• 한국컴퓨터정보학회논문지
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• 제18권1호
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• pp.103-110
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• 2013

RFID는 병원에서 많은 비용을 절감하고 환자의 안전을 재고하여 양질의 의료 서비스를 제공케 하는데 큰 잠재력을 가지고 있는 것으로 평가받고 있다. 유비쿼터스 기술이 의료시장 개방의 환경 속에서 국내 의료기관들은 치열한 서비스 경쟁을 펼치고 있고, IT 비용을 절감하여 의료 활동에 역량을 집중하고자 병원만의 경쟁력을 드높일 수단으로 첨단 IT 기술을 활용한 u-Hospital 구축의 필요성이 대두되고 있다. 본 논문에서는 유비쿼터스 컴퓨팅 기술을 활용하여 수술환자의 위치 추적 시스템을 설계하여, 환자의 안전성 확보 및 의료 서비스의 질을 높이는 서비스를 제공할 수 있는 병원정보시스템 연동을 통한 RFID 기반의 u-Hospital 시스템을 설계하는 것을 목표로 한다.

• Archives of Plastic Surgery
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• 제44권4호
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• pp.344-347
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• 2017

Preservation of the breast skin envelope during immediate implant-based breast reconstruction is important for producing symmetrical and natural-looking breasts. We propose the lazy S design for the closure of round-shaped wounds with the hope of improving the aesthetic outcomes and reducing the tension on the wound by preserving the skin. Additionally, the direction of tension is dispersed due to the shape of this design. Patients undergoing implant reconstruction after skin-sparing mastectomy may benefit from the lazy S design.

• 한국실내디자인학회논문집
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• 제24권2호
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• pp.189-196
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• 2015

In case of Senior Hospitals, meticulous care is required in both amount and quality of natural lighting because of the semi-long term residence of patients. Natural lighting has a huge impact on the physical and psychological part for the seniors. Likewise, natural lighting is an important factor considered for hospital design because it can also effect hospitalization period of patients. Research subject was K Senior Hospital which was determined as the courtyard-type building made to provide healing environment through natural lighting. Analysis was performed by dividing the space of K Senior Hospital into Central Treatment Department directly used by patients, Outpatient Department(OPD), Ward Department, Common Use Department. Research was carried out in two ways of integration value analysis using SPACE SYNTAX and illumination intensity analysis using ECOTECT. K Senior Hospital intended to actively let in natural light through courtyard and to make patients exposed to natural light when they walk along the circuit corridor built around the courtyard. This environmental consideration affected the utilization rate of Common Use Department and residence time of patients raising the average of Common Use Department on every floor. As a resuit of this study presenting type C and type D, part of four types of illumination intensity, takes higher percentage of almost every spaces compare to the others therefore K Senior Hospital was designed on the assumption of healing environment composition through natural light. The result of this research would be used meaningfully in the space programming phase of Senior Hospitals in the future. Utilization rate can be adjusted using illumination intensity value in the space that integration rate should be planed to be high. The use(purpose) of space and integration rate can be used as a guideline to set illumination intensity of natural.

• Journal of Chest Surgery
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• 제54권1호
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• pp.53-58
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• 2021

Background: We aimed to investigate the characteristics of primary spontaneous pneumothorax (PSP) in adolescents and to analyze the relationship between the occurrence of PSP and air pollutants. Methods: Data pertaining to age, sex, body mass index, smoking status, initial pneumothorax volume, presence of bullae, treatment methods, and city of residence were retrospectively obtained from January 2010 to December 2014. We investigated the association between short-term exposure to air pollutants (SO2, NO2, O3, CO, and PM10) and the occurrence of PSP using a case-crossover design with conditional logistic regression. Results: We collected information from 598 patients who were admitted for PSP, with a mean follow-up duration of 62.9 months. The majority (91.1%) of the patients were male. In the case-crossover design, conditional logistic regression showed that no air pollutant was associated with the occurrence of pneumothorax. The results were consistent across all city subgroups (Anyang, Gunpo, Uiwang, and Gwacheon). Conclusion: In our study, the incidence rate of pneumothorax was 153.8 per 100,000 person-years in male adolescents and 16.7 per 100,000 person-years in female adolescents. The case-crossover design showed that PSP in adolescents is unlikely to be related to air pollution.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.91-100
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• 2014

Purpose : The purpose of this paper is to analyze the characteristics of hospital architecture constructed in each periods and identify the changing process of hospital architecture in Korea since 1945. Methods : Literature review was conducted while the data of hospitals had been collected and the subject of investigation were selected. The important point of analysis is about design conception, site plan, block plan and hospital form. Results : The characteristics of hospital architecture are identified in each periods. Developed by private sector, hospitals have enlarged their beds and sizes under the competitive environments. In terms of size and external shape, vertical form has become a dominant scene of hospital forms in Korea. Among the dominance of tower-on podium, various block plans have been adopted with hospital streets. Also a few cases of horizontal disintegrated form was introduced. Implications : This paper could be the basic data to organize the history of Korean Hospital Architecture, and insufficient data should be supplemented continuously.

