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대한소화기학회> 대한소화기학회지> 기획종설 : 전문직 윤리로서의 의료윤리-의사다움이란

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기획종설 : 전문직 윤리로서의 의료윤리-의사다움이란

Special Reviews : Medical Ethics as Professional Ethics

권복규 ( Ivo Kwon )
  • : 대한소화기학회
  • : 대한소화기학회지 60권3호
  • : 연속간행물
  • : 2012년 09월
  • : 135-139(5pages)
피인용수 : 6건

(자료제공: 네이버학술정보)

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Contemporary medical ethics is far from the traditional concept of "In-Sul (仁術, benevolent art)" or "Yul-Li (倫理, ethics), which emphasizes so much the personality or the character of a doctor. Nowadays, medical ethics should be considered as "professional ethics" which regulates the acts and medical practices of ordinary doctors in their daily practice. The key concepts of the professional ethics are "autonomy", "integrity", and "professional standard" established by medical organizations such as medical societies or associations. Most of Korean doctors have not been familiar with the concept of professional ethics or professionalism, which is due to the modern history of Korea. However, the concept of professional ethics is really critical to Korean doctors from the perspective of professional dignity and social respect to this profession. The current healthcare system of Korea is suffering from many problems of both private and public sector. Nonetheless, the professional ethics is urgently demanded for that very reason. (Korean J Gastroenterol 2012;60:135-139)

ECN


UCI

I410-ECN-0102-2013-510-002254717

간행물정보

  • : 의약학분야  > 내과학
  • : KCI 등재
  • : - / SCOPUS
  • : 월간
  • : 1598-9992
  • : 2233-6869
  • : 학술지
  • : 연속간행물
  • : 1968-2018
  • : 5399


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1기획종설 : 전문직 윤리로서의 의료윤리-의사다움이란

저자 : 권복규 ( Ivo Kwon )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 135-139 (5 pages)

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Contemporary medical ethics is far from the traditional concept of "In-Sul (仁術, benevolent art)" or "Yul-Li (倫理, ethics), which emphasizes so much the personality or the character of a doctor. Nowadays, medical ethics should be considered as "professional ethics" which regulates the acts and medical practices of ordinary doctors in their daily practice. The key concepts of the professional ethics are "autonomy", "integrity", and "professional standard" established by medical organizations such as medical societies or associations. Most of Korean doctors have not been familiar with the concept of professional ethics or professionalism, which is due to the modern history of Korea. However, the concept of professional ethics is really critical to Korean doctors from the perspective of professional dignity and social respect to this profession. The current healthcare system of Korea is suffering from many problems of both private and public sector. Nonetheless, the professional ethics is urgently demanded for that very reason. (Korean J Gastroenterol 2012;60:135-139)

2기획종설 : 의료인에 대한 죽음 교육으로서 영화의 활용

저자 : 정현채 ( Hyun Chae Jung )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 140-148 (9 pages)

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Death and dying is an ultimate process that every human being must experience. However, in these days we do not like to think or discuss about death and dying. Actually, hatred and denial is the usual feeling when we encounter death and dying. Dying is more than a biological occurrence. It is a human, social, and spiritual event, but the spiritual dimension of patients is too often neglected. Whether death is viewed as a "wall" or as a "door" can have significantly important consequences for how we live our lives. Near death experience is one of the excellent evidences to prove that there should be spiritual component being separated from the human physical body when we experience death. People have called it soul, spirit, or nonlocal consciousness. Caregivers need to recognize and acknowledge the spiritual component of patient care. Learning about death and dying helps us encounter death in ways that are meaningful for our own lives. Among the several learning tools, utilizing cinema with its audio and visual components can be one of the most powerful learning tools in death education. Korean J Gastroenterol 2012;60:140-148)

3기획종설 : 임상의학 진료, 연구에서의 이해상충

저자 : 윤영훈 ( Young Hoon Youn ) , 이일학 ( Il Hak Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 149-154 (6 pages)

