Key Ethical Issues and Hindrances to Ethical Behavior in Korean Insurance Industry

Lee, Kyung-Lyong,Lee, Bong-Joo,Lee, Han-Duck 서강대학교 경영연구소 2004 서강경영논총 Vol.15 No.2

The purpose of this paper is to investigate key ethical issues and hindrances to ethical behavior faced by professionals working in Korean insurance industry. For this purpose, conducted is a survey of actuaries in a variety of positions in insurance companies and insurance related institutions. The findings also are compared to those of American studies. Actuaries' perceptions of the key ethical issues tend to be restricted to actuarial aspects such as insufficient legal authority to perform professional services in an ethical manner and failure to get adequate ethics training program. But some issues arising in marketing are considered significant similar to the U.S. As a whole, key ethical issues and challenges are not significantly different from the viewpoints of actuaries working in the life and non-life insurance business. Regarding key hindrances to ethical behavior, the 15 factors are presented such as competitive pressures, performance-based evaluation and unethical demand made by clients. These findings are generally similar to those of the U.S. studies.

광중합형 구치부 수복재료의 중합수축량과 중합수축력

박성호,이순영,조용식,김수선,이창재,김영주,이봉희,이광성,노병덕 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.4

The purpose of present study was to evaluate the polymerization shrinkage stress and amount of linear shrinkage of composites and compomers for posterior restoration. For this purpose, linear polymerization shrinkage and polymerization stress were measured. For linear polymerization shrinkage and polymerization stress measurement, custom made Linometer (R&B, Daejon, Korea) and Stress measuring machine was used (R&B, Daejon, Korea). Compositers and compomers were evaluated; Dyract AP (Dentsply Detrey, Gumbh, German) Z100 (3M Dental Products, St. Paul, USA) Pyramid (Bisco, Schaumburg, USA) Synergy Compact (Coltene, Altstatten, Switzerland), Heliomolar (Vivadent/Ivoclar, Liechtenstein), and Compoglass (Vivadent Ivoclar/Liechtenstein) were used. 15 measurements were made for each material. Linear polymerization shrinkage or polymerization stress for each material was compared with one way ANOVA with Tukey at 95% levels of confidence. For linear shrinkage ; Heliomolar, Surefil<Synergy Compact, Z100<Dyract AP<Pyramid, Compoglass F (p<0.05) For Shrinkage stress ; Heliomolar < Z100, Pyramid<Synergy Compact, Compoglass F<Dyract AP<Heliomolar HB, Surefil (p<0.05)

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

유리피판을 이용한 하인두-식도 재건 치험례

봉정표,정윤규,이훈범,김주봉,이재화,나동균,김석원 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

Hypopharyngo-esophageal cancer is usually found at late stage. Its main treatment is surgical intervention and it often requires radical resection. Reconstruction of the hypopharyngo-esophageal defect after the resection of carcinomas of the hypopharynx and the cervical esophagus has traditionally been carried out with deltopectoral or musculocutaneous flap. Another approach is to reconstruct the defect with the colon or stomach. Recent advances in microvascular surgical techniques have resulted in one stage reconstruction with free flap. Both jejunal free flap and radial forearm free flap is a good alternative for the reconstruction of hypopharyngo-esophageal defect. Six cases of the radial forearm flap and nine cases of the jejunal flap were used to reconstructed the hypopharyngo-esophageal defect in 15 patients. In jejunal free flap, upper margin was reconstructed with end to side anastomosis and lower margin with end to end anastomosis. In radial forearm free flap, we used trapezoid shaped flap and tubed by complete or partial tubing according to the condition of the defects. Stricture and fistula are troublesome complications. The complications were peritonitis(n=1) and fistula(n=1). We concluded that both forearm and jejunal free flap is a useful alternative in reconstruction of hypopharynx and cervical esophagus.

