• Title/Summary/Keyword: Self-Determination

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Readability of Patient Information Leaflets in Clinical Trials (임상시험 시험대상자설명서의 가독성 평가)

  • Choi, Im-Soon;Yong, Chul-Soon;Lee, Iyn-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.1
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    • pp.33-39
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    • 2016
  • Background: Elements of informed consent including capacity, disclosure, understanding, voluntariness, and permission of the participant, are all crucial for clinical trials to be legally and ethically valid. During the informed consent process, the patient information leaflet is an important information source which prospective research subjects can utilize in their decision-making. In the adequate provision of information, KGCP guideline necessitate 20 specific items, as well as the use language that individuals can understand. This study measures the vocabulary level of patient information leaflets in an effort to provide an objective evaluation on the readability of such material. Methods: The word difficulty of 13 leaflets was quantitatively evaluated using Kim kwang Hae's vocabulary grading framework, which was compared to the difficulty level of words found in the $6^{th}$ grade Korean textbook. The quantitative outcomes were statistically analyzed using chi-squared tests and linear by linear association for ordinal data. Results: There was a statistically significant difference between the vocabulary level and frequency of words in leaflets and the 6th Korean textbook. The leaflets were on average 260 sentences and about roughly 15 pages long, including lay language (easier or equal to language used in primary school) of around 12% less; technical language of around 4.5% more. As the vocabulary grades increase, there was a distinct difference in vocabulary level between Korean textbook and each information leaflet (p < 0.001). Conclusion: Patient information leaflets may fail to provide appropriate information for self-determination by clinical trial subject through the difficulty level of its wording. Improvements in the degree of patients' understanding and appropriate use of information leaflets are collaboratively equipped to strengthen patient's autonomy and therefore guaranteeing participant's rights.

Psycho-therapeutic Elements in Serious Game for Therapy (치료용 기능성 게임에서의 심리 치료적 요소)

  • Yoon, Seon-Jeong;Ryu, Mi-Young
    • Journal of Korea Game Society
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    • v.12 no.2
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    • pp.31-41
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    • 2012
  • The purpose of serious game for therapy is not to cure patients directly, but to have them cause psychological change, and get positive treatment will. In this study, we extracted 5 elements to be considered to design efficient serious games for psychological therapy through precedent data's analysis. For verification of the extracted elements, we intensively analyzed 2 elements. Those are 'Re-Mission' of which the effect was already proven, and 'SIMS2' which was designed to get the effect of treatment which patients who may experience difficulties in real-world can obtain in virtual space through previous experiences. As a result, material stability, reality, consistency with characters and self-determination of game progress are applied to all the analyzed games, But interactivity with reality is not applied. However, previous researches and validated questionnaire show that interactivity with reality is appropriate element. Consequently, the results of this study will be important materials in designing more efficient serious games for therapy.

Collaborative Consumption Motivation Factor Model under the Sharing Economy (공유경제 모형에서의 협력적 소비 영향요인)

  • Roh, Tae-Hyup;Choi, Hwa-Yeol
    • The Journal of Information Systems
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    • v.27 no.2
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    • pp.197-219
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    • 2018
  • Purpose The purpose of this study is to examine what motivates users to adopt one of the emerging applications for collaborative consumption of sharing economy. Using the self-determination theory, motivation theory and TAM(Technology Acceptance Model) as the theoretical framework, this study illustrates important factors that influence adoption of collaborative consumption service. We develops the ICTs(Information and Communications Technologies) initiatives and motivation model to collaborative consumption. Design/methodology/approach This paper makes use of a quantitative methodology using survey questionnaire that allows for the measurement of the eight constructs(System Availability, Contents Quality, Design & Personalization, Security & Privacy, Emotional & Social Value, Economic Value, Attitude, Adoption & Consumption) contained in the hypothesized theoretical model on the basis of the prior literatures. Data collected from a sample of 227 respondents who have used the collaborative consumption services and provided the foundation for the examination of the proposed relationships in the model. Findings This study has the following implications for the users and providers of CC platforms and services. The ICTs initiatives (System Availability, Contents Quality, Design & Personalization, Security & Privacy) are the influential factors that motivate the emotional and social value to CC. On the other hand, The ICTs initiatives (System Availability, Contents Quality) are not very significant factors of economic value to CC. The empirical analysis result indicate that there are significant causal effect among emotional & social value, economic value, and adoption to CC. This study provides important theoretical implications for innovation adoption research through an empirical examination of the relationship between ICTs initiatives, motivation factors to collaborative consumption in the sharing economy.

