• Title/Summary/Keyword: Health Information Systems

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Development of a Management Tool of CCD/CCR-centric Standard Clinical Document (CCD/CCR 중심의 표준진료문서 관리 도구의 개발)

  • Lee, In-Keun;Cho, Hune;Kim, Hwa-Sun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.22 no.4
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    • pp.507-514
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    • 2012
  • XML-based standards such as CCD(Continuity of Care Document) and CCR(Continuity of Care Record) have been developed for representation, integration, and exchange of personal health record(PHR), and various of researches on PHR based on the standards have been conducted. These researches have developed and used CCD/CCR parsers each with their own different ways, but it can be hard to develop and update the parsers because of the structural complexity of the standards. Moreover, inter-exchange between CCD and CCR documents in the PHR-related medical information systems should be possible for the interoperability of the systems. Therefore, we proposed a designing method to develop the tools treating XML-based CCD/CCR documents. And we implemented CCD/CCR parser based on the proposed method and developed a converter from CCD to CCR using the parsers. To confirm the usefulness of the developed tool, we performed an experiment of creating CCD documents using the personal health data gathered from chronically ill patients in Kyungpook National University Hospital and of converting from the CCD documents to CCR documents.

A Study on Optimal Sensor Placement Using Sensitivity Analysis (민감도 해석을 이용한 센서의 최적 위치 선정에 관한 연구)

  • Son, In-Soo;Lee, Doo-Ho
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.21 no.3
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    • pp.241-247
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    • 2011
  • Although intensive development continues on innovative sensor systems, there is still considerable uncertainty in deciding on the number of sensors required and their locations in order to obtain adequate information on structural behavior. This paper is concerned with the sensor locations on a beam-structure for prognostic structural health monitoring. The purpose of this study is to investigate how to determine optimal sensor placement(OSP) from the sensitivity information of a known failure mode. The sensitivity of the forced vibration response of a beam to the variation of stiffness due to a crack is calculated analytically and used to determine the optimal sensor locations for the specified failure mode. The results of this method compared with the results of different OSP methods. The results have shown that the proposed method on optimal sensor placement is very effective in structural health monitoring.

Energy Efficient ECG Transmission Scheme for u-Health Systems (u-Health 시스템을 위한 에너지 효율적인 심전도 전송 기법)

  • Gim, Bong-Chan;Kim, Young-Hwan;Hong, Ji-Man
    • Proceedings of the Korean Information Science Society Conference
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    • 2010.06d
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    • pp.332-336
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    • 2010
  • 본 논문에서는 무선 통신을 이용하는 u-Health 시스템에서 생체신호를 측정하여 전송하는 센서의 전력 소모를 줄이기 위해 심전도 데이터의 에너지 효율적인 전송기법을 제안한다. 제안하는 기법은 심전도 데이터 중에서 중요한 데이터만을 따로 추출하여 전송하는 기법과 측정되는 심전도 데이터의 위험도에 따라 동적으로 데이터의 정확도를 조절함으로서 전송되는 데이터의 양을 조절하는 기법이다. 이러한 기법은 평소에는 전송하는 심전도 데이터의 양을 줄여 전력 소모를 줄여 센서의 수명을 연장하지만 위험시에는 정확한 데이터를 전송하여 데이터의 신뢰도를 높이는 장점을 갖는다.

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Entropy-based optimal sensor networks for structural health monitoring of a cable-stayed bridge

  • Azarbayejani, M.;El-Osery, A.I.;Taha, M.M. Reda
    • Smart Structures and Systems
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    • v.5 no.4
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    • pp.369-379
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    • 2009
  • The sudden collapse of Interstate 35 Bridge in Minneapolis gave a wake-up call to US municipalities to re-evaluate aging bridges. In this situation, structural health monitoring (SHM) technology can provide the essential help needed for monitoring and maintaining the nation's infrastructure. Monitoring long span bridges such as cable-stayed bridges effectively requires the use of a large number of sensors. In this article, we introduce a probabilistic approach to identify optimal locations of sensors to enhance damage detection. Probability distribution functions are established using an artificial neural network trained using a priori knowledge of damage locations. The optimal number of sensors is identified using multi-objective optimization that simultaneously considers information entropy and sensor cost-objective functions. Luling Bridge, a cable-stayed bridge over the Mississippi River, is selected as a case study to demonstrate the efficiency of the proposed approach.