중환자실에서 기계적 환기를 시행받는 환자들의 기관내삽관 튜브의 기낭내압

이영주,윤장운,문봉기,이규완,박미미,이영석 아주대학교 1997 아주의학 Vol.2 No.2

Background and Objectives : High volume, low pressure (HVLP) cuffed tubes have been substituted for low volume, high pressure (LVHP) cuffed tubes in order to reduce complications created by the cuffed endotracheal tubes contact with the tracheal wall. Several physidans, however, prefer to use the LVHP cuff for habitual or economic reasons. Even so, careless cuff Inflation of the HVLP cuff could also induce complications. The purposes of this study were to see whether there are any differences between the usual intracuff pressure (UICP) and the Optimum intracuff pressure (OICP), to compare the OICP of three groups, and to study the correlation between the OICP and the peak inspiratory pressure (PIP) of three kinds of endotracheal tubes under mechanical Ventilation. Methods : 82 adult patients, upon admission of the ICU, were divided into 3 groups with different cuffed tube types according to the following: Portex Profile group (n=66), HVLP cuffed tube; Portex Regular group (n=11), LVHP cuffed tube; Rusch Red group (n=5), LVHP cuffed tube. We used the Portex cuff pressure manometer for Portex Profile group, the Hewlett-Packard pressure transducer for Portex Regular, and Rusch Red group to measure the intracuff pressure (ICP). The OICP was measured with the minimal leak technique (MLT). Intracuff pressure difference (ICPD) was calculated by subtracting OICP from UICP. Results : UICP and OICP of Portex Profile group were 33.12±22.25 ㎝H₂O, 22.02±12.5㎝H₂O, Portex Regular group, 70.09±30.88 ㎝H₂O, 69.45±30.41 ㎝H₂O and Rusch Red group, 378.40±38.60 ㎝H₂O, 337.60±74.45 ㎝H₂O. Significant difference was shown among the groups (p < 0.05). The significant difference of the PIP was not seen among the groups. Significant correlation between OICP and PIP (regression = 0.463, p < 0.01) was demonstrated only in Portex Profile group. ICPD of three groups were as high as 84 ㎝H₂O to as low as -56 ㎝H₂O. About 40% of the patients showed the allowable range. Conclusions : This study suggests that routine check-ups of ICP are needed when the patients are admitted to the ICU. The OICP of the HVLP cuffed tube is 1/3 -1/15 of the LVHP cuffed tube. Therefore, the routine use of the HVLP tube is highiy recommended. The OICP shows positive correlation with the PIP. This suggests to make every effort to reduce the PIP.

복직근 및 박근 근피판술을 이용한 골반 및 서혜부 연부조직 결손의 재건

이재화,정윤규,김주봉,유대현,황성관,이훈범,김석원 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

Many operations for the reconstruction of the pelvic area have been studied until now. The local muscle flap is often used for the closure of these complex wound. But, these local muscle flaps may not be available for reconstruction due to the factors of infection, radiation, and surgical trauma. Since rectus abdominis muscle and gracilis muscle were introduced, their use has been steadily increased for the reconstruction of soft tissue defect of the pelvic area. Inferiorly based rectus abdominis muscle flap and the gracilis muscle flap have been adopted for well-vascularized soft tissue coverage of the defect of pelvis and groin area. These techniques were utilized in seven patients. Of these patients, rectus abdominis muscle flap was used on four patients and three patients were treated with gracilis muscle flap. Among these, chronic osteomyelitis of pelvic bone has been managed with inferiorly based rectus abdominis muscle flap in three patients. No complication has been found. The mean postoperative follow-up period was 26 months, with a range of 12 to 39 months. In conclusion, these muscles are functionally expandable , and provide adequate tissue volume with sufficient blood supply away from the zone of injury, and readily transposed into the pelvis and groin area through subcutaneous tunnel, and serve as an antibiotic delivery system that aids in the eradication of infection. These findings suggest a reconstructive option for the defect of pelvis and groin, and/or bone infection in this area.

