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      • KCI등재

        수사적 역할에 따른 수사적 특성 분석 - 윤석열 대통령의 검찰총장 취임사부터 대통령 후보자 수락 연설문까지

        임윤주 한국수사학회 2022 수사학 Vol.- No.45

        인간의 역할은 청중(audience)이 누구냐에 따라 화자(rhetor)의 역할이 결정되며 이를 수사적 역할(rhetorical role)이라고 부른다. 당시 수사적 역할이 발설하고 있는 수사가 진행되고 있는 시·공간이 수사적 상황(rhetorical situation)이다. 본 연구는 화자의 수사적 역할을 중심으로 역할 변화에 따른 수사적 특성에 주목했다. 또한 역할별 수사적 특성을 확인하기 위해, 수사적 역할이 존재한 수사적 상황을 먼저 살펴보았다. 주요 분석 대상으로 윤석열 대통령이 검찰총장 취임부터 퇴임 이후 정치에 입문하여 대통령 후보자가 되는 수사적 상황에 주목했다. 역할별(검찰총장, 정치인, 대통령 후보자) 수사적 상황을 비처의 상황분석(긴급성, 청중, 제약요소)을 통해 살펴보고 역할 변화에 따른 수사적 특성을 확인하고자 했다. 연구 결과, 윤석열 대통령은 검찰총장에서 정치인이라는 실제 사회적 역할 전환이 뚜렷했고, 그것이 각 텍스트에도 잘 드러나 수사적 역할에 따른 수사의 특성에 차이를 보였다. 특히 상황분석 요소 가운데 특히 청중이 명확하게 달라지는 것을 확인할 수 있었는데, 청중이 누구냐에 따라 화자의 역할이 결정된다는 점을 다시 상기시켜보면, 수사적 역할 변화를 명확하게 했다고 판단된다. 또한, 역할이 변화하면서 구어체 스타일이 증가하고, 은유, 사례 제시, 반문하는 종결어미 사용으로 집중 환기 등 다양한 표현이 등장했다. 또한 비판 대상 지칭은 매우 명확해지고, 표현은 다소 거칠다고 생각될 만큼 공격적으로 변화하였다. 특히 이러한 특징은 정치 선언 기자회견문에 가장 두드러지게 나타나는데, 검찰총장에서 정치인으로 역할 전환이 완전히 이루어졌음을 보여주기 위한 전략으로 보인다. 본 연구는 그간 국내에서는 잘 이루어지지 않았던, 한 명의 정치 리더의 역할별 수사적 특성을 확인했다는 점에서 의의를 가진다.

      • KCI등재후보

        소아청소년기의 고혈압에서 활동혈압측정의 임상 양상

        임윤주,이명수,정조원 대한고혈압학회 2012 Clinical Hypertension Vol.18 No.1

        Background: The use of ambulatory blood pressure monitoring (ABPM) in childhood hypertension has been in great advance. ABPM has been able to detect significantly high blood pressure (BP) and also helpful for identifying white coat hypertension. Methods: Between March 2007 and December 2009, we evaluated individuals aged from 7 to 19 years who were referred as high BP with ABPM, echocardiogram, and abdominal computerized tomography, calculation of body mass index (BMI) at Ajou University Hospital. ABPM was performed using the Tonoport V monitors and SpaceLab 90217 monitors. Seventy were evaluated with 55 boys and 5 girls. The mean age of them was 13.1 ± 2.8 years (mean ± standard deviation). Results: Forty of seventy (57.1%) were diagnosed as hypertension in ABPM and 8 of 40 were diagnosed as secondary hypertension with underline diseases such as hyperthyroidism, chronic renal disease, Takayasu’s arteritis, coarctation of aorta. The mean BMI in 40 was 24.8± 4.72 kg/m2. Twenty-three of seventy (32.8%) were obese with higher prevalence than in general population. White coat hypertension was diagnosed in 30 of 70 (42.9%). Conclusions: ABPM could provide more detailed data including mean values of BP, load, and night dip in assessment of children's BP. According to increasing children’s obesity, use of ABPM was thought to be necessary for evaluation of their risk of hypertension and useful for diagnosis of masked hypertension and white coat hypertension. Further more study of ABPM in children and adolescents would be needed for absolute standards of ABPM.

