• Title/Summary/Keyword: medical exchange

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Metastasis-associated Factors Facilitating the Progression of Colorectal Cancer

  • Zhang, Yao-Yao;Chen, Bin;Ding, Yan-Qing
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2437-2444
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    • 2012
  • Tumor metastasis remains the principal cause of treatment failure and poor prognosis in patients with colorectal cancer. It is a multistage process which includes proteolysis, motility and migration of cells, proliferation in a new site, and neoangiogenesis. A crucial step in the process of intra- and extra-vasation is the activation of proteolytic enzymes capable of degrading the extracellular matrix (ECM). In this stage, urokinase plasminogen activator receptor (uPAR) and matrix metalloproteinases (MMPs) are necessary. Micrometastases need the presence of growth factor and vascular growth factor so that they can form macrometastasis. In addition, cell adhesion molecules (CAMs) and guanine nucleotide exchange factors (GEFs) play important roles in the progression of colorectal cancer and metastatic migration. Further elucidation of the mechanisms of how these molecules contribute will aid in the identification of diagnostic and prognostic markers as well as therapeutic targets for patients with colorectal metastasis.

Secure Transmission for Interactive Three-Dimensional Visualization System

  • Yun, H.Y.;Yoo, Sun Kook
    • Journal of International Society for Simulation Surgery
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    • v.4 no.1
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    • pp.17-20
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    • 2017
  • Purpose Interactive 3D visualization system through remote data transmission over heterogeneous network is growing due to the improvement of internet based real time streaming technology. Materials and Methods The current internet's IP layer has several weaknesses against IP spoofing or IP sniffing type of network attacks since it was developed for reliable packet exchange. In order to compensate the security issues with normal IP layer, we designed a remote medical visualization system, based on Virtual Private Network. Results Particularly in hospital, if there are many surgeons that need to receive the streaming information, too much load on the gateway can results in deficit of processing power and cause the delay. Conclusion End to end security through the network method would be required.

Convenient Semi-Automatic Segmentation Tool

  • Kim, Dong-Sung
    • Journal of Biomedical Engineering Research
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    • v.26 no.6
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    • pp.407-412
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    • 2005
  • Convenience is one of the most important factors in medical image segmentation. Convenience is defined by compiling opinions from radiologists, and can be described as controllable maximum automation on the condition of producing only accurate results. The components of convenience are inclusive automation and inclusive modification. Inclusive modification consists of verify-and-confirm, undo-redo, exchange of segmentation methods, and intelligent modification tools. Inclusive automation is composed of automatic selection of a method, automatic selection of a confident segment, and automated chores. The convenient segmentation tool has been developed to segment X-ray images for orthopedic surgery, and has received an excellent evaluation from radiologists.

The Development of the CMS using External MDEC (외장형 MDEC을 이용한 CMS 개발)

  • Jung, Hyon-Chel;Kim, Tea-Koon;Kang, Dong-Won;Jang, Deok-Hyeong;Yoo, Jae-Young;Jin, Ho;Kim, Hong-Sam;Park, Myeong-Chul
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2016.01a
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    • pp.335-336
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    • 2016
  • 본 논문에서는 다중 의료장비의 신호를 전송할 수 있는 MDEC과 연동성이 있는 CMS를 개발한다. 주요장비는 환자 감시를 위한 M20과 진단용 심전계 장비인 E40이 대상이 된다. 본 도구는 MDEC의 실효성을 입증하고 환자의 상태를 중앙 집중식으로 모니터링하기 위한 목적으로 개발한다. 먼저, CMS의 기능 구성을 정의하고 MDEC과의 연동성을 위한 프로토콜 정의를 통하여 실제 모니터링 도구를 개발하였다. 향후, 개발된 도구는 CMCIS(Central Monitoring and Cardiology Information System) 기반의 통합 시스템에 적용할 계획이다.

