자의 이해상충, 기관생명윤리위원회 및임상시험심사위원회위원의 이해상충, 기관의 이해상충으로 구분하여 파악해보고 그 개선방안을 제시하였다.

일개 한방병원에 내원한 산욕초기 산모의 한국표준질병·사인분류 분석 (Korean Standard Classification of Diseases of Early Postpartum Women in a Korean Medicine Hospital)

  • 김평화
    • 대한한방부인과학회지
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    • 제32권1호
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    • pp.73-84
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    • 2019
  • Objectives: The purpose of this study is to collect and analyze the KCD codes applied to the treatment of 27 postpartum women who had been treated with Korean traditional medicine in a Korean medicine hospital, so that this study may be used as a basic data for setting the direction of postpartum Korean medical treatment research. Methods: It was approved by the Institutional Review Board (IRB) of ${\bigcirc}{\bigcirc}$ University medical center (IRB approval number : WSOH IRB H1708-02-01). Twenty-seven postpartum women who had been treated at ${\bigcirc}{\bigcirc}$ University medical center were received outpatient treatment for two weeks (from September 27, 2017 to January 5, 2018), and the KCD codes applied to the mothers were collected after obtaining the consent. On the day of registration of the study, the fertility, obstetric history and high-risk pregnancies were identified through an interview. Results: 1. The mean age of the 27 subjects was $33.33{\pm}3.99\;years$ old. Among the subjects, 17 mothers (63.0%) were high-risk pregnancy and 10 mothers (37.0%) were normal. 2. Among the 22 major disease categories, 8 categories were used. M code (musculoskeletal system) was used 243 times (70.85%), followed by R code (unclassified symptom) of 51 times (14.87%) and U code (special purpose code) of 23 times (6.71%). 3. The most commonly used code among the ten frequently used codes was M25.57 (joint pain, ankle and foot), a total of 47 times. Of the remaining nine codes, except for R60.1 (systemic edema) and U68.4 (The deficiency of yang in Bi), all codes were M codes (musculoskeletal system). 4. The M code (musculoskeletal system) was the most used major disease category in high-risk group, a total of 159 times. But in specific categories, the most commonly used code was R60.1 (systemic edema), a total of 28 times. 5. In normal group, the M code (musculoskeletal system) was the most used major disease category, a total of 84 times. Also, in specific categories, the most commonly used code was M25.57 (joint pain, ankle and foot), total 29 times. 6. The U code, corresponding to 'the diagnosis of childbirth and other obstetrical medical use', was used 23 times (6.71%), O code three times (0.87%) and Z code two times (0.58%), which was less than 10% of the total number of codes used. Conclusion: When analyzing KCD codes related to Korean medicine treatment for postpartum diseases, it is important to select the KCD codes that reflect the actual clinical state.