• Title/Summary/Keyword: death concern

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The Death Orientation of nursing students in Korea and China (한국과 중국 간호대학생의 죽음에 대한 의식)

  • Li, Zhen-Shu;Choe, Wha-Sook
    • Korean Journal of Hospice Care
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    • v.8 no.1
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    • pp.1-12
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    • 2008
  • Perpose: The purpose of this study was to investigate the perception of death between Korean and Chinese nursing students. And it will help develop curriculum for preparing death, the quality of hospice care, as well as nursing education and practice. Methods: Data was collected from 492 nursing students participated(248 Korean and 244 Chinese) by questionnaire designed for examining Death Orientation (Thorson & Powell, 1988). They were analyzed using Cronbach's Alpha coefficients, factor analysis, t-test, ANOVA and regression analysis (SPSS; win 12.0 version) Results: More than half of the Korean nursing students followed a religion (58.5%) while the majority of Chinese nursing students did not follow a religion (93.9%). In the view of the afterlife, nursing students in China had two views. 'I really don't know what happens after a person dies (30.3%)' and ‘There is no afterlife and death is the end (29.5%)’. On the other hand the Korean nursing students’ answer were, 'After dying, a person goes to heaven or hell (27.3%)' and 'I really don't know what happens after a person dies. (22.9%)' The study also found that the average of 25 items in Death Orientation is 2.36points of nursing students in Korea and 2.50points of nursing students in China. This means that the concern, anxiety and fear were of the middle level for the Chinese Students and were higher than Korean students (t=3.51, p=.000). In the low factor of death orientation, those in Korea had higher 'anxiety of burden to family' than those in China (t=-3.50, p=.001). The nursing students in China had higher 'anxiety of the unknown (t=4.96, p=.000)', 'fear of suffering (t=6.88, p=.000), 'fear of extinction body and life (t=5.20, p=.000), 'fear of lost self-control(t=2.12, p=.034)', and 'anxiety of future existence and nonexistence (t=2.33, p=.020)' than those in Korea. There was no statistically significant difference for the 'concern of body and fear of identity lost' category. The death orientation of Korean nursing students had statistically significant differences according to age (t=3.20, p=.002), religion (t=2.56, p=.011), and afterlife (F=4.64, p=.000). The contribution of Death Orientation had a statistically significant difference, the afterlife variable (0.735, p=0.001). The death orientation of Chinese nursing students did not have any statistically significant differences. Conclusion: In conclusion, there were differences in death orientation between Korean and Chinese nursing students. In particular, those who believed in afterlife showed acceptance of death. The results of this study suggest that nursing curricula should include education program on death and spiritual nursing. Additional studies are needed to establish death education in China with careful considerations on Chinese policies, cultures and social systems.

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The Survey of High School Students' Concern Levels on Decision-making Problems based on Biology (생물영역에서 고등학생의 의사결정 문제에 대한 관심도 조사)

  • Hong, Jung-Lim;Chang, Nam-Kee
    • Journal of The Korean Association For Science Education
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    • v.19 no.1
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    • pp.1-7
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    • 1999
  • The purpose of this study was to survey the high school students' concern levels on decision-making problems based on biology, This study is a exploratory research to develop teaching strategies and curriculum of the common science for the enhancement of the students' decision-making ability in problems involved biological knowledges. The survey subjects were 101 first graders of the high school in Seoul area. The survey instrument developed was 5-point scale of Likert type consisted of 24 question items. The survey results showed that the concern level on selection of method for learning was the highest. The concern levels on selection of method for sports or diet which are the individual faced problems were high, and concern levels on the problems social issued such as decisions about standard for noise, pros and cons of approval for brain death or artificial abortion were high, too. The students' concern levels on problems individual context were significantly higher than concern levels on problems social context (p<0.01). The males' concern levels were higher than females' on 'AIDS', 'incinerator for rubbish', 'atomic power plant', 'protection policy for decreasing species', 'standard for noise' (p<0.05), And the males' concern levels were higher than females' on domain of 'ecosystem and environment pollution'. But the females had higher concern levels than males on 'diet' and 'surrogate mother' (p<0.05). The analyzed results were discussed in respects of implication for teaching strategies and curriculum.

