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On the Legality of the Telemedicine between the Patient and Doctor Under the Medical Service Act - Focused on the Prescriptions to the Distanced Patients- (의사 환자 간 원격 의료의 의료법상 적법성에 관하여 - 원격 환자에 대한 처방 중심으로 -)

  • Kim, Jang Han
    • The Korean Society of Law and Medicine
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    • v.22 no.1
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    • pp.3-23
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    • 2021
  • Telemedicine is a field of medicine in which medicine doctors who are in remote distance can treat the patients using audio, video devices which can help the diagnosis. In medicine, even the face-to-face diagnosis and treatment is the traditional way, the telemedicine could provide the convenient way for the patients in long distance, disabled or anyone who want to be stay ones' home. But telemedicine has the task to maintain the quality of medical cares compare with the traditional medicine. Among the several types of telemedicine, the specific type telemedicine in which the medicine doctors examine, diagnosis and do the prescription to the remotely distanced patients could be defined tele-prescription. Under The Medical Service act, it is unclear that teleprescription could be allowed. The Medical Service Act has introduced the specific clause for the prescription. That clause includes the duty of patients who have to receive the prescriptions directly from medical doctors. Under this clause, the constitutional court had decided the tele-prescription was illegal, but the supreme court has been decided tele-prescription could be legalized under the certain circumstances. But the other supreme court decided the tele-prescription was illegal under the article 34 of presenting Medical Service Act. So to understand the interpretations of Supreme court and Constitutional court decisions for the cases of prescription via telephone, we need to understand the history and presented reasons for the revision of prescription clause and also need to understand the other related clauses in the same act. In conclusion, To consider the values of telemedicine should be the level with the ordinary treatments, It is reasonable to interpret that the presenting Medical Service Act only legalize the telemedicine between doctor to doctor and which is regulated by the telemedicine clause.

The Effects of Headquarters' Levels of Control and Subsidiaries' Local Experiences on Competency in Foreign Subsidiaries: A Quadratic Model Investigation of Korean Multinational Corporations

  • Lee, Jae-Eun;Kang, Joo-Yeon;Park, Jung-Min
    • Journal of Korea Trade
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    • v.24 no.1
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    • pp.82-98
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    • 2020
  • Purpose - This study aims to overcome the limitations of existing studies, which linearly determine the precedence factors of competency in overseas subsidiaries. The research objectives are as follows. First, what kind of nonlinear effects does the level of control held by Korean headquarters over foreign subsidiaries have in terms of competency in the subsidiaries? Second, what kind of nonlinear effects do the local experiences of overseas subsidiaries have on their competency? Design/methodology - With data on Korean multinational corporations (MNCs), this paper analyzes the effects of control levels of headquarters (HQs) and host-country experiences of foreign subsidiaries regarding competency in overseas subsidiaries. In particular, this study focuses on nonlinear models, differentiating it from previous studies. In order to examine research hypotheses, this study conducted a survey of overseas subsidiaries of Korean corporations. Surveys were conducted through various methods including e-mail, online questionnaires, fax, and telephone calls. Copies of the questionnaire were distributed to a total of 2,246 overseas subsidiaries, and 409 completed responses were collected. Excluding 15 copies that were insufficiently answered, responses from a total of 394 copies were used for analysis. Findings - This study presents the following results. First, there is a U-shaped relationship between levels of HQ control and competency in foreign subsidiaries. This means that higher levels of HQ control negatively impact the competency levels of subsidiaries because strict control undermines autonomy in subsidiaries. However, if the level of HQ control exceeds a certain point, then the transfer of knowledge between HQs and subsidiaries is facilitated. Knowledge transferred from HQs can be used as prior knowledge by foreign subsidiaries to the benefit of all parties. Accordingly, knowledge transfer negates the negative effects of excessive HQ control and positively affects competency in subsidiaries. Second, there is an inverted U-shaped relationship between the local (host-country) experiences of subsidiaries and competency in foreign subsidiaries. This means that foreign subsidiaries can overcome the liabilities of foreignness and contribute to capability building by accumulating unique knowledge about their host countries. However, if local experiences accumulate excessively beyond a certain point, then the host country-specific experiences of foreign subsidiaries will offset the benefits discussed above. Excessive local experiences not only increase organizational inertia, but also create a problem of goal incongruence due to information asymmetry between HQs and subsidiaries. Therefore, excessive local experiences have negative effects on competency in foreign subsidiaries. Originality/value - This study suggests the following implications. First, unlike existing studies based mainly on linear models, this study presents important theoretical implications in its focus on nonlinear models and its analysis of the effects of HQ control and local experiences on competency in foreign subsidiaries from perspectives of organizational learning theory and agency theory. Second, in terms of practical implications, the results of this study suggest that optimally raising levels of HQ control and managing the local experiences of subsidiaries without increasing organizational inertia is important for enhancing competency in foreign subsidiaries.

