• Title/Summary/Keyword: Healthcare systems

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Diabetic Retinopathy Grading in Ultra-widefield fundus image Using Deep Learning (딥 러닝을 사용한 초광각 망막 이미지에서 당뇨망막증의 등급 평가)

  • Van-Nguyen Pham;Kim-Ngoc T. Le;Hyunseung Choo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.632-633
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    • 2023
  • Diabetic retinopathy (DR) is a prevalent complication of diabetes that can lead to vision impairment if not diagnosed and treated promptly. This study presents a novel approach for the automated grading of diabetic retinopathy in ultra-widefield fundus images (UFI) using deep learning techniques. We propose a method that involves preprocessing UFIs by cropping the central region to focus on the most relevant information. Subsequently, we employ state-of-the-art deep learning models, including ResNet50, EfficientNetB3, and Xception, to perform DR grade classification. Our extensive experiments reveal that Xception outperforms the other models in terms of classification accuracy, sensitivity, and specificity. his research contributes to the development of automated tools that can assist healthcare professionals in early DR detection and management, thereby reducing the risk of vision loss among diabetic patients.

The Mediating Effect of Financial Literacy on Entrepreneurship and Nursing Start-Up Attitude

  • Chung Hee Woo;Hyeoeun Lee
    • Asian Journal of Innovation and Policy
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    • v.12 no.2
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    • pp.216-228
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    • 2023
  • Expectations and demands for the paradigm of healthcare systems are changing in response to changes in the characteristics of population properties and industrial structures; therefore, it is time to prepare for the career diversification of nursing students who have mainly entered the clinical field. The study tested the pathway of financial literacy on the relationship between entrepreneurship and nursing start-up attitude among nursing students. We obtained data from 177 South Korean nursing students through email and mobile phone. The analysis of the mediating effect was performed by hierarchical multiple regression. The SPSS WIN program was adopted. Entrepreneurship and financial literacy of subjects had a significantly positive effect on nursing start-up attitudes. Financial literacy indirectly affected the relationship between nursing students' entrepreneurship and nursing start-up attitude, and significance was verified by Process Macro. Financial literacy can mediate between entrepreneurship and nursing start-up attitudes. These factors will provide an important basis for nursing students to grow into talented people with business capabilities. Nursing education should strengthen the foundation that promotes business competence in nursing students.

1D-CNN-LSTM Hybrid-Model-Based Pet Behavior Recognition through Wearable Sensor Data Augmentation

  • Hyungju Kim;Nammee Moon
    • Journal of Information Processing Systems
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    • v.20 no.2
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    • pp.159-172
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    • 2024
  • The number of healthcare products available for pets has increased in recent times, which has prompted active research into wearable devices for pets. However, the data collected through such devices are limited by outliers and missing values owing to the anomalous and irregular characteristics of pets. Hence, we propose pet behavior recognition based on a hybrid one-dimensional convolutional neural network (CNN) and long short- term memory (LSTM) model using pet wearable devices. An Arduino-based pet wearable device was first fabricated to collect data for behavior recognition, where gyroscope and accelerometer values were collected using the device. Then, data augmentation was performed after replacing any missing values and outliers via preprocessing. At this time, the behaviors were classified into five types. To prevent bias from specific actions in the data augmentation, the number of datasets was compared and balanced, and CNN-LSTM-based deep learning was performed. The five subdivided behaviors and overall performance were then evaluated, and the overall accuracy of behavior recognition was found to be about 88.76%.

A Study of Smart Healthcare Services Software Quality Satisfaction Rating System based on QoS(Quality of Service) Measurement Model (QoS(Quality of Service) 측정 모델을 참조한 스마트헬스케어서비스 소프트웨어 품질만족도 평가체계)

  • Noh, Si-Choon;Song, Eun-Jee
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.1
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    • pp.149-154
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    • 2014
  • Quality is the value that can be measured by observing the characteristics of the service quantity or quality. QoS is predictable service traffic to a minimum requirements what passed in network. In the course of Smart Medical Information System Development there exist some functional requirements to satisfy quality objectives. The functional smart domains of healthcare information systems consists of Patient Module, a smart sensing and communication domain, RFID Tag Readers and the behavior domain, Homecare Station Domain, Clinical Station. This study is performed on evaluation methodology of u-health service satisfaction quality of each domain. In this paper QoS metrics and the quality of medical information requirements, functional requirements are separated by. Quality parameters consists of six items and the functional requirements and quality requirements 20 details the five items and consist of 20 detailed items. On this study the quality evaluation methodology of Korean smart health information quality assessment matrix 2 - factor evaluation method is proposed. The overall framework of this paper is organizing the specific criteria of quality of medical information system and modeling quality evaluation process under all smart environment.

