• 제목/요약/키워드: Personal medical data

검색결과 635건 처리시간 0.028초

계층적 모델에 의한 3차원 재구성 영상의 임의단면 표시 (Arbitrary Cross Sectional Display from Three-dimensional Reconstructed Image by Hierarchical Model)

  • 유선국;김선호
    • 대한의용생체공학회:의공학회지
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    • 제10권2호
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    • pp.157-164
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    • 1989
  • Three-dimensional imaging and manipulation of CT data are becoming increasingly important for deterRing the complex structure and pathologies. Octree which is a hierarchical data model is used to reconstruct three- dimensional objects from CT scans. Orthogonal cross sections are displayed by traverse the octree partially. Arbitrary oblique planes are derived by intersecting the square region of plane and cubic volume of octal node. Thia method enables the display of multi-structured complex organ ann the realization by personal computer.

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Sharing and Privacy in PHRs: Efficient Policy Hiding and Update Attribute-based Encryption

  • Liu, Zhenhua;Ji, Jiaqi;Yin, Fangfang;Wang, Baocang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제15권1호
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    • pp.323-342
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    • 2021
  • Personal health records (PHRs) is an electronic medical system that enables patients to acquire, manage and share their health data. Nevertheless, data confidentiality and user privacy in PHRs have not been handled completely. As a fine-grained access control over health data, ciphertext-policy attribute-based encryption (CP-ABE) has an ability to guarantee data confidentiality. However, existing CP-ABE solutions for PHRs are facing some new challenges in access control, such as policy privacy disclosure and dynamic policy update. In terms of addressing these problems, we propose a privacy protection and dynamic share system (PPADS) based on CP-ABE for PHRs, which supports full policy hiding and flexible access control. In the system, attribute information of access policy is fully hidden by attribute bloom filter. Moreover, data user produces a transforming key for the PHRs Cloud to change access policy dynamically. Furthermore, relied on security analysis, PPADS is selectively secure under standard model. Finally, the performance comparisons and simulation results demonstrate that PPADS is suitable for PHRs.

텍스트 네트워크 분석을 이용한 조산 경험 이야기의 시각화 (Visualization of unstructured personal narratives of perterm birth using text network analysis)

  • 김증임
    • 여성건강간호학회지
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    • 제26권3호
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    • pp.205-212
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    • 2020
  • Purpose: This study aimed to identify the components of preterm birth (PTB) through women's personal narratives and to visualize clinical symptom expressions (CSEs). Methods: The participants were 11 women who gave birth before 37 weeks of gestational age. Personal narratives were collected by interactive unstructured storytelling via individual interviews, from August 8 to December 4, 2019 after receiving approval of the Institutional Review Board. The textual data were converted to PDF and analyzed using the MAXQDA program (VERBI Software). Results: The participants' mean age was 34.6 (±2.98) years, and five participants had a spontaneous vaginal birth. The following nine components of PTB were identified: obstetric condition, emotional condition, physical condition, medical condition, hospital environment, life-related stress, pregnancy-related stress, spousal support, and informational support. The top three codes were preterm labor, personal characteristics, and premature rupture of membrane, and the codes found for more than half of the participants were short cervix, fear of PTB, concern about fetal well-being, sleep difficulty, insufficient spousal and informational support, and physical difficulties. The top six CSEs were stress, hydramnios, false labor, concern about fetal wellbeing, true labor pain, and uterine contraction. "Stress" was ranked first in terms of frequency and "uterine contraction" had individual attributes. Conclusion: The text network analysis of narratives from women who gave birth preterm yielded nine PTB components and six CSEs. These nine components should be included for developing a reliable and valid scale for PTB risk and stress. The CSEs can be applied for assessing preterm labor, as well as considered as strategies for students in women's health nursing practicum.

