• Title/Summary/Keyword: Medical Buildings

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Sick Building Syndrome and the Related Factors in Office Workers (일부 대형빌딩 근무자에서 sick building syndrome의 위험요인에 관한 연구)

  • Baik, Jae-Joong;Cho, Soo-Hun;Park, Byung-Joo;Kang, Dae-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.1 s.56
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    • pp.157-170
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    • 1997
  • A cross-sectional study was conducted to investigate the prevalence and risk factors for symptoms associated with sick building syndrome in four office buildings located in Seoul. Information on personal factors, job-related factors, and medical history were collected using self-administered questionnaires modified from the National Institute for Occupational Safety and Health Indoor Air Quality questionnaire in 321 office workers in these buildings. The prevalence of general and irritant symptom groups was higher than the prevalence of dermatologic and respiratory symptom groups. Daily total work time, work time in the office, and work time with video display terminals (VDT) were identified as the risk factors for symptom groups associated with sick building syndrome by multiple linear logistic regression analysis. In conclusion, these results indicated that the symptom prevalence in this study is similar with the results reported from previous studies conducted in other countries and work time and work with VDT are related to sick building syndrome in Korea.

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A Study on Green Building Certification Criteria for Healthcare Facilities - Focused on System and Contents for Healthcare in BREEAM, LEED, CASBEE (녹색건축물 인증제도의 의료시설 평가에 관한 연구 - BREEAM, LEED, CASBEE의 평가방법과 평가내용 비교·분석을 중심으로)

  • Yoon, Eunji;Lim, Younghwan
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.3
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    • pp.17-26
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    • 2016
  • Purpose: As the concerns for the environment are gradually prioritized, increasing interests of environment-friendly buildings are drawn. The Green Standard for Energy & Environmental Design (G-SEED) has been strengthened. However, there are no specific assessment criteria that reflect the special situation of healthcare facility. UK, US and Japan have green building certifications specially designed to evaluate sustainable healthcare facilities. This study has been started in order to provide basic information for developing assessment criteria for healthcare facilities in Korean Green Standard for Energy and Environmental Design. Methods: In this study, we investigated three foreign green building certifications and compared their assessment system and criteria for healthcare buildings. Results: Each of the three foreign certification standards showed the difference in the system, but all contained the contents specific to healthcare facilities. Evaluation items were affected by regional cultural environment and also medical environment. Patient safety and integrative planning were the most important assessment contents. Implications: Based on this analysis, Korean Green Standard for Energy & Environmental Design for healthcare facilities will be developed.

Selection of Appropriate Endotracheal Tube in Wild Birds

  • Jang, Jin-Ho;Park, Young-Seok;Kim, Hee-Jong;Kim, Hye Kwon;Yun, Young-Min
    • Journal of Veterinary Clinics
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    • v.35 no.5
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    • pp.184-189
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    • 2018
  • Wild birds rescued for various reasons are injured and admitted to a wild animal rescue center. With the case of collision with cars, buildings and wires on a power pole, most wild birds are severely traumatized or get fractured, which need intensive veterinary treatment. In general, inhalation anesthesia to wild birds is the best choice for the medical and surgical procedure, and intubation is recommended for the stable anesthesia. Although the certain size of an endotracheal tube can be chosen depending on the size and morphology of the bird, there are a few standardized guidelines. Therefore, the optimal endotracheal size of the rescued 162 individual birds of 41 species for four years from March 2014 to December 2017 was investigated and sorted empirically, suggesting possibly the appropriate endotracheal sizes for diverse avian species. It may provide practical information data for wildlife veterinarians to select the size of an endotracheal tube according to the size of the domestic wild bird species, especially during surgery in the emergency cases.

