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      • KCI등재

        연명치료 중단에 대한 태도 연구 -암환자 가족을 대상으로-

        장지영,김용석 한국정신건강사회복지학회 2011 정신보건과 사회사업 Vol. No.

        There has been much debate on the issue of withholding life-sustaining medical cares for the terminal cancer patients. This study investigates what affects the DNR (Do-Not-Resuscitate) decision in terms of family traits which might be a decisive factor for the decision in Korea. Because traditionally family members usually make the DNR decision which is considered a part of the decision on withholding life-sustaining medical cares. Thus, the goal of this study is to find out which family traits are linked to their attitude toward the DNR by seeing traits of cancer patients' family members and their attitude toward withholding life-sustaining medical cares. Furthermore, this study also show how their traits affect their attitude toward the DNR decision. To establish and verify the research which is based on these topics, this study collected data by survey research through interviewing the total number of 168 main caregivers of cancer patients who are being treated in Oncology of St. Vincent's Hospital in Suwon. Considering family traits, the result shows that their economic burden as well as their high education can make them decide to accept DNR. This result is consistent with previous works, verifying that the feeling of economic burden is an important factor for the caregivers to make the DNR decision. This can bring up an ethical issue in the point that there is possibility for caregivers just to make the DNR decision under the pressure of the economic burden without thinking of their patients' medical condition. Therefore, evaluation and intervention of a medical social worker for their socioeconomic status should be necessary in the process of the DNR decision. And virtually, education programs and team approach should be offered to the patients and their family members for their right decision on withholding life-sustaining medical cares. 본 연구의 목적은 사회적으로 이슈화되고 있는 연명치료 중단에 대한 태도를 알아보고 그 태도와 관련 있는 요인들을 밝히는 것이다. 외국에서는 사전 의료지시서의 작성을 의무화하고 있어 연명치료 중단에 대한 환자의 자기결정권을 존중하고 있는 반면, 국내에서는 연명치료 중단 결정과정에서 환자는 배제되고 환자의 가족이 결정의 주체이다. 따라서 결정의 주체인 환자 가족들을 대상으로 연구를 수행하였다. 경기도 소재 OO대학병원 종양내과 환자 가족 168명이 본 연구에 참여하였다. 본 연구에 참여한 환자 가족들의 약 70%는 환자에게 더 이상의 적극적인 치료가 어려울 경우 연명치료 중단에 동의하겠다는 태도를 보였다. 이러한 비율은 국내외에서 보고된 비율과 큰 차이를 보이지 않는 수준이다. 환자의 의료적 상태, 가족이 느끼는 경제적 부담감, 그리고 주보호자의 학력이 연명치료 중단에 대한 환자 가족의 태도와 관련 있는 요인들로 밝혀졌다.

      • KCI등재

        공과대학 학생들이 갖추어야 할 실행능력에 대한 공학교수자들의 인식 및 교수활동 실태

        장지영,이현주 한국공학교육학회 2016 공학교육연구 Vol.19 No.4

        The purpose of this study was to investigate engineering professors’ perceptions on the key competencies for engineering students (i.e. creativity, problem solving, designing, field application, etc.) and their instructional efforts to promote the competencies. The guiding research questions included 1) to what extent engineering professors perceived the key competencies as the important qualification that engineering students should obtain in college, 2) to what extent the professors put in a great deal of effort to promote such competencies in their teaching, and 3) how their perceptions on the key competencies correlated with their instructional practice. Two hundred fifteen engineering professors affiliated to diverse fields voluntarily participated in the study and filled out 5 point-Likert scale survey items. In results, despite of some range of variation on their perceptions according to the fields, most of the engineering professors highly valued the four key competencies. However, compared to the perceptions, engineering professors in some engineering fields relatively less focused on promoting the competencies in their teaching practice.