• 한국실내디자인학회논문집
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• 제25권4호
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• pp.113-124
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• 2016

This research examines domestic and oversea's barrier-free design guidelines provided exclusively for children and their implementations in the common spaces of the outpatient clinics in two pediatric rehabilitation hospitals in Seoul. Based on literature review, a checklist was developed to compare various barrier-free design guidelines in consideration of children's accessibility in space. In addition, four spatial areas in the outpatient clinics of the two hospitals were investigated based on the checklist. As a result, the domestic and Japanese guidelines were aiming primarily to all user groups regardless of ages. Whereas in other oversea's guidelines, a number of barrier-free design standards exclusive for children were found in the facility items such as handrail, sink, urine, toilet, water fountain, chair, table, shelve, and so on, throughout the indoor waiting and sanitary spaces. Concerning implementations, most of the items in the indoor passage, waiting, and sanitary spaces of the two hospitals were not sufficiently facilitated enough to meet with the barrier-free design standards exclusive for children. As such, it is recommended to review and improve the current domestic barrier-free design guideline to accommodate various physical and spatial needs of children in all age groups and regardless of disability types, in the design of a pediatric rehabilitation hospital in the future.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제37권
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• pp.44.1-44.6
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• 2015

Background: The present study introduces the design and fabrication of a simple surgical guide with which to perform genioplasty. Methods: A three-dimensional reconstruction of the patient's cranio-maxilla region was built, with a dentofacial skeletal model, then derived from CT DICOM data. A surgical simulation was performed on the maxilla and mandible, using three-dimensional cephalometry. We then simulated a full genioplasty, in silico, using the three-dimensional (3D) model of the mandible, according to the final surgical treatment plan. The simulation allowed us to design a surgical guide for genioplasty, which was then computer-rendered and 3D-printed. The manufactured surgical device was ultimately used in an actual genioplasty to guide the osteotomy and to move the cut bone segment to the intended location. Results: We successfully performed the osteotomy, as planned during a genioplasty, using the computer-aided design and computer-aided manufacturing (CAD/CAM) surgical guide that we initially designed and tested using simulated surgery. Conclusions: The surgical guide that we developed proved to be a simple and practical tool with which to assist the surgeon in accurately cutting and removing bone segments, during a genioplasty surgery, as preoperatively planned during 3D surgical simulations.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권1호
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• pp.7-17
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• 2004

This study aims to propose planning guides and general suggestions in the remodeling of general hospitals. Among the many goals in the hospital remodeling, this study focuses on the enhancing the 'healing environment' to existing building. Accordingly this study analyzes design criteria for 'healing environment' through the case study of 'A' hospital which has been remodeled recently, and compares those criteria with actual execution.

• 한국실내디자인학회논문집
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• 제17권2호
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• pp.75-82
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• 2008

Weeks who is an architect in England suggest that let us consider the hospital architecture as not determined architecture but an undetermined architecture. Because it has been changing unexpectedly. The changing process of hospital architecture is required that it has to involve the new function and be a role model because of variations of environmental factors. For silving the requirements above mentioned, hospital architecture takes the way of appropriateness inner origin form and finally it considers new formation. The 53% of hospital buildings in Korea were built in 1980s. For 30years, these buildings have been not only extended a buildings but also changed in parts of functions and sizes on buildings which are original. The purpose of this study is producing the basic references which suggest solution to face on the changing of hospital building during planning it in the future using by analysis of variation inside the hospital building and grasping of characters in each departments. Each department is analyzed as follows. There is no inner change but only expansion partly by enlargement of building. In the outpatient, there is not only expansion by enlargement of building and but also extension toward other parts and the rate of variation of inside is high. In the diagnostic treatment, there are differences in diagnostic treatment. Surgical suit and diagnostic imaging have been expanded by enlargement than the change of inside. But the others of the departments have been changed by change of inside and also there are sometimes changes of inner walls.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제26권1호
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• pp.73-84
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• 2020

Purpose: Though Korean healthcare services have been upgraded, infection and fire had been broken out in general hospitals. And higher concerns about quality assessment made it to clinical laboratory design guideline studies. So, this study investigates the facilities, equipment and personnel of laboratory medicine focusing on more than five hundred fifty bed hospital, and contributes to make guidelines for safety and efficiency in lab. Methods: Questionnaires to supervisor technologist and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 16 answers have been analysed statistically by MS Excel program. Results: Most of the sample tests such as hematology, clinical chemistry, immunology, transfusion, urinalysis, microbiology and molecular diagnosis are performed by more than 80% in large sized general hospital laboratory. In the test methods, automatic analyzers are used up to 80%, total laboratory automation up to 43% in clinical chemistry and immunology, and manual tests in all sorts of the test. There are placed in single lab or two and three labs above the ground, which are all in semi-open lab. There is some correlation with the number of specimens and the number of lab people depending on the number of hospital beds. Laboratory environment shows that work distance is good, but evacuation path width, visibility, separation of staff area from automatic analyzer, and equipment installations are needed to have more spaces and gears. Most of the infection controls are equipped with mechanical ventilation, air-conditioning, washbasin and wastewater separation, BSC installation and negative pressure lab room. Implications: Although the laboratory space area is calculated considering the number of hospital beds, type of tests and number of staff, hospital's expertise and the samples numbers per year should be taken into account in the planning of the hospital.