• Title/Summary/Keyword: Smart hospital

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A Study on the Change of Image Quality According to the Change of Tube Voltage in Computed Tomography Pediatric Chest Examination (전산화단층촬영 소아 흉부검사에서 관전압의 변화에 따른 화질변화에 관한 연구)

  • Kim, Gu;Kim, Gyeong Rip;Sung, Soon Ki;Kwak, Jong Hyeok
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.503-508
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    • 2019
  • In short a binary value according to a change in the tube voltage by using one of VOLUME AXIAL MODE of scanning techniques of chest CT image quality evaluation in order to obtain high image and to present the appropriate tube voltage. CT instruments were GE Revolution (GE Healthcare, Wisconsin USA) model and Phantom used Pediatric Whole Body Phantom PBU-70. The test method was examined in Volume Axial mode using the pediatric protocol used in the Y university hospital of mass-produced material. The tube voltage was set to 70kvp, 80kvp, 100kvp, and mAs was set to smart mA-ODM. The mean SNR difference of the heart was $-4.53{\pm}0.26$ at 70 kvp, $-3.34{\pm}0.18$ at 80 kvp, $-1.87{\pm}0.15$ at 100 kvp, and SNR at 70 kvp was about -2.66 higher than 100 kvp and statistically significant (p<0.05) In the Lung SNR mean difference analysis, $-78.20{\pm}4.16$ at 70 kvp, $-79.10{\pm}4.39$ at 80 kvp, $-77.43{\pm}4.72$ at 100 kvp, and SNR at 70 kvp at about -0.77 higher than 100 kvp were statistically significant. (p<0.05). Lung CNR mean difference was $73.67{\pm}3.95$ at 70 kvp, $75.76{\pm}4.25$ at 80 kvp, $75.57{\pm}4.62$ at 100 kvp and 20.9 CNR at 80 kvp higher than 70 kvp and statistically significant (p<0.05) At 100 kvp of tube voltage, the SNR was close to 1 while maintaining the quality of the heart image when 70 kvp and 80 kvp were compared. However, there is no difference in SNR between 70 kvp and 80 kvp, and 70 kvp can be used to reduce the radiation dose. On the other and, CNR showed an approximate value of 1 at 70 kvp. There is no difference between 80 kvp and 100 kvp. Therefore, 80 kvp can reduce the radiation dose by pediatric chest CT. In addition, it is possible to perform a scan with a short scan time of 0.3 seconds in the volume axial mode test, which is useful for pediatric patients who need to move or relax.

EEG Feature Engineering for Machine Learning-Based CPAP Titration Optimization in Obstructive Sleep Apnea

  • Juhyeong Kang;Yeojin Kim;Jiseon Yang;Seungwon Chung;Sungeun Hwang;Uran Oh;Hyang Woon Lee
    • International journal of advanced smart convergence
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    • v.12 no.3
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    • pp.89-103
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    • 2023
  • Obstructive sleep apnea (OSA) is one of the most prevalent sleep disorders that can lead to serious consequences, including hypertension and/or cardiovascular diseases, if not treated promptly. Continuous positive airway pressure (CPAP) is widely recognized as the most effective treatment for OSA, which needs the proper titration of airway pressure to achieve the most effective treatment results. However, the process of CPAP titration can be time-consuming and cumbersome. There is a growing importance in predicting personalized CPAP pressure before CPAP treatment. The primary objective of this study was to optimize the CPAP titration process for obstructive sleep apnea patients through EEG feature engineering with machine learning techniques. We aimed to identify and utilize the most critical EEG features to forecast key OSA predictive indicators, ultimately facilitating more precise and personalized CPAP treatment strategies. Here, we analyzed 126 OSA patients' PSG datasets before and after the CPAP treatment. We extracted 29 EEG features to predict the features that have high importance on the OSA prediction index which are AHI and SpO2 by applying the Shapley Additive exPlanation (SHAP) method. Through extracted EEG features, we confirmed the six EEG features that had high importance in predicting AHI and SpO2 using XGBoost, Support Vector Machine regression, and Random Forest Regression. By utilizing the predictive capabilities of EEG-derived features for AHI and SpO2, we can better understand and evaluate the condition of patients undergoing CPAP treatment. The ability to predict these key indicators accurately provides more immediate insight into the patient's sleep quality and potential disturbances. This not only ensures the efficiency of the diagnostic process but also provides more tailored and effective treatment approach. Consequently, the integration of EEG analysis into the sleep study protocol has the potential to revolutionize sleep diagnostics, offering a time-saving, and ultimately more effective evaluation for patients with sleep-related disorders.

