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      • 가부장제 의미경제 구조 분석을 통한 인공 임신중절 담론 재고찰

        윤지선 건국대학교 몸문화연구소 2017 건국대학교 몸문화연구소 학술대회 자료집 Vol.19 No.1

        인류의 역사 안에서 ‘여성의 몸’은 다층적이며 논쟁적인 화두를 끊임없이 생산해 내는 지점으로서, 세기를 가로지르는 주요한 담론의 원천이자 실천적 쟁점의 격전지이기도 하다. 윤지선,「장기-몸의 봉기로서의 출산: 들뢰즈와 가따리의 ‘기관없는 신체’ 이후」, 철학연구, 2016, 116. 2016년 9월 23일 대한민국 보건복지부는 ‘의료관계 행정 처분규칙 일부 개정령’을 입법 예고하며 인공 임신중절 시술 의사 가중처벌 방안을 발표하였다. 또한 2016년 12월 29일 행정자치부에서 발표한 ‘대한민국 출산지도-지역별 가임기 여성인구 지도’가 공개되자 격렬한 논쟁과 논란이 동시다발적으로 촉발되었다. 이는 우리 사회가 가임기 여성의 몸을 정치·경제적, 사회적, 철학적 이데올로기의 효과들이 중첩되고 과잉 기입된 공간으로 다루어 왔음이 드러나는 사건이었다. 2016년 10월 정부의 인공 임신중절 시술 의사 가중처벌 방안에 반대하여 집결한 검은 시위대는 ‘나의 자궁, 나의 것’이라는 도발적 선언의 피켓을 전면으로 내세웠다. 이는 현대 한국사회에서 여성의 신체와 성이 내밀하고도 자유로운, 개인의 영역의 문제가 아니라 국가권력의 인구정책과 남성 중심적인 성 이데올로기와 친족 구조에 의해 조정·관리되어지고 있는 구조적 현실에 대한 폭로와 비판이다. 인공 임신중절수술에 대한 금지와 끊임없는 논란, 불법화의 이면에는 여성의 순결 이데올로기, 그를 통해 보증되는 부계혈통사회의 존속과 유지, 자유로운 성애 활동의 구속과 억제, 생식기능으로 환원된 여성신체의 고정성 등이 복합적으로 가동하고 있다. 필자는 본 논고를 통해 현대 한국사회의 인공 임신중절수술의 담론의 양상을 다각적으로 분석하면서 기존의 프로 라이프 대 프로 초이스로 양분되어지는 논쟁의 구도의 틀을 넘어서서 가부장제 시스템 내에서 ‘여성’-‘태아’이라는 기호가 담론 내에서 어떻게 다루어지고 있는지에 대해 구조주의 인류학과 마르크스주의적 페미니즘의 입장에서 분석해 보도록 하겠다. 또한 푸코의 생명정치와 지식-권력-담론의 개념 프리즘을 통해 대한민국의 인공 임신중절 수술에 대한 정보와 경험, 이를 둘러싼 의학적·일상적 담론의 양상에 대해 면밀히 고찰해 보고자 한다.

      • KCI등재후보

        간이식 환자의 중동호흡기증후군에 대한 지식, 불안 및 예방행위 실천도

        윤지선,김정혜,임새롬 대한이식학회 2017 Korean Journal of Transplantation Vol.31 No.3

        Background: This study was conducted to investigate the knowledge, anxiety and compliance with preventive behavior of Middle East respiratory syndrome (MERS) in liver transplant patients. Methods: The participants in the study were 100 liver transplant patients at an outpatient clinic. The data were collected from May 20, 2016, to June 20, 2016. Results: The knowledge score was 6.37±1.73 (range; 1∼10) and the correct answer rate was 63.7%. The state anxiety score was 41.35±10.08 (range; 20∼68) and the trait anxiety score was 39.60±8.85 (range; 22∼59). The compliance with preventive behavior score was 35.70±5.23 (range; 21∼45). Anxiety differed significantly according to education level (P=0.040) and occupation status (P=0.047). Compliance with preventive behavior differed significantly according to period after surgery (P=0.035). Compliance with preventive behavior and state anxiety (P=0.007) and trait anxiety (P<0.001) were negatively related. The factor that had the greatest effect on compliance with preventive behavior was trait anxiety (P=0.003). Conclusions: The epidemic of the MERS has already been completed and none of the subjects of this study has been infected with the MERS; however, patients with liver transplantation always have a risk of various opportunistic infections. If new infectious diseases such as MERS occur in the future, increased anxiety may decrease the practice of prevention. Therefore, anxiety experienced by liver transplant patients should be managed.

