• 제목/요약/키워드: death anxiety

검색결과 194건 처리시간 0.029초

만프레도 타푸리의 이데올로기 비판 독해를 위한 이중의 문맥 (Doble Contexts for Reading Manfredo Tafuri's Criticism of Ideology)

  • 박정현
    • 건축역사연구
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    • 제25권2호
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    • pp.21-30
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    • 2016
  • Autonomia movement that emerged in Italy in the 1960s from workerist (operaismo) communism gives historical and discursive context to Manfredo Tafuri's famous criticism of ideology. His thesis on the death of architecture was a radical criticism of Keynesian intervention which was a strategy to cope with the Great Depression. For him, this capitalist development had taken away ideological prefiguration from architecture. At least Tafuri's this early intellectual phase was formed in the wake of magazine Contrapiano and Antonio Negri's influence. Tafuri almost entirely adapted Negri's thought on the importance of capitalist innovation that was uncovered by Keynes, Schumpeter, and Manheim and the periodization in modern history. When we read Tafuri's text with this concrete context, we can avoid being plunged into his abstruseness. On the other hand, 1980's Korea cannot understand Tafuri comprehensibly. 1980's situation to struggle to acquire democracy prescribed only one mode of reception of Tafuri's historiography in Korea. Tafuri's so-called pessimist view point could not satisfy student activists. They want to take intellectual means to sustain student movement and to secure political dynamics of protest. But at the same time they have anxiety to understand tafuri's thesis that they consider ad a critical theory for Korean Architecture. Double contexts of Tafuri's criticism of ideology bring to light to historicize both Tafuri's historiography itself and reception of his text in Korea.

공공자연재해보험의 도입방안 - Microinsurance와 Index Insurance를 중심으로 (A Plan for a New Public Natural Disaster Insurance -With priority given to Microinsurance and Index Insurance)

  • 김정인;오경희
    • 환경정책연구
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    • 제10권1호
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    • pp.151-173
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    • 2011
  • 기상재해는 해가 갈수록 증가하고, 엄청난 재산 및 인명 피해를 발생시키고 있으며 반복적으로 매년 정부는 엄청난 액수를 들여 재난 피해를 복구하고 있다. 이제는 기후변화로 인한 기상재난에 대해서 정부가 모든 것을 다 부담할 수 없음으로 인해 민간 또한 재난을 준비하는 장기적이고 예방적인 자연재해보험정책을 논의할 때이다. 무엇보다도 중요한 것은 단순한 재해보험도입이 아니라 재해 발생 시 가장 큰 피해를 입는 저소득층의 미래에 대한 불안 감소와 빠른 복구를 가능케 하는 사회보장적 성격을 지닌 재해보험을 도입한다는 것이고, 현실적으로 실행 가능한 방안으로 현재 시행중인 microinsurance(소액서민보험) 방식과 index insurance(지수보험) 방식을 혼용하여 도입하는 것이 바람직할 것으로 판단된다.

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위암환자 가족들의 경험세계에 관한 연구 (Lived Experience of the Family Members of Gastric Cancer Patients)

  • 이명선
    • 대한간호학회지
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    • 제27권2호
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    • pp.275-288
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    • 1997
  • The purpose of the study is to explore and describe the lived experience of family members with gastric cancer patients using the grounded theory methodology. The participants were ten spouses of gastric cancer patients who had some kind of treatment at the hospital. They were asked open-ended and descriptive questions in order for them to talk about their experiences in their own terms. As the interveiw progressed the questions became more specific to discuss themes and working hypotheses that emerged from the analysis of previous interviews. All interviews were tape-recorded and transcribed for the analysis. Constant the core category that was emerged from the comparative analysis is “magmaggam” which can be described as a psychological distress due to a high level of uncertainty regarding the health of the patient and the future of the caregivers. Psychological distress includes several emotional feelings such as frustration. anxiety, fear, guilty, and self depreciation. Subcategories or strategies related to the core category are 1) managing illness, 2) using folk medicine, 3) giving the patient a reason to live, 4) being patient, 5) losing reality, 6) anticipatory experience on the patient's death and parting, and 7) changing interpersonal relationships. The results of this study would help clinical nurses to develop nursing intervention to help spouses of gastric cancer patients establish efficient coping strategies in dealing with the problems they face.

