• Title/Summary/Keyword: Healing environment

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The Efficiency of VAC(Vacuum-Assisted Closure) in Non-healing Wound (하지의 난치성 창상치유에 있어 VAC(Vacuum-Assisted Closure)의 유용성)

  • Park, Jung Min;Kwon, Yong Seok;Jung, Ki Hwan;Lee, Keun Cheol;Kim, Seok Kwun;An, Won Suk
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.727-732
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    • 2005
  • The treatment of wounds of the lower extremity caused by diabetes or vascular dysfunction remains a difficult problem for the plastic surgeon. The use of negative pressure in wound healing is a relatively new method to facilitate chronic wound healing by secondary healing. The use of vacuum-assisted closure(VAC) system is purposed to reduce local edema, increase regional blood flow, enhance epithelial migration, preserve a moist wound environment, reduce bacterial colonization, promote granulation tissue formation, and mechanically enhance wound closure. The VAC also can be used as a dressing for anchoring an applied split thickness skin graft. We reviewed the data from 20 consecutive patients with non-healing wound in lower extremity at Dong-A University from March 2002 to December 2004. We used the VAC in 20 patients and compared the results with the control group. In the VAC using group, mean application duration was about 3 weeks and dressing change was done every other day. The follow-up period of patients ranged from 3 months to 30 months with a mean of 17 months. The points of comparison with control group are wound size, granulation tissue proliferation rate, operation method, preoperative time, postoperative healing time, complication, and cost. With those points, we propose to approve the efficiency of the VAC in non-healing wound. As a result, the VAC used in non-healing wound decrease wound size, accelerate granulation tissue formation, do a wound closure with less invasive operation method, make less postoperative complication, can make operation time shorter. Therefore it is cost effect. Our results demonstrate the usefulness of VAC as an adjunct in management of chronic wounds with other extrinsic factors.

An Analysis of the Healing Effects by Types of Forest Space - Focused on Psychological Restorativeness and Satisfaction - (숲 공간유형별 특성에 따른 치유효과 분석 - 심리적 회복감과 만족도를 중심으로 -)

  • Park, Sun-A;Lee, Myungwoo
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.4
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    • pp.75-85
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    • 2016
  • In recent years, natural healing space studies have been done in health care and forestry. However, previous studies have focused on healing effects of natural elements in interior space or natural landscape view. And there is a limit to using the evidence for healing space design. The aim of this study is to discover the relationship between types and effects of healing space for evidence-based design. This study compares and analyzes the mayor images, psychological restorativeness, and satisfaction to identify the effects and differences of natural trail, designed trail, natural shelter, and designed shelter by types of forest space. Collected data is analyzed with a factorial analysis, valiance analysis and multiple regression analysis in SPSS 18.0. The results of this study are as follows: 1) Among five factors consisting psychological restorativeness, natural trail can be achieved with 'being away' and 'compatibility' and designed shelter can be achieved with 'fascination' and 'coherence'., 2) Psychological restorativeness values higher in images with higher excitement, brightness, vitality, and beautifulness as well as in images with lower level of disorder., 3) Among five factors consisting psychological restorativeness, higher forest satisfaction can be achieved with a higher level of 'being away' and 'coherence'. In conclusion, this study contributes to providing fundamental information for design guidelines of healing spaces through identifying the characteristics of healing environment by types of forest space.

Earth Construction Interior Applied to Healing Space : Focused on Biophilic Design Concept of Oriental Medical Clinic Interior (치유공간에 적용한 흙건축 인테리어 -한의원인테리어의 바이오필릭(Biophilic)디자인개념을 중심으로-)

  • Jeon, Chan Hee;Hwang, Hey Zoo
    • Journal of the Korean Society of Floral Art and Design
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    • no.42
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    • pp.37-62
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    • 2020
  • The earth is a natural material that has natural healing power,,as a natural ingredient, it brings environmental friendliness, emotional. In this Research, for one of the methods to expand the benefits as a healing space, Construction of the Earth design and earth construction methods have been actively used for effectiveness of the Earth in the construction of the interior with the oriental medical clinic. By utilizing the concept of biophilic design as a healing environment design, symbolizing nature such as color, light, plants, flowers, and natural materials such as earth and wood was directed as oriental medicine interiors. In addition, the space was divided according to the movement of patients and used different Earth construction method to each of the space for the distinction and differentiation according to the characteristics of each space. At this time, the Earth was constructed with materials and finishing materials that meet the highest grade of HB (Healthy Building), an eco-friendly building material certification grade without additives, so that the interior and medical treatment concept can be done at the same time. By using Earth as the basis of elements in the construction, and the design of healing space, patient the concept of Biophillic as a healing environment design. This may serve as a technical, aesthetic, and cultural basis for constructing a healing space by Earth in the future-oriented alternative, it may lead to necessity of eco-friendly and ecological architecture, and it may be an opportunity to expand the application area of earth in architectural design.

COMPARATIVE STUDY OF WOUND HEALING FOLLOWING PARTIAL GLOSSECTOMY OF RAT TONGUE USING CO2 LASER AND SCALPEL ($CO_2$ 레이저와 일반 수술도를 이용한 백서의 부분적설 절제술 후의 창상치유에 관한 비교연구)

  • Jang, Jae-Pil;Kim, Kyung-Wook;Lee, Jae-Hoon;Kim, Chang-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.437-445
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    • 2000
  • Object This study is focused on the comparison between $CO_2$ laser and scalpel by examining the overal process of wound healing after partial glossectomy of rats so that the result from the research could be easily applied to actual clinical environment. Method and Material In this research, 2mm defect was formed on both lateral borders of the tongue of rats by using $CO_2$ laser and scalpel respectively. 4rats were sacrified each time on the 1st, 2nd, 4th, 7th, 14th and 21th day according to a general method. After fabricating $5{\mu}m$ paraffin specimen, H&E staining and MT staining were performed. Results Compared to scalpel, wound healing by $CO_2$ laser leads to a earlier initiation of vascular proliferation and re-epithelization. Therefore, some influence is exerted on the early stage of wound healing. However, the two methods seem to undergo the similar healing process.

