• Title/Summary/Keyword: Circulation Planning

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A Study on the Area Composition of the Operating Unit After Remodeling (수술부 리모델링을 통한 공간구성 변화에 관한 연구)

  • Kim, Khilchae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.57-67
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    • 2023
  • Purpose: Recently, the operating unit remodeling compititon has been increasing rapidly in Korea, but there are no design infomation for spatial planning of sterile supply storage. Therefore, the propose of this study is to present area composition of the operating unit after remodeling. Methods: For literature review, the 6 studies and guidelines of operating unit(guidelines in the U.S, Australia, UK and Korea and 2 studies in Korea) conducted surveys and analysis. Room and space composition and zone of operating unit are redefined for this study. For obtaining area, to conduct masuring and calcuating of document of operating unit before and after remodeling in 3 cases. There are some patterns of plan in operaing unit by sterile supply storage. This study derived data for attributes of area composition of sterile supply storage. Results: The results of this study are as follows: First, Reviewing previous studies and Guidelines, for this study the suggested model was 5 zones(Operating zone, Support zone, Patient zone, Staff zone, Circulation zone) and redefined each room and space. Second, For infection control, sterile supply storage was provided to directly accessible to the operating room. Third, According to ralation of operting room and sterile supply storage, there are two types : 'double loaded type' and 'single loded type'. Sterile supply storage shall increase area of ciculation zone. Implications: This study can be used as primary data on remodeling of operating unit. In addition, it suggests that for infect control sterile supply storage is functional area.

End-of-Life Care for End-stage Heart Failure Patients

  • Ju-Hee Lee;Kyung-Kuk Hwang
    • Korean Circulation Journal
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    • v.52 no.9
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    • pp.659-679
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    • 2022
  • Efforts to improve end-of-life (EOL) care have generally been focused on cancer patients, but high-quality EOL care is also important for patients with other serious medical illnesses including heart failure (HF). Recent HF guidelines offer more clinical considerations for palliative care including EOL care than ever before. Because HF patients can experience rapid, unexpected clinical deterioration or sudden death throughout the disease trajectory, choosing an appropriate time to discuss issues such as advance directives or hospice can be challenging in real clinical situations. Therefore, EOL issues should be discussed early. Conversations are important for understanding patient and family expectations and developing mutually agreed goals of care. In particular, high-quality communication with patient and family through a multidisciplinary team is necessary to define patient-centered goals of care and establish treatment based on goals. Control of symptoms such as dyspnea, pain, anxiety/depression, fatigue, nausea, anorexia, and altered mental status throughout the dying process is an important issue that is often overlooked. When quality-of-life outweighs expanding quantity-of-life, the transition to EOL care should be considered. Advanced care planning including resuscitation (i.e., do-not resuscitate order), device deactivation, site for last days and bereavement support for the family should focus on ensuring a good death and be reviewed regularly. It is essential to ensure that treatment for all HF patients incorporates discussions about the overall goals of care and individual patient preferences at both the EOL and sudden changes in health status. In this review, we focus on EOL care for end-stage HF patients.

A Study on the Morphological Management of Major Landscape Elements in Organic Farming (유기농업단지 주요경관요소의 물리적 관리방안에 관한 연구)

  • An, Phil Gyun;Kong, Min Jea;Lee, Sang Min;Kim, Sang Bhum;Jo, Jung Lae;Kim, Nam Chun;Shin, Ji Hoon
    • Journal of Korean Society of Rural Planning
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    • v.26 no.2
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    • pp.107-116
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    • 2020
  • Up to date, the majority research on the major landscape elements in organic farming has been mainly focused on the practice of seeking efficiency. The problem is that this type of study contributes to polluting the agricultural environment and damaging the ecological circulation system. As an alternative, there is a growing body of research on organic farming, but it is not widely applied that research on how to manage the landscape considering the scenic characteristics of farming villages practicing organic farming. Therefore, this study was carried out in the conservative aspects of rural landscapes in order to effectively manage the landscape of organic agriculture and, intended to be used to maintain and preserve natural and ecologically harmonious landscapes by deriving management methods suitable for landscape elements targeting the major landscape elements of the organic farming complex. To carry out, this study performed the experts survey which is composed of 13 major landscape elements, including rice paddies and fields, monoculture and diverse crops, dirt roads, windbreak trees, accent planting, dum-bung(small pond), natural small river, natural waterways, plastic film houses, one-storied houses, and pavilion. As a result, Farm land was formed in a square shape, concentrated in an independent space, planted companion plants around the crop, and covered with plants to manage the borders. As for the surrounding environment, it was analyzed that the aspart road system circulating through the village, the evergreen broad-leaved windbreak forest around the cultivated land, and the accent plant located at the entrance of the village were suitable. The hydrological environment consists of Round small pond made of stone in an open space, natural rivers around the village, and natural channels around the farmland, and The Major facilities are suitable for greenhouses that are shielded by plants in independent regions, and wooden duck houses located inside the cultivation area are suitable and The settlement facilities were analyzed to be suitable for single-story brick houses located in independent residential areas, pavilion located with greenery in the center of the village, and educational spaces shielded with wood from arable land. If supplementary evaluation criteria suitable for the management of organic farming landscape are additionally supplemented based on the results derived from this study, It is expected to enhance the landscape value of ecologically superior organic farming.

