For a variety of reasons, the number of medical disputes is continuously rising. Due to the intrinsic qualities of medical treatments, one would find it more apt to subject medical disputes to general conflict resolution procedures rather than to once-for-all decisions under legal suits. To address the increasing medical disputes with greater professionalism and efficiency, the Medical Disputes Mediation Act was enacted and a medical dispute mediation system put in place, while drawbacks have been blamed to both. The current mediation procedures require the respondent's agreement as a disclosure requirement. A reasonable improvement to this would be to amend the regulation of agreement supposition, or to enforce procedural participation only to public health facilities managed by the national or regional government. Furthermore, small claims cases of 20 million KRW or less in claim may be considered for conciliation-prepositive principle. The concentration on small claim medical disputes is a phenomenon that can be addressed by carrying out maximum authentication commissions or similar measures, one of the solutions by enhancing the public trust in the Korea Medical Dispute Mediation and Arbitration Agency. The proper management of medical authentication teams is one way to address the existing problems in the authentication system. For this, the number of team members shall be increased under more flexible authentication procedures. All indemnity resources for medical accidents of force majeure must be borne by the Government, for it is the body principally responsible for social compensation. Placing this cost on the establisher of the subject medical facility holds the possibility of violating fundamental rights. While the costs for subrogation payment system for damages may be borne by the healthcare facility establisher, a deposit-based system must be created for cases in which the facility shuts down, without holding the responsibility for accident cause. Such change to a deposit-based system will evade the controversies of unconstitutionality, etc.
Recently the ecosystem has been seriously damaged by reckless development. The Ministry of Environment is now shifting its policy from one of "end-of-pipe" management and being regulation-centered to one striving to be preparatory and self-regulating. The nature conservation plan has been focused on protecting only the wildlife, so a systematic conservation of the nationwide ecosystem is inherently limited. To go beyond this limit, the strengthening of the link between the natural environmental conservation plan and the land use development plan is necessary. This study first diagnosed the "AS-IS" status of the natural environment conservation planning process and then envisioned a "TO-BE" image of the organic link between that plan and the land/metropolitan development plan. In conclusion, it was determined that the system of planning should be reformed and the focus of the planning should be shifted from source oriented planning to spatial environment planning. A biotope map should be drawn during this process and the examination criteria, methodology, and drawing standards are needed. The central government and self-governing bodies should have reasonable roles and responsibilities, and cooperate for more efficient conservation planning.
Journal of Korean Society of Occupational and Environmental Hygiene
/
v.24
no.1
/
pp.1-13
/
2014
Objectives: The purpose of this study is to review the debate on the Article 28(Prohibition of Inhouse-Contract for Harmful Work) of the Industrial Safety and Health Law. Methods: Literatures and recent debate for prohibition and permission of inhouse-contract for harmful work were reviewed. Proposals of revision for the Article 28 of the Industrial Safety and Health Law were also reviewed. Results: It was not found reasonable to revise the Article 28 based on increased fatal accidents or diseases in the electroplating work and heavy metals handling works that are currently listed in the Presidential Decree under the law as the harmful works. Regulation types of prohibition or authorization for any harmful work shall have inherently poor coverage since the scope of application is extremely limited. Contractors for maintenance and repair of chemical facilities may not be included in the scope of application if the harmful works are defined as chemical handling works. If harmful works are prohibited, the contractor workers may loose their jobs. Therefore, it is necessary to consider balancing job security and occupational safety and health safety. Conclusions: Various limitations were found in the Article 28 and the proposals to revise it. Currently in-house subcontracting is widely spread in the workplace. Therefore, it may be inappropriate to set one or two Article such as the Article 28 and 29 to protect in-house subcontract workers from injury and illness. It is believed that it needs fundamental redirection and new approach with new paradigm to impose occupational safety and health duty to prime contractors.
