• Title/Summary/Keyword: Death recognition

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Nucleotide-binding oligomerization domain protein 2 attenuates ER stress-induced cell death in vascular smooth muscle cells

  • Kwon, Min-Young;Hwang, Narae;Lee, Seon-Jin;Chung, Su Wol
    • BMB Reports
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    • v.52 no.11
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    • pp.665-670
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    • 2019
  • Nucleotide-binding oligomerization domain protein 2 (NOD2), an intracellular pattern recognition receptor, plays important roles in inflammation and cell death. Previously, we have shown that NOD2 is expressed in vascular smooth muscle cells (VSMCs) and that NOD2 deficiency promotes VSMC proliferation, migration, and neointimal formation after vascular injury. However, its role in endoplasmic reticulum (ER) stress-induced cell death in VSMCs remains unclear. Thus, the objective of this study was to evaluate ER stress-induced viability of mouse primary VSMCs. NOD2 deficiency increased ER stress-induced cell death and expression levels of apoptosis mediators (cleaved caspase-3, Bax, and Bak) in VSMCs in the presence of tunicamycin (TM), an ER stress inducer. In contrast, ER stress-induced cell death and expression levels of apoptosis mediators (cleaved caspase-3, Bax, and Bak) were decreased in NOD2-overexpressed VSMCs. We found that the $IRE-1{\alpha}-XBP1$ pathway, one of unfolded protein response branches, was decreased in NOD2-deficient VSMCs and reversed in NOD2-overexpressed VSMCs in the presence of TM. Furthermore, NOD2 deficiency reduced the expression of XBP1 target genes such as GRP78, PDI-1, and Herpud1, thus improving cell survival. Taken together, these data suggest that the induction of ER stress through NOD2 expression can protect against TM-induced cell death in VSMCs. These results may contribute to a new paradigm in vascular homeostasis.

Development and Evaluation of an Education Program for Professional Palliative Care Nursing

  • Yeun, Young-Ran;Kwon, Min;Lee, Kyoung-Soon
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.139-146
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    • 2015
  • Purpose: This study aimed to develop a "Palliative Care Professional" education program and evaluate its effects on the recognition of good death, palliative care, and the meaning of life for nurses. Methods: It was developed based on the hospice care program for volunteers being used in the Hospice Palliative Care Research Center of S University in Seoul. It was also based on the studies which investigated the educational needs of nurses in palliative care. This program consisted of 5 sessions and 16 content items for 2 weeks. A non-equivalent control group non-synchronized design was utilized and participants were assigned to the experimental group (n=42) or the control group (n=44). Results: The recognition of a good death (F=11.44, p=.001), palliative care (F=4.15, p=.045), and the meaning of life (F=5.12, p=.026) increased more significantly for participants in the experimental group than in the control group. Participants felt that they gained further knowledge in palliative patient management and refined their clinical practice. Conclusion: The results of the study indicate that this program could serve as a practical program for palliative care nursing in the nursing field and suggests that more attention should be directed to the diverse educational needs of nurses.

FPGA Implementation of an Artificial Intelligence Signal Recognition System

  • Rana, Amrita;Kim, Kyung Ki
    • Journal of Sensor Science and Technology
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    • v.31 no.1
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    • pp.16-23
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    • 2022
  • Cardiac disease is the most common cause of death worldwide. Therefore, detection and classification of electrocardiogram (ECG) signals are crucial to extend life expectancy. In this study, we aimed to implement an artificial intelligence signal recognition system in field programmable gate array (FPGA), which can recognize patterns of bio-signals such as ECG in edge devices that require batteries. Despite the increment in classification accuracy, deep learning models require exorbitant computational resources and power, which makes the mapping of deep neural networks slow and implementation on wearable devices challenging. To overcome these limitations, spiking neural networks (SNNs) have been applied. SNNs are biologically inspired, event-driven neural networks that compute and transfer information using discrete spikes, which require fewer operations and less complex hardware resources. Thus, they are more energy-efficient compared to other artificial neural networks algorithms.