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In recent years, medical professionals are in charge with multiple roles. They have to work as an educator, researcher, and administrator, as well as medical practitioner. In addition, they experience a conflict between the primary responsibilities that each role requires of them. A conflict of interest (COI) is a set of circumstances that creates a risk that professional judgment or actions regarding a primary interest will be unduly influenced by a secondary interest. It occurs when an individual or organization is involved in multiple interests, one of which could possibly corrupt the motivation for an act in the other. The COI should be managed appropriately to preserve the value of public trust, scientific objectivity, and the benefit and safety of patients. Primary interest of medical professionals refers to the principal goals of the medical profession, such as the health and safety of patients, and the integrity of research. Secondary interest includes not only financial gain but also such motives as the desire for professional advancement and the wish to do favors for family and friends, but COI rules usually focus on financial relationships because they are relatively more objective, fungible, and quantifiable. This article will briefly review the COI in medical practice and research, discuss about what is COI, why we should manage it, and how we can manage it. (Korean J Gastroenterol 2012;60:149-154)

4기획종설 : 소화기 난치병 환자의 이해: 유명인의 투병 사례

저자 : 문정섭 ( Jeong Seop Moon )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 155-161 (7 pages)

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Diagnosis and treatment of gastroenterologic disease have been progressed after twentieth century. Nowdays a lot of diseases, which were called incurable diseases before have been treated or managed successfully. But, there are still many incurable diseases left, including advanced cancer and inflammatory bowel disease in gastroenterology. Here we reviewed some cases of celebrities` gastroenterologic incurable diseases. We hoped to widen our understandings of those diseases and give opportunities for the better treatment. Embracements of patients suffering from gastroenterologic incurable diseases were diverse. We can find out they ended their lives doing the most precious things. Among them, the love for their family members were the most universal and important concerns. We hope the patients suffering from gastroenterologic incurable diseases can have more opportunities for better treatments and to be understood in their situations. (Korean J Gastroenterol 2012;60:155-161)

5기획종설 : 환자와 소통 잘하는 소화기의사가 되기 위하여

저자 : 박선자 ( Seun Ja Park )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 162-165 (4 pages)

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There are many reasons why doctors would not to be able to communicate with patients. First, medicine is science or humanity? Although object of medicine is human, modern medicine tends to regard human as broken machine. Second, gastroenterologists are overloaded by treatment of patients, providing education, attending academic conference, and writing papers. Above all things, it is much worse for gastroenterologists because of endoscopic procedures. The other problem is attitude of modern society about human suffering. Sufferings come from not only body but also mind or spirit. Although there are may difficult problems, if doctors listen to patients` history by their side, it will help to restore their faith. In addition, we need humanity education and improvement plans for medical service system. (Korean J Gastroenterol 2012;60:162-165)

6증례 : 한국에서의 후천성 면역 결핍증 환자에서 위장관을 침범한 카포시 육종의 증례발표 및 문헌고찰

저자 : 정조윤 ( Cho Yun Chung ) , 박상우 ( Sang Woo Park ) , 명은 ( Eun Myung ) , 조동근 ( Dong Keun Cho ) , 송영아 ( Young A Song ) , 박강진 ( Kang Jin Park , , 장희창 ( Hee Chang Jang ) , 주영은 ( Young Eun Joo )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 166-171 (6 pages)

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Kaposi sarcoma (KS) is a vascular neoplasm, which is fairly prevalent in acquired immunodeficiency syndrome (AIDS) patients. Mucocutaneous and lymph node involvements are characteristic features of KS in AIDS patients. The involvement of gastrointestinal tract occurs in 40% of KS patients and leads to significant morbidity and mortality. In the highly active antiretroviral therapy (HAART) era, the rate of AIDS related KS has fallen with control of human immunodeficiency virus (HIV) viremia. However, it is still recognized as the primary AIDS-defining illness, and the proportion of AIDS diagnoses made due to KS ranged from 4.1% to 7.5%. In Korea, AIDS-related KS has been report in low rate incidence. Its gastrointestinal involvements are rarely reported. To date, five cases have been recorded in Korea. Herein, we present an additional case of gastrointestinal KS as the AIDS-defining illness and review of the Korean medical literature. (Korean J Gastroenterol 2012;60:166-171)

