• Journal of Digital Convergence
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• v.9 no.5
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• pp.65-75
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• 2011

For the latest information and communication technology convergence with related technology to integrate all the systems has been developed in the form. In this era as well as the flow of the healthcare industry in recent years many studies on the development and application has been actively. Health IT in healthcare information systems that integrate information systems that have evolved rapidly in the direction to go, and in the future it is expected to do better acceleration. In this paper, state-led ubiquitous environment for building the hospital application system and IT application services are practical and Free in the integrated health information for the patient care service strengthening to integrated medical information system proposal and design do's and At the same time the establishment of integrated health information systems plans and operational challenges presented.

• Korean Journal of Acupuncture
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• v.22 no.4
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• pp.1-8
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• 2005

배경 : 체질의학에서 진단의 중요성에도 불구하고 팔체질의학의 맥진의 신뢰성에 대한 과거 연구가 거의 없었다. 목적 : 본 예비연구는 팔체질의학의 맥진에 대한 진단자 간의 신뢰성 및 진단자 내의 신뢰성을 검사하기 위함이다. 재료 및 방법 : 팔체질의학을 이용한 진료 경력이 3년 내지 5년 되는 한의사 두 명이 실험에 참여하였다. 31명의 건강한 대학생들의 팔체질을 맥진을 통해 진단하고 그 결과를 확신도와 함께 각각 기록하도록 하였으며 이 중 5명은 각각 진단자로부터 3회씩 진단을 받도록 하였다. 그 결과를 분석하여 진단자 간의 신뢰성과 진단자 내의 신뢰성을 검사하였다. 아울러 진단에 대한 확신도와 결과와의 상관성이 있는지도 조사하였다. 대상자와 진단자는 서로를 알 수 없도록 가리개를 하고 실험을 진행하였다. 결과 : 진단자 간의 일치도는 35.7%였으며 카파 계수는 0.232로 보통 이하 수준인 것으로 나타났다. 진단자 내 일치도는 진단자 별로 각각 89%, 66.83%로 나타났다. 다만 두 진단자 사이의 결과가 일치하는 경우 불일치하는 경우보다 진단자의 확신도가 높은 것으로 드러났다 결론 : 본 연구에서는 팔체질의학의 맥진의 진단자 간, 진단자 내의 신뢰성이 비교적 낮은 것으로 나타났다. 이는 진단의 변수가 많고 진단자의 숙련도나 대표성의 문제 등 여러 가지 요소들로 인한 결과로 파악된다. 팔체질의학의 진단자 간, 진단자 내의 신뢰성에 대한 향후 연구가 절실히 요구된다.

• The Journal of Korean Medical History
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• v.28 no.1
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• pp.143-158
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• 2015

The purpose of this study is to examine the prescription of Geoseohwajung-tang which often appears in Kim Yeoung-hun's medical records and how he employed this prescription. Geoseohwajung-tang is a prescription that can be found in no books of medicine in East Asia other than Kim Yeoung-hun's medical records, his posthumous work, Cheongganguigam, and Seungjeongwon Ilki, the diaries of royal secretariat of the Joseon dynasty. It was mostly used for digestive problems resulted from eating wrong food in summer and diversely applied by changing the composition of the medicinal ingredients according to the patient's symptoms. To see how Geoseohwajung-tang was used clinically, the researcher analyzed Kim Yeoung-hun's medical records written in 1915~1924. Among his total 21,369 medical records, 549 ones included Geoseohwajung-tang, and all of them were in July to September, so we can see that it was a prescription for the summer season. The use of the prescription was not highly related with the patient's gender, occupation, or age. The names of the diseases are mostly diarrhea, dysentery, acute vomiting with diarrhea, and all of them are highly related with diarrhea. The causes of them are mostly summer-heat, dampness, and food poison.

• The Journal of the Korea institute of electronic communication sciences
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• v.10 no.12
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• pp.1403-1410
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• 2015

The purpose of this study is to provide ways to utilize and create valuable medical information utilizing Medical Big Data created by field in hospital information system. The results of this study first creates new medical information of Medical Information system through medical big data analysis and integration of created data of PACS linked with many kinds of testing equipment and medical image equipment along with medical treatment information. Medical information created in this way produces various health information for treatment and prevention of disease and infectious disease. Second, it creates profit statistics information in various ways by analyzing medical big data accumulated through integration of billings and receipt, admission breakdown of patients. Profit statistics information created in this way produces various administration information to be utilized in profit anaysis and operation of medical institution. Likewise, data integration of personal health history, medical information of public institutions, medical information created in hospital information system produces valuable medical health information utilizing medical data.

