• Journal of the Korea Society of Computer and Information
• /
• v.26 no.11
• /
• pp.21-31
• /
• 2021

As the COVID-19 pandemic rapidly changes healthcare around the globe, the need for smart healthcare that allows for remote diagnosis is increasing. The current classification of respiratory diseases cost high and requires a face-to-face visit with a skilled medical professional, thus the pandemic significantly hinders monitoring and early diagnosis. Therefore, the ability to accurately classify and diagnose respiratory sound using deep learning-based AI models is essential to modern medicine as a remote alternative to the current stethoscope. In this study, we propose a deep learning-based respiratory sound classification model using data collected from medical experts. The sound data were preprocessed with BandPassFilter, and the relevant respiratory audio features were extracted with Log-Mel Spectrogram and Mel Frequency Cepstral Coefficient (MFCC). Subsequently, a Parallel CNN network model was trained on these two inputs using stacking ensemble techniques combined with various machine learning classifiers to efficiently classify and detect abnormal respiratory sounds with high accuracy. The model proposed in this paper classified abnormal respiratory sounds with an accuracy of 96.9%, which is approximately 6.1% higher than the classification accuracy of baseline model.

• KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
• /
• v.28 no.3
• /
• pp.183-192
• /
• 2022

With the growth of the packaging industry, demand on the packaging printing comes in various forms. Customers' orders are diversifying and the standards for quality are increasing. Offset printing is mainly used in the packaging printing since it is easy to print in large quantities. However, productivity of the offset printing decreases when printing various order. This is because it takes time to change colors for each printing unit. Therefore, scheduling that minimizes the color replacement time and shortens the overall makespan is required. By the existing manual method based on workers' experience or intuition, scheduling results may vary for workers and this uncertainty increase the production cost. In this study, we propose an automated scheduling method of parallel offset printing process for packaging printing. We decompose the original problem into assigning and sequencing orders, and ink arrangement for printing problems. Vehicle routing problem and assignment problem are applied to each part. Mixed integer programming is used to model the problem mathematically. But it needs a lot of computational time to solve as the size of the problem grows. So guided local search algorithm is used to solve the problem. Through actual data experiments, we reviewed our method's applicability and role in the field.

• Journal of agricultural medicine and community health
• /
• v.49 no.2
• /
• pp.132-145
• /
• 2024

Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

• International Journal of Heart Failure
• /
• v.6 no.2
• /
• pp.56-69
• /
• 2024

Background and Objectives: The number of people with heart failure (HF) is increasing worldwide, and the social burden is increasing as HF has high mortality and morbidity. We aimed to provide updated trends on the epidemiology of HF in Korea to shape future social measures against HF. Methods: We used the National Health Information Database of the National Health Insurance Service to determine the prevalence, incidence, hospitalization rate, mortality rate, comorbidities, in-hospital mortality, and healthcare cost of patients with HF from 2002 to 2020 in Korea. Results: The prevalence of HF in the total Korean population rose from 0.77% in 2002 to 2.58% (1,326,886 people) in 2020. Although the age-standardized incidence of HF decreased over the past 18 years, the age-standardized prevalence increased. In 2020, the hospitalization rate for any cause in patients with HF was 1,166 per 100,000 persons, with a steady increase from 2002. In 2002, the HF mortality was 3.0 per 100,000 persons, which rose to 15.6 per 100,000 persons in 2020. While hospitalization rates and in-hospital mortality for patients with HF increased, the mortality rate for patients with HF did not (5.8% in 2020), and the one-year survival rate from the first diagnosis of HF improved. The total healthcare costs for patients with HF were approximately $2.4 billion in 2020, a 16-fold increase over the $0.15 billion in 2002. Conclusions: The study's results underscore the growing socioeconomic burden of HF in Korea, driven by an aging population and increasing HF prevalence.

• Journal of Korean Academy of Nursing Administration
• /
• v.6 no.2
• /
• pp.211-225
• /
• 2000

With the drastically changing healthcare market, the adoption of DRG system and the use of Critical Pathway will be increased gradually in order to care hospitalized patients qualitatively and manage cost-effectively in Korea. The purpose of this quasi-experimental research is to apply and analyze the developed critical pathway to the patients with Cesarean section. 35 eligible subjects for the control group were chosen from postpartum patients who has delivered at H-hospital in Kwang-ju, and were questioned after appling previous care plan from May to December, 1998. For the experimental group, 37 subjects were chosen and questioned after applying Critical Pathway service from January to June, 1999. The instruments are a critical pathway for the patients with Cesarean section developed by chung(1998) and a questionnaire that evaluate patients and family members' satisfaction level. Also, educational materials were used to inform them in the process of Critical Pathway application. As a result of chi-square test on general characteristics, there is significant difference between control group and experimental group only in terms of room size(p= .010). There are no significant differences in the average length of stay in the hospital between control group and experimental group(t=.078). Also, the average medical consult fee has no difference significantly between two groups(t= .105). The findings showed that the experimental group with critical pathway service scored significantly higher than control group on the satisfaction level toward care services(p=.000). The items are post-operative care, postpartum exercise technique, breast feeding and breast manage through educational materials. In conclusion, the research indicates that the application of planned Critical Pathway can have a positive impact on satisfaction level of inpatients with Cesarian section.