Analysis of Healthcare Convergence on Bacterial Contamination of Radiological Equipment in Emergency Rooms of General Hospitals (종합병원 응급실내의 영상의학과 장비에서의 세균 오염에 관한 보건학적 융합 분석)

  • Hong, Dong-Hee;Park, Mi-Soon
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.51-59
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    • 2017
  • It is to establish preliminary data about healthcare convergencr of infection control by performing a bacterial contamination test for CT scanner as well as general radiographic systems in the emergency rooms of general hospitals. The period was December 1 ~ December 31, 2015. It is detect in the emergency rooms of 7 medical facilities including 2 in Seoul, and 1 in Gyeonggi-do Province, and 2 in Jeonla-do Province, and 2 in Chungcheong-do Province. The surface contamination strains detected from CT scanner in the radiology department emergency rooms were Micrococcus species(4,5%), Stenotrophomonas maltophilia(9%), Enterococcus faecium(4.5%), Providencia stuartii(4.5), and Gram negative bacilli(4.5%). Also, the surface contamination strains detected from general radiographic system in the radiology department emergency rooms were Providencia stuartii(11%), Klebsiella pneumonia(3.5%), Stenotrophomonas maltophilia(11%), Pantoea species(11%), Acinetobacter baumannii(3.5%), Micrococcus species(3.5%), Escherichia coli(3.5%), Enterobacter species(3.5%), and Gram negative bacilli(11%). Considering that the regions of most detection were all the places closely related to patients, radiologists would have to thoroughly clean with alcohol before and after a test.

Analysis on the Assist Characteristics for the Knee Extension Motion of Lower Limb Orthosis Using Muscular Stiffness Force Feedback (근육 강성도 힘 피드백을 이용한 하지 보조기의 무릎 신전 운동 보조 특성 분석)

  • Kim, K.;Kang, S.R.;Jeong, G.Y.;Joo, S.J.;Kim, N.G.;Kwon, T.K.
    • Journal of Biomedical Engineering Research
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    • v.31 no.3
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    • pp.217-226
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    • 2010
  • The lower limb orthosis with a pneumatic rubber actuator, which is intended for the assistance and the enhancement of muscular activities of lower limbs was developed in this study. Compared to other knee extension assistive devices being developed by other researchers, our device is designed especially for the elderly people and intended only for slight assistance so that the subjects can keep their muscular strength. For the effectiveness of system, muscular activities of major muscles in lower limbs during sit-to-stand (STS) and squat motion were measured and analyzed. Subjects were performed the STS and squat motion with and without lower limb orthosis. We made comparison muscular activities between with and without lower limb orthosis. Lower limb orthosis was controlled using muscular stiffness force feedback that is controlled by muscular activities of the measured muscle from force sensor. For analysis of muscular activities, electromyography of the subjects was measured during STS and squat motion, and these were measured using MP 150(BIOPAC Systems, Inc.). Muscles of interest were rectus femoris(RF), vastus lateralis(VL), vastus medialis(VM) and vastus intermedius(VI) muscles in lower limbs of the right side. A biodex dynamometer was used to measure the maximal concentric isokinetic strength of the knee extensors of wearing and not wearing orthosis on right side. The test were performed using the concentric isokinetic mode of test with the velocity set at 60°/s for muscles around the knee joints. The experimental result showed that muscular activities in lower limbs wearing orthosis using muscular stiffness force of a vastus medialis muscle was reduced and knee extension torque of an knee joint wearing lower limb orthosis was increased. With this, we confirmed the effectiveness of the developed lower limb orthosis.

The way to achieve Universal Health Coverage: Focusing on the Historical and Cultural Context of Health Care Sector in Vietnam (보편적 건강보장을 향한 노정 : 베트남 보건의료 부문의 역사·문화적 맥락을 중심으로)

  • BEAK, Yong Hun
    • The Southeast Asian review
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    • v.28 no.1
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    • pp.173-218
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    • 2018
  • This study focuses on the healthcare sector in Vietnam which is promoting universal health insurance for the achievement of Universal Health Coverage (UHC) under Sustainable Development Goals (SDGs). The purpose of this study is to examine the characteristics of the reform process of the health care system and the law on health insurance through the historical and cultural contexts and its implications from the perspective of development. Based on the three dimensions of UHC - extension of protection for population, provision of various medical services, and financial protection, the current status of the Vietnam healthcare sector is summarized respectively as follows. First, according to the revised Health Insurance law which came into effect in 2015, the mandatory health insurance premiums are calculated based on household units. Second, there is a medical network that can provide preventive and healthcare services centered on primary health care facilities, for example commune health stations (trạm y $t{\hat{e}}$ $X{\tilde{a}}$). Third, out-of-pocket expenditure is still a large proportion although public spending has increased and private spending has decreased since the enforcement of the health insurance law and various schemes. Vietnam is currently striving towards a universal health care system. The development of institutions and systems should be designed in a way that is appropriate for the members of the society rather than efficiency. This article findings shed light on the role of social values, family culture, and informal institutions.