Mobile Volume Rendering System for Client-Server Environment (클라이언트 서버 기반 모바일 볼륨 가시화 시스템)

  • Lee, Woongkyu;Kye, Heewon
    • Journal of the Korea Computer Graphics Society
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    • v.21 no.3
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    • pp.17-26
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    • 2015
  • In this paper, we explain a volume rendering system for client-server environment. A single GPU-equipped PC works as a server which is based on the ideas that only a few concurrent users use a volume rendering system in a small hospital. As the clients, we used Android mobile devices such as smart phones. User events are transformed to rendering requests by the client application. When the server receives a rendering request, it renders the volume using the GPU. The rendered image is compressed to JPEG or PNG format so that we can save network bandwidth and reduce transfer time. In addition, we perform an event pruning method while a user is dragging the touch to enhance latency. The server compensates the pruning by interpolating the touch positions. As the result, real-time volume rendering is possible for 5 concurrent users on single GPU-equipped commodity hardware.

The OAuth 2.0 Web Authorization Protocol for the Internet Addiction Bioinformatics (IABio) Database

  • Choi, Jeongseok;Kim, Jaekwon;Lee, Dong Kyun;Jang, Kwang Soo;Kim, Dai-Jin;Choi, In Young
    • Genomics & Informatics
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    • v.14 no.1
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    • pp.20-28
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    • 2016
  • Internet addiction (IA) has become a widespread and problematic phenomenon as smart devices pervade society. Moreover, internet gaming disorder leads to increases in social expenditures for both individuals and nations alike. Although the prevention and treatment of IA are getting more important, the diagnosis of IA remains problematic. Understanding the neurobiological mechanism of behavioral addictions is essential for the development of specific and effective treatments. Although there are many databases related to other addictions, a database for IA has not been developed yet. In addition, bioinformatics databases, especially genetic databases, require a high level of security and should be designed based on medical information standards. In this respect, our study proposes the OAuth standard protocol for database access authorization. The proposed IA Bioinformatics (IABio) database system is based on internet user authentication, which is a guideline for medical information standards, and uses OAuth 2.0 for access control technology. This study designed and developed the system requirements and configuration. The OAuth 2.0 protocol is expected to establish the security of personal medical information and be applied to genomic research on IA.

Current Issues and Future Considerations in Undergraduate Medical Education from the Perspective of the Korean Medical Doctor Development System (우리나라 의사양성체제의 관점에서 본 의과대학 교육의 문제점과 개선방향)

  • Han, Jae Jin
    • Korean Medical Education Review
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    • v.20 no.2
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    • pp.72-77
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    • 2018
  • Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

AN EVALUATION OF ROTATIONAL STABILITY IN ENDODONTIC ELECTRONIC MOTORS (근관치료용 전기모터의 회전 안정성 평가)

  • Park, Se-Hee;Seo, Hyun-Woo;Hong, Chan-Ui
    • Restorative Dentistry and Endodontics
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    • v.35 no.4
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    • pp.246-256
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    • 2010
  • The purpose of this study was to evaluate a rotational stability of endodontic electronic motors by comparing the changes of rotational speed, depending on the number of usages and with/without static load. Twelve new endodontic electronic motors were used in this study. Non contact type digital tachometer was used for measuring the rotational speed of handpiece. True RMS Multimeter was used for measuring the voltages and the electric currents. All measurements were recorded every 10 seconds during 10 minutes and repeated 9 times. Five repetition was done per each electronic motor. To statistical analysis, student t-test, repeated measures and Scheffe's post-hoc tests were performed. In the same motor group, there was no significant difference in all measurements. In all groups, there was no significant difference in the amount of rotational speed changes depending on the number of usages and with/without static load. In the limitation of this study, the results showed that all kinds of endodontic electronic motors in this study had an established rotational stability. Therefore they could be safely used in root canal treatment with a reliable maintenance of rotational speed, regardless of the number of usages and with/without load.