Spatial Distribution and Temporal Variation of Estuarine Wetlands by Estuary Type (하구유형에 따른 권역별 하구습지의 분포특성과 시계열 변동추이 분석)

  • Rho, Paikho;Lee, Chang-Hee
    • Journal of the Korean Geographical Society
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    • v.49 no.3
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    • pp.321-338
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    • 2014
  • This study aims to identify spatial distribution of estuarine wetlands in Korea, and to assess temporal variation of the wetlands in the last few decades. Widely known in environmental and coastal management, watershed-based regions which composed with Han-river(western and eastern parts), Keum-river, Yeoungsan-river, Seomjin-river, Nakdong-river, and Jeju, are analyzed to evaluate temporal change of estuarine wetlands in the 1980s, 1990s, and 2000s, through the land-cover map. Results show that estuarine wetlands dramatically decreased in Han-river(western part), Keum-river, Yeoungsan-river that estuarine circulation have been interrupted with man-made structures such as dyke and drainage. But, estuarine wetlands surrounded by forests and grasslands has been relatively less damaged. Habitat diversity providing healthy estuary ecosystem is lower in interrupted estuaries than circulated estuaries, which are composed of tidal-flat, open water, salt marsh, rocky coasts and sandy shoreline. This study indicates that spatial distribution and temporal variation of estuarine wetlands are different with estuary type and region, so estuary type with seven regions can be applied to provides a framework for estuary management strategies and to establish estuary restoration plans.

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A Strategic Study of Pedestrian-Friendly Reconstruction in University Campus Core - Case Study of 'H' University in Gyeonggi-do Province - (대학 캠퍼스코어의 보행친화형 개조전략 연구 - 경기도 H대학교를 사례로 -)

  • Hong, Youn-Soon;Park, Chung-In
    • Journal of the Korean Institute of Landscape Architecture
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    • v.42 no.6
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    • pp.89-100
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    • 2014
  • The Campus Core is centered at the physical, functional and symbolic environment of a university, which is known as the top academic institution, hence it metaphorically represents not only the educational philosophy when institution first opened, but also the transformed values of the time. Today, universities are asked to actively communicate with the local community in terms of function and be remodeled as pedestrian-friendly campuses in terms of physical environment. For this reason, the study comprehends the concept of the campus core in accordance with a pedestrian-friendly environment and suggests a practical plan for campus cores of district national universities based on previous research examination. Since the purpose of the study is to suggest a change in the circulation system centered on vehicle use to transform into a pedestrian-friendly environment through a planned approach while introducing public mixed-use at the same time, the study supports the fact that it is possible to reorganize the strategy of a pedestrian-friendly circulation system and partially revise the land utilization to yield the expected outcomes. Thus, this study will provide valid suggestions for similar maintenance plans while looking back to the meaning and value of today's campus core.

A Study on Selection of Standard Scenarios in Korea for Climate Change (기후변화 표준 시나리오 선정에 관한 연구)

