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EXPLANATION BY PHYSICIANS AND CONSENT OF PATIENTS (의사(醫師)의 설명(說明)과 환자(患者)의 동의(同意))

  • Choe, Haeng-Sik
    • The Korean Society of Law and Medicine
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    • v.5 no.2
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    • pp.294-319
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    • 2004
  • Because the treatment of a physician generally pertains to the intrusion into body of a patient, his/her consent is a must in order for such conduct to be justifiable. To ensure effective consent of a patient, the physician should fully inform him/her of kind and details of the disease and way of treatment and risks associated with it. The patient can, then, make a decision whether he/she should accept any treatment or operation, if necessary, on the basis of such information. The obligation of physicians to explain has since long been recognized as important in view of guaranteeing the rights of patients for self-decision and protecting them from arbitrary assessment of physicians for treatment. Progress has been made in this respect even to the extent that physicians treat patients on equal terms and think first of all much of establishing trustworthy relationships with patients. Lots of studies in Korea and foreign countries have tried to explore the issues concerning the obligation of physicians to explain in the meantime but seem to have failed to make concrete and versatile approaches from the standpoint of protecting the rights of patients. Wouldn't it be really possible for patients to perceive their own rights and cope actively with the medical treatments? If physicians have full understanding to the rights of patients, they will be put in a better situation to protect themselves and patients, in turn, can identify their own responsibility correctly, which will eventually contribute to fulfilling the goal of treatment. With this background, the present paper examines briefly the obligations of physicians for explanation based mainly on the preceding theories and judicial precedents in the first place and then deals with the status quo and contents of the German medical laws, with a focus on the treaty of European Law 1997 and its working document on the applications of genetics for health purposes that stipulate the detailed criteria on the medical treatment and rights of patients and Germany's $\ulcorner$Charter of Rights for Patients$\lrcorner$ promulgated in 2003.

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Label-free Femtomolar Detection of Cancer Biomarker by Reduced Graphene Oxide Field-effect Transistor

  • Kim, Duck-Jin;Sohn, Il-Yung;Jung, Jin-Heak;Yoon, Ok-Ja;Lee, N.E.;Park, Joon-Shik
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.02a
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    • pp.549-549
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    • 2012
  • Early detection of cancer biomarkers in the blood is of vital importance for reducing the mortality and morbidity in a number of cancers. From this point of view, immunosensors based on nanowire (NW) and carbon nanotube (CNT) field-effect transistors (FETs) that allow the ultra-sensitive, highly specific, and label-free electrical detection of biomarkers received much attention. Nevertheless 1D nano-FET biosensors showed high performance, several challenges remain to be resolved for the uncomplicated, reproducible, low-cost and high-throughput nanofabrication. Recently, two-dimensional (2D) graphene and reduced GO (RGO) nanosheets or films find widespread applications such as clean energy storage and conversion devices, optical detector, field-effect transistors, electromechanical resonators, and chemical & biological sensors. In particular, the graphene- and RGO-FETs devices are very promising for sensing applications because of advantages including large detection area, low noise level in solution, ease of fabrication, and the high sensitivity to ions and biomolecules comparable to 1D nano-FETs. Even though a limited number of biosensor applications including chemical vapor deposition (CVD) grown graphene film for DNA detection, single-layer graphene for protein detection and single-layer graphene or solution-processed RGO film for cell monitoring have been reported, development of facile fabrication methods and full understanding of sensing mechanism are still lacking. Furthermore, there have been no reports on demonstration of ultrasensitive electrical detection of a cancer biomarker using the graphene- or RGO-FET. Here we describe scalable and facile fabrication of reduced graphene oxide FET (RGO-FET) with the capability of label-free, ultrasensitive electrical detection of a cancer biomarker, prostate specific antigen/${\alpha}$ 1-antichymotrypsin (PSA-ACT) complex, in which the ultrathin RGO channel was formed by a uniform self-assembly of two-dimensional RGO nanosheets, and also we will discuss about the immunosensing mechanism.