Validity and Reliability of the Knee Joint Proprioceptive Sensory Measurements using a Smartphone (스마트폰을 이용한 무릎관절 고유수용성 감각 측정의 타당도와 신뢰도 검증)

  • Kim, Myung-Chul;Kim, Nam-Jae;Lee, Min-Soo;Moon, So-Ra
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.15-23
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    • 2015
  • PURPOSE: We aims to promote the development of proprioception measurement using smartphones, goniometers, and laser pointers as compared to the conventional use of electrogoniometer measurement. METHODS: Measurements using an electrogoniometer were previously proved to be reliabile and valid. Among E-university students, 20 who had no fracture, operation history, or inflammatory arthritis were examined. These subjects had not performed regular exercise in the past 3 months. Proprioception measurements were performed using four different measurement tools, three times per day, for test-retest analysis. RESULTS: No notable test-retest differences were noted for any of the measurement methods (P>0.05). With regard to the test-retest reliability for each measurement method, we observed that the readings from both the electrogoniometer and smartphone have high reliability (ICC>0.80), whereas the readings from the laser pointer have moderate reliability (ICC>0.60). When assessing the concurrent validity between electrogoniometers with individual measurements, we did not observe any notable difference between the smartphone and electrogoniometer (P>0.05) and these tools in fact showed high correlation (r>0.60, P<0.05) and a moderate reliability (ICC>0.60). Moreover, there was no notable difference in between electrogoniometers and laser pointers (P<0.05). CONCLUSION: CONCLUSION: The findings of this suggested that proprioception can be measured by using smart-phones, and proved that this method has sufficient credibility. Moreover, we noted that the concurrent validity with smartphones was high in comparison with the conventional electrogoniometer, which also indicates the validity and credibility. Based on these findings, we conclude that the measurement of proprioception by using a smartphone can be widely adopted.

Survey on addiction and mental health status of the homeless (노숙인들의 중독 및 정신건강 실태에 관한 조사)

  • Choi, Kanghyun;Tak, Jang Han;Lee, Donghwan;Kim, Sung Nyun;Lee, Youngjo
    • The Korean Journal of Applied Statistics
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    • v.29 no.5
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    • pp.977-985
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    • 2016
  • Homelessness is recognized as a problem of lack of housing as well as a social problem entangled by complex problems such as unemployment, family breakdown, social exclusion, health and suicide. In order to search for the specificity of any particular addiction type, we conducted a survey on the addiction and mental health status of the homeless. One of our findings indicated that alcoholism was mainly found more in older homeless; however, internet game and smart phone addiction was found more in younger generations. We hope that our study is meaningful as a typification work at the current stage because there have been few studies in Korea on homeless youth and no study about homeless people's addiction problems other than alcoholism.

A Study on Emergency Medical Information Management Methods for Elderly Patients using QR code and Finger-print Recognition (QR 코드와 지문인식을 이용한 고령 환자의 응급 의료정보 관리 방법에 대한 연구)

  • Lee, Jung-hyun;Cho, Myeon-gyun
    • Journal of Convergence for Information Technology
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    • v.7 no.6
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    • pp.135-141
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    • 2017
  • Recently, as elderly people suffering from chronic diseases have increased and disasters such as traffic accidents have increased, urgent rescue workers and doctors need to respond effectively to such emergencies. For elderly people, the difficulty in communicating their condition especially the health condition during disaster is one of the problems in which delay on immediate handling by rescue team can cause death. Providing a solution for this problem is one of the main issues in our research. In this paper, we use the QR code to communicate the minimum personal information and medical history needed for emergency medical treatment to emergency medical personnel, and to transmit the medical history and treatment data to the doctors of the hospital through QR code and fingerprint recognition, respectively. Especially, by using both QR code of smart phone and fingerprint of individual, we can protects personal information and strengthens privacy and security of medical information by allowing only authorized physicians to check medical records of the old patient.

A Wireless ECG Measurement System based on the Zigbee USN (Zigbee USN 기반의 무선 ECG 측정 시스템)

  • Chang, Yun-Seok;Kim, Bo-Yeon
    • The KIPS Transactions:PartC
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    • v.18C no.3
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    • pp.195-198
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    • 2011
  • Recent expansion of the ubiquitous environment and improvement of the USN give lots of U-healthcare systems. In this paper, we design and implement a wireless ECG measurement system that can send ECG signals among the sensors and collector. It can also give almost the same precision as a hospital ECG system with mobility. The most important fact of the mobile ECG system is the signal data connectivity among the sensors and device such as signal cables or wires. we can eliminate the signal cable through the Zigbee sender and collector via implementing Zigbee-SD communication system that can receive the ECG signal data. We also implement ECG app software on the smart phone that can analyze and show the data results directly. It can give lots of mobility and usability under ubiquitous environment and would be a very efficient wireless ECG system for U-healthcare service.