혈액투석 환자의 치료에 대한 믿음, 질병 통제감과 우울, 건강 관련 삶의 질과의 관계 (Relationships between Treatment Belief, Personal Control, Depressive Mood and Health-related Quality of Life in Patients with Hemodialysis)

  • 차지은;이명선
    • 성인간호학회지
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    • 제26권6호
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    • pp.693-702
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    • 2014
  • Purpose: The purpose of this study was to examine the relationships between treatment belief, personal control, depressive mood, and health-related quality of life in patients with hemodialysis based on self-regulation theory. Methods: Data were collected from 220 patients at 27 local hemodialysis clinics in Seoul during 2013 and 2014. The Revised Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were used to measure outcome variables. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression using the 'enter' method. Results: Treatment belief and personal control scored 3.58 and 3.54 out of 5 points respectively, on average. Treatment belief and personal control of kidney disease were negatively correlated with depressive mood and positively correlated with health-related quality of life. According to the regression analysis, treatment belief, monthly income, and personal control were discovered to account for 21.8% of the variance in depressive mood, where as depressive mood, monthly income, treatment belief, and age were found out to account for 40.6% of the variance in health-related quality of life. Conclusion: Our study demonstrated significant positive relationships between treatment belief and illness outcome in hemodialysis patients. Interventions aimed to provide the necessary information and trust to maximize the effectiveness of treatment need be developed to improve patients outcomes.

Whole-genome sequence analysis through online web interfaces: a review

  • Gunasekara, A.W.A.C.W.R.;Rajapaksha, L.G.T.G.;Tung, T.L.
    • Genomics & Informatics
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    • 제20권1호
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    • pp.3.1-3.10
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    • 2022
  • The recent development of whole-genome sequencing technologies paved the way for understanding the genomes of microorganisms. Every whole-genome sequencing (WGS) project requires a considerable cost and a massive effort to address the questions at hand. The final step of WGS is data analysis. The analysis of whole-genome sequence is dependent on highly sophisticated bioinformatics tools that the research personal have to buy. However, many laboratories and research institutions do not have the bioinformatics capabilities to analyze the genomic data and therefore, are unable to take maximum advantage of whole-genome sequencing. In this aspect, this study provides a guide for research personals on a set of bioinformatics tools available online that can be used to analyze whole-genome sequence data of bacterial genomes. The web interfaces described here have many advantages and, in most cases exempting the need for costly analysis tools and intensive computing resources.

활동기준 원가 자료를 활용한 과별 전문의의 효율성 분석 : DEA-CCR 모형과 SBM 모형을 이용 (Efficiency Analysis of Specialists by Medical Specialty using Activity-Based Costing Data: Using the DEA-CCR model and SBM model)

  • 김도원;김태현
    • 한국병원경영학회지
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    • 제28권2호
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    • pp.44-65
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    • 2023
  • Purposes: As super-aging population and low fertility rates are threatening the sustainability of the National Health Insurance funds, enhancing the efficiency of hospital management is paramount. In the past, studies analyzing the efficiencies of hospitals primarily made inter-hospital comparisons, but it is important to assess hospitals' internal efficiency and develop improvement measures in order to attain practical improvements in hospital efficiencies. The purpose of this study is to analyze the efficiencies of specialists by medical specialty in a hospital in order to provide foundational data for efficient hospital management. Methodology/Approach: We used the activity-based costing (ABC) data and hospital statistical data from one tertiary hospital in Seoul to analyze the efficiency of specialists by medical specialty. Efficiency was analyzed and compared among specialists using the data envelopment analysis developed by Charnes, Cooper, and Rhodes (DEA-CCR) model and the slacks-based measure (SBM) models. The input variables were labor cost, material cost, and operational expenses, and the output variables were the number of outpatients, number of inpatients, outpatient revenue, and inpatient revenue. Findings: First, there was a marked deviation in efficiency across specialists. Second, there was a marked deviation in efficiency across medical specialties. Third, there was little difference in efficiency according to the specialist's sex, age, and job position. Fourth, the SBM model produced more conservative results and better explained efficiency parameters than the CCR model. Practical Implications: The efficiency of a specialist was more influenced by their medical specialty than their personal characteristics, namely sex, age, and job position. Therefore, Further research is needed to analyze the efficiencies of each subspecialty and identify factors that contribute to the variations in efficiencies across medical specialties, such as clinical practices and fee structures.

