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A Study on the Cooperation between Medical Care and Law - Focusing on the discussion of the role of clinical practice guideline in Japan - (의료와 사법(司法)의 협력 -일본에서의 진료가이드라인의 역할에 대한 논의를 중심으로-)

  • Song, young-min
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.39-65
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    • 2022
  • There are two aspects of clinical practice guidelines that act as non-legal control before medical practice and as legal control standards after medical practice. The essential purpose of clinical practice guidelines is the former, but the latter action cannot be excluded. The clinical practice guidelines are a means of linking law and medical care. The negative perception of clinical practice guidelines that medical professionals' autonomy can be violated by the enactment of clinical practice guidelines is an excessive negative evaluation of clinical practice guidelines. Rather, judicial judgment based on clinical practice guidelines plays a role in respecting the autonomy of medical professionals. In other words, the clinical practice guidelines suppress legal regulations on medical care as much as possible and are based on doctors' professional ethics and self-discipline, and patient awareness and cooperation. In order to establish an ideal relationship of cooperation between doctors and patients, 'medical ethics' must be incorporated as a legal means. Clinical practice guidelines are the most appropriate means for incorporating such medical ethics into legal procedures. The lawyer solves the case with a legal syllogism that establishes a norm and applies facts to it to conclude. For the resolution of medical disputes, Clinical practice guidelines are used to establish norms that doctors should perform for specific diseases, and conclusions are drawn by applying the established norms to specific medical practices. When it is not easy to apply the established norms to specific medical practices, medical judgments by experts, such as emotions, expert testimony, and explanations by expert members, are used. As such, the Law respects the autonomy of medical care even in the establishment of norms and the application of norms. In particular, Clinical practice guidelines prepared independently by the medical community are referred to in establishing norms, which are the prerequisites for legal syllogism. This shows that doctors participate in the formation of precedents and contribute to the formation of norms. The use of clinical practice guidelines in trials is respect and consideration for the autonomy of medical care. Although there may be an aspect in which the autonomy of individual doctors is limited by clinical practice guidelines, it should be considered that the autonomy of doctors as a group is respected. In this way, the clinical practice guidelines play a role in protecting the autonomy of the "medical" group from the logic of the "law."

Application of deep learning method for decision making support of dam release operation (댐 방류 의사결정지원을 위한 딥러닝 기법의 적용성 평가)

  • Jung, Sungho;Le, Xuan Hien;Kim, Yeonsu;Choi, Hyungu;Lee, Giha
    • Journal of Korea Water Resources Association
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    • v.54 no.spc1
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    • pp.1095-1105
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    • 2021
  • The advancement of dam operation is further required due to the upcoming rainy season, typhoons, or torrential rains. Besides, physical models based on specific rules may sometimes have limitations in controlling the release discharge of dam due to inherent uncertainty and complex factors. This study aims to forecast the water level of the nearest station to the dam multi-timestep-ahead and evaluate the availability when it makes a decision for a release discharge of dam based on LSTM (Long Short-Term Memory) of deep learning. The LSTM model was trained and tested on eight data sets with a 1-hour temporal resolution, including primary data used in the dam operation and downstream water level station data about 13 years (2009~2021). The trained model forecasted the water level time series divided by the six lead times: 1, 3, 6, 9, 12, 18-hours, and compared and analyzed with the observed data. As a result, the prediction results of the 1-hour ahead exhibited the best performance for all cases with an average accuracy of MAE of 0.01m, RMSE of 0.015 m, and NSE of 0.99, respectively. In addition, as the lead time increases, the predictive performance of the model tends to decrease slightly. The model may similarly estimate and reliably predicts the temporal pattern of the observed water level. Thus, it is judged that the LSTM model could produce predictive data by extracting the characteristics of complex hydrological non-linear data and can be used to determine the amount of release discharge from the dam when simulating the operation of the dam.

Sea Water Type Classification Around the Ieodo Ocean Research Station Based On Satellite Optical Spectrum (인공위성 광학 스펙트럼 기반 이어도 해양과학기지 주변 해수의 수형 분류)

