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.

프레이리 관점에서 바라본 수업에서의 교사 역할에 대한 비판적 성찰

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

자조관리 프로그램이 여성 류마티스 관절염 환자의 자기효능감과 삶의 질에 미치는 효과

김현지,유혜라,송미숙,현명선 병원간호사회 2010 임상간호연구 Vol.16 No.2

Purpose: The purpose of this study was to examine the effects of a self-management program on self-efficacy and quality of life for Korean women with rheumatoid arthritis. Methods: A quasi-experimental study using a nonequivalent control group pretest posttest design was used. The data were collected from July 1 to Sep. 15, 2007. Thirty one arthritis patients (15 in the experimental group and 16 in the control group) were participated in this study. A self-management program developed by Korean Society of Muscle and Joint Health in 1994 was used. The program was consisted of 6 sessions, 2 hours each and held every Friday for 6 weeks. General Self-Efficacy Scale and Quality of Life were used to test the effect of the program. Results: Hypothesis 1; “Self-efficacy in the experimental group after program would be higher than the control group” was supported. Hypothesis 2; “Quality of Life in the experimental group after program would be higher than the control group ” was not supported. Conclusion: The self-management program was effective for Korean women with rheumatoid arthritis in terms of increasing self-efficacy. Therefore, to increase self-management skills and self-efficacy for female rheumatoid arthritis patients, the program can be useful.

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.

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.

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.

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.

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.

한?중 현대 집합주거 주동형식 비교연구

김현지,서희숙,이상홍 대한건축학회 2006 대한건축학회논문집 Vol.22 No.11

The purpose of this study was to get preeminent data from comparative analysis of multi-family housing building types between Korea and China nowadays. Even though Korea and China belong to common cultured band in Asia, there were many different Housing aspects and building types because of difference of lifestyle and the building law. Through this study we wanted to grasp the characteristics of both nation's apartment building types and to contribute for advance into the China apartment market. Analysis target was constructing and lotting out apartment at South Korea and China, from 2004 to 2005. First, they were analyzed the number of each building types, compared the proportion of each one. next, it was divided into some kinds of interior circulation system. Also, they were compared with each nation's number of plan and plan types. Through these analysis we knew that next differences of South Korean and Chinese apartment. 1)There were many number of slab block type in Korean apartment. But in China, mixed block type apartment came out frequently. 2)Chinese apartment had more number of unit plan that was combined in one core than Korean. 3)Chines apartment Unit plan type was came out more various than Korean. 4)The shape of Chinese apartment building block was long by horizontally than vertically and has many prominence and depression.