• 한국실내디자인학회논문집
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• 제22권5호
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• pp.152-161
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• 2013

This study is about the visual appreciation by sex with the analysis of time range of observing data which was got through observation experiment with the space of lobby in hospitals. The observation data of the subjects who observed the space include the frequency and time, through which the process of visual appreciation could be evaluated with the definition of the frequency and the time of observation. First, the fact that men had higher frequency of observation than women means the former had more movement than the latter, and another fact of their fewer times can be understood as the time of their staying was shorter. That is, even though the men had more movements of sight, they showed the feature of staying shorter. Second, the rate high and low of observation frequency and times made it possible for observation characteristics to be defined as 'intensive search' 'active search' 'fixed concentration' and 'search wandering.' The definition of understanding this process of visual appreciation can be available for a frame of effective analysis of observation characteristics according to the passage of time. Third, the intense search is the case of 'high frequency' having the feature of high visual appreciation owing to the active visual actions for acquiring information. Men were found to have more intense search which decreased gradually as time passed, while women showed the feature of many times of intense search. Fourth, it was found that with many observation data in a certain range of time the subjects had fixed concentration, where women were found to have repetitive fixed concentration along with the change of observation time while men were seen to have more observation tendency for fixed concentration. Fifth, at the cross tabulation of frequency and times, men had the feature of dispersed visual appreciation while women had more distinction between fixation and movement, which revealed that there is surely the difference between men and women in the process of visual appreciation.

• 한국실내디자인학회논문집
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• 제22권6호
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• pp.108-118
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• 2013

This study has analyzed the process of space information perceived and recognized through the estimation of observation frequency and number according to the time range of observation data acquired from observation experiment with the object of hospital lobby. The followings are the results analyzed at this study. First, the continual observation of 3 and 6 times was attentive and conscious for probing to find an object rather than for acquiring exact information and that of 9 times could be regarded as the time for acquiring visual appreciation. However, the repetitive occurrence of high and low frequencies can be thought of repetitive acts for visual appreciation. Second, the continual observation of 3 and 6 times had the highest observation frequency of II, while that of 9 times had the highest observation frequency of III. In case of 3 and 6 times, the observation frequency had the tendency to become a little higher after being low since V, and in case of 9 times it had the repetition of becoming low and high and from IX it characteristically got higher. This feature can be thought to be the process that the subject repeats the fixation and movement of observation at a visual activity for perception and recognition. In the process of first observation, the observation frequency was the highest after 20 seconds or so, but since then, it gets lower and repeatedly gets higher and lower as time passes. After 90 seconds, the frequency showed the tendency of getting higher continuously. Third, the examination of changing features of frequency may show the characteristics of exploration for and attention to space but if the observation frequency is not associated with observation times for analysis there will a limitation that the features of observation frequency cannot be clarified. Accordingly, the simultaneous analysis of both is very effective for estimating the observation characteristics seen at the processes of perception and recognition. Fourth, the general analysis of the both revealed: with the progress of observation time the discontinuous space exploration decreased, and as the observation time got longer the fixed attention to a specific spot increased. Fifth, in order to estimate the observation characteristics by the change of time range the observation frequency and times by trend line was analyzed, which approach seems to be an appropriate technique that can comprehensively show the overall flow of time series data.

• 의료법학
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• 제17권1호
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• pp.299-346
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• 2016

2015년 한해에도 의료분야에서 다양한 판결이 선고되었다. 요양원 입소자에 대하여 요양원측 과실로 상해가 발생하여 요양원을 운영하는 사회복지법인이 환자의 진료를 의뢰한 사건에서 진료계약의 당사자 확정 기준이 제시되었고, 뇌사상태에 빠진 환자 가족의 무의미한 연명치료 중단 요구에 대하여 병원이 이를 거부하고 계속 진료한 경우 청구 가능한 진료비에 관한 판단이 이루어졌다. 안전성이 확인되지 아니하여 2011. 2. 보건복지부로부터 사상 초유의 시술중단조치를 받았던 눈미백수술에 관하여 법원은 시술 자체의 위법성을 인정하지는 아니하였으나 임상시험 단계에 있어 비용 대비 효과가 확립되어 있지 않다는 사실을 설명하지 아니한 설명의무 위반으로 전 손해의 배상을 명하였다. 의료과실을 적극적으로 인정한 판결로는 척추수술 후 마미증후군이 발생한 사건들에서 수술과정상 과실이 인정된 사례가 상당수 있었고, 병원감염 사건에서 감염을 유발한 과실을 인정한 판결이 선고되었다. 응급의료에 관한 법률상 응급장비 설치의무와 응급상황 발생시 조치의무를 구분하여 의료과실을 인정한 판결이 선고되었고, 극히 드문 희귀질환이라 하더라도 그에 대한 적절한 조치를 취하지 않은 의료기관에게 과실을 인정한 판결이 선고되었다. 손해배상의 범위와 관련하여 항소심 신체재감정 결과 노동능력상실률이 1심보다 작아지자 시간의 경과에 따라 노동능력상실률을 달리 적용하거나 환자의 상태에 따라 노동능력상실률을 신체감정 결과보다 낮게 인정하는 등 실체진실에 부합하는 판결이 선고되었다. 의료과실로 손해가 발생한 경우 의료사고 후 발생한 진료비에 책임제한이 적용되는지 여부와 관련하여 법원은 병원에서 환자 상태의 치유 또는 악화를 방지하는 정도의 치료만 계속되었다면 환자에게 진료비 지급을 청구할 수 없다는 이유로 병원 측의 상계주장을 배척하였다. 사전심의를 받지 않은 의료광고를 금지하고 그 위반시 처벌하는 의료법 규정에 대하여 사전심의기관인 대한의사협회 등의 행정기관성을 부인할 수 없어 사전검열에 해당한다는 이유로 위헌결정이 내려졌다. 임상에서 흔하게 시행되고 있는 PRP 치료가 법정비급여에 해당하는지 여부에 관하여 법원은 법정비급여 여부는 이론적인 가능성이나 실제 실시 여부 등에 따라 결정되는 것이 아니라 의학적 안전성 유효성을 인정받은 후 요양급여 또는 비급여대상으로의 편입절차를 거쳐야 함을 분명히 하였다. 또한 법원은 요양병원 적정성 평가에 관한 행정소송에서, 구조부문의 조사방식이나 절차상 위법을 인정하면서도 그 위법사유의 정도가 당연무효에까지는 이르지 아니하고 평가기관의 고의 과실이 없다는 이유로 건강보험심사평가원과 국민건강보험공단에 부당이득반환이나 손해배상의무가 없다는 판단을 하였다. 향후 더욱 다양하게 제기되는 쟁점들에 관하여 명쾌한 법리를 통해 실체진실에 다가가는 판결을 기대해본다.