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      • KCI등재후보

        1910년대 이광수 단편소설의 고백 서사적 특징 연구

        손자영 이화어문학회 : 이화여자대학교 한국어문학연구소. 2017 이화어문논집 Vol.42 No.-

        한국 근대 문학의 형성에 대한 논의는 가라타니 고진이 ‘제도로서의 고백’을 통한 내면의 발견을 이야기 한 이래로 그의 이론에 기대어 이루어졌다. 고진은 일본 근대 문학은 고백이라는 제도가 오히려 고백해야 할 대상을 만들어 냈다고 하면서 근대문학의 자명성에 대한 문제를 제기하지만 우리 근대 문학의 시작이라 할 수 있는 1910~1920년대 작품들에서 고백의 서사를 찾아보는 것은 어렵지 않다. 즉 주체의 자각을 통한 자아의 각성과 내면의 발견을 근대 문학의 원리로 보았을 때, ‘고백’은 이러한 주체를 드러내는 가장 확실한 형식이라 할 수 있다. 따라서 이 논문에서는 이광수의 초기 단편 「어린 벗에게」와 「방황」그리고 「윤광호」를 중심으로 그의 문학에 있어 중요한 양식으로 자리하고 있는 고백 서사의 특징을 살펴보고 그 의미를 분석하였다. 먼저 이들 작품의 고백하는 화자는 모두 질병을 통해 낭만화 되는 경향을 보인다. 병적 주체들은 죽음을 목도하고 있다는 점에서 고백의 진실성을 획득하고 있다. 따라서 건전성과 미래에 대한 전망을 드러내지 못하고 있지만 질병과 죽음을 통해 화자들은 고백이 갖추어야 할 가장 중요한 진실성을 인정받고 근대적 주체들로 나아간다. 두 번째로 고백의 주체들은 화자와 청자의 권력 구도의 전도를 통해 자신의 잘못을 고백하는 전형적인 고백의 구조를 뒤집고 계몽적 교시자의 위치에 서 있다. 이러한 위치의 전도는 결국 고백이 갖는 의미를 변화시키고 작가의 의도된 전략적 형식으로서의 고백으로 이해되고 있다. 그리고 마지막으로 이광수의 도덕적 자기 완성으로서의 근대적 주체가 된 고백의 화자들은 금욕주의적 인물들로 사랑을 인식하는데 있어 분열된 모습을 보인다. 자신들에 대한 비난에 맞서 반성하는 고백의 주체들은 고백을 듣는 청자를 향해 강렬한 정신 지향과 그에 비례한 육체적 사랑에 대한 부정성을 이야기하고 있다. 그러나 이러한 금욕적 태도는 화자 내부의 욕망과 충돌하면서 이광수의 계몽으로서의 고백은 균열의 지점을 드러내고 있다. A discussion of the formation for modern Korean literature took place by Karatani Kojin’s theory, since he provided a story of discovering the inner side through “Confession as a System”. Kojin’s modern Japanese literature insisted that rather a confession, sort of system, made an object to confess, bringing up an issue of obviousness of modern literature. However it is not that difficult to find out narratives of confession in the works published in the 1910 to 1920s, which were the beginning of modern Korean literature. Therefore if the awakening of the self and inner discovery through the subject consciousness are regarded as the principle of modern literature, the ‘confession’ should be the most certain form which shows such subject. Thus, this thesis examined the aspect of confession narrative which is placed as an important form in his literature, focusing on Lee Kwang-Soo’s early short stores ‘To My Little Friend’ and ‘Roaming’, and analyzed its meaning. All narrators who confessed in Lee’s works tended to romanticize all illnesses. In term of subjects’ falling ill and meeting their death, veracity of confession had earned. Therefore, although integrity and vision of future were not shown in the works, narratives earned veracity through illness and death, in which confession is supposed to be about, and moved forward as modern subjects. Narratives of confession were ascetic characters who remained divided in recognizing love. Modern subjects dreamed of free love, but were negative about intensive mental orientation and physical love proportionate to it. Lastly, narratives in the ‘To My Little Friend’ and ‘Roaming’ were in the position of abettor, overthrowing the structure of typical confession between narrative and listener. The image of such overthrown confession consequently ] changed what the confession was meant to be, and was comprehended as confession in a strategic form which the author really intended to.

      • KCI등재후보

        간호사의 임상 실무 경험

        서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

        purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

      • SCOPUSKCI등재

        간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

        서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

        As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

      • Urapidil, Labetalol의 투여가 기관내 삽관시 심혈관계에 미치는 영향

        신용섭,윤석화,손수창,이원형,이정은,황원재,김만수,김영주,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

        We have examined the comparative efficacy of small doses of intravenous urapidil and labetalol in blunting hemodynamic response to endotracheal intubation and surgical incision in 30 patients without cardiovascular diseases. After intravenous urapidil 0.2 mg/kg or labetalol 0.2 mg/kg anesthesia was induced with thiopental 5mg/kg. Endotracheal intubation was facilitated by vecuronium 0.15 mg/kg with priming principle and anesthesia was maintained with enflurane and nitrous oxide in oxygen. Systolic, diastolic and mean arterial pressure and heart rate were measured before administration of the drugs, 5 minute after administration, just prior to endotracheal intubation and 1, 3, 5, 10 minute after intubatin. Also the peak blood pressures and heart rate within 10 minutes after surgical incision were measured. Endotracheal intubation and surgical stimulation were associated with significant increases in blood pressures and heart rate in both urapidil and labetalol group. Comparison of the changes in systolic, diastolic, and mean artrial pressures and heart rate between urapidil and labetalol group showed no significant difference except peak systolic pressure after surgical incision. It is concluded that the pressor response to endotracheal intubation and surgical stimulation are not influenced significantly by urapidil 0.2 mg/kg or labetalol 0.2 mg/kg. However, urapidil and labetalol preloading may be similarly effective in the blunting of the increases in blood pressures with larger doses of the durgs during anesthetic induction.