      • KCI등재

        Targeting Hypoxia Using Evofosfamide and Companion Hypoxia Imaging of FMISO-PET in Advanced Biliary Tract Cancer

        윤지선,강서영,이경훈,천기정,오도연 대한암학회 2021 Cancer Research and Treatment Vol.53 No.2

        Purpose Hypoxia is widely known as one of the mechanisms of chemoresistance and as an environmental condition which triggers invasion and metastasis of cancer. Evofosfamide is a hypoxia-activated prodrug of the cytotoxin bromo-isophosphoramide mustard conjugated with 2-nitroimidazole. Biliary tract cancer (BTC) is known to contain large hypoxic area. This study evaluated the efficacy and safety of evofosfamide as a second-line treatment of advanced BTC. Materials and Methods Patients received evofosfamide at a dose of 340 mg/m2 on days 1, 8, and 15 of every 28-day cycle. Primary end-point was progression-free survival (PFS) rate at 4-months (4m-PFSR). Secondary end-points included overall survival (OS), PFS, disease control rate (DCR), metabolic response by 18F-fluorodeoxyglucose positron emission tomography (PET), hypoxic parameters evaluated by 18F-fluoromisonidazole (FMISO) PET and toxicity. Results Twenty patients were treated with evofosfamide, with 16 response-evaluable patients. There was no objective response; stable disease was observed in nine patients, with a DCR of 56.25%. 4m-PFSR was 40.6%. Median PFS was 3.60 months (95% confidence interval [CI], 1.68 to 5.52). Median OS was 6.37 months (95% CI, 3.94 to 8.79). Reduction of tumor metabolic activity was observed in eight of 15 patients (53.3%). High baseline hypoxic parameters were associated with poor PFS. Change of hypoxic parameters between pretreatment and post-treatment reflected hypoxic-activated drug response. There was no treatment-related death. Conclusion Evofosfamide as second-line treatment of advanced BTC showed acceptable safety and comparable efficacy to other agents. Changes in volumetric parameters measured with FMISO PET, showing the degree of tumor hypoxia, reflected the response to evofosfamide based on the mode of action.

      • KCI등재

        Cutaneous Sterile Pyogranuloma/Granuloma Syndrome in an Old English Bulldog: Case Report

        윤지선,배현아,안수민,홍일화,정동인,박진호,유도현 한국임상수의학회 2019 한국임상수의학회지 Vol.36 No.6

        A four-year old, indoor-living neutered male Old English Bulldog was presented for generalized ulcerative dermatitis. Generalized alopecia and multifocal papules and ulcers with crusting were observed mainly in the dorsal trunk. Cytology of the skin lesions revealed a pyogranulomatous inflammation comprising macrophages and nondegenerate neutrophils. Histopathology also revealed a nodular dermatitis characterized by mixed infiltration of monocytes and neutrophils involving the superficial and deep dermis. Neither of bacteria nor fungus was identified in microscopic exam and culture. From those findings, a diagnosis of cutaneous sterile pyogranuloma/granuloma syndrome (SPGS) was made. Treatment with immunosuppressive drugs of prednisone and cyclosporine was performed and visible ulcerative skin lesions were resolved after 4 weeks of initiation of therapy. Treatment with combination of cyclosporine and prednisone may be effective for the case of SPGS.

      • KCI등재

        병원건축 길찾기 요소의 중요도 분석에 관한 연구 : 'A'종합병원 외래진료부를 중심으로

        윤지선,박재승 한국의료복지시설학회 2008 의료·복지 건축 Vol.14 No.3

        Upon reviewing the tendency of the large-scale hospital buildings constructed so far, we may well know that the architectural space of the hospital buildings has been designed for users' conveniences in terms of functional elements fulfilled, efficiency, uniform colors and lighting, which means that patients may well feel difficult to find their ways in the hospital. The result may be that the patients who are weak mentally and physically feel uneasy or tensed when they wander in the hospital, which may lead to their increased physical fatigue, higher blood pressure or other harmful effects. Thus, patients' way-finding emerges as a new design challenge for the hospital building. The purpose of this study was to define the environmental variables and factors affecting patients' way-finding in the hospital and thereby, determine the correlations between the variables/factors and way-finding to provide for some framework of analysis useful to solutions of patients' way-finding problems, while identifying the causes for difficulty of their way-finding due to differences of perception between hospital building designer and user groups.

      • KCI등재

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