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Live Spiritual Experiences of Patients with Terminal Cancer (말기 암환자의 영성체험)

  • Park, Jeong-Sook;Yoon, Mae-Ok
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.445-456
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    • 2003
  • Purpose: This study attempted to propose the basic framework for spiritual nursing intervention by understanding live spiritual experiences of terminal cancer patients. The study duration was from July 2002 to January 2003, and the subjects of this study were patients who were expected to live less than six months. The number of subjects was six and the average time of each interview was about an hour. Method: The data were analyzed using the method of phenomenological study analysis, which Colaizzi (1978) proposed. Result: Through live spiritual experiences. terminal cancer patients showed complex emotion about the Absolute, human, disease, and death: depended on the Absolute through recognizing death and spiritual acknowledgement: recollected the past life: accepted death believing salvation and immortality: recovered relationships with others through forgiving and reconciling with the Absolute and neighbors. Also, they pursued the meaning of pain. death, and life while feeling pain: demanded love and concern to the Absolute and neighbors: had a sense of futility about life and a hope for the future life: transcendental energy towards the world after death. Wishing to have a peaceful end to life. they felt peaceful and comfortable. Conclusion: Terminal cancer patients want to meet a peaceful end to life with a hope for the future and accept the meaning of death with peace and comfort minds(##-minds), which will allow them to carry on peaceful and satisfactory days for the rest of their lives. Thus, it is very important for caregivers to let them have spiritual experiences and care for them.

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Cadmium induces apoptosis in human lung fibroblast by inducing oxidative stress: A role of Bax and Bcl-2

  • Oh, Seon-Hee;Lee, Guang-Yong;Lee, Mi-Ock;Moon, Chang-Kiu;Lee, Byung-Hoon
    • Proceedings of the PSK Conference
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    • 2003.10b
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    • pp.106.1-106.1
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    • 2003
  • Cadmium (Cd) is an inorganic toxicant of great environmental and occupational concern which was classified as a human carcinogen in 1993. Occupational cadmium exposure is associated with lung cancer in human. In the present study, we established the mechanistic basis of apoptotic cell death induced by Cd in WI38 human lung fibroblast. Cd at 20-80 ${\mu}$M decreased viablility of cells in a concentration-dependent manner. PI staining, TUNEL staining and DNA fragmentation analysis demonstrated the apoptotic cell death by Cd. (omitted)

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Risk Factors Associated with Suicidal Attempts in Korea: Exploring the Links with the Views on Suicide, Death, and Life (한국인의 자살시도의 위험 요인: 자살관(自殺觀)과 사생관(死生觀)을 중심으로)

  • Kim, Jun-Hong;Jung, Young-Il
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.109-123
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    • 2011
  • Objectives: The purpose of the present study was to explore the relationships between views on suicide, death, and life and lifetime suicidal attempts in the Korean context. Methods: Multiple logistic regression model was tested using data from Korean General Social Survey of 2009. We utilized the nationally representative survey data obtained via multistage stratified area probability sampling design from 1,599 respondents aged ${\geq}18$ years. Results: The proportion of lifetime suicidal attempts was 12.1% of entire sample in Korea. Some components of views on suicide and death influenced significantly on lifetime suicidal attempts after adjusting for demographic and health-related factors. The positive view on suicide(OR=0.76, 95% CI: 0.62-0.94), the naturalistic view on afterlife(OR=0.37, 95% CI: 0.67-0.99) and death concern(OR=0.67, 95% CI: 0.55-0.83) were risk factors of lifetime suicidal attempts. In contrast, the social responsibility view on suicide(OR=1.17, 95% CI: 1.00-1.37) and the transcendental view on afterlife(OR=1.25, 95% CI: 1.02-1.54) lowered the risk. Conclusions: Practical implications of the findings were discussed exploring policy evidences to screen high risk groups out and to reframe educational programs for suicide prevention. Strategic health messages need to be developed and transmitted for prevention of suicide.

