• 의료법학
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• 제20권2호
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• pp.111-140
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• 2019

생명윤리 및 안전에 관한 법률은 인체유래물연구와 인체유래물은행에 관하여 일련의 규율을 가하고 있다. 같은 법은 인체유래물연구에 대하여는 연구목적을 정하여 설명 후 동의를 받게 하는 반면, 인체유래물은행의 경우 연구목적을 정하지 아니한 채 기증받게 한다. 나아가 보건복지부령으로 정하는 인체유래물 연구 동의서식을 보면 연구목적을 정하는 경우에도 '포괄적으로 연구에 대하여' 동의하는 개방동의·백지동의가 허용된다. 덧붙여 2019. 4. 23. 개정된 제42조의2는 진단·치료과정에서 채취된 인체유래물의 잔여검체에 대하여 본인이 거부의사를 명시하지 아니하는 한 목적도 정하지 아니한 채 인체유래물은행에 제공하는 것을 허용한다. 이러한 입법은 과도하다고 보인다. 국제적으로 인체유래물기증자의 자율성과 인체유래물은행 및 인체유래물연구의 특성을 고려할 때 포괄동의를 수용할 필요가 있음은 부정하기 어렵다. 그러나 인체유래물연구에는 생명윤리 및 안전에 관한 법률 이외에 종종 개인정보 보호법도 적용되고 국내·외적으로 이 영역에서는 개방동의·백지동의는 물론, 포괄동의의 허용성도 논란의 대상이었음을 염두에 둘 필요가 있다. 또 근래의 발전된 정보통신기술에 비추어볼 때 완전한 동적동의는 아니라 하더라도 특히 위험한 경우에는 동적동의를 통한 특정동의요건의 충족이 필요하고 가능한 사안도 있다. 이는 인체유래물의 제2차적 사용 내지 인체유래물은행의 운영에 관한 거버넌스 설계와 그에 대한 설명 후 동의 및 인체유래물기증자에 대한 투명성, 인체유래물기증자의 참여권 보장을 포함한다.

• 의료법학
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• 제9권2호
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• pp.11-52
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• 2008

Based on foreign examples and past debates, the minimal conditions for passive euthanasia can be suggested as following; (1) The patient is incurable by modem medical practice and his death is impending (less than 6 months), (2) Euthanasia is practiced solely to relieve physical pain of the patient, (3) If the patient can express his will, there should be a clear and sincere request or consent, (4) More than 2 doctors including doctor in charge should consent, (5) Euthanasia should be practiced in ethical way, (6) Patient family should agree(when the patient will is assumed.) It is hard to resolve issues regarding euthanasia based on past rulings and cases without concrete law. As in United States and Germany, clear and objective provisions of euthanasia and definitive method for patient's advanced directive should be legislated to resolve medical conflict and to relieve patient and family from agony. And death with dignity debate will not be able to proceed if it is only substantively approached because of unclear definition of euthanasia and benefit comparison way of thinking. Thus it is important to establish definitive process to decided legislation of euthanasia act and resolving conflicts arising from each step of the process among interested parties exchanging medical/ethical opinions.

• 의료법학
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• 제24권2호
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• pp.147-196
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• 2023

