• Title/Summary/Keyword: Paper-based medical record

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The effects of dietary self-monitoring intervention on anthropometric and metabolic changes via a mobile application or paper-based diary: a randomized trial

  • Taiyue Jin;Gyumin Kang;Sihan Song;Heejin Lee;Yang Chen;Sung-Eun Kim;Mal-Soon Shin;Youngja H Park;Jung Eun Lee
    • Nutrition Research and Practice
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    • v.17 no.6
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    • pp.1238-1254
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    • 2023
  • BACKGROUND/OBJECTIVES: Weight loss via a mobile application (App) or a paper-based diary (Paper) may confer favorable metabolic and anthropometric changes. SUBJECTS/METHODS: A randomized parallel trial was conducted among 57 adults whose body mass indices (BMIs) were 25 kg/m2 or greater. Participants randomly assigned to either the App group (n = 30) or the Paper group (n = 27) were advised to record their foods and supplements through App or Paper during the 12-week intervention period. Relative changes of anthropometries and biomarker levels were compared between the 2 intervention groups. Untargeted metabolic profiling was identified to discriminate metabolic profiles. RESULTS: Out of the 57 participants, 54 participants completed the trial. Changes in body weight and BMI were not significantly different between the 2 groups (P = 0.11). However, body fat and low-density lipoprotein (LDL)-cholesterol levels increased in the App group but decreased in the Paper group, and the difference was statistically significant (P = 0.03 for body fat and 0.02 for LDL-cholesterol). In the metabolomics analysis, decreases in methylglyoxal and (S)-malate in pyruvate metabolism and phosphatidylcholine (lecithin) in linoleic acid metabolism from pre- to post-intervention were observed in the Paper group. CONCLUSIONS: In the 12-week randomized parallel trial of weight loss through a App or a Paper, we found no significant difference in change in BMI or weight between the App and Paper groups, but improvement in body fatness and LDL-cholesterol levels only in the Paper group under the circumstances with minimal contact by dietitians or health care providers.

Wireless Electrocardiogram Monitoring System for Small Animals Based on IEEE 802.15.4 (IEEE 802.15.4에 기초한 작은 동물을 위한 무선 심전도 감시 시스템)

  • Kim, Dong-Sik;Jin, Ju-Youn;Jo, Mi-Young;Nam, Do-Hyun
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.46 no.3
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    • pp.36-43
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    • 2009
  • Electrocardiogram (ECG) is a graphical record of the voltages generated during the heart beats, and is very useful in observing the status of the heart of the human or animals. In this paper, an ECG monitoring system is developed for the small animals, such as the rat. This system is very useful in monitoring the side effect of drugs. Since small animals have faster heart rate than the human case, the monitoring system has a faster sampling frequency and processing speed. Furthermore, for a realtime monitoring of the small moving animals, the system is composed of a small wireless ECG module, which is based on the IEEE 802.121.4 wireless physical layer. The developed wireless ECG system can successfully monitor the ECG of small animals, such as the rat.

Design and Implementation of Mobile Medical Information System Based Radio Frequency IDentification (RFID 기반의 모바일 의료정보시스템의 설계 및 구현)

  • Kim, Chang-Soo;Kim, Hwa-Gon
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.317-325
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    • 2005
  • The recent medical treatment guidelines and the development of information technology make hospitals reduce the expense in surrounding environment and it requires improving the quality of medical treatment of the hospital. That is, with the new guidelines and technology, hospital business escapes simple fee calculation and insurance claim center. Moreover, MIS(Medical Information System), PACS(Picture Archiving and Communications System), OCS(Order Communicating System), EMR(Electronic Medical Record), DSS(Decision Support System) are also developing. Medical Information System is evolved toward integration of medical IT and situation si changing with increasing high speed in the ICT convergence. These changes and development of ubiquitous environment require fundamental change of medical information system. Mobile medical information system refers to construct wireless system of hospital which has constructed in existing environment. Through RFID development in existing system, anyone can log on easily to Internet whenever and wherever. RFID is one of the technologies for Automatic Identification and Data Capture(AIDC). It is the core technology to implement Automatic processing system. This paper provides a comprehensive basic review of RFID model in Korea and suggests the evolution direction for further advanced RFID application services. In addition, designed and implemented DB server's agent program and Client program of Mobile application that recognized RFID tag and patient data in the ubiquitous environments. This system implemented medical information system that performed patient data based EMR, HIS, PACS DB environments, and so reduced delay time of requisition, medical treatment, lab.