      • Young Women with Breast Cancer in the United States and South Korea: Comparison of Demographics, Pathology and Management

        Son, Byung Ho,Dominici, Laura S,Aydogan, Fatih,Shulman, Lawrence N,Ahn, Sei Hyn,Cho, Ja Young,Coopey, Suzanne B,Kim, Sung Bae,Min, H Elise,Valero, Monica,Wang, Jiping,Caragacianu, Diana,Gong, Gyung-yu Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.6

        Background: Breast cancer diagnosed in young women may be more aggressive, with higher rates of local and distant recurrence compared to the disease in older women. Epidemiologic evidence suggests that Korean women have a lower incidence of breast cancer than women in the United States, but that they present at a younger age than their American counterparts. We sought to compare risk factors and management of young women with breast cancer in Boston, Massachusetts (US) with those in Seoul, South Korea (KR). Materials and Methods: A retrospective review was performed of consecutive patients less than 35 years old with a diagnosis of breast cancer at academic cancer centers in the US and KR from 2000-2005. Patient data were obtained by chart review. Demographic, tumor and treatment characteristics were compared utilizing Pearson's chisquare or Wilcoxon rank-sum tests where appropriate. All differences were assessed as significant at the 0.05 level. Results: 205 patients from the US and 309 from KR were analyzed. Patients in US were more likely to have hormone receptor positive breast cancer, while patients in KR had a higher rate of triple negative lesions. Patients in US had a higher mean body mass index and more often reported use of birth control pills, while those in the KR were less likely to have a sentinel node procedure performed or to receive post mastectomy radiation. Conclusions: Patients under 35 diagnosed with breast cancer in the US and KR differ with respect to demographics, tumor characteristics and management. Although rates of breast conservation and mastectomy were similar, US patients were more likely to receive post mastectomy radiation. The lower use of sentinel node biopsy is explained by the later adoption of the technique in KR. Further evaluation is necessary to evaluate recurrence rates and survival in the setting of differing disease subtypes in these patients.

      • NO EFFECT OF WATER DEPRIVATION FOR 48 HOURS ON THE PHARMACOKIINETICS OF INTRAVENOUS TACROLIMUS IN RATS

        Son, In Ja,Moon, Young Jin,Lee, Myung Gull,Sohn, Young Taek 德成女子大學校 藥學硏究所 2001 藥學論文誌 Vol.12 No.1

        Because the physiological changes that occur in patients with water deprivation could alter the pharmacokinetics of drugs, the pharmacokinetics of tacrolimus were investigated after 1-min intravenous administration of the drug (1 ㎎/㎏) to control rats and rats with water deprivation for 48h. In rats with dehydration, kidney function seemed to be impaired slightly. Kidney weight (0.800 versus 0.676% body weight) increased significantly and the renal tissue showed only total and mild tubular dilatation and flattening of tubular epithelial cells based on kidney microscopy. However, hepatic function seemed not to be impaired in rats with dehydration. After intravenous administration of tacrolimus, the pharmacokinetic parameters were not significantly different between two groups of rats the results were expected since tacrolimus was almost completely metabolized in rats (impaired kidney function could not affect considerably the pharmacokinetics of tacrolimus) and hepatic function was not impaired in rats with dehydration.

      • RANDOM URINE PROTEIN/CREATININE RATIO READILY PREDICTS PROTEINURIA IN PREECLAMPSIA

        권자영 ( Ja Young Kwon ),( Jung Hwa Park ),( Dawn Chung ),( Hee Young Cho ),( Young Han Kim ),( Ga Hyun Son ),( Yong Won Park ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-

        Objective: To assess the diagnostic accuracy of random urine protein-creatinine (P/C) ratio for prediction of significant proteinuria in preeclampsia as an alternative to the time-consuming 24-hour urine protein collection. Methods: Retrospective record analysis was performed on 140 pregnant women who were admitted with suspicion for preeclampsia from January 2006 to June 2011. Random urine protein and/or 24-hour urine protein levels were assessed and their correlation to random urine P/C ratio and 24-hour urine protein excretion was evaluated. Results: Out of 140 patients, random urine P/C ratio or/and 24-hour urine protein was performed in 79 patients to evaluate significant proteinuria. Of 79 patients, 46 (58%) underwent both tests whereas in 33 women (42%) 24-hour urine collection was not available due to urgent delivery. In 39 cases (85%), significant proteinuria (≥300 mg/24 hr) was detected with 6 cases (13%) having values over 5,000 mg/24 hr, corresponding to the diagnosis of severe preeclampsia. Random urine P/C ratio highly correlated with 24-hour urine protein excretion (r=0.823, P<0.01). The optimal random urine P/C ratio cutoff points were 0.63 and 4.68 for 300 mg/24 hr and 5,000 mg/24 hr of protein excretion, respectively. with each sensitivity, specificity, and positive and negative predictive values of 87.1%, 100%, 100%, and 58.3%; and 100%, 85%, 50%, and 100%, for significant and severe preeclampsia, respectively. Conclusion: Random urine P/C ratio is a reliable indicator of significant proteinuria in preeclampsia and may be better at providing earlier diagnostic information than the 24-hour urine protein excretion with more accuracy than the urinary dipstick test.

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