The Role of Health Committee for Health Management of Rural Residents in the COVID-19 Epidemic (코로나19 유행 상황에서 농어촌지역 건강마을 건강위원의 역할)

  • Kim, Yunyoung;Kim, Keonyeop;Hong, Nam-Soo;Kang, Soo Jin;Kim, Eunhwi;Kim, Jong-Yeon;Park, Min-Ah
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.218-229
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    • 2021
  • Objectives: The purpose of this study was to suggest the direction of the Healthy Village project for rural residents in accordance with the prolonged COVID-19 by investigating the digital environment for major health problems, the role of a health leader, necessary projects, and non-face-to-face projects for Healthy Village members in the COVID-19 epidemic. Methods: Telephone interview surveys were conducted with 585 residents from November 30, 2020 to December 21, 2020. Results: Health problems perceived by residents were in the order of concerns about infection (48.5%), depression (32.5%), difficulties in using medical services (9.4%), and lack of exercise (7.7%). The role of the health committee in the COVID-19 situation was "encouraging people to follow quarantine rules" with 91.3%. As a necessary health village project, there was a high demand for the provision of health products and mental health projects. 17.9% said that there is a computer or smart device connected to the Internet in their home, and 42.2% said that there is someone in the village who can easily get help if there is a problem in accessing and using Internet information. 36.9% were able to watch videos, and 22.2% were able to use the Internet through public facilities. Conclusion: In a public health crisis, where the provision of public health and medical services to rural residents is not smooth, it is necessary to manage health and quarantine through health leaders in the village, and it is required to establish a digital environment infrastructure that can conduct community participatory health village projects in a non-face-to-face environment.

A Study on Communication Research and Trends in Journal of Korean Gerontological Society: 1980-2009 (한국노년학의 커뮤니케이션 연구 동향: 1980-2009)

  • Hong, Myungshin
    • 한국노년학
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    • v.30 no.1
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    • pp.31-47
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    • 2010
  • The purpose of this study is to analyze communication topics in Journal of Korean Gerontological Society from 1980 to 2009. Out of all published over one thousand articles, 54 articles were selected by content analysis. The published time, the number of authors, the author's institutions, type of communication and media, methodologies, and so on were analyzed for this study. The conclusion of this study are as follows; First, the articles regarding on communication published only one throughout in 1980's. However, the articles have been gradually published since 1990's. Second, the authors came mainly from universities especially those who are engaged in social welfare field. Third, the types of communication are concentrated on group communication. Interestingly enough, it is found that mass communication such TV, magazine, and internet were analyzing in-depth. Telephone is one of most important mediated human communication media. On the contrary, mobile phone and computer were researched on not for the usage but for the education purposes. Forth, in methodologies, authors are used mainly survey method and selected content analysis in all media research. In conclusion, the scholars of gerontology and communications should co-operate and help each other to promote aging and communication field.