Comparison of Alternative knowledge Acquisition Methods for Allergic Rhinitis

  • Chae, Young-Moon;Chung, Seung-Kyu;Suh, Jae-Gwon;Ho, Seung-Hee;Park, In-Yong
    • Journal of Intelligence and Information Systems
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    • v.1 no.1
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    • pp.91-109
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    • 1995
  • This paper compared four knowledge acquisition methods (namely, neural network, case-based reasoning, discriminant analysis, and covariance structure modeling) for allergic rhinitis. The data were collected from 444 patients with suspected allergic rhinitis who visited the Otorlaryngology Deduring 1991-1993. Among four knowledge acquisition methods, the discriminant model had the best overall diagnostic capability (78%) and the neural network had slightly lower rate(76%). This may be explained by the fact that neural network is essentially non-linear discriminant model. The discriminant model was also most accurate in predicting allergic rhinitis (88%). On the other hand, the CSM had the lowest overall accuracy rate (44%) perhaps due to smaller input data set. However, it was most accuate in predicting non-allergic rhinitis (82%).

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A Coordinated Ciphertext Policy Attribute-based PHR Access Control with User Accountability

  • Lin, Guofeng;You, Lirong;Hu, Bing;Hong, Hanshu;Sun, Zhixin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.4
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    • pp.1832-1853
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    • 2018
  • The personal health record (PHR) system is a promising application that provides precise information and customized services for health care. To flexibly protect sensitive data, attribute-based encryption has been widely applied for PHR access control. However, escrow, exposure and abuse of private keys still hinder its practical application in the PHR system. In this paper, we propose a coordinated ciphertext policy attribute-based access control with user accountability (CCP-ABAC-UA) for the PHR system. Its coordinated mechanism not only effectively prevents the escrow and exposure of private keys but also accurately detects whether key abuse is taking place and identifies the traitor. We claim that CCP-ABAC-UA is a user-side lightweight scheme. Especially for PHR receivers, no bilinear pairing computation is needed to access health records, so the practical mobile PHR system can be realized. By introducing a novel provably secure construction, we prove that it is secure against selectively chosen plaintext attacks. The analysis indicates that CCP-ABAC-UA achieves better performance in terms of security and user-side computational efficiency for a PHR system.

Sharing and Privacy in PHRs: Efficient Policy Hiding and Update Attribute-based Encryption

  • Liu, Zhenhua;Ji, Jiaqi;Yin, Fangfang;Wang, Baocang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.1
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    • pp.323-342
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    • 2021
  • Personal health records (PHRs) is an electronic medical system that enables patients to acquire, manage and share their health data. Nevertheless, data confidentiality and user privacy in PHRs have not been handled completely. As a fine-grained access control over health data, ciphertext-policy attribute-based encryption (CP-ABE) has an ability to guarantee data confidentiality. However, existing CP-ABE solutions for PHRs are facing some new challenges in access control, such as policy privacy disclosure and dynamic policy update. In terms of addressing these problems, we propose a privacy protection and dynamic share system (PPADS) based on CP-ABE for PHRs, which supports full policy hiding and flexible access control. In the system, attribute information of access policy is fully hidden by attribute bloom filter. Moreover, data user produces a transforming key for the PHRs Cloud to change access policy dynamically. Furthermore, relied on security analysis, PPADS is selectively secure under standard model. Finally, the performance comparisons and simulation results demonstrate that PPADS is suitable for PHRs.

