• 생명과학회지
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• 제25권1호
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• pp.62-67
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• 2015

본 연구는 바위수염 메탄올 추출물이 3T3-L1 지방세포의 분화 및 지방생성의 억제에 미치는 영향을 탐색하고자 하였다. 바위수염 메탄올 추출물의 농도에 따른 3T3-L1 세포의 성장에 미치는 영향을 MTT assay로 분석한 결과 $100{\sim}500{\mu}g/ml$l의 농도에서는 80% 이상의 비슷한 수준의 세포생존율을 보였다. 바위수염 메탄올 추출물을 처리하지 않고 분화를 유도하였을 경우에 세포질 내 지방구의 형성이 활발하게 유발되는 것으로 관찰되었으며, 바위수염 메탄올 추출물에 의한 지방구의 형성이 처리 농도 의존적으로 억제 되는 것을 확인하였다. 또한 바위수염 메탄올 추출물을 100, 300, $500{\mu}g/ml$ 처리한 후의 중성지방의 양은 바위수염 메탄올 추출물을 처리하지 않았을 때보다 35%, 42%, 76%로 농도 의존적으로 억제되는 것을 확인하였다. Insulin, dexamethasone 및 IBMX를 처리하여 분화를 유발하였을 경우 $PPAR{\gamma}$, $C/EBP{\alpha}$ 및 $C/EBP{\beta}$의 발현이 현저하게 증가되었으며, 이러한 분화유도 과정에서 바위수염 추출물을 처리한 결과 $100{\mu}g/ml$의 농도보다 $500{\mu}g/ml$의 처리군에서 $PPAR{\gamma}$, $C/EBP{\alpha}$ 및 $C/EBP{\beta}$의 발현이 단백질 수준에서 감소하였다. 본 연구결과 바위수염 메탄올 추출물은 lipid droplet 및 TG 생성을 감소시킴으로써 지방세포로의 분화를 억제시키는 것으로 나타나, 항비만 식품 소재로서의 개발 가능성이 있는 것으로 사료된다.

• 기록학연구
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• 제12호
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• pp.137-178
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• 2005

The anticommunist guerrillas' activities that aretheconcern of this article took place largely in North Korea or behind the enemy-held lines. Verifying their history is accordingly difficult and requires careful attention, but despite their active operations the military as well as the scholarly community have been lax in studying them. The Korean War came to be perceived as a traditional, limited war with regular battles, so that the studies addressed mostly the regular operations, and guerrilla warfare is remembered as an almost 'exclusive property' of the communist invaders; a small wonder that the anticommunist guerrillas have not been studied much and the collection of materials neglected. Therefore, in contrast with the witness accounts concerning regular battles, witness resources were of a small volume about these "patriots without the service numbers." For the above reasons the guerrilla participants and their later-organized fellowships took to the task of leaving records and compiling the histories of their units. They became active preservers of history in order to inform later generations of their works and also to secure deserved benefits from the government, in a world where none recognized their achievements. For instance, 4th Donkey Unit published witness accounts in addition to a unit history, and left video-recordings of guerrilla witnesses before any institute systematized the oral history of the guerrillas. In the case of Kyulsa ("Resolved to Die") Guerrilla Unit, the unit history was 10 times revised and expanded upon for publication, contributing substantially to the recovery of anticommunist guerrilla history which had almost totally lacked documented resources. Now because the guerrilla-related witness accounts were produced through fellowship societies and not individually, it often took the form of 'collective memory.' As a result, though thousands of former guerrillas remain surviving, the scarcity of numerous versions of, or perspectives upon, an event renders difficult an objective approach to the historical truth. Even requests to verify the service of a guerrilla member or to apply for decoration or government benefits for those killed in action, the process is taken care of not at the hands of the first party but the veteran society, so that a variety of opinions are not available for consideration. Moreover, some accounts were taken by American military personnel, and since some historians, unaware of official documents or evaluation of achievements, tended to center the records around their own units and especially to exaggerate the units' performances, they often featured factual errors. Thefollowing is the means to utilize positively the aforementioned type of witness accounts in military history research. It involves the active use of military historical detachments (MHD). As in the examples of those dispatched by the American forces during the Korean War, experts should be dispatched during, and not just after, wartimes. By considering and investigating the differences among various perspectives on the same historical event, even without extra documented resources it is possibleto arrive at theerrors or questionable points of the oral accounts, supplementing the additional accounts. Therefore any time lapses between witness accounts must be kept in consideration. Moreover when the oral accounts come from a group such as participants in the same guerrilla unit or operation, a standardized list of items ought to be put to use. Education in oral history is necessary not just for the training of experts. In America wherethefield sees much activity, it is used not only in college or graduate programs but also in elementary and lifetime educational processes. In comparison in our nation, and especially in historical disciplines, methodological insistence upon documented evidences prevails in the main, and in the fields of nationalist movement or modern history, oral accounts do not receive adequate attention. Like ancient documents and monuments, oral history also needs to be made a regular part of diverse resource materials at our academic institutes for history. Courses in memory and history, such as those in American colleges, are available possibilities.

