• 제목/요약/키워드: life-and-death problem

검색결과 97건 처리시간 0.03초

허혈성 뇌졸중의 유형별 사망률 분석 (Mortality analysis of subtypes in acute ischemic stroke)

  • 안혜윤;박광일;이신형
    • 보험의학회지
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    • 제33권2호
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    • pp.12-14
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    • 2014
  • Worldwide, stroke is the 2nd or 3rd leading cause of death and a major health problem. Recent advances in medical technology have significantly improved diagnosis and treatment strategies of ischemic stroke. The ischemic stroke subtype is an important determinant of mortality and long-term prognosis of patients. To estimate excess-risks of the ischemic stroke subtype, recently published article, Korean cohort study of stroke, was used as a source article. According to mortality analysis methodology from American academy of insurance medicine, the overall mortality ratio and excess death rate was the highest in patients with SOD, followed by those with CE. Calculated mortality ratio and excess death rate for subtype in this review are SOD, 920%/34‰; CE 267%/34‰; UI 209%/25‰; UM 190%/23‰; UN 188%/15‰; LAA 162%/15‰; LAC 117%/3‰.

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소수자 문학과 문학교육의 과제 (Deleuze and Guattari's Death, the Minor Literature and the Minor Philosophy of Education)

  • 윤승리
    • 한국교육논총
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    • 제40권3호
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    • pp.39-65
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    • 2019
  • 생성의 입장에서 바라보는 죽음은 소수 교육철학의 형성에 기여한다. 소수 문학에 대한 탐구는 이 관계를 확고하게 해준다. 들뢰즈와 가타리의 소수 문학이란 소수 언어로 쓰인 문학을 말하는 것이 아니라 오히려 소수자들이 다수언어로 만들어내는 문학을 말한다. 그들은 카프카의 작품들을 그 전형으로 내세운다. 카프카의 작품들은 궁극적으로 이 생성(devenir)으로서의 죽음을 말한다. 죽음과 소수 문학은 강도(intensité)라는 이론적 도구를 공유함으로써 서로를 전제하는 것으로 파악된다. 소수 교육철학은 이런 주장을 좇아 그 가능성이 제기된다. 이는 잘 포장된 상품으로서의 지식을 전달하는 일에만 만족하는 현대 교육철학자들의 정체성에 의문을 제기하고, 특정한 방식으로만 철학자들을 독해하도록 강요하는 주류 교육철학에 맞선다. 우리는 이 가능성을 정동(affect)으로서의 언어에 입각한 교육활동을 통해 제기해 볼 수 있다.

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존엄사에 대한 미국의 법제 (The Legal Framework of the Death with Dignity in U.S.A.)

  • 김장한
    • 의료법학
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    • 제9권2호
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    • pp.53-75
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    • 2008
  • The end of life problem in the United States has been evolved from the development of concept of brain death over last 50 yr. The invention of ventilator and the development of emergency medicine also played a key role to elongate the end stage of life and which caused the American people to ask a question about the patients self determination and refusing the unwarranted medical treatment in the view of the death with dignity. With regard to the patient unable to self determination, surrogate decision was also considered. To guarantee the self determination, The patient self determination act also enacted on the level of Federal regulation in 1990s. But no law has effectively dealt with the situation when medical treatment became futile. Along with the significant debates on literature and court cases. The American Medical Association's Council on Medical and Judical Affairs presented formal opinion and the Texas was the first states to regulate the medical futile situation in 1999. Even though that definition was in controversy, the concept of medical futility mainly focused on the doctors' right to refuse the treatment.

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공유환경효과를 고려한 수리가능한 시스템의 수명과 고장회수의 결합모형 개발 (Joint Modeling of Death Times and Number of Failures for Repairable Systems using a Shared Frailty Model)

  • 박희창;이석훈
    • 품질경영학회지
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    • 제26권4호
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    • pp.111-123
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    • 1998
  • We consider the problem of modeling count data where the observation period is determined by the life time of the system under study. We assume random effects or a frailty model to allow for a possible association between the death times and the counts. We assume that, given a random effect or a frailty, the death times follow a Weibull distribution with a hazard rate. For the counts, given a frailty, a Poisson process is assumed with the intensity depending on time. A gamma distribution is assumed for the frailty model. Maximum likelihood estimators of the model parameters are obtained. A model for the time to death and the number of failures system received is constructed and consequences of the model are examined.

