• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.2
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• pp.51-62
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• 2019

Purpose: This study aims to examine spatial characteristics of ambulatory care department Chronologically through case studies; and to consider the social implication of these spatial changes. Methods: In this study, a total of eight ambulatory care departments, one or two for each period, were selected in order to analyze the spatial characteristics. Results: First, since the 1990s, the outpatient department of the US has been changed into a patient-centered space by providing high quality outpatient medical services through individual exam room planning. Second, the exam room has been changed from open/semi-open/group exam room to individual exam room since 1990, and the trend is shifting from the cluster type to the modular type consisting of universal exam rooms in order to achieve the flexibility of exam room. Third, the diagnostic/testing area has been deployed to the ambulatory clinic to enable 'one-stop shopping' for patients-centered care since 1990s, however, it has been disappearing since 2000 due to Reduce medical expenses. Fourth, the Central Nursing Station type first appeared in the outpatient department In the 2000s, followed by the type of decentralized nursing station type since 2010s. And fifth, the area of medical support has been placing to be concentrated on one place due to the Lean Design strategy since 2010. Implications: In the future, it is expected that Korea will be more focused on efficiency, visual control, and flexibility in the planning of the ambulatory care department as in the case of the United States.

• Journal of The Korea Institute of Healthcare Architecture
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• v.27 no.4
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• pp.51-60
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• 2021

Purpose: Tuberculosis(TB) care unit in public health center should be carefully considered to be re-designed as an infection safety environment for both patient and healthcare workers. So, for the enhancement, this study analyses the facility requirements for co-using the screening clinic as a TB and other respiratory disease care unit. Methods: Not only screening clinic facility guidelines from "A Study for Standard Triage Design and Construction Document" but also the guidelines of TB care and related medical facility are reviewed; KDCA, CDC, ECDC and WHO as a TB care, and FGI and NHS for facility. The facility requirements are summarized space, approach, and mechanical requirement in order. By comparing the summary and screening clinic facility guidelines, supplementations are proposed for TB care unit setting. Results: The result of this study shows that both the space program and mechanical requirement of the screening clinic and that of TB care unit are almost identical and could be share, which include direct airflow or negative air pressure in an exam room. To increase functional and economical efficiency, however, it is necessary to consider a multi-functional negative pressured room, So care process may be re-designed based on a room type; face-to-face room or glass wall inbetween. Implications: The facility guidelines for TB care unit of a public health center should be developed to build a safe environment for infection control by reflecting its medical plan and budget.

• Korean Journal of Digital Imaging in Medicine
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• v.3 no.1
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• pp.52-58
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• 1997

Before entering 21st Century, modern medical science is requiring more precise display which is highly estimated in diagnostic value as radial science technology is achieving sharp development. And it is also trying to contribute to improve national health and to offer better service by reducing radial exposure. General projection and Fluoroscopy which are most difficult to be displayed in digital tend to change their way ; from analog to digital with development of Electronic Engineering and Computer Technology, Introducing to CR system in 1994, SMC have displayed General projection and Fluoroscopy 100% in digital using CR system. This study searched differences between repeat rate, repeat type in the exam using Film/Screen and those in the exam using CR system. According to the analysis of repeat types and repeat rate of Film which was reused by using CR system in general projection room and Fluoroscopy room of SMC, we found that total 192,813 films were used and 2,097 films, 1.09% of total were reused. However, actual repeat covers 0.76% to 1,461 sheets with the exception of 636sheets. As above, display process using CR system is 0.76% much lower than general repeat rate 2$\sim$4% of Film/Screen exam. Besides decreased under/over exposure, it is appeared that position failure rate in repeat rate 0.76% covers relatively high 31%. Noticing that repeat caused unskilled devices handing was found many times, sufficient understanding seems to be required to reduce repeat.

