• Title/Summary/Keyword: health manager

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Improvement of Wireless Connectivity and Efficiency in E-Healthcare Service System Using a Proxy in Body Area Device

  • Kim, Sang Kon;Kim, Tae Kon;Koh, Jinhwan
    • 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.

Secure Communication Schemes over ISO/IEEE 11073-20601 for Smart Healthcare Service

  • Kim, Sang Kon;Kim, Tae Kon
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.7
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    • pp.2225-2238
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    • 2022
  • For advanced healthcare services, a variety of agents should maintain reliable connections with the manager and communicate personal health and medical information. The ISO/IEEE 11073 standards provide convenient interoperability and the optimized exchange protocol (OEP) supports efficient communication for devices. However, the standard does not specify secure communication, and sensitive personal information is easily exposed through attacks. Malicious attacks may lead to the worst results owing to service errors, service suspension, and deliberate delays. All possible attacks on the communication are analyzed in detail, and the damage is specifically identified. In this study, novel secure communication schemes over the 20601 OEP are proposed by introducing an authentication process while maintaining compatibility with existing devices. The agent performs a secure association with the manager for mutual authentication. However, communication with mutual authentication is not completely free from attacks. Message encryption schemes are proposed for concrete security. The authentication process and secure communication schemes between the secure registered agent (SRA) and the secure registered manager (SRM) are implemented and verified. The experimental analysis shows that the complexities of the SRA and SRM are not significantly different from those of the existing agent and manager.

Manager's Attitude about Health Management of Workers in Coal Mine Industry (석탄광업소장의 근로자 건강관리에 대한 태도)

  • Rhee, Kyung-Yong;Hong, Jeong-Pyo
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.197-207
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    • 1989
  • This study was planned to investigate employer's attitude about health management of workers in coal mine industry. The sample size was 38.3% (178 coal mine industries) of total 463 coal mine industries. The mailing survey was used to collecting data of coal mine industry and manager of coal mine industry. Distribution of attitude about health management of workers in coal mine industry, specifically necessity and availability of some items of health management and some apparatus of working environment, was skewed to positive attitude. While recognition of susceptability of coal workers' pneumoconiosis was low, that of seriousness of incidence of coal workers' pneumoconiosis was high.

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A Comparison of the Occupational Accident Status by Safety and Health Management Type in Workplaces (사업장의 안전·보건관리 유형별 산업재해 발생현황 비교)

  • Jo, Dong-Je
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.28 no.3
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    • pp.312-318
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    • 2018
  • Objectives: This study is aimed to illustrate the status of the occupational accident rate, fatality rate, and musculoskeletal disorder rate by safety and health management type in workplaces. Methods: In order to analyze the status of the occupational accident rate, fatality rate, and musculoskeletal disorder rate of different safety and health management types in workplaces, selected data from the Occupational Safety and Health Research Institute were used. Results: The occupational accident rate in workplaces where safety and health managers had been appointed was lower than in those where safety and health management was entrusted to other organizations, while the result was the opposite in regards to the fatality rate per 10,000 workers caused by accident. However, the occupational fatality rate per 10,000 workers in workplaces where safety and health managers have other roles was 426% higher than those where safety and health management was entrusted to other organizations. Moreover, the musculoskeletal disorder rate of the workplaces where safety and health managers have other roles was 15% higher than those where health management was entrusted to other organizations. Conclusions: It is necessary to review the effectiveness of systems in which safety and health managers can concurrently engage in other roles.

A Curriculum Development for Korean Occupational Health Nurse Specialist Program (산업전문간호사 교육과정 운영방안에 관한 연구)

  • June, Kyung Ja
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.1
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    • pp.34-43
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    • 2005
  • Purpose: The purpose of this study is to develop the curriculum model for occupational health nurse specialist in Korea. Method: Internet searching was conducted to analyze the type of master program for occupational health nurses in the U. S. To identify the importance of occupational health nurse specialist (OHNS)'s role, self-administrative questionnaire survey was done to335 occupational health nurses through postal mail and continuing education in 2003. SPSSWIN 10.0 was used for data analysis. Results: In the U. S., two main types of nurse practitioner program and nurse manager program are separately operated for occupational health nurses as master level. Under the governmental support, geographical and financial barrier can be decreased through the distance learning and the appointment of regional ERC. Most occupational health nurses recognized importantly the role of OHNS as direct care provider, educator, consultant, and manager. Conclusion: It is recommended that the job standard for OHNS needs to be developed, and regulation has to be changed for the diverse curriculum based on the need of occupational health nurses, and governmental support must be strengthened for occupational health nurses to apply more easily to the program.

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Comparative Research on the Health Information Manager(HIM) Duties of One Malaysian Hospital and Similar Scale Korean hospitals (말레이시아 1개 병원과 병상규모가 유사한 한국의 병원 간 보건정보관리자 직무 비교연구)

