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      • KCI등재

        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.

      • KCI등재

        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.

      • KCI등재

        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.

      • KCI등재

        스타일러스 펜을 활용한 금융 거래에서의 본인 인증

        김현지,장경배,권혁동,김현준,서화정 한국정보보호학회 2020 정보보호학회논문지 Vol.30 No.3

        As the use of credit cards increases, security threats increase. In particular, despite being vulnerable to related crimes,such as fraudulent use of credit cards and theft of names, there are virtually no security procedures to authenticate thevalidity of user while paying with the credit card. In order to overcome these limitations of current credit card payments,we add a process of signing payment using a stylus pen with built-in acceleration sensor in the existing transaction method,and classifying and comparing the image of the signature and signature information measured by the sensor through theconvolutional neural network. we propose a method to improve security in financial transactions by performing the userauthentication process through the possession of the stylus pen and the characteristic values of the signature. 최근 신용카드의 사용 비중이 늘어나고 있으며 그에 따른 보안 위협이 증가하고 있다. 특히 신용카드 부정사용,명의 도용 등의 관련 범죄에 취약함에도 불구하고 카드 결제 시 이를 방지하기 위한 보안 장치가 없는 상황이다. 이러한 현재 신용카드 결제의 한계점을 보완하기 위해 본 논문에서는 기존 거래 방식에 가속도 센서가 내장된 스타일러스 펜을 활용하여 결제 서명을 하고, 합성곱 신경망을 통해 해당 서명의 이미지와 센서를 통해 측정한 서명 정보를 분류하여 상호 비교하는 과정을 추가한다. 이와 같이 스타일러스 펜의 소유 여부와 서명의 특징 값을 통해 본인인증과정을 수행함으로써 금융 거래에서의 보안성을 증진시키는 방법을 제안한다.

