• KSII Transactions on Internet and Information Systems (TIIS)
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• v.14 no.3
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• pp.991-1013
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• 2020

E-health services have provided interoperability between personal health devices in personal area network, based the ISO/IEEE 11073 standard. In the healthcare system, the manager handles most agents concurrently through wireless communication. However, due to the distance limitation and the increased number of agents, it may be difficult to provide continuous connectivity. Recently, body area devices have been equipped with various applicable agents, which can even handle agents on behalf of the manager. A BAD may act as an intermediary device to increase system efficiency and performance. In this study, a device called "proxy", which can be installed as software on BAD devices, is proposed. The data measured by an agent can be sent to the proxy first, and subsequently be sent to the manager again. Agents and the manager are not aware of the proxy existence and work normally without the proxy. Furthermore, a new smart proxy and modified manager are proposed. The smart proxy acts as one agent handling measurement data from several agents, which can transmit a significant amount of data at once. The proxy and smart proxy maintain compatibility with existing devices that conform to the 20601 standard. The proposed schemes are verified and the complexities of devices are analyzed. The analysis shows no significant difference among the proxy, smart proxy, and manager. Simulations exhibit that the proposed schemes can improve the system performance.

• Health Policy and Management
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• v.31 no.4
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• pp.508-517
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• 2021

Background: After the first case of coronavirus disease 2019 (COVID-19) in January 2020, Korea has experienced three waves in 2020. This study aimed to analyze changes in health care utilization according to the period of the 1st to 3rd waves of the COVID-19 pandemic. Methods: We analyzed 3,354,469,401 national health insurance claims from 59,104 medical facilities between 2017 and 2020. Observed-to-expected ratios (O:E ratio) with data from 2017 to 2019 as expected values and data from 2020 as observed values were obtained to analyze changes in medical utilization. T-test was used to test whether the difference of observed and expected values was statistically significant. Results: In 2020, the O:E ratio was 0.894, indicating a decrease in health care utilization overall during the pandemic. The O:E ratio of the 1st wave was 0.832, which was lower than those of the second (0.886) and third (0.873) waves. Health care utilization decreased relatively more among outpatient, women, children and adolescents, and health insurance patients. And health care utilization decreased more in small medical facilities and in Daegu and Gyeongbuk during the first wave. During the pandemic, the O:E ratios of respiratory diseases were 0.486-0.694, while chronic diseases and mental diseases were more than 1.0. Conclusion: Health care utilization decreased during the COVID-19 pandemic overall, and there were differences by COVID-19 waves, and by the characteristics of patients and medical facilities. It is necessary to understand the cause of changes in health care utilization in order to cope with the prolonged COVID-19 pandemic.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.16 no.3
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• pp.947-971
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• 2022

The Electronic Medical Record (EMR) is a valuable source of medical data intelligence in e-health systems. The watermarking techniques have been used to authenticate the owner and protect the EMR from illegal copying. The existing distributive strategies, successfully operated to secure the EMR, are found to be inadequate. Blockchain technology, mainly, is employed by a sharing database that allows the digital crypto-currency. It rapidly leads to the magnified expectations acme. In this excitement, the use of consortium adopting the technology based on Blockchain, in the EMR structure, is found improving. This type of consortium adds an immutable share with a translucent record of the entire business and it is accomplished with responsibility, along with faith and transparency. The combination of watermarking and Blockchain technology provides a singular chance to promote a secured, trustworthy electronic documents administration to share with the e-records system. The authors, in this article, present their views on consortium Blockchain technology which is incorporated in the EMR system. The ledger, used for the distribution of the block structure, has team healthcare models based on dissimilar multiple image watermarking techniques.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.15 no.7
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• pp.1628-1634
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• 2011

With the advancement of ubiquitous computing technology, u-Healthcare (i.e. ubiquitous health care), is regarded as a key application for information society, which provides health management service at anytime in anywhere. To implement U-Healthcare system, it is essential to monitor stable biological information in daily life. In this paper, we proposed a small size, light weight, patch type real time temperature monitoring system based on wireless sensor network (WSN) technology to monitor patients' body temperature without any inconvenience of activity.

• International Journal of Contents
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• v.16 no.1
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• pp.75-86
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• 2020

As the elderly population is becoming an aging society, the elderly are experiencing many problems. Social security costs for the elderly are increasing and the un-linked social phenomenon is emerging. Thus, the social infrastructure and welfare system established in the past economic growth period are in danger of not functioning properly. People socially isolated or with chronic diseases among the elderly are exposed to various accidents. Thus, an active healthcare management service is imperative. Additionally, in the event of a dangerous situation, the system must have ways to notify guardians (family or medical personnel) regarding appropriate action. Thus, in this paper, we propose the smartphone-based healthcare and emergency response service platform. The proposed service platform aggregates movement of relevant data in real-time using a smartphone. Based on aggregated data, it will always recognize the user's movements and current state using the human motion recognition mechanism. Thus, the proposed service platform provides real-time status monitoring, activity reports, a health calendar, location-based hospital information, emergency situation detection, and cloud messaging server-based efficient notification to several subscribers such as family, guardians, and medical personnel. Through this service, users or guardians can augment the level of care for the elderly through the reports. Also, if an emergency situation is detected, the system immediately informs guardians so as to minimize the risk through immediate response.