  • Lee, Jae-Kyoung;Kim, Young-Oh
    • Journal of Climate Change Research
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    • v.1 no.1
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    • pp.59-73
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    • 2010
  • One of the most important issues for projecting future water resources and establishing climate change adaptation strategies is 'uncertainty'. In Korea, climate change research results were very heterogeneous even in a same basin, but there have been few climate change studies dealt with the uncertainty reduction. This is because emission scenarios, GCMs, downscaling, and rainfall-runoff models that were used in the previous studies were almost all different. In this research, fifty one GCM scenarios based A and B emission scenarios were downloaded and then compared with the observed values for a period from January 2001 to December 2008. The downloaded GCM scenarios in general simulated well the observed but did not simulated well the observed precipitation especially for the flood season in Korea. The accuracy of each GCM scenario was measured with the model efficiency, PDF-based, and Relative Entropy methodology. Among the selected GCM scenarios with three methodologies, the four common GCM scenarios(CGCM2.3.2(MRI-M, B1), MIROC3.2medress(NIES, B1), CGCM2.3.2(MRI-M, A2), CGCM2.3.2(MRI-M, A1B) were finally selected. Results of the four selected GCMs were heterogeneity and projected increases of precipitation for the Korean Peninsula by from 27.36% to 12.49%, respectively. It seems very risky to rely a water planning or a management policy on use of a single climate change scenario and from this research results. Therefore, the four selected GCM scenarios proposed quantitatively were considered firstly for the water supply in the dry season and the drought management strategy in the Korean Peninsula for the future.

A Study on the Estimation of Limits to Life Expectancy (한국인 기대여명의 한계추정에 관한 연구)

  • 천성수;김정근
    • Korea journal of population studies
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    • v.16 no.2
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    • pp.65-83
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    • 1993
  • The purpose of this study is estimate limits of Korean life expectancy at birth by 'Gompertz growth curse Model', 'Cause-Elimination Model' and Multidimensional models of Senescencee and Mortality'. Data used in Gompertz curve were obtained from all life tables published from 1905 to 1990 in Korea, and life expectancies at birth of eighteen groups were selected at five-year interval in consideration of time-series changes. Data used in Cause-Elimination Model are 'Cause of Death statistics in 1991' published in 1992 by National Bureau of Statistics of Korea and 'life table of 1989' published in 1990 by National Bureau of Statistics, Economic Planning Board of Korea. The materials are all classifiable death data, 119, 253 cases of male and 82, 420 cases of female, which is from 1991 Causes of Death statistics. The cases of death analyzed belong to one of 8 categories; i.e., Infectious and Parasitic Diseases(001-139; with notation of Infectious Diseases), Malignant Neoplasms(140-208), Hypertensive Diseases(401-405), Ischemic Heart Dieases and Diseases of Pulmonary Circulation and Other Forms of Heart Diseases(410-429;with notation of Heart Disease), Cerebrovascular Diseases(430-438), Chronic Liver Diseases and Cirrhosis(571; with notation of Liver Diseases), Injury and Poisoning(800-999) and all other disease. Data used in 'Multidimensional models of senescence and mortality' were life table of 1989 published by National Bureau of statistics, Economic Planning Board of Korea and life table of 1970, 1978-79, 1983, 1985 and 1987. The major findings may be summarised as follows: 1. Estimate equations of Gompertz growth curve using life expectancy at birth during the 1905-1990 period are as the following. Male : y = 88.047697 $\times$ $0.199690^{0.903381x}$ Female : y = 95.632828 $\times$ $0.199690^{0.903381x}$ Limits of life expectancy at birth, which were estimated by Gompertz growth curve, are 88.05 for male and 95.63 for female. 2. The effect on life expectancy at birth eliminationg all causes death is 14.04 years(for male) and 10.86 years(for female). Astonishingly, eliminating the malignant neoplasms increase life expectancy at birth by 2.85 years for male 2.03 years for female in 1991. In table 8 we show the effect on life expectancy at birth of separately eliminating each of the 8 categorical causes of death. The theoretical limit to life expectancy by Cause-Elimination Model is 80.96 for male and 85.82 for female. 3. If the same rate of delay [0.376 year(male), 0.435 year(femable) per calendar year] continued, then life expectancy at birth would reach 74.82(male) years and 84, 10(female) years in 2010. With 14.04-years(male) and 10.86-years(female) effect attributable in 2010 would be 88.86 years(male) and 94.96(femable) years. 4. 'Multidimensional models of senescence and death' permits calculations of the value of the attribution coefficient (B), percent of loss per year of physiologic function. The results of Ro and B during the 1970-1989 period are listed in table 9. Estimate of limit to Korean life expectancy at birth by 'Multidimensional models of senescence and death' is 99.47 years for male and 104.74 years for female in 1989.