A analysis on oral health behaviors of High School students in Gyeonggi (경기지역 일부 고등학생들의 구강건강 행태 분석)

  • Choi, Young-Suk;Jun, Bo-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1221-1231
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    • 2012
  • Objectives : The purpose of this study was to examine the oral health behavior and examine closely the connection factor and plans oral health promotion. Methods : This survey was conducted on 370 high school students in Kyunggi-do Suwon from November 21 to 23, 2011. 352 questionnaires were collected and analyzed. The collected data was analyzed using the statistical package SPSS WIN 15.0 using frequency, mean and standard deviation analysis, T-test, one-way ANOVA and Duncan's test correlation analysis. Results : The results state that 73.3% of students believe brushing teeth is very important and 26.7% of the students method of tooth brushing is up and down. for correct teeth brushing, they think choosing a brush is important(70.7%) also their brush shapes were uneven form(44.3%) and flat form(43.5%). 31.4% of students are using an oral hygiene device and 31.4% of students had received oral health education. 42.7% of female students get information about oral health from their dental clinics. 24.8% of male students receive information on oral health from parents and relatives. They think the best educator for oral health education will be a Dental hygienist(46.5%), or Dentist(48.0%). we found that a correlation between oral health interest, importance, knowledge and condition effect each other(p<.001). It means that if students have high oral health interest, oral care importance and oral health knowledge which can improve their oral health condition. Conclusions : The results of this study state that we need continuous oral health education systems and prevention programs to raise awareness among students and for the improvement of their oral health.

Acceptance Measure of Quality Improvement Information System among Long-term Care Workers: A Psychometric Assessment (장기요양인력의 질 향상 정보시스템 수용 측정도구: 신뢰타당도 평가)

  • Lee, Taehoon;Jung, Young-il;Kim, Hongsoo
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.513-523
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    • 2017
  • Purpose: We evaluated the psychometric properties of a questionnaire on the acceptance of the quality improvement information system (QIIS) among long-term care workers (mostly nurses). Methods: The questionnaire composes of 21 preliminary questions with 5 domains based on the Technology Acceptance Model and related literature reviews. We developed a prototype web-based comprehensive resident assessment system, and collected data from 126 subjects at 75 long-term care facilities and hospitals, who used the system and responded to the questionnaire. A priori factor structure was developed using an exploratory factor analysis and validated by a confirmatory factor analysis; its reliability was also evaluated. Results: A total of 16 items were yielded, and 5 factors were extracted from the explanatory factor analysis: Usage Intention, Perceived Usefulness, Perceived Ease of Use, Social Influence, and Innovative Characteristics. The five-factor structure model had a good fit (Tucker-Lewis index [TLI]=.976; comparative fit index [CFI]=.969; standardized root mean squared residual [SRMR]=.052; root mean square error of approximation [RMSEA]=.048), and the items were internally consistent(Cronbach's ${\alpha}=.91$). Conclusion: The questionnaire was valid and reliable to measure the technology acceptance of QIIS among long-term care workers, using the prototype.

Korea National Oral Health Survey Systems and recent oral health status in children (한국 공공의료 구강건강조사 체계 및 아동의 구강건강 현황)

  • Choi, Youn-Hee
    • The Journal of the Korean dental association
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    • v.58 no.1
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    • pp.28-37
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    • 2019
  • This study aimed to introduce what Korea national oral health surveys are and examine recent oral health status in Korean children. Korea Government has implemented national oral health-related surveys during the past two decades. The surveys with oral health examination are Korean Children's National Oral Health Survey (KCNOHS) since 2000 in 5-year-old and 12-year-old children and Korea National Hhealth and Nutrition Examination Survey (KNHANES) since 2007 aged 1 year and more. KCNOHS provides the information about the distribution of prevalence of dental caries, gingival health, behavioral factors, and dental clinic demands etc. KNHANES has huge amount of health data for representative Korean population including oral health and general conditions. Based on KCNOHS, the prevalence of dental caries and its experience has decreased steadily, and the status of oral hygiene and preventive treatment called sealents has been also improved after the year of 2000. However, there is still a gap to reach to those of Western developed countries. Therefore, more effective oral health policy plans and strategies for Korean children and adolescents are needed to prevent and manage for dental caries in private and clinical field of dentistry with public sector.

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