      • KCI등재

        Clinical Outcomes of Initial Dexamethasone Treatment Combined with a Single High Dose of Intravenous Immunoglobulin for Primary Treatment of Kawasaki Disease

        임윤주,정조원 연세대학교의과대학 2014 Yonsei medical journal Vol.55 No.5

        Purpose: To investigate the clinical effects of a single high dose intravenous immunoglobulin(IVIG) combined with initial dexamethasone as a primary treatment on Kawasaki disease (KD). Materials and Methods: Between January 2008 and December2010, we reviewed the medical records of 216 patients with complete KD patients that were admitted to a single medical center. 106 patients were treated with a single high dose of IVIG (2 g/kg) alone and 110 patients received IVIG and dexamethasone(0.3 mg/kg per day for three days). Results: The combined IVIG plus dexamethasone patient group had a significantly shorter febrile period and duration of hospital stay (1.4±0.7 days vs. 2.0±1.2 days, p<0.001; 5.8±1.7 days vs. 6.9±2.5 days, p<0.001, respectively) than the IVIG alone group. The combined IVIG plus dexamethasone group required IVIG retreatment significantly less than the IVIG only group (12.7% vs. 32%, p=0.003). After completion of the initial IVIG, C-reactiveprotein levels in the combined IVIG plus dexamethasone group were significantlylower than those in the IVIG only group (2.7±4.0 mg/dL vs. 4.6±8.7 mg/dL, p=0.03). In the combined IVIG plus dexamethasone group, the incidence of coronaryartery lesions tended to be lower without worse outcomes at admission after initialinfusion of IVIG and in follow-up at two months; however, the differences were not significant (8.2% vs. 11.3%, p=0.22; 0.9% vs. 2.8%, p=0.29). Conclusion: Initialcombined therapy with dexamethasone and a single high-dose of IVIG resulted in an improved clinical course, in particular a shorter febrile period, less IVIG retreatment,and shorter hospital stay without worse coronary outcomes.

      • KCI등재

        Expeditious Resolution of Giant Bullae with Endobronchial Valves and Percutaneous Catheter Insertion

        임윤주,정병호,박혜윤,김태성,김호중 연세대학교의과대학 2022 Yonsei medical journal Vol.63 No.2

        As bullae contribute to decreased lung function in chronic obstructive pulmonary disease (COPD) patients, effective decompressionof large bullae is important. Bronchoscopic lung volume reduction via endobronchial one-way valves is less invasive and has alower mortality rate than lung volume reduction surgery. We report the case of a 48-year-old male who presented with giant bullaethat were expeditiously resolved with endobronchial valves and percutaneous catheter insertion. Three days later, imaging revealedmarked decreases in the extent of bullae and atelectasis of the contralateral lung without any complications, including airleakage or pneumothorax. Combination of endobronchial valves and percutaneous catheter insertion might be helpful to acceleratethe release of large bullae and to achieve improved lung function and higher levels of physical activity in patients with COPD.