The History of CO2 Laser Acupuncture and Moxibustion (CO2 레이저 침구 치료의 역사)

  • Jang, Insoo;Yang, Changsop;Sun, Seungho;Jeong, Minjeong;Han, Changho;Hwang, Eui-Hyoung;Seo, Hyungsik
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.36-43
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    • 2019
  • Objectives : Carbon dioxide ($CO_2$) laser, a high power laser has been used for pain management, dermatology, and surgery and laser acupuncture and moxibustion as well, since it had been oscillated in 1964 at Bell Telephone Laboratories in the US. The purpose of this study is to investigate the history of $CO_2$ laser acupuncture through reviewing studies published in early stage of laser medicine. Methods : To investigate the early history of $CO_2$ laser acupuncture, studies were searched in the electronic databases, including PubMed, ScienceDirect, CNKI, Wanfang, J-STAGE, CiNii, KTNP, and OASIS, since 1964. Articles in English, Chinese, Japanese and Korean were included, and there were no limitations in literature types such as reviews, essays, clinical trials, animal experiments and veterinary research. Results : We found that the first $CO_2$ laser application to acupoints was done by a research team in Shanghai in 1976. They used $CO_2$ laser for acupuncture treatment and it was also the first laser acupuncture treatment in China. Since the first case report of $CO_2$ laser for leukopenia, it has been applied to various diseases in China, Korea, Japan and other western countries. It has been widely applied in the fields of dentistry and veterinary medicine, as well as clinical applications. Conclusions : Not only $CO_2$ laser can be used as laser acupuncture by stimulating the acupoints and meridians, but also can produce moxibustion effect by using heat stimulus. Therefore, it is expected that it will be used in various clinical fields in the future.

Personal Credit Evaluation System through Telephone Voice Analysis: By Support Vector Machine

  • Park, Hyungwoo
    • Journal of Internet Computing and Services
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    • v.19 no.6
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    • pp.63-72
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    • 2018
  • The human voice is one of the easiest methods for the information transmission between human beings. The characteristics of voice can vary from person to person and include the speed of speech, the form and function of the vocal organ, the pitch tone, speech habits, and gender. The human voice is a key element of human communication. In the days of the Fourth Industrial Revolution, voices are also a major means of communication between humans and humans, between humans and machines, machines and machines. And for that reason, people are trying to communicate their intentions to others clearly. And in the process, it contains various additional information along with the linguistic information. The Information such as emotional status, health status, part of trust, presence of a lie, change due to drinking, etc. These linguistic and non-linguistic information can be used as a device for evaluating the individual's credit worthiness by appearing in various parameters through voice analysis. Especially, it can be obtained by analyzing the relationship between the characteristics of the fundamental frequency(basic tonality) of the vocal cords, and the characteristics of the resonance frequency of the vocal track.In the previous research, the necessity of various methods of credit evaluation and the characteristic change of the voice according to the change of credit status were studied. In this study, we propose a personal credit discriminator by machine learning through parameters extracted through voice.

Pop-up Chart for Managing CRRT Improves the Quality of CRRT Care (전자의무기록 팝업차트를 활용한 CRRT 관리의 질향상 활동)

  • Go, Su-Ryeong;Lee, An-Na;Kim, Ki-Pyo;Chin, Ho-Jun;Na, Ki-Young;Chae, Dong-Wan;Kim, Se-Joong
    • Quality Improvement in Health Care
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    • v.25 no.1
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    • pp.43-51
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    • 2019
  • Purpose: The time lag between the decision to initiate continuous renal replacement therapy (CRRT) and its actual initiation remains a major barrier in our intensive care units. We developed a CRRT pop-up chart on EMR for managing CRRT machines. Methods: This study measured time interval between the decision to prepare the CRRT machine and the actual use of the machine before and after using a CRRT pop-up chart. This study conducted a questionnaire of the medical staff to assess the changes in the quality of CRRT preparation. Results: A total of 95 patients on CRRT is analyzed. The time to find an available CRRT machine is decreased by 24.6%. The time to move a CRRT machine to the patient's bedside is decreased by 55.8%. Medical surveys of 44 nurses gave the following results. 1) The time to apprehend machines for 1 to 3 minutes is improved from 29.5% to 81.8%, and the time to apprehend machines over 3 minutes is decreased from 70.5% to 18.2%. 2) The number (6-all) of known machine locations is improved from 22.7% to 63.4%. 3) Interruption of a nurse's work due to telephone calls asking for the possession of movable CRRT equipment also is improved. Scores of 1-4 are improved from 15.9% to 41%. Scores of 5-7 are reduced from 52% to 15.9%. Conclusions: CRRT pop-up chart is shortened the time lag of CRRT machine preparation, reduced the nurse's phone workload and helped to improve the quality of CRRT care.

