• International journal of advanced smart convergence
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• 제4권1호
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• pp.88-92
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• 2015

Today, the medical information system has evolved in the way of integrated healthcare IT information systems. Therefore, it is trying to build advanced U-Healthcare service. Though the U-Healthcare environments is exchanged the information between systems in many cases, however since the each system is different, the integration and exchange of data is difficult. To overcome this problem, in this paper it proposes that we suggests a possible DBaaS(DataBase as a Service) for the heterogeneous integration of medical information management and data exchange. First, the proposed system builds DBaaS cloud by integrating the meta-DB Schema level and DB Schema for each hospital. And, the mapping the schema data and the existing hospital information system is possible using the International Standard HL7. By applying the proposed method to the hospital system, it comes true the efficient exchange of information between the patients, doctors, staffs through the data mapping of the one to multi-system.

• 대한의용생체공학회:의공학회지
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• 제10권3호
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• pp.351-360
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• 1989

This paper describes the design of portable arrhythmia monitor and associated algorithm for automated diagnosis based-on microcomputer in the ambulatory ECG recording, analysis, and transmitting to a hospital host computer immediately through the telephone system. The device differs from Molter recorder in that it does not store normal ECG signals but captures and alarms the ECG during suspected abnormal periods and selected temporal epochs to a central hospital site. This porta file arrhythmia monitor makes use of a general purpose computer and software will be changed to meet the custom requirements of individual physicians and patients. At present it is very obvious that each cardiologist has his own method of analyzing ECG recordings and utilizes past experience more than the firm quantitative analysis of data.

• Radiation Oncology Journal
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• 제12권1호
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• pp.109-115
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• 1994

본 연구의 목적은 뇌정위적 방사선수술시 최적 선량분포를 얻기 위하여 빠른 multiple isocenter 계획을 효과적으로 수행할 수 있는 방법을 개발하는 데 있다. 18cm 직경의 구형 머리 팬톰과 정확한 선량 알고리듬을 이용하여 선량값을 계산한 뒤 fltting 기술을 이용하여 빠른 구형선량 모델을 개발하였다. 구형선량 모델을 이용하여 single isocenter에 대한 선량값은 합산에 의하여 쉽게 얻어졌다. Isocenter들간의 이동에 따른 선량분포의 변화를 이용하여 컴퓨터 자동추적 방법이 개발되었으며, isocenter 간격 및 collimator 크기가 빠른 시간내에 결정될 수 있었다. 구형선량모델은 beam data에 의한 선량데이타와 같은 선량분포를 나타냈으며 고속으로 삼차원 선량계산을 가능하게 하였다. 컴퓨터 자동추적 방법은 지금까지의 시행착오적 방법에 비해 보다 빠르게 최적 isocenter setting을 제공할 수 있었다. 구형선량모델 및 컴퓨터 자동추적방법은 multiple isocenter를 이용한 수술 계획시 최적선량 분포를 보다 빨리 얻을 수 있었다.

• Clinical Endoscopy
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• 제55권3호
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• pp.390-400
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• 2022

Background/Aims: Previous artificial intelligence (AI) models attempting to segment gastric intestinal metaplasia (GIM) areas have failed to be deployed in real-time endoscopy due to their slow inference speeds. Here, we propose a new GIM segmentation AI model with inference speeds faster than 25 frames per second that maintains a high level of accuracy. Methods: Investigators from Chulalongkorn University obtained 802 histological-proven GIM images for AI model training. Four strategies were proposed to improve the model accuracy. First, transfer learning was employed to the public colon datasets. Second, an image preprocessing technique contrast-limited adaptive histogram equalization was employed to produce clearer GIM areas. Third, data augmentation was applied for a more robust model. Lastly, the bilateral segmentation network model was applied to segment GIM areas in real time. The results were analyzed using different validity values. Results: From the internal test, our AI model achieved an inference speed of 31.53 frames per second. GIM detection showed sensitivity, specificity, positive predictive, negative predictive, accuracy, and mean intersection over union in GIM segmentation values of 93%, 80%, 82%, 92%, 87%, and 57%, respectively. Conclusions: The bilateral segmentation network combined with transfer learning, contrast-limited adaptive histogram equalization, and data augmentation can provide high sensitivity and good accuracy for GIM detection and segmentation.

