• 제목/요약/키워드: regulatory programs

검색결과 95건 처리시간 0.028초

미국의 보완대체의학 제도와 정책 - 면허제도와 의료보험급여를 중심으로 - (Policies on Complementary and Alternative Medicine in the United States - Focusing on Licensing and Insurance -)

  • 임병묵
    • 대한예방한의학회지
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    • 제14권1호
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    • pp.137-149
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    • 2010
  • In recent decades, as the utilization of complementary and alternative medicine in the United State have been growing rapidly, regulatory controls surrounding complementary and alternative medicine(CAM) aims to ensure patient protection against unproven practices and to provide safe and effective treatments. Regulation and policy method on licensing CAM practitioners varies across the states. Over 85% of the states have the licensing system for acupuncturists, chiropractors, and naturopaths. For acupuncture, although the requirements for formal education are various across the states, a unified written examination has been adopted by almost entire states which have acupuncturist licensing law. Medicare, the public medical insurance, does not cover CAM practices except chiropractic and biofeedback. In some states, however, Medicaid programs cover some CAM therapies including acupuncture, naturopathy, and massage therapy. 67% of Health Maintenance Organizations, the private health plans, provide at least one modality of CAM services. In conclusion, government policies have been strengthened to ensure patient protection, and will continue to integrate CAM practices that are proven to be safe and effective into mainstream health care system.

Proteotoxic Stress and Cell Lifespan Control

  • Cenci, Simone;Pengo, Niccolo;Sitia, Roberto
    • Molecules and Cells
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    • 제26권4호
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    • pp.323-328
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    • 2008
  • Eukaryotic cells continuously integrate intrinsic and extrinsic signals to adapt to the environment. When exposed to stressful conditions, cells activate compartment-specific adaptive responses. If these are insufficient, apoptosis ensues as an organismal defense line. The mechanisms that sense stress and set the transition from adaptive to maladaptive responses, activating apoptotic programs, are the subject of intense studies, also for their potential impact in cancer and degenerative disorders. In the former case, one would aim at lowering the threshold, in the latter instead to increase it. Protein synthesis, consuming energy for anabolic processes as well as for byproducts disposal, can be a significant source of stress, particularly when difficult-to-fold proteins are produced. Recent work from our and other laboratories on the differentiation of antibody secreting cells, revealed a regulatory circuit that integrates protein synthesis, secretion and degradation (proteostasis), into cell lifespan determination. The apoptotic elimination - after an industrious, yet short lifetime - of terminal immune effectors is crucial to maintain immune homeostasis. Linking proteostasis to cell death, this paradigm might prove useful for biotechnological purposes, and the design of novel anti-cancer therapies.

Control of Asymmetric Cell Divisions during Root Ground Tissue Maturation

  • Choi, Ji Won;Lim, Jun
    • Molecules and Cells
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    • 제39권7호
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    • pp.524-529
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    • 2016
  • Controlling the production of diverse cell/tissue types is essential for the development of multicellular organisms such as animals and plants. The Arabidopsis thaliana root, which contains distinct cells/tissues along longitudinal and radial axes, has served as an elegant model to investigate how genetic programs and environmental signals interact to produce different cell/tissue types. In the root, a series of asymmetric cell divisions (ACDs) give rise to three ground tissue layers at maturity (endodermis, middle cortex, and cortex). Because the middle cortex is formed by a periclinal (parallel to the axis) ACD of the endodermis around 7 to 14 days post-germination, middle cortex formation is used as a parameter to assess maturation of the root ground tissue. Molecular, genetic, and physiological studies have revealed that the control of the timing and extent of middle cortex formation during root maturation relies on the interaction of plant hormones and transcription factors. In particular, abscisic acid and gibberellin act synergistically to regulate the timing and extent of middle cortex formation, unlike their typical antagonism. The SHORT-ROOT, SCARECROW, SCARECROW-LIKE 3, and DELLA transcription factors, all of which belong to the plant-specific GRAS family, play key roles in the regulation of middle cortex formation. Recently, two additional transcription factors, SEUSS and GA- AND ABA-RESPONSIVE ZINC FINGER, have also been characterized during ground tissue maturation. In this review, we provide a detailed account of the regulatory networks that control the timing and extent of middle cortex formation during post-embryonic root development.