Occupational Therapist Needs Survey for the Development of a Sensory Processing Evaluation Tool for Schools (학교용 감각처리 평가도구 개발을 위한 작업치료사 욕구 조사)

  • Cho, Sun Young;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.8 no.2
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    • pp.31-41
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    • 2019
  • Objective: The purpose of this study is to investigate existing evaluation methods and the limitations thereof Korean children's occupational therapists to understand sensory processing performance in schools. This study provides basic data for the development of sensory processing evaluation tools for schools. Methods: The questionnaire was administered to 20 occupational therapists with more than 3 years of experience in occupational therapy interventions for school-aged children. The survey obtained information through online surveys and telephone interviews. The questionnaires were divided into general characteristics and evaluation methods and limitations of existing sensory processing in school, necessity of a sensory processing evaluation tool for school, and opinions. The questionnaire consisted of 12 closed questions and 4 open questions. Results: In total, 90% of the researchers said that school-aged children in schools are aware of 'some information' through their parents or children. Furthermore, 50% said they often complained about difficulties related to sensory processing in school, and 50% that they were more than 'usual'. Finally, 80% of the repondents indicated that the development of sensory processing evaluation tools for schools was "significantly needed". Conclusion: Occupational therapists in charge of domestic children reported for the need to develop evaluation tools to understand sensory processing abilities in schools. Evaluation tools will play an important role in the evaluation and intervention of occupational therapy for school-aged children.

Estimation of the Percent of the Vote by Adjustment of Voter Turnout in Election Polls (선거여론조사에서 투표율 반영을 통한 득표율 추정)

  • Kim, Jeonghoon;Han, Sang-Tae;Kang, Hyuncheol
    • Journal of the Korean Data Analysis Society
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    • v.20 no.6
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    • pp.2873-2881
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    • 2018
  • It is very important to obtain objective and credible information through election polls in order to contribute to the correct voting behavior of the voters or to establish appropriate election strategies for candidates or political parties. Therefore, many related organizations such as political parties, media organizations, and research institutions have been making efforts to improve the accuracy of the results of the polls and the election prediction. Kim et al. (2017) analyzed whether the non-response group responded that there is no support candidate in the election survey to increase the accuracy of the estimation of the vote rate. As a result, it has been confirmed that the accuracy of the estimation of the vote rate can be significantly improved by performing an appropriate classification on the non-response layer. In this study, we propose a method to estimate the turnout by each strata (sex, age group) under the condition that the total turnout rate is given for a specific district (region) and propose a procedure to predict the vote rate by reflecting the turnout. In addition, case studies were conducted using data gathered through telephone interviews for the 20th National Assembly elections in 2016.

Pneumococcal Vaccination Rate and Related Factors in Older Adults in Republic of Korea (한국 노인의 폐렴구균 백신 접종률 및 관련 요인)

  • Lee, Sok Goo;Jeon, So Youn
    • Journal of agricultural medicine and community health
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    • v.46 no.2
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    • pp.67-77
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    • 2021
  • Objectives: This study aimed to identify the vaccination rate for pneumococcus among aged 65 or older, and at the same time to determine the reasons for vaccination or non-vaccination. Methods: The population of this study was aged 65 or older, with a total of 1,150 subjects to be analyzed and a computer assisted telephone interviewing was used. The survey included pneumococcal vaccination status, reasons of vaccination, sources of information on vaccination, reasons for not vaccination, and other related factors. Results: The vaccination rate for pneumococcus among aged 65 or older was 56.2 percent, lower than 69.0 percent in the U.S. (2017), and 69.2 percent in the U.K. (2019). Among the factors related to the pneumococcal vaccination, the groups with the high vaccination rate were women, low age groups, residents of urban areas, people without a job, people with high education, medical insurance subscribers, married people, and people who have family members. In addition, the groups with high vaccination rates were those with high awareness, those who received recommendations from doctors, those who had vaccination records, those who believed in vaccination effects, and those who saw public service advertisements. Conclusions: In the future, it is necessary to develop alternatives to accurately manage vaccination records for adults who are not eligible for state support, and regular adult vaccination rates should be calculated so that they can be used as evidence for the country's infection control policy.