• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9529-9534
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• 2014

Background: Cancer staging enables planning for the best treatments, evaluation of prognosis, and predictions for survival. The Collaborative Stage (CS) system makes it possible to significantly reduce the proportion of patients labeled at an "unknown" stage as well as discrepancies among different staging systems. This study aims to analyze the factors that influence the accuracy and validity of CS data. Materials and Methods: Data were randomly selected (233 cases) from stomach cancer cases enrolled for CS survey at the Korea Central Cancer Registry. Two questionnaires were used to assess CS values for each case and to review the cancer registration environment for each hospital. Data were analyzed in terms of the relationships between the time spent for acquisition and registration of CS information, environments relating to cancer registration in the hospitals, and document sources of CS information for each item. Results: The time for extracting and registering data was found to be shorter when the hospitals had prior experience gained from participating in a CS pilot study and when they were equipped with full-time cancer registrars. Evaluation of the CS information according to medical record sources found that the percentage of items missing for Site Specific Factor (SSF) was 30% higher than for other CS variables. Errors in CS coding were found in variables such as "CS Extension," "CS Lymph Nodes," "CS Metastasis at Diagnosis," and "SSF25 Involvement of Cardia and Distance from Esophagogastric Junction (EGJ)." Conclusions: To build CS system data that are reliable for cancer registration and clinical research, the following components are required: 1) training programs for medical records administrators; 2) supporting materials to promote active participation; and 3) format development to improve registration validity.

• 한국인터넷방송통신학회논문지
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• 제18권5호
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• pp.197-202
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• 2018

수십 년 전과 비교해볼 때, 세계의 고령화 인구는 계속해서 빠르게 증가하고 있는 반면 많은 선진국과 개발도상국의 출산율은 낮은 비율로 감소하고 있으며 기대 수명은 늘어날 것으로 보인다. 인구 통계학적 변화로 인해 새로운 기술 개념이 도입되어야 한다. 전천후 생활보조는 고령자들에게 삶의 질을 제공하고, 더 오래 독립적으로 살 수 있고, 노인들을 모니터링하고 돕는데 사용될 수 있는 혁신적인 형태의 기술이다. 하지만, AAL 시스템이 동작하는 동안 데이터의 크기는 계속 증가하게 된다. AAL 데이터의 크기가 증가함에 따라 효율적인 관리가 더욱 어렵게 된다. 따라서, 본 논문에서는 수집된 AAL 데이터 특성을 고려하여 AAL 시스템을 위한 데이터 관리 기법을 제안한다. 시뮬레이션 결과는 제안된 데이터관리 기법이 공간적 효율성을 보다 높게 달성 할 수 있음을 보여준다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권12호
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• pp.5855-5877
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• 2017

In view of personal health and disease management based on cost effective healthcare services, there is a growing need for real-time monitoring services. The electrocardiogram (ECG) signal is one of the most important of health information and real-time monitoring of the ECG can provide an efficient way to cope with emergency situations, as well as assist in everyday health care. In this system, it is essential to continuously collect and transmit large amount of ECG data within a given time and provide maximum user convenience at the same time. When considering limited wireless capacity and unstable channel conditions, appropriate signal processing and transmission techniques such as compression are required. However, ISO/IEEE 11073 standards for interoperability between personal health devices cannot properly support compressed data transmission. Therefore, in the present study, the problems for handling compressed data are specified and new extended agent and manager are proposed to address the problems while maintaining compatibility with existing devices. Extended devices have two PM-stores enabling compression and a novel transmission scheme. A variety of compression techniques can be applied; in this paper, discrete cosine transformation (DCT) is used. And the priority of information after DCT compression enables new transmission techniques for performance improvement. The performance of the compressed signal and the original uncompressed signal transmitted over the noisy channel are compared in terms of percent root mean square difference (PRD) using our simulation results. Our transmission scheme shows a better performance and complies with 11073 standards.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제12권1호
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• pp.476-496
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• 2018

With the advancement and deployment of wireless communication techniques, wireless body area network (WBAN) has emerged as a promising approach for e-healthcare that collects the data of vital body parameters and movements for sensing and communicating wearable or implantable healthful related information. In order to avoid any possible rancorous attacks and resource abuse, employing lightweight ciphers is most effective to implement encryption, decryption, message authentication and digital signature for security of WBAN. As a typical lightweight cryptosystem with an extended sponge function framework, the PHOTON family is flexible to provide security for the RFID and other highly-constrained devices. In this paper, we propose a differential fault analysis to break three flavors of the PHOTON family successfully. The mathematical analysis and simulating experimental results show that 33, 69 and 86 random faults in average are required to recover each message input for PHOTON-80/20/16, PHOTON-160/36/36 and PHOTON-224/32/32, respectively. It is the first result of breaking PHOTON with the differential fault analysis. It provides a new reference for the security analysis of the same structure of the lightweight hash functions in the WBAN.

• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.265-270
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• 2015

Hepatocellular carcinoma (HCC) is amongst the top three cancer causes of death worldwide with hepatitis B and C viruses (HBV/HCV) as the main etiological agents. An up-to-date descriptive epidemiology of the burden of HBV/HCV-associated HCC in the Arab world is lacking. We therefore determined the burden of HBV/HCV-associated HCC deaths in the Arab world using the Global Burden of Disease (GBD) 2010 dataset. GBD 2010 provides, for the first time, deaths specifically attributable to viral-associated HCC. We analyzed the data for the 22 Arab countries by age, sex and economic status from 1990 to 2010 and compared the findings to global trends. Our analysis revealed that in 2010, an estimated 752,101 deaths occurred from HCC worldwide. Of these 537,093 (71%) were from HBV/HCV-associated HCC. In the Arab world, 17,638 deaths occurred from HCC of which 13,558 (77%) were HBV/HCV-linked. From 1990 to 2010, the burden of HBV and HCV-associated HCC deaths in the Arab world increased by 137% and 216% respectively, compared to global increases of 62% and 73%. Age-standardized death rates also increased in most of the Arab countries, with the highest rates noted in Mauritania and Egypt. Male gender and low economic status correlated with higher rates. These findings indicate that the burden of HBV/HCV-associated HCC in the Arab world is rising at a much faster rate than rest of the world and urgent public health measures are necessary to abate this trend and diminish the impact on already stretched regional healthcare systems.

