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Cervicovaginal fluid cytokines as predictive markers of preterm birth in symptomatic women
( Sunwha Park ),( Young-ah You ),( Hayoung Yun ),( Suk-joo Choi ),( Han-sung Hwang ),( Sae-kyung Choi ),( Seung Mi Lee ),( Young Ju Kim ) 대한산부인과학회 2020 Obstetrics & Gynecology Science Vol.63 No.4
Objective Here, we investigated whether cytokines in the cervicovaginal fluid (CVF) can be predictive markers of preterm birth (PTB). Methods A multi-center prospective cohort study was conducted on 59 singleton pregnant women hospitalized for preterm labor (PTL) and/or preterm premature rupture of membranes (pPROM) between 22 weeks and 36 weeks 6 days of gestation from 2014 to 2015. The levels of 13 inflammatory cytokines (macrophage inflammatory protein [MIP]-1α, MIP-1β, tumor necrosis factor [TNF]-α, interleukin [IL]-1β, IL-6, IL-8, IL-17α, granulocyte colony stimulating factor [G-CSF], IL-7, IL-4, IL-5, IL-10, and IL-13) were measured using a multiplex bead-based immunoassay and that of fetal fibronectin (fFN) was measured using enzyme-linked immunosorbent assay (ELISA). Statistical analyses were performed using Student’s t-test, Mann-Whitney U test, Pearson’s correlation, and receiver operating characteristic (ROC) curve analysis in SPSS version 20.0. Results Among the 13 cytokines assessed, the levels of 3 cytokines (MIP-1α, IL-6, and IL-7) were negatively correlated with gestational age at delivery (P=0.028, P=0.002, and P=0.018, respectively). Sensitivities of MIP-1α, IL-6, and IL-17α were 70%, 80%, and 75%, respectively, and their specificities were 57%, 65%, and 69%, respectively. The sensitivity and specificity of fFN were 33% and 95%, respectively. Conclusion In symptomatic women diagnosed with PTL and/or pPROM, cytokines from cervicovaginal fluid, especially IL-6 and IL-17α, could be better predictive markers of PTB than fFN.
A Rare Case of Methotrexate Induced Pancreatitis in Ectopic Pregnancy
Jiwon Choi,Mina Kang,Young Min Hur,Young Ju Kim,Sunwha Park Ewha Womans University School of Medicine 2023 EMJ (Ewha medical journal) Vol.46 No.2
Ectopic pregnancy (EP) refers to blastocyst implantation outside the uterine endometrium. EP is major cause of maternal morbidity and mortality. Treatment options include surgery, medical therapy with methotrexate, or expectant management. Methotrexate is the primary regimen used in cases of early, unruptured ectopic pregnancies. Most side effects of methotrexate are minor, including nausea, vomiting, abdominal discomfort, and photosensitive skin reaction. Serious side effects, including bone marrow suppression, and pulmonary fibrosis, are invariably observed when methotrexate is administered in high doses with frequent dosing intervals, in chemotherapeutic protocols for malignancy. These side effects are uncommon with the doses used to treat ectopic pregnancies. Since cases of methotrexate-induced pancreatitis are rare, we report a case of pancreatitis in a patient with EP treated with methotrexate and expect to consider pancreatitis as a side effect of methotrexate in a patient with upper abdominal pain undergoing methotrexate chemotherapy.
최선화,Choi, Sunwha 중소기업융합학회 2019 융합정보논문지 Vol.9 No.2
With a special attention to the effects of his different mothering environments on the formation of the children's identity and sociality, and on their growing up into a mature personality under various types of mothering attitudes, this thesis is to tell the significance of the mothering attitude in Faulkner's novel, Light in August. Lena Grove's "tolerant mothering attitude" in Light in August accepts the existence of things as they are and takes the substance over the form. The message for the writer to deliver must be Lena's "tolerance and holding mothering attitude environment." And it is the most required for a child to establish his or her identity and sociality as a human being and to grow up into a mature person. 작가 윌리엄 포크너는 그의 작품에서 다양한 모습의 여성 인물들을 역동적으로 보여 주고 있는데, 그의 여성 인물에 대한 묘사는 주로 어머니의 모습에 기반을 두고 있는 것을 주목해야 한다. 당시의 가부장제 하에서 작가가 관심 가지고 있는 어머니의 핵심적인 역할은 가족 단위를 유지하고, 자녀들을 양육하며 성숙한 인격을 가지기 위하여 그들이 정체성을 가지고 사회화할 수 있도록 돕는 것이다. 어머니의 역할은 본인의 가족관계에만 국한된 것이 아니라, 비단 혈연관계와 상관없을지라도 다른 개인을 양육하고 돌보는 관계까지 포괄적인 의미를 가진다. "팔월의 빛"에서 리너 그로브는 비록 혈연관계의 어머니는 아니지만 하이타워에게 인내하며 사랑을 실천하는 수용적 모성태도를 보여줌으로써 그가 소외된 삶을 극복하고 자연적 삶의 흐름에 복귀할 수 있도록 한다. 반면 조 크리스마스의 비극이 실제적인 어머니의 부재와 이를 대신할 모성의 환경이 부재함으로써 비롯된 것을 살펴보면서 아이가 진정한 자아를 형성하는 정체성을 형성하는 외부영향에서 어머니의 역할이 가장 중요한 요소임을 살펴보고자 한다.
Optimal treatment strategies of Tuberculosis in South Korea
Eunok Jung,Sungim Whang,Sunwha Choi 한국산업응용수학회 2010 한국산업응용수학회 학술대회 논문집 Vol.5 No.1
We have developed a tuberculosis (TB) model in South Korea using the SEIR model with the time-dependent parameters. South Korea ranked the highest TB incidence among members of the Organization for Economic Cooperation and Development (OECD) in 2004. The observed data from the Korea Center for Disease Control and Prevention (KCDC) shows a certain rise of the incidence people after 2001 yr because of increasing foreign workers with active-TB and starting the operation of the Korean Tuberculosis Surveillance System. The least-square curve fitting has been used for fitting the parameters in our model to the observed data. In this work, we also propose the optimal treatment strategies of TB model in South Korea using optimal control theory based on our TB model from 2001 yr to 2008 yr.