• Journal of the Daesoon Academy of Sciences
• /
• v.32
• /
• pp.237-267
• /
• 2019

The article considers the problems of envisaging a paradise on earth, with special reference to Jehovah's Witnesses. After an explanation of their relationship to the Christian Protestant tradition, particularly Adventism and American fundamentalism, some key doctrines of the Watch Tower organisation are identified, with particular reference to their belief in a coming earthly paradise. Jehovah's Witnesses are a restorationist movement, seeking a restored paradise on earth, and endeavouring to restore authentic Christianity in what they take to be its original form. Discussion is given to the possibility of physical accommodation on the earth, the position of animals, family life, language, and technology. Finally, brief comparison is made with the expected paradise of the Daesoon Jinrihoe, which is based on a radically different worldview. It is concluded that such differences help to explain why Jehovah's Witnesses have limited success in Korea, as compared with indigenous Korean new religions such as Daesoon Jinrihoe.

• Journal of Chest Surgery
• /
• v.30 no.5
• /
• pp.537-539
• /
• 1997

An orthotopic cardiac transplantation was successfully performed in a 40 year-old Jehovah's witness without use of any blood product. Preoperatively, the patient had been on coumadin to prevent left atrial thrombi and the INR(Internation Normalized Ratio)of prothrombin titre was 2.4. During the operation, cell saver was used for shed blood and aprotinin was admini tered intravenously for platelet function. Total postoperative drainage was 860cc and the lowest hemoglobin was 12.2 gmldl. Postoperative course was complicated by central nervous system infection by wisteria monocytogenes and two episodes of rejection, both of which were effectively treated. The patient is on his 5th postoperative month and doing well.

• Journal of Chest Surgery
• /
• v.34 no.3
• /
• pp.243-245
• /
• 2001

여호와의 증인을 부모로 둔 환아는 생후 4개월, 5.6kg이었다. 심초음파상 완전 대혈관 전위와 심실 중격 결손, 심방 중격 결손, 동맥관 개존중 및 양측상대 정맥이 관찰되었다. 수술전 혈색소 값은 14.9 g/dl이었다. 수혈없이 심실 중격 결손 교정과 대혈관 치환술을 시행하였으며, 별문제 없이 수술 후 16일에 환아는 퇴원하였다. 퇴원 당시 혈색소 값은 12.8 kg/dl 였다. 복잡 심기형을 가진 영아에서 수술전 eryrhropoietin의 투여, 수술중 철저한 지혈 및 초여과법등의 방법으로 수혈 없이 완전 교정술이 가능하였기에 보고하는 바이다.

• Journal of Chest Surgery
• /
• v.35 no.1
• /
• pp.48-51
• /
• 2002

The conversion of failing Fontan circuit to total cavopulmonary connection(TCPC) is recommended as a therapeutic option in patients with late Fontan complications such as atrial arrhythmia, atrial enlargement, pulmonary venous obstruction, and ventricular dysfunction. Combined TCPC with extracardiac conduit and cryoablation of arrhythmia circuit is preferred for treatment of failing Fontan coulection with atrial lachyarrhythrnia. We report a case of conversion of atriopulmonary connection to extracardiac conduit Fontan and cryoablation of atrial arrhythmia circuit in a patient with tricuspid atresia, who also had ectopic atrial tachycardia, right atrial thrombi, pulmonary venous obstruction, and ventricular dysfunction. This patient and the parents were Jehovah's Witnesses; therefore, the patient underwent the procedure without blood transfusion.

• Journal of Chest Surgery
• /
• v.25 no.6
• /
• pp.645-649
• /
• 1992

Jehovah`s Witnesses who require cardiac operations represent a challenge to surgeon because of the patients` refusal to accept blood transfusion, We report a 6 year period, ending May, 1991 with a consecutive series of 25 Jehovah`s witnesses. Patients ranged in age from 11 months to 61 years. All operations were performed during cardiopulmonary bypass with bloodless priming, No patient received any blood or blood products during hospitalization. Perioperative mortality was 2 paients[8%]. We conclude that if we performed the cardiac surgery with careful operative technique and various blood conserving procedures, we can do the bloodless open heart surgery with relatively safety.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.12 no.1
• /
• pp.25-31
• /
• 2012

We report a case of 15 year-old Jehovah's Witness patient with mild anemia who underwent a successful orthognathic two-jaw surgery. Jehovah's Witness patients refuse transfusion of blood or blood products even in life threatening situations. The use of recombinant human erythropoietin and iron supplement increased hemoglobin during preoperative period. Intraoperatively, meticulous surgical hemostasis, acute normovolemic hemodilution and induced hypotension enabled the completion of the operation without the use of blood products.

