Recent trends of healthcare information and communication technologies in pediatrics: a systematic review

Kikuchi Toru,Lee Keehyuck,Hwang Hee 대한소아청소년과학회 2022 Clinical and Experimental Pediatrics (CEP) Vol.65 No.6

As information communication technology (ICT) has advanced, the healthcare industry has embraced it to reduce medical costs, improve health outcomes, and increase patient satisfaction. Healthcare ICT revolutionizes pediatric healthcare. This study aimed to categorize and synthesize findings from the literature regarding the application of ICT in pediatric patients. This systematic review is based on a comprehensive search of Embase, MEDLINE, and Google Scholar. Study selection and coding were performed independently by 2 researchers, followed by narrative categorization. To reflect current trends in ICT for pediatrics, we adopted the Hype cycle technology classification developed by the advisory and information technology firm, Gartner, and the classification of digital health interventions by the World Health Organization. This study included a total of 135 studies. The analysis revealed 7 main types of ICT for pediatrics: (1) telehealth (39 papers), (2) precision medicine (2 papers), (3) automated decision support systems (17 papers), (4) electronic health records (7 papers), (5) patient portals (7 papers), (6) artificial intelligence (AI) (39 papers), and (7) mobile and wearable technologies (20 papers). In particular, we consistently found references to ICT for pediatrics as well as changing and improving healthcare for children. Further studies are required to determine how we can improve ICT productivity for pediatrics, particularly through AI. This study’s results will help healthcare delivery organizations and technology companies consider the future direction of pediatric healthcare.

압축 충격파를 이용한 평판형상 세라믹의 파괴거동

황권태(Kwontae Hwang),김재훈(Jaehoon Kim),이영신(Youngshin Lee),박종호(Jongho Park),송기혁(Keehyuck Song),윤수진(Soojin Yoon) 한국추진공학회 2009 한국추진공학회 학술대회논문집 Vol.2009 No.5

Fracture characteristics of plate shape using shock tube for glass filled ceramics was carried out. Glass filled ceramics have been considered as a promising candidate material for the dome port cover of air breathing engine. This part of the air breathing engine has an important role separating solid and liquid fuel, and needs the frangible characteristics that the fracture of a part should not affect the internal components of combustion. The objectives of this study are to evaluate the fracture pressures for various thicknesses and diameters of shock impact area. Also fracture phenomena of separated membrane using a shock tube are observed. The experimental apparatus of shock tube consists of a driver, a driven section and a dump tank. The used material is glass filled ceramic made from Corning company. Specimens are used 3, 4.5 and 6mm thickness. Also diameters of shock wave area are chosen 70, 60 and 50 mm. It is expected that the results obtained from this study can be used in the basic data for the dome port cover design of an air breathing engine.

Impact of an Electronic Health Record-Integrated Personal Health Record on Patient Participation in Health Care: Development and Randomized Controlled Trial of MyHealthKeeper

Ryu, Borim,Kim, Nari,Heo, Eunyoung,Yoo, Sooyoung,Lee, Keehyuck,Hwang, Hee,Kim, Jeong-Whun,Kim, Yoojung,Lee, Joongseek,Jung, Se Young JMIR Publications 2017 Journal of medical Internet research Vol.19 No.12

<P><B>Background</B></P><P>Personal health record (PHR)–based health care management systems can improve patient engagement and data-driven medical diagnosis in a clinical setting.</P><P><B>Objective</B></P><P>The purpose of this study was (1) to demonstrate the development of an electronic health record (EHR)–tethered PHR app named MyHealthKeeper, which can retrieve data from a wearable device and deliver these data to a hospital EHR system, and (2) to study the effectiveness of a PHR data-driven clinical intervention with clinical trial results.</P><P><B>Methods</B></P><P>To improve the conventional EHR-tethered PHR, we ascertained clinicians’ unmet needs regarding PHR functionality and the data frequently used in the field through a cocreation workshop. We incorporated the requirements into the system design and architecture of the MyHealthKeeper PHR module. We constructed the app and validated the effectiveness of the PHR module by conducting a 4-week clinical trial. We used a commercially available activity tracker (Misfit) to collect individual physical activity data, and developed the MyHealthKeeper mobile phone app to record participants’ patterns of daily food intake and activity logs. We randomly assigned 80 participants to either the PHR-based intervention group (n=51) or the control group (n=29). All of the study participants completed a paper-based survey, a laboratory test, a physical examination, and an opinion interview. During the 4-week study period, we collected health-related mobile data, and study participants visited the outpatient clinic twice and received PHR-based clinical diagnosis and recommendations.</P><P><B>Results</B></P><P>A total of 68 participants (44 in the intervention group and 24 in the control group) completed the study. The PHR intervention group showed significantly higher weight loss than the control group (mean 1.4 kg, 95% CI 0.9-1.9; <I>P</I><.001) at the final week (week 4). In addition, triglyceride levels were significantly lower by the end of the study period (mean 2.59 mmol/L, 95% CI 17.6-75.8; <I>P</I>=.002).</P><P><B>Conclusions</B></P><P>We developed an innovative EHR-tethered PHR system that allowed clinicians and patients to share lifelog data. This study shows the effectiveness of a patient-managed and clinician-guided health tracker system and its potential to improve patient clinical profiles.</P><P><B>Trial Registration</B></P><P>ClinicalTrials.gov NCT03200119; https://clinicaltrials.gov/ct2/show/NCT03200119 (Archived by WebCite at http://www.webcitation.org/6v01HaCdd)</P>

Impact of Sleep Duration on Decline in Kidney Function in Adult Patients with Hypertension: A Community-Based Prospective Cohort Study

Yoon Jun Cha,Ju Young Kim,Eunbyul Cho,Keehyuck Lee,이기헌,Woo Kyung Bae,이혜진,Jong Soo Han,Se Young Jung,Sumi Lee 대한가정의학회 2022 Korean Journal of Family Medicine Vol.43 No.5

Background: Sleep duration is associated with various health conditions, including chronic kidney disease. How-ever, the association between sleep duration and decline in kidney function in the South Korean population re-mains unclear. We aimed to investigate the impact of sleep duration on kidney function decline in adult patients with hypertension.Methods: This cohort study was performed using data obtained from the Korean Genome and Epidemiology Study; 2,837 patients with hypertension who initially had normal kidney function were included. Glomerular filtra-tion rates (GFRs) were estimated at baseline and throughout the 16 years of follow-up. A person was considered to have a decline in kidney function if they had a GFR <60 mL/min/1.73 m2. Sleep duration data were obtained through interviewer-assisted questionnaires. Sleep durations were classified as short (<6 hours), normal (≥6 hours but <9 hours), and long (≥9 hours). The Cox proportional hazards model was applied, with adjustments for covari-ates.Results: After adjusting for covariates, sleep duration was not associated with a decline in kidney function. Howev-er, among men with poorly controlled hypertension at baseline, compared to men with normal sleep durations, men with sleep durations <6 hours had a significantly higher risk of kidney function decline (hazard ratio, 1.56; 95% confidence interval, 1.02–2.36).Conclusion: Short sleep duration did not seem to be associated with an increased risk of decline in kidney func-tion; however, it may be a risk factor for the decline in kidney function in men with poorly controlled hypertension.

세라믹 돔포트 커버 상사모델의 파괴거동에 관한 연구

황권태(Kwontae Hwang),김재훈(Jaehoon Kim),이영신(Youngshin Lee),박종호(Jongho Park),송기혁(Keehyuck Song),윤수진(Soojin Yoon) 한국추진공학회 2009 한국추진공학회지 Vol.13 No.4