• 생명과학회지
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• 제33권11호
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• pp.868-875
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• 2023

Kinesin-1은 kinesin superfamily (KIF) 단백질 중에서 처음으로 확인된 모터 단백질로 세포내 미세소관 의존하여 세포내 cargo를 수송한다. Kinesin-1은 두 개의 중쇄(KHC, 또는 KIF5)와 두 개의 경쇄(KLC)로 구성된다. KIF5A의 C-말단의 93개 아미노산은 KIF5B와 KIF5C의C-말단 꼬리 영역과는 상동성이 없다. 본 연구에서 우리는 KIF5A의 C-말단 영역과 특이적으로 결합하는 단백질을 분리하기 위해 효모 2-하이브리드 스크리닝을 하였다. 본 연구에서 우리는 KIF5A와 결합하는 단백질로 유비퀴틴화 경로 및 단백질 수송에 관여하는 어댑터 단백질로 기능하는 CUE 도메인을 가진 CUEDC2를 확인하였다. CUEDC2는 KIF5A의 C-말단 영역과 결합하지만, KIF5B, KIF3A 및KLC1과는 결합하지 않았다. KIF5A는 CUEDC2의 C-말단 영역과 특이적으로 결합하였지만, CUEDC2의 다른 isoform인 CUEDC1과는 결합하지 않았다. 또한, KIF5A와 CUEDC2의 결합은 글루타티온 S-트랜스퍼라제(GST) 풀다운으로 단백질간 결합을 확인하였다. HEK-293T 세포에서 myc-KIF5A와 FLAG-CUEDC2을 공동 발현되었을 때, CUEDC2는 kinesin-1과 공동 면역 침전되었고, myc-KIF5A와 EGFP-CUEDC2는 세포내의 같은 위치에서 발현하였다. 이러한 결과들은 kinesin-1에 의한 세포내 화물 수송에서 CUEDC2는 KIF5A에 결합하여 kinesin-1과 화물을 연결하는 어댑터 단백질 역할을 시사한다.

• 광물과 암석
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• 제36권4호
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• pp.289-302
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• 2023