Indicators and Qualitative Assessment of Lung Cancer Management by Health Insurance Review and Assessment Service (HIRA) of Korea in 2015

  • Yeo, Chang Dong;Lee, Myoung Kyu;Lee, Seung Hyeun;Kim, Eun Young;Lee, Ik Jae;Park, Heae Surng;Chang, Yoon Soo
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.1
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    • pp.19-28
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    • 2018
  • Cancer is the leading cause of death in the Republic of Korea and cancer death accounts for 27.8% of the total deaths, which is not only a social issue but also a concern for the public. Among the cancer death rates, lung cancer mortality account for 34 deaths per 100,000 populations, making it the number one cancer death rate. In a preliminary report on cancer death in 2012, the lung cancer mortality ratio showed the regional variation indicating that there were differences in the qualitative level and the structure among the medical care benefit agency and in the assessment of the treatment process. Therefore, the Health Insurance Review and Assessment Service (HIRA) had begun evaluation of the assessment of lung cancer treatment since 2014 to improve the quality of lung cancer care through evaluation and feeds back the results of lung cancer care process. In this report, authors described the current Indicators for the lung cancer adequacy assessment proposed by HIRA and results of the evaluation reported in 2017.

호스피스와 종교적 죽음이해

  • Sin, Min-Seon;Kim, Mun-Su
    • Korean Journal of Hospice Care
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    • v.6 no.1
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    • pp.1-11
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    • 2006
  • There are various understandings how to define death. In the context of medicine, death is defined as the irreversible change of the tissue according to the cessation of circulation and respiration. According to the psychologists, a person need to accept the finiteness as a human being and remain conscious that the death is not avoidable. And they say if a person doesn't regard death as unavoidable reality of life he or she will not confront the humanistic death and after all will die like animals. In philosophy, death is viewed as an unwelcome reality in the end of the journey of life. Sociologists usually understand that the society is the organization composed with living persons and human beings which construct and transmit the culture from generation to generation between the both ends of life and death. In society, the generation is changed, maintained, and developed through the phenomenon of death. Although death of human being is natural event in society, the death of a specific person brings a sense of loss, crisis, and anxiety to the communities like family, regional society, nation, and the world. In this context, death is not confined to personal dimension and it can be regarded as a social problem. It is valuable to summarize the religious perspectives on the meaning of death for the better hospice care. In shamanism, there are basic idea that although the flesh of human being disappears, soul never die. If human dies, the flesh of human being disappears but soul never disappear and come back to the origin of soul as it is called chaos. So in shamanism, it is said that shaman can solve the mortified feeling, restore the broken harmony, send the soul to comfortable space- the origin, and guarantee the blessing of descendents. Buddhists regard the death as an essential component through the cycles of life. Through this cycle, human being exits as an endlessly transmigrating being and the death is just a restoration to the original status. In Confucianism, the view on the death based on the philosophy of the "Yin and Yang" and "Five elements". In Buddhist tradition, many believers said the philosophy of "Death is the same as life". Unlike usual thoughts that a god governs "life and death" and "fortune and misfortune", Confucianists deny the governance of a god and emphasize the natural orders in which every phenomenon in the world moves according to the principle. Confucianists understand the death as a natural order with this principle. In Confucianists' belief, the essence of human being remains in their own descendent's lives after the death of ancestor, so in Confucianism there is no concept of immortality of the soul. In the history of Christianity, death has been defined generally as the separation of the immortal soul from the mortal body. In the earlier days of Old Testament, the death is regarded as a disappearance of just a flesh and human never disappear and always live in the relationship with God. Later days in Old Testament, we can find the growing concern for the life after the death because of the entrance of the theodicy. In the New Testament, the death is not regarded as the normal process of the human life and regarded as the abnormal status in which death come to human because of sin as a decisive factor and it should be conquered. In fact, the most of us afraid death because not of the fear of death itself but of the sense of the emptiness and regrets. so many people often make the monument hoping to live forever. But Christian usually regard this behavior as a sinful act because human being usually think themselves as a master of their life and attempt to become immortal in this kind of trial mortal. But if we live with God, we cannot confront such a condition because we aware limits as a mortal human being and entrust everything on Him and want to live according to His guidance. Therefore, in the Christian tradition, the death is regarded as accomplishment of life, fruits of life, invitation to the eternal life, and the last stage of human growth. For human being, the death is the great step of maturation as a human in the final stage of life.

