• The Korean Society of Law and Medicine
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• v.18 no.2
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• pp.105-138
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• 2017

This is case comments of several representative legal cases regarding self- determination right of patient. In a case in which an intoxicated patient attempted suicide refusing treatment, the Supreme Court ruled that the medical team's respect for the patient's decision was an act of malpractice, and that in particular medical situations (medical emergencies) the physician's duty to preserve life supersedes the patient's rights to autonomy. Afterwards, at the request of the patient's family, and considering the patient's condition (irrecoverable death stage, etc.) consistent with a persistent vegetative state, the Supreme Court deduced the patient's intention and decide to withdraw life-sustaining treatment. More recently, regarding patients who refuse blood transfusions or other necessary treatment due to religious beliefs, the Supreme Court established a standard of judgment that can be seen as conferring equal value to the physician's duty to respect patient autonomy and to preserve life. An empirical study of legal precedent with regard to cases in which the physician's duty to preserve life conflicts with the patient's autonomy, grounded in respect for human dignity, can reveal how the Court's perspective has reflected the role of the patient as a decision-making subject and ways of respecting autonomy in Korean society, and how the Court's stance has changed alongside changing societal beliefs. The Court has shifted from judging the right to life as the foremost value and prioritizing this over the patient's autonomy, to beginning to at least consider the patient's formally stated or deducible wishes when withholding or withdrawing treatment, and to considering exercises of self determination right based on religious belief or certain other justifications with informed refusal. This will have a substantial impact on medical community going forward, and provide implicit and explicit guidance for physicians who are practicing medicine within this environment.

• Journal of Gifted/Talented Education
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• v.22 no.2
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• pp.427-450
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• 2012

This study was intended to develop a self-report wisdom scale for the elementary gifted students. For this, related literature was reviewed in depth and open ended questionnaire about the wisdom qualities was conducted. Based on these, a self-report wisdom scale, which was comprised of 42 items in 4 factors such as the situation judgment and problem-solving ability, the communication ability and skills, the emotional stability, the insight and adaptation, was developed. For this preliminary scale, 215 elementary gifted students were surveyed. And for the confirmatory factor analysis, 256 elementary gifted students participated. The results of the study were as follows. The fit of measurement model was found to be ${\chi}^2$=1596.46 (df=813, p=.00), TLI .90, CFI .91, RMSEA .046, indicating most of fit indexes were acceptable. The reliability for each of 42-item by the sub-factors also appeared to be good, showing that internal consistency reliability by the configuration factors was 0.86, .87, .89, .87 each relatively. In addition, to verify the validity of the wisdom scale, the convergent and discriminate validities were obtained through the correlation analysis among the psychological characteristics which were considered to be related to the wisdom. Finally, practical implications of the study were discussed in depth.

• Korean Journal of Child Education & Care
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• v.17 no.4
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• pp.145-161
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• 2017

The purpose of this study was to analyze the relationship among NCS basic vocational competencies, Teaching Personality Aptitude and DISC behavior type of pre-preschool teachers. The subjects were 110 pre-preschool teachers attended in D university located in Kyonggido. 'NCS basic vocational competencies scale', 'Teaching Personality and Aptitude scale', and 'DISC behavior type scale' were used in the collection of data. It used Pearson's correlation Analysis to analyze the data. The results of this study are as follows; first, there was positive correlations between dominance trait and mathematical competency. And, there was positive correlations between interaction trait and self-development competency. And there were negative correlations between support traits and NCS basic vocational competencies. Second, it was revealed that positive correlations between almost sub scale's of NCS basic vocational competencies and teacher teaching personality aptitude. Third, there was positive correlations between dominance trait and sub scale of teaching personality aptitude(e.g.: problem solving/ inquiry skills, judgment, creativity/practical ability, leadership, knowledge/information ability, planning ability, sincerity/responsibility). And there were negative correlations between support traits and sub scale of teaching personality aptitude(e.g.: problem solving/ inquiry skills, judgment, creativity/practical ability, leadership, sincerity/responsibility).

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.62-70
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• 2016

This study investigated the development of a Korean version of the Ayurvedic constitution questionnaire and sought to verify its validity and reliability. Each study subject completed a self-administered questionnaire consisting of 63 questions. The Ayurvedic constitutions were placed into 7 categories. The results from 271 subjects revealed that the internal consistency reliability (Cronbach's ${\alpha}$) in the 41 item biometric signature part of the questionnaire was 0.757. The Cronbach's ${\alpha}$ for the 22 item psychological part was 0.616, whereas the Cronbach's ${\alpha}$ for the entire 63 items was 0.840. Taken together, the results indicate that the Korean version of the Ayurvedic questionnaire was valid. Within the questionnaire, the fourth item about body and the ninth item about psychological showed item-total correlations with negative total values, thereby indicating inconsistent (less reliable) responses. The remaining 61 items had a 0.864 degree of reliability. The results for the pure Vata Pitta and Kapha body types showed a high level of internal consistency reliability, presumably because those participants were of a pure constitution type. The Kappa factor for inter-item coincidence between the judgment of Ayurvedic constitution experts and the judgment derived from the written test scores was 0.619, thereby indicating questionnaire validity. The results of this study may be useful in further development of a Korean version of the Ayurveda constitution questionnaire.