본 연구지역은 강원도 횡성군 강림리로 치악산 편마암 지질에 해당된다. 본 연구지역의 지하수에서 우라늄 및 라돈 등과 같은 자연 방사성 원소의 농도가 규제기준을 초과한 것으로 조사되었다. 이에 해당 지하수 대수층에서 획득한 시추 코어를 대상으로 자연 방사성 원소의 용출 기작을 광물학적으로 규명하기 위해 인공풍화 실험을 수행하였다. 이를 위해 먼저 시추 코어시료의 실험 전 광물학적 특성을 분석한 결과, 저온 및 중온 열수 변성 작용을 받아 생성될 수 있는 녹니석계 클리노클로어의 함량이 높게 나타났다. 또한, 우라늄보다 토륨의 함량이 10배 정도 높은 것으로 확인되었다. 인공풍화 실험 결과, 함방사성원소 광물의 용해에 따라 1일 이내에 토륨의 농도가 증가하는 양상을 보이다가 그 이후에는 농도가 감소하는 경향을 보였다. 이는 이차광물 형태로 존재하는 토라이트의 용해에 의하여 토륨이 용출된 후, 황산염 등과 같은 형태로 재침전되기 때문인 것으로 판단된다. 시추 코어 내 우라늄의 함량이 토륨보다 낮지만, 풍화 실험 결과에서는 토륨보다 100배 이상의 농도로 용출된 것으로 확인되었다. 이는 우라늄이 풍화가 많이 된 토라이트에 함유되어 있거나 UO₂²⁺ 등의 이온 형태로 광물 표면에 흡착된 상태로 존재하면서 지속적으로 용해 또는 탈착되기 때문이다. 또한 토륨과 우라늄의 용출 양상은 탄산염의 농도와 양의 상관관계를 갖는 것으로 나타났다. 하지만, 지하수 내 토륨과 우라늄의 농도 사이의 상관성은 낮은 것으로 조사되었는데, 이는 앞서 설명한 바와 같이 두 원소가 다른 기원으로부터 지하수에 용출되기 때문인 것으로 판단된다. 두 방사성 원소의 용출속도는 다양한 반응속도 모델 중 Parabolic diffusion와 Pseudo-second order kinetic 모델에 의해 가장 잘 모사되는 것으로 확인되었다. 이러한 반응속도 모델의 회귀 상수들을 이용하여 우라늄의 농도가 먹는 물 수질기준까지 다다르는 기간을 유추해 본 결과, HCO₃의 농도가 높은 중성환경의 지하수 조건에서 약 29.4년으로, 대체적으로 빠르게 용출되는 것으로 예측되었다.

• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.165-203
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• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

• 한국환경생태학회지
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• 제31권4호
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• pp.349-364
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• 2017

좀개구리밥속(Lemna L.)이 속하는 개구리밥과(Lemnaceae Martinov)는 다년생 초본으로, 5속 약 40종이 극 지방을 제외한 전세계에 널리 분포한다. 좀개구리밥속 식물은 피자식물 중 크기가 가장 작고 형태가 단순한 부유성의 단자엽수생식물로 영양번식이 매우 빨라 약 3일마다 배로 증가하는 특성을 보여 수환경 오염 피해 평가나 독성 시험에 이용되는 등 유용성이 큰 식물로 평가되고 있다. 우리나라의 좀개구리밥속 종 분포에 대해서는 학자별로 다른 학명을 쓰기도 하였으나 1종이 존재하는 것으로 여러 학자들이 보고해 왔다. 본 연구에서는 한국산 좀개구리밥속 식물에서 관찰된 외부 형태적 변이에 주목하여, 2종 이상일 가능성을 염두에 두고 그 실체를 규명하고자 분자계통학적 방법으로 연구를 수행하였다. 전국적으로 분포하는 좀개구리밥속 식물 37개체군의 엽록체 DNA atpF-H 구간 염기서열을 결정한 결과, 염기서열 길이는 463-483bp인 것으로 확인되었고 37개체군의 염기서열을 정렬한 길이는 488bp였으며, 47개 뉴클레오티드지점에서 변이가 나타났다. 한국산 좀개구리밥속 식물 37개체군의 엽록체 DNA atpF-H 구간 염기서열은 크게 두 개의 유형으로 나누어졌으며, 계통분석 결과에서도 최대절약계통수에서 두 개의 clade로 나누어졌고, 그 중 한 clade는 두 개의 subclade로 다시 나누어졌다. 이는 현재까지 우리나라에 1종만 분포한다고 알려진 것과는 다른 결과로 최소 2개 이상 분류군(L.aequinoctialis, L.minor)이 국내에 분포한다는 것을 의미한다.

• Journal of Hospice and Palliative Care
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• 제13권3호
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• pp.169-180
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• 2010

