Journal of The Korea Institute of Healthcare Architecture
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v.23
no.4
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pp.7-15
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2017
Purpose: The Korean government has implemented a Barrier Free Certification System since 2008 to create a secure and convenient environment for the socially disadvantaged. The drastic increase in the number of BF-certification facilities is expected due to the revision of the system and increasing the number of certification institutions. An analysis of individual evaluation items needs to be made for the BF-Certification with public confidence. Method: Korean standard, International Standard(ISO/FDIS 21542, 2011), German Standard(DIN 18040-1, 2010), Austrian Standard(${\ddot{O}}NORM$ B 1600, 2017) and Swiss Standard(Norm SIA 500 / SN 521 500, 2009) were investigated and analyzed. A comprehensive improvement plan is proposed by comparing details of the aforementioned standards and the evaluation items of BF-Certification. Results: Many problems arise in applying existing Barrier-free standards due to changes in population structure, environmental change and the use of powered wheelchairs. International standards are being improved to solve these problems. The korean standards also require improving of the Barrier Free Law and Certification System, which reflect these trends. In korean cases, standards such as the size of the doors (width and height), the Unobstructed Manoeuvring Space and Clear Space at the Latch side of the Door are required to improve standards in accordance with international standards. In addition, the expression of laws and evaluation items of BF-Certification should be clearly defined. And the application of visual contrast standards for the enhancement of perceptions presented in international standards should be considered. Implication: Barrier Free related legal standards and evaluation items of BF-Certification that are used in Korea are required to be revised in consideration of social and environmental changes. Comprehensive improvements should be made through detailed review.
Journal of The Korea Institute of Healthcare Architecture
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v.25
no.2
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pp.37-50
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2019
Purpose: The purpose of this study was to analyze the space planning of the Senior Center which was supplied recently in apartment complex, to activate the spaces suitable for the changes and needs of the elderly and to explore the complex functions as a community space where intergenerational exchanges are possible. In other words, we sought implications for the physical plan of the district as a community base space and searched for improvement plan. Methods: The survey was conducted by five large private sectors of construction, and 10 of them were built after 2010 in an urban area(Seoul). Literature review, data analysis, field survey and interview were used for the research method. Results: As a result, it was difficult to meet the demands of various elderly people in the space planning, program and operation mode at the current level. In particular, the Baby Boomer generation as an active silver generation will not use the Senior Center. Therefore, based on the results of the survey, we propose some of the following about the Senior Center in apartment complex. First, it is necessary to change the term "the Senior Center" as defined in Article 55-2 of the "Regulations on Housing Construction Standards, etc.". Second, the criteria for setting up the elderly complex space should be presented specifically. Third, it is necessary to secure financial resources in operation and management. Finally, it is necessary to support the residents' organization for community revitalization. Implication: Through the amendment of the laws, it will be possible for various generations to have opportunities to interact by activating the existing community spaces for seniors. It will also contribute to improving the community of apartment complexes.
Journal of The Korea Institute of Healthcare Architecture
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v.27
no.4
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pp.7-14
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2021
Purpose: This study summarized architectural planning data for clinical practice spaces for CPX/OSCE and Simulation spaces, through analysis of domestic and foreign literature and a survey of domestic colleges of medicine. Methods: This study analyzed the architectural planning elements of the clinical practice spaces of the college of medicine, through a literature review on the clinical practice space and the survey of four recently established colleges of medicine. Results: ① It is desirable to plan the floor plan type for Simulation and CPX/OSCE spaces as a corridor-separated type that separates the circulations between students and staff (faculty). ② The simulation area arranges their practice rooms around the control space where the circulation of the staff is made. Conversely, it is desirable to arrange the CPX/OSCE rooms around the test waiting room where students enter. ③ It is desirable to separate access to the staff and students to allow student control, and to install various support spaces facing the staff corridor to secure the movement of equipment and the flow of evaluators. ④ In the simulation area, the equipment stored in the storage must be set in each room before the practice according to the setting of delivery or surgery like, and the equipment that has been removed must be back, so the circulation is short and does not intersect with the student circulations. ⑤ Debriefing rooms, seminar rooms, etc. are arranged in the staff area for review and discussion of clinical situations where practice and evaluation have been completed. Implications: It is important to configure an appropriate movement system and spatial zoning for each space for simulation and CPX/OSCE.
Journal of The Korea Institute of Healthcare Architecture
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v.28
no.1
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pp.63-74
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2022
Purpose: The purpose of this study is to present an evacuation performance analysis model that can derive vulnerable evacuation spaces with considering the movement behavior as per the elderly groups in the event of a fire in a geriatric hospital. Methods: The evacuation characteristics of geriatric hospital users were investigated through the review of precedent studies. First, the occupant conditions and the evacuation scenario were set to analyze a study target hospital. Then, the evacuation simulation was carried out considering the group types and the density of each group. Finally, an evacuation performance analysis model according to the group type was presented based on the simulation results. Results: The results of this study are as follows: (1) The evacuation performance according to the group type is to be clarified through the suggested study model. (2) It is necessary to secure a ramp or an emergency elevator to distribute the evacuation personnel at the design stage because congestion occurs due to collisions between evacuees on the stairs and delays the evacuation time. (3) It is necessary to consider the evacuation stairs and openings of sufficient size by analyzing the frequency of congestion occurrence and the escape routes of occupants in advance to identify the space where the evacuation flow overlaps. Implications: It is expected that the study result is to be used as primary data for studies that consider the elderly and clustering evacuation behavior in the event of a fire in a geriatric hospital.