Human Dignity and the Right of Pursuing Happiness (인간(人間)의 존엄(尊嚴)과 가치(價値)·행복추구권(幸福追求權))

  • Jeon, Chan-Hui
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.317-326
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    • 2010
  • The respect for human dignity and worth is to purpose both the ideological premise and the guarantee of all the fundamental rights at the same time. Both freedom and rights which are necessary for obtaining those purposes should be guaranteed. "A human has dignity and worth as a human being" is that a nation exists for an individual between an individual and a nation. It declares democratic ideology. It becomes a ultimate standard to solve a problem of the interpretation of an article of a law and the effect of a law. The right to pursue one's happiness is necessary to persue one's happiness. The rights comprehensively covers even the freedom and the right without in an article of a law. It shows a positive rights like a social fundamental rights in a minimum level of a law. According to the precedent of the Constitutional Court, as the right to pursue one's happiness is in area of a common action, the free manifestation of the authoritative individuality, and self-determination in category, this study is to emphasize the importance of the right to pursue one's happiness throughout its meaning and the precedent of history legislation.

Examine the Influence of the Fellowship of an Organization Empowerment of Security Officer (민간경비원의 팔로워십이 조직 임파워먼트에 미치는 영향)

  • Kim, Chan-Sun;Park, Young-Man;Ahn, Hwang-Kwon
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.375-385
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    • 2010
  • The purpose of this study is to examine the influence of the fellowship of an organization empowerment of security officers. By using stratified cluster random sapling, 264 people from private security enterprises which are located in Seoul, 2009, were selected as final samples. However, the cases used in the final analysis were counted as 238. The reliability of the questionnaire used in the study was measured by Cronbach's $\alpha$ statistics, being over .761. The collected data were analyzed by factor analysis, reliability analysis, t-test, F-test, and multiple regression etc., using SPSSWIN 17.0. The conclusions were drawn as following. First, there are difference in fellowship according to the demographic characteristics of security officers. Second, there are difference in organization empowerment according to the demographic characteristics of security officers. Third, the fellowship of security officers affects an organization empowerment. That is to say, when vigorous and active participation, and independent and critical thinking are perceived more highly, the intensity of influence, meaning, capability, and self-determination increase.

The Relationship Between a Physical Therapist's Sense of Humor and Empowerment (물리치료사 유머감각과 임파워먼트와의 관계)

  • Lee, Kyung-Hyun;Lee, Jung-Hyun;Kim, Ki-Tae;Kim, Sang-Jae;Lim, Ji-Young;Kim, Ji-Hoon;Son, Kyung-Hyun
    • Journal of Korean Physical Therapy Science
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    • v.21 no.1
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    • pp.1-12
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    • 2014
  • Purpose : This study aims to provide fundamental information for increasing a physical therapist's empowerment and suggesting effective ways to incorporate humor into the physical therapist's organizations by investigating a level of perceived sense of humor and empowerment, as well as examining the relationship between them. Method : This study was conducted in the country's 9 general hospitals, 11 rehabilitation hospitals, 20 clinics. The data of general characteristics, sense of humor, and empowerment were collected from 1 August 2012 to 25 August 2012. A total of 300 clinical instructors were distributed and collected. The call response rate was 94.7%(n=284). The collected data were analyzed by spss/pc + 12.0 Result : 1. The mean score of the physical therapist's sense of humor was $56.53{\pm}05.58$ out of 84 and each of the sub-dimensions were scored in order of emotional expressiveness, liking of humor and metamessage sensitivity. 2. The mean score of the physical therapist's empowerment was $56.67{\pm}12.72$ out of 84 and each of the sub-dimensions scored in order of meaning, competence, self-determination and impact. 3. There was no significant difference between the sense of humor and the empowerment(r=0.093, p=0.118). 4. There were no significant difference in sense of humor. 5. There were significant differences in the levels of the empowerment by sex, marriage, workers satisfaction, age, attainment in scholarship, workplace, and duration of work. Conclusion : Although there was no significant difference between the sense of humor and the empowerment. the sub-dimension of human preference was significant.

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Entrepreneurship Perception and Needs Analysis of Entrepreneurship Education for Female Engineering Students Using an Importance-Performance Analysis (IPA 기법을 활용한 공학계열 여대생의 기업가정신 인식 및 교육 요구도 분석)

  • Kim, Se Young;Yoon, Seonghye;Lim, Ji Young;Jang, JeeEun;Kang, Min Jeng;Park, Hyeon Kyeong
    • Journal of Engineering Education Research
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    • v.20 no.6
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    • pp.43-51
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    • 2017
  • As the need for entrepreneurship to create new values and innovate in the rapidly changing social environment is emerging, education for entrepreneurial is emerging in university education. The purpose of this study is to understand the current status of entrepreneurship education and to derive the priority of education based on actual indicators of importance-performance. For this study, we surveyed 227 female college students in E Woman's University by using the Importance-Performance Analysis (IPA) method for entrepreneurship factors. The result showed that the means of importance of all factors and sub-factors of entrepreneurship were higher than the means of performance of them, and the difference was statistically significant except for the determination. In addition, the results of the IPA matrix analysis showed that the factors that needed urgent improvement in self-confidence, future-orientation, active/innovative activities, and proactivity. Based on the results of this study, the implications of the development of entrepreneurship curriculum for college students in engineering field were discussed. This study is meaningful that it provided practical basic information of curriculum design leading to the manifestation of entrepreneurship of women in engineering field by analyzing entrepreneurship of female engineering students and deriving priority factors of educational treatment.

