A method is well known to backup the necessary and useful data into CD-ROM. It is, however, difficult for multiple users to simultaneously access these CD-ROMs which are scattered. In this paper, we have developed the system of which many user can concurrently access some CD-ROMs which are scattered in several locations. The system developed in this paper can be operated under a client/sever network and in window 95 for an easily usage. The system has, now, evaluated very good in some library of university, official department, and hospital in korea. The developing of the system is, further, to extend CD-Recorder, Juke-Box, and so on.
CD-ROM* ; Korea

To know recent research works in neurosurgical fields and to analyze neurosurgery related sites on the internet, authors have been searching sites on the web offering the neurosurgical resources. From December 1995 to October 1996 we used a modem(28.8Kbps) and thereafter connected to a LAN(local area network). Under the environment of Windows 95, we used web browsers with Netscape 2.02 and Netterm 2.89. We got an medical information with PC journals or seminars and graded the neurosurgical center/institutes from A to E according to the quality of web sites. We could use the internet resources more rapidly in the early morning than noon or evening. Best sites for neurosurgeon were MedMark(http://www.medmark.bit.co.kr/neurosur.html) and Neurosource (http://www.neurosource.com/). The more comprehensive academic neurosurgical site among all web were the Massachusetts General Hospital(http://neurosurgery.mgh.harvard.edu/) and the University North California (http://sunsite.unc.edu/Neuro/uncns/home.html). In 89 neurosurgical center/institutes, 72 sites(80.9%) couldn't supply sufficient information. In conclusion, there are many webs related to neurosurgery on the internet, but useful sites for neurosurgeon are not common. It is necessary to make an effort to find available sites offering more information in the future.
California ; Internet* ; Massachusetts ; Neurosurgery ; Web Browser

Implementation of the nurse scheduling task is a difficult problem domain for head because it is a multi-period, multi-criteria decision-making problem with the condition that it needs to meet the requirements of the patients, the hospital administration, and the staff nurse. There have been many research studies done for nurse scheduling using the following methods: cyclic method, mathematical modeling method, heurestic method and expert system approach. Without a theoretical review of the head nurses' problem-solving process, the limitations of inflexible computational modeling in comparison to the complex, real problem-solving process cannot be overcomed. This research applies the cognitive scientific approach which uses protocol analysis and computer simulation. It will be used as basic data for a decision support system which will be constructed as a result of protocol analysis(collect data, analyze the head nurses' problem-solving process)and cognitive process simulation. Following research will develop the following research lists: first; construction of databases including each nurse's major attributes as a data field, second; development of schedule optimizing modules, and third; development of user interface for communication between head nurses and staff nurses using the system.
Appointments and Schedules ; Computer Simulation ; Expert Systems* ; Head ; Hospital Administration ; Humans ; Models, Theoretical ; Nursing, Supervisory

We propose the various Telemedicine applications on the DooRae (Distributed Object Oriented Multimedia Application Crafting Environment for Collaboration) framework(or platform). DooRae-Telemedicine supports the application development of the collaborative multimedia environment connected with the network(LAN, MAN, WAN) in the CBM(Computer based Multimedia) based. Also, it is not restrict on space between a doctor(s) and a patient(s) into cyberspace made by network. The kinds of Telemedicine in this paper have different distinction, and the development of these application system is possible on DooRae environment. DooRae-Telemedicine has a interaction, various communication type, a question and an answer, multi-session, application sharing and whiteboard which resembles chalkboard. Also, various supplementary functions such as video conference and voice conference for DooRae-telemedicine are what makes face-to-face medicine effective. Also it supports real or non-real type. The operating system developed on windows 95 and windows NT This research has been done creating multimedia-based telemedicine system for home PCs in network environment. Most of telemedicine used hardware and exclusive line of high cost as CATV broadcasting technique. But DooRae-telemedicine will contribute to change the Home-PC for better use of collaborations among doctor and patients through various modes o interactions in cyberspace.
Cooperative Behavior ; Humans ; Multimedia* ; Telemedicine* ; Voice

Several years has passed to begin a new paradigm, job separation of a physician and a pharmaceutist, and a electronic prescription becomes common in large scale hospitals. However, the current prescription information system retains some problems such as insufficient patient usability, labor saving techniques and security. This paper is addressed to implement a voice prescription service system to solve the preceding problems. Several suggestions are presented to use voice recognition, voice compression, computer telephony and fingerprint authentication technology for the problems. Lab experimental results show that the processing time to identify drug items is reduced by 80% compared with conventional mouse usage and voice recording is more effective to direct drug usage in a complicated prescriptions. Online fingerprint authentication furnishes evidence of a patient permission and a physician prescription. This feature provides safer security than the current security system.
Animals ; Dermatoglyphics* ; Electronic Prescribing ; Humans ; Information Systems ; Mice ; Prescriptions* ; Voice*