• Korean Journal of Radiology
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• 제22권6호
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• pp.912-921
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• 2021

Objective: To compare the performance of the deep learning-based lesion detection algorithm (DLLD) in detecting liver metastasis with that of radiologists. Materials and Methods: This clinical retrospective study used 4386-slice computed tomography (CT) images and labels from a training cohort (502 patients with colorectal cancer [CRC] from November 2005 to December 2010) to train the DLLD for detecting liver metastasis, and used CT images of a validation cohort (40 patients with 99 liver metastatic lesions and 45 patients without liver metastasis from January 2011 to December 2011) for comparing the performance of the DLLD with that of readers (three abdominal radiologists and three radiology residents). For per-lesion binary classification, the sensitivity and false positives per patient were measured. Results: A total of 85 patients with CRC were included in the validation cohort. In the comparison based on per-lesion binary classification, the sensitivity of DLLD (81.82%, [81/99]) was comparable to that of abdominal radiologists (80.81%, p = 0.80) and radiology residents (79.46%, p = 0.57). However, the false positives per patient with DLLD (1.330) was higher than that of abdominal radiologists (0.357, p < 0.001) and radiology residents (0.667, p < 0.001). Conclusion: DLLD showed a sensitivity comparable to that of radiologists when detecting liver metastasis in patients initially diagnosed with CRC. However, the false positives of DLLD were higher than those of radiologists. Therefore, DLLD could serve as an assistant tool for detecting liver metastasis instead of a standalone diagnostic tool.

• 한국컴퓨터정보학회논문지
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• 제23권10호
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• pp.151-156
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• 2018

The purpose of this study was to find more effective method through comparison of manual chest compression and chest compression using $AutoPulse^{TM}$ device in pre-hospital simulation cardiac arrest. In order to achieve the purpose of the study, ambulance workers did two different style CPR in pre-hospital simulation cardiac arrest. Data analyzed by T test and ANOVA. Findings of this study are as follows. Firstly, manual chest compression is more effective than chest compression using $AutoPulse^{TM}$ device on scene. Secondly, chest compression using $AutoPulse^{TM}$ device is more effective manual chest compression in ambulance and in elevator. In conclusion, these findings provide strong evidence for the importance of hands off time and stable CPR before hospital arrival in explaining patient's prognosis. Therefore, strategies to conduct precise hands off time and stable CPR are needed to improve patient's prognosis.

• 대한의용생체공학회:의공학회지
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• 제14권4호
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• pp.327-332
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• 1993

Automatic transmission of data from the blood analyzer to the request site is one of the most important part in hospital computerization. We have developed a system that transmits data from the arterial blood gas analyzer to the request site automatically In this system HOST computer, FILE server,'LAN(Local Area Network) , 3270 Emulator and bfulti-port card are integrated with 3 blood gas analyzers(NOVA Inc., USA) which are connected to a single multi-port card in a personal computer. When specimen are collected from tramp)inly sites, they are transferee to the laboratory In the Yonsei Cardiovascular Center After analysis, the result is transmitted to the personal computer via serial commnunication between machine and multi-port card using interrupt method. Then, the patient's information (Name, Patient ID No., etc.) is obtained from the HOST computer througth the emulator. The combined data (patient information & lab data) is transmitted to each request site via LAN automatically These results are stored in the File Server for one year and they can be reviewed anytime. Also, it could be used for the various statistics and the flow chart for clinical research. Additionally, we found thal this system reduces the personal labor.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.2.1-2.7
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• 2018

With the development of computer-aided design/computer-aided manufacturing (CAD/CAM) technology, it has been possible to reconstruct the cranio-maxillofacial defect with more accurate preoperative planning, precise patient-specific implants (PSIs), and shorter operation times. The manufacturing processes include subtractive manufacturing and additive manufacturing and should be selected in consideration of the material type, available technology, post-processing, accuracy, lead time, properties, and surface quality. Materials such as titanium, polyethylene, polyetheretherketone (PEEK), hydroxyapatite (HA), poly-DL-lactic acid (PDLLA), polylactide-co-glycolide acid (PLGA), and calcium phosphate are used. Design methods for the reconstruction of cranio-maxillofacial defects include the use of a pre-operative model printed with pre-operative data, printing a cutting guide or template after virtual surgery, a model after virtual surgery printed with reconstructed data using a mirror image, and manufacturing PSIs by directly obtaining PSI data after reconstruction using a mirror image. By selecting the appropriate design method, manufacturing process, and implant material according to the case, it is possible to obtain a more accurate surgical procedure, reduced operation time, the prevention of various complications that can occur using the traditional method, and predictive results compared to the traditional method.

