The Association between Qualitative Fetal Fibronectin Test from Cervicovaginal Discharge and the Presence of Histologic Chorioamnionitis in Preterm Labor with Intact Membranes

김현지,이숙정,신하림,이현경,홍수빈,김현지,박지윤 대한주산의학회 2022 Perinatology Vol.33 No.4

Objective: To determine the predictive value of the qualitative fetal fibronectin test from cervicovaginal discharge for histologic chorioamnionitis in patients with preterm labor and intact membranes Methods: This retrospective cohort study included consecutive singleton pregnancies who had been hospitalized for uterine contractions before 37 weeks of gestation from August 2017 to May 2020. All patients underwent the qualitative fetal fibronectin test from cervicovaginal discharge, cervical length measurement by transvaginal ultrasonography, and blood test for C-reactive protein. Those who delivered at term gestation were excluded for the analysis. The primary outcome was the presence of histologic chorioamnionitis. Results: (1) The proportion of histologic chorioamnionitis was higher in the group with positive fetal fibronectin results than that with negative results (62% vs. 18%, P<0.001); (2) The positive fetal fibronectin was significantly associated with histologic chorioamnionitis (relative risk 4.6, 95% confidence interval 1.3-16.0, P=0.017) in multivariate logistic regression analysis even after adjustment of gestational age at delivery; (3) The sensitivity to predict histologic chorioamnionitis of qualitative positive fetal fibronectin test was 87%. Conclusion: The qualitative fetal fibronectin test from cervicovaginal discharge is independently associated with the presence of histologic chorioamnionitis.

컨벤션센터의 사회적 책임활동이 신뢰, 자주적 관여 및 장소애착에 미치는 영향관계

김현지 한국무역전시학회 2021 무역전시연구 Vol.16 No.4

본 연구의 목적은 컨벤션센터의 사회적 책임과 지역주민의 신뢰, 주민의 자주적 관여 도와 장소애착 간의 관계를 파악하여, 지역경제를 이끌 수 있는 공적기관으로서의 역 할과 기능에 대한 주민의 인식파악과 적극적 참여유발을 위한 중요요인을 파악하고자 실시되었다. 이 연구의 의의는 전시컨벤션센터라는 공익을 목적으로 하는 기관의 기능 평가와 발전계획수립을 위한 의사결정과정에 유용한 기초자료를 제공할 수 있으며, 실 무적으로 지역발전의 리더 조직으로서의 개발계획수립과 운영을 센터의 가치와 기능을 강화시킬 수 있는 시사점을 제공할 수 있을 것으로 판단된다. 연구방법으로는 컨벤션 센터의 사회적 책임, 신뢰, 자주적 관여도 그리고 애착에 대한 선행연구분석과, 설문조 사를 실시하였다. 조사는 2021년 7월 1일~30일까지 부산 벡스코에서 개최된 각종 전시 회의 참관객을 대상으로 실시되었으며, 설문자료를 활용하여 실증분석과 가설검증을 위한 탐색적 요인분석, 확인적 요인분석, 상관관계분석, 구조방정식을 사용하였다. 연구결과를 제시하면 다음과 같다. 첫째 컨벤션센터의 사회적 책임은 경제적 책임, 법률적 책임과 자선적 책임이라는 3개 요인으로 구분되었으며, 특히 경제적 책임에 대 한 지역주민의 인식이 가장 높다는 것을 알 수 있다. 둘째 지역주민들의 컨벤션센터에 대한 신뢰는 법률적 측면과 자선적 측면에 대한 인식이 강하게 인지되고 있으며, 셋째 지역주민의 센터에 대한 신뢰가 높을수록 자주적 관여와 애착도가 높아지고 있어, 센 터에 대한 신뢰는 지역주민의 자발적인 다양한 형태의 참여와 관여 및 애착을 유발하 는 선행변수임을 알 수 있다. 넷째 신뢰가 자주적 관여를 매개하여 애착도에 영향을 미치지 않는다는 결과를 도출할 수 있다. The purpose of this study is to investigate the relationship between the social responsibility of the convention center, the trust of local residents, the degree of independence of residents, and place attachment. Of the 200 distributed questionnaires, 169 usable data were used in this study. Structural equation analysis were adopted by using AMOS 26.0. Results are as follows: First, the social responsibility of the convention center is divided into three elements: economic responsibility, legal responsibility, and philanthropic responsibility. Second, the trust of local residents in the convention center is strongly recognized in terms of legal and social contribution, and it is judged that the local residents recognize the importance of the convention center as a public institution. Third, the higher the local residents' trust in the center, the higher the degree of independent participation, suggesting that trust in the center is a leading variable for voluntary participation. Fourth, it can be concluded that trust does not affect attachment by mediating independent involvement.