• Journal of Dental Rehabilitation and Applied Science
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• v.29 no.2
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• pp.153-162
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• 2013

This study compared the marginal bone loss around dental implants that were placed in the canine areas of the mandibles and finded the survival rate of the implants, marginal bone loss around implants and prosthetic complications in 20 patients treated with overdentures retained with Locator attachments. Implants placed in this study showed a 95% survival rate and the average marginal bone loss was 1.21 mm($SD{\pm}0.60mm$) in 94.3 weeks of functional loading. Implant-retained overdentures had various prosthetic complications such as male change, metal cap loosening, Locator attachment loosening, denture teeth change, relining and denture fracture. Implant-retained overdentures using two implants and Locator attachments in the edentulous mandibles is considered as a stable way for long terms because of minimal invasive operation, simple prosthetic process and easy repair.

• Journal of the Korea Society of Computer and Information
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• v.16 no.11
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• pp.189-200
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• 2011

With rapid development and contribution of IT technology IT fushion healthcare service which is a form of future care has been changed a lot. Specially, as IT technology unites with healthcare, because delicate personal medical information is exposed and user's privacy is invaded, we need preperation. In this paper, u-healthcare service model which can manage patient's ID information as user's condition and access level is proposed to protect user's privacy. The proposed model is distinguished by identification, certification of hospital, access control of medical record, and diagnosis of patient to utilize it efficiently in real life. Also, it prevents leak of medical record and invasion of privacy by others by adapting user's ID as divided by user's security level and authority to protect privacy on user's information shared by hospitals.

• Journal of the Korea Society of Computer and Information
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• v.15 no.8
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• pp.89-98
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• 2010

Recently supply of Internet is bringing a important change in medical environments. The hospitals which had a different system is required the system that can efficiently share and exchange medical information. In order to transmission medical information between systems, the Health Level Seven(HL7) interface engine development that can convert medical data to HL7 messages is necessary. The HL7 is a standard protocol for data exchange in healthcare environments. In this paper, I implemented HL7 interface engine for Alzheimer's disease in elderly care facility. The interface engine is composed of the client system and the server system. The client system inputs user's medical care data for the aged, and builds them into HL7 message stream. HL7 messages in the client system transmitted over TCP/IP protocol to the server system. The server system parses and validates this messages stream to the segments and fields and then transmits acknowledgement to the client system. I implemented it using the Java and JavaCC. The study of interface engine implementation can be used meaningfully in electronic health record, telemedicine system, and medical information sharing among various healthcare institutions.

• Journal of Digital Contents Society
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• v.15 no.1
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• pp.11-18
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• 2014

The strength of our country is based on high-speed networks to build a nationwide health information network to improve the quality of health care is needed. However, nature of the medical services in the hospital medical record form, so that all departments characterize each medical department, a common format that can be used for all disease is a very difficult challenge. This study is one of the ways to improve this priority issue on health information sharing medical information system(PACS/HIS) information linkage between the problem of information, compatibility and security issues derived. The problem is derived from the requirements of theorem 3 to 6 items. This is effective in order to improve sharing of medical information for the purpose of designing the software system. Sharing of medical information software system design are derived from stakeholders, requirements analysis, architecture design, software framework, configuration, architecture evaluation process. This study is based on the medical information standardization environmental diagnosis of a medical information system design. Software design philosophy is based on a new framework for deriving the function and mechanism made up.

• Journal of the Korean Data and Information Science Society
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• v.25 no.3
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• pp.555-565
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• 2014

The purpose of this study was to analyze sports injuries which occurred in Korea National Team during official training period. All sports injuries are recorded on injury report form by physicians, medical staffs and athletic trainer, and only acute and recurred injuries were analyzed. Total 3,421 injuries were reported, and 1,560 injuries were newly incurred and 1,861 injuries were recurrent with previous history. The frequency of new injuries in male and female athletes was highest in boxing (n=130, 14.5%) and hockey (n=75, 11.3%) respectively. The frequency of recurred injuries in male and female athletes was highest in wrestling (n=147, 14.8%) and fencing (n=103, 11.9%) respectively. Our data provides incidence rates, characteristics of acute and recurrent sports injuries during official training period and thus these results could provide relevant information for the sports injury prevention at Korea National Team player.

• Quality Improvement in Health Care
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• v.18 no.1
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• pp.37-55
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• 2012

Objectives : This study was conducted to evaluate the effect of fixed critical pathway with emr (electronic medical record) on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a university hospital and to develop flexible critical pathway with emr which can be used excluded or drop-out patients. Methods : Thirty-eight patients with gastrectomy were included as case group and Thirty-four patients included as control group. The comparison between control and case with using fixed critical pathway were done. To develop and to evaluate usefulness of flexible critical pathway with flexible data base, simulation was done for flexible critical pathway with drop-out patients. Result : The major results of this study were as follows: There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. The length of hospital stay was 11 days in control group, 8 days in path group(P<0.01). The total costs during the hospital stay were reduced in path group. However the cost per day was significantly increased from reduction of hospital stay(554,352 won in control, 645,669 won in path group). One hundred percentage of drop out patients(60) in the simulation of flexible critical pathway was successful. Conclusion : Computerized critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care. The flexible critical pathway program can be used as one of the powerful management tools for reducing the practice variations and increasing the efficiency of care process and decreasing the workload of doctors and nurses in Korean hospital settings.