• 제목/요약/키워드: death concern

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한국과 중국 간호대학생의 죽음에 대한 의식 (The Death Orientation of nursing students in Korea and China)

  • 이진숙;최화숙
    • 호스피스학술지
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    • 제8권1호
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    • pp.1-12
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    • 2008
  • 목적: 한국과 중국 간호대학생의 죽음의식을 조사하여 죽음교육과정설계에 간호대학생의 특성을 고려한 내용이 반영되도록 기여하고 간호교육 및 임상간호의 질적 향상에 도움이 되는 자료를 제공하고자 하였다. 방법: 본 연구는 2007년 3월19일부터 3월23일 사이에 한국 E대학교 간호대학생 248명과 중국 Y대학교 간호대학생 244명 총 492명을 대상으로 하였으며 측정도구는 Thorson과 Powell(1988)의 죽음의식도구를 박석춘(1992)이 번안하여 사용했던 도구를 이용하였다. 수집된 자료는 SPSS(12.0)통계 프로그램을 이용하여 전산처리 하였으며, 실수, 백분율, 평균, 표준편차는 기술통계 방법을 사용하고, Cronbach Alpha Coefficient, 요인분석, t-test, ANOVA 및 회귀분석 등을 통하여 분석하였다. 결과: 1. 한국 간호대학생은 반수이상(58.5%)이 종교가 있는데 비해 중국 간호대학생은 거의 종교를 가지고 있지 않았다(93.9%). 죽음경험이 한국 간호대학생(66.9%)보다는 중국 간호대학생이 많았다(76.6%). 사후세계유형에서 한국 간호대학생은 '사람이 죽으면 천국이나 지옥중의 한곳으로 간다'고 생각하는 경우가 제일 많았고(27.3%), '사람이 죽으면 어떻게 될 것인지 통 모르겠다'가 2위로 나타났다(22.9%). 중국 간호대학생은 '사람이 죽으면 어떻게 될 것인지 통 모르겠다'가 제일 많고(30.3%), '사람이 죽으면 그것으로 끝이고 사후세계는 존재하지 않는다'가 그 다음으로 많았다(29.5%). 2. 죽음의식은 한국 간호대학생이 평균 2.36점, 중국 간호대학생이 평균 2.50점으로 죽음에 대한 염려, 불안, 두려움이 중간수준이었으며 중국 간호대학생이 한국 간호대학생보다 높았다(t=3.51,p=.000). 3. 한국 간호대학생의 죽음의식은 연령(t=3.20, p=.002), 종교(t=2.56, p=.011), 사후세계(F=4.64, p=.000)에 대한 태도에 따라 유의한 차이가 나타났으며, 죽음의식에 대한 기여도는 사후세계변수가 수량화범위 0.735(p=.000)로 나타났다. 중국 간호대학생의 죽음의식은 모든 변수에서 유의한 차이가 없는 것으로 나타났다. 결론: 본 연구의 결과, 내세에 대한 믿음을 가지고 있는 대상자의 죽음의식이 제일 긍정적이므로 영적간호의 필요성이 강조된다. 한편 중국 간호대학생은 한국 간호대학생보다 죽음을 더 의식하고 죽음에 대한 염려, 불안, 두려움이 더 높게 나타났으므로 간호교육과정의 비교검토를 통해 한국의 죽음교육내용을 참고하고 중국의 정치, 문화와 사회제도에 알맞은 죽음교육을 해야 된다고 하겠다. 죽음의식은 사후세계에 대한 태도가 가장 크게 영향을 미치고 있으므로 이에 대한 지속적인 연구와 교육 및 실무에 적용을 제언한다.

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생물영역에서 고등학생의 의사결정 문제에 대한 관심도 조사 (The Survey of High School Students' Concern Levels on Decision-making Problems based on Biology)