History of Japanese medical education

  • Onishi, Hirotaka
    • Korean journal of medical education
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    • 제30권4호
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    • pp.283-294
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    • 2018
  • Since medical education programs in Korea and Japan seem to mutually influence each other, this review article provides a history of Japanese medical education, focusing on the way in which it influenced and was influenced by Korean medical education. In the late 19th century, the University of Tokyo established the core medical school, disseminating its scholarship and system to other medical schools. In the early 20th century, the balance between the quality and quantity of medical education became a new issue; in response, Japan developed different levels of medical school, ranging from imperial universities to medical colleges and medical vocational schools. After World War II, all of Japan's medical schools became part of the university system, which was heavily regulated by the Ministry of Education (MOE) Standard for the Establishment of Universities. In 1991, MOE deregulated the Standard; since 2000, several new systems have been established to regulate medical schools. These new approaches have included the Model Core Curriculum, 2-year mandatory postgraduate training, and a medical education accreditation system. Currently, most medical schools are nervous, as a result of tighter regulatory systems that include an accreditation system for undergraduate education and a specialty training system for postgraduate education.

Electrical fire simulation in control room of an AGN reactor

  • Jyung, Jae-Min;Chang, Yoon-Suk
    • Nuclear Engineering and Technology
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    • 제53권2호
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    • pp.466-473
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    • 2021
  • Fire protection is one of important issues to ensure safety and reduce risks of nuclear power plants (NPPs). While robust programs to shut down commercial reactors in any fires have been successfully maintained, the concept and associated regulatory requirements are constantly changing or strengthening by lessons learned from operating experiences and information all over the world. As part of this context, it is necessary not only to establish specific fire hazard assessment methods reflecting the characteristics of research reactors and educational reactors but also to make decisions based on advancement encompassing numerical analyses and experiments. The objectives of this study are to address fire simulation in the control room of an educational reactor and to discuss integrity of digital console in charge of main operation as well as analysis results through comparison. Three electrical fire scenarios were postulated and twenty-four thermal analyses were carried out taking into account two turbulence models, two cable materials and two ventilation conditions. Twelve supplementary thermal analyses and six subsequent structural analyses were also conducted for further examination on the temperature and heat flux of cable and von Mises stress of digital console, respectively. As consequences, effects of each parameter were quantified in detail and future applicability was briefly discussed. On the whole, higher profiles were obtained when Deardorff turbulence model was employed or polyvinyl chloride material and larger ventilation condition were considered. All the maximum values considered in this study met the allowable criteria so that safety action seems available by sustained integrity of the cable linked to digital console within operators' reaction time of 300 s.

A Movement Towards the Accrual Based IPSAS Implementation in Developing Countries: Evidence from Jordan

  • SHEHADEH, Esam
    • The Journal of Asian Finance, Economics and Business
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    • 제9권3호
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    • pp.389-397
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    • 2022
  • As the Jordanian government is in the process of implementing accrual-based IPSAS, this study aims to provide academics' perspectives on the effective implementation of accrual-based IPSAS in Jordan to authorities and regulators. The findings of a survey of 124 accounting professors at Jordanian institutions reveal that adopting accrual-based IPSAS will aid in presenting the realistic financial status of governmental bodies, with various advantages to adopting accrual-based IPSAS (e.g., enhance assets and liabilities management, decision-making process, transparency, expenditures management). On the other side, we discovered that change is met with reluctance because the majority of public-sector accountants are untrained and unqualified to apply the accrual-based IPSAS. Another main challenge is the cost of implementing the accrual-based IPSAS in the Jordanian public sector is very high. To address these issues, employees should be motivated by providing suitable training programs, reward systems, and top management support and commitment to a successful transition. Finally, we suggested that Jordanian governments commit to using IPSAS in the public sector to increase residents' socioeconomic advantages. Public sectors should implement IPSASs for improved management, transparency in financial reporting, accountability, and regulatory and supervisory agencies.