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아두이노 환경에서 웰니스를 위한 WPHR 서비스 (A WPHR Service for Wellness in the Arduino Environment)

  • 조영복;우성희;이상호
    • 한국정보통신학회논문지
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    • 제22권1호
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    • pp.83-90
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    • 2018
  • 본 논문에서는 안드로이드 환경에서 개인 건강로그 정보를 분석하고 개인별 맞춤형 운동정보 제공 및 보행자의 상태를 모니터링 할 수 있는 알고리즘을 제안한다. 개인 건강로그 정보 수집은 아두이노 기반의 MPU6050 센서를 이용해 사용자의 이동 raw data를 센싱하고 분석한다. 이동 정보의 구분을 위해 노이즈를 제거하고 연령별 임계값을 적용하였다. 또한 개인정보 보호를 위해 APK 파일의 디컴파일링 방지 및 암/복호화를 제공함으로 안전성을 강화하였다. 실험결과 MPU6050 센서를 손목에 부착하는 경우보다 발목에 부착한 경우가 평균 98.97% 정확하게 데이터가 측정되었고, SEED 128비트 암호화 기반의 DEX파일의 로딩시간은 평균 시간을 0.55ms로 오버헤드를 최소화하였다.

선천성 심장병을 가진 아동의 어머니의 개인적 자원과 양육스트레스 (Personal Resource and Parenting Stress of Mothers of Children with Congenital Heart Disease)

  • 이선희;유일영
    • Child Health Nursing Research
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    • 제13권1호
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    • pp.73-80
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    • 2007
  • Purpose: As a result of dramatic advances in the medical and surgical management of congenital heart disease (CHD), many babies born with cardiac anomalies today can expect to reach adulthood. The main purpose of this study was to examine the relationship between parenting stress and personal resources of mothers of children with CHD. Method: Fifty-one mothers of children with CHD were recruited at the pediatric cardiac outpatient clinic from July 14th to September 25th 2006. Abidin's parenting stress index/short form (PSI/SF) and Brandt and Weinert's personal resource questionnaire (PRQ) were used. PSI has 3 sub-concepts; parental role distress, dysfunctional parent-child interaction, and difficult child. PRQ has 4 sub-concepts; intimacy, social integration, worth, and assistance. Data were analyzed using SPSS 13.0 version. Results: Correlation analysis showed that parenting stress was significantly related to 'intimacy', 'social integration', and 'worth' of mothers. Multiple regression analysis showed that parenting stress was significantly related to personal resource of mother and information by internet. Conclusion: Mothers who felt they had supportive friends and family, high self esteem, and social integration reported lower parenting stress. Also, internet may be an effective method to provide information and share experience for mothers of children with CHD.

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보건소 방문간호사의 재난대비 및 재난간호핵심능력 영향요인 (Disaster Preparation of Visiting Nurses in Public Health Centers)

  • 엄동춘;박영임;오현진
    • 한국간호교육학회지
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    • 제22권2호
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    • pp.240-249
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    • 2016
  • Purpose: The purpose of this study was to identify the factors influencing personal disaster preparation and disaster nursing core competency among visiting nurses in public health centers. Methods: A descriptive survey study was adopted. A convenience sample was taken from 277 subjects in three regions. Data were analyzed by descriptive statistics, t-test, ANOVA, correlation, Pearson correlation coefficient and multiple regression. Results: The mean personal disaster preparation and disaster nursing core competency scores were 11.13 and 76.87, respectively. Personal disaster preparation was statistically significant by experience of disaster victims and disaster management guideline. Disaster nursing core competency was statistically significant by participation in future disaster recovery. As a result of multiple regression analysis, personal disaster preparation accounted for 14.9 of the variance by experience of disaster victims and disaster management guidelines; disaster nursing core competency accounted for 8.9 of the variance by perception of disaster nursing. Conclusion: Although visiting nurses are ill-prepared for disaster, global natural and man-made disasters can occur regardless of time and place. Disaster education and training should therefore be included in nurses' fundamental education.

간호·간병통합서비스병동 간호사와 간호보조인력의 개인 및 조직 의사소통능력, 직무스트레스와 환자안전활동의 관계 (Relationships among personal and organizational communication skills, occupational stress, and patient safety activities of nursing workforce working in the integrated nursing care service ward)

  • 오단비;이여진
    • 한국병원경영학회지
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    • 제27권3호
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    • pp.15-25
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    • 2022
  • Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.