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소방공무원의 외상 후 스트레스 경험 (Post-traumatic Stress Experienced by Firefighters and Paramedics)

  • 이나윤;하양숙
    • Perspectives in Nursing Science
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    • 제9권2호
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    • pp.83-93
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    • 2012
  • Purpose: The purpose of this study was to describe the post-traumatic stress experiences of firefighters and paramedics. Methods: The participants were 20 fire fighters and paramedics who belong to the Busan Fire Department. Data were collected through in-depth, unstructured audio-taped interviews by the investigator over a six-month period. The participants were asked to describe their post-traumatic stress. The data were analyzed according to Giorgi's method for phenomenological analysis. Results: The interview data were organized by theme into 7 categories that emerged from the analysis. Participants faced various post-traumatic stresses working as fire fighters or paramedics. The categories were suffering from disastrous situations, feeling of fear and helplessness in the face of death, re-experiencing vividly the past traumatic situation, avoiding painful reminders of the trauma, emotional numbing as time passes, suffering from emotional arousal and increased anxiety, and struggling to cope with the post-traumatic stress. Conclusion: This study provides a better understanding of post-traumatic stress experiences from fire fighters and paramedics and the knowledge gained from this study will help in developing appropriate post-traumatic stress management programs.

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만성신부전 환자들의 혈액투석 경험 (Experience of Hemodialysis in the Chronic Renal Failure Clients)

  • 신미자
    • 기본간호학회지
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    • 제3권2호
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    • pp.235-246
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    • 1996
  • The purpose of this study was to discover the experience of hemodialysis which clients confronted hemodialysis at the same time as CRF diagnosis and to understand the nature and meaning of their crisis experience. The research subjects were 6 clients receiving hemodialysis in Seoul from Jan. 1996 to Jul. 1996. Data were collected by informal indepth interview and participant observation. Content Analysis(by Seaman & Verhonick, 1982; Woods & Catanzaro, 1988) was applied to collect similar contents and common experience in order to derivate concepts and categories for better understanding of their hemodialysis experience. As a result, 6 categories derivated to indentify their hemodialysis experience of the CRF clients-confronted hemodialysis at the same time as CRF diagnosis-were as follows: 1) The category of shocking crisis composed the concepts of shock, amagement and suffocation. 2) The category of denial composed the concepts of disease refusal and hemodialysis refusal. They repeatedly visited hospitals or didn't visit hospital in order to refuse disease, then depended on folk remedy or shamanistic method. 3) The category of severe anxiety composed the concepts of abandoned feeling, shame, resentment, neurosis and anger. 4) The category of depression composed the concepts of grief, suffering of unfairness, tearing, desire to death. 5) The category of powerlessness composed the concept of hopelessness. 6) The category of resigned acceptance composed the concepts of resignation and acceptance. In this study, the CRF clients who confronted hemodialysis at the same time as CRF diagnosis experienced six stages in accepting hemodialysis but these stages were mingled simultaneously and went on.

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Qualitative content analysis of journals of cadaver practice experiences in nursing students

  • Hyunjung Lee
    • International journal of advanced smart convergence
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    • 제12권3호
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    • pp.109-118
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    • 2023
  • This study attempted to identify the experiences of nursing students' participation in cadaver practice and provide a basis for understanding students' experiences in cadaver practice, which can be reflected in the development of programs for them. By applying the content analysis method according to the guidelines by Krippendorff to analyze the meaning of the experience of participating in cadaver practice among 80 nursing students who participated in cadaver practice at K University in W-si, Gangwon-do, a total of 4 areas, 13 categories, and 25 meaningful statements were derived. The categories included "worried," "surprised," and "fear" in the anxiety domain; "interesting," "knowing," and "focused" in the immersion domain; "value of life," "gratitude and remembrance," "thinking about donation," "facing death," and "precious body" in the reflection domain; and "motivation" and "sense of accomplishment" in the growth domain. The results of this study will help to understand the physical and psychological reactions that nursing students may experience during cadaver practice, and will provide a basis for developing various strategies such as counseling, education, and reflection programs in conjunction with cadaver practice to help nursing students cope with stress, develop a sense of ethical responsibility, and develop a positive self-image as nursing students in order to be successful in cadaver practice. This study is also significant because it provides a basis for preventive program interventions for experiences related to the negative effects of cadaver practice.

Lipocalin-2 Secreted by the Liver Regulates Neuronal Cell Function Through AKT-Dependent Signaling in Hepatic Encephalopathy Mouse Model

  • Danbi Jo;Yoon Seok Jung;Juhyun Song
    • Clinical Nutrition Research
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    • 제12권2호
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    • pp.154-167
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    • 2023
  • Hepatic encephalopathy (HE) associated with liver failure is accompanied by hyperammonemia, severe inflammation, depression, anxiety, and memory deficits as well as liver injury. Recent studies have focused on the liver-brain-inflammation axis to identify a therapeutic solution for patients with HE. Lipocalin-2 is an inflammation-related glycoprotein that is secreted by various organs and is involved in cellular mechanisms including iron homeostasis, glucose metabolism, cell death, neurite outgrowth, and neurogenesis. In this study, we investigated that the roles of lipocalin-2 both in the brain cortex of mice with HE and in Neuro-2a (N2A) cells. We detected elevated levels of lipocalin-2 both in the plasma and liver in a bile duct ligation mouse model of HE. We confirmed changes in cytokine expression, such as interleukin-1β, cyclooxygenase 2 expression, and iron metabolism related to gene expression through AKT-mediated signaling both in the brain cortex of mice with HE and N2A cells. Our data showed negative effects of hepatic lipocalin-2 on cell survival, iron homeostasis, and neurite outgrowth in N2A cells. Thus, we suggest that regulation of lipocalin-2 in the brain in HE may be a critical therapeutic approach to alleviate neuropathological problems focused on the liver-brain axis.

