한국 영유아를 위한 일과기반 발달검사 MEISR 타당화

김주현,김주현,박혜원 인지발달중재학회 2024 인지발달중재학회지 Vol.15 No.1

Objective: The Measure of Engagement, Independence, and Social Relationships (MEISR) is a tool designed to assess the engagement, independence, and social interactions of infants and toddlers during daily activities. This study aimed to develop Korean version of MEISR (K-MEISR) and evaluate its reliability and validity. Methods: Korean version of MEISR was developed through the translation and modification of items of the MEISR following a pilot study (N = 44). Two studies were conducted with parents of infants and toddlers up to 36 months old using online (N = 124) and offline (N = 134) versions. Data were analyzed using SPSS 27.0 and AMOS 25.0. Item difficulty and discrimination, as well as passing rates were calculated; and internal consistency, correlations among the routine and total scales, factor analyses, and correlations with K-DST ratings were analyzed to determine the reliability and validity of K-MEISR. Results: Analyses of item difficulty and passing rates identified characteristics of items for determining the item order for K-MEISR. High correlations between the total of each routine and the total of all items were found in both the online (r = .896~.992) and the offline (r = .874~.988) versions. Reliabilities of all total scale items were high for both the online (r = .998) and the offline (r = .997) versions. Reliabilities of routine items were also high, ranging from .913 to .985 for the online and .914 to .985 for the offline version. Correlations between K-DST and K-MEISR were high for both the online (r = .981) and offline (r = .959), showing high concurrent validity. Conclusions: The items of the total scale, and routines and functional domains showed high internal consistency and high correlations with K-DST, revealing the concurrent validity of K-MEISR. Recommendations for further research and clinical use of the assessment tool are discussed.

치료거부권의 법적 현실 — 연명의료결정법을 중심으로 —

김주현,김정아 세계헌법학회한국학회 2024 世界憲法硏究 Vol.30 No.2

본 논문은 우리나라에서 치료거부권이 충분히 보장되지 않는 문제를 바탕으로, 헌법상 권리로서 치료거부권의 의의를 고찰한다. 치료거부권은 자기결정권에 기반한 권리로, 모든 환자는 자신의 의료 선택에 대해 정보를 충분히 제공받고 자율적으로 결정할 수 있어야 한다. 그러나 우리나라 법원은 헌법 제10조의 자기결정권에 근거하여 치료거부권을 인정하지만, 치료거부권의 행사를 특정 시기로 엄격히 제한하여 실질적으로 환자의 권리를 보장하지 못하고 있다. 서구, 특히 영미법에서는 치료거부권이 오랜 기간 법적 권리로 인정되었으며, 판례와 입법을 통해 관련 논의와 쟁점이 발전하였다. 해외 의료 실무에서는 국제규범이나 각국의 의료윤리지침에 근거하여 환자의 치료거부권이 적극적으로 보장되었지만, 국내에서는 치료거부권이 주로 수혈거부나 연명의료와 같은 특정 상황에서만 논의되어, 의료 실무에서도 일반적인 치료거부권의 행사가 널리 보장되지 못하였다. 특히, 2016년에 제정된 연명의료결정법은 연명의료를 중단할 수 있는 절차와 방법을 규정하지만, 환자가 스스로 연명의료를 거부할 수 있는 권리, 즉 치료거부권의 행사를 충분히 보장하지 않는다. 오히려 이 법은 환자가 스스로 연명의료를 거부할 수 있는 권리를 특정 시기와 방법에 한정하여 보장함으로써 치료거부권의 의미를 상당히 축소 시킨다. 이러한 맥락에서 우리나라 환자의 자기결정권을 보장하기 위해서는 헌법상 치료거부권에 대한 폭넓은 논의가 필요하며, 이를 통해 환자의 헌법상 권리를 충분히 보장하는 의료 환경이 조성되어야 한다. 연명의료결정법 역시 이러한 방향성을 반영하여 개정될 필요가 있으며, 앞으로 환자의 일반적인 치료거부권을 적극적으로 보장하는 법적・제도적 장치를 마련해야 할 것이다. This paper examines the significance of the right to refuse treatment as a constitutional right, addressing the issue that this right is not sufficiently guaranteed in Korea. The right to refuse treatment is rooted in the principle of informed consent, which ensures that all patients can make autonomous and informed decisions about their healthcare. Although Korean courts acknowledge the right to refuse treatment based on the right to self-determination enshrined in Article 10 of the Constitution, they restrict its application to specific circumstances, thus undermining the practical protection of patients' rights. In Western, particularly Anglo-American legal systems, the right to refuse treatment has long been recognized as a legal right, with its scope and implications evolving through case law and legislation. Internationally, this right is actively safeguarded by international norms and national medical ethics codes. In contrast, Korean discussions on the right to refuse treatment have largely been limited to specific situations, such as the refusal of blood transfusions or life-sustaining treatments, without broader application in medical practice. The Life-Sustaining Treatment Decision Act, enacted in 2016, establishes procedures and methods for withdrawing or withholding life-sustaining treatment. However, it does not adequately ensure patients' right to refuse such treatment autonomously. Instead, the law restricts this right to specific circumstances and methods, significantly narrowing its scope and meaning. In this context, a broader discussion on the constitutional right to refuse treatment is crucial to safeguarding patient autonomy in Korea. Moreover, there is a pressing need to create a medical environment that fully upholds patients' constitutional rights. The Life-Sustaining Treatment Decision Act should be revised to reflect this direction, and legal and institutional mechanisms must be established to actively protect patients' general right to refuse treatment.