오늘날에는 기술의 발전으로 인간의 뇌에 직접 자극을 가하여 질병을 치료하거나 뇌파를 통해 직접 기계를 조정하는 것이 가능해졌다. 이러한 뇌신경과학기술은 비침습적으로 이루어질 수도 있으나 적어도 현재까지는 뇌에 직접 전극이나 마이크로칩을 이식하는 침습적 방법이 필요한 자극을 더 정확하게 가하거나 뇌파를 더 정밀하게 측정할 수 있다. 뇌심부자극술(DBS)의 경우 파킨슨병, 본태성진전증에 대해 안정적인 치료방법으로 인정받고 있으며, 그 외 알츠하이머나 우울증 등에도 활용할 수 있는지 연구가 진행중이다. 뇌-컴퓨터 인터페이스(BCI)의 경우 임상단계이지만 신경이 손상되어 신체를 움직이지 못하는 사람들의 신체기능을 대체하거나 재활치료를 지원하는 역할을 할 것으로 기대되고 있다. 문제는 이러한 침습적 뇌신경과학기술을 필요로 하는 사람들의 상당수는 질병 또는 신경 손상으로 인해 판단능력이 손상되어 있거나 의사표시를 제대로 할 수 없는 사람들인데 반해, 이 기술들을 이용한 시술은 고도의 침습적인 시술이어서 반드시 환자 본인의 동의를 필요로 한다는 것이다. 특히 뇌신경과학기술이 아직 임상시험단계에 머물러 있는 영역에서는 위험은 그만큼 커지고 이익은 불확실하기 때문에 이를 고려하여 수술을 받을지 여부를 판단할 수 있도록 더 충분한 설명이 이루어져야 한다. 환자에게 성년후견이 개시되어 있다면 성년후견인이 - 경우에 따라서는 법원의 허가를 받아 - 이 시술에 대한 동의를 대신할 수 있을 것이다. 성년후견이 개시되어 있지 않은 경우 환자의 판단능력이 손상되어 있거나 의사표시를 할 수 없는 경우가 문제이다. 우리 의료 실무에서는 환자가 동의할 수 없는 경우 환자의 보호자에게 동의를 받는 경향이 있지만, 환자의 보호자라는 개념은 우리법상 근거를 찾기 어려운 개념이어서 문제가 있다. 장기적으로는 환자의 배우자나 근친이 보충적으로 환자의 의료행위 동의대행권을 갖도록 법률상 규정하는 편이 타당할 것이다. 뇌신경과학시술을 받은 환자에게 부작용 등 손해가 발생한 경우도 검토를 요한다. 만일 환자에게 수술에 수반되는 위험에 대해 제대로 설명이 되지 않았다면 위자료 청구가 가능하다. 의료과실과 부작용 사이에 인과관계가 있다면 그 부작용에 대해서도 손해배상청구를 할 수 있다. 또한 BCI나 DBS 모두 뇌에 전극이나 마이크로칩등을 이식하고 이를 외부의 컴퓨터를 통해 제어하기 때문에 인체의식형 의료기기가 사용된다. 인체이식형 의료기기에는 제조물책임법이 적용되므로 그 결함으로 인해 부작용이 발생했다고 인정된다면 제조자에 대해서 손해배상을 청구할 수 있다. 최근 우리 의료기기법에는 인체이식형 의료기기 책임보험제도가 시행되어 피해자가 구제를 받을 가능성이 더 강하게 보장된다.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.322-329
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• 2013

Purpose: This study was conducted in order to investigate the awareness of physical therapy and difference between physical therapy and rehabilitation therapy. Methods: A total of 183 subjects who gave consent to participate in the survey at five universities in Gyenggi-do were randomly selected and the survey was conducted from February 2012 to July 2013 by a questionnaire consisting of 13 questions. Frequency analysis for the awareness of the general characteristics of physical therapy, anticipated cost, awareness of difference, and cross tab analysis for correlation with each item were used. Results: Participants recognized the academic ability, and the department for management of physical therapist licensing very well. The kindness and workmanship of physical therapists were average. According to their experience of physical therapy, most participants received a hot pack and electrical therapy at a local clinic and satisfaction with treatment was high. The percentage of students who recognized a difference between physical therapy and rehabilitation therapy was high, however, they misunderstood only electrical therapy for physical therapy and they recognized the exercise method of physical therapy for rehabilitation therapy. No correlation of the awareness of difference was observed between physical therapy and rehabilitation therapy and the awareness of physical therapy, experience, and anticipated cost, except the major of students. Conclusion: We found that people can misunderstand exercise therapy for rehabilitation therapy even though they have good awareness of physical therapy. Therefore, a physical therapist has to find the ways to express their identity while working.

• 연구윤리
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• 제2권2호
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• pp.5-10
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• 2021

Purpose: Ethical behaviors become more salient when researchers utilize face-to-face interviews and observation with vulnerable groups or communities, which may be unable to express their emotions during the sessions. The present research aims to investigate ethical behaviors while conducting research have resonance due to the deep nature of observation and interview data collection methods. Research design, data and methodology: The present research obtained non-numeric (Textual) data based on prior literature review to investigate Ethical Conducts in Qualitative Research. Non-numeric data differs from numeric data in how the data is collected, analyzed and presented. It is important to formulate written questions and adopt them what the method claims for the researcher to understand the studied phenomenon. Results: Our findings show that while conducting qualitative research, researchers must adhere to the following ethical conducts; upholding informed consent, confidentiality and privacy, adhering to beneficence's principle, practicing honesty and integrity. Each ethical conduct is discoursed in detail to realize more information on how it impacts the researcher and research participants. Conclusions: The current authors concludes that five ethical conducts are important for realizing extensive and rich information during qualitative research and may be exploited in implementing research policies for researchers utilizing observation and interviews methods of data collection.