• Journal of Yeungnam Medical Science
• /
• v.23 no.1
• /
• pp.96-102
• /
• 2006

Jehovah's Witnesses refuse a transfusion of blood or blood products because of religious beliefs; this refusal at times presents a dilemma for the treating physician. We report a case of a 25-year-old Jehovah's Witness patient who underwent a reoperation for a previous proximal humerus shaft fracture and experienced unexpected massive hemorrhage intraoperatively and postoperatively. The postoperative lowest hemoglobin level was 2.9 g/dl. The patient recovered from the severe anemia without any clinical sequala. We review the legal, ethical and religious issues and suggest the best possible medical care that Jehovah's Witness patient would permit.

• Journal of Chest Surgery
• /
• v.43 no.6
• /
• pp.721-724
• /
• 2010

Despite increased interest in bloodless cardiac surgery, its use has been mostly confined to adult patients. Especially, bloodless pediatric cardiovascular surgery using cardiopulmonary bypass has been avoided mainly due to hemodilution. Authors recently experienced a case of bloodless cardiac surgery in a 2.8 kg-weighing neonate whose parents were Jehovah's Witness.

• The Korean Society of Law and Medicine
• /
• v.13 no.2
• /
• pp.217-261
• /
• 2012

Die Zeugen Jehovas lehnen Bluttransfusionen ab. Wiederholt haben Todesf$\ddot{a}$lle unter Jehovas Zeugen, die mit der Ablehnung von Bluttransfusionen in Verbindung gebracht werden, in den Medien f$\ddot{u}$r Aufsehen gesorgt, da die Zeugen Jehovas die $\ddot{U}$bertragung von fremdem Blut aus religi$\ddot{o}$sen Gr$\ddot{u}$nden entschieden ablehnen. Medizinische Behandlungen, auch Bluttransfusionen bed$\ddot{u}$rfen grunds$\ddot{a}$tzlich der Einwilligung des Patienten. Wenn sich ein Zeuge Jehovas gegen eine Transfusion entscheidet, ist dies zu respektieren. Ist ein erwachsener Patient Mitglied der Zeugen Jehovas und tr$\ddot{a}$gt dieser eine Patientenverf$\ddot{u}$gung bei sich, die eine Bluttransfusion ablehnt, weil es dadurch zu einer "Zerst$\ddot{o}$rung der Pers$\ddot{o}$nlichkeit" des Menschen aus religi$\ddot{o}$sen Gr$\ddot{u}$nden komme, so ist auch diese Verf$\ddot{u}$gung verbindlich, sofern sie ernsthaft ist. Bei Minderj$\ddot{a}$hrigen ist die Einwilligungsf$\ddot{a}$higkeit durch den Gesetzgeber bislang nicht geregelt. Minderj$\ddot{a}$hrige k$\ddot{o}$nnen grunds$\ddot{a}$tzlich selbst zustimmen, wenn sie ihrer geistigen und sittlichen Reife nach einsichtsf$\ddot{a}$hig sind. Bei Jugendlichen ab dem 16. Lebensjahr muss der Arzt ermitteln, wie einsichtsf$\ddot{a}$hig sie sind und inwiefern sie selbst in die medizinische Behandlung einwilligen k$\ddot{o}$nnen. Einwilligung kann aber nicht eingeholt werden, wenn der Patient einwilligungsunf$\ddot{a}$hig ist. Bei Kindern bis zum 16. Lebensjahr ersetzt die Einwilligung der Eltern in die medizinische Behandlung die Einwilligung der Kinder. Ob die Entscheidungen der Eltern $\ddot{u}$ber ihre unm$\ddot{u}$ndigen Kinder im Fall lebensbedrohlicher Krankheitsverl$\ddot{a}$ufe von den behandelnden $\ddot{A}$rzten akzeptiert werden m$\ddot{u}$ssen, ist umstritten. Die Ablehnung einer Bluttransfusion f$\ddot{u}$r ein transfusionsbed$\ddot{u}$rftiges Kind w$\ddot{a}$re eine Kindeswohlgef$\ddot{a}$hrdung. Bei Kindern ist der Weg $\ddot{u}$ber die $\ddot{U}$bernahme des Sorgerechts durch das Gericht unvermeidlich, falls die Eltern auf der Ablehnung einer lebensnotwendigen Transfusion beharren. Im Rahmen der objektiven Interessenabw$\ddot{a}$gung ist der Grundsatz "in dubio pro vita" zu beachten. Bei erheblicher unmittelbarer Gefahr ist allerdings ein direktes Eingreifen n$\ddot{o}$tig.