除草劑 Paraquat가 微生物의 增殖에 미치는 영향

金珠玄,김진문 효성여자대학교 가정대학 학도호국단 1983 家政大論集 Vol.2 No.-

To understand the killing effect of the paraquat(N,N'-dimethylbipyridilium dichloride) against microorganisms optimum pH, minimum concentration and exposuring time was investigated. Results were as follows; 1. Turbidormetric growth of all microorganisms tested, four strains of bacterium and two strains of yeast, were hindered in the precence of the herbicide. The organisms showed a turbidometric growth as 20 to 40 per cent of control. 2. When B. megaterium was exposured to the herbicide less than one per cent of the cells formed colony at the concentration of the herbicide above 10^3 M. However, as the concentration decreases to 10^5 M the Cells recovered the ability to from colony. 3. The cells rapidly lost their ability to form colony as the pH increases to neutral pH. Less than 20 per cent of the cells formed colony at the pH form 7.0 to 8.0. Optimum pH was 7.5 which showed colonies five per cent of the control. 4. As the exposuring time of the cells to paraquat became longer than four hours the cells formed colony less than 30 per cent.

組織發展(O.D.)의 韓國行政組織에의 適用

金周炫 건국대학교 1983 政法論叢 Vol.18 No.1

분산 하드 실시간 시스템에서 태스크 스케줄링에 관한 연구

성낙운,김주현 慶星大學校 1993 論文集 Vol.14 No.4

In the design of distributed computer systems, the scheduling for tasks with deadlines is considered to be an important one. The performance metrics used to evaluate the task scheduling algorithms is the guarantee ratio defined as the ratio of the number of tasks which can be guaranteed to complete before their deadlines compared to the number of tasks which are invoked. This thesis design and evaluate a task scheduling algorithm which use duplicate table to improve the guarantee ratio.

간선도로 교통류 관리를 위한 교통모형의 개발

김주현 안양대학교 자연과학연구소 1997 自然科學硏究 Vol.4 No.-

형태분석이 교통모형개발의 희망이 된지 오래이나 네트워크상에서 혼잡통행세의 영향, 미터링과 같은 교통관리의 영향을 분석하기에 어려움이 많다. 통행시작시간의 선택, 목적지에서의 체류시간 등 행동분석이 부족하였고 교통류와 같은 거시적 현상과 연결하여 용량, 링크 시간, 서비스 수준의 변화를 주고 받는 절차에 있어 미숙한 점이 많기 때문이다. 이에 관하여 한국의 경험을 중심으로 문제점들을 점검하여 보고, 연구자가 개발한 SDI(Stochastic Dynamic Incremental) 모형을 토대로 하여서 미시적 접근과 거시적 접근의 통합 가능성을 검토하여 본다. One of key issues in developing traffic model is to define the traffic behavior in roadway network. However, it is not easy to analyze congestion effects on traffic behavior. Many current numerical solution are not able to guarantee the good results in analyzing characteristics of traffic streams. Based on experiences in Korean traffic conditions, hence, SDI(Stochastic Dynamic Incremental) model is proposed by travel time related O-D pair studies.

셰익스피어 작품비평에 있어 기독교 윤리면의 어프로치

金周賢 한국영어영문학회 1978 영어 영문학 Vol.68 No.-

미혼남녀를 위한 「결혼예비모임」프로그램의 개발

김주현 이화여자대학교 사회복지관 1996 社會福祉館論集 Vol.5 No.-

21C 정보화 시대와 상허의 농촌개발사상 구현방안 : 3대혁명과 농업발전 5단계론을 중심으로

김주현 건국대학교 1995 常虛思想 Vol.6 No.-

Achalasia의 외과적 치료

김주현,Kim, Ju-Hyeon 대한흉부심장혈관외과학회 1979 The Korean Journal of Thoracic and Cardiovascular Vol.12 No.2

Eophagocardiomyotomy (modi/red Heller procedure) is a widely accepted operation for relief of dysphagia in patients with esophageal achalasia. But patients with advanced achalasia were more likely to get poorer results from a modified Ileller myotomy hecause of the dependent pouch that creates an angulation at the junction of thick-walled dilated esophagus with the thin walled aganglionic segment and hinders complete emptlllg. Thorhjarnarson(1975) prposcd the method including truncal vagectomy and pyloroplasty. Vagectomy and pyloroplasty should lesson the severity of acid-peptic esophagitis, if reflux should occur postoperatively. Here we presented 4 cases esophageal achalasia treated by modified Heller operation of 3 cases and one case of Thorbjarnarson method. All postoperative results are good.