      • KCI등재

        朝鮮 後半期 歲時風俗圖 硏究

        김현지 한국역사민속학회 2013 역사민속학 Vol.0 No.43

        Sesipungsok (歲時風俗) are annual cyclical rituals that are carried out regularly,repetitively and ritually at certain times of the year. Directly related to the agriculturalcycles such as plowing, weeding and harvesting in rural areas, sesipungsok fundamentallytakes on the character of agricultural rituals. Painting of sesipungsok refer to illustrationsunder the theme of sesipungsok or annual cyclical rituals encompassing customs, ritualsand games in accordance with the monthly events, 24 seasonal divisions and holidaysof the lunar calendar. In the case of series paintings on folding screens, the illustrationsare arranged and depicted according to the rituals and events a farming house mustcarry out monthly or seasonally over the course of the year. The folding screens withthe paintings of sesipungsok are composed of 8 or 12 panels, and the form andcomposition of the illustrations date back to the Illustrations of “Seventh Month” from the“Odes of Bin” (豳風七月圖) of China. Illustrations of “Seventh Month” from the “Odesof Bin” are based on the poem “Seventh Month (Qieyue, 七月)” in the “Airs of Bin(Binfeng, 豳風)” section of the Classic of Poetry (Shijing, 詩經). As painting of sesipungsok began with didactic paintings of the royal court and cameto prevail amongst civilians, it acquired a variety of functions. In a Confucian societybased on agriculture, painting of sesipungsok was an effective means to advocate thesocial ideology. The lifestyle of the farmers, who were both devoted to their jobs andlives, corresponding to the course of nature of the four seasons, was enough to signify논문투고일: 2012년 9월 30일 / 논문수정일: 2012년 11월 16일 / 게재확정일: 2012년 11월 22일朝鮮 後半期 歲時風俗圖 硏究 171a peaceful reign in which the ideals of royal politics was realized. It can be confirmedthrough the painting of sesipungsok that the nobility, who sought to spread and realizethe Confucian values in the rural community society, sought to project and realize theirrealistic desires and livelihood actions through the painting of sesipungsok as it wentthrough Joseonization and settled towards the end of the 19th century. Moreover, thehwabon (畵本, album with a collection of illustrations used as a manual book forlearning how to paint) on genre painting played a major role in spreading paintingsof such subjects beyond the walls of the royal palaces and to the civilians outside thepalaces. Currently, there are no hwabon left, but the existing genre paintings show theexistence and function of hwabon. Through the foreword of Wolyeonongga (月餘農歌)written by Hyeong-su Kim, it can be confirmed that a hwabon of the genre paintingsof the Joseon Dynasty, Collection of Illustrations (圖說集), existed in 1861 at the latest. 歲時風俗은 일 년 중 특정한 시기에 반복되는 주기전승의례로서, 농촌에서의 밭갈이, 김매기, 수확 등의 농경 주기와 직접 관련되어 농경의례의 성격을 기본적으로 갖는다. 세시풍속도는 음력의 월별, 24절기, 명절의 내용과 이에 따른 의식과 의례행사, 놀이를 포괄하는 세시풍속을 주제로 한 그림을 말한다. 병풍식의 연작 그림인 경우는, 한 해 동안 농가에서 해야 할 일과 행사를 월별, 혹은계절의 리듬에 맞게 배열하여 묘사한다. 세시풍속도 병풍은 8폭 내지 12폭으로 구성되었으며, 그 화면 형식과 구성의 원리는 중국의 <豳風七月圖>를 기원으로 한다. <빈풍칠월도>는 『詩經』의 豳風편중의 ‘七月’ 詩를 전거로 하여 그린 그림이다. 세시풍속도는 왕실의 감계화에서 시작하여 민간에도 성행하면서 다양한 기능을 갖게 되었다. 농업을 기반으로 한 유교사회에서 그 사회적 이념을 표방하는데 세시풍속도는 효과적인 주제였다. 사계절의 자연의 흐름에 일치되는 인간의 삶과 본업에 충실한 농민의 생활모습은 그 자체로 왕도정치의 이상이 실현된 태평성세를 의미하였기 때문이다. 세시풍속도가 조선화 과정을 거치고 정착되면서19세기 후반에는 유교 이념을 향촌사회에서 유포하고 실현하고자 한 사대부층이 자신의 생활모습과현실적인 욕망을 세시풍속도에 투영시키고 향유하였음을 그림을 통해 확인할 수 있다. 또한 풍속화畵本은 이러한 주제의 그림이 궁중에서 민간으로 파급되는데 큰 역할을 하였다. 현재 화본은 남아있지 않지만 현존하는 풍속화의 양상이 화본의 존재와 기능을 말해주고 있으며, 늦어도 1861년에는조선의 풍속화 화본인 『圖說集』이 존재하였음을 김형수(金泂洙)가 저술한 『月餘農歌』의 「自敍」를통해 확인할 수 있다.

      • KCI등재

        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.

      • KCI등재

        High Body Mass Index and Thyroid Stimulating Hormone Levels Do Not Affect Thyroid Nodule Selection for Fine-Needle Aspiration Biopsy after Ultrasound Evaluation

        김현지,이혜선,김은경,남정모,문희정,정해경,곽진영 대한갑상선학회 2019 International Journal of Thyroidology Vol.12 No.1

        Background and Objectives: This study was to evaluate whether high body mass index (BMI) or thyroid stimulating hormone (TSH) level would affect selecting thyroid nodule for fine-needle aspiration biopsy (FNA) after ultrasound (US) evaluation. Materials and Methods: A total of 3155 thyroid nodules (2159 benign and 996 malignant nodules) were included. Four grades of BMI and three levels of TSH were applied for grouping. US features of the thyroid nodules were divided into ‘probably benign’ and ‘suspicious for malignancy’ categories. Patients were grouped according to gender and univariate and multivariate logistic regression analysis were used to find the association between variables and malignancy. Results: TSH levels were significantly higher in the malignant group (p<0.001). The grades of BMI did not show difference between the malignant and benign groups (females, p=0.074 and males, p=0.157). Younger age and ‘suspicious for malignancy’ US category were independent risk factors for malignancy in both genders. In females, a high TSH level (odds ratio=1.010, p<0.001) had significant association with malignancy. Except for younger age (odds ratio=0.998, p<0.001), no variable in nodules with ‘probably benign’ US category was significantly associated with malignancy. Conclusion: High TSH levels were more frequent in thyroid malignancy group, but neither high BMI nor high TSH level give additional information for FNA selection after US.

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