• Title/Summary/Keyword: Healthcare systems

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CDISC Transformer: a metadata-based transformation tool for clinical trial and research data into CDISC standards

  • Park, Yu-Rang;Kim, Hye-Hyeon;Seo, Hwa-Jeong;Kim, Ju-Han
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.5 no.10
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    • pp.1830-1840
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    • 2011
  • CDISC (Clinical Data Interchanging Standards Consortium) standards are to support the acquisition, exchange, submission and archival of clinical trial and research data. SDTM (Study Data Tabulation Model) for Case Report Forms (CRFs) was recommended for U.S. Food and Drug Administration (FDA) regulatory submissions since 2004. Although the SDTM Implementation Guide gives a standardized and predefined collection of submission metadata 'domains' containing extensive variable collections, transforming CRFs to SDTM files for FDA submission is still a very hard and time-consuming task. For addressing this issue, we developed metadata based SDTM mapping rules. Using these mapping rules, we also developed a semi-automatic tool, named CDISC Transformer, for transforming clinical trial data to CDISC standard compliant data. The performance of CDISC Transformer with or without MDR support was evaluated using CDISC blank CRF as the 'gold standard'. Both MDR and user inquiry-supported transformation substantially improved the accuracy of our transformation rules. CDISC Transformer will greatly reduce the workloads and enhance standardized data entry and integration for clinical trial and research in various healthcare domains.

Implementation of u-Care System Based on Multi-Sensor in u-Home Environment (u-Home 환경에서 멀티센서 기반 u-Care System 구현)

  • Lee, Hee-Jeong;Kang, Sin-Jae;Jang, Hyung-Geun;Jeong, Chang-Won;Joo, Su-Chong
    • Journal of Internet Computing and Services
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    • v.12 no.2
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    • pp.135-147
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    • 2011
  • As the number of elderly people living alone has been increasing in the recent years, systems for their safety have been required, and some related services or pilot systems have been operating. These systems provide the monitoring service for the activities of the elderly people living alone with indoor location tracking technology using the various sensors. However, most systems provide services on expensive infrastructure such as attached tags and mobile devices. In this point, this paper attempts to suggest a system based on low cost sensors to collect event data in home environment. And a main characteristic of the system is that people can monitor the results of provided services through web browser in real time and the system can provide related context information to guardians and health care managers through SMS of mobile phone.

A Study on the Advancement of Accreditation Systems and Surveyors' Expertise for Long-term Care Facilities: Focusing on Overseas Cases (해외 사례 고찰을 통한 지자체 노인요양시설 인증 체계 및 조사원 고도화 방안)

  • Seo, Yun Jeong;Lee, Soonsung;Seo, Dong-Min;Yoon, Ju Young;Sagong, Hae;Kim, Da Eun
    • Perspectives in Nursing Science
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    • v.15 no.2
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    • pp.81-91
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    • 2018
  • Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

Secure Authentication Protocol based on a Chameleon Hash Function for Ambient Living Assisted-Systems (전천 후 생활보조 시스템을 위한 카멜레온 해시 함수 기반의 안전한 인증 프로토콜)

  • Yi, Myung-Kyu;Choi, Hyunchul;Whangbo, Taeg-Keun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.4
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    • pp.73-79
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    • 2020
  • Due to the rapidly ageing population and low birth rates, most countries have faced with the problems of an ageing population. As a result, research into aging and the means to support an aging population has therefore become a priority for many governments around the world. Ambient Assisted Living(AAL) approach is the way to guarantee better life conditions for the aged and for monitoring their health conditions by the development of innovative technologies and services. AAL technologies can provide more safety for the elderly, offering emergency response mechanisms and fall detection solutions. Since the information transmitted in AAL systems is very personal, however, the security and privacy of such data are becoming important issues that must be dealt with. In this paper, we propose a Chameleon hash-based secure authentication protocol for AAL systems. The proposed authentication protocol not only supports several important security requirements needed by the AAL systems, but can also withstand various types of attacks. In addition, the security analysis results show that the proposed authentication protocol is more efficient and secure than the existing authentication protocols.

A Multi-Perspective Benchmarking Framework for Estimating Usable-Security of Hospital Management System Software Based on Fuzzy Logic, ANP and TOPSIS Methods

  • Kumar, Rajeev;Ansari, Md Tarique Jamal;Baz, Abdullah;Alhakami, Hosam;Agrawal, Alka;Khan, Raees Ahmad
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.1
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    • pp.240-263
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    • 2021
  • One of the biggest challenges that the software industry is facing today is to create highly efficient applications without affecting the quality of healthcare system software. The demand for the provision of software with high quality protection has seen a rapid increase in the software business market. Moreover, it is worthless to offer extremely user-friendly software applications with no ideal security. Therefore a need to find optimal solutions and bridge the difference between accessibility and protection by offering accessible software services for defense has become an imminent prerequisite. Several research endeavours on usable security assessments have been performed to fill the gap between functionality and security. In this context, several Multi-Criteria Decision Making (MCDM) approaches have been implemented on different usability and security attributes so as to assess the usable-security of software systems. However, only a few specific studies are based on using the integrated approach of fuzzy Analytic Network Process (FANP) and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) technique for assessing the significant usable-security of hospital management software. Therefore, in this research study, the authors have employed an integrated methodology of fuzzy logic, ANP and TOPSIS to estimate the usable - security of Hospital Management System Software. For the intended objective, the study has taken into account 5 usable-security factors at first tier and 16 sub-factors at second tier with 6 hospital management system softwares as alternative solutions. To measure the weights of parameters and their relation with each other, Fuzzy ANP is implemented. Thereafter, Fuzzy TOPSIS methodology was employed and the rating of alternatives was calculated on the foundation of the proximity to the positive ideal solution.

