• 통상정보연구
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• 제9권2호
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• pp.307-325
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• 2007

Examining the standards of review adopted by the dispute settlement body of the WTO in its decision on safeguard measures, the Appellate Body offers no coherent guidance or theory as to the legitimation of the safeguard measures adopted by the domestic authorities. It faults the lack of reasoned and adequate explanation in the national authorities' decision to impose safeguard measures, yet its own explanation of the permissible role for safeguard measure could hardly be less instructive. The Appellate Body has consistently emphasized fidelity to text in its decision but that approach can not work properly when the text is fundamentally deficient from the viewpoints that neither Article XIX nor the safeguard Agreement establish a coherent foundation for safeguard measures due to their vague and abstract provision. Without any coherent theory on guidance as to the legitimation of the safeguard measures, it would be absurd to expect WTO members to produce a reasoned and adequate explanation as to how their safeguard measures are in compliance with the WTO roles. In the absence of a thorough renegotiation for the proper operation of the WTO safeguard system, which seems quite unlikely for the foreseeable future, perhaps the unique method out of the current predicament is for the Appellate Body to lead a movement in establishing a sensible common law of safeguards, drawing on extra-textual guidance including the standards of review about their proper role in the WTO safeguard mechanism.

• 의료법학
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• 제24권4호
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• pp.37-63
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• 2023

의료소송에서 의사의 환자에 대한 '설명'이 문제되는 경우는 다양하다. 진단의 초기부터 시작하여 수술 등의 치료과정, 치료를 위해 입원이 필요한 경우, 입원 중과 퇴원 시, 그리고 퇴원 후에 이르기까지 의학적인 설명과 지도가 의사에게 요구된다. 나아가 의료행위로 인하여 발생하게 될 경제적 비용에 대하여도 의사 혹은 의료기관의 고지가 요청되기도 한다. 우리나라 사법부는 이와 같은 의사의 설명에 대하여 진료의 단계 및 의료법 등 관계법령을 고려하여 의료행위에 대한 동의를 구하기 위한 설명과 환자의 요양방법 지도와 관련된 진료상 설명을 구분하여 법리를 전개해 오고 있다. 또한 헌법재판소는 경제적 비용에 관한 설명과 연계된 비급여 비용 고지 제도에 관하여 최근 판단하기도 하였다. 그런데 의사의 설명이 불충분하였다는 것만을 이유로 의사에게 책임을 추궁을 하는 것은 임상현실의 실제 상황과 부합하지 않는 측면이 존재하고, 오히려 의권의 위축을 초래하는 반사적인 불이익이 있을 수 있다. 따라서 의사의 설명은 환자의 자기결정권 보장과 의권 보호라는 양측면에서 살펴보아야 할 필요가 있다.

• Journal of Pharmaceutical Investigation
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• 제36권6호
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• pp.421-435
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• 2006

The objective of this report is to introduce the European Union's variation rules governing medicinal products that are subject to post-approval changes. The EMEA outlines a variety of changes occurring to approved medicinal products. It also recommends a marketing authorisation holder to follow specific post-approval applications in various situations. For instance, the Commission Regulation(EC) No. 1085/2003 explains variation types and suggests post-authorisation procedures with which an applicant should comply. In all cases of minor and major variations the applicant has to investigate and validate whether or not the intended changes would have impact on the safety, efficacy and quality of a drug product. The applicant should then submit to the EMEA a variation application with adequate documentation in support of the notified changes. This procedure is implemented to ensure that changes to the approved medicinal product do not cause my public health concerns. In fact, the post-authorisation guidance categorizes post-approval changes into type IA/IB variations, type II variations, and extension applications. Such classifications determine administrative procedures to be followed in an efficient manner. Based on the type of a variation, the regulatory agency opts to reduce or extend the evaluation time-frame. The thrust of the EU's post-authorisation guidance is introduced in text with appropriate explanation. All these information will be likely to be helpful in updating a Korean regulatory guidance that could better deal with post-approval changes to generic drugs available in the market.

• Child Health Nursing Research
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• 제28권1호
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• pp.51-61
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• 2022

Purpose: Practical training in pediatric nursing gives students the opportunity to apply nursing knowledge to children in a realistic clinical context. Clinical practice faculty (CPF) and clinical nursing instructor (CNI) have played important roles in the pediatric nursing practicum. This study was conducted to develop a protocol to guide clinical practicum in pediatric nursing. Methods: A service design methodology was employed between August 2020 and May 2021 at four universities and four hospitals in South Korea. The participants were five CPFs, five CNIs, five nursing college graduates, and 60 nursing students. The service design process had four phases: discovery, definition, development, and delivery. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for providing concrete guidance and explanation, nursing practice experience, and a link between school and the clinical field. A protocol was developed to fulfill the participants' needs. The protocol comprised detailed information, teaching methodology, and partnership to guide students in the pediatric nursing practicum. Conclusion: The protocol developed in this study can be used to provide guidance for students' clinical practice in the field of pediatric nursing.

