• KIPS Transactions on Software and Data Engineering
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• v.5 no.10
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• pp.489-496
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• 2016

Thousands of pathological images are produced daily per hospital and they are stored and managed by a pathology information system (PIS). Since image edge detection is one of fundamental analysis tools for pathological images, many researches are targeted to improve accuracy and performance of image edge detection algorithm of HIS. In this paper, we propose a novel image edge detection method. It is based on Canny algorithm with adaptive threshold configuration. It also uses a dividing ruler to configure the two threshold instead of whole image to improve the detection ratio of ruler itself. To verify the effectiveness of our proposed method, we conducted empirical experiments with real pathological images(randomly selected image group, image group that was unable to detect by conventional methods, and added noise image group). The results shows that our proposed method outperforms and better detects compare to the conventional method.

• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.117-126
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• 2004

In general, the patients who transferred to the hospital by 119 rescue service at night go to the emergency room(ER) of general hospital rather than that of their nearby the 1st(clinic) and 2nd(local hospital) hospital. And the hospital is mainly selected not by 119 EMST but by patients or his/her conservators. Therefore we had studied retrospectively with emergency situation diary and medical chart for 697 patients of being transferred to one emergency medical center for 6 months since January 2004, and results are as follows. 1. The 280 patients(42.5%) of being transferred hospital at night by 119 rescue service were not emergency case and their average staying time in hospital was about $7.15{\pm}10.06$ minutes. 2. Transfer time was distributed in each time intervals of 1819, 2021, 2223, and 2401 and patients ratio in each intervals were 15.1%, 17.8%, 16.4%, and 15.2%. 3. In response of ambulance, the average time from the spot to the hospital was $14.53{\pm}9.27min$. and average distance of that was $7.95{\pm}9.21km$. 4. Diseases rather than traffic accidents or traumatic injury were main causes of ambulance calling and its value was 533(76.5%), and accidents were mainly occurred in patients' house and its value was 479(68.7%). 5. In time of transfer by 119 rescue service, hospital was mainly selected by patient/conservator and its value was 648(93.0%). In result. the hospital was selected not by EMST but by patient/conservator. 6. The case that the 1st grade EMT was rode in ambulance was 161(23.1%), and the case that 2nd EMT and emergency team member who educated for emergency were rode in ambulance were 504(72.3%). So the number of the 1st grade EMT was short in fire station of Kwangju metropolitan city than other city. 7. The first aids for patients before reaching hospital were limited to oxygen inhalation, airway control, and BLS for maintaining limbs and spine. So it seems to be a simple patients transfer. Consequently, to establish an efficient emergency medical system, it has been thought that it should be advanced a moderate education and public information about the appropriate use of emergency medical system toward citizen, and also need the hospital selection by the patients categorizing standards for 119 rescue service member, securing the 1st grade EMT, appropriate first-aids education, and securing professional human power in emergency room of the Ist(clinic) and 2nd(local hospital) hospital at night.

• Journal of Chest Surgery
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• v.25 no.10
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• pp.989-1000
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• 1992

The concepts of modern type computer are so called "General purpose, stored program and digital computer" that is proposed by Charles Babbage. ENIAC, the initial operational electronic digital computer model, was produced in 1946. During the last 50 years, an epoch-making development of the personal computer was marked. The computerization of all levels of society is going on and also computerization of the general hospital and medical college is developing. But patient data management system for clinician is not used generally. We suggest the use of computer aided data management application programs for the clinical informations of the patients of the Department of Thoracic and Cardiovascular Surgery for better management and to make best of medical informations, to co-operate with the current of this times, and to prepare against the Hospital Information Systems[HIS], actively. Also, we suggest to standardize the format and structure of database files to store the clinical data of the patients By standardization of the database files, we can integrate and relate the data of the individual department or hospital, build up the regional or national statistics of the patients easily, and promote the generation of application programs. The medical network by the communication and computer would be utilized to collect the database files. And finally, we suggest the use of code system to input and search the informations about the diagnosis and operation such as the code system of International Classfication of Disease[WHO] and the table of the classfication of operation of the Ministry of Health and Social Affairs, Korea. In this article, we tried to show the new standards, the essential items for computerization of clinical informations of the patients of the Department of Thoracic and Cardiovascular Surgery.r Surgery.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.3
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• pp.1740-1748
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• 2014

In this paper, we propose an RBAC based personalized health care service platform in order to provide smart management of personal health record using smart devices. It helps to guide healthful service and provide useful information according to one's individual health record. Personalized health care services platform supports a healthy lifestyle by measuring personal health information in a hospital clinical, imaging, and drug data, as well as that can be obtained from smart devices. Everyone can enter his health related data in everyday life such as food, sleeping time, mood, movement and exercise so that one can manage his personal health information of modern smart features. In addition, if necessary, personal health information can be provided to the hospital information system and staff with the consent of the individual. It can be contributed to simplify the complex process for remote medical. The proposed platform, which applies role based access control model to protect security and privacy, supports a smart health care services for users by providing personalized health care services through the smart applications.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.1
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• pp.469-473
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• 2013