• Proceedings of the Korea Society of Design Studies Conference
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• 2001.10a
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• pp.9.1-9
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• 2001

Concerning the development of suitable healthcare equipment for a aged people at their homes in order to reduce the labor and increase the efficiency in the homehelpers' work, we conducted a study on the actual conditions of healthcare in Kyoto city (healthcare in taking a meal and excretion, moving and taking a bath by using a hand-powered lift, moving by a wheelchair, shower carrier healthcare, assistance in body care and housework) by digital video filming, interviews and layout investigations. On the base of those investigations by using methods for analysis of video pictures, we divided the healthcate work into scenes and e exctracted the main problems in terms of health care equipment, information, environment, healthcare skills, mental burden, social s system, family burden, ete. Furthermore the questionnaire survey of home helpers (18 persons - 50% answers) clarified that more than half of them have lumbago pains and the biggest load in the everyday healthcare c comes from moving the patients or getting them into or out of t the equipment for moving. Finally we considered concrete proposals appropriate for each h healthcare scene image, based on evaluation toward efficiency (design guidelines) for suitable healthcare equipment for aged people at their homes: 1) Design toward a proper posture 2) Design toward self-help possibility 3) Design toward patient active participation 4) Design toward rationality of the whole process 5) Design toward place-appropriate healthcare equipment 6) Design toward healing of mind 7) Good level of healthcare skills 8) Economic, systematic rationality

• Journal of The Korea Institute of Healthcare Architecture
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• v.12 no.3
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• pp.15-26
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• 2006

Nowadays, it has been changed in medical environments which are the increase of the aged and chronic disease, development of medical system and technology, the open of medical markets according to negotiation of DDA(Doha Development Agenda) and FTA(Free Trade Agreement) and so on. The changes of medical system and function are caused by changes of medical environments. This study is to analyze the spatial changes of general hospital O. P. D. in Korea based on changes of the medical system and function. In conclusion, the O. P. D. in general hospital has been changed by stages as follows; First, subdivision and specialization of medical organization systems. Second, diversification of specialized centers based on medical cooperated systems. At last, integration of E&T faculties and specialized centers which have similar functions. According to the spatial changes of outpatient department, the types of E&T faculties and specialized centers has been changed by diverse forms as follows; E&T faculties and specialized centers focused on disease, organs, classes and so on.

• Journal of The Korea Institute of Healthcare Architecture
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• v.13 no.2
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• pp.53-60
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• 2007

Various changes in medical environments including growing elderly population, chronic diseases, deepening competition among hospitals since opening to foreign medical service, economic strategy for improvement of profit system have caused hospitals to be specialized. In this backgrounds, the purpose of this study is to receive basic data for architectural planning on the spatial organization of outpatient department in general hospital. The results of this study were as follows; First, major changes of outpatient department in general hospital are composed of 'co-work in medical examination and treatment', 'decentralization of diagnosis and treatment(D/T)' and 'patient-oriented medical service'. Changes by co-work system include appearance of medical offices for co-work, activation of specialized clinics, grouping of E/T section for outpatient and various types of specialized centers. Second, the grouping of E/T sections means the modification of E/T system and organization in general hospitals, and a new spatial organization will be needed. Third, the types of specialized centers are getting varied. they are classified into several types including disease-resource, social stratum-resource, human organ-resource, health-resource, rehabilitation-resource, alternative medical center and so on.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2012.10a
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• pp.154-156
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• 2012

This paper presents a user authentication scheme for healthcare application using wireless medical sensor networks, where wireless medical sensors are used for patients monitoring. These medical sensors' sense the patient body data and transmit it to the professionals (e.g., doctors, nurses, and surgeons). Since, the data of an individual are highly vulnerable; it must ensures that patients medical vital signs are secure, and are not exposed to an unauthorized person. In this regards, we have proposed a user1 authentication scheme for healthcare application using medical sensor networks. The proposed scheme includes: a novel two-factor professionals authentication (user authentication), where the healthcare professionals are authenticated before access the patient's body data; a secure session key is establish between the patient sensor node and the professional at the end of user authentication. Furthermore, the analysis shows that the proposed scheme is safeguard to various practical attacks and achieves efficiency at low computation cost.

• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.27 no.3
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• pp.292-300
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• 2023

Backgrounds/Aims: Current literature presents limited data regarding outcomes following conversion at the time of minimally invasive pancreaticoduodenectomy (MI-PD). Methods: The National Cancer Database was queried for patients who underwent pancreaticoduodenectomy. Patients were stratified into three groups: MI-PD, converted to open pancreaticoduodenectomy (CO-PD), and open pancreaticoduodenectomy (O-PD). Multivariable modeling was applied to compare outcomes of MI-PD and CO-PD to those of O-PD. Results: Of 17,570 patients identified, 12.5%, 4.2%, and 83.4% underwent MI-PD, CO-PD, and O-PD, respectively. Robotic pancreaticoduodenectomy (R-PD) resulted in a higher lymph node yield (n = 23.2 ± 12.2) even when requiring conversion (n = 22.4 ± 13.2, p < 0.001). Margin positivity was higher in the CO-PD group (26.6%) than in the MI-PD group (21.3%) and the O-PD (22.6%) group (p = 0.017). Length of stay was shorter in the MI-PD group (laparoscopic pancreaticoduodenectomy 10.4 ± 8.6, R-PD 10.6 ± 8.8) and the robotic converted to open group (10.7 ± 6.4) than in the laparoscopic converted to open group (11.2 ± 9) and the O-PD group (11.5 ± 8.9) (p < 0.001). After adjusting for patient and tumor characteristics, both MI-PD (odds ratio = 1.40; p < 0.001) and CO-PD (odds ratio = 1.24; p = 0.020) were significantly associated with an increased likelihood of long-term survival. Conclusions: CO-PD does not negatively impact perioperative or oncologic outcomes.