• 무역상무연구
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• 제38권
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• pp.3-45
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• 2008

A motive and aim of enactment of UN Convention on the Use of Electronic Communication in Int'l Contracts is based on need to eliminate legal obstacles that might arise under existing int'l trade law instruments and promote int'l electronic commercial transaction. But when it is used with related articles, 14, 15, 16, 17 for offer under CISG, one of the most successful conventions which produces substantive law for the unification of int'l trade, questions of practical importance, for example possibilities of withdrawal, revocation, rejection of offer, the extent of its criteria arise from therewith. In conclusion, a effective electronic offer has to assure easily access and confirmation of trade terms besides criteria of offer under CISG. An offer can be withdrawal, if electronic message of withdrawal has entered the offeree's server before or at the same time when the offer has reached the offeree but agreement expressly or impliedly, between the parties about type, format, email address is a prerequisited. Implied consent could be presumed through prior conduct or trade usages between the parties under CISG articles 8, 9. The term "have reached" correspond to the time which is able to retrieve the electronic message of withdrawal. But without express or implied agreement between them about electronic communication of type, format, email address, an offer can be withdrawal before or at the same time when it has entered offeree's other e-mail address and confirmed by his retrieval. In case of the revocation, electronic message of the revocation is effective before the offeree's dispatching an acceptance. A prerequisite for the revocation by electronic communication is came as the above mentioned withdrawal except for concept of a time difference for reach. In case of a rejection of offer, when a rejection by electronic communication has entered the offeror's server, an offer is ended. But a prerequisite for the rejection by electronic message is same as the above mentioned withdrawal and revocation.

• 한국중재학회지:중재연구
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• 제32권1호
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• pp.25-42
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• 2022

The modern arbitration practice recognises the need for a faster and simplified procedural framework for international disputes with fairly low amounts at stake. This has driven several institutions to expand their offer of procedural guidelines with a simplified set of rules that would fit this purpose. Expedited arbitration is increasingly used by parties and is growing in popularity. The basic idea behind establishing expedited arbitration rules is to create the possibility for the parties to a dispute to agree on a simplified and streamlined procedure and to have an arbitration award issued within a short period. The associated cost savings for the parties is another benefit. The importance of developing rules for expedited dispute resolution has recently also been considered by the UNCITRAL Working Group II, in light of the "increasing demand to resolve simple, low-value cases by arbitration" and "the lack of international mechanisms cope with such disputes." As a result, the UNCITRAL 2021 Expedited Arbitration Rules (UNCITRAL EAR) took effect on September 19, 2021. The EAR was adopted by the Commission on 21 July 2021 and, next to UNCITRAL's well-known instruments like the Arbitration Rules (UAR) and the Model Law, represent another chapter in the Commission's impactful work in the field of international arbitration. Overall, the UNCITRAL EAR has great potential to meet the need for more flexible and efficient arbitration proceedings, primarily because they provide the tribunal with strong managerial powers while still leaving room for consultation with the parties. However, parties must remember that not all disputes may be suitable for expedited arbitration, and disputes that are complex or have the possibility of being joint or consolidated may not benefit from simplified procedures and tight deadlines. This article will outline the core features and characteristics of the UNCITRAL EAR.

• 대한한방부인과학회지
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• 제36권2호
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• pp.85-100
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• 2023

Objectives: To evaluate stress patterns and coping abilities in women with infertility by conducting in-depth interviews. Methods: Ten women with infertility who visited the Korean Medicine Hospital and provided consent after being informed of the purpose and method of the study were selected after meeting the inclusion/exclusion criteria. They were requested to complete a preliminary questionnaire developed by the researchers, the Infertility Stress Scale, and the Korean version of the Fertility Problem Inventory (FPI). Subsequently, each participant was interviewed individually. Results: The preliminary questionnaire was used to evaluate sensitivity to each type of infertility-related stress and ability to express and resolve it. Among all infertility stress types, the largest proportion, accounting for an average of 47.5±26.95%, was that felt by the patient herself. Considering stress awareness intensity, the stress felt by the patient was the highest, with an average score of 4.30±0.64. Relative stress sensitivity due to infertility was the highest, with an average score of 3.90±0.94. Compared with general work stress, the average ability to relieve stress related to problems with spouses was the highest, with a score of 2.50±1.20. The average Infertility Stress Scale score was 2.88±1.35 and FPI score was 2.87±2.52. Conclusions: The highest stress scores were observed for the following items: meaning of children, need for parenthood, and stress due to the diagnosis of infertility. The lowest stress scores were allocated to the item concerning relationships with friends and co-workers. Based on the in-depth interviews conducted after the survey, stress in women with infertility may be classified as emotional, physical, and economic. Thus, the requirement for providing appropriate psychological and emotional support depending on the stress type in addition to general medical treatment for infertility treatment was confirmed.