프레이리 관점에서 바라본 수업에서의 교사 역할에 대한 비판적 성찰

김현지 한국교육사상학회 (구 한국교육사상연구회) 2019 한국교육사상연구회 학술논문집 Vol.2019 No.1

Papillary Carcinoma Arising from the Pyramidal Lobe of the Thyroid

김현지,이사라,김은경,문희정,곽진영 대한초음파의학회 2012 ULTRASONOGRAPHY Vol.31 No.1

The authors present a rare case of papillary carcinoma arising from the pyramidal lobe of the thyroid in a 54-year-old woman, who presented with a right submental pal-pable mass. An ultrasound evaluation depicted a 3 cm mixed echoic mass from the thyroid cartilage level without a focal lesion in the thyroid gland. Surgical specimens obtained during bilateral thyroidectomy confirmed papillary carcinoma of the pyramidal lobe. To the authors’ knowledge, this is the first case report to describe papillary carci-noma arising from the pyramidal lobe of the thyroid gland.

신장이식 후 골밀도에 영향을 미치는 인자에 대한 연구

김현지,홍주희,김향숙,이혜숙,오정미 한국병원약사회 2012 病院藥師會誌 Vol.29 No.2

Osteoporosis is a common complication, following kidney transplantation, which profoundly contributes to morbidity. Since bone loss can lead to fracture, it is an important factor that affects quality of life after kidney transplantation. Using the pre-transplant bone mineral density (BMD) data, post-transplant change in the BMD of recipients was retrospectively evaluated. Risk factors that affect bone mineral density after kidney transplantation are classified into three categories; patient-related factors, surgical methods and lab values-related factors, and pharmacotherapy-related factors. Patients enrolled in this study include patients aged over 18 years old, who received kidney transplantation at Seoul National University Hospital from January, 2000 to December, 2008. Bone mineral density is expressed as T-score in DEXA (Dual Energy X-ray Absorptiometry) test, and a lower T-score means lower bone mineral density. By selecting the lowest T-score in lumbar and femur, this study compared bone mineral density before and after kidney transplantation. A total of 86 patients participated in this study, and average difference of T-score was 0.12 in lumbar and -0.08 in femur before and after transplantation. There were 37 patients who experi-enced bone loss in lumbar, and 43 patients experienced bone loss in femur. In this study, it was found that patients who took vitamin D supplements to prevent bone loss experienced less bone loss in lumbar, compared to patients who did not take any medication. Also, patients who took steroid dose over 2.5mg/day experienced greater bone loss in the femur. It can be concluded that patients who take high dose of steroid should closely monitor bone health to prevent bone loss. Aggressive use of vitamin D supplement could be an effective way to prevent bone loss. Further studies will be necessary to find the role of pharmacists in order to prevent bone loss in patients with kidney transplantation.