  • 홍정림;장남기
    • 한국과학교육학회지
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    • 제19권1호
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    • pp.1-7
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    • 1999
  • 본 연구의 목적은 생물 영역에서 의사결정 문제에 대한 고등학교 학생의 관심도를 조사하는 것이다. 따라서 본 연구는 생물학적 지식이 관련되는 문제에서 학생의 의사결정력을 신장시킬 수 있는 공통과학의 교육과정과 교수 전략을 개발하기 위한 탐색연구의 성격을 지닌다. 의사결정 문제에 대한 관심도를 조사하기 위해 수도권 지역의 고등학교 1학년 학생들을 표집 대상으로 하였다. 조사 도구는 5점 척도의 리커르트 타입 24문항으로 구성된 것으로 연구자에 의해 개발되었다. 조사 결과 가장 관심도가 높은 문제로는 '학습 방법 선태하기'였다. 또한 '운동' 이나 '다이어트' 방법을 선택하기와 같이 개인적으로 당면한 문제나 '소음 기준안' 결정하기, ' 뇌사' 나 '인공 중절' 에 대한 찬 반의견 결정하기와 같은 사회적으로 쟁점화된 문제에 대한 관심도 또한 높았다. 개인적 상황의 의사결정 문제에 대한 관심도가 사회적 상황의 관심도 보다 유의하게 높았다(p<0.01). 남학생의 관심도는 'AIDS', '쓰레기 소각장'원자력 발전소'. 멸종 위기에 처한 생물에 대한 보호 대책 '소음 기준안'의 문제에 대해서 여학생의 관심도 보다 높았다 (p<0.05). 또한 '환경 및 생태계 오염' 영역의 문제들에 대한 관심도에서 여학생 보다 더 높았다 그러나 여학생은 '다이어트', '대리모' 문제에서 남학생의 관심도 보다 높았다. (p<0.05) 분석된 결과의 합의를 교수 전략과 교육과정의 측면에서 논의하였다.

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말기 암환자의 영성체험 (Live Spiritual Experiences of Patients with Terminal Cancer)

  • 박정숙;윤매옥
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.445-456
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    • 2003
  • Purpose: This study attempted to propose the basic framework for spiritual nursing intervention by understanding live spiritual experiences of terminal cancer patients. The study duration was from July 2002 to January 2003, and the subjects of this study were patients who were expected to live less than six months. The number of subjects was six and the average time of each interview was about an hour. Method: The data were analyzed using the method of phenomenological study analysis, which Colaizzi (1978) proposed. Result: Through live spiritual experiences. terminal cancer patients showed complex emotion about the Absolute, human, disease, and death: depended on the Absolute through recognizing death and spiritual acknowledgement: recollected the past life: accepted death believing salvation and immortality: recovered relationships with others through forgiving and reconciling with the Absolute and neighbors. Also, they pursued the meaning of pain. death, and life while feeling pain: demanded love and concern to the Absolute and neighbors: had a sense of futility about life and a hope for the future life: transcendental energy towards the world after death. Wishing to have a peaceful end to life. they felt peaceful and comfortable. Conclusion: Terminal cancer patients want to meet a peaceful end to life with a hope for the future and accept the meaning of death with peace and comfort minds(##-minds), which will allow them to carry on peaceful and satisfactory days for the rest of their lives. Thus, it is very important for caregivers to let them have spiritual experiences and care for them.

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Cadmium induces apoptosis in human lung fibroblast by inducing oxidative stress: A role of Bax and Bcl-2

  • Oh, Seon-Hee;Lee, Guang-Yong;Lee, Mi-Ock;Moon, Chang-Kiu;Lee, Byung-Hoon
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.106.1-106.1
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    • 2003
  • Cadmium (Cd) is an inorganic toxicant of great environmental and occupational concern which was classified as a human carcinogen in 1993. Occupational cadmium exposure is associated with lung cancer in human. In the present study, we established the mechanistic basis of apoptotic cell death induced by Cd in WI38 human lung fibroblast. Cd at 20-80 ${\mu}$M decreased viablility of cells in a concentration-dependent manner. PI staining, TUNEL staining and DNA fragmentation analysis demonstrated the apoptotic cell death by Cd. (omitted)

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한국인의 자살시도의 위험 요인: 자살관(自殺觀)과 사생관(死生觀)을 중심으로 (Risk Factors Associated with Suicidal Attempts in Korea: Exploring the Links with the Views on Suicide, Death, and Life)

  • 김준홍;정영일
    • 보건교육건강증진학회지
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    • 제28권2호
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    • pp.109-123
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    • 2011
  • Objectives: The purpose of the present study was to explore the relationships between views on suicide, death, and life and lifetime suicidal attempts in the Korean context. Methods: Multiple logistic regression model was tested using data from Korean General Social Survey of 2009. We utilized the nationally representative survey data obtained via multistage stratified area probability sampling design from 1,599 respondents aged ${\geq}18$ years. Results: The proportion of lifetime suicidal attempts was 12.1% of entire sample in Korea. Some components of views on suicide and death influenced significantly on lifetime suicidal attempts after adjusting for demographic and health-related factors. The positive view on suicide(OR=0.76, 95% CI: 0.62-0.94), the naturalistic view on afterlife(OR=0.37, 95% CI: 0.67-0.99) and death concern(OR=0.67, 95% CI: 0.55-0.83) were risk factors of lifetime suicidal attempts. In contrast, the social responsibility view on suicide(OR=1.17, 95% CI: 1.00-1.37) and the transcendental view on afterlife(OR=1.25, 95% CI: 1.02-1.54) lowered the risk. Conclusions: Practical implications of the findings were discussed exploring policy evidences to screen high risk groups out and to reframe educational programs for suicide prevention. Strategic health messages need to be developed and transmitted for prevention of suicide.