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웰다잉(well dying) 문화 형성을 위한 불교의 죽음관 연구 (The study on the view of death in the Buddhism for well dying's culture formation)

  • 윤영호
    • 철학연구
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    • 제130권
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    • pp.161-186
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    • 2014
  • 웰빙'(well being)과 함께 최근 '웰다잉'(well dying)에 대한 사회적 관심이 '안락사'(安樂死) 문제를 계기로 촉발되어 인간 죽음의 존엄성에 대한 중요한 담론으로 대두되고 있다. '웰다잉'(well dying)은 그 어의대로 '좋은 죽음'을 의미하며, 이런 의미적 맥락의 연장선상에서 통상적으로 '준비된 죽음', '품위 있는 죽음', '아름다운 죽음'을 지칭한다. 본고에서 논자는 '죽음'을 교학의 출발점으로, 그리고 '죽음의 극복'을 교학의 종착점으로 삼고 있는 불교의 죽음관이 웰다잉에 대한 담론에 어떠한 기여를 할 수 있는지 면밀히 고찰하였다. 불교의 죽음에 대한 태도와 해석, 그리고 그 극복의 과정은 웰다잉에 대한 보다 풍부한 담론을 형성하는 단초가 되며, 특히 죽음의 극복을 육체적 생리적 영생으로서가 아닌 정신적 심리적 현상으로 해석하고 이러한 정신적 심리적 변화를 통한 사물의 진실상(眞實相)에 대한 깨달음[정각(正覺)]을 통해서 죽음을 극복하는 불교의 견해는 죽음불안의 극복 및 죽음교육에 많은 기여를 할 수 있다.

'현대화 이론'에 의한 노인 문제와 죽음의 결정요인 탐구 -영화 '죽여주는 여자'를 중심으로 (Exploring the Determinants of the Elderly Problem and Death by 'modernization theory' -Focused on the movie 'The Woman Who Kills')

  • 한명자
    • 한국콘텐츠학회논문지
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    • 제22권5호
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    • pp.518-526
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    • 2022
  • 현대화에 따른 평균수명의 연장은 노년기 돌봄과 질병에 있어 수혜 시간의 연장을 의미한다. 그러나 노인 증가에 비해 자녀들의 부모부양책임에 대한 태도는 점점 약화되어 가고 있다. 이러한 사회현상은 노년기 삶에 소외, 절망감, 스트레스를 가져다주고 이로 인한 무망감으로 자살 생각이나 의도적인 죽음(자살)을 불러오는 요인이 되어 사회문제가 되고 있다. 노인의 의도적인 죽음(자살)은 주변에서 흔히 일어나는 사회현상으로 영화를 통해서도 그 실상을 알 수 있다. 본 연구에서는 영화 '죽여주는 여자'에 등장하는 주인공 '소영'과 주변 인물인 '송 노인', '종수', '재우' 등의 대화 속에서 노인 문제와 죽음 요인에 해당되는 내용을 매트릭스(Matrix) 분류체계 방법으로 정리한 후, 임병우(2019)가 정리한 '현대화에 따른 노인 문제 발생 흐름도'에 적용하여 의도적 죽음(자살) 요인을 탐구하였다. 분석 결과 4명의 노인들은 질병, 소외와 고독, 빈곤, 상실 등 노인 문제에 노출되었으나, 현대화로 인한 지위 하락과 부양의식 태도 변화로 인한 돌봄 부족의 스트레스가 지속되자, 삶에 대한 절망감에 빠져 의도적 죽음(자살)을 선택한 것으로 분석되었다.

