• Title/Summary/Keyword: Healthcare systems

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Ensemble Deep Learning Model using Random Forest for Patient Shock Detection

  • Minsu Jeong;Namhwa Lee;Byuk Sung Ko;Inwhee Joe
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.17 no.4
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    • pp.1080-1099
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    • 2023
  • Digital healthcare combined with telemedicine services in the form of convergence with digital technology and AI is developing rapidly. Digital healthcare research is being conducted on many conditions including shock. However, the causes of shock are diverse, and the treatment is very complicated, requiring a high level of medical knowledge. In this paper, we propose a shock detection method based on the correlation between shock and data extracted from hemodynamic monitoring equipment. From the various parameters expressed by this equipment, four parameters closely related to patient shock were used as the input data for a machine learning model in order to detect the shock. Using the four parameters as input data, that is, feature values, a random forest-based ensemble machine learning model was constructed. The value of the mean arterial pressure was used as the correct answer value, the so called label value, to detect the patient's shock state. The performance was then compared with the decision tree and logistic regression model using a confusion matrix. The average accuracy of the random forest model was 92.80%, which shows superior performance compared to other models. We look forward to our work playing a role in helping medical staff by making recommendations for the diagnosis and treatment of complex and difficult cases of shock.

A study on the factors influencing the data collection performance of smart buoys (스마트 항로표지의 데이터 수집 성능에 영향을 미치는 요인에 관한 연구)

  • Ho-Joon Kim;Min-Kyu Kim;Nam-Yong Lee;Chul-Soo Kim;Sangmun Shin;Se-woong Oh;Jin-Hong Yang
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2021.11a
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    • pp.60-62
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    • 2021
  • 항로표지는 해상상황 정보를 수집하고 선박들의 항해에 안전을 도모하기 위해 설치 및 운용되고 있다. 관련해 개별 지방청에서 운영되는 데이터를 빅데이터 형태로 활용하고자 하는 경우 수집된 데이터의 품질에 대한 평가가 이루어져야 한다. 본 논문에서는 수집된 항로표지 데이터의 누락 정보를 중심으로 데이터 수집에 있어 장애 생성의 주된 원인을 찾고자 하였다. 수집된 데이터의 분석 결과 기상악화와 표지의 전압이 하락한 날에 데이터 결측 발생률이 톺음을 확인할 수 있었다. 이를 통해 기상 상황, 표지의 전압 상태 그리고 수집된 데이터 개수의 비교를 통해 기상악화가 영향을 미쳤을 수 있음을 확인하였다.

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Development of a multi-modal imaging system for single-gamma and fluorescence fusion images

  • Young Been Han;Seong Jong Hong;Ho-Young Lee;Seong Hyun Song
    • Nuclear Engineering and Technology
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    • v.55 no.10
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    • pp.3844-3853
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    • 2023
  • Although radiation and chemotherapy methods for cancer therapy have advanced significantly, surgical resection is still recommended for most cancers. Therefore, intraoperative imaging studies have emerged as a surgical tool for identifying tumor margins. Intraoperative imaging has been examined using conventional imaging devices, such as optical near-infrared probes, gamma probes, and ultrasound devices. However, each modality has its limitations, such as depth penetration and spatial resolution. To overcome these limitations, hybrid imaging modalities and tracer studies are being developed. In a previous study, a multi-modal laparoscope with silicon photo-multiplier (SiPM)-based gamma detection acquired a 1 s interval gamma image. However, improvements in the near-infrared fluorophore (NIRF) signal intensity and gamma image central defects are needed to further evaluate the usefulness of multi-modal systems. In this study, an attempt was made to change the NIRF image acquisition method and the SiPM-based gamma detector to improve the source detection ability and reduce the image acquisition time. The performance of the multi-modal system using a complementary metal oxide semiconductor and modified SiPM gamma detector was evaluated in a phantom test. In future studies, a multi-modal system will be further optimized for pilot preclinical studies.