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SHA-256 based Encapsulated Electronic Medical Record Document Storage System (SHA-256 기반의 캡슐화된 전자의무기록 문서 저장 시스템)

  • Lee, Hyo-Seung;Oh, Jae-Chul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.15 no.1
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    • pp.199-204
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    • 2020
  • With the development of IT. convergence systems are applied and operated in many different fields. A representative field among them is medical service, which develops in diverse types in combination with nano-technology and bio technology. However, there is a lack of technical innovation in terms of medical data operation and management. For example, data and documents are saved and integrated separately depending on their forms when electronic health records or data like SAM files are transmitted or kept. In other cases, such records and data are still kept after being recorded in paper. This study tries to design and implement the EMR system that makes it possible to capsulize forms of data and documents and to digitalize documents in work process as they are in terms of operation and storage. The system is expected to support efficient operation of electronic documents in the aspects of work and management.

A Study on Evaluation of the Appropriateness of Hospitalization for Patients with Stroke (뇌졸중 환자의 재원 적절성 평가에 관한 연구)

  • Choi, Eun-Mi;Yoo, In-Sook
    • Journal of Digital Convergence
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    • v.10 no.3
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    • pp.233-240
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    • 2012
  • This study aimed to clarify any factors that may have effect on the appropriateness of hospital admission and hospitalization with the intention of facilitating more efficient occupancy of hospital beds and better medical services in the aspect of their quality, minimizing unnecessary occupancy of beds, and ultimately helping patients requiring acute treatments to use immediately hospitals. This paper selected 154 Stroke patients who left neurology department of one general hospital from March, 1, 2006 to September, 31, 2010 as targets to meet the rate according to medical care security and to see the trend of recent 4 years. As study method, this paper analized medical treatment record with AEP to evaluate the appropriateness of hospital admission and stay and the collected data was computerized through SPSS 12.0. Based upon the results above, the conclusion was drawn that the higher appropriateness of hospital admission and the shorter length of hospital stay will lead to the higher appropriateness of hospitalization. In other words, it is required to provide hospitalized patients with all kinds of behaviors including medical treatments and nursing care service, management of pharmaceuticals, tests, rehabilitation and symptoms, as well as instructions and information for patients. Meanwhile, as it was found that the length of hospital stay may affect the appropriateness of hospitalization, the longer length of hospital stay may result in reduced bed turnover rate. In this light, it is necessary to organize a task force team responsible for evaluation and control of the appropriateness of hospitalization and hospital stay length to improve the quality of medical service in a medical center, so that patients can leave the center timely. Ultimately, governmental supports such as expansion of long-term care facilities will reduce the necessary length of hospital stay so that patients with stroke can receive rehabilitative treatments and long-term care service shortly after completion of acute treatments.

Film Image Transfer System (FITS): An Efficient Method for Proper Positioning of Orthodontic Mini-implants

  • Go, Taek-Su;Kim, Seong-Hun;Nelson, Gerald
    • Journal of Korean Dental Science
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    • v.4 no.1
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    • pp.20-25
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    • 2011
  • Purpose: To describe the newly developed Film image transfer system (FITS) for proper positioning of the orthodontic mini-implant in the narrow interdental space and considerations for better application. Materials and Methods: A patient who was planning to have orthodontic mini-implant treatment on the posterior maxilla was recruited to assess the feasibility of FITS. Dental radiographic film and bite record was taken. And then the film image was transferred on the photographic emulsion coated model using transfer light through film projector (enlarger). After exposing the photo emulsion coating on the model, the image was developed with a working solution for a paper developer and fixed. The surgical guide for the mini-implant was fabricated from the transported FITS data. Results: The completed surgical guide was easily placed intraorally, and allowed a simple and rapid placement of the mini-implant. The site of the implant placement was accurate as planned position. Conclusion: In the reported case, The FITS technique represents an effort to minimize risk to the patient and produce consistently good results based upon accurate information about the anatomy of the implant site.

A study on the policy of de-identifying unstructured data for the medical data industry (의료 데이터 산업을 위한 비정형 데이터 비식별화 정책에 관한 연구)

  • Sun-Jin Lee;Tae-Rim Park;So-Hui Kim;Young-Eun Oh;Il-Gu Lee
    • Convergence Security Journal
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    • v.22 no.4
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    • pp.85-97
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    • 2022
  • With the development of big data technology, data is rapidly entering a hyperconnected intelligent society that accelerates innovative growth in all industries. The convergence industry, which holds and utilizes various high-quality data, is becoming a new growth engine, and big data is fused to various traditional industries. In particular, in the medical field, structured data such as electronic medical record data and unstructured medical data such as CT and MRI are used together to increase the accuracy of disease prediction and diagnosis. Currently, the importance and size of unstructured data are increasing day by day in the medical industry, but conventional data security technologies and policies are structured data-oriented, and considerations for the security and utilization of unstructured data are insufficient. In order for medical treatment using big data to be activated in the future, data diversity and security must be internalized and organically linked at the stage of data construction, distribution, and utilization. In this paper, the current status of domestic and foreign data security systems and technologies is analyzed. After that, it is proposed to add unstructured data-centered de-identification technology to the guidelines for unstructured data and technology application cases in the industry so that unstructured data can be actively used in the medical field, and to establish standards for judging personal information for unstructured data. Furthermore, an object feature-based identification ID that can be used for unstructured data without infringing on personal information is proposed.