Analysis of the Needs of Field Experts for the Provision of Rehabilitation Sports Activities Services for the Disabled (장애인 재활운동 및 체육활동 서비스 제공을 위한 현장 전문가 요구도 분석)

  • Kang, Dong-Heon;Park, Ji-Young;Eun, Seon-Deok
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.213-231
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    • 2021
  • Due to the absence of rehabilitation sports service systems linked to post-discharge medical measures and rehabilitation, disabled people cannot participate in physical activities suitable for individual disability types, characteristics, and physical functions. In December 2017, the Act on the Rights of Health for the Disabled) was implemented to provide an institutional basis for disable people to address their needs for rehabilitation sports. Based on related studies conducted in Korea, this study aims to collect the results of a demand survey conducted on experts who are rehabilitation sports service providers and analyze the demand for rehabilitation sports services from a policy perspective. This study extracts the needs of experts presented in the literature and presents the extracted content as an inductive content analysis. The criteria for selecting the literature were selected based on studies related to "adaptive physical activity and exercise," "sports for all for the disabled," and "rehabilitation sports" conducted in the Republic of Korea, including the results of a demand survey on experts. The study results were categorized into seven categories (perception of sports activities, programs, leaders, facilities, accessibility, cost/support/financial resources, and others) of field experts who are rehabilitation sports service providers. In a future study, it will be necessary for people with disability, who are consumers who will provide actual services, to identify problems at the disabled sports site and come up with measures to improve them.

Private Blockchain and Biometric Authentication-based Chronic Disease Management Telemedicine System for Smart Healthcare (스마트 헬스케어를 위한 프라이빗 블록체인과 생체인증기반의 만성질환관리 원격의료시스템)

  • Young-Ae Han;Hyeok Kang;Keun-Ho Lee
    • Journal of Internet of Things and Convergence
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    • v.9 no.1
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    • pp.33-39
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    • 2023
  • As the number of people with chronic diseases increases due to an aging society, it is urgent to prevent and manage their diseases. Although biometric authentication methods and Telemedicine Systems have been introduced to solve these problems, it is difficult to solve the security problem of medical information and personal authentication. Since smart healthcare includes personal medical information of subjects, the security of personal information is the most important field. Therefore, in this paper, we tried to propose a Telemedicine System using a smart wearable device ECG in the form of a wristband and face personal authentication in a private blockchain environment. This system targets various medical personnel and patients with chronic diseases in all regions, and uses a private blockchain that can increase data integrity and transparency, ECG and face authentication that are difficult to forge and alter and have high personal identification to provide a system with high security and reliability. composed. Through this, it is intended to contribute to increasing the efficiency of chronic disease management by focusing on disease prevention and health management for patients with chronic diseases at home.

Legislation Status and Legal Issues of Non-Face-to-Face Treatment (비대면진료 관련 입법 현황과 법적 쟁점)

  • Jinsuk, Kim;Eol, Lee
    • The Korean Society of Law and Medicine
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    • v.24 no.4
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    • pp.131-160
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    • 2023
  • An amendment to Medical Law allowing permanent face-to-face treatment has been proposed in the 21st National Assembly, with five different bills introduced. However, each proposed amendment focuses on different aspects, and the issue is currently in a state of 'ongoing review' due to factors such as opposition from the medical profession and political considerations. However, from the perspective that the introduction of non-face-to-face treatment should be institutionalized and legislated prioritizing patient safety, certain directions are proposed. These include focusing on returning patients as the primary target, chronic diseases as the focal conditions, outpatient medical institutions as the implementing agencies, restricting non-face-to-face means primarily to video systems, and legally exempting healthcare professionals from responsibility for incidents beyond their control. The proposed directions also emphasize establishing the right to demand face-to-face treatment. It is suggested to legislate initial standards that ensure a minimum level of safety and gradually expand the scope of non-face-to-face treatment through future research, evaluation, and similar step-by-step approaches.