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Text Network Analysis and Topic Modeling of News Articles on Lonely Death (고독사에 관한 언론보도기사의 텍스트네트워크 분석 및 토픽모델링)

  • Kim, Chunmi;Choi, Seungbeom;Kim, Eun Man
    • Journal of Korean Academy of Rural Health Nursing
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    • v.18 no.2
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    • pp.113-124
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    • 2023
  • Purpose: The number of households vulnerable to isolation increases rapidly as social ties decrease, raising concerns about the associated increase in lonely deaths. This study aimed to identify issues related to lonely deaths by analyzing South Korean news articles; and to provide evidence for their use in preventing and managing lonely deaths via community nursing. Methods: This exploratory study analyzed the structure and trends of meaning of lonely deaths by identifying the association between keywords in news articles and lonely deaths. In this study, we searched for all news articles on lonely deaths, covering the period from January 1, 2010, to May 31, 2023. Data preprocessing and purification were conducted, followed by top-keyword extraction, keyword network analysis and topic modeling. The retrieved articles were analyzed using R and Python software. Results: Four main topics were identified: "discovering and responding to lonely death cases", "lonely deaths ending in lonely funerals", "supportive policies to prevent lonely deaths among of older adults", and "local government activities to prevent lonely deaths and support vulnerable populations." Conclusion: Based on these findings, it can be concluded that lonely death is a complex social phenomenon that can be prevented if society shows concern and care. Education related to lonely deaths should be included in nursing curricula for concrete action plans and professional development.

Detection of Arrhythmias by Holter Monitoring and Use of Wearable Electrocardiography Devices Holter and wearable devices for arrhythmia detection

  • Ji Yeon Chang;Jae Kyung Kim
    • International Journal of Advanced Culture Technology
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    • v.11 no.2
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    • pp.310-314
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    • 2023
  • In this paper, we show that the limitations of Holter monitoring and Wearable Electrocardiogarphy Devices and their arrhythmia detection. Sudden death caused by cardiovascular disease, often referred to as the "silent killer" due to its unpredictable nature, is a major health concern. Electrocardiography (ECG) is a basic diagnostic tool for detecting heart disease, but its limitations make it difficult to detect arrhythmia, a significant indicator of an irregular heart state. To address this limitation, a long-term continuous ECG recording device has been developed, Holter ECG device and wearable device. A significant number of studies have focused on the differences between Holter monitoring and wearable devices. The Holter tests were useful for detecting regularly occurring arrhythmias, whereas wearable patches were better at detecting random and infrequent arrhythmias. Wearable patches were effective in detecting episodes of arrhythmia and myocardial ischemia. Despite the concern, wearable devices had less signal loss than Holter monitoring and patients also preferred wearable devices over Holter monitoring due to convenience. These results could mean that the wearable devices can perfectly replace the Holter test.

Ste. Genevieve Library as a Criticism of Classicism

  • Kang, Tae-Woong
    • Architectural research
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    • v.15 no.1
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    • pp.17-23
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    • 2013
  • The purpose of this paper is to reconsider and revaluate Ste. Genevieve Library designed by Henri Labrouste as a criticism of Classicism. Considered as the epitome of the early structural Rationalism the modern historian tried to focus only on the iron structure of the library. Arguably, the structural concern was one of the ideas that the architect wanted to manifest in the library. As a rebel against a view of the Acad$\acute{e}$mie des Beaux-Art the notions of H. Labrouste were radical. He criticized an autistic Classicism with an echoing Claude Perrault's doubt about the myth of classical beauty. These radical ideas firstly showed in his report of the Grand Prix de Rome and must have been developed through several discussions for a novel: Notre-Dame de Paris by V. Hugo. 'Ceci tuera cela', one of the chapter of the novel, was generally known as the death of architecture due to the invention of the printing press around Renaissance period. We, however, consider that even though the historical background of the novel is the Gothic period the ideas, which was discussed with Labrouste, related to the death of architecture was not the architecture itself but classical architecture recomposed during Renaissance period. As the first design work the library must be reflected his ideas, which were developed, and manifested his criticism of the Classicism indirectly.