• 의료법학
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• 제18권2호
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• pp.105-138
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• 2017

이 글은 환자의 자기결정권에 관한 몇몇 대표적인 판례들을 연혁적으로 검토한 논문이다. 대법원은 과거 음주상태에서 농약을 음독하여 자살을 시도한 환자가 치료를 거부하자 치료를 포기한 의료진에게 특정 의학적 상태(응급상황)에서 의사의 생명보호의무가 환자의 자기결정권 존중보다 우선한다고 판단하여 의료과실을 인정하였다. 이후 대법원은 가족들의 요청에 의해 지속적 식물인간 상태인 환자에게 해당 환자의 의학적 상태(회복불가능한 사망의 단계 등)를 고려하고 환자의 의사를 추정하여 연명의료를 중단하게 하였다. 최근 대법원은 종교적 신념과 관련하여 수혈과 같은 필수적인 치료를 거부한 환자에 대하여 대법원은 환자의 생명 보호에 못지않게 환자의 자기결정권을 존중하여야 할 의무가 대등한 가치를 가지는 것으로 평가할 수 있는 판단 기준을 제시하였다. 인간의 존엄성에 근거한 환자의 자기결정권과 의사의 생명보호의무가 충돌하는 상황에 대하여 연혁적 판례 검토를 통해 법원의 입장이 우리 사회에서 환자의 주체적 역할과 자율성을 존중하는 방향을 반영하여 함께 변화되어 왔음을 확인할 수 있었다. 법원이 생명권이라는 최고의 가치만을 환자의 의사보다 더욱 우선하여 판단해오다가 적어도 명시적인 환자의 의사 또는 그렇지 못할 경우에 추정적 의사까지도 고려한 치료의 유보나 중단에 대하여 고려하기 시작한 것, 종교적 신념에 근거한 자기결정권의 행사로서의 수혈거부와 같은 치료거부에 대하여 충분한 정보에 근거한 치료거부의 몇 가지 적법한 요건들을 인정하기 시작했다는 것은 이후 우리나라 의료 환경에 적잖은 영향을 줄 것이고 의료현장에서 의료행위를 하는 의사들에게도 직 간접적인 지침이 될 것이다.

• 대한간호학회지
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• 제33권8호
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• pp.1145-1152
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• 2003

Propose. An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. Methods. The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls. Results. The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls. Conclusion. This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

• 한국복합재료학회:학술대회논문집
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• 한국복합재료학회 2005년도 춘계학술발표대회 논문집
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• pp.107-110
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• 2005

Tribological behaviors of carbon epoxy composites whose surfaces have many small grooves were compared with respect to coating method under dry sliding and water lubricating conditions. The surface coating materials were epoxy (Ep) and polyethylene (PE) mixed with self-lubricating $MoS_2$ and PTFE powders. The wear morphology of the composites observed with a scanning electron microscopic (SEM) revealed that the surface coating layer mixed with the self-lubricating powder on the grooved surface significantly improved the wear resistance under water lubricating condition because the surface coating layer blocked water to penetrate the composite surface and the self-lubricating powder reduced the wear on the coating by suppressing the generation of blisters.

• 한국경영과학회지
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• 제27권3호
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• pp.75-92
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• 2002

This paper is concerned with proposing a new market strategy for the segmented markets of the Internet stock trading. Many companies are providing various services for customers. However, the internet stock trading market is glowing rapidly absorbing a wide variety of customers showing different tastes and demographic information, so that it is necessary for us to investigate specific strategy for the segmented markets. General strategy so far in the Internet stock trading market has been to lower transaction fee according to the market trend. As the advent of rapidly enlarging market, however, more specific strategies need to be suggested for the segmented markets. In this respect, this paper applied a self-organizing map (SOM) to 83 questionnaire data collected from the Internet stock trading market in Korea, and obtained meaningful results.