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A Study on Establishment of the Standard Size for High School Girls -The Girls of Seventeen Years Old in Seoul- (여고생의 의복치수 설정을 위한 연구 -주로 서울시내 17세 여고생을 중심으로-)

  • Son Won Kyo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.1 no.1
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    • pp.1-5
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    • 1977
  • 'Adolescence' is a critical period in the process of growing and aging but important in that an adolescent becomes aware of and begins to look about him or her self. Especially with girls in their late teens (15$\~$18), they pay more attention to their looks and clothes than the boys do, which affects to some extent the formation of their personality and their behavior. From this point .of view. it is significant to establish the standard size of high-school girls' clothes. This study aims to measure high-school girls in size and to establish the standard size of their clothes; furthermore. to enable them to lead a satisfactory living with more appropriate size of clothes. The results, analyzed by two different representing items which resulted in little difference, are as belows: 1) Stature had a significant correlation with posterior waist height; bust girth had the most significant correlation with weight. and also some considerable correlation with other representing items; 2) The F-test result showed significant difference on $1\%$ level over all the items between the measured (Y) and the estimated (Y); the correlation among the representing items was considerable also; 3) When the measurement increases in stature by 4cm, bust girth by 4cm. and posterior shoulder width by 2cm respectively, the increase or decrease in other items are as shown on Table 4. Since this study was carried out in girls' high-schools in Seoul, it is expected to extend its further study throughout the nation. thus contributing to comprehending the whole truth of people's body-size and promoting the fabrication and modelling of the original clothes for the nation by the strict standard size up to making ready-made clothes with no difficulty in setting the standard and model size.

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The Utility of State Public Library Standards for Planning and Evaluation: A Survey of Public Library Directors' Perceptions (공공도서관 계획과 평가에 있어서 도서관기준의 유용성: 미국 공공도서관장 인식조사를 중심으로)

  • Cha Mi-Kyeong
    • Journal of the Korean Society for Library and Information Science
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    • v.33 no.2
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    • pp.69-88
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    • 1999
  • Despite the continuous development and provisions of state public library standards there has been little research about how useful they are for what aspects of public library activities The purposes of the present study are 1) to understand, from the directors points of view the utility of state standards for planning and evaluation: and 2) to explore the types of factors, related to the directors' backgrounds and/or the library planning and evaluation contexts associated with the directors perceptions. Through a self-administered mail questionnaire, 1,198 public library directors in Kansas Texas and Wisconsin were surveyed. and 737 directors replied ($61.5\%$ response rate). The directors perceived the standards useful for both planning and evaluation. Public library directors viewed the collection and service standards as more useful than administration, staffing and facilities standards. Library size and community involvement were associated with the directors perceptions, yet the directors professional background, was not significantly related to his or her perceptions. The findings suggest that public library directors perceptions of the utility of state standards need to be understood within the library condition and Its community context. and the emphasis on community based public library planning and evaluation should continue to be employed in the standards.

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Instructors' needs of integrated curriculum in dental hygiene practice (치위생학 통합교육과정에 대한 교수자의 요구도)

  • Moon, Sang-Eun;Kim, Yun-Jeong;Kim, Seon-Young;Cho, Hye-Eun;Lee, Bo-Ram
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.5
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    • pp.799-805
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    • 2016
  • Objectives: The purpose of this study was to know instructors' needs of integrated curriculum in dental hygiene practice.. Methods: A self-reported questionnaire was completed by 112 instructors in Korea from June to July, 2015. The statistical analyses include frequency, percentage and Mann-Whitney' U test using SPSS 12.0 program. The questionnaire comprised needs of curriculum(5 items), integrated curriculum(10 items). Results: Need of integrated curriculum in practice course was statistically significant in school system(p=0.048) and number of students(p=0.041). The enhancement of clinical competence was high in teaching experience($11{\leq}$)(p=0.009) and perceptions of problems was high in experience of teaching($10{\geq}$)(p=0.047). In integrated curriculum, enhancement of clinical competence was statistically significant in school system(p=0.035) and number of students(p=0.011). Increase of professionalism was high in University(p=0.021), number of students(p=0.006) and teaching experience($10{\geq}$)(p=0.062). Conclusions: In order to improve curriculum in each institutions, it is necessary to measure in the view of representative institutions dimensions.

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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Analysis of the Korean Housing Market Mechanisms and Housing Sales Policies Using System Dynamics (시스템다이내믹스를 이용한 분양 제도 변화에 따른 주택 시장 영향 분석)

  • Park, Moon-Seo;Ahn, Chang-Bum;Lee, Hyun-Soo;Hwang, Sung-Joo
    • Korean Journal of Construction Engineering and Management
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    • v.10 no.3
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    • pp.42-52
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    • 2009
  • From the beginning of 2000, Korean housing market has experienced cyclical volatility because of the global economic fluctuation such as steady decline in the interest rate and the house price bubble. In response to these state Korean Government announced policies about housing sales system kinds of Sales Unit Price Restraint and Post-Sales System to stabilize housing market. But such policies has brought unprecedented arguments both for and against, most of whom still seem to stick to self-centered judgement ahead of impact on housing market. In an integrated point of view, applying the system dynamics modeling, the paper aims at proposing basic Korean housing market dynamics models based on basis principles of housing market determined by supply and demand. And then, after research policies about housing sales system, analyze Impact on Korean Housing Market by change of Sales Systems applying policies to basic Korean housing market dynamics models.

