• 제목/요약/키워드: Life and Death

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Programmed Cell Death in Bacterial Community: Mechanisms of Action, Causes and Consequences

  • Lee, Heejeong;Lee, Dong Gun
    • Journal of Microbiology and Biotechnology
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    • v.29 no.7
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    • pp.1014-1021
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    • 2019
  • In the bacterial community, unicellular organisms act together as a multicellular being. Bacteria interact within the community and programmed cell death (PCD) in prokaryotes is a sort of altruistic action that enables the whole population to thrive. Genetically, encoded cell death pathways are triggered by DNA damage or nutrient starvation. Given the environmental and bacterial diversity, different PCD mechanisms are operated. Still, their biochemical and physiological aspects remain unrevealed. There are three main pathways; thymineless death, apoptosis-like death, and toxin-antitoxin systems. The discovery of PCD in bacteria has revealed the possibility of developing new antibiotics. In this review, the molecular and physiological characteristics of the three types of PCD and their development potential as antibacterial agents are addressed.

Qualitative Study on Social Workers' Experiences and Roles during End-of-Life Care in Elderly Long-Term Care Facilities (노인 장기요양기관에 종사하는 사회복지사의 임종 케어 경험과 역할에 관한 질적 연구)

  • Kim, Eun-Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.503-517
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    • 2022
  • This study was to investigate the social workers' psycho·social experiences and roles during the end-of-life care process in elderly long-term care facilities. As a result of data analysis through in-depth interviews, social workers experienced great exhaustion and burnout due to frequent death experiences during the end-of-life care process, and expressed regret for not being able to provide better service for the deceased and longing for loved ones. And in the event of a sudden death, social workers would undergo criticism and complaints. The main roles of social workers during end-of-life care were to contact and communicate with family members when signs of death appeared and support them after the death. The necessity of standardized manuals and education for end-of-life care, a recharging program and support group to prevent burnout of social workers, and a legal safety net for emergency preparedness and emergency measures were suggested. The necessity of death preparation education, hospice care, and advance medical directive was also emphasized for the dignified death of the elderly.

A Study on the Attitudes toward Death of the Elderly People (노인들의 죽음에 대한 태도 조사 연구)

  • 김귀분
    • Journal of Korean Academy of Nursing
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    • v.8 no.1
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    • pp.85-98
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    • 1978
  • This study was designed to investigate the elderly people's attitude toward death for the purpose of identifying the issues needed in the planning of health management and care activities for the aged. The total number of subjects in this study was 354 elderly people who were accommodated in house for elderly people (185) and school for elderly people (169). The scale for the attitude toward death of aged persons as an instrument of this study was mainly constructed with reference to Schneidman's attitude questioners toward death modified of adjust the Korean cultural characteristics and attitudes concerning death. Theresultsofthisstudywereasfollows: - 1. Out of total 45.8% of the respondents consider that death is a natural phenomena and ending of life. The responses on the meaning of death appeared differently : non-religions (48.1%) and oriental religions (50.3%) consider death as a natural phenomena however western religions (47.4%) consider that death is God's call. This difference was statistically significant. (x$^2$= 56.6419. df = 10. p<0.01). Respondents with a spouses (52.4%) think death is a natural phenomena opposed to respondent without spouses (33.3%). This was statistically significant. (x$^2$= 14.7134. df= 5 p<0.05). 2. Respondents in the house for aged persons (51.9%) replied. They do not wanted death because it meant a separation from their family as compared to those from school for aged persons (26.0%). 57.9% responded that they want to be told when death is confronted. 3. 51.2% of the respondents replied that the main factor to influence their attitude toward concept of death was the dying of their friends & relatives. 79.9% of respondents expressed that wished to die. The main reason for dying was economic shortage (28.3%). 4. 70.1% of the respondents want their body to be hurried while only 1.1% of the respondents want to donate their body to a medical research. 5. Over two thirds of the respondents replied that they do not believe in a life in heaven or that they will be rebirth. 6. The questioners of this study stimulated 56.8% of the respondents to feel that they should spend the leu of their life more effectively and 15.5% of the respondents felt it gave them the opportunity to think about their death seriously.

