• 대한유전성대사질환학회지
• /
• 제18권2호
• /
• pp.50-54
• /
• 2018

Jehovah's Witnesses do not accept blood transfusions, because of their particular interpretation of the Old and New Testaments. When people with such religious convictions are in need of medical care, their faith and belief may become an obstacle for proper treatment, and pose legal, ethical, and medical challenges for the health care providers. We report two inherited metabolic disorder cases in South Korea where the infants died whilst under medical care because of parental refusal of blood transfusions for religious reasons. Case 1 had methylmalonic acidemia, Down syndrome and associated congenital cardiac anomalies requiring surgery. Case 2 had anemia and methylmalonic acidemia requiring dialysis to treat hyperammonemia and metabolic acidosis. For effective medical management, they needed life-saving blood transfusions. As a part of alternative treatment, Erythropoietin was administered in both cases. As a result, two babies died from their extremely low hemoglobin and hematocrit. The hemoglobin concentrations below 2.7 g/dL without cardiac problem and 5.4 g/dL with cardiac anomaly complicated by pulmonary hypertension are considered life-threatening hemoglobin threshold. The medical professional must respect and accommodate religious beliefs of the patients who can make informed decisions. However, when parents or legal guardians oppose medical treatment of their babies and incompetent care receivers on cultural and religious grounds, the duty to assist and save persons exposed to serious danger, particularly life-threatening events must come first.

• 디지털융복합연구
• /
• 제21권3호
• /
• pp.49-62
• /
• 2023

사회문화적 변화와 고령화에 따른 독거노인 등의 증가로 고독사는 꾸준히 증가하고 있으며 각 지자체마다 사회적 문제로 정의하기 시작하였으며, 정부에서도 고독사 문제에 대응하기 위해 제도적 기반을 마련하는 등 고독사 예방을 위한 법적근거를 제정하기 시작하였다. 본 연구는 고독사 예방을 위한 정책방안 모색을 위하여 고독사 예방을 위한 비대면 정책 추진을 위해 대구광역시에서 추진하고 있는 스마트 디지털 정보기술(AI, IOT)을 활용한 고독사 예방정책 사례를 살펴보았다. 고독사 관련 정책은 고독사 예방사업과 발굴 후 지원사업의 두 가지 축으로 구분한다. 이들사업을 효율성 있게 운영하기 위해서는 인공지능, 사물인터넷을 통한 비대면 서비스의 제공 등이 새로운 서비스 전달체계 방식으로 인식되고 있으므로, 비대면 서비스의 중요성과 필요성이 더욱 증대되고 있다. 국가 차원의 비대면 산업 확대를 위한 시스템 구축 등 다각적인 변화와 준비가 필요한 시점이라고 할 수 있으며 향후 또 다른 국가 재난 상황에서 대응할 수 있도록 고독사 예방 등 다양한 복지정책에서 비대면 스마트돌봄체계가 확대되고 활성화되어야 할 것이다.

• 영어영문학
• /
• 제58권5호
• /
• pp.839-858
• /
• 2012

This study is to analyze dreams and madness in Don Quixote and Hamlet which makes these two heroes quite identical rather than antithetical. Don Quixote is usually considered to be an idealistic, enthusiastic, and unselfish doer, whereas Hamlet is a skeptical, melancholic, and self-conscious thinker. However, Don Quixote and Hamlet both reveal a heroic desire to embody an ideal world into a reality through their dreams and madness. Based on Freud's interpretation of the similarities between dream and neurosis, this article focuses on the aspects of Don Quixote's waking dream and Hamlet's affected madness to find out their characteristics as new types of heroes. Don Quixote, the waking dreamer, acts like a maniac and tries to remain in a state of madness to sustain the dream world where he wanders to save the weak, the poor, and the deprived. He accepts psychic breakdown as well as physical trauma if only he can do the role of a knight errant. Sleepless Hamlet witnesses the dream world and experiences it tangibly while he hears an order from the murdered King's ghost. Yet, instead of becoming a neurotic, Hamlet waits for the chance to perform his task to regain the harmony of his family and kingdom. Even on the border of madness, Hamlet does not forsake his own life and duty but dreams in reality and acts without losing his reason. Although there are some apparent outstanding differences between Don Quixote and Hamlet, they have fundamental similarities with each other; Both of them exemplify a new type of hero who desperately tries to fulfill a mad dream to face the suffocating, suspicious, and strange world.