A Study on Technique of Navigation with Power-Reflected of the Walker in the Indoor Environment

  • Kim, Min-Sik;Kwon, Hyouk-Gil;Ryu, Je-Goon;Shim, Hyeon-Min;Lee, Eung-Hyuk;Shim, Jea-Hong;Lee, Sang-Moo
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.957-962
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    • 2005
  • Today, the elderly is increasing gradually in the Republic of Korea society and this problem will be more serious in the near future. Therefore, engineering support for aged people is required. We are establishing a new field of healthcare engineering for elderly people and aiming to support for aged people and disabled people using adaptive control and instrument technology. In this paper, the goal is to implement the shared control of a robot mobility aid for the elderly. As using this type of assistive technology to be useful by its intended user community, it supports elderly people and handicapped people to live independently in their private homes. The interface transforms the force applied by the user into the robot's motion. Devices like buttons, joysticks, and levers already exist for relaying user input; however, they require hand displacement that would loosen or otherwise release the user's hold. Such interfaces make operation very difficult and potentially unsafe. Therefore, we propose a shared control system. It's safe more than joysticks and buttons. The shared control is a means of registering the user's intention through physical interaction. It's an important component in the development of robotic elderly assistant. The concept of shared control describes a system which is two or more independent control systems. We are using that the three component blocks consist of pressure sensor (flexible force sensor), circuit of measurement and transfer function. Experimental trials of this paper have been tested at the indoor environment. The robot is able to know the user intended direction through haptic device were logged along with the robot's force sensor.

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Evaluation of Managerial Needs for Palliative Care Centers: Perspectives of Medical Directors

  • Kafadar, Didem;Ince, Nurhan;Akcakaya, Adem;Gumus, Mahmut
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4653-4658
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    • 2015
  • Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

A Study on Five Levels of Security Risk Assessment Model Design for Ensuring the u-Healthcare Information System (u-헬스케어시스템의 정보보안 체계 확보를 위한 5단계 보안위험도 평가모델 설계)

  • Noh, Si Choon
    • Convergence Security Journal
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    • v.13 no.4
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    • pp.11-17
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    • 2013
  • All u-Health system has security vulnerabilities. This vulnerability locally(local) or network(network) is on the potential risk. Smart environment of health information technology, Ad-hoc networking, wireless communication environments, u-health are major factor to increase the security vulnerability. u-health care information systems user terminal domain interval, interval public network infrastructure, networking section, the intranet are divided into sections. Health information systems by separating domain specific reason to assess vulnerability vulnerability countermeasure for each domain are different. u-Healthcare System 5 layers of security risk assessment system for domain-specific security vulnerability diagnosis system designed to take the security measures are needed. If you use this proposed model that has been conducted so far vaguely USN-based health information network security vulnerabilities diagnostic measures can be done more systematically provide a model.

Development of Wireless Healthcare System for Emergency Treatment (응급상황을 대비한 무선의료관리시스템 개발)

  • Park, Sung-Chul;Moon, Byung-Hyun;Lim, Byung-Hyun;Hwang, Bum-Suk;Choi, Sang-Min
    • Journal of Korea Society of Industrial Information Systems
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    • v.14 no.5
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    • pp.125-130
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    • 2009
  • Today, the handicapped or old people require continuous care, but there are a lot of practical difficulties. In this paper, the system measuring health conditions of the handicapped or old people (pulse and temperature) is developed. If urgent health conditions occur, measurement values are delivered to doctors or close family members using SMS (Short Message Service) of cellular phone. In the developed system, Pulse rate is measured by sensing bloodstream using high luminance LED and CdS illumination sensors. Body temperature is also measured by contactless temperature sensor. Also, the measured values are transmitted to a server computer using Zigbee communications. Also, the measured values the average of measurements and the time are saved. The wireless healthcare system is designed to help the emergency for the handicapped and old people by using SMS.