  • Lee, Ji-Hyun;Park, Kyung-Ae;Park, Jae-Jin;Lee, Ki-Tack;Byun, Do-Seung;Jeong, Kwang-Yeong;Oh, Hyun-Ju
    • Journal of the Korean earth science society
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    • v.43 no.5
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    • pp.591-603
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    • 2022
  • The color and optical properties of seawater are determined by the interaction between dissolved organic and inorganic substances and plankton contained in it. The Ieodo - Ocean Research Institute (I-ORS), located in the East China Sea, is affected by the low salinity of the Yangtze River in the west and the Tsushima Warm Current in the south. Thus, it is a suitable site for analyzing the fluctuations in circulation and optical properties around the Korean Peninsula. In this study, seawater surrounding the I-ORS was classified according to its optical characteristics using the satellite remote reflectance observed with Moderate Resolution Imaging Spectroradiometer (MODIS)/Aqua and National Aeronautics and Space Administration (NASA) bio-Optical Marine Algorithm Dataset (NOMAD) from January 2016 to December 2020. Additionally, the variation characteristics of optical water types (OWTs) from different seasons were presented. A total of 59,532 satellite match-up data (d ≤ 10 km) collected from seawater surrounding the I-ORS were classified into 23 types using the spectral angle mapper. The OWTs appearing in relatively clear waters surrounding the I-ORS were observed to be greater than 50% of the total. The maximum OWTs frequency in summer and winter was opposite according to season. In particular, the OWTs corresponding to optically clear seawater were primarily present in the summer. However, the same OWTs were lower than overall 1% rate in winter. Considering the OWTs fluctuations in the East China Sea, the I-ORS is inferred to be located in the transition zone of seawater. This study contributes in understanding the optical characteristics of seawater and improving the accuracy of satellite ocean color variables.

Extraction and Analysis of Ganghwa Tidal Flat Channels Using TanDEM-X DEM (TanDEM-X DEM을 이용한 강화도 갯벌 조류로 추출과 분석)

  • Yun, Ga-Ram;Kim, Lyn;Kim, Nam-Yeong;Kim, Na-Gyeong;Jang, Yun-Yeong;Choi, Yeong-Jin;Lee, Seung-Kuk
    • The Journal of Engineering Geology
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    • v.32 no.3
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    • pp.411-420
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    • 2022
  • Recently, research using remote sensing has been active in various fields such as environment, science, and society. The results of research using remote sensing are not only numerical results, but also play an important role in solving and preventing social and scientific problems. The purpose of this thesis is to tell the correlation between the data provided and each data by using remote sensing technology for the tidal flat environment. The purpose of this study is to obtain high-resolution data using artificial satellites during remote sensing to find out information on tidal flat currents. Tidal flats created by erosion, sedimentation, low tide, and high tide contain information about the tidal flat slope and information about the ecosystem. Therefore, it can be considered as one of the very important studies to analyze the overall tidal flow channel. This paper creates a DEM (Digital Elevation Model) through TanDEM-X, and DEM is used as the most basic data to create a tidal channel. The research area is a tidal flat located in the middle of the west coast of Ganghwado tidal flat. By analyzing the tidal channel created, various information such as the slope direction of Ganghwado tidal flat and the shape of the tidal channel can be grasped. It is expected that the results of this study will increase the importance and necessity of using DEM data for tidal flat research in the future, and that high-quality results can be obtained.

An Implementation of OTB Extension to Produce TOA and TOC Reflectance of LANDSAT-8 OLI Images and Its Product Verification Using RadCalNet RVUS Data (Landsat-8 OLI 영상정보의 대기 및 지표반사도 산출을 위한 OTB Extension 구현과 RadCalNet RVUS 자료를 이용한 성과검증)

  • Kim, Kwangseob;Lee, Kiwon
    • Korean Journal of Remote Sensing
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    • v.37 no.3
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    • pp.449-461
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    • 2021
  • Analysis Ready Data (ARD) for optical satellite images represents a pre-processed product by applying spectral characteristics and viewing parameters for each sensor. The atmospheric correction is one of the fundamental and complicated topics, which helps to produce Top-of-Atmosphere (TOA) and Top-of-Canopy (TOC) reflectance from multi-spectral image sets. Most remote sensing software provides algorithms or processing schemes dedicated to those corrections of the Landsat-8 OLI sensors. Furthermore, Google Earth Engine (GEE), provides direct access to Landsat reflectance products, USGS-based ARD (USGS-ARD), on the cloud environment. We implemented the Orfeo ToolBox (OTB) atmospheric correction extension, an open-source remote sensing software for manipulating and analyzing high-resolution satellite images. This is the first tool because OTB has not provided calibration modules for any Landsat sensors. Using this extension software, we conducted the absolute atmospheric correction on the Landsat-8 OLI images of Railroad Valley, United States (RVUS) to validate their reflectance products using reflectance data sets of RVUS in the RadCalNet portal. The results showed that the reflectance products using the OTB extension for Landsat revealed a difference by less than 5% compared to RadCalNet RVUS data. In addition, we performed a comparative analysis with reflectance products obtained from other open-source tools such as a QGIS semi-automatic classification plugin and SAGA, besides USGS-ARD products. The reflectance products by the OTB extension showed a high consistency to those of USGS-ARD within the acceptable level in the measurement data range of the RadCalNet RVUS, compared to those of the other two open-source tools. In this study, the verification of the atmospheric calibration processor in OTB extension was carried out, and it proved the application possibility for other satellite sensors in the Compact Advanced Satellite (CAS)-500 or new optical satellites.