  • Kim, Hey-Kyung;Lee, Hyun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6158-6167
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    • 2014
  • The aim of this study was to perform comparative analysis of the duties of 7 new roles of HIMs in Malaysian and Korean hospitals of a similar scale. A Malaysian general hospital with a scale of 272 hospital beds was chosen. The researcher visited a Malaysian hospital in person and interviewed the staff in charge over a 2 week period from July 22nd 2013 to August 2nd 2013. For domestic hospitals, 13 general hospitals with 270 hospital beds, similar to the Malaysian general hospital, were chosen. Phone interviews with the department recorded the duty recording work. Regarding 7 new roles of Health Information Manager (HIM), although the role as a Health information manager and Security Officer in Malaysian general hospital was not defined, 30.8% performed their role in Korean general hospitals. The classification of disease & procedure within the role of Clinical data specialist was performed by both countries, and while the tumor registry was done in a Malaysian general hospital, only 15.4% of Korean general hospitals were operating. The statistics of the discharged patients were not measured in the Malaysian general hospital but 76.9% of Korean general hospitals recorded these statistics. Although 22.1% of Korean general hospitals operated registration work of special disease, Malaysian general hospital not only had a total legal contagious disease registration, but also took charge of information registration of hospital births and deceased ones. Other than these, the Patient Information Coordinator, Data Quality Manager, Document and Repository Manager, Research and Decision Support Analyst roles were not done by either country. The new role of HIM is operated in a low percentage in Korean middle and small hospitals. Therefore, to clearly establish the role of HIM in Korea, and have middle and small hospitals to operate such a role, it is essential for the related association to give continuous education and provide support to clarify the role within the hospital working environment. It is desirable to benchmark Malaysian general hospital's registration work on special diseases and others, and expand the work to improve overall.

Analysis of Work Performance and Related Factors of Construction Site Health Manager (건설현장 보건관리자의 업무수행정도와 관련요인 분석)

  • Jung, Hye-Sun;Choi, Eun-Hi;Beak, Eun-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.1
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    • pp.48-58
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    • 2018
  • Purpose: The purpose of this study was to understand the present status of the work performance of the construction industry health managers and the developmental direction for the construction industry health management. Methods: The subjects of this study were 149 health managers working in the construction industry. Data of a total of 130 participants were analyzed by excluding the missing data among field workers. The contents of the survey were the characteristics of the workplace, the difficulties and requirements of health management, and the level of job performance. Results: The factors affecting measuring work environment task were age, number of workers, number of safety managers, and lack of support from the headquarters. The factors affecting managing work environment and physicochemical harmful factors were age, type of contract and conflicting business opinions. The factors affecting implementing health examination were age, type of contract, and number of safety managers. The factors affecting healthcare were age, type of contract, number of safety manager, presence of healthcare room, and conflicting business opinions. Conclusion: It is necessary to provide practical guidance and practical resources, and education for strengthening capacity. The support for business owners and managers support is needed.

A Study on Health Care Activities of Some Industrial Nurses and their Related Factors in Kyungnam Area (경남지역 일부 산업간호사의 보건관리 업무 및 관련요인에 관한 연구)

  • Kim, Young Sook
    • Korean Journal of Occupational Health Nursing
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    • v.4
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    • pp.48-57
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    • 1995
  • The purpose of this study was to assess the performance of the role and function of some industrial nurses and to characterize the factors affecting the performance of their activities. Thus the results could be used to suggest the direction in the performance of industrials nurses' activities effectively. During a period from January 10 to March 31, 1994, the data were collected from 87 industrial nurses, who were working as health managers in the plants, in Ulsan city and the vicinity in Kyungnam province, using a structured questionnaire. The results were as follows : 1. The general characteristics of industrial nurses in this study were 82.8% being 30 years old or less, 60.9%, being not married, and 93.1% having eduction levels above junior college. 2. With respect to general work conditions, 94.3% were working in a separate room provided for health care division, 40.2% working under the safety and health department, and 98.9% working as common-level staffs. And 60.9% were working less than 44 hours a week, 70.1% had work experiences less than 5 years, and 50.6% had annual incomes ranging 10 to 14 million wons. 3. As work conditions related to health care activities, 49.4% performed the activities not related to health care as always or occasionally, and 87.4% answered that occupational physicians were appointed in their plant and among them, however, only 6.9% worked on full-time basis and 52.8% perform little activities as occupational physicians. For a decision related to health care activity, 69.0% discussed the problems with the supervisors, and 19.5% made decisions by themselves. 4. As for attitude and perception to their activities as health managers, 66.7% moderately recognized the importance of health manager in the workplace, with 63.2% being satisfied their wages and treatment from the company, 57.5% being satisfied with their job positions and 51.7% having positive attitudes as being health managers. 5. The degree of performance at least in one of health related activities were very high in activities such as general medical care(100%), general health examination(98.0%) and specific health examination(100%), and relatively high in health education(72%), new employee health examination(60.9%), document handling(79.3%) and activity for work environment(70.1%). However, the performance rate was very low in preparing protective equipment (20.8%). 6. The levels of activities related to health care were significantly high when making decisions by themselves, when occupational physicians not being full-time, and when satisfying their job positions, and, on the other hand, significantly decreased as work hours increased. 7. In addition to some kinds of periodic education asked by all of the nurses, 89.7% wanted a specialized licensing system for industrial nurse, and 97.4% wanted to apply for the license test. As a conclusion, it is suggested that industrial nurses should be given more authority and placed in more self-controlled system to perform health care and other activities more efficiently, and the role and function of the occupational physician should be clearly distinguished from that of the industrial nurse as a health manager to avoid an unnecessary overlapping.

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Implementation of ISO/IEEE 11073-10404 Monitoring System Based on U-Health Service (유헬스 서비스 기반의 ISO/IEEE 11073-10404 모니터링 시스템 구현)

  • Kim, Kyoung-Mok
    • Journal of Advanced Navigation Technology
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    • v.18 no.6
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    • pp.625-632
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    • 2014
  • The u-health service is using portable device such as smart device and it consists of small computing device. The u-health service carry out same performance with desktop computer. We designed message structure based on Bluetooth HDP. This message structure is used to transmit patient's biometric data on the smart device of medical team, patient and family over the mobile network environment. ISO/IEEE 11073 PHD standard was defined based on the method of communication between the agent and the manager. And We are confirmed the reliable transmission of biometric data at the smart device by implementing the android OS based patient information monitoring application to check the status of patient for medical team, patient and family.