• The Korean Society of Law and Medicine
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• v.24 no.4
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• pp.103-128
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• 2023

According to the current act of Decision-Marking in Life-Sustaining Medicine, the decision to withhold or discontinue life-sustaining treatment is primarily based on the wishes of a patient in the dying process. Decision-making regarding life-sustaining treatment for these patients is made by the patient, if he or she is conscious, directly expressing his/her intention for life-sustaining treatment in writing or verbally or by writing an advance medical directive and physician orders for life-sustaining treatment. It can be exercised. On the other hand, if the patient has not written an advance medical directive or physician orders for life-sustaining treatment, the patient's intention can be confirmed with a statement from the patient's family, or a decision to discontinue life-sustaining treatment can be made with the consent of all members of the patient's family. However, in the case of an unrelated patient who has no family or whose family is unknown, if an advance medical directive or physician orders for life-sustaining treatment are not written before hospitalization and a medical condition prevents the patient from expressing his or her opinion, the patient's will cannot be known and the patient cannot be informed. A situation arises where a decision must be made as to whether to continue or discontinue life-sustaining treatment. This study reviewed discussions and measures for unbefriended patients under the current law in order to suggest policy measures for deciding on life-sustaining treatment in the case of unbefriended patients. First, we looked at the application of the adult guardian system, but although an adult guardian can replace consent for medical treatment that infringes on the body, permission from the family court is required in cases where death may occur as a direct result of medical treatment. It cannot be said to be an appropriate solution for patients in the process of dying. Second, in accordance with Article 14 of the Life-Sustaining Treatment Decision Act, we looked at the deliberation of medical institution ethics committees on decisions to discontinue life-sustaining treatment for patients without family ties.Under the current law, the medical institution ethics committee cannot make decisions on discontinuation of life-sustaining treatment for unbefriended patients, so through revision, matters regarding decisions on discontinuation of life-sustaining treatment for unbefriended patients are reflected in Article 14 of the same Act or separate provisions for unbefriended patients are made. It is necessary to establish and amend new provisions. In addition, the medical institution ethics committee must make a decision on unbefriended patients, but if the medical institution cannot make such a decision, there is a need to revise the law so that the public ethics committee can make decisions, such as discontinuing life-sustaining treatment for unbefriended patients.

• Korean Journal of Social Welfare
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• v.52
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• pp.201-221
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• 2003

This paper aims to examine whether there are significant differences in various aspects of a household's arrangements by type of employment of married woman; 1) the extent of the division of labor, 2) the authority of decision making, and 3) financial and expenditure responsibilities. It also investigates the determinants of gender equality in the family. Based on data collected in the fall of 2002 from a representative sample of the Korean population, this study finds that nonstandard employment of married woman including temporary work and daily basis work does not contribute to gender equality within the household, although most of nonstandard employees are full-time workers. However, standard employment of married woman contribute to gender equality in the family. The results of this study show that husbands whose wives are standard-employed are more likely to take part in housework chores that are female-dominated, and standardly employed wives are more likely than non-standardly employed or housewives to take part in the household's financial and expenditure responsibilities. Standardly employed wives also have more power in decision making process within households. On the contrary, non-standardly employed wives gain no advantage over housewives within their families, due to lack of bargaining resources that enable them to affect the household's arrangements. Thus, they have confronted additional burdens, which stem from carrying the dual role of doing house work as well as paid work. Such increasing work-family conflict may bring about disruption of family. Therefore, this study maintains that it is high time that government-level efforts should be made in order to improve the status of irregularly employed wives in the workplace.

• Journal of Korea Water Resources Association
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• v.55 no.3
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• pp.177-189
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• 2022

The purpose of this study is to apply the d4PDF (Data for Policy Decision Making for Future Change) constructed from a large-scale ensemble climate simulation to estimate the probable rainfall with low frequency and high intensity. In addition, this study analyzes the uncertainty caused by the application of the frequency analysis by comparing the probable rainfall estimated using the d4PDF with that estimated using the observed data and frequency analysis at Geunsam, Imsil, Jeonju, and Jangsu stations. The d4PDF data consists of a total of 50 ensembles, and one ensemble provides climate and weather data for 60 years such as rainfall and temperature. Thus, it was possible to collect 3,000 annual maximum daily rainfall for each station. By using these characteristics, this study does not apply the frequency analysis for estimating the probability rainfall, and we estimated the probability rainfall with a return period of 10 to 1000 years by distributing 3,000 rainfall by the magnitude based on a non-parametric approach. Then, the estimated probability rainfall using d4PDF was compared with those estimated using the Gumbel or GEV distribution and the observed rainfall, and the deviation between two probability rainfall was estimated. As a result, this deviation increased as the difference between the return period and the observation period increased. Meanwhile, the d4PDF reasonably suggested the probability rainfall with a low frequency and high intensity by minimizing the uncertainty occurred by applying the frequency analysis and the observed data with the short data period.