Indicators and Qualitative Assessment of Lung Cancer Management by Health Insurance Review and Assessment Service (HIRA) of Korea in 2015

  • Yeo, Chang Dong;Lee, Myoung Kyu;Lee, Seung Hyeun;Kim, Eun Young;Lee, Ik Jae;Park, Heae Surng;Chang, Yoon Soo
    • Tuberculosis and Respiratory Diseases
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    • 제81권1호
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    • pp.19-28
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    • 2018
  • Cancer is the leading cause of death in the Republic of Korea and cancer death accounts for 27.8% of the total deaths, which is not only a social issue but also a concern for the public. Among the cancer death rates, lung cancer mortality account for 34 deaths per 100,000 populations, making it the number one cancer death rate. In a preliminary report on cancer death in 2012, the lung cancer mortality ratio showed the regional variation indicating that there were differences in the qualitative level and the structure among the medical care benefit agency and in the assessment of the treatment process. Therefore, the Health Insurance Review and Assessment Service (HIRA) had begun evaluation of the assessment of lung cancer treatment since 2014 to improve the quality of lung cancer care through evaluation and feeds back the results of lung cancer care process. In this report, authors described the current Indicators for the lung cancer adequacy assessment proposed by HIRA and results of the evaluation reported in 2017.

호스피스와 종교적 죽음이해

  • 신민선;김문수
    • 호스피스학술지
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    • 제6권1호
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    • pp.1-11
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    • 2006
  • There are various understandings how to define death. In the context of medicine, death is defined as the irreversible change of the tissue according to the cessation of circulation and respiration. According to the psychologists, a person need to accept the finiteness as a human being and remain conscious that the death is not avoidable. And they say if a person doesn't regard death as unavoidable reality of life he or she will not confront the humanistic death and after all will die like animals. In philosophy, death is viewed as an unwelcome reality in the end of the journey of life. Sociologists usually understand that the society is the organization composed with living persons and human beings which construct and transmit the culture from generation to generation between the both ends of life and death. In society, the generation is changed, maintained, and developed through the phenomenon of death. Although death of human being is natural event in society, the death of a specific person brings a sense of loss, crisis, and anxiety to the communities like family, regional society, nation, and the world. In this context, death is not confined to personal dimension and it can be regarded as a social problem. It is valuable to summarize the religious perspectives on the meaning of death for the better hospice care. In shamanism, there are basic idea that although the flesh of human being disappears, soul never die. If human dies, the flesh of human being disappears but soul never disappear and come back to the origin of soul as it is called chaos. So in shamanism, it is said that shaman can solve the mortified feeling, restore the broken harmony, send the soul to comfortable space- the origin, and guarantee the blessing of descendents. Buddhists regard the death as an essential component through the cycles of life. Through this cycle, human being exits as an endlessly transmigrating being and the death is just a restoration to the original status. In Confucianism, the view on the death based on the philosophy of the "Yin and Yang" and "Five elements". In Buddhist tradition, many believers said the philosophy of "Death is the same as life". Unlike usual thoughts that a god governs "life and death" and "fortune and misfortune", Confucianists deny the governance of a god and emphasize the natural orders in which every phenomenon in the world moves according to the principle. Confucianists understand the death as a natural order with this principle. In Confucianists' belief, the essence of human being remains in their own descendent's lives after the death of ancestor, so in Confucianism there is no concept of immortality of the soul. In the history of Christianity, death has been defined generally as the separation of the immortal soul from the mortal body. In the earlier days of Old Testament, the death is regarded as a disappearance of just a flesh and human never disappear and always live in the relationship with God. Later days in Old Testament, we can find the growing concern for the life after the death because of the entrance of the theodicy. In the New Testament, the death is not regarded as the normal process of the human life and regarded as the abnormal status in which death come to human because of sin as a decisive factor and it should be conquered. In fact, the most of us afraid death because not of the fear of death itself but of the sense of the emptiness and regrets. so many people often make the monument hoping to live forever. But Christian usually regard this behavior as a sinful act because human being usually think themselves as a master of their life and attempt to become immortal in this kind of trial mortal. But if we live with God, we cannot confront such a condition because we aware limits as a mortal human being and entrust everything on Him and want to live according to His guidance. Therefore, in the Christian tradition, the death is regarded as accomplishment of life, fruits of life, invitation to the eternal life, and the last stage of human growth. For human being, the death is the great step of maturation as a human in the final stage of life.