      • KCI등재

        전후 일·한 전쟁문학 비교연구 -大岡昇平와 이병구의 전쟁소설에 나타난 南方인식을 중심으로 -

        장지영 한국일어일문학회 2015 日語日文學硏究 Vol.93 No.2

        This study aims to compare war literature of Japan and Korea that is geographically set in Southeast Asia. More specifically, it will analyze the war novels published in the post-war period by two authors, Ooka Shohei and Lee Byung-ku. While the scenery of Southeast Asia depicted in the works of Ooka and Lee on the one hand elicit different reactions from the protagonists in terms of their perceptions of the situation in which they find themselves and of the conceptual contradictions of life and death, the environments, on the other hand, serve as a medium for both protagonists to come to grips with reality, endeavor to bring about change, and thereby be instilled with the desire for life which they strive to realize. Ooka in his novel describes the native people of Southeast Asia either as ill-fated people who have been thrown into a war started by others and are consequently being deprived of their possessions and dying off, or as “enemies” who threaten the lives of the protagonists left behind as defeated forces. On the contrary, the characters in Lee’s works rarely view the natives as enemies. Instead, they tend to identify with the native population in that they too are part of a colony, and hope to become assimilated with the locals. This is perhaps manifested in the scenes in which they frequently reminisce about their hometowns while being surrounded by all things foreign. The divergent view toward the Southeast Asian natives is attributed primarily to the different backgrounds of the protagonists -- one is a soldier from imperial Japan, while the other is from a colony. Another contributing factor is perhaps the different circumstances confronting Korea and Japan during the period when the novels were being written -- Japan’s post-war regime under U.S. rule, and ideological conflicts and the Korean War that ensued during the post-liberation years in the 1950’s when Korea was struggling to build a national identity. 本研究は、南方地域を空間的背景とする日本と韓国の戦争文学の比較を目 的とする。具体的な研究対象は、アジア·太平洋戦争末期、フィリピンでの戦 闘に参戦した共通の体験を持ち、作品で常に南方に対して關心を示してきた 大岡昇平と李丙求が戦後発表した戦争小説である。大岡と李丙求の作品に描かれている南方の自然風景は、主人公に「生」と「死 」に対する觀念の矛盾を意識させ、自分の置かれた狀況を認識させるが、両者 ともに自分が置かれている現実を認識して自ら変化し「生」に対する意欲を自 覚させられる媒体として作用している。大岡の作品で、南方の原住民たち は、他国の戰爭に巻き込まれ、財産を奪われ、死んでいく不運な人々、ま た、敗残兵として残された主人公たちの命を脅かす「敵」として描写されてい る。これに対して、李丙求の作品では、原住民を「敵」として見なしておら ず、かえって、同じ植民地国家の国民としての連帯感を感じ、彼らの一員に なろうとする。これは異國の風景を描写する時、故鄕を連想させる場面が 度々登場することも関係があると思われる。両作家の作品の中に描かれた南 方に対する共通点は、集團から離脱した個人としての自己認識であるとみら れるが、戦争を体験した場所が国家の影響力が弱まった第3国のフィリピン であったことから、その原因を見つけ出すことができる。また、南方の原住 民に対する視点の差は、まず、軍人としての自覚が相対的に不足していた日 本の補充兵と植民地国家出身の兵士という主人公たちの置かれた異なるバッ クグラウンドに起因すると考えられる。