국제방사선방호위원회와 방사선방호체계 (The ICRP and Its System of Radiological Protection)

  • 조건우
    • 한국환경보건학회지
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    • 제50권1호
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    • pp.1-5
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    • 2024
  • International Commission on Radiological Protection (ICRP) is an independent international organization that advances the science of radiological protection for the public benefit, particularly by providing recommendations and guidance on all aspects of protection against ionizing radiation. The ICRP is a community of more than 380 globally-recognized experts in radiological protection science, policy, and practice from more than 50 countries. As of January 2024, the ICRP is comprised of a Main Commission, the Scientific Secretariat, four Standing Committees, and 30 Task Groups under the four committees. The ICRP has released well over one hundred publications on all aspects of radiological protection. Most address a particular area within radiological protection, but a handful of the publications, the so-called fundamental recommendations, describe the overall system of radiological protection. The system for radiological protection is based on the current understanding of the science of radiation exposure and its effects along with value judgements. The ICRP offers recommendations to regulatory and advisory agencies and provides advice to management and professional staff with responsibilities for radiological protection. Legislation in most countries adheres closely to ICRP recommendations. The International Atomic Energy Agency's (IAEA) International Basic Safety Standards are based heavily on ICRP recommendations. ICRP recommendations form the core of radiological protection standards, legislation, programs, and practice worldwide.

한국 산업보안교육 프로그램의 정립에 관한 연구 (A Study on the Establishment of Industrial Security Education Programs in Korea)

  • 최선태;유형창
    • 시큐리티연구
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    • 제25호
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    • pp.185-208
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    • 2010
  • 이 연구는 현재 한국 산업보안교육과정의 개선과 보안교육 프로그램에 대하여 제시하였다. 현대인은 세상의 급격한 변화에 대응해야 하는 불안전한 세상에서 살고 있다. 전반적으로 현대인의 생활, 사회, 경제, 국제관계 그리고 보안리스크는 점차적으로 더 복잡성이 더해가고 있다. 이와 더불어 현대인의 업무형태, 교통수단, 여가, 그리고 통신수단은 급격하게 변화하고 있다. 우리가 살고 있는 세상은 과거의 변화의 추세로서 미래의 변화를 예측하는 것을 불가능하게 한다. 이러한 불안전한 세상에서의 현대의 모든 활동에서의 실제적인 결정에는 안전성을 우선하게 되었다. 글로벌 환경은 과거와는 다르게 급격한 변동성이 증가하여 산업보안에 대한 사회적인 기대는 모든 면에서 증가하고 있다. 세계화의 복잡성, 공공의 기대감, 법적인 규제의 요구조건, 다국적에 걸친 이슈, 재판관한상의 이슈, 범죄, 테러리즘, 앞선 정보기술, 사이버 공격, 전염병 등은 새로운 보안리스크 환경을 조성하였으며, 현대인의 삶에 큰 장애물로 등장하였다. 이러한 새로운 보안리스크에 대응하기 위하여 산업보안전문가의 양성이 필요하다. 그러나 대학교육이 보안전문가의 양성에 얼마나 밀접하게 관련되어 있는가? 아쉽게도 오늘날의 대학학위는 취업이나 더 향상된 기회를 보장하지는 못하지만, 지금까지는 실제적으로 대학교육은 더 좋은 직업을 구하는데 최상의 방법이다. 마찬가지로 보안교육과 경험은 좋은 직업을 찾는데 최고의 고려대상이며, 여기에 훈련 또한 중요한 고려요소이다. 현대기업에서의 보안업무는 다양한 리스크로부터 기업을 보호하는 업무에서 비즈니스 경쟁 우위를 확보하기 위한 새로운 원천으로 변화되고 있다. 따라서 보안 분야의 교육의 미래는 지속적인 성장에 비례하여 유망한 산업분야가 되었다. 오늘날 현대인들은 과거와 다르게 일상생활에서 보안에 대하여 더욱 민감하게 의식하면서 생활하고 있으므로, 여기에 가장 부합하는 전문교육과정과 대학교육에서는 새로운 위협요인에 대응하는 산업보안교육 프로그램이 수립되어야 한다.