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고독사에 관한 언론보도기사의 텍스트네트워크 분석 및 토픽모델링 (Text Network Analysis and Topic Modeling of News Articles on Lonely Death)

  • 김춘미;최승범;김은만
    • 한국농촌간호학회지
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    • 제18권2호
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    • pp.113-124
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    • 2023
  • Purpose: The number of households vulnerable to isolation increases rapidly as social ties decrease, raising concerns about the associated increase in lonely deaths. This study aimed to identify issues related to lonely deaths by analyzing South Korean news articles; and to provide evidence for their use in preventing and managing lonely deaths via community nursing. Methods: This exploratory study analyzed the structure and trends of meaning of lonely deaths by identifying the association between keywords in news articles and lonely deaths. In this study, we searched for all news articles on lonely deaths, covering the period from January 1, 2010, to May 31, 2023. Data preprocessing and purification were conducted, followed by top-keyword extraction, keyword network analysis and topic modeling. The retrieved articles were analyzed using R and Python software. Results: Four main topics were identified: "discovering and responding to lonely death cases", "lonely deaths ending in lonely funerals", "supportive policies to prevent lonely deaths among of older adults", and "local government activities to prevent lonely deaths and support vulnerable populations." Conclusion: Based on these findings, it can be concluded that lonely death is a complex social phenomenon that can be prevented if society shows concern and care. Education related to lonely deaths should be included in nursing curricula for concrete action plans and professional development.

Detection of Arrhythmias by Holter Monitoring and Use of Wearable Electrocardiography Devices Holter and wearable devices for arrhythmia detection

  • Ji Yeon Chang;Jae Kyung Kim
    • International Journal of Advanced Culture Technology
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    • 제11권2호
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    • pp.310-314
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    • 2023
  • In this paper, we show that the limitations of Holter monitoring and Wearable Electrocardiogarphy Devices and their arrhythmia detection. Sudden death caused by cardiovascular disease, often referred to as the "silent killer" due to its unpredictable nature, is a major health concern. Electrocardiography (ECG) is a basic diagnostic tool for detecting heart disease, but its limitations make it difficult to detect arrhythmia, a significant indicator of an irregular heart state. To address this limitation, a long-term continuous ECG recording device has been developed, Holter ECG device and wearable device. A significant number of studies have focused on the differences between Holter monitoring and wearable devices. The Holter tests were useful for detecting regularly occurring arrhythmias, whereas wearable patches were better at detecting random and infrequent arrhythmias. Wearable patches were effective in detecting episodes of arrhythmia and myocardial ischemia. Despite the concern, wearable devices had less signal loss than Holter monitoring and patients also preferred wearable devices over Holter monitoring due to convenience. These results could mean that the wearable devices can perfectly replace the Holter test.

Ste. Genevieve Library as a Criticism of Classicism

  • Kang, Tae-Woong
    • Architectural research
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    • 제15권1호
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    • pp.17-23
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    • 2013
  • The purpose of this paper is to reconsider and revaluate Ste. Genevieve Library designed by Henri Labrouste as a criticism of Classicism. Considered as the epitome of the early structural Rationalism the modern historian tried to focus only on the iron structure of the library. Arguably, the structural concern was one of the ideas that the architect wanted to manifest in the library. As a rebel against a view of the Acad$\acute{e}$mie des Beaux-Art the notions of H. Labrouste were radical. He criticized an autistic Classicism with an echoing Claude Perrault's doubt about the myth of classical beauty. These radical ideas firstly showed in his report of the Grand Prix de Rome and must have been developed through several discussions for a novel: Notre-Dame de Paris by V. Hugo. 'Ceci tuera cela', one of the chapter of the novel, was generally known as the death of architecture due to the invention of the printing press around Renaissance period. We, however, consider that even though the historical background of the novel is the Gothic period the ideas, which was discussed with Labrouste, related to the death of architecture was not the architecture itself but classical architecture recomposed during Renaissance period. As the first design work the library must be reflected his ideas, which were developed, and manifested his criticism of the Classicism indirectly.