• Title/Summary/Keyword: death

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Attitude toward Death in Nursing Students (간호학생의 죽음에 대한 태도)

  • Jung, Sun-Young;Lee, Eun-Kyung;Kim, Bo-Hye;Park, Jin-Hwa;Han, Min-Kyoung;Kim, In-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.168-177
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    • 2011
  • Purpose: The purpose of this study was to investigate the attitude toward death in Korean nursing students. Method: The sample consisted of 365 baccalaureate nursing students. The questionnaires included questions on sociodemographics and death-related characteristics of the participants, and the Fear of Death and Dying Scale (FODS) to measure the attitude toward death. Result: The mean of the FODS score was 2.63 out of 4, so the participants had a slightly negative attitude toward death. There were statistically significant differences between gender, religion, religion activity, perceived health status, experience of parents' death, experience of friend's death, and overall FODS score. Among the four subscales of overall FODS, the score of the fear of death of self was significantly higher in the participants who experienced clinical practice and who experienced patient's death in the intensive care unit compared to the emergency room. Conclusion: Based on the study results, educational programs to change the attitude toward death are required before clinical practice. Programs need to consider nursing students' gender and religion, and give opportunity to share experiences and feelings about death of family or friend. In addition, using standardized patients and simulators is advised in the need for simulation training.

A Preliminary Study to Improve Death Education for the Public and Medical Students after the Enforcement of the Life-Sustaining Treatment Decision Act (연명의료결정법 시행 이후 일반인과 의대생 대상 죽음교육 개선을 위한 예비연구)

  • Kim, Claire Junga;Ahn, Kyongjin
    • Korean Medical Education Review
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    • v.24 no.2
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    • pp.113-127
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    • 2022
  • Considering the recent medicalization of death, the importance of preparing both laypersons and medical students to have meaningful end-of-life conversations, which is among the objectives of death education, will grow. The Act of Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life provided a new source of momentum to death education for both laypersons and medical professionals, as the importance of education on death is widely recognized. However, problems remain regarding how to prepare people for productive conversations at the end-of-life and how to secure the continuity of care. Different focuses and deficiencies are observed in death education programs for each category of learner. In education for laypeople, tangible information on how to actualize one's existential and personal understanding of death through real-life options is lacking, except for presenting the "protocol" of the Act. Conversely, basic medical education lacks an understanding of or confrontation with death on the existential and personal levels. Death education should aim to build a shared understanding that can facilitate communication between the two groups. The scant overlap between layperson education and basic medical education even after the Act's enactment is worrisome. Further fundamental changes in death education are required regarding its content. Topics that patients and doctors can share and discuss regarding death and end-of-life care should be discovered and provided as educational content both to laypeople and future medical professionals.

The Meaning of Death Seen by Nursing Students through Art Works (간호학생이 예술작품을 통해 본 죽음의 의미 분석)

  • Kim, Yeong-Kyeong;Jo, Kae-Hwa;Kim, Myoung-Ja
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.602-611
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    • 2005
  • Purpose: To understand the meaning of death seen by nursing students through art works. Method: The qualitative research method and the content analysis were used. The text were essays written by 42 senior nursing students about their impressions on death through art works. Result: Statements were classified into six categories and twenty six themes. The six categories include definitions of death, feelings about the death of a main character, responses to the death of the main character, feelings of significant others about the death of the main character, feelings of participants in this study, and oaths of the participants in this study. Conclusion: It is shown that participants recognize their position as nursing students, although they may not escape the fear of death, will learn to cope with death, and the dying in a suitably professional manner. In this respect, the study is considered to be helpful for the students in learning the knowledge and information which are needed for hospice nursing care more effectively.

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Reform of Medicolegal Death Investigation System in Korea - On the Professionalism of involved Personnel - (검시제도(檢視制度)의 개혁(改革) 방안(方案) - 검시 관여자(檢視 關與者)의 전문성(專門性)을 중심으로 -)

  • Seo, Young-Il;Chae, Jong-Min;Park, Hee-Kyung
    • Journal of forensic and investigative science
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    • v.1 no.2
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    • pp.44-56
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    • 2006
  • The reform necessity of medicolegal death investigation system is continuously issued. The problems from the current death investigation system are discussed, specially on the professionalism of the involved personnel such as policemen, doctors, prosecutors. Death investigation exists not only to prosecute the criminals but also primarily to protect the general public's health, safety, and welfare. The reform proposals of death investigation system are followed as below. Statutes require that the prosecutor be notified of certain deaths. All deaths that may reasonably result from anything other than natural disease should be investigated. A death certificate is a legal document which authenticate a death, therefore it is issued by the doctor. The postmortem examination must be rearranged on the university base and performed by the qualified doctors who are trained at least in pathology. The police officer specified in death investigation and forensic identification should be encouraged to keep doing their special work in many ways.