• Convergence Security Journal
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• v.14 no.6_2
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• pp.63-72
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• 2014

The purpose of this study is to investigate the relationship between organizational culture, job characteristics and job continuance will among police officers. This study targets the police officers dispatched in the Seoul metropolitan area in 2012, and it uses judgment sampling method to analyze 187 samples. This study conducted the statistical analysis, including frequency analysis, factor analysis, reliability analysis and multiple regression analysis, by using SPSS WIN 18.0. The result is as follows. First, the organizational culture among police officers has effects on job characteristics. That is, the feedback increases as the organizational culture becomes more mutual development- or agreement-oriented, or as it becomes more hierarchical; on the other hand, the job importance increases as more hierarchical and rational a culture becomes. Also, self-determination increases as an organization becomes more mutual development- or agreement-oriented. Second, the organizational culture among police officers has effects on the job continuance will. That is, the expected satisfaction increases but intentional insincerity decreases as the organizational culture becomes more mutual development- or agreement-oriented. Also, risk-perceiving behavior increases as an organizational culture becomes more hierarchical. Third, police officers' job characteristics have effects on the job continuance will. That is, the feedback and job importance increases the expected satisfaction while reducing functional diversity. The feedback also reduces the contraction factor. The job importance increases intentional insincerity while reducing functional diversity. The functional diversity not only increase alternative expectation but also increases risk-perceiving factors.

• The Journal of the Korea Contents Association
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• v.16 no.4
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• pp.516-527
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• 2016

The purpose of this study was to test the effects of the Lasater's debriefing on critical thinking disposition, problem- solving skills and clinical judgement of nursing students. The study design was a nonequivalent control group non synchronized design. The subjects were 60 students for 12 groups. They were randomly assigned to the experimental group (n=30) or control group (n=30). Critical thinking and problem-solving skills were measured using a self-administered questionnaire. Clinical judgement was measured by a Lasater's clinical judgement rubric. The Results of the study was : After Lasater's debriefing, the level of students' critical thinking, problem-solving skills and clinical judgment in experimental group were higher than the level of control group. Through this experiment the rubric of Lasater debriefing is an effective tool for clinical judgment, therefore we know that the future of simulation training is needed to use the Lasater's clinical judgement rubric of debriefing in simulation training.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.6
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• pp.2915-2925
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• 2013

This study examined the moral judgments and ethical decision-making and analyzed ethical dilemmas experienced in practice by nursing students. The data were collected using self-reported questionnaires and reports from 189 college students in their 2nd ~ 4th grades. Data collection period was from Nov 6th - 20th in 2012. Each grade's P(%) scores were 47.92, 43.74, and 43.75 respectively.. For stage 4 score, each grade's scores were 22.37, 22.98, and 19.74. This result shows that, compared to juniors, senior student's P(%) scores did not drop and stage 4 scores rather decreased, which is in line with the results of previous studies about the effects of ethics education. This finding could be attributed to the regular and voluntary case presentations and discussions required for the senior participants. Regarding ethical decision-making type, the most favored was type 3(35.45%). Among seven categories of the ethical dilemmas facing the students, the most commonly reported was the patient's rights and dignity, followed by practices based on nursing standards, arranging for dying patients. This study raises the need that the curriculum is revised to encourage student's participation in the analysis of ethical issues they confront in the field.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.05a
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• pp.271-274
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• 2016

CT quality assurance imaging evaluation and enforcement as quantitative assessment by phantom image evaluation, assessment items include There are also contrasting the water attenuation coefficient, uniformity, noise, resolution, spatial resolution, 10mm slice thickness evaluation, contrast resolution, space for the resolution, the slice thickness evaluation, it is possible to estimate the error due to the evaluation by the subjective judgment of the tester, using a subjective error image processing program to be computed to minimize the objective evaluation. Basic recording conditions of the CT image quality control assessment is the same as special medical equipment quality control checks, the images were evaluated quantitatively using IMAGE J. For a CT attenuation coefficient, the uniformity, noise evaluation, were evaluated as CT quality control image the standard deviation of the measured value of the digital processing of image smaller and less noise uniform images than the, contrast and resolution assessment is the size of the diameter of a circle having a large the 1 inch, 0.75 inch, 0.5 inch quality if the diameter of the circle, was evaluated in the small circle in the near circle ellipse. Spatial resolution is evaluated by using a self-extracting features of an image processing program, all of the groups of members comprising the acceptance criteria to automatically extract, was evaluated to be very useful for the quantitative assessment. When CT image quality control assessment on the basis of the results such as the above, if using an image processing program to minimize the subjective judgment of the error evaluator and is determined more efficient than would be made quantitative evaluation.