Kim, Ji-Hoon;Cho, Sun-Young;Han, Sang-Yong;Park, Sun-Dong;Kim, Yun-Kyung
The Journal of Korean Medicine
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v.36
no.1
/
pp.61-74
/
2015
Objectives: The main purpose of this study is to find a solution for modernized classification of herbal medicinal preparations in dual medical systems. Through this study, we expect to provide a reasonable foundation of herbal medicine for public health. Methods: We studied legal or technical terms of herbal medicinal preparations from the past regulations, and through this procedure, we could suggest clear definitions of terms for herbal medicinal preparations. We also investigated documents for approval of herbal medicinal preparation from US, EU(European union), The People's Republic of China, Japan, so that we can refer to them to revise regulation for appropriate use of herbal preparations. Results: In Korea pharmaceutical affairs act, any basis of 'Crude drugs' does not exist. But in some subordinary notifications, the way that they use the 'Natural product medicine' is used as a means of limiting basic rights of doctor or pharmacist of Korean medicine compared to doctor or pharmacist. At the same time, in subordinary notifications, provisions are vague and not enough for scientific evidence of Korean medicine. Thus, we re-categorized herbal medicinal preparations into new drugs, drugs made from herbal medicinal preparations and suggested requirements for drug approval. Conclusions: Instead of using the term 'Crude drug preparations', and we should use term 'Herbal medicinal preparations' in related act and notification. And also we suggest to amend subordinary regulations and documents for approval of herbal medicinal preparations. Through this, we can make herbal medicinal preparations be more industrialized.
Son, Young Min;Song, Ki-Duk;Park, Sung-Moo;Han, Seung Hyun;Yun, Cheol-Heui
Journal of Microbiology and Biotechnology
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v.23
no.7
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pp.1023-1030
/
2013
Lipoteichoic acid (LTA), uniquely expressed on gram-positive bacteria, is recognized by Toll-like receptor 2 (TLR2) on not only antigen-presenting cells but also activated T cells. Therefore, it is reasonable to assume that LTA is acting on T cells. However, little is known about the effect of LTA on T-cell regulation. In the present study, we investigated the immunomodulatory effects of LTA on $CD4^+$ T cells. Effector $CD4^+$ T cells, induced after co-culture with S. aureus-pulsed dendritic cells, produced high levels of interferon-${\gamma}$, CD25, CD69, and TLRs 2 and 4. When effector $CD4^+$ T cells were treated with LTA, the expressions of the membrane-bound form of transforming growth factor (TGF)-${\beta}$ and forkhead box P3 increased. Coincidently, the proliferation of effector $CD4^+$ T cells was declined after LTA treatment. When TGF-${\beta}$ signaling was blocked by the TGF-${\beta}$ receptor 1 kinase inhibitor, LTA failed to suppress the proliferation of effector $CD4^+$ T cells. Therefore, the present results suggest that LTA suppresses the activity of effector $CD4^+$ T cells by enhancing TGF-${\beta}$ production.
Simultaneous monitoring of catecholamines and serotonin with their appropriate extraction from the biological samples is required in order to understand thoroughly the regulation of the central and peripheral nervous system. In the present research the segmented gradient elution with the solid phase extraction using a C18 cartridge rather than the previous isocratic elution with alumina extraction is successfully employed to determine norepinephrine (NE), epinephrine (E), dopamine (DA), serotonin (5HT), 3,4-dihydroxyphenylacetic acid (DOPAC) and 5-hydroxyindoleacetic acid (5HIAA) simultaneously within 20 minutes using 3,4-dihydroxyhydrocinnamic aicd as the internal standard (IS). Linearities were obtained in the concentration range between $5{\times}10^{-6}M$ and $1{\times}10^{-4}M$ for all 7 compounds with detection limits of 0.6~1.9 ${\mu}M$. The present HPLC/ECD method yielded reasonable accuracy (relative error; -1.4~1.1%) and precision (relative standard deviation; 0.4~1.9%) for 9 measurements of the standard solution consisting of NE, E, DA, 5HT, DOPAC and 5HIAA compounds. Recoveries of catecholamines, serotonin and their metabolites from human serum were in the range of 57%~86%. While the concentrations of NE and 5HT in the serum of normal Sprague-Dawley rat were found as $1.4{\times}10^{-6}M$ and $2.6{\times}10^{-6}M$, respectively, the contents of NE and 5HT in the serum of the stressed rat were increased 5.6 times and 1.4 times more, respectively.
