• Title/Summary/Keyword: Medical Ethics

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A Determining System for the Category of Need in Long-Term Care Insurance System using Decision Tree Model (의사결정나무기법을 이용한 노인장기요양보험 등급결정모형 개발)

  • Han, Eun-Jeong;Kwak, Min-Jeong;Kan, Im-Oak
    • The Korean Journal of Applied Statistics
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    • v.24 no.1
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    • pp.145-159
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    • 2011
  • National long-term care insurance started in July, 2008. We try to make up for weak points and develop a long-term care insurance system. Especially, it is important to upgrade the rating model of the category of need for long-term care continually. We improve the rating model using the data after enforcement of the system to reflect the rapidly changing long-term care marketplace. A decision tree model was adpoted to upgrade the rating model that makes it easy to compare with the current system. This model is based on the first assumption that, a person with worse functional conditions needs more long-term care services than others. Second, the volume of long-term care services are de ned as a service time. This study was conducted to reflect the changing circumstances. Rating models have to be continually improved to reflect changing circumstances, like the infrastructure of the system or the characteristics of the insurance beneficiary.

A study on the professional ethical relationship between librarian and library work (도서관 업무와 전문사서간의 윤리적 관계에 관한 이론적 고찰)

  • 손연옥
    • Journal of Korean Library and Information Science Society
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    • v.24
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    • pp.485-517
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    • 1996
  • The purpose of this study is to investigate typical ethical problems found in the technical and public services areas. The followings are the summary of the study. There are three distinct elements that govern ethical problems. One element is legal laws. The copyright law and the privacy act are exact examples. The copyright law has strong influence on the inter library loan service where the majority requests from the users are reproduction of copies. The privacy act also creates difficulties for librarians. Most requests for circulation records infringe on the privacy of library user. And advance online access systems also violates the privacy of library users. The second element is the code or rules that private organization has created. American Library Association created many statements that regulate the conduct of librarians. The bill of right, the professional code of ethics and policy on the confidentiality of library records have strong implications in the obligation of librarian. In the case of censorship at the selection of library materials, the code is a defensive tool against intellectual freedom. Yet self-censoring are prevailing practice among librarians. The thirds element is the competence of librarians. The analyzed table 3 showed that beside two elements, the rest of matters are competence required by librarians. The one aspect of it is humaneness and the other one is technical aspects. Technical aspect of competence are:(l) managerial and operational ability (2) communication skill (3) leadership (4) structure of knowledge and (5) self developing professionalism. Humanity aspect of competence are:(l) trust(fiduciary relationship) gained by diligence, objective judgement, ability, belief, rationality, integrity, kindness) (2) objectiveness (free from bias) (3) user-oriented consideration (need, interest, equal treatment, information gap) (4) caution in providing information (5) pride and (6) ability to distinguish advice and guidance specially in medical and law library.

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Neuroticism and pain catastrophizing aggravate response to pain in healthy adults: an experimental study

  • Banozic, Adriana;Miljkovic, Ana;Bras, Marijana;Puljak, Livia;Kolcic, Ivana;Hayward, Caroline;Polasek, Ozren
    • The Korean Journal of Pain
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    • v.31 no.1
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    • pp.16-26
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    • 2018
  • Background: The aim of this study was to investigate the association between neuroticism, pain catastrophizing, and experimentally induced pain threshold and pain tolerance in a healthy adult sample from two regions of the country of Croatia: the island of Korcula and city of Split. Methods: A total of 1,322 participants were enrolled from the Island of Korcula (n = 824) and the city of Split (n = 498). Participants completed a self-reported personality measure Eysenck Personality Questionnaire (EPQ) and pain catastrophizing questionnaire Pain Catastrophizing Scale (PCS), followed by a mechanical pain pressure threshold and tolerance test. We have explored the mediating role of catastrophizing in the relationship between neuroticism and pain intensity. Results: The results showed that pain catastrophizing partially mediated the relationship between neuroticism and pain intensity, suggesting the importance of pain catastrophizing in increasing vulnerability to pain. The results also indicated gender-related differences, marked by the higher pain threshold and tolerance in men. Conclusions: This study adds to the understanding of the complex interplay between personality and pain, by providing a better understanding of such mechanisms in healthy adults.