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Considering Death and Condolences from an Educational Perspective: How to Examine Condolences in Response to Death in Death Education (죽음과 애도에 대한 고찰과 교육 가능성 탐색: 죽음 교육에 앞서 죽음에 대한 반응으로서의 '애도'를 어떻게 볼 것인가)

  • Lee, Ki-Byung
    • Korean Medical Education Review
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    • v.22 no.3
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    • pp.163-172
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    • 2020
  • Medical treatments as universal care have been turning into delivering medical technology. Coping with death, which is prevalent in all medical circumstances, without comprehensive understanding results in missing out on significant aspects between life and death. This makes doctors surrender easily to a conventional and binary division of life and death and reduces the chance of including death as a part of the medical realm. Furthermore, in terms of medical education, we need to have the opportunity to consider such subjects that can benefit from special planning and consideration. Through reviewing articles in a variety of disciplines such as medicine, philosophy, psychology, literature, and anthropology, we can better understand death, condolences, and the relevance between them in a contextual way. In order to seek a better approach, this study also aims to survey and review the recent state of death education in diverse fields of medicine in Korea. In conclusion, if it is complicated for us to explain or understand death in general, focusing on condolences as a human response to death could be one meaningful way that deserves contemplation. It is possible to regard condolences as a touchstone and a prerequisite in death education itself.

Social Implication of Living Wills, Advance Directives and Natural Death Act in Korea (생전유언, 의료지시서, 자연사법(natural death act) 입법의 사회적 함의)

  • Lee, In-Young
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.413-459
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    • 2008
  • The Law has intervened to define rare circumstances in which a person should choose continuing life in United States. On the one hand, the law has traditionally acted to preservelife and to respect the sanctity of life. On the other hand, one's control over one's own body, and the right to determine what kind of medical care one will receive, is equally well respected and historically grounded. The competent patients have the right to forgo life-sustaining treatment, courts in United States have left many unanswered questions about the nature of that right. The right to choose to forgo life-sustaining treatment is a manifestation of a patient's autonomy interest. In United States, The Karen Quilan case gave rise to legislative activity in the host of state capitals, and several states had adopted statutes that formally recognized some forms of written directives describing some circumstances in which certain kinds of medical care could be terminated. These statues were sometimes dominated 'living will' acts, sometimes 'right to die' acts and ocasionally 'natural death' acts. Today virtually every state has produced a living will statue. In Korea, courts do not permit a terminally ill person to withhold or withdraw life-sustaining treatment. Living wills apply in case of terminal illness owing to a defect in legislation. Now In Korea, these lively dispute of legal policy on the preconditions and concrete procedure of living will act and natural death act. Through the legislation of living will act and natural death act, we should prepare some circumstances to respect patient's autonomy on the right to die. We should frame the cultural standard to make a decision of forgoing life-sustainin1g treatment under the discreet procedure.

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Development and Evaluation of Death Education Program for Nursing Students (간호대학생을 위한 죽음교육 프로그램 개발 및 효과)

  • Kim, Soon-Hee;Kim, Dong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.3
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    • pp.277-286
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    • 2015
  • Purpose: This study was done to develop a death education program for nursing students and evaluate the effects of the program. Methods: The education program was developed based on ADDIE model. The death education program was developed on the base of educational needs, a comprehensive review of the literature and focus group interviews and then evaluated with 53 nursing students, 27 in the experimental and 26 in the control group. Measurement was done for the meaning of life using the tool by Choi et al (2005) for attitudes concerning death, the tool Thorson and Powell (1998) revised by Kim (2006) and for attitude to end-of-life patient care, the Attitudes toward Nursing Care of the Dying Scale by Frommelt (1991) translated by Cho and Kim (2005). Results: The program consisted of five sessions: Understanding of death, Family bereavement care, Communication and End-of-life patient care, Professional role, and Ethics and legal issues There was a statistically significant difference between pretest and posttest for the meaning of life in the experimental group compared to the control group. About 82% of students in the experimental group were satisfied with the program. Conclusion: The results indicate that this program can be used to educate nursing students.