• 대한수학회보
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• 제50권6호
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• pp.2079-2087
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• 2013

An $\mathcal{SQNS}$-group G is a group in which every proper subgroup of G is either s-quasinormal or self-normalizing and a minimal non-$\mathcal{SQNS}$-group is a group which is not an $\mathcal{SQNS}$-group but all of whose proper subgroups are $\mathcal{SQNS}$-groups. In this note all the finite minimal non-$\mathcal{SQNS}$-groups are determined.

• International Journal of Concrete Structures and Materials
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• 제1권1호
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• pp.3-9
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• 2007

Fiber-reinforced self-compacting concrete (FRSCC) is a new type of concrete mix that can mitigate two opposing weaknesses: poor workability in fiber-reinforced concrete and cracking resistance in plain SCC concrete. This study focused on early-age cracking of FRSCC due to restrained drying shrinkage, one of the most common causes of cracking. In order to investigate the effect of fiber on shrinkage cracking of FRSCC, ring shrinkage tests were performed for polypropylene and steel fiber-reinforced SCC. In addition, finite element analyses for those specimens were carried out considering drying shrinkage based on moisture diffusion, creep, cracking resistance of concrete, and the effect of fiber. The analysis results were verified via a comparison between the measured and calculated crack width. From the test and analysis results, the effectiveness of fiber with respect to reducing cracking was confirmed and some salient features on the shrinkage cracking of FRSCC were obtained.

• Journal of information and communication convergence engineering
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• 제15권2호
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• pp.85-90
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• 2017

Expert systems for health diagnosis are only for medical experts who have deep knowledge in the field but we need a self-checking pre-diagnosis system for preventive public health monitoring. Korea Traditional Medicine is popular in use among Korean public but there exist few available health information systems on the internet. A computerized self-checking diagnosis system is proposed to reduce the social cost by monitoring health status with simple symptom checking procedures especially for Korea Traditional Medicine users. Based on the national reports for disease/symptoms of Korea Traditional Medicine, we build a reliable database and devise an intelligent inference engine using fuzzy c-means clustering. The implemented system gives five most probable diseases a user might have with respect to symptoms given by the user. Inference results are verified by Korea Traditional Medicine doctors as sufficiently accurate and easy to use.

• 대한수학회보
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• 제52권6호
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• pp.1945-1962
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• 2015

This paper is mainly concerned with the formation of delta standing wave for the scalar conservation law with a linear flux function involving discontinuous coefficients by using the self-similar viscosity vanishing method. More precisely, we use the self-similar viscosity to smooth out the discontinuous coefficient such that the existence of approximate viscous solutions to the delta standing wave for the Riemann problem is established and then the convergence to the delta standing wave solution is also obtained when the viscosity parameter tends to zero. In addition, the Riemann problem is also solved with the standard method and the instability of Riemann solutions with respect to the specific small perturbation of initial data is pointed out in some particular situations.

• 대한가정학회지
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• 제44권7호
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• pp.141-152
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• 2006

This study explores the social-cultural adjustments of North Korean defectors with respect to their self-esteem and internal attribution. The data were obtained from a survey of 195 North Korean defectors who had recently entered South Korea. The respondents had moderate difficulties in their social-cultural adjustment consisting of social activity restriction, discrimination, and social exclusion. Their social-cultural adjustment was positively associated with internal attribution. Those with internal attribution tended to have fewer problems in adjusting to the social systems and culture of South Korea. The findings of this study imply that psychological resources play a role in enhancing the social-cultural adjustment of North Korean defectors.

• 아동학회지
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• 제24권4호
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• pp.103-121
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• 2003

Based on characteristics of victims, the parent education program focused on building a new concept of personal respect toward their children and on changing overprotective and coercive parenting styles into democratic parenting. The social skills training program focused on building self-acceptance, self-esteem and interpersonal capabilities in victimized children. Three groups, each composed of 6 victims and their mothers, were compared to examine the effectiveness of the programs. Children in experimental group I showed marked increase in self-esteem. They also reported that their mothers' overprotective parenting decreased after participation in the parent education program, indicating the effectiveness of the intervention program.