7증례 : 난치성 설사와 가성 장폐색을 동반한 장 아밀로이드증

저자 : 김연주 ( Yeon Joo Kim ) , 김현수 ( Hyun Soo Kim ) , 박선영 ( Seon Young Park ) , 박상우 ( Sang Woo Park ) , 최유덕 ( Yoo Duk Choi ) , 박창환 ( Chang Hwan Park ) , 최성규 ( Sung Kyu Choi ) , 류종선 ( Jong Sun Rew )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 172-176 (5 pages)

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We report herein a case of intestinal amyloidosis with grave prognosis that caused intractable diarrhea and intestinal pseudo-obstruction, alternately in spite of intensive conservative treatment. A 44-year-old woman was admitted for fever, diarrhea, and crampy abdominal pain which had been continuned during 6 months. Abdomen CT scan showed edematous wall thickening of the small bowel and right colon, and colonoscopic biopsy revealed amyloid deposition in the mucosa. Monoclonal light chains in serum and/or urine were not detected and highly elevated serum amyloid A was shown. In spite of intensive treatment including oral prednisolone and colchicine, diarrhea and intestinal pseudo-obstruction developed alternately, general status rapidly got worsened and died after two months. (Korean J Gastroenterol 2012;60:172-176)

8증례 : 진정 적혈구계 무형성증이 합병된 중증 급성 A형간염 1예

저자 : 임평숙 ( Pyoung Suk Lim ) , 김인희 ( In Hee Kim ) , 김성훈 ( Seong Hun Kim ) , 이승옥 ( Seung Ok Lee ) , 김상욱 ( Sang Wook Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 177-181 (5 pages)

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Hepatitis A is typically a self-limited acute illness that does not progress to chronic hepatitis. In rare cases, acute hepatitis A can be associated with serious complications (such as fulminant hepatitis or acute kidney injury) and may result in death or liver transplantation. Pure red cell aplasia (PRCA) is a rare hematologic disorder characterized by anemia, reticulocytopenia in the blood, and isolated erythroblastopenia with normal granulopoiesis and megakaryopoiesis in the bone marrow. PRCA is a rare hematopoietic complication of acute viral hepatitis, and few cases associated with hepatitis A virus infection have been reported. Recently, we experienced a case of severe hepatitis A complicated by fulminant hepatitis and acute kidney injury followed by PRCA which showed a favorable response to oral corticosteroids. (Korean J Gastroenterol 2012;60:177-181)

9증례 : 특발성 간경변증 환자에서 발생한 남성 유방암

저자 : 신수린 ( Su Rin Shin ) , 이명석 ( Myung Seok Lee ) , 박상훈 ( Sang Hoon Park ) , 최종수 ( Jong Soo Choi ) , 이경민 ( Kyung Min Lee ) , 김진배 ( Jin Bae Kim ) , 김형수 ( Hyeong Su Kim ) , 김정원 ( Jeong Won Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 182-185 (4 pages)

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Breast cancer is a rare disease in men. We report a case of 53-year-old obese male, with known cryptogenic cirrhosis and hepatocellular carcinoma, presenting a tender mass on left breast. He was diagnosed with invasive intraductal carcinoma, which was consistent with a sporadic lesion. On the basis of previous literatures, obesity can be regarded as a cause for breast cancer even in men. However, there has been inconsistent data about link between liver cirrhosis and male breast cancer, which can be due to heterogenity in the etiology of cirrhosis. Through this case, it can be postulated that the risk for male breast cancer may vary according to the etiology of cirrhosis. (Korean J Gastroenterol 2012;60:182-185)

10이 달의 영상 : 거대 지방종에 의한 대장 장중첩증

저자 : 이재연 ( Jae Yeon Lee ) , 예병덕 ( Byong Duk Ye )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 60권 3호 발행 연도 : 2012 페이지 : pp. 186-189 (4 pages)

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