The Oriental Idea and the Existential Affliction of Don Quijote (돈키호테의 실존적 고뇌와 동양사상)

  • Lim, Juin
    • Cross-Cultural Studies
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    • v.22
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    • pp.151-175
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    • 2011
  • In this article, I have analyzed the signification of the death of Don Quijote from the oriental religious and philosophical point of view, comparing with the novels of Kim, DongRi. We are able to read Cervantes' hope for his absolute ideal to be lasting forever via the death of Don Quijote, in the base of a strong will named of Gukyeong's life. In the same time, we can also discovery death as lasting of life in the basis of buddhist idea and death as the unification with nature via the meeting between the living and the dead in the Montesinos Cave. Montesinos Cave symbolizes a unclassified and chaotic space, which the Shamanist can meet the dead with a extatic ceremony and both supernatural life and daily life coexist. Therefore, the symbolic death of Don Quijote in Montesinos Cave is abe to be explained by approaching to absolute freedom named of Hatal, in other words, voluntary and conscious death to escape from the yugo of being. Considering the fact that Kim, Dongri emphasized on the unification of sky, earth and human being, keeping a racial identification in the face of the stream of occidental materialism in the time of Japanese conquest, we can look for the similarity with Cervantes' ideal. Contrary to the religious dogmatic ideal, Cervantes treated to recover the human nature and vitality, transcending the occidental rationalism and religious ideology in the time of Counter-reformation.

A Study about the Model of Subjective Quality of Life for the Elderly: Focused on the Mediating Effects of Death Anxiety (노인의 주관적 삶의 질 모형 연구: 죽음불안의 매개효과를 중심으로)

  • Lim, Seung Hee;Roh, Seung-Hyun
    • 한국노년학
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    • v.31 no.1
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    • pp.1-14
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    • 2011
  • The purpose of this study is to develop a research model and to verify the effects death anxiety has on subjective health status, economic status, depression and social support for the elders and their quality of life. The survey targeting 330 elders from the 17 senior citizen centers in Dong-do-chun and Nam-yang-ju city was carried out from 2008.8.1 to 2008.9.31. To summarise the research result, 6 hypotheses among 9 hypotheses concerning the direct effects were supported. In another words, health status, depression and social support are valid and the direct effect of depression, social support and death anxiety are valid as subjective quality of life as an endogenous variable. In the case of indirect effects, 2 indirect effects among all 4 indirect effect hypotheses are valid. In another words, the effect the subjective health status has on the subjective quality of life is valid as the mediating effects of death anxiety and the effect depression has on the subjective quality of life is also valid as the mediating effects of death anxiety. Based on the results of this study, a proposal to reduce death anxiety among the elderly is suggested.

Factors Affecting the attitude to death of Social Welfare Students (사회복지전공 대학생의 죽음에 대한 태도의 영향요인)

  • Kim, Bo-Mi
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.545-553
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    • 2021
  • This research was conducted to examine the attitude to death, and identify factors influencing attitude to death, in social welfare students. Data were collected from 179 social welfare students. in two universities. Data were collected from April to June 2021 using structured questionnaires. Data collected were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis. The results indicated that meaning in life(r=.34, p=.001) had a significant positive association with attitude to death. And life satisfaction(r=.61, p<.001) and resilience(r=.65, p<.001) were positively correlated with attitude to death, The significant predictors of attitude to death, were grade(β=.21, p=.002) and life satisfaction(β=.22, p=.013), explaining 20.2% of the variance. Based on the study results, we suggest that it is necessary to develop counseling and attitude to death programs that can positively change the attitude of social welfare students

Types of Students' Death Attitudes Majoring in Human Service Area : Q-Methodological Approach (휴먼서비스 전공분야 대학생의 죽음태도 유형 -Q 방법론적 접근-)

  • Jo Kae-Hwa;Lee Hyun Ji;Lee Yun Ju
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.829-841
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    • 2005
  • Purpose: The purpose of this study was to analyze death attitudes of students majoring In the human service area, such as nursing science, education, and social welfare. Method: The Q-methodology which provides a method of analyzing the subjectivity of each item was used, The 38 selected Q-statements from each of 42 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. Result: Four types of death attitudes for research subjects in nursing, education, and social welfare areas were identified. Type I is fatalistic admission, Type II is pursuit of existential life, Type III is uncertainty of life after death, and Type IV is separation-connection between life and death. Conclusion: The results of the study indicate that different approaches of death educational programs are recommended based on the four types of death attitudes.