• 간호행정학회지
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• 제5권2호
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• pp.237-251
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• 1999

The purpose of this study is to suggest successful strategies through which the effect of the information system of a hospital can be forecasted at the nursing department. In order to set up successful strategies, in the first place, both the methods of CSF(Critical Success Factor: Rockart, 1979) and ULD(User-Led Development) method and the method suggested by the Korea Productivity Center were applied. In order to measure the improvement of nursing productivity, the Dissonance theory was used. The data were collected from 100 employees serving at the clinic department of Kwangju Patriots' and Veterans' Hospital from July 4 to July 25, 1998 with reference to all 222 cases, for sampling work; then the part of the efficiency of the treatment or management of hospital business - simplification of the process of the treatment of hospital business and reduction of the time of the treatment of hospital business were measured; and in order to forecast organizational behavior, 100 cases of organization behavior were analysed, based on the well structured, questionnaires. In order to forecast the user's organizational behavior, a tool(Ronald. 1988; Stephen, 1982: Senn, 1992: Olsen, 1980: Anderson, 1988: Kim. 1992: Cho. 1994) to measure the extent or degree of the user's recognition or understanding whose reliability coefficient is 0.63 was used: and regarding the items expected by the users concerning the convenience of the system, a tool created by Bernadett, Szajna and Richard W. Scamell(1993) whose reliability coefficient is 0.88 was used. And finally, those data were analysed, utilizing the statistical package of SPSS/PC 6.0. successful strategies are suggested as follows: 1. In order that the Kwangju Patriots' and Veterans' Hospital's purpose can be successful through its strategic, information system, the quality of its services should be elevated. and for elevating the quality of medical services, elevation of the quality of medical expertism or specialty is an important factor in determining such quality. 2. In order to make the hospital information system to be successful, the hospital's top manager should participate in the effort making it successful with helping hands of the members or personnel of the hospital. 3. In order to make users participate in the hospital information system, it is prerequisite that all nurses in a hospital should voluntarily participate in the system 4. In order to reduce the expense, the time in coping with business per duty should be reduced by 10${\sim}$33.23%. The time of the direct nursing care which added value is relatively high should be elongated in order to elevate the quality of hospital services. 5. Since the introduction and spread of the hospital information system are influenced by the duration in the experience of computer use, the user of the hospital information system should have a plan to receive well-planned computer education. Finally it is suggested that the forecast of long-term productivity through a review of the user's expectation of the system should be inspected and tested through continuous studies of its effectiveness.

• 한국병원경영학회지
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• 제8권1호
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• pp.24-41
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• 2003

This study was conducted to investigate the determinants of e-mail use and its effects on the organizational effectiveness of hospital administrative workers. Data were collected from 147 administrative workers at 2 university hospitals in Seoul using self-administered questionnaires and analyzed using t-test, ANOVA, and multiple regression analysis. The major findings of the study are as follows: 1. There are significant differences in the use of e-mail for business purpose in terms of the gender, age, status, and education level. Workers who are men, over 30s, high status, and highly educated were more likely to use the e-mail. As for the private use, there are significant differences only in terms of the age level. 2. The more job characteristics need to use e-mail, the more workers have computer skills, and the more favorable the organizational culture is to using the e-mail, the more frequently the workers use the e-mail for both business and private purposes. 3. Job characteristics and personal computer skills have significant positive effects on the use of e-mail for business purpose. However, for the private purpose, only personal computer skills have a significant effect on the use of e-mail. 4. The level of the e-mail use for the business purpose has a significant effect on the work productivity, communication, and job satisfaction, while the level of the e-mail use for the private purpose has a significant effect only on the communication and job satisfaction. The implications for hospital administrators and suggestions for further research are discussed.