Strange attractor can be constructed from time series data such as heart sound. In the areas of the recognition and diagnosis of abnormal heart sounds, signal presentation method is very useful because good features can be detected from good presentation. This paper examines efficiency in diagnosing abnormal heart sounds of the two different methods for constructing attractor. Nine different heart sounds from typical clinical conditions were used for this study. The first method was constructing attractors using original heart sounds, and the second was modifying the original sounds by autocorrelation and they were then applied to the orignal sounds as to cross correlation checks. Attractors could be constructed using signals generated by these methods, and values of fractal dimensions would then be calculated which has been a well known method to measure characteristics of attractors. The results showed that the second method appeared to provide more efficient way to correctly classify abnormal heart sounds.
Diagnosis ; Fractals* ; Heart Sounds* ; Heart*

A person does communication between each other using language. But, In the case of disabled person, he/she could not transfer own idea to others by using the writing or gesture. We embodied communication system using the facial muscle signals so that disabled person can do communication. After feature extraction from the facial muscle signals, it is converted to the control signal, and then disabled person could transfer his/her intention by select characters.
Disabled Persons ; Facial Muscles* ; Gestures ; Humans ; Intention ; Writing

The purpose of the present study is to develop a CRM system for patients with diabetes mellitus. The subjects were outpatients who visited a university hospital from March, 1997 thru February, 2003. The distributions of outpatients, types of disease, revenues, exemption of designated doctor's fee, and no-show rate were obtained for each department by utilizing the OCS database. Quantitative and Qualitative data were collected from the diabetes patients chosen based on the distribution. The goals of applying the CRM are not to provide diabetes patients with general medical services, but to provide individually-tailored medical services by utilizing the information obtained from the departments of moment of truth(MOT) effectively and integrating the management of work process and human resources. For an effective application of the CRM, it needs to be performed to support the strategic objectives and incorporate management strategies that are appropriate for internal and external environments. That modeling for diabetes patients includes campaign activities, customer management process, and the functions of predicting and diagnosing the patients and managing the medical services of MOT departments and referral system.
Diabetes Mellitus* ; Diagnosis* ; Fees and Charges ; Humans ; Outpatients ; Referral and Consultation

The purpose of the present study is to develop a CRM system for patients with diabetes mellitus. The subjects were outpatients who visited a university hospital from March, 1997 thru February, 2003. The distributions of outpatients, types of disease, revenues, exemption of designated doctor's fee, and no-show rate were obtained for each department by utilizing the OCS database. Quantitative and Qualitative data were collected from the diabetes patients chosen based on the distribution. The goals of applying the CRM are not to provide diabetes patients with general medical services, but to provide individually-tailored medical services by utilizing the information obtained from the departments of moment of truth(MOT) effectively and integrating the management of work process and human resources. For an effective application of the CRM, it needs to be performed to support the strategic objectives and incorporate management strategies that are appropriate for internal and external environments. That modeling for diabetes patients includes campaign activities, customer management process, and the functions of predicting and diagnosing the patients and managing the medical services of MOT departments and referral system.
Diabetes Mellitus ; Fees and Charges ; Humans ; Internet* ; Outpatients ; Referral and Consultation

Using IC cards with powerful information processing capabilities, high level of security, and multi media capabilities to create health IC cards has the following merits: comprehensive management of individual medical information, highly secure access to information that may be stored in separate location and/or institutes, increasing the compatability of difference used by various institutes. In this research ,we have categorized the information stored in the health IC card into the following main categories: basic personal information, emergency medical information, medical informatics, nursing information, welfare information. This was based on international ISO standards and specifics of Japan and south eastern Asia. These main categories are further divided into sub-categories and care was taken to ensure that the format of each sub-category is compatible with international standards while being suitable for Koran conditions of actual use. So, these categories conform to international standards and we will continue our efforts update the international standard to include additional categories needed in Korea and update the Korea standard to conform more closely with the international standards.
Academies and Institutes ; Access to Information ; Automatic Data Processing ; Emergencies ; Far East ; Humans ; Japan ; Korea ; Medical Informatics ; Nursing