다이설피람-에탄올 반응에 의한 저체온증 1례

배현아,어은경,Bae, Hyun-A,Eo, Eun-Kyung 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.1

Disulfiram (tetraethylthiuram disulphid) is used in the treatment of chronic alcoholism since it causes an unpleasant aversive reaction to alcohol. It works by inactivating hepatic aldehyde dehydrogenase, leading to pronounced rise in the acetaldehyde concentration when ethanol is metabolized. Acetaldehyde causes alcohol sensitivity, which involve vasodilation associated with feeling of hotness and facial flushing, increased heart rate and respiration rates, lowered blood pressure, nausea, headache. One of its metabolites, diethyldithiocarbamate (DDC) can inhibit the enzyme dopamine $\beta$-hydroxylase (DBH), this may account for the profound refractory hypotension and hypothermia seen with the disulfiram-ethanol reaction (DER), resulting from norepinephrine depletion. This report is presents the case of a patient we met, who presented with hypothermia caused by the disulfiram-ethanol reaction, and along with a brief review of the subject.

급성 약물중독 환자에서 위세척의 의료법학적 고찰 -대법원 2005.1.28, 2003다1419 판결을 중심으로-

배현아,Bae, Hyun-A 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.1

Gastric lavage is now known to be ineffective, unnecessary or hazardous in some circumstances where it used to be performed as a routine. This article concerns the medico-legal aspect of forced gastric lavage. The Supreme Court 2005.1.28, 2003da14119 is the case where a patient, who ingested the organophosphate insecticide to attempt suicide and refused lavage. At first we discuss the effectiveness or hazards of lavage because a very high degree of proof -of negligence, not error of clinical judgment - would be required. Lavage, with or without the informed consent, performed negligently which result in harm could, of course, give rise to a claim in negligence. A doctor might also be held negligent in failing to perform an act which he/she had a duty to perform.

임상시험에서 취약성(vulnerability) 판단 기준 재정립과 임상시험심사위원회의 역할

배현아 ( Hyun A Bae ) 한국의료윤리학회 2011 한국의료윤리학회지 Vol.14 No.1

Vulnerability typically has been understood in terms of the ability to give or withhold informed consent and the likelihood of being misled, mistreated, or otherwise taken advantage of in research. The re-conceptualization of vulnerability from something that emerges primarily from membership in a specific population to a reality that emerges from characteristics of persons or the environment in which research is conducted also can inform IRB(Institutional Review Board)s` interpretation and application of the regulations and guidelines on clinical trials. Vulnerability should be evaluated by IRBs, which have the responsibility of identifying those persons who may require additional protections. This article argues that the widespread and inconsistent use of the concept of vulnerability in Korea has hindered the development of substantive ethical guidance and concrete regulations. It is argued, furthermore, that in order to protect patient welfare and justice, the category of vulnerability should be specified at the time at which a subject consents to participate in medical research.

삶의 질을 고려한 의료서비스 전달 수단의 변화와 법의 대응: 원격의료 대상 확대에 따른 법,정책적 문제를 중심으로

배현아 ( Hyun A Bae ) 법과사회이론학회 2015 법과 사회 Vol.0 No.50

Telemedicine is the use of technology to connect patients and healthcare providers from a distance, and it allows for accessible, efficient, cost-effective, and convenient healthcare. Recently, Korean Supreme Court ruled that a medical doctor issued prescription after consulting a patient via telephone rather than face to face examination is legitimate based on the interpretation of the Medical Service Act, Article 17 section 1. And The Korean Ministry of Health and Welfare had proposed expansion of remote medical treatments through pre-announcement of legislation and proposal of amendments thereafter. This study reviewed the concept and scope of telemedicine in the current Medical Service Act and the amendments contained in the recently announced legislation proposals. Furthermore, researched the necessary scope of telemedicine from the view of public health policy. Legislature on telemedicine should define the scope of telemedicine and the standards for the use of telemedicine to eliminate the uncertainties and risks such as telemedicine malpractice, informational privacy and to encourage the expansion of proper telemedicine use. It is necessary that to do so, the proper balance between maximizing the benefits of telemedicine and minimizing its risks.

