• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제6권11호
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• pp.71-78
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• 2000

This study indicates bed-transfer as the significant behavior of a ward and points out architecture that cannot meet the patient's need. It is examined that inpatient's behavior depends on visibility, psychological security, privacy & communication, control, support and this study applies them to analyze the selected cases. This study also emphasizes the supportive role of hospital architecture so that the function of a ward as a healing environment may be maintained.

• 정보보호학회논문지
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• 제26권6호
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• pp.1551-1560
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• 2016

스마트 헬스케어 기술의 발전과 웨어러블 디바이스의 증가로 인해 최근 WBN을 활용한 원격지 건강정보 모니터링 시스템이 제시되고 있다. 그러나 네트워크를 통해 전송되는 환자 개인의 건강기록에 대한 보호가 필요하며, 허가되지 않은 정보의 수집으로 인한 환자의 개인 식별정보나 건강기록이 노출되지 않도록 환자의 프라이버시도 반드시 보호되어야 한다. 이를 위해 Yang 등은 암호기술의 키 격리 기법을 적용한 원격 건강정보 모니터링 시스템의 익명 인증기법을 제안하였다. 그러나 이들의 기법은 키 격리 기법을 잘못 구성하여 다른 사용자의 개인키 위조 가능성 문제를 가지고 있으며, 헬스케어 서비스 제공자에게 사용자의 식별정보가 그대로 노출되어 익명성을 보장하지 못한다. 이에 본 논문은 Yang 등의 기법의 보안상의 문제점을 지적하고, 이를 개선한 건강정보 모니터링 시스템의 익명인증 기법을 제안한다.

• 대한예방한의학회지
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• 제18권3호
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• pp.11-21
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• 2014

The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권1호
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• pp.437-454
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• 2020

According to the privacy regulations of the health insurance portability and accountability act (HIPAA), patients' control over electronic health data is one of the major concern issues. Currently, remote access authorization is considered as the best solution to guarantee the patients' control over their health data. In this paper, a new biometric-based key management scheme is proposed to facilitate remote access authorization anytime and anywhere. First, patients and doctors can use their biometric information to verify the authenticity of communication partners through real-time video communication technology. Second, a safety channel is provided in delivering their access authorization and secret data between patient and doctor. In the designed scheme, the user's public key is authenticated by the corresponding biometric information without the help of public key infrastructure (PKI). Therefore, our proposed scheme does not have the costs of certificate storage, certificate delivery, and certificate revocation. In addition, the implementation time of our proposed system can be significantly reduced.

• 융합보안논문지
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• 제14권3_1호
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• pp.11-19
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• 2014

의료기술 및 IT 기술의 급격한 발전으로 인해 체내 이식형 의료기기와 같은 융합 의료기술에 대한 관심이 날로 증가하고 있다. 하지만, 체내 이식형 의료기기와 같은 새로운 형태의 의료서비스는 무선통신을 통해서 제공되고 있기 때문에 무선통신에서 발생가능한 개인정보 위협을 포함한 다양한 보안 취약점에 관한 문제 역시 중요 이슈로 떠오르고 있다. 특히, 이러한 의료서비스에서의 보안상 취약점은 환자에게 치명적인 위협으로 다가갈 수 있기 때문에 더욱 안전한 방식의 보안성 제공이 요구된다. 본 논문에서는 현재 제공되고 있는 체내 이식형 의료기기를 이용한 의료서비스에 서 발생할 수 있는 보안상 취약점들을 지적하고 이에 대응하기 위한 보안 메커니즘을 제안한다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제18권9호
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• pp.2589-2604
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• 2024

Brain tumors, characterized by uncontrollable cellular growths, are a significant global health challenge. Navigating the complexities of tumor identification due to their varied dimensions and positions, our research introduces enhanced methods for precise detection. Utilizing advanced learning techniques, we've improved early identification by preprocessing clinical dataset-derived images, augmenting them via a Generative Adversarial Network, and applying an Improved Privacy-Preserving Collaborative Convolutional Neural Network (IPC-CNN) for segmentation. Recognizing the critical importance of data security in today's digital era, our framework emphasizes the preservation of patient privacy. We evaluated the performance of our proposed model on the Figshare and BRATS 2018 datasets. By facilitating a collaborative model training environment across multiple healthcare institutions, we harness the power of distributed computing to securely aggregate model updates, ensuring individual data protection while leveraging collective expertise. Our IPC-CNN model achieved an accuracy of 99.40%, marking a notable advancement in brain tumor classification and offering invaluable insights for both the medical imaging and machine learning communities.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제17권5호
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• pp.1484-1502
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• 2023