Analysis of The Management of Three Tertiary General Hospital(2011 to 2013)

  • Park, Hyun-Suk
    • Journal of Korean Clinical Health Science
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    • v.4 no.2
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    • pp.582-592
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    • 2016
  • Purpose. For more effective hospital management, it analyzes the trend through general characteristics, balance sheet, income statement, and financial ratio analysis, grasps the causes of the problems, and analyzes management of the hospital in order to use the result as baseline data for development of the hospital in the future. Methods. The collected data of 3 years from 2011 to 2013 about 3 tertiary hospitals in metropolitan cities from Alio (provider of public institution information; www.alio.go.kr), Health Insurance Review & Assessment Service (www.hira.or.kr), and the website of the Ministry of Health and Welfare (www.mw.go.kr) were analyzed and general characteristics, balance sheet, income statement, and financial ratio, analysis are used as data. Results & Conclusions. From the result of data analysis from 2011 to 2013, general characteristics, balance sheet, income statement, financial ratio analysis, and pie charts could lead to conclusions as follows. In the result of comprehensive analysis, the 3 tertiary hospitals showed increase of fixed expense due to extension of the buildings and so did the scale of fund and asset. Although medical revenue increased, the margin of increase for medical expense was greater than that of medical revenue, which consequently led to loss. In prediction for the 3 tertiary hospitals based on characteristics so far, it is expected to see improved revenue structure after building extension is completed, but it is necessary to exert management effort to maintain its optimal level by enhancement in stability of management and inventory turnover through management of inventories.

Development of Video Work Manual for Rock-Drill Data In Fire Service (소방에서의 도상훈련 기초자료 영상화작업 매뉴얼 개발)

  • Cho, Jae-Kwan;Park, Hee-Jin;Hwang, Inn;Kwon, Hayrran
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.103-128
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    • 2002
  • As a result of trying the various manufacturing methods considering the reality of manpower and equipments with this manual, the following standardized procedures and contents can be suggested. (1) Since tools presenting Rock-Drill data must formalize the order of explanation although explainers are different, it will be valid that it is configured by existing power point method rather than by web document type. Composition of contents are selected on the basis of defence card and survey and then 8 items including initial screen, peripheral conditions, mobilization route, general conditions, use and structure by floor, department of vehicle consideration in activities and end screen are included. (2) Making methods and cautions of data included and used in power point are as follows ; - It was most effective that objects of fire fighting and location of neighboring fire fighting water were expressed by electronic map and drawing of inner building was made by scanning it after paining general architecture drawing(plan by each floor) rather than using drawing tools of EXCEL program or CAD drawing. And it was helpful to simplify contents of architecture drawing to wall, stairs and gate in understanding them. - Photographing of video data should be taken to show available fire fighting facilities in fire, use of planned space and the whole inner structure of each floor from the inside of fire fighting buildings and to display play time between 10 sec. and 1 min, for obstacles to distance from adjacent buildings or passage of special vehicles and fire fighting water from the outside of the building. - File format of video data taken in this way is most suitable to use wmv(window media video) or asf(advanced streaming format) type in consideration of time required for export, screen quality, file capacity and play type in Rock-Drill through network. - Still screen(photo) is more effective to express the department of fire fighting vehicles or other equipments than using video. (3) In configuration work of power point, hyper link was used most and configured to see any part at any situation like web document and then uniformity of presentation order of power point was complemented. (4) In case of sales facilities with the area of $35.557m^2$, the time of 22 hours and 30 minutes for five days was taken with five persons. Therefore, when eight-hour works a day were calculated, the whole process of video work for Rock-Drill can be finished with three day works.

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A Study on Design Method depending upon Low Carbon Green Architecture of Big Medical Center (대형의료기관 건축물에 대한 저탄소 녹색 친환경 설계 방안에 관한 연구)

  • Kim, Jong Gu;Park, Jong Min
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.4
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    • pp.987-996
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    • 2015
  • According to the recent research results of the Ministry of Environment, the indoor air quality of large general hospitals and university hospitals(58 hospitals) exceeded the maintenance standard. On top of such indoor air quality, it is also desperately required to have the environment-friendly building design and also low carbon green design in accordance with the increase of hospital size and enlarged hospital buildings. Especially, the increase of carbon dioxide, heat, garbage, waste energy, exhaust heat from power plants and sewage heat in each medical center brings up lots of problems to the health of hospital patients and customers. Thus this study aims to convergently develop the green environment-friendly architecture design technology concerning the organic relations between each medical building, and technical development which should be introduced to the low carbon green environment-friendly architecture design based on the characteristics of each medical center in large-scale medical complex.

