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Image-Centric Integrated Data Model of Medical Information by Diseases: Two Case Studies for AMI and Ischemic Stroke

  • Lee, Meeyeon;Park, Ye-Seul;Lee, Jung-Won
    • Journal of Information Processing Systems
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    • v.12 no.4
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    • pp.741-753
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    • 2016
  • In the medical fields, many efforts have been made to develop and improve Hospital Information System (HIS) including Electronic Medical Record (EMR), Order Communication System (OCS), and Picture Archiving and Communication System (PACS). However, materials generated and used in medical fields have various types and forms. The current HISs separately store and manage them by different systems, even though they relate to each other and contain redundant data. These systems are not helpful particularly in emergency where medical experts cannot check all of clinical materials in the golden time. Therefore, in this paper, we propose a process to build an integrated data model for medical information currently stored in various HISs. The proposed data model integrates vast information by focusing on medical images since they are most important materials for the diagnosis and treatment. Moreover, the model is disease-specific to consider that medical information and clinical materials including images are different by diseases. Two case studies show the feasibility and the usefulness of our proposed data model by building models about two diseases, acute myocardial infarction (AMI) and ischemic stroke.

Implementation of hospital information system using the HL7/DICOM gateway (HL7/DICOM 게이트웨이를 활용한 병원정보시스템 구축)

  • Lee, Sang Young
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.6 no.4
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    • pp.1-10
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    • 2010
  • With the rapid advance of information technology and the popularity of digital medical, medical information are growing, the process of hospital digitalization are gradually quicken and systems involved are more and more. HIS system mainly deals with patient information, it follows the standard of HL7. While PACS system mainly manages image information, it follows the standard of DICOM. Because HIS and PACS deal with different information and follow different standards, it is difficult to directly communicate. This paper presents a method of establishing HL7/DICOM gateway to realize the information exchange of HIS and PACS. The HL7/DICOM gateway designed in this paper is made up of three modules. First, HL7 messages and triggered events are designed to achieve the function of transaction processing module. According to the designed HL7 messages, four message interface functions are defined to accomplish the function of send/receive messages module. Finally, the algorithm of construct/parse messages is given to complete the function of construct/parse messages module. Result shows that HIS and PACS realize information exchange successfully by using the HL7/DICOM gateway Implemented in this paper.

A Case Study on Quality Improvement of the Food Services for Patients - Focused on back-up orders - (환자 급식서비스의 질 향상 사례 연구 - Back-up 처방 중심으로 -)

  • 이승림;장유경
    • Korean Journal of Community Nutrition
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    • v.8 no.5
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    • pp.755-762
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    • 2003
  • The purpose of this research which, surveyed target hospitals, was to evaluate job operations by surveying the influences of Quality Improvement (QI) activities in various divisions related to a decrease in their back-up orders. Statistical data analyses were completed using the SPSS 11.0 program. The results can be summarized as follows Before QI there were 147 cases of back-up orders ; after QI there were 83 cases, decrease of 64 cases. This was 44%, less than the projected goal of 50%. For each item, there was a decrease of 40 nurse cases, 9 patients and patron cases,9 test surgery deliverly cases and 5 doctor cases after QI. The registering of midnight meals was not shown after QI, due to the Order Communication System (OCS) settlement. After performing QI, the average manual operation per month was reduced from 840 minutes to 498 minutes, of which the difference was 342 minutes, and the average of 342 minutes per month could be used for the peculiar operation of each division. This QI activity provided a good opportunity for establishing cooperation among divisions in providing meals to patients through interactions among divisions. It was recognized that these interactions were effective only when medical services were achieved through organized cooperation among divisions. Among the 7 items included on the patient satisfaction questionnaire, “satisfaction with offered menus” (p<0.01) showed significantly higher scores before QI. However “satisfaction with meal times” (p<0.01) showed significantly lower scores before QI.

KINEMATICS AND CHEMISTRY OF THE S140/L1204 MOLECULAR COMPLEX

  • Park, Yong-Sun;Minh, Young-Chul
    • Journal of The Korean Astronomical Society
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    • v.28 no.2
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    • pp.255-264
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    • 1995
  • The HII region S140 and the associated molecular cloud L1204 have been observed with 10 molecular transitions, CO (1-0), $^{13}CO$ (1-0), $C^{18}O$ (1-0), CS (2-1), $HCO^+$ (1-0), HCN (1-0), SO (${2_2}-{1_1}$), $SO_2(2_{20}-3_{13})$, OCS (8-7), and $HNCO\;(4_{04}-3_{03})$ with ${\sim}50"$ angular resolutions. More than 7,000 spectra were obtained in total. The morphology of this region shows a massive fragment (the S140 core) and the extended envelope to the northeast. Several gas condensations have been identified in the envelope, having masses of ${\sim}10^{3}M_{\odot}$ and gas number densities of ${\lesssim}10^{4}cm^{-3}$ to $3{\times}10^{5}cm^{-3}$ in their cores. The column densities of the observed molecular species toward the S140 core appear to be the typical warm clouds' abundances. It seems to be that the S140 core and L1204 have been swept up by an expanding shell called the Cepheus bubble. The large value of $L_{IR}$(embedded\;stars)/$M_{cloud}\;{\sim}\;5\;L_{\odot}$/$M_{\odot}$ of the S140 core may suggest that the star formation has been stimulated by the HII region, but the shock velocity and the pressure of the region seem to give a hint of the spontaneous star formation by the self gravity.