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A comparative study of pharmacopoeia between South Korea and North Korea(I)

  • Jang, Seung-Jae;Kang, Chan-Soon;Choi, Bo-Kyung;Kim, Hye-Soo;Choi, Myoeng-Sin;Hong, Chong-Hui;Ki, Yong-Seok;Kim, Sang-Hyun
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.418.2-418.2
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    • 2002
  • With the Sunshine policy. exchange of goods and cultures inter Koreas is broaden and expectancy of reunification is getting higher. Especially. medical supplies and medicines is one of the biggest parts in the exchanges. So. need for preparing new medical administration system for reunification is needed. We are going to compare inter Koreas drug administration system in medical services. (omitted)

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Implementation of Service Model to Exchange of Biosignal Information based on HL7 Fast Health Interoperability Resources for the hypertensive management (고혈압 관리를 위한 헬스레벨 7 FHIR 기반 생체정보 교환 서비스 모델 구현)

  • Cho, Hune;Won, Ju Ok;Hong, Hae Sook;Kim, Hwa Sun
    • Journal of Internet Computing and Services
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    • v.15 no.3
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    • pp.21-30
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    • 2014
  • Hypertension is one of the major causes of death in the world as it is related with cardiovascular or cerebrovascular disease, so it is needed to provide continuos management for blood pressure. This study selected Health Level 7 Fast Health Interoperability Resources (HL7 FHIR) as a bio-signal data exchange service model that can provide constant blood pressure management in the rapidly growing mobile health care environment. The HL7 FHIR framework developed communicates with the IEEE 11073-10407 Personal Health Device (PHD) protocol through the bluetooth Health Device Profile (HDP) between the manager (smart phone) and the agent (hemomanometer) and acquires information about blood pressure. According to the test results, it performed its tasks successfully including hypertension patients' blood pressure monitoring, management on measured records, generation of document, or transmission of measured information. Because in the actual, clinical environment, it is possible to transmit measured information through the TCP/IP protocol, it will be needed to conduct constant research on it and vitalize it in the field of mobile health care afterwards.

Genoprotective Effect of Melatonin Against to the Genotoxicity of Glyphosate on Human Blood Lymphocytes (글라이포세이트의 유전자 독성에 대한 멜라토닌의 유전자 보호 효과)

  • Kim, Jung-Gyu;Choi, Woo-Ik;Lee, Jae-Ho;Choi, In-Jang;Jin, Sang-Chan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.2
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    • pp.144-150
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    • 2016
  • Purpose: Glyphosate is a widely used non-selective herbicide. Previous studies have shown that glyphosate has genotoxicity, and that even low-doses of glyphosate can cause DNA damage. Melatonin is a hormone produced and secreted by the pineal gland that is known to be a potent anti-carcinogen, anti-oxidant, and genetic protector. This study was conducted to investigate the genoprotective effect of melatonin against glyphosate in human blood lymphocytes. Methods: Human peripheral blood was obtained from 15 young, healthy volunteers and cultured under four different toxicologic conditions. The four groups consisted of a control group, glyphosate only group (300 ng/mL), glyphosate with low level of melatonin group ($50{\mu}M$), and glyphosate with high level of melatonin group ($200{\mu}M$). The mean Sister Chromatid Exchange (SCE) frequency of each group was then analyzed. Results: Glyphosate exposed groups had a higher mean SCE frequency ($10.33{\pm}2.50$) than the control group ($6.78{\pm}2.31$, p<0.001). Interestingly, the group that received a low-level of melatonin had a lower mean SCE frequency ($8.67{\pm}2.58$) than the glyphosate-only group, while the group that received a high level of melatonin had a much lower mean SCE frequency ($8.06{\pm}2.50$) than the glyphosate-only group. There was statistical significance. Conclusion: Melatonin exerted a potent gene protective effect against the genotoxicity of glyphosate on human blood lymphocytes in a dose-dependent fashion.