Survey of Psychiatric Convalescent Facilities in The Busan area (부산지구 정신요양원 실태조사)

  • 송영선
    • Journal of Korean Academy of Nursing
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    • v.3 no.3
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    • pp.62-72
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    • 1973
  • THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

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Relationship between Hospital Case Mix and Costs and Incomes of Tehran Heart Center

  • Langroudi, Hamed Rahimpour;Kakhani, Mohammad Jamil;Hojabri, Roozbeh
    • Asian Journal of Business Environment
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    • v.7 no.3
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    • pp.17-22
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    • 2017
  • Purpose - Clarifying one of the biggest public Hospital Costs and incomes according to patients' case mix. It leads to prepare financial information about pubic medical tariffs and hospital operational costs. Research design, data, and methodology - This study calculates the costs both, with and without taking into account capital costs. This holds for comparison of hoteling based on case mix in all medical procedures. The checklists were reviewed and filled by reviewing accounting documents of the hospital, warehouse exclusion list, and daily books of laundry and CSR. Data was analyzed descriptively by using Excel. Results - In both cases, the hospital is losing in terms of hoteling. Because the buildings and equipment are new, this loss is not tangible. However, this will be revealed when costs of reconstruction and replacement of equipment. The loss rate per day of hospitalization was 569318 Rials for Coronary Care Unit (CCU), 528171 Rials for Post Intensive Care Unit (Post ICU), 474570 Rials for ICU, 233183 Rials for Post CCU and 204803 for Surgical ward. Conclusions - Income of hoteling was lower than its costs. ANOVA showed a strong relationship between case mix and hospital costs as well as case mix and its income. This suggests that optimal case mix can minimize the costs and maximize income.

A Inquiry of Tracer Gas for Analysis of Dispersion and Prediction of Infection Possibility according to Airborne Viral Contaminants (건축공간에서 공기 감염균 확산을 해석하기 위한 추적가스 고찰과 농도에 따른 감염 위험성 예측 연구)

  • Lim, Tae-Seob;Kang, Seung-Mo;Kim, Byung-Seon
    • Korean Institute of Interior Design Journal
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    • v.18 no.3
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    • pp.102-113
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    • 2009
  • The SARS virus began to appear and spread in North America and Southeast Asia in the early 2000' s, infecting and harming many people. In the process of examining the causes for the virus, studies on the airborne SARS virus and the way it spread were carried out mainly in the medical field. In the field of architecture, studies were done on the diffusion of air pollutants in buildings using gases such as $CO_2$, $N_2O$, or $SF_6$, but research on virus diffusion was limited. There were also explanations of only the diffusion process without accurate information and discussion on virus characteristics. The aim of this study is to analyze the physical characteristics of airborne virus, consider the possibility of using coupled analysis model and tracer gas for analyzing virus diffusion in building space and, based on reports of how the infection spread in a hospital where SARS patients were discovered, analyze infection risk using tracer gas density and also diffusion patterns according to the location, shape, and volume of supply diffusers and exhaust grilles. This paper can provide standards and logical principles for evaluating various alternatives for making decisions on vertical or horizontal ward placement, air supply and exhaust installation and air volumes in medium or high story medical facilities.

A Study on the Architectural Planning of the Planning Characteristics in the Ward History (병동의 발전과정에 수용된 계획요소에 관한 건축계획적 연구)

  • Kim, Khil-Chae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.5 no.9
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    • pp.117-124
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    • 1999
  • Wards are the biggest part in hospital buildings and the flow of medical personnels and materials is an important factor in the ward design. The evaluation method of the wards and is esscential for the optimum design considering function, environment, patient psychology, etc. To achieve this goal, factors for evaluation of wards were introduced and then each factor was systematically analyzed. A evaluation method are developed from studied factors and are applied to existing wards to check the reliability. The selected evaluation factors are limited to the privacy of patient, the functional efficiency of operation, and the economy of wards.

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