Design of Avatar-based Game System for Immersion Improvement in Entertainment Space (엔터테인먼트 공간에서 몰입감 증대를 위한 아바타 기반 게임 시스템 설계)

  • Park, Myun-Jin;Park, Chang-Bum;Paik, Doo-Won;Kim, Kyu-Jung
    • Journal of Korea Game Society
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    • v.10 no.1
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    • pp.25-34
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    • 2010
  • The entertainment has been quite affected by the development of scientific technology, so that the kind of contents and the type of enjoyment entertained to the people has been versatile and changed. As this trend goes on, the expectation level of the entertainment becomes gradually increased for the people's point of view. The proposed system can be designated as a physically recognizable 3D dancing game in which the avatar resembling the participant dances as tracking the face of the game participant. By the result of the survey, it can conclude that the proposed game system would be expected as a new and fascinating game rather than the currently available games due to the fact that it will give more interests and self-involvement since augmented experience in entertainment is provided.

A Study on the possibility to apply the characteristics of New Urbanism and our country in a new city business seen from the point of view of modernism and post-modernism - Focus on Eunpyung Newtown No. 1 District - (모더니즘과 포스트모더니즘의 관점에서 본 뉴어바니즘의 특성과 우리나라 신도시 사업에 적용가능성에 관한 연구 - 은평 뉴타운 1지구 개발을 중심으로 -)

  • Park, Jong-Hyun;Lee, Jong-Ryul
    • Journal of The Korean Digital Architecture Interior Association
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    • v.12 no.4
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    • pp.107-116
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    • 2012
  • Planning a major change in the domestic residential complex 'complex' in the 'city' to the influx of urban space. So, considering a set of self-environmental complex of openness and connectivity between cities inflow from residential urban housing is formed. Complex-oriented development approach and apartment high-rise and high-density regions of space and social disconnection that causes a uniform methodology that can solve the problem of housing plan, however, a recent New Urbanism New Urbanism has been introduced. And intravenous forms of communal life that occurred in the United States prior to World War II, this value is based on the main form. Design reorganizes This modern lifestyle factors (such as housing, jobs, shopping, leisure space) to go back to the traditional lifestyles while Neotradiotional Planning exercise. New Urbanism in the late 20th century, some literature refers to a postmodern approach adopted in the field of urban planning, the specific case. Actually important feature of post-modernism in the New Urbanism has been expressed. Problem is very confusing, and the principles of New Urbanism, New Urbanism, even those who claim that have different social and design views. Therefore, this study explores the postmodern tendencies of the New Urbanism, and based on this, the possibilities for the development of new towns in Korea mainly affected on the theory of New Urbanism in South Korea in Eunpyeong examine.

Construct Validity of a Korean Version of the WHOQOL-BREF and EQ-5D Questionnaire Applied on Various Cancer Survivors Undergoing Palliative Rehabilitation Programs

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.27 no.3
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    • pp.212-219
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    • 2020
  • Background: Although the original version of the health-related quality of life (HRQOL) questionnaires are found to be acceptable, the cross-culturally adapted versions may not be comparable to their original version. Objects: To examine dimensionality and construct validity of two Korean versions of the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires. Methods: A total of 77 cancer survivors undergoing palliative rehabilitation programs from two rehabilitation institutes was recruited from April 16, 2018 to June 26, 2019. The WHOQOL-BREF and the EQ-5D were filled out by the various cancer survivors following a particular session of rehabilitation programs. The scores were analyzed with Winsteps Rasch analysis computer program using the rating scale model. Rasch fit statistics were used to determine the dimensionality and the item difficulty calibrations of WHOQOL-BREF and EQ-5D. Results: All items except two, negative feeling, need treatment function and pain prevent activity (mean square [MnSq] = 2.42, 1.82 and 2.51, respectively), were found to be acceptable, while two items of the EQ-5D, anxiety/depression and self-care, were misfit (infit MnSq = 1.65 and 0.38, respectively). Item difficulty calibrations of WHOQOL-BREF match person ability measures (i.e., HRQOL) fairly well. However, the person ability distribution showed obvious ceiling effects for EQ-5D. All items of EQ-5D were appeared to be less challenged in comparison with those of WHOQOL-BREF. Conclusion: Item-level analysis using the Rasch model supports the quality of culturally adapted items used to measure the HRQOL one exception; that is, whether or not to include misfit items as part of the HRQOL measurements. Additionally, cancer survivors undergoing palliative rehabilitation programs appear to have more of a tendency to view the EQ-5D items as being more challenging than the WHOQOL-BREF.