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      • KCI등재

        Policy Transfer in Times of Techno Bureaucracy: South Korea’s Regulatory Response to the Online Intermediation Services

        홍지희 한국규제학회 2022 규제연구 Vol.31 No.2

        With the recent rapid growth in online intermediation services, the South Korean Fair Trade Commission (KFTC) proposed a bill in 2020 aiming to prevent unfair trade practices and promote innovation. Legislation of the bill has been proactively driven by the KFTC and is scheduled to be deliberated at the Parliament after being approved at the Cabinet meeting. The key ideas of the bill have been adopted from regulatory framework of the EU, who had long been a world leader in regulating the tech sector. This study explores how the Korean regulators made their regulatory choices and why they made such decision, from the perspective of cross-national policy transfer. In doing so, this paper analyzes the distinguished regulatory frameworks of the South Korean and EU regimes, as well as the different business landscapes of the two jurisdictions. Through the analysis, this study finds that policy transfer is seemingly an ‘easy’ tool but how it operates is much more complex, because every jurisdiction has a distinguishably unique environment –both in business and regulatory terms. The South Korean government’s attempt to adopt a new regulation from the EU framework misses numerous points as it decided to accelerate the legislation process instead of tailoring the law to the Korea-specific situation with more delicacy. The unclarity of the legislation also leaves burden to the business sector, but a significant learning is learned of policy transfer - that policy transfer can be used as an effective and convenient tool only if the ‘adopter’ takes a thorough and robust approach in preparing a policy strategy that is delicately tailored to the domestic business and regulatory environment.

      • KCI등재후보

        Fluoroscopic Landmark to Optimize the View of the Foramen Ovale Using the Neighboring Structure

        홍지희,허세녕,박기범 계명대학교 의과대학 2023 계명의대학술지 Vol.42 No.2

        Radiofrequency thermocoagulation (RFT) via trans-oval approach is effective treatment modalities for trigeminal neuralgia. Clear identification of the foramen ovale (FO) is the most important initial step for successful percutaneous procedures. The purpose of this study was to verify whether the medial end of the temporomandibular joint and the distance between the mandibular angle and the occipital inner line can be used as a fluoroscopic landmark to determine the proper angulation of the C-arm. Analysis of previously saved fluoroscopic FO images during RFT was performed. As a fluoroscopic landmark to guide a proper lateral and axial oblique rotation of the C-arm, the position of the medial end of the temporomandibular joint and the vertical distance between the mandibular angle and the occipital inner line were evaluated. When the FO was located at the most central point within the H-figure, the medial end of TMJ was always located within the mandibular notch. The maximum view of the FO was defined when the FO showed maximal short axis to long axis ratio. The FO showed the best view when the vertical distance between the mandibular angle and occipital inner line was 20.04 (5.1) mm. This study demonstrated that the medial end of the temporomandibular joint and the vertical distance between the mandibular angle and occipital inner line as a fluoroscopic landmark for obtaining the optimal view of the FO.

      • KCI등재

        Does spinal stenosis correlate with MRI findings and pain, psychologic factor and quality of life?

        홍지희,이미영,정성원,이수용 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.5

        Background: To investigate and analyze MRI findings in relation to visual analogue scale (VAS), Oswestry Disability Index (ODI), psychological-factor, sleep-quality, and Short-Form Health Survey (SF-36) scores among patients with central lumbar spinal stenosis (LSS) for the purpose of elucidating a correlation. Methods: From July 2013 to May 2014, 117 consecutive patients with central LSS were included in this study. All of the MRIs were evaluated by one of the authors, and the evaluated items were the dural sac cross-sectional area (DSCSA), the number of stenotic levels, and the presence and levels of spondylolisthesis. The ODI, VAS, 36-item SF-36, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Pittsburgh Sleep Quality Index (PSQI) questionnaires were used to evaluate the participants. Results: There are no correlations between the ODI, VAS, BDI, BAI, PSQI, and SF-36 scores and the minimum DSCSA; however, a significant correlation was found between the ODI scores and multilevel LSS. The BDI, BAI, and PSQI scores are higher for multilevel LSS compared with single-level LSS, but the difference of this mean value is not statistically significant. Conclusions: A significant correlation was shown between those patients with multilevel LSS and the ODI scores; however, significant correlations were not found between the MRI findings and the psychological factors pertaining to sleep and life qualities.

      • KCI등재

        Analysis of Inadvertent Intradiscal Injections during Lumbar Transforaminal Epidural Injection

        홍지희,이성문,배진 대한통증학회 2014 The Korean Journal of Pain Vol.27 No.2

        Background: Recently, there have been several case reports and retrospective studies about the incidence of intradiscal (ID) injection during transforaminal epidural steroid injection (TFESI). Inadvertent ID injection is not a rare complication, and it carries the risk of developing diskitis, although there has been no report of diskitis after TFESI. We prospectively evaluated the incidence of inadvertent ID injection during lumbar TFESI and analyzed the contributing factors. Methods: Ten patients received 2-level TFESI, and the remaining 229 patients received 1-level TFESI. When successful TFESI was performed, 2 ml of contrast dye was injected under real-time fluoroscopy to check for any inadvertent ID spread. A musculoskeletal radiologist analyzed all magnetic resonance images (MRIs) of patients who demonstrated inadvertent ID injection. When reviewing MRIs, the intervertebral foramen level where ID injection occurred was carefully examined, and any anatomical structure which narrowing the foramen was identified. Results: Among the 249 TFESI, we identified 6 ID injections; thus, there was an incidence of 2.4%. Four patients had isthmic spondylolisthesis, and the level of spondylolisthesis coincided with the level of ID injection. We further examined the right or left foramen of the spondylolisthesis level and identified the upward migrated disc material that was narrowing the foramen. Conclusions: Inadvertent ID injection during TFESI is not infrequent, and pain physicians must pay close attention to the type and location of disc herniation.