생명존중교육프로그램이 중학생의 생명존중의식과 생명존중태도에 미치는 영향 (The Effects of a Life-Respect Education Program on Middle School Students' Values on Life-Respect)

  • 송미경;김경란;박천만
    • 한국학교ㆍ지역보건교육학회지
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    • 제15권1호
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    • pp.105-119
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    • 2014
  • Objectives: This study investigates the factors influencing values on life-respect among middle school students. Methods: The participants in this study were 126 students from S middle school and Y middle school, both located in Gyeongnam province. The experimental group consisted of 40 students from S middle school, Control group-Iconsisted of 39 students from S middle school, and Control group-II consisted of 47 students from Y middle school. The experimental group was provided with 12 incidences of the life-respect education program from April 1st to June 29th. One period took 45 minutes and proceeded according to a structure of introduction, development, and consolidation. The experimental group received a life-respect education program, Control group-I received health teaching, but Control group-II didn't receive any special education except what was regularly part of their curriculum. The content of the life-respect education program included the following topics: value of life-respect, respect for human life and ethics, life-respect campaign, having a healthy mind, suicide prevention, dealing with crisis, prevention of school violence, abortion and life-respect, social weak minority consideration, death, brain death, euthanasia, life cycle and task, and forest activities. Questionnaires were administered as pre and post-tests which consisted of questions regarding death anxiety, suicide risk, and values on life-respect. The pre and post-tests were analyzed with t-tests, paired t-tests, ANOVAs, and factor analyses using SPSS 18.0. Results: 1. There was a statistically significant increase in the experimental group(p<.0001) and control group-I(p<0.05) in value and attitude about life-respect. On the other hand, it was shown that there was no difference between pre and post-test in control group-II. 2. The result of examining the differences between pre and post-tests after education on values and attitudes toward life-respect using ANCOVA showed, there was a statistically significant difference (p<0.001) among the three groups. Conclusion: the life-respect education program which was conducted over 12 meeting with middle school students had an positive effect, which can be used as basic data for fostering values on life-respect. These findings indicate that the life-respect education program this study used is effective for fostering value of life-respect and decreasing suicide risk.

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사고로 남편을 잃은 여성의 경험 (A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident)

  • 박성학;최미혜;정연강
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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말기 암환자의 총체적 고통 (Total Pain of Patient with Terminal Cancer)

  • 이원희
    • Journal of Hospice and Palliative Care
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    • 제3권1호
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    • pp.60-73
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    • 2000
  • 목적 : 연구의 목적은 말기 암환자의 총체적 고통의 내용과 총체적 고통의 관련요인을 파악하는 것이다. 방법 : 본 연구는 후향적 서술적 연구로 연구의 표본은 1단계에서는 1997년에 일개 대학에서 운영하는 호스피스 사업소에 등록된 환자전수를 대상으로 하였고 2단계에서는 4명의 호스피스 간호사에 의해 선정된 가장 고통이 심한 5명의 환자를 대상으로 하였다. 자료 수집 방법은 Twycross model의 분류 틀을 사용하여 호스피스 환자의 의무기록지를 분석하고 5명의 환자들을 담당하였던 호스피스 간호사와의 심층면담을 통해 의무기록지의 내용을 보충하였다. 또한 호스피스 정규 Team meeting시 사례연구를 통하여 고통의 내용과 관련요인을 확인하였다. 자료의 분석은 SPSS를 이용하여 서술적 통계를 사용하였고 간호사와의 심층 면담은 내용을 분석하였다. 결과 : 말기 암환자들이 주로 경험하는 주요문제들은 통증과 변비, 가족대응, 영적 고뇌(우울, 불안 등) 등으로 통증조절뿐만 아니라 가족의 대응 및 지지, 심리적 영적 지지와 함께 다른 증상조절에 필요한 적절한 간호중재가 요구됨을 나타내고 있다. Twycross model이 문화적인 차이가 있는 한국에도 정도의 차이는 있지만 죽음이라는 사실을 당면한 환자에게 유용한 총체적 고통 model로 사료된다. 결론 : 본 연구의 결과 Twycross model이 한국적 상황에서의 총체적 고통을 설명하는데 유용하였으나 새로운 요인들이 첨가되었으므로 한국의 말기 암환자에 대한 평가가 필요하다.

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