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The Effects of Death Anxiety on Quality of Life in Rural Elderly -Focusing on the Mediating Effects of Self-Integration- (농촌거주 노인의 죽음불안이 삶의 질에 미치는 영향 -자아통합감의 매개효과를 중심으로-)

  • Nam, Hee-Soo;Jin, Bong-Hee;Lee, Eong-Im
    • Journal of Agricultural Extension & Community Development
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    • v.29 no.2
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    • pp.81-98
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    • 2022
  • The purpose of this study is to examine the mediating effect of a sense of self-integration in the relationship between death anxiety and death anxiety on the quality of life for the elderly living in rural areas. First, death anxiety among the elderly living in rural areas was found to have a negative effect on the quality of life, and among the sub-elements of death anxiety, the anxiety of loss of existence and the anxiety of the death process were negative on the quality of life. Second, it was found that there is a positive effect on the sense of self-integration, which is a parameter such as anxiety about loss of existence, anxiety about the death process, and anxiety about post-mortem outcomes. Third, it was confirmed that the sense of self-integration mediates between death anxiety and quality of life. Based on the results of this study, several discussions and suggestions were made to improve the quality of life of the elderly living in rural areas by improving the sense of self-integration and reducing death anxiety.

The Hypersensitive Response. A Cell Death during Disease Resistance

  • Park, Jeong-Mee
    • The Plant Pathology Journal
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    • v.21 no.2
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    • pp.99-101
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    • 2005
  • Host cell death occurs during many, but not all, interactions between plants and the pathogens that infect them. This cell death can be associated with disease resistance or susceptibility, depending on the nature of the pathogen. The most well-known cell death response in plants is the hypersensitive response (HR) associated with a resistance response. HR is commonly regulated by direct or indirect interactions between avirulence proteins from pathogen and resistance proteins from plant and it can be the result of multiple signaling pathways. Ion fluxes and the generation of reactive oxygen species commonly precede cell death, but a direct involvement of the latter seems to vary with the plant-pathogen combination. Exciting advances have been made in the identification of cellular protective components and cell death suppressors that might operate in HR. In this review, recent progress in the mechanisms by which plant programmed cell death (PCD) occurs during disease resistance will be discussed.

Brain death and organ transplantation (뇌사와 심폐사 그리고 장기이식)

  • Nam, Sang-Ook
    • Clinical and Experimental Pediatrics
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    • v.52 no.8
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    • pp.856-861
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    • 2009
  • Cardiopulmonary arrest has long been accepted as an unquestionable definition of death. An advent of cardiopulmonary resuscitation and artificial ventilation along with the development of organ transplantation has prompted the emergence of the concept of brain death. The criteria for brain death are based mainly on the clinical examination of coma, apnea and total loss of brain stem function. Although organ transplantation by donor brain death has increased in Korea over recent years, there is still a substantial shortage of donor organs compared to the demand. Improvement of government policies and changes of social culture for organ donation are needed for the activation of organ transplantation by donor brain death. Pediatricians have an important role for the search of potential donors in cases of brain death and optimal medical care for successful organ transplantation.

Programmed Cell death in plants

  • Fukuda, Hiroo
    • Proceedings of the Botanical Society of Korea Conference
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    • 1999.07a
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    • pp.69-73
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    • 1999
  • In plants as well as in other multicellular organisms, programmed cell death plays essential roles in the abortion or formation of specific cells and tissues during development to organize the plant [11, 15, 18]. A typical example of developmentally programmed cell death in plants is the death during differentiation of tracheary elements which are components of vessels and tracheids, a water-conducting system. The programming of cell death during tracheary element differentiation has been revealed to be unique to plant cells by using the in vitro Zinnia mesophyll cell culture system. In particular, new biosynthesis of autolysis-related enzymes such as cysteine proteases and nucleases, their accumulation of the vacuole and the programmed collapse of the vacuole are essential to the death of tracheary elements and differ greatly from the process of the apoptotic cell death in animals.

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Ceramide Induces Cell Death through an ERK-dependent Mitochondrial Apoptotic Pathway in Renal Epithelial Cells

  • Jung, Soon-Hee
    • Korean Journal of Clinical Laboratory Science
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    • v.42 no.1
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    • pp.46-54
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    • 2010
  • Ceramide induces cell death in a variety of cell types however, the underlying molecular mechanisms related to renal epithelial cells remain unclear. The present study was undertaken to determine the role of extracellular signal-regulated protein kinase (ERK) in ceramide-induced cell death in renal epithelial cells. An established renal proximal tubular cell line of opossum kidney (OK) cells was used for this research. Ceramide induced apoptotic cell death in these cells. Western blot analysis showed that ceramide induced activation of ERK. The ERK activation and cell death induced by ceramide were prevented by the ERK inhibitor PD98059. Ceramide caused cytochrome C release from mitochondria into the cytosol as well as activation of caspase-3. Both effects were prevented by PD98059. The ceramide-induced cell death was also prevented by a caspase inhibitor. These results suggest that ceramide induces cell death through an ERK-dependent mitochondrial apoptotic pathway in OK cells.

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Programmed Cell Death in Bacterial Community: Mechanisms of Action, Causes and Consequences

  • Lee, Heejeong;Lee, Dong Gun
    • Journal of Microbiology and Biotechnology
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    • v.29 no.7
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    • pp.1014-1021
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    • 2019
  • In the bacterial community, unicellular organisms act together as a multicellular being. Bacteria interact within the community and programmed cell death (PCD) in prokaryotes is a sort of altruistic action that enables the whole population to thrive. Genetically, encoded cell death pathways are triggered by DNA damage or nutrient starvation. Given the environmental and bacterial diversity, different PCD mechanisms are operated. Still, their biochemical and physiological aspects remain unrevealed. There are three main pathways; thymineless death, apoptosis-like death, and toxin-antitoxin systems. The discovery of PCD in bacteria has revealed the possibility of developing new antibiotics. In this review, the molecular and physiological characteristics of the three types of PCD and their development potential as antibacterial agents are addressed.