• Journal of Digital Convergence
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• v.19 no.8
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• pp.241-247
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• 2021

As a way to solve the side effects of urban development, a smart city with information and communication technology converges in the city is being built. For this, a smart city platform should support the development and integration of smart city services. Therefore, the underlying technology and the functional and non-functional requirements that the smart platform must support were analyzed. As a result of this, we classified the Internet of Things, cloud computing, big data and cyber-physical systems into four categories as the underlying technologies supported by the smart city platform, and derived the functional and non-functional requirements that can be implemented and the reference model of the smart city platform. The reference model of the smart city platform is used for decision-making on investment in infrastructure technology and the development scope of services according to functional or non-functional requirements to solve specific city problems for city managers. It provides platform developers with guidelines to identify and determine the functional and non-functional requirements and implementation technologies of software platforms for building smart cities.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.32 no.1
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• pp.24-28
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• 2021

Background and Objectives Vocal polyp is one of the most common benign diseases of vocal fold caused by overuse of voice. Laryngeal microsurgery is the first treatment of choice for vocal polyp. However, surgery has many risks such as side effects of general anesthesia, injury of tooth and psychological burden. And we often experience reduction of vocal polyps without surgical procedure. The purpose of study is to evaluate the effect of non-surgical treatment such as vocal hygiene education and proton pump inhibitor (PPI) in patients with vocal polyp. Materials and Method We performed retrospective study for seventy-three patients of vocal polyp who treated with non-surgical modalities such as vocal hygiene education and PPI over three months. Treatment outcomes and risk factors such as age, sex, polyp size, position, symptom duration, presence of laryngopharyngeal reflux (LPR) symptoms, smoking history, voice abuse history and vocal hygiene education were evaluated by comparison between polyp size improved group and non-improved group. Results 5.5% of enrolled patients showed complete response and 23.3% showed partial response without surgery. Polyp size improved group significantly carried out more practice of vocal hygiene education treatment than the non-improved group (p=0.040). And the presence of LPR symptoms [hazard ratio (HR) 3.368, confidence interval (CI) 1.055-10.754, p=0.040] and not performing of vocal hygiene education (HR 3.664, 95% CI 1.078-12.468, p=0.038). Conclusion Vocal hygiene education can be a useful treatment option when making a decision to treat with vocal polyp.

• Journal of Internet Computing and Services
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• v.23 no.1
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• pp.105-112
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• 2022

The national defense requires uninterrupted decision-making, even under direct or indirect impacts on non-traditional threats such as infectious diseases. Since all work utilizes the information system, it is very important to ensure the availability of the information system. In particular, in terms of security management, defense work is being performed by dividing the network into a national defense network and a commercial Internet network. This study suggests a work execution plan that takes into account the efficiency of work performed on the Internet and the effectiveness of security through effective defense information system operation. It is necessary to minimize the network contact point between the national defense network and the commercial Internet, and to select a high-priority one among various tasks and operate it efficiently. For this purpose, actual cases were investigated for "A" institution and characteristics were presented. Through the targeted tasks and operation plans to improve the effectiveness of defense tasks and ensure security, presented in this paper, it will be possible to increase the availability of task performance even in non-traditional threats such as infectious diseases.

• The Journal of the Korea Contents Association
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• v.19 no.4
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• pp.423-431
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• 2019

This study examines the effect of the liability limitation provision (LLP) adoption on firm's cost behavior. In April 2011, Korea introduced the LLP with the purpose of improving the management efficiency by mitigating the risks caused by the manager's failure to make decisions related to business operation. However, there are concerns that the adoption of LLP may lead the manager's moral hazard, so the need for empirical research to verify the effect of the LLP adoption is emphasized. In this study, we analyze the effect of the LLP adoption empirically, focusing on the cost behavior that is affected by the manager's decision making. From the empirical result, we find that LLP adopted companies have strengthened the cost stickiness of selling, general, and administrative costs rather than non-adopted companies. This suggests that the manager of LLP adopted company makes a more active decision to consider adjusting costs in order to prepare for future recovery in sales when sales is reduced. This study presents empirical evidence to prove the policy validity of the adoption of LLP, and we expect that our results can contribute to the capital market and academia.

• Journal of Korea Port Economic Association
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• v.35 no.3
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• pp.1-18
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• 2019

The competition between port authorities (PAs) and terminal operating companies (TOCs) in providing port logistics services has gained importance. The PAs enter into leasing contracts with TOCs in various ways. This study aims to model a contract method that maximizes the joint profit between a PA and a TOC. Particularly, this study aims to model the equilibrium by comparing four types of contract schemes in the non-coordination, cooperation, Cournot, and collusion models. The results of the analysis show that the two-part tariff scheme generates a higher joint profit than the fixed and fee contracts. It is understood that risk- and profit-sharing between the PAs and TOCs helps the latter to maximize the throughput and the joint profit. These results are expected to provide an important theoretical basis for decision-making about port rent and freight between the PAs and TOCs.

• The Journal of the Korea Contents Association
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• v.7 no.1
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• pp.190-198
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• 2007

This study is to analysis the application statue of account and non-account information of the tax investigators, who are charging significant roles in the decision making process of the tax investigation and to verify whether work factors, regarding work performance, affect on the application of the taxation discretion. Following to verified results of the study, tax investigators apply the income statement most frequently and significantly consider the financial statement with annexed specification from the data to expedite an efficient tax investigation. In a selection of non-account information, work group preferentially considers the disorder of job performance. The analysis of primary factor embodies that the professionalism, regarding legal or institutional work performance, and the working environment intimately effect on the tax discretion application.

• Journal of Digital Convergence
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• v.11 no.4
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• pp.311-320
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• 2013

The purpose of this study was to identify consciousness of bio-medical ethics of nursing and non-nursing students. The total mean scores of consciousness of bio-medical ethics between nursing(3.04/4) and non-nursing(2.88/4) were significantly different(t=6.79, p<.001). There were statistically significant differences between two groups in sub-categories of consciousness of bio-medical ethics: right to life of fetus, prenatal diagnosis of fetus, right to life of newborn, euthanasia, organ transplantation, brain death. The major predicting factors for consciousness of bio-medical ethics were experience of studying for biomedical ethics over 1 semester, experience of conflict for biomedical ethic problem, and ethical attitude in nursing department. Study results indicate that appropriate and various teaching-learning method for education of each department is deeded according to move up into a higher class with consciousness of bio-medical ethics, ability of decision making, critical thinking.