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A Study on the Introduction of Natural Elements in Public places of Nursing Homes - Focusing on ensuring the amenity of mediation, interaction, and rest places - (노인요양시설 공용공간의 자연요소 도입에 관한 연구 - 매개, 교류, 휴식공간의 쾌적성 확보를 중심으로 -)

  • Jun, Myung-Sook;Choi, Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.18 no.1
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    • pp.108-116
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    • 2009
  • As an aging society accelerates its pace for the present, providing a pleasant environment to nursing homes is such an environmental requirement with which elderly people could improve their quality of life and even acquire the effects of healing. As an optimal element of ensuring amenity, nature is a general hospital that heals human beings physically and mentally. In this vein, the investigator drew out the frame of analysis, namely emotional/healing/relating amenity, by means of theoretical examination of such natural elements as water, light, soil/stone, and plant. And on the basis of the drawn amenity, the investigator examined the application of natural elements to study subjects in order to analyze the ensured amenity. Study findings show that the existing nursing homes have ensured healing amenity sufficiently, but they are unsatisfactory in ensuring emotional and relating amenity. Based on interview survey, the investigator suggests that the introduction of natural elements into nursing homes such public space as mediation space, interaction space, and rest places to ensure emotional/healing/relating amenity must be ideally equipped with the formation of outdoor forest in which water, light, soil/stone, and plant get joined together, rather than Introducing a single element respectively. In addition, the plan of construction of nursing homes must take residing elderly people's emotional/healing/relating amenity into account on the basis of physical amenity.

Study for Color Planning Cases of Geriatric Hospitals for Healing Environment (치유환경을 위한 노인전문병원의 색채계획 사례 분석;NCS 색감(color nuance) 중심으로)

  • Kim, Joon-Ji;Lee, Hyun-Soo
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.173-177
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    • 2006
  • Color can stir up the feeling and the thinking of the human inside, and heals human's illness. The color of architecture is a systematic physical space of shape and color. In other words, color is a kind of visual language organizing a structure and interact with human. The color of hospital can be specially effective to heal the elderly. This study intends to help geriatric hospital in future to elevate remedial value and indicate basic data for adapted the elderly environment. NCS is a kind of color system based on the human psychology and nature. This study researched the color of geriatric hospital with NCS and annualized the color nuance of each spaces. As a result the distribution of color nuance show the present of the geriatric hospital's color planning.

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Characteristics of Spatial Environment in Psychiatric Wards through the Analysis by Patient's Preferred Healing Environment in Observational Ward Structure Dividing Staff Area and Patient Area (정신요양 병동에서의 관리영역과 환자의 요양 공간영역의 관찰적 시선에 따른 병동구조와 요양 공간환경의 특성에 관한 연구)

  • Joo, Yongsun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.2
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    • pp.57-64
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    • 2021
  • Purpose: The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward spaces in a psychiatric hospital. Recent research has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Methods: A survey at three kinds of wards in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of wards have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient's diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staffs and their private rooms where the nurse station is close. In addition, the patients in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.

Normative Standards on Number of Users, Perceived Conflict, and Perceived Interference of Healing Experience by Types of Visitors at 'Healing Field' of 'Jangseong Pyunbaek Healing Forest' (방문객 유형별 이용객수에 대한 규범적 평가기준, 혼잡지각과 치유경험방해 지각: '장성 편백치유의 숲'의 '치유필드'를 대상으로)

  • Kim, Sang-Oh;Kim, Sang-Mi
    • Korean Journal of Environment and Ecology
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    • v.32 no.2
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    • pp.231-243
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    • 2018
  • This study was conducted to determine and compare the perceived number of users (PNU) and evaluative standards for each type of visitors to "Healing Field" of Jangseong Pyunbaek Healing Forest (JPHF). Data were collected from 158 samples selected by convenient sampling method from the users of "Healing Field" in JPHF during September 2017. Visitors to "Healing Field" consisted of 49.3% for recreation (VR), 15.3% for healing (VH), and 35.3% for both recreation and healing (VRH). Respondents' average PNU was 23.8 (median: 20.0), and the range of average PNU by visitor type was 21.1-27.8 (median: 20.0). Respondents' PNU showed low correlations with perceived crowding (PC) (r=0.23) and perceived interference of healing experience (PIHE) (r=0.20). There were no differences in the optimal number of users (ONU) of "Healing Field" among the types of visitors. The overall average ONU was 28.9(median: 25.0), and the range of average ONU by types of visitors was 25.4-31.4 (median: 25.0-27.5). The overall maximum acceptable number of users (MANU) was 38.1, and MANU for VR, VH, and VRH was 36.9, 32.0, and 38.0, respectively. Respondents' mean PC was 2.73 (SD: 3.26, 9-point scale) while mean PIHE was 3.26 (SD: 1.77, 9-point scale). The VRH group showed a higher PC and PIHE than the VR group. The group with greater PNU than ONU showed higher PC and PIHE than the other groups. Based on the results, this paper presented some managerial implications, discussed the limitations of the study, and suggested the further studies.