Patent analysis and Creation of new core patents for ERP-based real-time data archiving (ERP 기반 실시간 데이터 아카이빙 기술에 관한 특허 분석 및 신규 핵심특허 창출에 관한 연구)

  • Gayun Kim;Sehun Jung;Jinhong Yang
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.17 no.2
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    • pp.99-107
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    • 2024
  • The recent digital transformation in many industries has led to an explosion of data, which has exponentially increased the amount of data that companies need to generate and process. As a result, enterprises are leveraging ERP systems to manage and analyze large amounts of data in real time. However, due to cost and time issues in processing large amounts of data in existing ERP systems, it is essential to apply data archiving technology that can compress and store data in real time in existing systems. Therefore, this paper aims to identify the trends of the target technology by utilizing patent data on ERP-based real-time data archiving technology, analyze the core patents, and create new core patents based on them.

The Effects of a Mobile Personal Health Records (PHR) Application on Consumer Health Behavior (모바일 개인건강기록(Personal Health Records: PHR) 어플리케이션의 이용이 소비자 건강행태에 미치는 영향)

  • Yi, Yong Jeong
    • Journal of the Korean Society for information Management
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    • v.33 no.4
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    • pp.7-26
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    • 2016
  • The present study aimed at investigating the strengths and weaknesses of a mobile personal health record (PHR) application and identifying its impacts on consumer health information behavior. For the study, twenty-seven college students used a PHR application for three months, based on which the study conducted paper-based interviews with them. The results of content analysis highlighted the benefits of the PHR such as supporting preventive healthcare and motivating and providing specific guidelines for healthy lifestyles by utilizing visual interface design, sharing the data with family and assisting caregivers to manage patients' healthcare, and above all enhancing the interaction between patients and healthcare professionals. However, the study found the drawbacks of the PHR such as a lack of data entry for strength training and the incompatibility with other healthcare applications. The participants were motivated to change their health behaviors in ways such as getting rid of sleep disorders, avoiding alcohol and smoking tobacco, and losing weight, and changing eating habits. Some consumers improved self-efficacy by changing their health behaviors, while the PHR provided emotional supports to the consumers who wanted to improve their health. The present study has an academic significance because the study of PHR is a burgeoning area in Korea. The study provides insights for promoting health and medical information services to cope with the paradigm shift of healthcare fields.

Implementation of a ECG monitoring system and portable pulse oximeter for $SpO_2$ using Compact Flash Interface (컴팩트 플래쉬 방식의 휴대형 산소포화도 측정 및 ECG 감시 시스템의 구현)

  • Kim, Dong-Hak;Kim, Young-Gil
    • Proceedings of the KIEE Conference
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    • 2002.11c
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    • pp.19-22
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    • 2002
  • In this paper, we aims to develop a microcontroll er-based ECG monitoring system and portable pulse oximeter using Compact Flash Interface. First, portable pulse oximeter system is designed to record 2 channel of biosignals simultaneously, including 1 channel of $SpO_2$ and 1 channel of pulse rate. It is very small and portable. Besides, the system makes it possible to measure a patient's condition without an additional medical equipment. We tried to solve the problems generated by a patient's motion. That is, we added an analog circuit to a traditional pulse oximeter in order to eliminate the change of the base line. And we used 2D sector algorithm. As present, SpO2 modules are completed. But there are still many further development needed in order to enhance the function. Especially, compact falsh interface remains the most to complete. Second, ECG monitoring system uses almost same as present 3-lead ECG system. But we focus on the analog part, especially in filter. The proposed filter is composed of two parts. One is a filter to remove the power-line interface. The other is a filter to remove the baseline drift. A filter to remove the power-line and the baseline drift is necessarily used in the ECG system. The implemented filter have three features; minimizing the distortion in DC component, removing the harmonic component of power-line frequency. Using compact flash interface, we can easily transfer a patient's personal information and the measured signal data to a network based server environment. That means, it is possible to implement a patient's monitoring system with low cost.

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