Unexpected and severe postintubation croup after a very short day surgery in a pediatric patient -a case report-

김현지,손제도,곽경화 대한마취통증의학회 2014 Korean Journal of Anesthesiology Vol.67 No.4

An 18 month-old boy underwent endoscopic foreign body removal under anesthesia on an outpatient basis and the operation took approximately 5 minutes. Stridor developed in both lung fields 6 hours after emergence from anesthesia, and severe croup developed, with cyanosis of the lips and aggravated stridor 20 hours after the end of the procedure. The croup resolved with oxygen therapy, intravenous dexamethasone, and epinephrine nebulization therapy. In this report, we suggest that thorough investigations of the patient’s past history, including history of any airway problems, and careful monitoring after emergence from anesthesia be done in order to decide the proper discharge time of the patient. Further, proper prophylaxis following risk stratification is important, especially in patients at high risk of postoperative airway obstruction.

적록 색각 이상자를 위한 HSV색공간을 이용한 색변환 기법

김현지,조재영,고성제,Kim, Hyun-Ji,Cho, Jae-Young,Ko, Sung-Jea 대한전자공학회 2013 전자공학회논문지 Vol.49 No.11

본 논문에서는 적록색각 이상자를 위한 색 변환 알고리즘을 제안한다. 적록색각 이상자는 원추세포의 이상으로 인해 색상과 명도를 일반인과 다르게 인지하기 때문에 적색과 녹색의 구분에 어려움을 겪는다. HSV 색공간은 이러한 특성을 파악할 수 있는 인간의 색지각과 유사한 색 공간으로, 제안하는 방법에서는 HSV 색 공간에서 색상과 명도를 보정하여 색을 변환 한다. 이때 색상과 명도 보정정도는 개개인의 색각이상 심각도에 따라 다르게 결정된다. 색각 이상자 개개인에 따라 다른 보정정도를 적용함으로서 기존 이미지의 자연스러움은 유지 하고 구분하기 힘들었던 색상들도 구분 가능하게 변환된다. 제안하는 방법을 색각 이상자에게 적용하여 시뮬레이션으로 확인한 결과, 색각 이상자가 구분하기 힘든 색상들이 색상의 자연스러움을 유지하면도 색차를 인지할 수 있는 색으로 변환되는 것을 확인할 수 있었다. This paper proposes a new re-coloring method for the people with the red-green color vision deficiency (CVD). These people have difficulty in discriminating the red and green colors since they abnormally perceive the hue and luminance value of the colors. We introduce a color transformation that adjusts the hue and luminance value in HSV color space. The color transformation is determined according to the severity of CVD. Our aim is to maintain the color differences in original image while maintaining the recolored image to be natural to the people with normal color vision. Experimental results show that the proposed method can yield more comprehensible images for the people with red-green CVD while maintaining the naturalness of the recolored images.

온라인 팬덤 : 접근성의 강화에 따른 팬들의 새로운 즐기기 방식 How Fans Enjoy Their Stars online?

김현지,박동숙 한국여성커뮤니케이션학회 2004 미디어, 젠더 & 문화 Vol.2 No.-

최근 온라인 미디어가 대중화됨에 따라, 오프라인 미디어만을 사용하여 팬 의식을 가지고 팬으로서 활동하였던 기존의 팬들이 온라인 미디어를 광범위하게 사용하게 되었다. 이 연구는 온라인 미디어에서 팬들의 즐기기 방식을 변화시킨 기제 및 온라인 팬들의 즐기기 양상에서 특징적으로 드러나는 변화들을 살펴봄으로써 온라인 미디어라는 뉴미디어가 팬이라는 수용자층과 상호작용하여 만들어내는 새로운 현상과 그 의미에 주목하였다. 온라인 팬덤의 즐기기가 변화하게 된 주요 기제로서 정보, 커뮤니티, 팬 생산의 측면에서 드러나는 접근성(accessibility)의 강화를 꼽을 수 있었다. 이렇게 팬덤 전반에 걸쳐 접근성이 강화됨으로써 온라인 팬들의 즐기기에 새로운 변화들이 나타나게 되었다. 이를 팬층의 다변화, 팬 생산 활동의 부각, 팬페이지 운영자 및 참여자들로서 겪는 새로운 경험, 팬의 시각의 다변화와 그에 따라 시각에 따른 팬 서클(circle)의 분화(categorization)로 정리하였다. As online media are lately gaining their popularity among general population, more fan groups of popular culture are also extensively utilizing online media as a way of enjoying their stars. They have been actively participating in various fan activities and rituals in rather traditional ways using offline media up to this point. This study is designed to achieve two major goals: first, it aims at analyzing major factors which are responsible for new scenes of online fan activities in relation to their enjoyment and pleasure; secondly, it also plans to uncover newly emerged ways of which fans claim to be fans by indulging in fan-specific activities. In doing so, this study also attempts to discuss how online media as new forms of media meet with fans and how their cooperations produce new cultual phenomena and finally, what are the implications of all these cultural changes. The research shows that major contributing factor to newly emerged ways of fans involvement is fast and easy accessibility to various source of informations. As fans are getting more and quicker accessibilities to information about their heroes and heroins, we are witnessing following changes in fandom: 1) more people can be easily joining as fans utilizing online media; 2) fans are not only consuming cultural texts delivered to them by the media but also producing them about their stars; 3) many fans act as `sysops' or join as members of `fanpage' of their stars and these activities themselves became meaningful among them by building up their own communities; 4) fan groups are getting more diversified since not all fans adore their stars for exactly identical reasons and cyberspace of online media allows them to gather together as separate small groups.