• 디지털융복합연구
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• 제12권4호
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• pp.245-249
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• 2014

본 논문에서는 증강 현실(AR, augmented reality)과 QR 코드를 이용하여 항구 안내를 하고 선박의 시설물들을 관리할 수 있는 앱을 개발하였다. 스마트 기기의 앱을 이용하여 목포항을 찾아가는 과정 및 항구 안내를 받을 수 있으며, 접항, 입항 시설물에 대한 위치 찾기, 길 안내 형태의 서비스를 이용할 수 있다. 스마트 기기의 앱 활용을 통하여 원하는 목적지를 쉽게 찾을 수 있으며, 선박을 이용하는 관광객들에게 편의를 제공할 수 있다. 또한 QR 코드를 이용하여 선박의 시설물들에 대한 설명을 볼 수 있고, 시설물에 대한 점검일지를 작성하여 관리할 수 있다.

• 소성∙가공
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• 제11권8호
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• pp.641-650
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• 2002

For the production of complicated plastic parts in a cycle, a mold is needed.. The basic tasks of a mold are accommodation and distribution of the resin, shaping and cooling the melt and ejection of the molding. To achieve these goal a mold has several important parts and we classified types of molds. The 6 different major functions of a mold are explained and several types of molds are shown in her. I hope these explanation will help to understand injection molds for a design engineer.

• 대한수학교육학회지:학교수학
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• 제5권1호
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• pp.43-58
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• 2003

본 연구에서는 남북한 초등학교 수학교과서의 외형과 단원체제, 각 영역별 내용 요소의 비중과 도입시기, 문장제의 소재 등 다소 양적인 비교에 초점을 둔 선행연구에 기초하여, 남북한 초등학교 수학교과서를 내용 구성과 전개 과정에서의 구체적인 특징에 주목한 질적인 관점에서 비교.분석하였다. 먼저 내용 구성에 관한 비교 결과는 다음과 같다. 첫째, 초등학교 학생들의 정의적.인지적 특성을 고려하여 학습 내용을 분산.교차하여 배치하는 남한과 달리 북한에서는 관련된 요소를 집중 배치하는 방식으로 구성되어 있다. 둘째 생활 소재를 통하여 문제상황을 제시하고 점진적이고 구체적인 활동으로 학습 내용을 제시하는 남한과 달리, 인민학교 교과서에서는 여러 형태의 문제를 통하여 학습을 유도하고 있다. 또한 내용 전개의 주요 전략으로 남한은 '안내'를. 북한은'설명'을 따르는 것으로 파악된다. 단계화된 탐구형 질문으로 안내하면서 학습을 유도하는 남한과 달리 북한에서는 의미 있는 설명을 통하여 학습 내용을 다루는 것으로 확인되었다.

• 의학교육논단
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• 제19권1호
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• pp.1-9
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• 2017

For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.

• 대한물리치료과학회지
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• 제25권3호
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• pp.32-42
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• 2018

Background: The purpose of this study is to provide students with the opportunity to thing about the career of physical therapist and career after graduation through the survey on the perception and career preference of physical therapy service for college students majoring in physical therapy. and to provide guidance for employment guidance. Methods: A total of 271 students majoring in physical therapy at A University in Gyeonggi-do were surveyed. After the preliminary explanation of the questionnaire, the questionnaire was distributed and prepared. of the 271 data, 270 were collected and used as the final analysis data. Results: The results of this study were as follows: 1) The higher the age and the higher the grade, the higher the perceived job recognition rate of the agencies. (p<.05), respectively. In other occupational awareness surveys, there was no significant difference in gender, age, and grade (p>.05). 2) In the preference survey, men preferred orthopedic physical therapy and female preferred neurological physical therapy. The preference for the desired institution after graduation was highest for general hospitals by gender, age, and grade. Conclusion: In conclusion, the higher the age and grade, the higher was the physical therapy profession awareness and overall had a positive perception of physical therapy jobs.

• Korean Journal of Health Education and Promotion
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• 제2권1호
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• pp.133-145
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• 2000

This study aims to develop some guidelines on visiting nursing services for the management of hypertension patients at home in the rural areas of Korea. Firstly, in-depth interviews were given to the eight staff in charge of visiting nursing services in the rural health centers from June 1, 1999 to August 30, 1999. And then, their five patients with hypertension were under participatory observation. At the same time, literature review was conducted. Through those methods, some preliminary items were derived and the initial guidelines were drawn up. They were referred to ten experts, so that their validity was tested with Delphi Technique. Through the verification of their validity, they were complemented into the final ones. The total number of the items in the final guidelines was 22. By areas, they could be categorized as follows; eight items as skilled nursing care, five as general nursing care, three as guidance for diet, two as guidance for exercise, one as hospice care, and one as connection with social welfare services. By methods of activities, 13 items were classified as assessment, two as intervention, two as demonstration, and 17 as explanation. On the basis of the guidelines, nursing services are recommended to be divided and performed; general nursing activities by nurse aids and skilled nursing activities by public health nurses.