• 한국항행학회논문지
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• 제15권4호
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• pp.585-590
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• 2011

지난 몇 년 동안 사물지능통신(Machine to Machine, M2M) 어플리케이션은 무선업계에서 뜨거운 화제가 되고 있다. 사물지능통신 어플리케이션이 (건강, 농업, 상업, 산업, 소매, 유틸리티 등) 다양한 용도(스마트 홈, 스마트 촉광/전기계량기, 차량관리, 모바일 인력, 자동차보험, 자동판매기 등)에 대한 많은 분야에서 사용할 수 있지만 스마트 계량 어플리케이션 또는 스마트 그리드는 오늘날의 사물통신 시장에서 가장 큰 성장 잠재력을 나타낸다. 사물통신은 다양한 네트워크와 기기가 결합하여 복합적인 서비스를 제공하는 미래의 통신망 기술로 복합적인 서비스를 제공하기 위하여 센서 시스템들 사이에 표준화된 정보 교환 기술이 필요하다. 본 논문에서는 정보통신기술을 이용한 재난방재시스템에 관한 산업간 융합, 재난정보통신에 필요한 요소기술 및 응용에 대하여 연구한다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 추계종합학술대회 B
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• pp.832-835
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• 2008

현대사회의 정보화 기반 시스템은 매우 빠른 속도로 변하고 있으며, 무선통신과 센서 네트워크 분야 또한 변하고 있다. 센서 네트워크 분야에서는 RFID 태그를 이용하여 홈 네트워크, 각종 제어시스템, U-헬스케어 시스템과 물류 유통에 까지 그 영역을 확장하고 있다. 이중 RF태그를 이용한 제어 분야에 대한 연구는 본격적인 서비스 인프라를 지향하기 위해 진행되고 있으며, 각종 이력 정보와 주변 환경 정보를 센싱하고 제어하는 지능형 센서네트워크 구축을 위한 핵심 영역이 되고 있다. 본 논문에서는 이러한 취지의 한 기반으로 RFID 기술을 선박에 적용하여 선박 내 인원의 출입의 통제시키고 안전사고 방지를 위한 선박 내 보안과 안전을 위한 인원 관리시스템을 설계하고 구현하였다.

• 한국의료질향상학회지
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• 제22권2호
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• pp.43-73
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• 2016

Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

• 한국치위생학회지
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• 제14권6호
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• pp.789-794
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• 2014

The increasing cross-border mobility of dental school or dental hygiene students, educators, practitioners, programs and providers takes challenges for existing national quality assurance and accreditation frameworks and bodies, as well as for the systems for recognizing foreign qualifications. The new dental hygiene accreditation system was introduced to encourage the improvement of dental hygiene programs, to ensure the quality of education and, most of all, to establish an internationally compatible system of evaluation and accreditation. The accreditation procedure takes 1 year to complete. The result of the accreditation is released after evaluation via self-study report, site visit, preliminary draft report, responses from the institution and the results from the conciliation and review committees. The result from the accreditation procedure is either 'accreditation' or 'no accreditation'. Accredited schools receive one of several statuses following the evaluation. These are next general review, interim report and interim visit or suspension. Dental healthcare quality is not improved instantaneously, but instead gradually through continuous communication within the dental field. For this accreditation system to be successful, the following are essential: the accreditation agency should adopt hygiene education accreditation; it needs to become financially independent and managed efficiently; the autonomy and regulations surrounding the system need to be balanced; the professionalism of the system is ensured; and the dental field which includes not only dental program, but also hygiene program, needs to play an active role in the operation of the system.

• 보건행정학회지
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• 제16권1호
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• pp.17-40
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• 2006

With the prospect of rapidly growing health insurance expenditures, particularly spending for ambulatory care, the introduction of a case-based payment method is discussed as an alternative to the current fee-for-service based method. A system to measure case mixes of providers is a core component of such payment systems. The objective of this study were to develop a classification system for ambulatory care, Korean Ambulatory Patient Group (KAPG) based on the U.S. APG version 2.0 and to evaluate the classification accuracy of the system. A database of 64,258,386 records was constructed from insurance claims submitted to the Health Insurance Review Agency (HIRA) during three months from August 2002. A total of 41,347,307 records with a single visit was used for the development and 7% random sample of the database was used for the evaluation. Additional groups were defined to include both physician and hospital fees in the classification, age splits were added to classify the entire population as well as the population older than 65, and the definition of medical groups used by the HIRA was adopted. The variance reduction in charges achieved by KAPGs was computed to evaluate the accuracy of classification. A total of 474 KAPGs was defined compare to 290 groups in the U.S. APG. The variance reduction for charges of all visits ranged from 20% to 37% depending on the type of provider, and ranged from 22% to 42% for non-outliers, that were better than those achieved by the system currently used by the .HIRA for its internal review purpose. Although further study is required to improve the classification for complicated care in larger hospitals, the results indicated that KAPGs could be used for better management of costs for ambulatory care.