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선천성 후부 요도 판막 증후군의 자궁 내 치료 : 바구니 모양의 도관을 이용한 태아의 방광-양막강 문합술 1예
차지만(Ji Man Cha),원혜성(Hye Sung Won),김미경(Mi Kyung Kim),김소라(So Ra Kim),정지윤(Ji Yoon Chung),이필량(Pil Ryang Lee),이인식(In Sik Lee),김 암(Ahm Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.2
We present a case of in-utero treatment of posterior urethral valve syndrome(PUVS) by vesicoamniotic shunting. The shunt was established by basket-shaped catheter at the 22 weeks' gestation. Enlarged bladder and hydronephrosis were improved after the shunt procedure. The baby was delivered at the 39 weeks' gestation and had normal serum range of BUN and creatinine. Because the outer opening of catheter was burried under abdominal skin on the day before delivery, posterior urethral valve excision and basket removal through urethra were operated by endoscopy on the 2nd day of birth. The baby has been followed up for 5 months and in good health. We report this case with a brief review of literature. Shunt operation in-utero is considered as a safe and effective therapy for lower urinary tract obstruction caused by PUVS.
A Computerized In-Hospital Alert System for Thrombolysis in Acute Stroke
Heo, Ji Hoe,Kim, Young Dae,Nam, Hyo Suk,Hong, Keun-sik,Ahn, Seong Hwan,Cho, Hyun Ji,Choi, Hye-Yeon,Han, Sang Won,Cha, Myoung-Jin,Hong, Ji Man,Kim, Gyeong-Moon,Kim, Gyu Sik,Kim, Hye Jin,Kim, Seo Hyun,K Ovid Technologies Wolters Kluwer -American Heart A 2010 Stroke Vol.41 No.9
<P>Background and Purpose-An effective stroke code system that can expedite rapid thrombolytic treatment requires effective notification/communication and an organized team approach. We developed a stroke code program based on the computerized physician order entry (CPOE) system and investigated whether implementation of this CPOE-based program is useful for reducing the time from arrival at emergency departments (ED) to evaluation steps and the initiation of thrombolytic treatment in various hospital settings. Methods-The CPOE-based program was implemented by 10 hospitals. Time intervals from arrival at the ED to blood tests, computed tomography scanning, and thrombolytic treatment during the 1-year period before and the 1-year period after the program implementation were compared. Results-Time intervals from ED arrival to evaluation steps were significantly reduced after implementation of the CPOE-based program. Times from ED arrival to CT scan, complete blood counts, and prothrombin time testing were reduced by 7.7 minutes, 5.6 minutes, and 26.8 minutes, respectively (P<0.001). The time from ED arrival to intravenous thrombolysis was reduced from 71.7 +/- 33.6 minutes to 56.6 +/- 26.9 minutes (P<0.001). The number of patients who were treated with thrombolysis increased from 3.4% (199/5798 patients) before the CPOE-based program to 5.8% (312/5405 patients) afterward (P<0.001). The CPOE implementation also improved the inverse relationship between onset-to-door time and door-to-needle time. Conclusions-The CPOE-based stroke code could be successfully implemented to reduce in-hospital time delay in thrombolytic therapy in various hospital settings. CPOE may be used as an efficient tool to facilitate in-hospital notification/communication and an organized team approach. (Stroke. 2010; 41:1978-1983.)</P>
이동 단말을 위한 웹 기반 텍스트 요약 시스템의 설계 및 구현
차지은 ( Ji Eun Cha ),천승만 ( Seung Man Chun ),박종태 ( Jong Tae Park ) 한국정보처리학회 2009 정보처리학회논문지 C : 정보통신,정보보안 Vol.16 No.6
최근에 스마트폰과 같은 소형 이동 단말기의 보급이 확산됨에 따라 이동 단말을 통한 인터넷 웹 접속이 크게 증가하고 있다. 하지만 이동 단말의 작은 화면은 한 번에 웹페이지의 전체 내용을 브라우징 하기에는 어려움이 있다. 본 논문에서 이러한 이동단말의 문제점을 해결하기 위한 웹 기반 텍스트 요약 시스템을 설계 및 구현하였다. 제안된 텍스트 요약 시스템의 특징은 문서의 구문적 특징을 크게 변화시키지 않고 다량의 텍스트가 단락 안에 존재하는 경우에 문서를 요약하여 텍스트 용량을 줄임으로써 웹 브라우징에 있어 데이터 전송량을 줄이고 빠른 접근과 불필요한 데이터의 출력을 최소화할 수 있다. 제안된 시스템의 특징을 구현을 통하여 확인하였다. Recently, there has been increasing interest to web access through mobile host due to the explosion of internet mobile terminal such as smart phone. However, small displays of mobile hosts make it difficult to browse the full content of a web page at a time. In order to overcome these limitation, we have designed and implemented Web-based text summarization system. The proposed system can summarize the text for the Web page in which abundant text exist in a page. This can reduce the amount of data transmission and minimize the unnecessary data output during browsing at mobile host. Through implementation, we have confirmed the functions of the proposed system.