The Problems and the Improvement Plan of the Hospice/Palliative Care and Dying Patient's Decisions on Life-Sustaining Treatment Act (연명의료결정법의 문제점 및 개선 방안)

  • Kim, Myunghee
    • Journal of Hospice and Palliative Care
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    • v.21 no.1
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    • pp.1-8
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    • 2018
  • Nearly 20 years after the Boramea Hospital case, the act on decisions on life-sustaining treatment for patients in hospice and palliative care or at the end of life has taken effect on February 4, 2018 as recommended by the National Bioethics Committee. However, during the legislation process, some parts of the bill that stakeholders and concerned parties did not see eye to eye were either revised or removed. Moreover, the hospice and palliative care part was added in the last minute before the enactment. As a result, the law includes parts that are not in line with the recommendations from the National Bioethics Committee, thereby causing various problems. Therefore, it is crucial to monitor how the decisions on life-sustaining treatments are made in the field and gather various opinions of concerned parties to identify and address problems in the early stage of the implementation of the law. Based on the data, the legislation must be amended to fulfill its purpose that is "to protect the dignity and value of human beings by assuring the best interests of the patients and by respecting their self-determination".

The Study on the legal System of medical mistake and conflicts -Centering around the methods of a herb doctor's copying with- (의료과오(醫療過誤) 및 분쟁(紛爭)의 법률적체계(法律的體系)에 관한 연구 -한의사의 대처방법(對處方法)에 관하여-)

  • Lee, Sun-Dong
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.101-125
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    • 1997
  • Man pursues health as his basic right. Therefore, the government should try to preserve the right of the people's health and carry out the policy of medical treatment for that. But the system of our medical care is advantageous to the medical institutions, which produce medical goods each people buys and sells freely, more than to the maintenance and improvement of their health. That is to say, the first aim of the institution is not the healthy preservation of the people but their accumulation of riches. The medical conflicts are the social situation which is happening between those who produce medical treatment and the patients who consume it. Its behinning comes from the lack of belief by the inhuman relationship between patients and doctors. According to thelatest investigation, the patients of oriental clinics look more content than those who go to common hospitals. The reasons are as follows; fitness to one's physical constitution, the kind altitude of doctors and the view of oriental medicine toward human body. Though the content degreee is higher than western medicine, such conclusions result from the present condition the number of the patients is less. In short, the first, since the right of patients is higher and the fields make more variors and popular, the conflicts and mistakes go on increasing. The second, in their activity of treatment, the legal importance of atlention and explanatory obligation should be considered seriously so as not to break out medical mistakes. The third, in the center of technical books which are accepted by the academic world, the clinical exertion doing treatment is needful. The fourth, as the direct order of medical justification the self-determination of patients should be respected. The fifth, because the process and record of treatment become important in the time of emergency legally, the conversations and movements as well as the details of treatment must be recorded. The sixth, the academic effort about the settlement institution or the legal system is necessary.

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INHERENT SAFETY ANALYSIS OF THE KALIMER UNDER A LOFA WITH A REDUCED PRIMARY PUMP HALVING TIME

  • Chang, W.P.;Kwon, Y.M.;Jeong, H.Y.;Suk, S.D.;Lee, Y.B.
    • Nuclear Engineering and Technology
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    • v.43 no.1
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    • pp.63-74
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    • 2011
  • The 600 MWe, pool-type, sodium-cooled, metallic fuel loaded KALIMER-600 (Korea Advanced LiquId MEtal Reactor, 600 MWe) has been conceptually designed with an emphasis on safety by self-regulating (inherent/intrinsic) negative reactivity feedback in the core. Its inherent safety under the ATWS (Anticipated Transient Without Scram) events was demonstrated in an earlier study. Initiating events of an HCDA (Hypothetical Core Disruptive Accident), however, also need to be analyzed for assessment of the margins in the current design. In this study, a hypothetical triple-fault accident, ULOF (Unprotected Loss Of Flow) with a reduced pump halving time, is investigated as an initiator of a core disruptive accident. A ULOF with insufficient primary pump inertia may cause core sodium boiling due to a power-to-flow mismatch. If the positive sodium reactivity resulting from this boiling is not compensated for by other intrinsic negative reactivity feedbacks, the resulting core power burst would challenge the fuel integrity. The present study focuses on determination of the limit of the pump inertia for assuring inherent reactivity feedback and behavior of the core after sodium boiling as well. Transient analyses are performed with the safety analysis code SSC-K, which now incorporates a new sodium boiling model. The results show that a halving time of more than 6.0 s does not allow sodium boiling even with very conservative assumptions. Boiling takes place for a halving time of 1.8 s, and its behavior can be predicted reasonably by the SSC-K.