목적: 본 연구는 죽음교육 참여자들의 죽음인식, 생의 의미, 죽음에 대한 태도 정도를 확인하기 위해 수행되었다. 방법: 서술적 조사연구로서 연구변수 측정을 위해 타당도와 신뢰도 검증을 거친 도구를 이용하였으며 연구대상자는 본 연구 참여를 허락한 270명이었으며, 최종 분석에 사용된 설문지는 205부가 활용되었다. 결과: 본 연구대상자들의 죽음인식 특성은 절반 이상에서 자신의 죽음을 생각해 본 경험이 있었으며 죽음수용에 대한 의사를 가졌고 죽음을 생각하게 된 이유는 질병과 자원봉사 경험이 관련이 되었다. 죽음 수용이 어려운 이유로 가족과의 이별 및 염려, 고통 등이 높게 나타났으며, 자신의 죽음에 대한 의논은 배우자, 친구, 자녀 순으로 높게 나타났으며 가장 희망하는 장례유형은 화장이었다. 자신의 생의 의미를 지각하는 정도는 다소 높게 나타났으며 자신의 죽음에 대해서 보통 이상에서 긍정적인 태도를 가지고 있었다. 생의 의미와 죽음에 대한 태도와는 순 상관관계를 보여 생의 의미가 높을수록 죽음에 대한 태도도 긍정적임이 파악되었다. 결론: 본 연구결과 죽음 교육 참여자들의 생의 의미와 죽음에 대한 태도는 긍정적인 상관관계를 보였으며 자신의 죽음을 준비하고 수용하는 정도는 질병과 자원봉사 경험과 관련이 있었다. 또한 죽음 수용의 어려움과 죽음준비교육이 필요로 되는 영역에서 공통적으로 파악된 점은 죽음에 대한 불안을 줄이는 방법, 이별과 사별 슬픔 극복 방법, 삶의 죽음의 의미 등에서 높은 빈도를 보였다. 대상자의 요구에 맞는 죽음 교육을 위해서는 자신의 삶과 죽음의 진정한 의미를 발견할 수 있고, 죽음의 불안과 두려움을 경감시키기 위한 지식, 가족과의 이별과 사별치유를 도울 수 있는 교육내용이 필수적으로 반영되어야 한다고 생각한다.

• Journal of Hospice and Palliative Care
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• 제14권2호
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• pp.81-90
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• 2011

목적: 본 연구는 서울시 노원구 주민을 대상으로 자신의 인생회고 및 품위 있는 죽음에 대한 인식 정도를 파악하고자 수행되었다. 방법: 본 연구는 서울시 노원구에 거주하는 40대 이상 성인을 대상으로 설문에 참여할 것을 서면 동의한 160명의 자료가 분석되었다. 본 연구팀에 의해 개발된 설문지는 내용타당도 검증절차를 통해 일부 문항이 수정되었으며, 설문내용은 총 28문항이었다. 수집된 자료는 서술적 통계방법을 이용하여 분석하였다. 결과: 대상자들이 가장 힘들었다고 회고하는 연령대는 30~40대였고 반면 가장 보람되었다고 생각하는 기간도 30~40대였다. 가장 힘든 인생고비경험에서, 개인적으로는 가족이 건강을 잃었을 때, 부부 및 자녀와의 갈등이 가장 힘들었던 사건으로 회고하고 있었고, 가장 힘들었던 사회관계는 삶에 대한 상실감 경험, 실패, 친척 및 친구의 배신 등 이었으며, 가장 보람되었다고 회고하는 내용에서, 개인적 사건은 목표성취, 인생의 역경 극복이었고, 가족관계에서는 자녀로 인한 즐거움이 월등히 높았고, 사회관계에서는 직업을 통한 사회공헌, 봉사활동, 성실한 종교생활이었다. 가장 후회하는 삶의 경험에는, 자신의 삶에서는 목적 없이 바쁘게만 살아온 것, 여유 있는 시간을 갖지 못한 것이었고, 부모형제관계에서는 부모의 뜻을 잘 살피지 못하고 많은 시간을 갖지 못한 것과 형제들과 불화이었으며, 자녀와의 관계에서는 올바로 훈육하지 못한 것과, 사랑을 많이 주지 못한 것이었다. 직장 및 사회관계에서는 원하는 직업을 갖지 못한 것과 관계보다는 일 중심으로 살아온 것과 대인관계 기술부족이 두드러진 회고내용이었으며 건강에 관해서는 운동이 부족한 점 등이었다. 대상자들이 인식하고 있는 임종과 죽음준비에 대한 내용으로, 약 60%에서 자신의 종교에 대한 강한 믿음을 가지고 있었고, 약 50%에서 종교에 따른 내세관을 소유하고 있었다. 무의미한 연명치료로 생명을 연장하는 상황에 처했을 경우, 약 87% 이상에서 본인 및 가족의 경우 모두 무의미한 연명치료 중단 의사를 가지고 있었으며, 불치의 질병인 경우 진단을 정확히 말해주기 원함, 유언장 및 사전의료의향서 작성하기 원함이 4점 척도 중 약 3.1점 이상으로 높게 나타났다. 결론: 본 연구결과를 토대로 중 노년층을 위한 죽음 준비교육 내용 중 인생회고 시간에서는 과거의 경험을 후회하는 사건이 아닌 일어난 사실 그대로 받아들이며 자신의 삶으로 통합하도록 돕는 기회가 주어져야 하며, 사전의료의향서를 작성함으로 연명치료 중단, 심폐소생술 금지, 임종 장소 등 자기결정권이 부여되는 품위 있는 죽음을 준비할 수 있도록 하는 수요자 중심의 죽음 준비교육을 제공해야 하겠다.