      • KCI등재
      • KCI등재

        자끄 마리땡(Jacques Maritain)의 철학적-종교적 자유교육론

        홍지희,유재봉 한국교육철학학회 2019 교육철학연구 Vol.41 No.3

        Since 1960s, Peters and Hirst’s ‘education as initiation into the forms of knowledge’ has been regarded as the standard of liberal education. Recently, Hirst criticizes his previous theory of liberal education and suggests an alternative view of education, i.e., ‘education as initiation into the social practices.’ White also proposes an alternative theory of education which emphasizes the satisfaction of personal informed desires through their whole lives. However, not only ‘education as initiation into the forms knowledge’ but also Hirst and White’s alternatives of liberal education do not make their discussions in the way that they rightly consider the concept of ‘reality’. This study shows the meaning of ‘reality’, which the modern ideals of liberal education excluded, and the authentic meaning of the liberal education on the basis of the Jacques Maritain’s philosophical-religious view. The meaning of reality about liberal education will be revealed from the perspective of Maritain’s ontological and epistemological standpoints. The concepts of personality and individuality on a being and preconciousness and affective connaturality which are the roots of intuition or insight and intelligence and will, shed light on the real meaning of realty. Maritain’s philosophical-religious view on education is a proper alternative of liberal education and illuminates the sacred aspect of a human being. Also it makes us to reflect on what must be a desirable human person in the present education which is occupied with the ideas of post-modernism. 피터즈와 허스트의 ‘지식의 형식으로의 입문’으로서의 교육은 대표적 자유교육론으로 간주되어 왔다. 최근에 허스트는 전기 자유교육론의 한계를 비판하고 ‘사회적 실제로의 입문’으로서의 교육을, 화이트는 개인의 욕구를 만족시키는 가치있는 활동으로서의 교육을 자유교육의 대안으로서 제시한다. 그러나 ‘지식의 형식에의 입문’으로 대표되는 자유교육뿐만 아니라 그것에 대한 허스트와 화이트의 대안적 논의는 공통적으로 ‘실재’에 대한 심각한 논의를 결여하고 있다. 본 논문은 현대 자유교육론이 배제한 실재의 의미와 그것을 토대로 실현되는 자유교육의 참된 의미를 토미스트인 자끄 마리땡의 철학적-종교적 관점에 비추어 드러낸다. 마리땡의 존재론적 관점으로부터 드러나는 인격과 개체성, 인식론적 관점으로부터 드러나는 통찰이나 직관의 근원으로서의 전의식과 정의적 공통 본성 등의 개념은 현대 자유교육론이 배제한 실재의 의미와 자유교육의 참된 의미를 조명해 준다. 또한 철학적-종교적 자유교육론은 실재하는 인간 존재자의 신성한 측면을 분명하게 드러냄으로써 인간의 형이상학적이고 종교적 측면을 무시하고 있는 포스트모던 교육 사태에 올바른 인간상이 무엇이 되어야 하는가에 대해 성찰하도록 해준다.

      • KCI등재후보
      • KCI등재

        성상 신경절 차단이 구혈대 매개성 고혈압에 미치는 효과

        홍지희,김진모,장현석 대한마취통증의학회 2007 Korean Journal of Anesthesiology Vol.52 No.4

        Tourniquet induced hypertension, defined as a more than 30% increase in either systolic or diastolic arterial pressure in patients with a tourniquet inflated for at least an hour, may develop despite adequate anesthesia for surgical procedure. The mechanism is uncertain. We investigated the effect of stellate ganglion block (SGB) on tourniquet induced arterial pressure and heart rate changes. Methods: Twenty-two patients of ASA physical status class 1 and 2, scheduled for lower extremity surgery using a tourniquet, were randomly assigned into two groups (SGB group, Control group). SGB was done before induction, and anesthesia was maintained with 1.5-2.0 vol% sevoflurane and 50% N20 in O2 with endotracheal intubation. The changes of heart rate, systolic, diastolic blood pressure, end tidal CO2 and end tidal sevoflurane concentration were measured before induction, 10 minutes after induction, 10, 30, and 60 minutes after tourniquet inflation, just before tourniquet deflation and 10 minutes after tourniquet deflation. Results: Heart rate increased significantly at 10 minutes after induction and 10 minutes after tourniquet inflation compared to before induction in SGB group. In both groups, systolic arterial pressure increased significantly just before tourniquet deflation compared to before induction, and there was no difference between groups. In SGB group, diastolic arterial pressure decreased significantly compared to control group at 30 minutes after tourniquet inflation. Conclusions: Preoperative stellate ganglion block was not effective in blunting tourniquet induced hypertension.

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