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An Implementation of Intefrated Database for Electronic Medical Record System in East-West Medical Collabration (${\cdot}$양방 협진 전자의무기록 시스템 구축을 위한 통합 데이터베이스 구축)

  • Ahn, Yo-Chan;Oh, Sang-Bong
    • Journal of Information Technology Applications and Management
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    • v.12 no.2
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    • pp.129-143
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    • 2005
  • In recent years, two major streams in medical information systems are:1) system integration among OCS(Order Communication System), EMR(Electronic Medical Record), PACS(Picture Archiving and Communication System), and ERP(Enterprise Resource Planning) and 2) system integration through medical collaboration between East and West medical service providers. One of the characteristics which differentiate the Korean medical industry from the western medical industry is the East-West medical collaboration. In many respects there are many differences between East and West medical treatment. Although East and West medical treatment have developed from different medical philosophies and standards, we assume that the better medical care can be provided by integrating their medical procedures effectively. The two possible approaches to the integration of East and West medical information systems are suggested in this paper:One is loosely coupled model and the other is tightly coupled model. EMR improves the quality of medical record which reflects the quality of clinical practice. It provides more efficient and convenient way of input, retrieval, storage, communication and management of medical data. We abstracted the standard medical procedures from the two medical procedures performed in Daejeon Oriental Hospital and Hehwa Clinic at Daejeon University and also abstracted database schema by analyzing the characteristics of information needed in East-West medical collaboration. Our EMR is composed of two types of data:one is structured data and the other is unstructured data, which are formalized by SOAP(Subjective, Objective, Assessment, Plan) format. Currently the integrated system is implemented and operated successfully for six months.

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Algorithm development of a body pressure detection sensor for the occupant classification system (고안전 에어백의 승객 분류를 위한 체압감지 센서를 위한 알고리즘 개발)

  • Yun, Duk-Sun;Oh, Seong-Rok;Song, Jeong-Hoon;Kim, Byeong-Soo;Boo, Kwang-Suck
    • Journal of Sensor Science and Technology
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    • v.18 no.5
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    • pp.385-392
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    • 2009
  • This paper describes the algorithm development of a new body pressure detection sensor for occupant classification system. U.S. Government has required that advanced airbag system should be installed to every automobiles after 2006 according to FMVSS 208 regulation. Therefore, Occupant Classification System should be provided the passenger with safety in order to protect the infants or children that sit in the front passenger seat. When an occupant sits on the chair of the vehicle, deployment of the airbag depends on passenger's weigh distribution and postures. Authors have been developed a new pattern recognition of passenger and weight distribution at the same time by Force Sensing Resistor for the safety.

Analysis of Healthcare Quality Indicator using Data Mining and Decision Support System

  • Young M.Chae;Kim, Hye S.;Seung H. Ho
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.352-357
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    • 2001
  • This study presents an analysis of healthcare quality indicators using data mining for developing quality improvement strategies. Specifically, important factors influencing the inpatient mortality were identified using a decision tree method for data mining based on 8,405 patients who were discharged from the study hospital during the period of December 1, 2000 and January 31, 2001. Important factors for the inpatient mortality were length of stay, disease classes, discharge departments, and age groups. The optimum range of target group in inpatient healthcare quality indicators were identified from the gains chart. In addition, a decision support system was developed to analyze and monitor trends of quality indicators using Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. In the future, other quality indicators should be analyze to effectively support a hospital-wide continuous quality improvement (CQI) activity and the decision support system should be well integrated with the hospital OCS (Order Communication System) to support concurrent review.