The medical sector actively changes and implements innovative features in response to technical development and revolutions. Many of the most crucial elements in IoT-connected health services are safeguarding critical patient records from prospective attackers. As a result, BlockChain (BC) is gaining traction in the business sector owing to its large implementations. As a result, BC can efficiently handle everyday life activities as a distributed and decentralized technology. Compared to other industries, the medical sector is one of the most prominent areas where the BC network might be valuable. It generates a wide range of possibilities and probabilities in existing medical institutions. So, throughout this study, we address BC technology's widespread application and influence in modern medical systems, focusing on the critical requirements for such systems, such as trustworthiness, security, and safety. Furthermore, we built the shared ledger for blockchain-based healthcare providers for patient information, contractual between several other parties. The study's findings demonstrate the usefulness of BC technology in IoHT for keeping patient health data. The BDSA-IoHT eliminates 2.01 seconds of service delay and 1.9 seconds of processing time, enhancing efficiency by nearly 30%.

• 인터넷정보학회논문지
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• 제18권6호
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• pp.75-84
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• 2017

As there has been growing interests in PHR-based personalized health management project, various institutions recently explore safe methods of recording personal medical and health information. In particular, innovative medical solution can be realized when medical researchers and medical service institutes can generally get access to patient data. As EMR data is extremely sensitive, there has been no progress in clinical information exchange. Moreover, patients cannot get access to their own health data and exchange it with researchers or service institutions. It can be operated in terms of technology, yet policy environment are affected by state laws as well as Privacy and Security Policy. Blockchain technology-independent, in transaction, and under test-is introduced in the medical industry in order to settle these problems. In other words, medical organizations can grant preliminary approval on patient information exchange by using the safely encrypted and distributed Blockchain ledger and can be managed independently and completely by individuals. More apparently, medical researchers can gain access to information, thereby contributing to the scientific advance in rare diseases or minor groups in the world. In this paper, we focused on how to manage personal medical information and its protective use and proposes medical treatment exchange system for patients based on a permissioned Blockchain network for the safe PHR operation. Trusted Model for Sharing Medical Data (TMSMD), that is proposed model, is based on exchanging information as patients rely on hospitals as well as among hospitals. And introduce medical treatment exchange system for patients based on a permissioned Blockchain network. This system is a model that encrypts and records patients' medical information by using this permissioned Blockchain and further enhances the security due to its restricted counterfeit. This provides service to share medical information uploaded on the permissioned Blockchain to approved users through role-based access control. In addition, this paper presents methods with smart contracts if medical institutions request patient information complying with domestic laws by using the distributed Blockchain ledger and eventually granting preliminary approval for sharing information. This service will provide an independent information transaction and the Blockchain technology under test will be adopted in the medical industry.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2012년도 추계학술대회
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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.

• 한국정보통신학회논문지
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• 제16권3호
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• pp.605-614
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• 2012

최근 유비쿼터스 컴퓨팅 기술 분야 중 사용자의 정보 속성이 매우 민감한 u-헬스케어가 의료분야에서 각광을 받고 있다. u-헬스케어는 개인 건강/의료 정보를 포함한 극히 개인적인 정보를 다루고 있기 때문에 보안 및 프라이버시 측면에서 다양한 취약점 존재 및 위협에 노출되어 있다. 본 논문에서는 환자가 소유하고 있는 휴대장치(PDAs나 휴대용 컴퓨터)를 제 3자가 불법적으로 악용하여 환자의 정보를 훼손하는 것을 예방하기 위한 RFID 기반의 환자정보 보호 프로토콜을 제안한다. 제안 프로토콜은 사전에 관리 서버에 등록된 병원(의사, 간호사, 약국 등)의 권한 정보에 따라 환자의 개인정보에 접근할 수 있도록 병원(의사, 간호사, 약국 등)의 권한을 계층적으로 분리하여 병원이 최소한의 업무를 수행하도록 한다. 특히, 게이트웨이 역할하는 관리 서버는 접근 허가가 승인된 환자 정보 이외에 허가받지 않은 정보에 대해서 제 3자가 쉽게 접근하지 못하도록 주기적으로 접근 허용 키를 생성하여 환자의 인증 및 관리의 효율성을 향상시키고 있다.