• 대한간호학회지
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• 제24권2호
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• pp.264-277
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• 1994

In Korea the concept of social support was first used as a research concept in nursing and has not had much application in the clinical field. Another problem is that research on social support has used a direct translation of the words “social support” into Korean as “sawhejuk jiji”. Three questions were posed to direct the re-search. 1) Is there a concept of social support in Korean society? 2) if so, what words or expressions are used to de-scribe it? 3) further, if so, how is social support structured and how does it function? In order to answer the research questions a three-step research methodology was used : The first step consisted of a literature review on re-search related to social support and on information on the background of, and the way of thinking re-lated to interpersonal relations among Korean people. The second step, which was done to identify whether there is a concept of social support in korean society, involved interviewing a sample of the population. The third step involved a panel discussion that included the members of the research team and three consultants, a sociologist, a philosopher and a scholor in korean literature. A review of the literature on interpersonal relationships in traditional korean society identified a four cirole structure that explains interpersonal relationships. The first circle with “me” at the center is the family but here “me” disappears into the “we” that is essential for a cooperative agricultural society. In the second circle are those close to “me” but outside the family. The third circle includes those with whom “I ” have infrequent but regular contact and with whom correct conduct is important. The last circle is all the people with whom “I” have nothing in common. They are excluded in interpersonal relationships. The literature on interpersonal relationships showed that within the traditional Korean society people lived in villages where most people were very familiar with each other. “Yun”, the social network established the connection and “Jung”, the feeling of affection increased with time as the connection was strengthened. In the traditional village psychological support was provided through “Mallaniki”, “Pumashi” and “Kae” with the latter two also providing material support. In modern Korea there are more informal and formal social networks, like social services and community activities on the formal level and cultural and leisure groups along with “kae’s on the informal level. But even with this modern variety of groups, most social support comes from informal networks that resemble the traditiorlal “Pumashi”, “Kai” md “Mallaniki”. The six member research team interviewed 65 people in order to identify whether there is a concept of social support and then analysed their responses. There were 20 different words describing the reception of the social support and these could be grouped into seven major categories : virtuous, fortunate, helped, supported, blessed, attached(receiving affection) and receiving (grace) benevolence. there were 27 words describing the act of social support which could be categorized into seven major categories : love, looking after, affection(attachment), kindness(goodness), faith, psychological help and material help. for the meaning of social support translated as “sawhe juk jiji” there were a total of 14 different answers which could be categorized into 3 major categories : help, agreement, and faith. In third step, the results of the literature review and the answers to the questions were discussed in a pannel. The results of the discussion led to the following definition of social support in Korea which is shaped like a the four sided pyramid on a base. Social support is the apex of the pyramid and four sides are made up of : “do-oom” (both emotional and material help), “jung” (connectedness, or relationship bound by affection, regard or shared common experience ), “midum” (faith or belief in), “eunhae” (kindness or benevolence). The research team identified “Yun”( the basic network of relationships) as the base of the pyramid and as such the foundation for the components of social support in Korean culture. On “Yun” rest the other four components of social support : “Jung”, “Midum”, “Do-oom”, and “Eunhae”, For social support to take place there must be “Yun”. This is an important factor in social support. In private social network “Jung” is an essential factor in social support. But not in the public social network. “Yun” is a condition for “Jung” and “Jung” is the manifestation of support.

• Child Health Nursing Research
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• 제2권2호
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• pp.45-57
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• 1996

A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.