Roland Morris Scale(R.M.S)에 의한 척추질환자들의 운동습관과 생활습관에 관한 조사연구

이은주,권봉안 한국안전교육학회 2001 한국안전교육학회지 Vol.4 No.2

This paper aims to provide basic data regarding sports and life habits according to lumbago gymnastic programs of spinal patients by Roland Moms Scale(R.M.S). To attain this goal, this study organized sample frame of about 250 spinal patients including male and female persons coming to A hospital, Seoul due to spinal diseases and diagnosed as spinal diseases such as disk dislocation, chronic lumbago, spinal stiffness, spinal bent, spinal stricture and receiving lumbago gymnastic programs and sampled about 207 persons considering the rate of participants and non-participants according to the following demographical features and lumbago gymnastic sports programs. As the instrument of for collecting data of this study, the questionnaire translated from that of Roland Morris, whose validity and objectivity for researching into their sports and life habits was used. The questionnaire is composed of total 43 questions including 5 questions of age, gender, occupation, spinal disease name, and 4 questions of sports habits, events, frequency, time, and 34 questions of life habits such as drinking, smoking. The collected data was analyzed using SPSS/PC Windows 10.0 statistic package program. The concrete data disposition method for analysis is as follow. Demographical features as background variables were processed by technical statistic analysis, and data analysis according to participation at sports variables as independent variables was analyzed by tOtest. The difference of sports habits and life habits according to demographical features was analyzed through on-way-ANOVA and analyzed data was verified using Tukey-HSD. The research conclusion obtained through the above study method and procedure and data processing results is as follow. 1. There was no significant difference in sports habits of spinal patients according to demographical features, but significant difference in some items of sports habits according to age, occupation and disease. 2. There was no significant difference in sports habits of spinal patients according to gender, age, occupation and disease according to demographical features, so no significant difference in sports habits according to demographical features. 3. There is difference in sports habits of spinal diseases according to participation at 3 step lumbago gymnastic sports programs(.001). There is greater change in life habits in participants than non-participants in sports habits of spinal patients according to participation in lumbago gymnastic sports program. 4. There is difference in life habits of spinal patients according to participation of 3 step lumbago gymnastic sports programs(.008). There is greater change in life habits in participants than non-participants in sports habits of spinal patients according to participation in lumbago gymnastic sports program.

보험회사의 기업윤리 현황과 과제

이경룡,이봉주 한국보험학회 2003 保險學會誌 Vol.64 No.-

최근 국내외적으로 윤리경영의 중요성이 점증해가는 상황에서 본 연구는 보험사의 기업윤리 현황과 과제에 대해 종합적으로 고찰함으로써 보험윤리경영에 대한 연구의 토대를 제공하고자 하였다. 보험서비스의 특성과 관련되어 발생하는 여러 가지 윤리적 문제가 종합적으로 고찰되었다. 국내 보험거래와 관련된 비윤리적 거래에 대한 현황을 금융감독원의 자료를 통해 제시되었으며, 영업 관련 문제가 주된 쟁점이던 1990년대 초와 달리 손해사정과 관련된 윤리적 문제가 급증하는 추세를 보이고 있다. 국내 보험사는 대부분 윤리강령을 제정하고 있었으나 윤리프로그램이 나름대로 정립되어 있는 보험사는 외국사 및 국내대형사였다. 윤리경영이 아직 초기단계라 감사 부서와의 업무 분장이 모호하며, 전담 인력이 적은 문제를 보이고 있다. Recently the issue of managing corporate ethics has been increasingly important domestically as well as internationally. In this respect, this study reviews comprehensively ethical issues and challenges in Korean insurance industry. It examines various ethical problems associated with insurance service and indirectly analyzes unethical insurance transactions using data from Financial Supervisory Service. While early 1990s unethical problems associated insurance sales were predominant, now those relating to claim settlements have become significant. Though most insurers have their code of ethics, workable ethics programs appear to be found in foreign and large domestic insurers. Because ethical management is just in the early stage in the insurance industry, several problems are ubiquitous such as few personnels and ambiguous job descriptions.

상완골 간부 골절 불유합의 금속판과 자가골 이식에 의한 치료 결과

이광현,이성필,김형종,이봉근,김주학 대한골절학회 2004 대한골절학회지 Vol.17 No.2

화학요법에 의한 나병의 임상경과와 예후에 관한 연구 : 나종형나(L-Type)와 중간군나(B-group)에서의 나균소장 Bactrial Index in Lepromatous Leprosy and Borderline Leprosy

이구봉,허원,최시룡 大韓癩學會 1976 癩學 會誌 Vol.10 No.1