PHR Profiling System Based on FHIR (FHIR 기반 개인건강기록 프로파일링 시스템 개발방법)

  • Kim, Young Sik;Kim, Il Kon
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.7
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    • pp.277-282
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    • 2015
  • HL7 released V3 CDA(Clinical Document Architecture) and V2.x message standards for medical information exchange. Currently, these standards are successfully adopted by a number of nations across the globe. However, substantial amount of time is required to develop and implement these standards. Moreover, developers need a lot of time to understand these standards. To solve these issues from 2011, the HL7 standard framework started to discuss Fast Healthcare Interoperability Resources(FHIR) as next generation standard of healthcare information exchange. People's interests toward personal health record and smartphone penetration rate are growing and increasing rapidly. Therefore, our research team believes it is necessary to develop a PHR profiling system which could be accessed by using a smartphone and we developed the system. Through a FHIR Profile editor tool developed in Furore, we found that improvements could be made in generating and changing the profile. In order to build the PHR Profiling system, an Open-API on FHIR is used for exchanging information between electronic medical record system and PHR Profiling system. In the PHR Profiling system, the transactions of information between two systems are provided by RESTful service. In this study, we verify the efficiency of development of the PHR Profiling system through FHIR.

Neonatal indirect hyperbilirubinemia and glucose-6-phosphate dehydrogenase deficiency

  • Isa, Hasan M.;Mohamed, Masooma S.;Mohamed, Afaf M.;Abdulla, Adel;Abdulla, Fuad
    • Clinical and Experimental Pediatrics
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    • v.60 no.4
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    • pp.106-111
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    • 2017
  • Purpose: This study aimed to determine the prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency among infants with neonatal indirect hyperbilirubinemia (NIH); compare G6PD-deficient and G6PD-normal patients regarding hyperbilirubinemia and need for exchange transfusions (ET); and assess risk factors for ET and kernicterus. Methods: This is a case-control retrospective study. Medical records of NIH patients admitted to the Pediatric Department, Salmaniya Medical Complex, Bahrain, between January 2007 and June 2010 were reviewed. Data on sex, age at presentation, hospitalization duration, need for ET, hemoglobin (Hb) level, reticulocyte count, direct Coombs test, serum total and indirect bilirubin levels, thyroid function, blood and urine cultures, G6PD status, and blood groups were collected and compared between the G6PD-deficent and G6PD-normal patients. Results: Of 1,159 NIH patients admitted, 1,129 were included, of whom 646 (57%) were male. Among 1,046 patients tested, 442 (42%) were G6PD deficient, 49 (4%) needed ET, and 11 (1%) had suspected Kernicterus. The G6PD-deficient patients were mainly male (P<0.0001), and had lower Hb levels (P<0.0001) and higher maximum bilirubin levels (P=0.001). More G6PD-deficient patients needed ET (P<0.0001). G6PD deficiency (P=0.006), lower Hb level (P=0.002), lower hematocrit count (P=0.02), higher bilirubin level (P<0.0001), higher maximal bilirubin level (P<0.0001), and positive blood culture result (P<0.0001) were significant risk factors for ET. Maximal bilirubin level was a significant risk factor for kernicterus (P=0.021) and independently related to ET (P=0.03). Conclusion: G6PD deficiency is an important risk factor for severe NIH. In G6PD-deficent neonates, management of NIH should be hastened to avoid irreversible neurological complications.

Time Slot Exchange Protocol in a Reservation Based MAC for MANET

  • Koirala, Mamata;Ji, Qi;Choi, Jae-Ho
    • Journal of the Institute of Convergence Signal Processing
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    • v.10 no.3
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    • pp.181-185
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    • 2009
  • Recently, much attention to a self-organizing mobile ad-hoc network is escalating along with progressive deployment of wireless networks in our everyday life. Being readily deployable, the MANET (mobile ad hoc network) can find its applications to emergency medical service, customized calling service, group-based communications, and military purposes. In this paper we investigate a time slot exchange problem found in the time slot based MAC, that is designed for IEEE 802.11b interfaces composing a MANET. The paper provides a method to maintain the quality of voice call by providing a new time slot when the channel assigned for that time slot gets noisy with interferences induced from other nodes, which belong to the same and/or other subgroups. In order to assess the performance of the proposed algorithm, a set of simulations using the OPNET modeler has been performed assuming that the IEEE 802.11b interfaces are operating under a modified MAC, which is a time slot based reservation MAC implemented in the PCF part of the superframe. In a real-time voice call service over a MANET of a size 500 ${\times}$ 500 meter squares with the number of nodes up to 100, the simulation results are collected and analyzed with respect to the packet loss rate and packet delay. The results show us that the proposed time slot exchange protocol improves the quality of voice call over that of plain DCF.

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