• Proceedings of the Korean Vacuum Society Conference
• /
• 2016.02a
• /
• pp.397-397
• /
• 2016

Triboelectric nanogenerators (TENG) can produce power from ambient mechanical sources and have strong points of high output performance, light weight, low cost, and easy manufacturing process. It is expected that TENG can be utilized in the fields of wireless electronics and self-powered devices in the world which pays attention to healthcare and the IoT. In this work, we focus on scavenging ambient rotational energy by using a durably designed TENG. In previous studies regarding harvesting rotation mode energy, the devices were based on sliding mechanism and durability was not considered as a major issue. However friction by rotation causes reliability problems due to wear and tear. Therefore, in this study, we convert rotary motion to linear motion utilizing a cam by which we can then utilize contact-mode TENG and improve device reliability. In order to increase output performance, bumper springs were used below the TENG and the optimum value for the bumper spring constant was analyzed theoretically. Furthermore, the inserting a soft substrate was proposed and its effect on high output was determined to be due to an increase in the contact area. By increasing the number of cam noses, the output frequency was shown to increase linearly. For the purpose of maximum power transfer, the input impedance of the device was determined. Finally, to demonstrate the use of the C-TENG as a direct power source, it was installed on a commercial bicycle wheel and connected to 180 LEDs. In conclusion we present a rotational motion TENG energy scavenger system designed for enhanced durability and optimized output by appropriate choice of spring constants and substrate.

• KIPS Transactions on Software and Data Engineering
• /
• v.4 no.9
• /
• pp.403-408
• /
• 2015

Kinect sensors have the ability to recognize the behavior and voice of the user. Due to its low-cost and high accessibility, Kinect sensors have been used in various fields, including healthcare, education and so on. In this paper, we propose to use Kinect in piano education. Specifically, the proposed method first recognizes the coordinate values of user's posture, compares them with coordinate values of teacher's posture and provide real-time feedbacks to the user. This enables user to keep the correct posture even when he is learning piano without a teacher. However, since the piano education is a long process, it is difficult to achieve the correct posture as a teacher immediately. Thus, we propose a user-oriented method to measure the error tolerance rate. The proposed method is the first feedback based piano education system that uses Kinect sensors.

• Korean Journal of Clinical Pharmacy
• /
• v.13 no.2
• /
• pp.72-81
• /
• 2003

Adverse drug reaction (ADR) may increase hospital admission, morbidity and mortality and adding extra cost to healthcare expenditures. AIMS: This study was performed to identify the types of ADR being reported in a tertiary hospital, and to find out the ways to improve current ADR monitoring system. To investigate the attitudes of hospital pharmacists towards, and their understanding of ADR reporting. METHODS: Of 117 reports submitted to the pharmacy department during 3 months survey period, A questionnaire survey of 75 randomly selected hospital pharmacists was conducted. RESULT: Of the report was from patients aged between 60 and 70. The medical department with the high frequency in ADR reporting was Internal Medicines $(60\%)$. The most common ADR manifestations were gastrointestinal complaints $(47.8\%)\;and\;80\%$ of the reported cases were mild in their severity. The most common drugs suspected of causing ADR were CNS drugs which accounted for $38.4\%.\;55.5\%$ of respondent were aware of the need to education and information about ADR monitoring. The important reasons for unreporting ADR were unknown of how to report ADRs $(94.6\%)$. CONCLUSIONS: An ADR reporting system based on reporting by staff pharmacists has been effective increasing the number of reported reactions and pharmacist involvement in monitoring patients for ADRs. Pharmacists have the knowledge and responsibility to contribute to ADR reporting program. A great opportunity exists for pharmacists to contribute in this area of patient care.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.15 no.6
• /
• pp.1391-1396
• /
• 2011

A way to increase productivity in agriculture that is labor-centered industry is to graft IT technology. Today, many technologies in ubiquitous computing are deployed in all areas of society such as traffic control, automotive manufacturing, construction, defence, healthcare and clinical services. These IT technologies is gaining more attention as a fusion technology among traditional industries. To successfully build ubiquitous agriculture environment, it needs optimized core technology development for agriculture that includes sensor node H/W, middleware platform, routing protocol and agriculture environment application services. To achieve accurate botany growth environment management, we propose a green growth environment management system using environmental factor monitoring sensor and biological information sensors in greenhouse. By using our proposed system, it is expected to realize fusion complex agriculture technology with low cost.

• Quality Improvement in Health Care
• /
• v.7 no.2
• /
• pp.156-167
• /
• 2000

Background: Emphasis in healthcare during the 1990s has been to provide both optimal wellness and function with quality in a Cost-effective manner. Critical pathway was developed to meet the need to guide clients along the continunm of care and to achieve continuity of care. The purpose of this study is to review and analyze articles related to the critical pathway that had developed and applied in Korea and abroad from 1995 to 1999. Methods: Total 39 studies were analyzed in terms of group of application, need of development, horizontal axis: time frame, vertical axis : items of care, task force team, identification of preliminary critical pathway, validation of preliminary critical pathway, types of final critical pathway, a person who coordinates and effects on critical pathway. Results: In the aspect of group of application, there were various diseases in the overseas than in Korea. In domestic and overseas, the horizontal axis included mainly the time from the start of hospitalization to discharge and vertical axis of the critical pathway included commonly the following nine items : tests, diet, medications, consultations, activity, assessments, treatments, education, discharge planning. Preliminary critical pathway was mainly drawn up through chart review in both. Types of final critical pathway were mostly for medical team use in Korea and were for medical team and patient use in abroad. A person who coordinates critical pathway was mostly nurse in abroad. There was positive effects on critical pathway in both. Conclusion: Staff education and information about critical pathway are needed to use it effectively.