The Relationship between the Health System and the COVID-19 Case Fatality Rate (보건의료체계와 코로나19 치명률의 연관성)

  • Hansol Lee;Sieun Lee;Jiwon Park;Yuri Lee
    • Health Policy and Management
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    • v.33 no.4
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    • pp.421-431
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    • 2023
  • Background: The coronavirus disease 2019 (COVID-19) pandemic has led to socio-economic issues, highlighting the importance of strengthening health systems for future infectious diseases. This study aims to analyze the relationship between health system preparedness, response levels, and COVID-19 fatality rates across 194 countries. Methods: This study examined various indicators of national health system preparedness and response, including health service delivery, health workforce, health information systems, essential medicines and health products, health financing, and leadership and governance. Results: A correlation was found between the health system and the COVID-19 case fatality rate (CFR). Further examination of specific indicators within health service delivery, health workforce, health information systems, health financing, and leadership/governance showed significant correlations with the CFR. Multiple regression analysis, considering aging and urbanization rates, identified reproductive/maternal/newborn and child health, infectious diseases, nursing and midwifery personnel density, birth registration coverage, and out-of-pocket health expenditure as significant factors affecting the CFR. Conclusion: Countries with strong health system indicators experience lower case fatality rate from COVID-19. Strengthening access to essential health services, increasing healthcare personnel and resources, ensuring reliable health information, and bolstering overall health systems are crucial for preparedness against future infectious diseases.

Yield Comparisons of Different Methods of Waxy Fraction Extraction from Grain Sorghum

  • Weller, Curtis L.;Hwang, Keum-Taek;Schmidt, Bradley J.
    • Food Science and Biotechnology
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    • v.15 no.5
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    • pp.786-791
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    • 2006
  • Three solvent extraction techniques were used to recover waxy tractions from grain sorghum kernels. Yield and chemical composition of the waxy tractions obtained by reflux, bench scale (recirculated solvent), and countercurrent extraction methods were compared. Waxy traction yield from countercurrent extraction (0.200%) was significantly greater (p<0.05) than the yields of wax from both reflux (0.184%) and bench-scale (0.179%) methods. The waxy traction extracted using the bench-scale method showed the greatest relative amount of long-chained (primarily C:28 and C:30) alcohols while the countercurrent-extracted wax showed the greatest relative amount of long-chained fatty acids and fatty aldehydes. Countercurrent extraction removed a higher additive percentage of fatty aldehydes, acids, and alcohols than reflux or bench-scale extraction method.

Heuristics for Locating Two Types of Public Health-Care Facilities

  • Kim, Dong-Guen;Kim, Yeong-Dae;Lee, Tae-Sik
    • Industrial Engineering and Management Systems
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    • v.11 no.2
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    • pp.202-214
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    • 2012
  • This paper discusses the problem of determining locations for public health-care facilities and allocating patients to the public facilities with the objective of minimizing the total construction cost. The public health-care facilities have two types of facilities: public hospitals and health centers. The public hospital provides both hospital services and homecare services, while the health center provides only homecare service. We present an integer programming formulation for the problem, and develop two types of heuristics, based on priority rules and approximate mathematical formulation. Results of a series of computational experiments on a number of problem instances show that the algorithms give good solutions in a reasonable computation time.

The Right Person for the Right Job: a Study on the Need for Enhancing Collaboration between Shipping Companies & Maritime Academies

  • Davy, James G.;Noh, Chang-Kyun
    • Journal of Navigation and Port Research
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    • v.36 no.4
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    • pp.291-298
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    • 2012
  • Working onboard large ocean-going vessels is one of many industries that is by its very nature extremely error-provoking. In industries such as aviation, nuclear power, healthcare and transport, the need for mental preparedness and professionalism are amongst the qualities essential for the management of complex hazardous systems. Recruiting, training, and more importantly retaining the right people to work in these industries is of paramount importance if safety is to be continuously improved and economic benefits realized. Through consideration of extant empirical literature this paper will explore the need for enhancing collaboration between shipping companies and maritime training insitutes in order to provide the industry with those most capable for the job. It will be concluded that by providing a strong maritime foundation from the outset of training, maritime academies in South Korea can provide shipping companies with a wealth of highly qualified, motivated officers who will contribute to safety and remain valuable assets within the industry for years to come.

Application Technologies of Smart Phone for Emotional Satisfaction and Mental Health-care of the Elderly (고령자의 감성 만족과 정신건강을 위한 스마트폰 응용 기술)

  • Cho, Myeon-Gyun;Kim, Shik
    • IEMEK Journal of Embedded Systems and Applications
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    • v.8 no.1
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    • pp.31-42
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    • 2013
  • Considerations of how to facilitate aging-in-place(AIP) are becoming increasingly pertinent as care-givers are overwhelmed by an aging population. Aging friendly home-care services combined with IT can satisfy the needs of the elderly suffer from chronic diseases such as depression and dementia. Therefore, we propose future smart phone services and application technologies which can estimate emotional states of the aged and respond to the desire to be happy with mental health, connectedness and consolation from peoples. Firstly, we introduce depression measurement techniques to estimate the severity of depression using multiple sensors. At second, the emotional responding services are categorized to four parts and the details are described. Lastly, we propose the process to implement emotional communication and the application techniques(services) to fulfill the emotional satisfaction and mental healthcare for AIP using smart phone as a mediator.