• 한국중재학회지:중재연구
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• 제12권1호
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• pp.55-88
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• 2002

Arbitration Act does not have express provision about voluntary agreement for the arbitration which third party, that is, the expert confirms factual bases of party's relationship of rights and duties, determines contents of the contract, and supplements or modifies contracts, and then the parties obey the expert's decision, but it is more probable that the parties can agree to this kind of arbitration agreement as long as they freely make a contract within the scope of law. However, there is a split of authority on the scope of such arbitration agreement. Some scholars argue that the parties can only agree on the extent of the expert's confirmation about factual situations of party's relationship of rights and duties or contents of the contract. On the other hand, the other scholars argue that the parties can consent not only the expert's confirmation about factual situations of party's relationship of rights and duties or contents of contract, but also the expert's supplement or modification of contents of contract. Due to the expert's decision has effect on both parties and judges who give a judgment as a matter of law, this kind of arbitration agrement can contribute to prevent litigation. Also arbitration relieves court's burden, if such arbitration agreement was done on the important disputes. Considering that the arbitration agreement can function as a dispute resolution or a dispute prevention, it is desirable that legislators make the provision about this kind of arbitration and allow the application of arbitration Act in such arbitration agreement. Most scholars agree that the voluntary agreement for the arbitration as to third party's supplement or modification of contents of the contract can be included in the concept of a substantive law. However, it has not been concluded whether the voluntary agreement for the arbitration which follows the expert's confirmation about factual situations of party's relationship of rights and duties or contents of the contract has the nature of substantive law or procedural law. The dispute about the nature of such arbitration agreement have some shortcomings in the effect of second kind of voluntary arbitration and the applicability of procedural principles. Therefore, it will be more adequate that the focus is given to the original function of this kind of arbitration agreement and the applicability of procedural principles (the neutrality of arbitrator, the assurance of hearing of the parties) rather than the dispute regarding the nature of this kind of arbitration agreement. Considering that more attention is given to the substitutive dispute resolution these days, the function of arbitration as prevention to the litigation and resolution before the litigation should be emphasized. To do this, a legal dispute about such arbitration agreement has to be resolved. More important issues in this kind of arbitration agreement are to retain of the neutral expert and to positively inform the benefits of this institution to the public.

• 디지털융복합연구
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• 제12권8호
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• pp.501-513
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• 2014

본 연구는 시부모를 동거부양하고 있거나 그러한 경험이 있으며 혼인연령이 5년 이상 된 한국의 기혼여성, 결혼이주 중국여성, 결혼이주 일본여성을 대상으로 하여 한국에서의 시부모부양경험을 파악하는데 연구의 목적이 있다. 부양경험을 잘 표현할 수 있는 대상자를 포함하기 위해 의도적 표집을 사용하였다. 결혼이주 중국여성과 일본여성의 경우, 다문화가족지원센터에 등록된 결혼이주여성 중 비교적 한국어 의사소통이 원활하고, 혼인연령이 5년 이상 되었으며, 시부모와 부양경험이 있는 여성을 국가별로 5명 이상씩 추천받았고, 한국 기혼여성의 경우 주변의 추천을 받았다. 연구 예비 참여자에게 전화로 연구취지를 설명하고 연구 동의를 구하였으며, 연구 참여에 동의한 대상자에게 서면으로 동의서를 받고 심층면담을 진행하였다. 심층면접 내용의 분석을 위해서는 Colaizzi의 현상학적 연구 방법을 선택하였다. 연구결과 본질주제는 '효 문화의 전통성에 대한 긍정적 인식', '주변의 도움과 격려', '고단한 시집살이', '적응하기 어려운 한국의 가족문화', '남성 중심적인 불합리한 가부장적 문화'였다.