• Child Health Nursing Research
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• v.7 no.3
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• pp.342-358
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• 2001

The purpose of the study is both to develope the group counseling program applying Reality Therapy, by which positive body image could be conceived by adolescent women, by helping them identify their bodies as what they are, and then admit their real bodies, and also find out some practical methodologies of self-esteem, and to verify the program to show how effectively this program can be applied to them. Data were collected by self-reported questionnaires(body image and depression) from 59 high school girls in Seoul who were selected by criteria of this study, from the 1st of September to 10th of November, 2000. The experimental group participated in the group counseling by applying Reality Therapy with 8 sessions for 4 weeks. Descriptive statistics, homogeneity test, hypothesis testing, reliability were performed statistically by utilizing SAS pc program, and additionally the reaction due to the change of body image by adolescent women was also analyzed. The results drawn through the present study are as follows: 1. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get higher points on body image than adolescent women who did not participated' has been adopted (t=6.73, p=.000). 2. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get lower points on depression than adolescent women who did not participated' has been adopted (t=5.28, p=.000). 3. After applying the group counseling program, the degree of depression for upper group who obtained higher preliminary points on depression has decreased rather meaningfully more than that for lower group who obtained higher preliminary points(t=5.58, p=.000). 4. Reactions associated with positive change in body image of adolescent women who participated in the group counseling program by applying Reality Therapy has been shown to be body acceptance, enhancement of self-esteem, and change of value judgment of beauty. 5. The difference in the motivation and attitude of each group has been observed, by analyzing the reactions obtained from those who show the highest change of body image and those who show the lowest change of body image through the group counseling program by applying Reality Therapy. According to the present studies, it can be concluded that the group counseling program by applying Reality Therapy has turned out as an effective strategy for nursing intervention for adolescent women, by helping them form positive body images and reducing depression.

• The Korean Society of Law and Medicine
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• v.13 no.1
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• pp.199-247
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• 2012

According to the review and analysis of medical cases that are assigned to the Supreme Court and all local High Court in 2011 and that are presented in the media, it was found that the following categories were taken seriously, medical and pharmaceutical product liability, the third principle of trust between medical institutions, negligence and causation estimation, responsibility limit, the meaning of medical records and related judgment of disturbed substantiation, Oriental doctors' duties to explain the procedures, IMS events, whether one can claim for each medical care operated by non-physician health care institutions to the nonmedical domain in the National Health Insurance Corporation, and the basis of norms for each claim. In the cases related to medical pharmaceutical product liability, Supreme Court alleviated burden of proof for accidents with medical and pharmaceutical products prior to the practice of Product Liability Law and onset the point of negative prescription as the time of damage strikes to condition feasibility of the specific situation. In the cases related to the 3rd principle of trust between medical institutions, the Supreme Court refused to sentence the doctor who has trusted the judgment of the same third-party doctors the violations of the care duty. With respect to proof of a causal relationship and damages in a medical negligence case, the Supreme Court decided that it is unjust to deny negligence by the materials of causal relationship rejecting the original verdict and clarified that the causal relationship shall not deny the reasons to limit doctors' responsibilities. In order not put burden on patients with disadvantages in which medical records and the description of the practice or the most fundamental and important evidence to prove negligence and causation are being neglected, the Supreme Court admitted in the hospital's responsibility for the case of the neonate death of suffocation without properly listed fetal heart rate and uterine contraction monitor. On the other hand, the Seoul Western District Court has admitted alimony for altering and forging medical records. With respect to doctors' obligations to description, the Supreme Court decided that it is necessary to explain the foreseen risks by the combination of oriental and western medicines emphasizing the right of patient's self-determination. However, questions have arisen whether it is realistically feasible or not. In a case of an unlicensed doctor performing intramuscular stimulation treatment (IMS), the Supreme Court put off its decision if it was an unlicensed medical practice as to put limitation of eastern and western medical practices, but it declared that IMS practice was an acupuncture treatment therefore the plaintiff's conduct being an illegal act. In the future, clear judgment on this matter should be made. With respect to the claim of bills from non-physical health care institutions, the Supreme Court decided to void it for the implementation of the arrangement is contrary to the commitments made in the medical law and therefore, it is invalid to claim. In addition, contrast to the private healthcare professionals, who are subject to redemption according to the National Healthcare Insurance Law, the Seoul High Court explicitly confirmed that the non-professionals who receive the tort operating profit must return the unjust enrichment and have the liability for damages. As mentioned above, a relatively wide range of topics were discussed in medical field of 2011. In Korea's health care environment undergoing complex changes day by day, it is expected to see more diverse and in-depth discussions striding out to the development in the field of health care.