• Journal of The Korea Institute of Healthcare Architecture
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• v.7 no.1
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• pp.33-44
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• 2001

This study is about the Spatial Composition and Area Calculation in Plastic Surgical Clinics. 1. The space of the plastic surgical clinics are divided into 4 sections; exam, exam support, the staffs, and waiting and reception area. 2. The average G/N ratio of width was 1.46. The Plastic surgical clinics which had great deviation in the ratio showed these characteristics; first, when they were planned at first, the operation rooms were not assigned enough space; second. space for supporting exam and the activities of staffs was given too little consideration in their first drafts. 3. The average size of operation rooms was $21.76m^2$. The most desirable size was found to be $26.4m^2$ when we put the number of staffs, the movement area of stretcher, and the movement lines of operation room into consideration.

• The Journal of the Korean dental association
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• v.38 no.12 s.379
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• pp.1172-1177
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• 2000

Eighty nine-year-old female patient admitted to our department via emergency room. On initial exam, she showed right facial swelling, irismus, pain, and poor oral hygiene. Tentative diagnosis was facial cellulitis. In spite of aggressive treatment such as antibiotic, incision and drainage, medically intensive therapy, she was dead with cardiopulmonary arrest and sepsis.

• Korean Journal of Digital Imaging in Medicine
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• v.12 no.2
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• pp.89-95
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• 2010

High contrast and high resolution are the most important factors for examining mammography images. Despite of the inconveniences of screen-film, most clinics still prefer them to computed radiography(CR) and direct radiography(DR). The reading of screen-film mammography images is influenced by the brightness from the X-ray illuminator, the exam room and incoming light from outside sources. Therefore, a comparative analysis on the results of mammo phantom images would be variated by the changes in the reading environment. There was no influence on reading results from the examiners close distance eyesight(p > 0.05); however, reading of micro lesions improved with greater darkness in the X-ray film reading room and the brightness of the X-ray illuminator(p < 0.05). Also, observation of fiber and mass images were maximized at a distance of 50 cm from the reader. Now, it is possible to observe these small classification groups using a magnifying glass without being physically close to the image. For the image of mammography, obtaining high quality images is important but in order to get an accurate clinical lesions of the reading also needs to be considered the optimal environmental factors.

• Journal of Family Resource Management and Policy Review
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• v.9 no.4
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• pp.21-40
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• 2005

The purpose of this study was to exam the activities by the distribution of time and space occupancy on their weekday and weekend. to study the space and labor segregation by sex. The sample population included 23 wives and their husbands(30-40 years old). The major findings of the research are as follows: First, it shows that wives' time use by activity was consistent with the space occupancy on weekday. Second, on weekend, wives was used to stay in living room most of time. Thirdly, husbands show the stereotype of time use on weekday, and substitute leisure time for labor time. Finally, on weekend, the wives and husbands have the joint time in the household labor or leisure activities.

• The Journal of the Korea Contents Association
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• v.16 no.11
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• pp.699-706
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• 2016

This study aimed to propose the necessity and system establishment of noise reduction facility via evaluating noise level exposed by the radiographer due to MRI scan. Noise measurements were carried out using at S general hospital in Daejeon using 1.5 Tesla MRI (7 exams) and 3.0 Tesla MRI (16 exams), while using SC-804 noise meter. The measurement distance was from the soundproof door of the MRI room to the radiographer which measured 100cm, and the measurement height, the height to the radiographer's ears when working, 100cm. The noise measured for each exam was an average of three measures per exam which observed the noise occurring in each sequence recorded every 20 seconds. As the results, the maximum of noise exposed by the radiographer is 73.3 dB(A), which is MRCP by the 3.0 Tesla device, and also the maximum of average noise is 66.9(3.1) dB(A), which is Myelogram by the 3.0 Tesla device. Average noise by each device is 61.9(4.1) dB(A) by the 3.0 Tesla device and 52.0(3.1) dB(A) by the 1.5 Tesla device, which comes to the result that the 3.0 Tesla MRI device is about 10 dB(A) degree higher(p <0.001). The noise level exposed by the radiographer does not affect auditory acuity, but the level is able to incur a non auditory effect. The reflect sound can be removed by installing curtains in the rear wall of MRI control room in order to reduce the noises, but, first of all, An institutional system is needed in order to prevent noise.

• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.29-38
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• 2008

Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED). Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders. Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue). Conclusions: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.1
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• pp.64-74
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• 2004

This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.