This study was conducted to identify problems in domestic flame-retardant performance specifications. Currently, the domestic wallcovering anti-inflammatory regulations are not prepared for damage caused by smoke, with the carbonized area as the main function. In particular, given that smoke is the main cause of human casualties and injuries in a fire, it is reasonable that the flame density and toxicity of the wallcovering should also be the main performance indicators. The scope and method of research in this study were as follows. First, a prior study related to fire on various wallcoverings was considered. Second, it raised questions about the effects of smoke in the event of a fire and domestic anti-inflammatory performance tests. Third, textile wallcovering samples were manufactured with viscose rayon for experimental verification of the problems and tested by Korean and EU standards without flame retardant processing to analyze the differences between each regulation. Fourth, the performance of flame retardant wallcovering according to Korean standards was evaluated using smoke density and harmful gas testing methods. The results of each test were as follows. Non-fire retardant wallcovering was rejected by Korea standards. However, B-s1.d0 in Europe. Smoke density testing and harmful gas by domestic combustion processing on the same sample showed that the smoke density increased about 4.3 times more than before, and the harmful gas test showed that the suspension of the post-processing sample slowed earlier than the non-processed sample.
There are many business in complex building, and recently noise claims have increased in those buildings. It is one of the most desirable methods reducing the noise level to establish the noise criteria considering the admittable noise level between the source and receiving room, which are to be derived from the subjective response in the real conditions. Because the degree of annoyance and loudness for the intruding noises in complex building could be changed with background noise level, it is suggested to be researched the relationship between the noise levels and subjective response. In this study, the subjective response for three different background levels in receiving business or rooms were investigated for the typical eight business noise source including aerobic music. The results can be summarized as follows. In conditions of low background noise level(40 dB(A)), there is a tendency of intentionally attention situation (listening) in a subjective test. The other hand in conditions of relatively high background noise level(50 dB(A)), there is a unconscious situation (heraing). As the degree of moderately heard or annoyed in SD rating scale means that the noise is easily recognized in neighboring shops, usually the limit of noise criteria were decided on this rating point, so it will be reasonable to be adopted the criteria rating scale as slight heard or annoyed degree (SD criteria 3).
Journal of The Korea Institute of Healthcare Architecture
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v.22
no.1
/
pp.7-15
/
2016
Purpose: There are the number of color tactile walking surface indicators installed in Korea, because of indefinite regulation in blind and vision-impaired persons' tactile walking surface indicators. In case of yellow tactile walking surface indicators, it shows a deviation severe color. In this study, the researchers suggested color and brightness reference for helping blind and vision-impaired persons' walking through analyzing the color references of tactile walking surface indicators and the color luminance between tactile walking surface indicators and sidewalk currently used. Method: Reasonable luminance contrast criteria is suggested by examining ways of improving the recognition and recognition of objects according to color contrast visually impaired through literature review and analyzing standards of tactile walking surface indicators and the Europe, Japan and Australia of color and luminance contrast criteria. And by examining the color of the tactile walking surface indicators reported in Korea currently used to derive the problem presented by the luminance contrast in the reference and comparison. Finally, the visually impaired tactile walking surface indicators is set for color selection criteria for the recognition rate improves. Results: In order to improve the recognition rate to be tactile walking surface indicators of the contrast of the visually impaired and the environment than the color of the tactile walking surface indicators itself to secure always a certain level or more of brightness contrast values in the set of the color of the tactile walking surface indicators so important. Implication: In order to set the blind tactile walking surface indicators color recognition based on the verification of the real pedestrian based on the results presented in this paper it is required. It is to be understood as an element of the barrier free configuration for securing the walking pedestrian safety.
Seo, S.S.;Lim, S.H.;Kwon, Y.M.;Kim, H.G.;Kim, J.H.;Sohn, H.K.;Park, I.P.
Proceedings of the KIEE Conference
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2007.04b
/
pp.155-159
/
2007
Since Jan. 2004, the Ministry of Construction and Transportation has partly introduced estimation system of historical cost data in order to reflect result cost of construction market to cost estimation for public construction. It is expected that the purpose of the introduction would be evaluated considering the long-term development of domestic construction industry. In article 3, paragraph 4 of the planning criteria of estimated cost of financial regulation related to government contract rule, the profit estimated by historical cost data indicates sales profit and it is calculated by multiplying the sum of direct cost, indirect cost and general overhead by rate of profit. Finally, it is said that rate of profit cannot exceeds 10%. However, there are a lot of constructions for electronic equipment in the electronic construction and the proportion of government furnished material is very high, not like engineering works or constructions. Therefore, as the proportion of material cost over direct cost is relatively lower if current rate of exceeds (10%) is applied, there would be a wide difference of cost in the items of profit under the estimation system of historical cost data. This paper was conducted to examine estimation methods of the items of profit under the estimation system of historical cost data and suggest reasonable applications.
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