Background: The purpose of this study is to examine the risk of uncontrolled chemotherapy-induced nausea and vomiting (CINV) among patients receiving low emetogenic chemotherapy (LEC) with and without granisetron injection as the primary prophylaxis in addition to dexamethasone and metochlopramide. Materials and Methods: This was a single-centre, prospective cohort study. A total of 96 patients receiving LEC (52 with and 42 without granisetron) were randomly selected from the full patient list generated using the e-Hospital Information System (e-His). The rates of complete control (no CINV from days 1 to 5) and complete response (no nausea or vomiting in both acute and delayed phases) were identified through patient diaries which were adapted from the MASCC Antiemesis Tool (MAT). Selected covariates including gender, age, active alcohol consumption, morning sickness and previous chemotherapy history were controlled using the multiple logistic regression analyses. Results: Both groups showed significant difference with LEC regimens (p<0.001). No differences were found in age, gender, ethnic group and other baseline characteristics. The granisetron group indicated a higher complete response rate in acute emesis (adjusted OR: 0.1; 95%CI 0.02-0.85; p=0.034) than did the non-granisetron group. Both groups showed similar complete control and complete response rates for acute nausea, delayed nausea and delayed emesis. Conclusions: Granisetron injection used as the primary prophylaxis in LEC demonstrated limited roles in CINV control. Optimization of the guideline-recommended antiemetic regimens may serve as a less costly alternative to protect patients from uncontrolled acute emesis.

• Proceedings of the IEEK Conference
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• 2009.05a
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• pp.402-404
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• 2009

The development of health information technology enables people to access, view and acquire personal health record. But still, there have been a number of obstacles such as the absence of the standard to realize the ideal Personal Health Record(PHR) system. In this study, we proposed the service model that serves periodic Health Record Summary which is made by a medical specialist to people who are in the busy lives. Healthcare data from EMR in a hospital including people generate themselves at home is sent to a physician to make a medical opinion, and then it is changed into Health Level 7 Continuity of Care Document(CCD) format for interoperability. After a physician writes his opinion about patient's health condition, it will send to people by email. People who receive the health record summary data by email can save them into a USB device to view own PHR and medical comments of a physician through a computer. It will help people managing their own health condition with an opinion of a medical specialist.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.6
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• pp.1128-1140
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• 2009

In this paper, we present a patient real-time vital sign information transmission system to effectively support developing real-time communication service by using a real-time object model named TMO (Time-Triggered Message-Triggered Object). Also, we describe the application environment as the ICU(Intensive Care Unit) to guarantee real-time service message with TMO structure in distributed network systems. We have to design to obtain useful vital sign information, which is generated at parsing data receiver modulor of HIS with TMO structure, that is offered by the central monitor. Vital sign informations of central monitor is composed of the raw data of several bedsite patient monitors. We are willing to maintain vital sign information of real time and continuity that is generated from the bedsite patient monitor. It is able to apply to remote medical examination and treatment. we proposed integration method between a vital sign database systems and hospital information systems. In the real time simulation techniques based on TMO object modeling, We have observed several advantages to the TMO structuring scheme. TMO object modeling has a strong traceability between requirement specification and design.

• Journal of the Korean Society of Radiology
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• v.1 no.2
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• pp.13-22
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• 2007

The purpose of this study was to survey a development of the wireless transmission system of medical images for ubiquitous medicine. There have been many changes in medical equipments and medical record medical treatment and medical record within hospital and PACS(Picture Archiving Communication System) which is picture management system for patients can be typical cases. It is difficult to use these automated medical systems unless they are within hospital and in case of rapid image reading in the emergency cases or in absence of doctor, it is difficult to perform it immediately. The present study implemented an image transmission system using CDMA connection so that images in the server can be viewed at any time and in any place. Remote wireless diagnosis based on medical images using PDA is applicable to medical areas that require mobility, and the use of PDA can be an ideal alternative for point of care. The use of PDA enables prompt and accurate access to digital medical images, which in turn reduces medical accidents and improves the quality of medical services through high productivity and efficiency of medical practitioners' works. It also enables quick response to patients' demands and high-quality medical services and, consequently, patients' high satisfaction.

• Proceedings of the KOSOMBE Conference
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• v.1998 no.11
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• pp.299-300
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• 1998

Recently the development of medical modality like as MRI, 3D US, DR etc is very active. Therefore it is more required not only the enhancement of quality in medical service but the improvement of medical system based on quantization, minimization, and optimization of high speed. Especially, as the changing into the digital modality system, it gets to start using ASIC(Application Specific Integrated Circuit) to realize one board system. It requires the implementation of hardware debugging and effective speedy algorithm with more speed and accuracy in order to support and replace existing device. If objected image could be linked to high speed process board with special interface and pre-processed using FPGA, it can be used in real time image processing and protocol of HIS(Hospital Information System). This study can support the basic circuit design of medical image board which is able to realize image processing basically using digitalized medical image, and to interface between existing device and image board containing image processing algorithm.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2006.05a
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• pp.1027-1031
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• 2006

Recently, mobile-type analysis system when emergency patient can check his blood condition in the transportation or vessel has being required. Under the present system, it takes lots off-time to know the blood analysis result of patient, so, it may lead to a dangerous situation. But, in this study, analysis time makes to fall down to $1{\sim}min$. to emergency treatment patient more quickly, and you can check the information by wireless PC through Bluetooth base. It is able to measure in about 7minutes from 25minutes of warming-up time in existing facilities by testing temperature peculiarity curve, to operate system without error even minute temperature change by adoption DUAL heating. And Bluetooth base was adopted to reduce power consumption and be able to hospital networking by keeping and sending analyzed data when it needs.