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Planning and Application of the Korea Ocean Gate Array (KOGA) Program (KOGA 기획과 활용연구)

  • Shin, Chang-Woong;Park, Kwang-Soon;Rho, Young-Jae;Chang, Kyung-Il;Pang, Ig-Chan;Moon, Il-Ju;Kim, Tae-Lim;Kim, Bong-Chae;Kim, Dong-Sun;Kim, Kwang-Hee;Kim, Ki-Wan;Rho, Tae-Keun;Lim, Kwan-Chang
    • Ocean and Polar Research
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    • v.32 no.3
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    • pp.213-228
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    • 2010
  • In late 2010, the Korea Hydrographic and Oceanographic Administration proposed a national monitoring project involving the deployment of 8 realtime ocean data buoys. The area occupied by the buoy-array, located south of the Ieodo Ocean Research Station, can be regarded as a kind of gateway to Korean waters with respect to warm currents and the shipping industry. The acronym for the project, KOGA (Korea Ocean Gate Array) was derived from this aspect. To ensure the success of the project, international cooperation with the neighboring countries of China and Japan is highly desirable. Once KOGA is successfully launched and the moored buoys start to produce data, the data will be applied to various areas such as data assimilation for operational oceanography, circulation dynamics, biogeochemical studies, satellite observations, and air-sea interactions. The aim of this paper is to provide suggestions for KOGA planning and applications.

A Study on the Layout Patterns of Public Schools in Manhattan - Focused on Relationship between Manhattan Grid Plan and Open Space - (뉴욕시 공립학교에 나타난 배치 특성에 관한 연구 - 맨하튼 가로체계와 외부공간의 관계를 중심으로 -)

  • Kim, Pil-Soo;Jeon, You-Chang
    • Journal of the Korean Institute of Educational Facilities
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    • v.20 no.2
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    • pp.3-14
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    • 2013
  • The purpose of this study is to analyze patterns of public school building layout types, open space and relationship with communities in the Manhattan grid plan. The study illustrates how building layout patterns of school facilities are influenced by societal demands in the urban grid environment. During the nineteenth century, the Island of Manhattan was transformed into a physical representation of the Cartesian coordinate system via the development of the grid street plan. In order to take advantage of streets as urban space, it is quite important to understand characteristics of communities and open space relationships between buildings and streets. Moreover, the strategic planning of schools' outdoor space vitalizes public streets as a critical community anchor. This research reviews 118 Manhattan public schools and categorizes them by (1) building layout type, (2) site type, (3) circulation and public open space, which are the biggest factors that determine the layout patterns of the public schools in Manhattan. As a result of analysis, the layout patterns are classified into seven types : "ㅡ", "L", "ㄷ", "ㅁ", "H", "T" and "other" type. Of these, "ㅡ" type and "L" type occur most frequently, because these configurations most flexibly fit into the limited grid-locked blocks, the various types of site & topography, and adapt most dynamically to the open spaces created by using avenues and streets. The ultimate objective of this study is to provide a case study for future efforts to plan open spaces for campuses that effectively utilize the streets in proximity.

A Study on the Types and Characteristics of Visitors' Behavior in a Science Museum - Focused on the Mutual Influence of Family Visitors - (과학관 관람행태의 유형과 특성에 관한 연구 - 가족 관람객 상호작용을 중심으로 -)

  • Park, Ga-Young;Jung, Sung-Wook
    • Korean Institute of Interior Design Journal
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    • v.20 no.6
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    • pp.262-271
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    • 2011
  • The purpose of this study was to classify types of family visitors' behaviors more concretely, which could be useful in planning of exhibition spaces in a science museum, with given priority to their behaviors according to interaction between them, and to understand characteristics of the behaviors. With this view, the scope of this study was restricted to subjects, who were family visitors of Gwacheon National Science Museum, consisting of parents and their one elementary school child per family unit. For understanding their behaviors, itinerary tracking and observation method of behavior were conducted. Moreover, for understanding substantial types and characteristics of family visitors' behaviors, multivariate analysis was applied. Accordingly, the results of the study are as follows. First, as a result of factor analysis, two main factors were derived. In other words, they were 'Durability of viewing' as the first and 'Interactivity between family members' as the second, which were shown valid in classification of the types of their behaviors. Second, according to the factors derived, the types of their behaviors were classified into in-depth cooperative viewing, selective independent viewing, interest concentration child-led viewing and consideration parent-led viewing. They were shown valid in topological localization and classification, as a result of analysis of the main factors. Third, in view of common characteristics of the types, it is judged that active orientation prior to regular viewing could encourage visitors coming to the museum for the first time to feel more friendly to unfamiliar exhibition environments, during the initial seek time, and to reduce visual supersaturation. Fourth, it is judged that distributed arrangement of exhibits, which result in continuous standby, could avoid confused visitor circulation by the estimated time required for viewing.