보건의료법제 하에서 정밀의료기술 연구와 적용 : 수집 대상 정보 관련 법제를 중심으로

배현아(Bae, Hyun-A) 원광대학교 법학연구소 2020 의생명과학과 법 Vol.24 No.-

정밀의료기술은 개인의 유전 정보, 임상 정보, 생활습관 정보 등을 분석하여 질병의 진단, 치료, 예측, 예방 및 관리를 위한 최적의 맞춤형 의료헬스케어 서비스를 제공하는 기술로 정의된다. 이러한 정의에 따라 정밀의료기술 개발을 위한 수집대상 정보는 유전 정보, 임상 정보, 생활습관 정보 등으로 구분되며 그에 따라 생명윤리법과 의료법, 개인정보보호법에 따른 관련 법제들의 규제대상이 된다. 또한, 정밀의료기술 개발을 위한 연구는 인간대상연구로 기관위원회의 심의 대상임과 동시에 연구 과정에서 가명처리 등을 통해 개인정보보호법에 의한 과학적 연구 특례 대상이 될 수 있다. 정밀의료기술을 적용하여 활용하기 위해서는 이러한 각 정보보호 관련 법제의 정합성을 확보하고, 정보보호와 정보 활용의 균형을 고려한 새로운 법정책이 필요하다. 정밀의료기술과 같은 새로운 의생명과학기술의 도입과 활성화를 위해서는 법률의 경직성을 극복하기 위한 보건의료법체계 상 변화가 필요한데, 구체적으로는 의료서비스 제공 주체 제한, 제공되는 서비스 내용의 한계 등을 극복할 필요가 있다. 또한 정밀의료기술을 적용하여 실제로 맞춤형 의료와 헬스케어 서비스를 제공하기 위해서는 수요자를 대상으로 한 사회적 합의와 충분한 정보 제공 과정을 통해 불확실성이 내재된 과학기술에 대한 대응과 위험관리 절차가 필요하다. 그래야만 기존 전통적인 의료서비스의 한계를 극복하고 정밀의료기술의 실질적인 활용이 가능해질 것이며 이를 통해 바이오산업의 경쟁력을 확보할 수 있을 것이다. Precision medical technology is defined as a technology that analyzes genetic information, clinical information, lifestyle information, etc. to provide personalized medical practice and healthcare services for diagnosis, treatment, prediction, prevention and management of diseases. The information to be collected for the development of precision medical technology is classified into genetic information, clinical information, lifestyle information, etc., and related laws according to the Bioethics and Safety Act, Medical Service Act, and Personal Information Protection Act are subject to regulation. Research of precision medical technology is categorized as human subject research by Bioethics and Safety Act and is subject to examination by the institutional review committee, and at the same time, it may be subject to scientific research exceptions under the Personal Information Protection Act through pseudonymization. In order to apply and utilize precision medical technology, it is necessary to secure the consistency of each of these information protection-related laws, and a new governance for considering both information protection and utilization. In order to applicate precision medical technology, changes in medico-legal system are needed to overcome the rigidity of the law. Specifically, it is necessary to overcome the limitations of the subject and the contents of the heath care service provided. In addition, in order to actually provide personalized medical and healthcare services by applying precision medical technology, it is necessary to respond to inherent uncertainty and risk management procedures through social consensus and sufficient information process for consumers. Only then will it be possible to overcome the limitations of traditional medical services and to make practical use of precision medical technology, thereby securing competitiveness of the biotechnology and heathcare service industry.

119 구급대원의 직무과실에 대한 국가배상책임

배현아 ( Hyun A Bae ),정구영 ( Koo Young Jung ),이경환 ( Kyung Hwan Lee ) 한국의료법학회 2004 한국의료법학회지 Vol.12 No.2

The public law liabilities of 119 rescue officers as public service workers include national indemnity liability and public service worker's compensation liability. The national indemnity liability makes 119 rescue officers concentrate on their works not by contracting their emergency medical practice. At the same time, it considered the distinctiveness on their works which deal with human life and body and emphasized on the indemnification liability of public service workers to the government.

응급 환자 진료에서 설명 의무와 환자 사생활 보호 의무가 상충될 때의 대처

배현아 ( Hyun A Bae ),이석배 ( Seok Bae Lee ),장혜영 ( Hye Young Jang ) 한국의료윤리학회 2007 한국의료윤리학회지 Vol.10 No.1

This article provides guidelines for obtaining informed consent in medical emergencies. Obtaining consent from patients in the emergency room can prevent appropriate and timely access to their evaluation and treatment. While mentally competent adults always have the right to consent, whether or not a minor has the right to consent depends up his or her mental capacity. As such, there is room for flexibility concerning the legal age for informed consent. After a judgment is made on the patient`s capacity for consent, the urgency of the situation should be considered. If medical treated is needed immediately, it should be provided, even if the patient is a minor. When there is enough time for getting consent, a physician should try to obtain consent from a patient or legal surrogate.

병원 전 응급의료체계에서 의료지도와 무면허의료행위

배현아(Bae Hyun A) 한국형사법무정책연구원 2009 형사정책연구 Vol.79 No.-

정신적으로 제약이 있는 자의 자기 결정권 보호를 위한 법제

배현아 ( Hyun A Bae ) 단국대학교 법학연구소 2013 법학논총 Vol.37 No.1

The term "the mentally incompetent" in Korean legal system, refers to persons categorized as "mentally ill person" by Mental Health Act or "person with mental disability" by Act on Welfare of Persons with Disabilities. The mentally incompetent may be restrained of personal liberty due to certain reasons such as involuntary hospitalization or protected by Framework Act on Social Security. The mentally incompetent may also be subject to social exclusion as well as receiving assessment on the degree of his/her risk in causing harm to himself/herself or others. Although psychiatrists are given a relatively high degree of discretion over assessment of mental capacity of the mentally incompetent, doctor`s discretion may also be restricted by patients exercising their rights to self-determination and the practice of informed consent process. The assessment of the mentally incompetent`s mental capacity is used as a basis for making decisions on whether the patient has the capacity to consent to treatment, and whether to allow restricting his/her right to self-determination. The assessment should cover medical standards of the necessity for treatment, the point of assessment, and continuity of the patient`s mental capacity. Informed consent should be secured in each process of medical practice including closed ward admission based on the conclusion of the mental capacity assessment. This dissertation examines the requirements of due process in Mental Health Act with regards to securing the right to self-determination of the mentally incompetent, and Adult Guardianship System in the revised Civil Code. The study then deals with the problems and issues to be taken into consideration in applying the systems mentioned above.

발효 식·음료용 배지의 개발 방향

배현아(Hyun Ah Bae),이대희(Dae Hee Lee),허병석(Byung Serk Hurh) 한국식품영양과학회 2016 식품산업과 영양 Vol.21 No.2