The Importance of Work Capability and the Educational Needsfor Optometric Duty (안경사 직무에 관한 작업수행의 중요도와 교육의 필요도)

  • Lee, Ok-Jin;Park, Sang-Chul;Lee, Seung-Won;Jeon, Young-Ki;Kang, Sung Soo;Lee, Won Jin
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.4
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    • pp.27-31
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    • 2009
  • Purpose: The purpose of this study was to document the importance of work capability and the educational needs for optometric duty. Methods: Questionnaires were distributed to 813 optometrists and 89 full-time faculties on nation wide in July, 2008. Results: Statistical analysis showed that high mean of 3.53, maximum of 4, for the importance of work capability, and 3.46 for the educational needs as for the total optometric duty. Especially, optometric dispensing was the highest on the importance of work capability and the educational needs, where as medical ethics and optometric jurisprudence and business management was the lowest. Conclusions: Both optometrists and full-time faculties agreed to the importance of work capability and the educational needs, and therefore it should be reflected in optometric education program.

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Effects of Lumbar Mobilization for Lower Limb Strength in Healthy Individuals: A Protocol for Systematic Review and Meta-Analysis

  • Choi, Wansuk;Choi, Taeseok;An, Hojung;Kim, Jisung;Heo, Seoyoon
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.2
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    • pp.2096-2101
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    • 2020
  • Background: The effect of mobilization on lumbar back pain has been fully described in several clinical aspects, but evidence for muscle strength would be still less clear. Objective: To assess the effect of lumbar mobilization on lower limb strength in healthy individuals. Methods and Analysis: Healthy people aged 18-65 will be included regardless of race or sex. Original peer-reviewed primary reporting randomized controlled trials (RCTs) will be included. Electronic databases, such as MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Pedro, CINAHL, ClinicalTrials.gov will be searched from inception until July 30. Only studies published in English will be included in this review. Two reviewers will complete the screening for eligibility independently, and the other two reviewers will also complete the risks of data extraction and bias assessment independently. Lower Limb strength will be assessed as primary outcome, and particular intervention or participant characteristics will be assessed as the secondary outcomes. Meta-analysis will be conducted using Review Manager 5.3.3, and evidence level will be assessed using the method for Grading of Recommendations Assessment, Development and Evaluation. Outcomes will be presented as the weighted mean difference or standardized mean difference with 95% CI. If I2 ≤ 50%, P>.1, the fixed effect model will be used, otherwise, random-effects model will be used. Ethics and dissemination: This review might not be necessary ethical approval because it does not require individual patient's data; these findings will be published in conference presentations or peer-reviewed journal articles. PROSPERO registration number: CRD42020150144.

Nursing research trends for the consciousness of bioethics published in korea (국내학술지에 게재된 생명윤리의식에 관한 간호연구의 동향)

  • Choi, Mi-Sun
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.207-217
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    • 2018
  • The purpose of this study was to identify nursing research trends for the consciousness of bioethics published in korea. A total of 30 studies were analyzed using descriptive statistics. 70% of the studies was published for the last five years, and 76.7% of studies were conducted in a descriptive study. Nursing students accounted for 83.1% in terms of the participants, and a questionnaire was used for the data collections in the entire studies. The studies considered ethical aspect accounted for 90.0%. In the experimental studies, the nursing intervention was a education program, and dependent variables of the studies included consciousness of bioethics, moral sensitivity, critical thinking and moral judgment. Among the top 10 priorities in the key words, the first priorities was the bio-medical ethics. In conclusion, it is suggested to develop an expanding-iterative studies, qualitative studies, and development of bioethics programs for nurses.

A Comparative Study on Healthcare Autonomous Vehicle Technologies between South Korea and the US Based on Social N etwork Analysis (헬스케어 관련 자율주행 자동차 기술 한미 비교 연구 : 사회연결망 분석을 중심으로)

  • Kim, Ho-Kyung
    • Journal of Korea Technology Innovation Society
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    • v.20 no.4
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    • pp.1036-1056
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    • 2017
  • The rapid increase of ageing population and chronic disease patients cause high medical expenses, and it led an increased attention to digital healthcare. Smart car technologies for healthcare have been developing to recognize drivers' status and predict diverse driving environments. The present study aimed to understand the research trends of autonomous vehicle technologies of Korea and the United States through time series analysis, network analysis, visualization, and comparison between the two countries. The results suggest that cooperative study needs to be done in common research areas such as driver's safety and algorithms. It is also needed to conduct studies and benchmark about liking technique related to part-to-part and vehicle-to-vehicle as America's competitive advantaged area. In the US, diverse approaches of autonomous vehicle technologies have used to consider the characteristics of various age groups and passengers' health status through sensor, while in Korea, only one aspect, older drivers, is mentioned. Implications for the development direction of autonomous vehicle technologies with competitiveness in considering public health, ethics, and driver's safety and convenience are discussed in detail.