Journal of The Korea Institute of Healthcare Architecture
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v.28
no.4
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pp.61-69
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2022
Purpose: In response to the rapid spread of COVID-19 in 2020, the government supported facilities and equipment through the 'Urgent Isolation Ward Expansion Project'. Design and remodeling of efficient negative pressure isolation facilities had to be done in a short period of time, and the performance gap between facilities was very large because the types of hospitals and wards of existing medical facilities were diverse. In order to secure the stability of isolation wards between medical facilities and reduce the facility gap, guidelines for planning isolation wards considering the diversity of each hospital should be appropriately presented. In consideration of these points, this study aims to provide basic data for future remodeling guidelines for each plan type of the negative pressure isolation ward first. Methods: We analyzed the plans before and after the change of 13 case hospitals that performed the urgent care bed expansion project for COVID-19 confirmed patients. Before the remodeling, the current status of the facility was analyzed according to the type of corridor, the location of the nursing station, and the location of the elevator. After remodeling, the flow of medical staff and patients, the flow of entry and exit of clean and contaminated items, and the space of negative pressure and non-negative pressure areas. Results: The ward type was divided into three types according to the corridor type and room arrangement: double loaded corridor type with two side wards, race track type with one side ward, and race track type with two side wards. Based on these three types, the standard floor plan type of the isolation ward was proposed in terms of the location of the elevator bank and Nurse station. Implications: When the existing general ward is converted into a negative pressure isolation ward, this study can be a basic data to present customized guidelines for each ward type.
The efficiency and quality of healthcare services rely heavily on the secure protection and transparent management of individuals' medical information, which is becoming increasingly important in the digital age. To address this issue, we propose a distributed identity management (DID) and electronic medical record (EMR) integration system based on Hyperledger Indy, which aims to ensure the ownership of medical information to individuals and increase the accessibility and utilization of medical information. The system will allow individuals to manage their own medical information and share it transparently when necessary, which will improve the efficiency of healthcare services. In addition, the system will securely protect and transparently manage medical information, increasing the transparency of medical services and strengthening individuals' control over their medical information. Thus, the system will contribute significantly to improving the quality of medical services, protecting individuals' medical information, and improving the efficiency of medical services.
The Journal of the Institute of Internet, Broadcasting and Communication
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v.16
no.5
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pp.117-123
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2016
In recent years, Personal Health Record (PHR) has emerged as a patient-centric model of health information exchange. The Personal Health Record (PHR) owners enjoy the full right of accessing their records anywhere and anytime making storage and retrieval more efficient. Due to the sensitivity and confidential nature of the PHR, however, the PHR is maintained in a secure and private environment with the individual determining rights of access. In this paper, we propose a system which enables access to the user's PHR in the event of emergency. In emergency situation where the user is unconscious, the emergency staff can use the PHR information to request a emergency access to the PHR server based on the predefined rights of access for PHR. Under the proposed system, the PHR owner can specify a fine grain access control policy during emergency situations.
Currently, a lot of people are aware of their health and well-being, so they are concerned about their healthcare. 'Taekwondo' is one of the popular sports that Korean people are passionate about Taekwondo has also become globalized. The uniform of Taekwondo is gaining importance. Taekwondo involves a lot of movement, hence the pattern should facilitate the movement. In addition Taekwondo uniform pattern should meet the demands of functionality, fit and consumer design preferences. This study aimed to provide the basic data for development of Taekwondo uniform pattern based on design preferences and functionality to wearer satisfaction. The result of this method indicated fit and design details. Also, the length of pants, top, and sleeve was too wide, which has to more fitted for both of genders. For females, the breakpoint was too low, which requires some increase to make females feel more secure. In conclusion, the results of this study indicated that in order to increase 'Takwondo' value, Taekwondo uniform is required to be more fashionable and comfortable to wear, which could influence other sports wear.
Journal of Korea Society of Digital Industry and Information Management
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v.15
no.2
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pp.43-52
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2019
The recent technological developments of smart devices, multiple services are provided to enhance the users' quality of life including smart city, smart energy, smart car, smart healthcare, smart home, and so on. Academia and industries try to provide the users with convenient services upon seamless technological research and developments. Also, whenever and wherever a variety of services can be used without any limitation on the place and time upon connecting with different types of devices. However, security weaknesses due to integrations of multiple technological elements have been detected resulting in the leakage of user information, account hacking, and privacy leakage, threats to people's lives by device operation have been raised. In this paper, safer communication framework is suggested by device control and user authentication in the mobile network environment. After implementations of registration and authentication processes by users and devices, safe communication protocol is designed based on this. Also, renewal process is designed according to the safe control of the device. In the performance evaluation, safety was analyzed on the attack of protocol change weakness occurred in the existing system, service halt, data leakage, illegal operation control of message, and so on, which confirmed the enhanced speed approximately by 8% and 23% in the communication and verification parts, respectively, compared to the existing system.
Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients' data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.
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