A Study of Masterplot of Disaster Narrative between Korea, the US and Japan (한·미·일 재난 서사의 마스터플롯 비교 연구)

  • Park, In-Seong
    • Journal of Popular Narrative
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    • v.26 no.2
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    • pp.39-85
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    • 2020
  • This paper examines the aspects of disaster narrative, which makes the most of the concept of 'masterplot' as a narrative simulation to solve problems. By analyzing and comparing the remnants of 'masterplots' operating in the disaster narratives of Korea, the United States, and Japan, the differences between each country and social community problem recognition and resolution will be discussed. Disaster narrative is the most suitable genre for applying the 'masterplot' toward community problem solving in today's global risk society, and the problem-solving method has cognitive differences for each community. First, in the case of American disaster narratives, civilian experts' response to natural disasters tracks the changes of heroes in today's 'Marvel Comic Universe' (MCU). Compared to the past, the close relationship between heroism and nationalism has been reduced, but the state remains functional even if it is bolstered by the heroes' voluntary cooperation and reflection ability. On the other hand, in Korea's disaster narratives, the disappearance of the country and paralysis of the function are foregrounded. In order to fill the void, a new family narrative occurs, consisting of a righteous army or people abandoned by the state. Korea's disaster narratives are sensitive to changes after the disaster, and the nation's recovery never returns to normal after the disaster. Finally, Japan's disaster narratives are defensive and neurotic. A fully state-led bureaucratic system depicts an obsessive nationalism that seeks to control all disasters, or even counteracts anti-heroic individuals who reject voluntary sacrifices and even abandon disaster conditions This paper was able to diagnose the impact and value of a 'masterplot' today by comparing a series of 'masterplots' and their variations and uses. In a time when the understanding and utilization of 'masterplots' are becoming more and more important in today's world where Over-the top(OTT) services are being provided worldwide, this paper attempt could be a fragmentary model for the distribution and sharing of global stories.

Effects of Conflict Management Strategy Within Supply Chain on Partnership and Performance (공급망 내 갈등관리전략이 파트너십과 성과에 미치는 영향)

  • Ham, Yoon-Hee;Song, Sang-Hwa
    • Korean small business review
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    • v.42 no.1
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    • pp.79-105
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    • 2020
  • While individual enterprises with different objectives each other within supply chains require a variety of resources to achieve their own seeking goals and performances, it is necessary to form interdependent relationships among the enterprises to secure the resources what they need, as the individual enterprises are supposed to have limitations on such as time, space and cost to secure all the resources. In this process, conflict possibilities rise and opportunistic behaviors increase due to those environmental factors such as unbalanced information among enterprises, limited rationality, pursuit of interests, and risk aversion. Those existing studies on conflicts in the field of supply chains have limitations in that they failed to present specific conflict management strategies based on the conflict types from the perspective of the conflict resolution mechanism as the studies have made only focused on investigating the causes of conflicts and the impact of conflicts on performance. In this study, therefore, it used the TKI model of Kilmann and Thomas(1977) to subdivide the conflict management strategies in the process of transactions within supply chains by enterprises, and looked into the impact on partnership and performance according to each strategy. As the results, it showed that those types of conflict management strategies such as concession type and cooperation type had a positive(+) impact on the relationship commitment as a factor of partnership, and it was identified that the relationship commitment had a positive(+) impact on performance. In other words, it can be considered that the enterprises making use of the concession type & the cooperation type conflict management strategies under the situation of conflict would be able to have a very positive impact on their performances if they can make good relationship commitment such as investments in and efforts for the sustainable relationship along with the conflict management, while recognizing the importance of relationship. The most important meaning of this study lies on in terms of that it would be contributable to strengthening the partnership between enterprises and minimizing the risk of supply chains caused by conflicts through these results from the study.

Investigation and Processing of Seismic Reflection Data Collected from a Water-Land Area Using a Land Nodal Airgun System (수륙 경계지역에서 얻어진 육상 노달 에어건 탄성파탐사 자료의 고찰 및 자료처리)