Panel Session toward Improved Communication and Engagement with the Public after the Fukushima Daiichi Nuclear Power Plant Accident: Study Reports and Discussion with Specialists from Relevant Fields

  • Yoshida, Hiroko;Kuroda, Yujiro;Kono, Takahiko;Naito, Wataru;Sakoda, Akihiro
    • Journal of Radiation Protection and Research
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    • v.46 no.3
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    • pp.134-142
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    • 2021
  • Background: From 2018 to 2020, the Expert Study on Public Understanding after the Fukushima Daiichi Nuclear Power Plant Accident (the Expert Study Group) identified and analyzed activities designed to promote public understanding of science and radiation since the Fukushima accident, and held discussions on how to achieve public understanding in the situation where public confidence has been lost, and how experts should prepare for dealing with the public. This panel session was held at the 53rd meeting of the Japan Health Physics Society on June 30, 2020. Materials and Methods: First, three subgroup (SG) leaders reported their research methods and results. Then, two designated speakers, who participated as observers of the Expert Study Group, commented on the activities. Next, the five speakers held a panel discussion. Finally, the rapporteur summarized. Results and Discussion: SG leaders presented reports from researchers and practitioners in health physics and environmental risks who provided information after the Fukushima accident. During the discussion, experts in sociology and ethics discussed the issues, focusing on the overall goals of the three groups, local (personal) and mass communication, and ethical values. Many of the activities instituted by the experts after the accident were aimed at public understanding of science (that is, to provide knowledge to residents), but by taking into account interactions with residents and their ethical norms, the experts shifted to supporting the residents' decision-making through public engagement. The need to consider both content and channels is well known in the field of health communication, and overlaps with the above discussion. Conclusion: How to implement and promote the public engagement in society was discussed in both the floor and designated discussions. Cooperation between local communities and organizations that have already gained trust is also necessary in order to develop relationships with local residents in normal times, to establish an information transmission system, and to make it work effectively.

The Concept of Mental Disease in Plato (정신 질병의 탄생: 고대 그리스 의학적 시선의 철학적 기원 플라톤의 정신 질병 개념을 중심으로)

  • Jang, Misung
    • Journal of Korean Philosophical Society
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    • no.121
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    • pp.1-24
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    • 2018
  • The aim of this paper is to expound upon the concept of mental health and disease in Plato. In ancient Greece, philosophy was to care for the health of the soul and to pursue the happiness of the life, while medicine was to care for the health of the body. It is the role of philosophy that defines what the mental disease is, rather than the realm of medicine, and the practical function of philosophy is the life of caring for our souls. In order to take care of the soul, it is important to diagnose what the mental disease is and where it comes from. In ancient Greek, medicine disease was initially regarded as a divine punishment and healing as, quite literally, a gift from the gods. Plato, however, insists that mental illness is not just brain problem but a human whole problem, (2) it is caused by imbalance and discord, and (3) ignorance is also a mental disease, (4) and furthermore, injustice and vice are mental diseases as well. Therefore Plato argues that the aim of philosophy is to practice a virtue as the mental health and further to achieve political justice to maintain the health of the soul.

Necessity of Research for Safe Drug use in Pregnant Women (임신부에서 약물의 안전사용을 위한 연구의 필요성)

  • Han, Jung Yeol;Cho, Geum Joon;Oh, Jung Mi
    • Journal of The Korean Society of Maternal and Child Health
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    • v.21 no.3
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    • pp.159-165
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    • 2017
  • The thalidomide tragedy in the 1960s has resulted in a perpetuation of a certain perception amongst physicians and pregnant women that the use of medication during pregnancy is a potential teratogen. Consequently, physicians hesitate in prescribing medication to pregnant women. In addition, pregnant women often refuse medication despite therapeutic necessity because of this existing perception. Recently there have been frequent adverse pregnancy outcomes related to the recurrence of chronic diseases, such as hypertension and diabetes, following pregnancy in older women. And there are lots of unnecessary termination of pregnancy due to the of information of medication exposed to medication following over 50% of unintended pregnancy. In light of this, better dissemination of information regarding the safe usage of medication for pregnant women is required. This would not only be cost-effective in terms of medical expenditure, but also prove beneficial for the treatment of diseases. In addition, Korea needs to adapt to the increasing changes of the international information system regarding supporting the safe usage of medication during pregnancy. An example of this is shown by the recent changes to the labeling of medication by the United States Food and Drug Administration. The new labeling includes information on the risk of usage, rather than just an arbitrary alphabetic classification of B, C, D, or X. Furthermore, this information is limited in Korea because of the lack of research, which in turn is due to several limitations on ethics and methodology, as well as present regulations on the research of pregnant women. From this, we can learn that government support is critical for the establishment of research so that we can alter the perception that all medication is harmful to pregnant women.