      • KCI등재

        근현대 북유럽 3국으로 유통된 한국 도자의 수집 양상과 성격

        장지영 이화여자대학교 한국문화연구원 2023 한국문화연구 Vol.44 No.-

        본 연구는 근현대 북유럽에서 유통된 한국 도자의 수집 배경과 양상, 그리고 수집품의 조형적 특징 및 성격을 밝히는 데 목적을 두고 있다. 한국의 문화재는 조선이 개항을 한 후, 해외로 유통되기 시작하였다. 이 과정에서 북유럽으로 흘러 들어간 한국 도자는 크게 4시기로 나누어 수집된 것으로 파악된다. Ⅰ기는 20세기를 전후한 개항기에서 일제강점기가 시작된 1910년대까지, Ⅱ기는 일제에 의해 본격적인 문화재 반출이 일어나기 시작한 1920~30년대까지, Ⅲ기는 해방 이후, 전후(戰後) 복구과정에서 크게 증가한 문화재 반출에서부터 이에 대한 검열이 강화되었던 1970년대 이전까지, Ⅳ기는 서울올림픽 개최 결정으로 개인 수집가의 기증이 증가했던 1980년대 이후로 볼 수 있다. 북유럽 3국에 수집된 한국 도자는 각국을 대표하는 3개 기관의 아카이브 자료를 통해 확인해볼 수 있다. 이를 통해 덴마크에서는 Ⅰ기부터 Ⅲ기까지, 스웨덴에서는 Ⅰ기에서 Ⅳ기까지인 전 시기에, 노르웨이에서는 Ⅲ기에서 Ⅳ기에 한국 도자를 비롯한 한국 문화재를 수집했던 것으로 확인되었다. 또한 스웨덴 동아시아박물관 아카이브 자료를 통해 당시 영국 미술 시장에서 거래된 한국 도자의 매매가를 살펴보고, 이를 중국 도자와 비교하여 경제적 가치를 추정해보았다. 다음으로 북유럽 3국에 수집된 한국 도자의 종류별 기종을 분류하고, 각각의 장식기 법과 문양 소재를 분석하여 각국에 수집된 한국 도자의 특징과 성격을 파악해보고자 하였다. 그 결과, 스웨덴 동아시아박물관 소장 한국 도자는 고가에 거래된 고려청자 와 특정 기준에 따라 수집된 청화백자가 주를 이루고 있어 미술품적 관점에서 수집된 한국 도자를 박물관이 입수의 대상으로 삼고 있다고 볼 수 있었다. 덴마크국 립박물관과 노르웨이 국립박물관에는 다양한 종류와 기법을 나타내는 한국 도자가 소량으로만 입수하고 있다는 점에서 한국 도자를 한국적 특색을 갖는 민속품의 일종으로 인식하고 있는 것으로 판단되었다. 이상의 연구는 해외에 소장된 한국 도자의 유통 배경과 성격을 이전보다 확장된 범위에서 접근하였다는 점과, 실제 매매된 가격을 바탕으로 당시 한국 도자의 경제적 가치를 살펴보았다는 점, 수집품의 특징을 통해 각국의 수집 성격을 추론해보 았다는 점에서 의의를 찾을 수 있다. The purpose of this study is to clarify the characteristics of Korean ceramics recognized in each country by analyzing the distribution background, collection patterns, and formative characteristics of Korean ceramics distributed in modern and contemporary Northern Europe. Korean ceramics that flowed into the three Nordic countries can be divided into four periods. First, period I from the opening of ports around the 20th century to the 1910s when the Japanese colonial period began, and period II from the 1920s and 1930s when cultural assets were exported in earnest. The period before the 1980s was considered as the III period, and the period from the 1980s to the 2000s, when individual donations increased as interest in Korean cultural properties increased with the decision to host the Seoul Olympics, as the IV period. Based on this, the collection patterns of Korean ceramics by period were analyzed by analyzing the archive materials of the three institutions representing the three Nordic countries. In addition, through the archive materials of the Swedish East Asian Museum, the economic value of the time could be estimated by comparing the selling price of Korean ceramics traded in the British art market with Chinese ceramics. Afterwards, Korean ceramics collected in the three Nordic countries were classified by type to examine the characteristics, and each decorative technique and pattern material was analyzed. Through this, it was identified that the Korean ceramics in the Swedish Museum of East Asian Art were collected by the nature of art objects, and it was judged that the National Museum of Denmark and the National Museum of Norway collected Korean ceramics from the viewpoint of folk art.

      • KCI등재

        Adenovirus adenine nucleotide translocator-2 shRNA effectively induces apoptosis and enhances chemosensitivity by the down-regulation of ABCG2 in breast cancer stem-like cells

        장지영,Min-Kyoung Kim,Yoon-Kyung Jeon,정윤기,Ki-Dong Park,김철우 생화학분자생물학회 2012 Experimental and molecular medicine Vol.44 No.4

        Cancer stem cells (CSCs) are resistant to chemo- and radio-therapy, and can survive to regenerate new tumors. This is an important reason why various anti-cancer therapies often fail to completely control tumors,although they kill and eliminate the bulk of cancer cells. In this study, we determined whether or not adenine nucleotide translocator-2 (ANT2) suppression could also be effective in inducing cell death of breast cancer stem-like cells. A sub-population (SP; CD44+/CD24-) of breast cancer cells has been reported to have stem/progenitor cell properties. We utilized the adeno-ANT2 shRNA virus to inhibit ANT2 expression and then observed the treatment effect in a SP of breast cancer cell line. In this study, MCF7, MDA-MB-231 cells,and breast epithelial cells (MCF10A) mesenchymallytransdifferentiated through E-cadherin knockdown were used. ANT2 expression was high in both stem-like cells and non-stem-like cells of MCF7 and MDA-MB-231cells, and was induced and up-regulated by mesenchymal transdifferentiation in MCF10A cells (MCF10AEMT). Knockdown of ANT2 by adeno-shRNA virus efficiently induced apoptotic cell death in the stem-like cells of MCF7 and MDA-MB-231 cells, and MCF10AEMT. Stemlike cells of MCF7 and MDA-MB-231, and MCF10AEMT cells exhibited increased drug (doxorubicin) resistance,and expressed a multi-drug resistant related molecule,ABCG2, at a high level. Adeno-ANT2 shRNA virus markedly sensitized the stem-like cells of MCF7 and MDA-MB-231, and the MCF10AEMT cells to doxorubicin,which was accompanied by down-regulation of ABCG2. Our results suggest that ANT2 suppression by adeno-shRNA virus is an effective strategy to induce cell death and increase the chemosensitivity of stem-like cells in breast cancer.

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