염색체 7번 장완의 부분적 역위 중복 1례

김현지,이소영,김미영,백청순,김원덕,이동석,김두권,최성민,Kim, Hyun Ji,Lee, So Young,Kim, Mi Young,Baek, Chung Sun,Kim, Won Duck,Lee, Dong Seok,Kim, Doo Kwun,Choi, Sung Min 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.5

Duplication of chromosome 7q has been reported as either partial or complete. Partial 7q duplication was first described by Carpentier in 1972. Pure partial duplication of the long arm of chromosome 7 is extremely rare and only 16 cases with a pure partial duplication of different 7q segment have been described in the literature. Pure partial duplication of the long arm of chromosome 7 is characterized by growth and developmental retardation, muscular hypotonia, distinct craniofacial dysmorphic features, a short neck and skeletal abnormalities. A 3 month-old male was referred to our department of Pediatrics because of dyspnea, hypotonia and delayed development. He shows growth and developmental delay, hypertelorism, a depressed nasal bridge, low set ears, a short neck and muscular hypotonia. Karyotype revealed 46, XY, dup(7)(q36q33) by GTC-banding. We report a case of a partial inverted duplication of chromosome 7q. 저자들은 호흡곤란, 근력저하, 발달지체로 병원에 온 3 개윌된 남아의 염색체 핵형분석에서 46, XY, dup(7)(q36q33)으로 진단된 1례를 경험하였기에 보고하는 바이다.

다중채널 전산화 단층촬영으로 진단된 대퇴-슬와동맥 우회 이식혈관 포획 증후군: 1예 보고

김현지,송순영,김진우,김용수,고병희,조온구,장미정,권오정 대한영상의학회 2007 대한영상의학회지 Vol.57 No.5

Popliteal artery entrapment syndrome is a well-known congenital condition causing limb ischemia. A similar entity caused by entrapment of a femoropopliteal bypass graft by the muscle and tendons around the knee has also been described. Ultrasonography or MR imaging is considered as a choice of a noninvasive modality for this condition, but there are some limitations. We report a case of iatrogenic entrapment of femoropopliteal bypass graft that was confirmed by multidetector row computed tomography (MDCT). 슬와동맥 포획 증후군은 하지의 허혈을 가져오는 잘 알려진 선천성 이상소견이다. 유사한 양상의 포획 증후군이 대퇴-슬와동맥 우회 이식혈관에서도 무릎주변의 근육과 힘줄에 의해 유발될 수 있다. 초음파나 자기공명영상 등이 이 질환을 진단하는 주된 비침습적인 검사법으로 알려졌으나, 제한점이 있다. 저자는 다중채널 전산화단층촬영으로 진단된 대퇴-슬와동맥 우회 이식혈관의 포획 증후군 1예를 보고하고자 한다.