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방송 산업 내 플랫폼사업자와 콘텐츠사업자 간 공정거래환경 조성 연구 (A Study on Creation of Fair Transaction Environment between Platform Operator and Contents Provider in Broadcasting Industry)

  • 김용희;도준호
    • 한국인터넷방송통신학회논문지
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    • 제23권2호
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    • pp.175-183
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    • 2023
  • 플랫폼 사업자와 콘텐츠 사업자 간 밀접한 상호의존관계를 갖는 방송 시장환경에서, 지상파 재송신 대가와 관련한 갈등, 프로그램 사용료 갈등 및 홈쇼핑 송출 수수료 갈등 등의 문제가 심화되고 있다. 본 연구는 국내 방송시장의 환경을 분석하고 시사점을 제시하는 한편 플랫폼과 PP간 사용료 갈등 원인 분석 및 사용료 갈등 분쟁 해소를 위한 세부대안을 제안하고자 하였다. 국내 방송시장에 대한 환경분석 결과는 다음과 같다. 첫째, 방송산업의 성장 동력이 서비스이용료나 콘텐츠 사용료와 같은 직접 재원으로 변화하였고, 커머스가 증가하고 있다는 것이다. 둘째, 국내 방송시장의 헤게모니가 지상파에서 유료방송 그리고 OTT로 변화하면서 자발적 진입에 의한 방송 영역 전반의 독점이 해체되고 있다는 것이다. 셋째, 기존 방송시장의 해체와 재편으로 기존 규제 체계의 정비 필요성이 증가하고 있다. 한편, 본 연구는 유료방송플랫폼과 PP간 첨예하게 맞서는 사용료에 대한 분쟁을 해결하기 위해서는 PP의 수익구조 다변화, 선계약 후공급 정착 방안 및 CPS 협상력 강화 전략을 제안하였다.

Characterisation of Phenotypic and Genotypic Antibiotic Resistance Profile of Enterococci from Cheeses in Turkey

  • Kurekci, Cemil;Onen, Sevda Pehlivanlar;Yipel, Mustafa;Aslantas, Ozkan;Gundogdu, Aycan
    • 한국축산식품학회지
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    • 제36권3호
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    • pp.352-358
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    • 2016
  • The aim of this study was to determine the prevalence of enterococci in cheese samples and to characterize their antimicrobial resistance profiles as well as the associated resistance genes. A total of 139 enterococci were isolated from 99 cheese samples, the isolates were identified as E. faecalis (61.2%), E. faecium (15.1%), E. gallinarum (12.9%), E. durans (5.0%), E. casseliflavis (2.9%) and E. avium (2.9%). The most frequent antimicrobial resistance observed in enterococci isolates was to lincomycin (88.5%), followed by kanamycin (84.2%), gentamycin (low level, 51.1%), rifampin (46.8%) and tetracycline (33.8%). Among the isolates, the frequencies of high level gentamycin and streptomycin resistant enterococci strains were 2.2% and 5.8%, respectively. Apart from the mentioned antibiotics, low levels of resistance to ciprofloxacin, erythromycin and chloramphenicol were found. Moreover no resistance was observed against penicillin and ampicillin. The antimicrobial resistance genes including tetM, tetL, ermB, cat, aph(3’)-IIIa, ant(6)-Ia and aac(6’)-Ieaph(2”)-Ia were found in enterococci from Turkish cheese samples. In the current study, we provided data for antibiotic resistance and the occurrence of resistance genes among enterococci. Regulatory and quality control programs for milk and other dairy products from farms to retail outlets has to be established and strengthened to monitor trends in antimicrobial resistance among emerging food borne pathogens in Turkey.