Recognition of Good Death, Attitude towards the Withdrawal of Life-Sustaining Treatment, and Attitude towards Euthanasia in Nurses (좋은 죽음에 대한 인식, 연명치료 중단 및 안락사에 대한 종합병원 간호사의 태도)

  • Kim, Sook-Nam;Kim, Hyun-Ju
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.136-144
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    • 2016
  • Purpose: To provide practical data for bioethics education, we identified correlations between recognition of good death, attitude towards withdrawal of meaningless life-sustaining treatment, and attitude towards euthanasia in nurses. Methods: Using convenience sampling, we recruited 218 nurses who had at least six-month work experience in one of the six general hospitals with 500 or more beds in Seoul, Busan, and Gyeongsang province. All participants understood the purpose of the study and agreed to take part in the study. The research tools used included the Concept of Good Death Measure (CoGD), the measurement tool for attitudes towards withdrawal of meaningless life-sustaining treatment (WoMLST), and the measurement tool for attitudes towards euthanasia. Data were analyzed using an Independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS 21 for Windows. Results: Nurses had normal levels on CoGD, WoMLST, and attitudes towards euthanasia. Nurses' CoGD, WoMLST, and euthanasia scores significantly differed depending on their education level, working period, and the importance of religion to them. A negative correlation was found between the CoGD and WoMLST scores, and WoMLST and euthanasia scores were positively correlated. Conclusion: Nurses should be trained to deal with ethical issues that may arise while caring for terminal patients. It is necessary for nurses to understand the concepts related to CoGD, WoMLST, and euthanasia, and to promote bioethics education with focus on decision-making and problem-solving ability in ethically conflicting situations.

Position Recognition and User Identification System Using Signal Strength Map in Home Healthcare Based on Wireless Sensor Networks (WSNs) (무선 센서네트워크 기반 신호강도 맵을 이용한 재택형 위치인식 및 사용자 식별 시스템)

  • Yang, Yong-Ju;Lee, Jung-Hoon;Song, Sang-Ha;Yoon, Young-Ro
    • Journal of Biomedical Engineering Research
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    • v.28 no.4
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    • pp.494-502
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    • 2007
  • Ubiquitous location based services (u-LBS) will be interested to an important services. They can easily recognize object position at anytime, anywhere. At present, many researchers are making a study of the position recognition and tracking. This paper consists of postion recognition and user identification system. The position recognition is based on location under services (LBS) using a signal strength map, a database is previously made use of empirical measured received signal strength indicator (RSSI). The user identification system automatically controls instruments which is located in home. Moreover users are able to measures body signal freely. We implemented the multi-hop routing method using the Star-Mesh networks. Also, we use the sensor devices which are satisfied with the IEEE 802.15.4 specification. The used devices are the Nano-24 modules in Octacomm Co. Ltd. A RSSI is very important factor in position recognition analysis. It makes use of the way that decides position recognition and user identification in narrow indoor space. In experiments, we can analyze properties of the RSSI, draw the parameter about position recognition. The experimental result is that RSSI value is attenuated according to increasing distances. It also derives property of the radio frequency (RF) signal. Moreover, we express the monitoring program using the Microsoft C#. Finally, the proposed methods are expected to protect a sudden death and an accident in home.

Recognition of Well-dying, Health-related Quality of Life and Repulsion-related Nursing Home of Community-dwelling Older Adults (지역사회 거주 노인의 웰다잉 인식, 건강 관련 삶의 질 및 노인시설 관련 거부감)

  • Kim, So-Young;Lee, Hyun-Ju;Kim, Sook-Nam
    • Journal of muscle and joint health
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    • v.31 no.1
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    • pp.31-41
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    • 2024
  • Purpose: This study aimed to measure the relationship between the recognition of well-dying, health-related quality of life (HRQoL), and repulsion-related nursing homes and community-dwelling older adults. Method: A descriptive survey was conducted among 505 community-dwelling older adults aged over 65 years. Data were collected from October 25 to November 30, 2023, and analyzed using a t-test, one-way ANOVA, and Pearson's correlation coefficients with SPSS/WIN 26.0. Results: The results reveal that the subjects' recognition of well-dying was 2.30, HRQoL was 0.84, and repulsion-related nursing home was 3.31 points. Recognition of well-dying was significantly correlated with HRQoL (r=.10, p=.024). Conclusion: The results indicate that consumer-centered, well-dying education programs for community-dwelling older adults should be developed and applied continuously through effectiveness verification.

