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( Minji Kim ),( Juyoung Park ),( Soo Hyun Kim ),( Yoo Min Kim ),( Cheonga Yee ),( Suk-joo Choi ),( Soo-young Oh ),( Cheong-rae Roh ) 대한산부인과학회 2018 Obstetrics & Gynecology Science Vol.61 No.3
Objective To investigate the change of maternal characteristics, delivery and neonatal outcomes in gestational diabetes mellitus (GDM) over recent 10 years and to identify the risk factors associated with adverse outcome. Methods Consecutive GDM patients (n=947) delivered in our institution were included. Research period was arbitrarily divided into 2 periods (period 1: from 2006 to 2010, period 2: from 2011 to 2015). Multiple pregnancies or preexisting diabetes were excluded. Maternal baseline characteristics, delivery and neonatal outcomes were reviewed. Fetal biometric findings by prenatal ultrasonography were collected. Adverse pregnancy outcome (APO) was defined by the presence of one of the followings; shoulder dystocia, neonatal macrosomia (>4 kg), neonatal hypoglycemia (<35 mg/dL), respiratory distress syndrome (RDS), and admission to the neonatal intensive care unit (NICU) in term pregnancy. Results Period 2 was associated with older maternal age (34 vs. 33, P<0.001) and higher proportion of GDM A2 compared to period 1 (30.9% vs. 23.0%, P=0.009). By univariate analysis, APO was associated with increased body mass index (BMI) at pre-pregnancy (23.4 kg/㎡ vs. 21.8 kg/㎡, P=0.001) or delivery (27.9 kg/㎡ vs. 25.8 kg/㎡, P<0.001), higher HbA1c at diagnosis (5.6% vs. 5.3%, P<0.001) or delivery (5.8% vs. 5.5%, P=0.044), and larger fetal biometric findings (abdominal circumference [AC] and estimated fetal weight, P=0.029 and P=0.007, respectively). Multivariate analysis showed pre-pregnancy BMI (odds ratio [OR], 1.101; 90% confidence interval [CI], 1.028-1.180) and fetal AC (OR, 1.218; 90% CI, 1.012-1.466) were independently associated with adverse outcomes. Conclusion Our study demonstrated the trends and relevant factors associated with the adverse outcomes.
( Ji Hye Kim ),( Cheonga Yee ),( Jin Yi Kuk ),( Suk Joo Choi ),( Soo Young Oh ),( Cheong Rae Roh ),( Jong Hwa Kim ) 대한산부인과학회 2016 Obstetrics & Gynecology Science Vol.59 No.5
Pregnant women with antiphospholipid syndrome (APS) carry a high risk of arterial or venous thrombosis. Such thrombotic conditions occur more frequently in patients with triple positivity to antiphospholipid antibodies or with high antibody titers. Hepatic infarction is a rare complication in pregnant women with APS, and it sometimes mimics HELLP syndrome. This report describes a preeclamptic pregnant woman with APS who had high titers of three antiphospholipid antibodies. She experienced severe epigastric pain with elevated liver enzymes; in addition, she had tachycardia and tachypnea. The clinical findings suggested hepatic infarction and pulmonary thromboembolism, a partial manifestation of catastrophic APS. Therefore, she underwent emergent cesarean section at 25+2 weeks of gestation. After the delivery, her laboratory test indicated HELLP-like features, and computed tomography confirmed hepatic infarction and pulmonary micro-thromboembolism. Here, we report a case of a partial manifestation of catastrophic APS in a pregnant woman with triple antibody positivity, including a brief literature review.
( Chi-son Chang ),( Yunsun Choi ),( Seo-yeon Kim ),( Cheonga Yee ),( Mina Kim ),( Ji-hee Sung ),( Sanghoon Lee ),( Suk-joo Choi ),( Soo-young Oh ),( Jeong-meen Seo ),( Cheong-rae Roh ) 대한산부인과학회 2021 Obstetrics & Gynecology Science Vol.64 No.1
Objective We investigated prenatal sonographic characteristics of esophageal atresia (EA) with advancing gestation. We focused on the degree of polyhydramnios and the stomach shape. Methods This study included 27 EA cases (EA group) and 81 idiopathic polyhydramnios cases (non-EA group). The non-EA group consisted of cases without any fetal structural anomaly, musculoskeletal disorder, chromosomal abnormality, or maternal diabetes. Both groups included only singleton pregnancies. Amniotic fluid index (AFI) and width/length (W/L) ratio as well as the product of width and length (W×L) of stomach were serially assessed during gestation and compared between the 2 groups. To predict EA using W/L ratio and W×L, receiver operating characteristic curve analysis was performed. Results Polyhydramnios was evident in 77.8% of EA cases. We observed 25.9% and 22.2% EA cases with an absent stomach and a small visible stomach, respectively. After 28 weeks, the EA group manifested significantly higher AFI than the non-EA group. After 32 weeks, W/L ratio in the EA group tended to be lower than that in the non-EA group (32-36 weeks: 1.36 vs. 1.72, P=0.092; >36 weeks: 1.43 vs. 1.63, P=0.024). To predict EA, the calculated area under the curve for W/L ratio was 0.651 after 32 weeks. The diagnosis of EA using a cut-off value of W/L ratio <1.376 showed sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio to be 84.6%, 52.9%, 1.796, and 0.081, respectively. Conclusion A low W/L ratio of stomach after 32 weeks with progressive idiopathic polyhydramnios may be used to predict EA.
윤국진(Kugjin Yun),정원식(Won-Sik Cheonga),이진영(Jinyoung Lee),김규헌(Kyuheon Kim) 한국방송·미디어공학회 2014 방송공학회논문지 Vol.19 No.5
ATSC is currently working on standardization of hybrid 3DTV broadcasting service in heterogenous network environment after completion of service-compatible 3DTV broadcasting service standard based on broadcasting channel. This paper proposes a convergence 3D video broadcasting method on broadcasting and IP network while guaranteeing a Full-HD 3D quality without degrading the image quality of legacy DTV. Specifically, this paper describes transmission of the 3D additional video using the ISO/IEC 23009-1 DASH, robust synchronization method under heterogenous network environments and system target decoder model for hybrid 3DTV receiver. Based on experimental results, we confirm that proposed technologies can be used as a core technology in the hybrid 3DTV standardization and a reference model for a development of hybrid 3DTV encoder and receiver.