  • Lee, Donghoon;Jang, Seonghyung;Kang, Nyeonkeon;Kim, Hyun-do;Kim, Kwansoo;Kim, Ji-Soo
    • The Journal of Engineering Geology
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    • v.31 no.4
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    • pp.603-620
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    • 2021
  • A land nodal seismic system was employed to acquire seismic reflection data using stand-alone cable-free receivers in a land-river area. Acquiring reliable data using this technology is very cost effective, as it avoids topographic problems in the deployment and collection of receivers. The land nodal airgun system deployed on the mouth of the Hyungsan River (in Pohang, Gyeongsangbuk Province) used airgun sources in the river and receivers on the riverbank, with subparallel source and receiver lines, approximately 120 m-spaced. Seismic data collected on the riverbank are characterized by a low signal-to-noise (S/N) and inconsistent reflection events. Most of the events are represented by hyperbola in the field records, including direct waves, guided waves, air waves, and Scholte surface waves, in contrast to the straight lines in the data collected conventionally where source and receiver lines are coincident. The processing strategy included enhancing the signal behind the low-frequency large-amplitude noise with a cascaded application of bandpass and f-k filters for the attenuation of air waves. Static time delays caused by the cross-offset distance between sources and receivers are corrected, with a focus on mapping the shallow reflections obscured by guided wave and air wave noise. A new time-distance equation and curve for direct and air waves are suggested for the correction of the static time delay caused by the cross-offset between source and receiver. Investigation of the minimum cross-offset gathers shows well-aligned shallow reflections around 200 ms after time-shift correction. This time-delay static correction based on the direct wave is found essential to improving the data from parallel source and receiver lines. Data acquisition and processing strategies developed in this study for land nodal airgun seismic systems will be readily applicable to seismic data from land-sea areas when high-resolution signal data becomes available in the future for investigation of shallow gas reservoirs, faults, and engineering designs for the development of coastal areas.

Determination of Stream Reach for River Environment Assessment System Using Satellite Image (위성영상을 활용한 하천환경 평가 세구간 설정)

  • Kang, Woochul;Choe, Hun;Jang, Eun-kyung;Ko, Dongwoo;Kang, Joongu;Yeo, Hongkoo
    • Ecology and Resilient Infrastructure
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    • v.8 no.4
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    • pp.179-193
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    • 2021
  • This study examines the use of satellite images for river classification and determination of stream reach, which is the first priority in the river environment assessment system. In the river environment assessment system used in South Korea, it is proposed to set a stream reach by using 10 or 25 times the width of the river based on the result of river classification. First, river classification for the main stream section of Cheongmi stream was performed using various river-related data. The maximum likelihood method was applied for land cover classification. In this study, Sentinel-2 satellite imagery, which is an open data technology with a resolution of 10 m, was used. A total of four satellite images from 2018 was used to consider various flow conditions: February 2 (daily discharge = 2.39 m3/s), May 23 (daily discharge = 15.51 m3/s), June 2 (daily discharge = 3.88 m3/s), and July 7 (daily discharge = 33.61 m3/s). The river widths were estimated from the result of land cover classification to determine stream reach. The results of the assessment reach classification were evaluated using indicators of stream physical environments, including pool diversity, channel sinuosity, and river crossing shape and structure. It is concluded that appropriate flow conditions need to be considered when using satellite images to set up assessment segments for the river environment assessment system.

Calculation of Soil Moisture and Evapotranspiration for KLDAS(Korea Land Data Assimilation System) using Hydrometeorological Data Set (수문기상 데이터 세트를 이용한 KLDAS(Korea Land Data Assimilation System)의 토양수분·증발산량 산출)

  • PARK, Gwang-Ha;LEE, Kyung-Tae;KYE, Chang-Woo;YU, Wan-Sik;HWANG, Eui-Ho;KANG, Do-Hyuk
    • Journal of the Korean Association of Geographic Information Studies
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    • v.24 no.4
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    • pp.65-81
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    • 2021
  • In this study, soil moisture and evapotranspiration were calculated throughout South Korea using the Korea Land Data Assimilation System(KLDAS) of the Korea-Land Surface Information System(K-LIS) built on the basis of the Land Information System (LIS). The hydrometeorological data sets used to drive K-LIS and build KLDAS are MERRA-2(Modern-Era Retrospective analysis for Research and Applications, version 2) GDAS(Global Data Assimilation System) and ASOS(Automated Synoptic Observing System) data. Since ASOS is a point-based observation, it was converted into grid data with a spatial resolution of 0.125° for the application of KLDAS(ASOS-S, ASOS-Spatial). After comparing the hydrometeorological data sets applied to KLDAS against the ground-based observation, the mean of R2 ASOS-S, MERRA-2, and GDAS were analyzed as temperature(0.994, 0.967, 0.975), pressure(0.995, 0.940, 0.942), humidity (0.993, 0.895, 0.915), and rainfall(0.897, 0.682, 0.695), respectively. For the hydrologic output comparisons, the mean of R2 was ASOS-S(0.493), MERRA-2(0.56) and GDAS (0.488) in soil moisture, and the mean of R2 was analyzed as ASOS-S(0.473), MERRA-2(0.43) and GDAS(0.615) in evapotranspiration. MERRA-2 and GDAS are quality-controlled data sets using multiple satellite and ground observation data, whereas ASOS-S is grid data using observation data from 103 points. Therefore, it is concluded that the accuracy is lowered due to the error from the distance difference between the observation data. If the more ASOS observation are secured and applied in the future, the less error due to the gridding will be expected with the increased accuracy.