Correlation between death attitude and life ethics, according to the perception of life stress among paramedic department students (응급구조학과 학생의 생활스트레스에 따른 죽음인식태도와 생명윤리의식과의 상관관계에 관한 연구)

  • Kim, Seung-Hee;Kim, Jung Sun;Lee, Hyo-Cheol;Ko, Dae-Sik;Lee, Mi-Lim;Kang, Kwang-Soon;Kim, Chul-Tae
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.1
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    • pp.103-115
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    • 2020
  • Purpose: This descriptive study investigated the relationship between death awareness and life ethics awareness, according to life stress, among students in the department of paramedics. Methods: General characteristics were identified using means and frequency, and the differences between the two military models were analyzed using the χ2-test and t-test by dividing them into lower and higher groups based on the mean life stress score (99.76 points). Results: Those with high life stress had higher death awareness than those with low life stress at 114.11 points. In contrast, those with low life ethics experienced more severe life stress with a score of 145.61 points (t=-2.609, p=.010)(t=-2.953, p=.003). The death recognition attitude and bioethics according to the degree of living stress-showed a significant correlation between the low and high groups (r=.188, p=.043) (r=.201, p=.042). Conclusion: Paramedic students require education on how to cope with life stress. However, access to education is limited to people living in modern times. As a potential solution to this problem, observing videos on the Internet is recommended. Moreover, we suggest accessing Internet and smart phone applications for advertising/educational purposes.

Clinical Results of Esophageal Perforation (식도천공의 임상적 고찰 -16례 보고-)

  • 신호승
    • Journal of Chest Surgery
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    • v.27 no.1
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    • pp.43-47
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    • 1994
  • Prompt recognition and proper treatment of esophageal perforation or rupture may ax~ert death or minimize complications. We have experienced sixteen patients of esophageal perforation at the department of thoracic and cardiovascular surgery, Hallym Medical college during the period fromJan. 1986 to Sep. 1993. The ratio between male and female patient was 13:3 and their age ranged from 23 years to 67 years old. The major cause of esophageal perforations was spontaneous rupture in 7 cases[45%], surgical trauma in 2 cases[12%], instrumental trauma in 2 cases[12%], and others in 5 cases[31%]. The common site of esophageal perforation was in the lower third portion of the esophagus[10 cases, 62%]. The most consistent symptom of esophageal perforation was chest pain in 11 cases, temperature elevation within a few hours was 9 cases.Contrast roentgenographic studies demonstrated the perforation in all but 2 of the 16 patients. The frequent complications of esophageal perforation were empyema in 7 cases[45 %] and mediastinitis in 2 cases[12%]. fourteen patients had suture closure and drainage with 2 deaths, and 2 patient received only drainage procedures. The mortality rate was 12%[2 cases] and cause of death was sepsis and aortic rupture.

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Immune Evasion of G-CSF and GM-CSF in Lung Cancer

  • Yeonhee Park;Chaeuk Chung
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.1
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    • pp.22-30
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    • 2024
  • Tumor immune evasion is a complex process that involves various mechanisms, such as antigen recognition restriction, immune system suppression, and T cell exhaustion. The tumor microenvironment contains various immune cells involved in immune evasion. Recent studies have demonstrated that granulocyte colony-stimulating factor (G-CSF) and granulocyte-macrophage colony-stimulating factor (GM-CSF) induce immune evasion in lung cancer by modulating neutrophils and myeloid-derived suppressor cells. Here we describe the origin and function of G-CSF and GM-CSF, particularly their role in immune evasion in lung cancer. In addition, their effects on programmed death-ligand 1 expression and clinical implications are discussed.