      • KCI등재후보

        영국의 영업용 건물 임대차보호와 현행 상가임대차보호법의 문제에 관한 연구

        임윤주,권영수 한국법학회 2003 법학연구 Vol.0 No.12

        Current 'Law on the Lease of Store' was enacted by a long- effort of Democratic Labor Party and People's Solidarity for Participatory Democracy in the form of assemblymen's legislation. And the competent law planned to be promulgated on Dec. 29th 2001 and put into effect on Jan. 1st 2003. Its enforcement, however, was delayed until Nov. 1st 2002 based on amendment of August 26th. 2002, because of the occurrence of various side effects like inexperience in the enforcement procedure.During the 2001, amount of bills relevant to 'Law on the Lease of Store' submitted to the National Assembly, came to 1 kind of petition and 4 kinds of draft of a proposed law. The goal of its proposal, although there is not much difference, is to prescribe the special case of Civil Law in order to work for the stability of lessee's economic living by protecting them, the weak of social and economic circumstance, in case of the lease of business building.Except that this goal itself is not in error, there is a problem in trying to resolve it chiefly based on enactment of a Special Law whenever the private dealing causes social troubles, not in approaching to solution based on the basic principle including the code of Civil Law. Even if public opinion may be collected in the enactment procedure of competent law, it can not exceed the bounds of assemblymen's legislation and can also include a variety of problems. In this vein, the author examines the main contents and problems of current 'Law on the Lease of Store', then suggests a new direction of appropriate protective device.

      • Prevalence of and risk factors for pulmonary complications after lung cancer surgery in elderly patients with preserved lung function

        임윤주,신선혜,이현,신수민,정병호,엄상원,김호중,권오정,이호연,김진국,박혜윤 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

        Background: The prevalence of lung cancer in elderly patients is increasing. Few studies are available regarding the risk factors for postoperative pulmonary complications (PPCs) to select the optimal candidates for surgical resection in elderly patients with non-small cell lung cancer (NSCLC). Methods: A total of 488 patients, who were older than 70 years with normal spirometry result and underwent curative resection for NSCLC from January 2012 to December 2016 were included. Primary outcome was PPCs in 60 days postoperatively and associated clinico-radiologic factors, and secondary outcome was all-cause mortality. Results: Overall, 52 patients (10.2%) had PPCs. Compared to patients without PPCs, those who had PPCs were more likely to be male (p=0.003) and current-smokers (p=0.013), have lower body mass index (p=0.007), higher American Society of Anesthesiologist classification (p=0.021), more interstitial lung abnormalities (ILA) (p=0.004) and higher emphysema index (p=0.006) on computed tomography scan, and have undergone pneumonectomy or bilobectomy (p=0.005). In multivariable analysis, ILA and extent of resection were independently associated with risk of PPCs. All-cause mortality was significantly higher in those with PPC, in both short-term and long-term periods. Conclusion: Pulmonary resection for early-stage NSCLC in elderly patients with preserved lung function appeared feasible with 10% of PPCs. Presence of ILA in CT scan and larger extent of resection is two important predictors of PPCs development, guiding treatment decision-making in these patients.

      • Optimal treatment duration and change of serum levels of Aspergillus IgG antibody of chronic pulmonary aspergillosis

        임윤주,전병우,문성미,전경만,원호정,김선우,강은숙,고원중 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

        Background: There is limited information on the optimal duration of antifungal therapy for chronic pulmonary aspergillosis (CPA), and on changes in the serum levels of anti-Aspergillus IgG during treatment. Method: This study included 208 patients with CPA, newly diagnosed between February 2012 and June 2016. We investigated the treatment outcomes relative to the duration of antifungal therapy and the serum levels over time of anti-Aspergillus IgG. Result: Patients were treated with antifungal agents for a median of 11.9 months. After 6 months of treatment, 101 (48%) patients had achieved a favorable response, defined as alleviation of clinical symptoms with improved or stabilized radiologic findings on CT. Of the 166 patients who received at least 6 months of antifungal therapy, the 6-month treatment group had a significantly higher cumulative retreatment rate due to the aggravation of CPA after the first treatment completion than the 6- to 12-month or the >12 months treatment group (P<0.0001 by log-rank test). Although the serum levels of anti- Aspergillus IgG tended to decrease during antifungal therapy, there was no significant difference in the levels between the favorable and unfavorable response groups (P=0.154 by GEE analysis). Conclusion: The results of this study suggest that prolonging antifungal therapy beyond 6 months helps reduce the retreatment rate in patients with CPA. Although the serum levels of anti-Aspergillus IgG decreased during antifungal treatment, this measurement had limited value in predicting a favorable treatment response in CPA patients.

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