Novel Approaches for Efficient Antifungal Drug Action

  • Lee, Heejeong;Lee, Dong Gun
    • Journal of Microbiology and Biotechnology
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    • 제28권11호
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    • pp.1771-1781
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    • 2018
  • The emergence of multidrug-resistant microorganisms, as well as fungal infectious diseases that further threaten health, especially in immunodeficient populations, is a major global problem. The development of new antifungal agents in clinical trials is inferior to the incidence of drug resistance, and the available antifungal agents are restricted. Their mechanisms aim at certain characteristics of the fungus in order to avoid biological similarities with the host. Synthesis of the cell wall and ergosterol are mainly targeted in clinical use. The need for new approaches to antifungal therapeutic agents or development alternatives has increased. This review explores new perspectives on mechanisms to effectively combat fungal infections and effective antifungal activity. The clinical drug have a common feature that ultimately causes caspase-dependent cell death. The drugs-induced cell death pathway is associated with mitochondrial dysfunction, including mitochondrial membrane depolarization and cytochrome c release. This mechanism of action also reveals antimicrobial peptides, the primary effector molecules of innate systems, to highlight new alternatives. Furthermore, drug combination therapy is suggested as another strategy to combat fungal infection. The proposal for a new approach to antifungal agents is not only important from a basic scientific point of view, but will also assist in the selection of molecules for combination therapy.

개인의 상실감이 디지털 컨텐츠 선호에 미치는 영향에 대한 탐색적 연구 (An Exploratory Study on the Effects of the Negative Emotions on the Selection of Digital Contents)

  • 오창규
    • 한국정보시스템학회지:정보시스템연구
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    • 제19권4호
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    • pp.253-270
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    • 2010
  • The adjustment of negative emotions in later life is related to the quality of life and life satisfaction. any studies have examined how to control the negative emotions in related to physical, psychological, and social relationships. As the digital media and contents positively influence elder's mental and somatic well-being, it is significant to examine this problem from IT usage, especially the selection of digital contents. This study validated the theoretical study through a qualitative exploratory study comprising both negative emotions and the selection of digital contents, and empirically tested the proposed research model on the older people. The result shows the pattern of linkages between the grief of loss and the pursuit of digital contents. Loss from being parted by death and loss of relations was positively related to the information seeking contents. Economical loss and loss of physical functions was positively related to the innovation seeking contents. Loss of physical functions and Loss from being parted by death was positively related to the emotion seeking contents. And economic loss and loss of relations was positively related to the entertainment seeking contents.

치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로- (A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment)

  • 조인호
    • 의료법학
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    • 제9권1호
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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노인들의 장수에 대한 관념 (A Study on Thoughts of the Elderly about Long Life(Chang su))

  • 최영희;이영희
    • 대한간호학회지
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    • 제23권4호
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    • pp.649-663
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    • 1993
  • A long life is the desire of many people. The purpose of this study was to describe the thoughts that are held by elderly people about long life as the elderly are approaching the end of life. The research was conducted using an ethnographic method to add understanding to this subject. The field work for this study was done from July, 1991 to August, 1993 in third phases in Chun Buk province. The results of the present study show the following : The thoughts of the elderly about chang su showed three important concepts : In Myoung Sae Chun(lived as life), Su Cheuk Dah Yok(long life is a disgraces, and Transcendence of life: In Myoung Sae Chun showed the thought of limitation of man’s life and realistic thought about the life through free oneself from death and life. Su Cheuk Dah Yok meant experience of physical difficulty, experience of sons and daughter’s death ahead one’s own self. Senility was the most afraid problem for the elderly. Transcendence of life showed pursuit of a continuing life through connected with sons and the family. The conditions promoting chang su were described as clear water, fresh air, adequate eating, deep sleeping, gender(female). In addition it showed that ecological and environmental conditions (heavy work, starvation, vegetable food, physical environment, respection for the elderly). These results showed that the elderly was recognized one’s own self as living being rather than adhered to the life, and will promote understanding the elderly’s desire for long life. Also, suggested to nursing practice that should maintain self-esteem and respect for the elderly, Therefore, these results can be used nursing practice for the elderly.

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