A Study on the Effect of Ocean Climate on the Reception Quality of Data of Aid to Navigation (해상기후가 항로표지 데이터 수신 품질에 미치는 영향 연구)

  • Min-Kyu Kim;Ho-Joon Kim;JinHong Yang;Nam-Yong Lee;Chul-Soo Kim;Jun-Hyuk Jang;Se-Woong Oh;Sang-Mun Shin
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2022.06a
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    • pp.68-71
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    • 2022
  • 항로표지는 해상에 독립적으로 암초 위나 줄에 의해 떠 있는 형태로 존재하며, 선박들의 안전 운행에 필요한 다양한 정보를 제공하는 역할을 수행한다. 이러한 항로표지의 설치 및 동작 형태는 풍랑에 따라 기기의 위치가 가변적으로 변하게 된다. 따라서 기기의 위치가 급격하게 변했을 때, 항로표지 기기 내에도 영향을 받는다면 지방청의 항로표지 데이터 수신이 낮아질 것이라고 가설 설정했다. 본 논문에서는 기상특보에 따른 시간적 기준으로 구간을 나누어 풍랑과 항로표지 데이터 수신 간의 상관관계가 있는지 연구를 진행하였다. 연구 결과 풍랑이 거세질수록 평균 데이터 수집량이 감소하는 것으로 데이터 수신 강도의 영향을 줄 수 있음을 확인하였다. 이번 연구를 통해 풍랑에 대비한 항로표지 데이터의 개선이 필요하며, 선박의 안전과 관련된 만큼 정밀한 개선을 요한다.

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A Study on Mobile Patient Education Service Based on Lean Canvas: The Case of Samsung Medical Center (모바일 환자 교육 서비스의 린 캔버스 적용 사례연구: 삼성서울병원 스마트설명서비스 사례를 중심으로)

  • Seung Jun Lee;Jae Hong Park
    • Information Systems Review
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    • v.19 no.2
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    • pp.57-70
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    • 2017
  • Researchers and industry managers highlight the emergence of mobile healthcare market given the rapid development of IT and the expansion of average life expectancy. Medical institutions, such as university hospitals, are aiming to achieve convenience and effectiveness of treatment by providing patient education through a mobile device. This study examines a case related to the development and usage of a mobile application based on Lean Canvas, namely, the Smart Explanation Service released by Samsung Medical Center. This application comprehensively analyzes the usage status of mobile application-based patient education and its application in clinical settings. This study also examines the level of satisfaction of patients and medical workers toward this application. The result of this study is expected to provide meaningful implication to medical institutions and related industries and enable them to create and offer prepare mobile healthcare services.

Improving Legislation on the use of Healthcare Data for Research Purposes (보건의료 빅데이터의 연구목적 사용에 대한 법제 개선방안)

  • Park, Dae Woong;Jeong, Hyun Hak;Jeong, Myung Jin;Ryoo, Hwa Shin
    • The Korean Society of Law and Medicine
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    • v.17 no.2
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    • pp.315-346
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    • 2016
  • With the development of big data processing technology, the potential value of healthcare big data has attracted much attention. In order to realize these potential values, various research using the healthcare big data are essential. However, the big data regulatory system centered on the Personal Information Protection Act does not take into account the aspect of big data as an economic material and causes many obstacles to utilize it as a research purpose. The regulatory system of healthcare information, centered on the primary purpose of patient treatment, should be improved in a way that is compatible with the development of technology and easy to use for public interest. To this end, it is necessary to examine the trends of overseas legal system reflecting the concerns about the balance of protection and utilization of personal information. Based on the implications of the overseas legal system, we can derive improvement points in the following directions from our legal system. First, a legal system that specializes in healthcare information and encompasses protection and utilization is needed. De-identification, which is an exception to the Privacy Act, should also clearly define its level. It is necessary to establish a legal basis for linking healthcare big data to create synergy effects in research. It is also necessary to examine the introduction of the opt-out system on the basis of the discussion on the foreign debate and social consensus. But most importantly, it is the people's trust in these systems.

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