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Post-buckling analysis of sandwich FG porous cylindrical shells with a viscoelastic core

  • Foroutan, Kamran;Dai, Liming
    • Steel and Composite Structures
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    • v.45 no.3
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    • pp.349-367
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    • 2022
  • In this research, an approach combining a semi-analytical method and an analytical method is presented to investigate the static and dynamic post-buckling behavior of the sandwich functionally graded (FG) porous cylindrical shells exposed to external pressure. The sandwich cylindrical shell considered is composed of a viscoelastic core and two FG porous (FGP) face layers. The viscoelastic core is made of Kelvin-Voigt-type material. The material properties of the FG porous face layer are considered continuous through each face thickness according to a porosity coefficient and a volume fraction index. Two types of sandwich FG porous viscoelastic cylindrical shells named Type A and Type B are considered in the research. Type A shell has the porosity evenly distributed across the thickness direction, and Type B has the porosity unevenly distributes across the thickness direction. The FG face layers are considered in two cases: outside metal surface, inside ceramic surface (OMS-ICS), and inside metal surface, outside ceramic surface (IMS-OCS). According to Donnell shell theory, von-Karman equation, and Galerkin's method, a discretized nonlinear governing equation is derived for analyzing the behavior of the shells. The explicit expressions for static and dynamic critical buckling loading are thus developed. To study the dynamic buckling of the shells, the governing equation is examined via a numerical approach implementing the fourth-order Runge-Kutta method. With a procedure presented by Budiansky-Roth, the critical load for dynamic post-buckling is obtained. The effects of various parameters, such as material and geometrical parameters, on the post-buckling behaviors are investigated.

Hepatobiliary Excretion of Tributylmethylamonium in Rats with Lipopolysaccharide-Induced Acute Inflammation

  • Lee, In-Kyung;Lee, Young-Mi;Song, Im-Sook;Chung, Suk-Jae;Kim, Sang-Geon;Lee, Myung-Gull;Shim, Chang-Koo
    • Archives of Pharmacal Research
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    • v.25 no.6
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    • pp.969-972
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    • 2002
  • The alteration in the pharmacokinetic behaviors of organic cations (OCs) in rats during acute inflammation (AI) was investigated. AI was induced by an intraperitoneal injection of lipopolysaccharide (LPS, 5 mg/kg) 24 hr prior to the start of pharmacokinetic studies. Tributylmethylammonium (TBuMA) was selected as a model OC since it is largely excreted into bile, and is neither metabolized nor binds to proteins in the body. When TBuMA was administered intravenously to AI rats at a dose of 6.6 $\mu$mole/kg, the AUC was increased, while biliary excretion (i.e., cumulative amount and apparent clearance) was decreased compared to normal rats. When TBuMA was administered intravenously to AI rats at a constant rate (i.e., a bolus injection at a dose of 1.5 $\mu$mole/kg followed by a constant infusion at a rate of 1.5 $\mu$mole/kg/hr for 165 min), steady-state concentrations of plasma and liver concentrations of TBuMA were increased significantly, while in vivo hepatic uptake (amount) and canalicular excretion (clearance) were decreased. These results are consistent with a hypothesis in which both the sinusoidal uptake of TBuMA into hepatocytes via the OCT1 and the canalicular excretion of the compound from hepatocytes via the P-gp are decreased by LPS-induced AI.

The effect of maintenance period of non-resorbable membrane on bone regeneration in rabbit calvarial defects (가토 두개골 결손부에서 비흡수성 차단막의 유지 기간에 따른 골조직 형성효과)

  • Jung, Min-Gu;Jang, Hyun-Seon;Kim, Byung-Ock
    • Journal of Periodontal and Implant Science
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    • v.37 no.3
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    • pp.543-551
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    • 2007
  • When clinicians faced with an insufficient volume of supporting bone on ideally esthetic and bio-mechanical position for dental implantation, guided bone regeneration(GBR) was indicated. Although GBR has wide application at clinic, proper time of membrane removal remains qustionable in using non-resorbable membrane, such as non-expanded polytetrafluoroethylene(PTFE), The aim of this study was to compare the effect of maintenance period of PTFE membrane on bone regeneration in rabbit calvarial defects. Eight adult New Zealand white female rabbits were used in this study. Four defects were surgically made in their calvaria. Using a trephine bur, 4 'through and through' defects were created and classified into 3 groups, which were consisted of control group(no graft), experimental group 1(autogenous bone)and experimental group 2(deproteinized bovine bone; $OCS-B^{(R)}$). The defects were covered with PTFE membrane($Cytoplast^{(R)}$). Membranes were removed after 1, 2, 4 and 8 weeks post-GBR procedure in 2 rabbits repectively, All rabbits were sacrificed after 8 week post-GBR procedure. Specimens were harvested and observed histologically. The results were as follow; 1) The use of graft material and membrane was necessary in GBR procedure. 2) When PTFE membranes were removed early, the most favorable bone regeneration was revealed in experimental group T, followed by experimental group II and control group. 3) On GBR, it is recommended that membrane should maintain for 4 weeks with autogenous graft. As well, the use of xenograft need longer maintenance period than autogenous bone. Further evaluations will be needed, such as histomorphologic research, more species and different kinds of graft materials. And on the basis of these studies, clinical researches would be required.