• Title/Summary/Keyword: hospital buildings

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Does the placement of automated external defibrillators affect first responders' willingness to perform cardiopulmonary resuscitation in high-rise residential buildings?

  • Lee, Dong Eun;Ryoo, Hyun Wook;Ahn, Jae Yun;Moon, Sungbae;Kim, Jong Kun;Kim, Yun Jeong;Park, Jung Bae;Kim, Jung Ho;Lee, Kyung Woo;Jin, Sang Chan
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.557-567
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    • 2018
  • Objective: The increasing number of people living in high-rise apartments may result in a delayed response from emergency medical technicians called out for an out-of-hospital cardiac arrest, making the role of apartment managers as the first responders extremely important. This study investigated whether automated external defibrillator (AED) placement influences the willingness of apartment managers to perform cardiopulmonary resuscitation (CPR) and use an AED. Methods: A cross-sectional target population-based survey was conducted in Daegu, July 2016. Questionnaires were sent to apartment managers working in apartments with more than 500 households. The general characteristics of the respondents, status of CPR education, and knowledge about and willingness to perform CPR and use an AED were investigated. Results: Of the 1,445 respondents, 758 (52.5%) worked in apartments with AEDs, of which 77.8% and 70.8% were willing to perform CPR and use an AED, respectively, compared with 68.1% and 60.0% of respondents who worked in apartments without AEDs. After adjusting for potential confounders, AED placement was associated with the willingness to perform CPR (odds ratio [OR], 1.33; 95% confidence interval [CI], 1.04-1.71) and use an AED (OR, 1.39; 95% CI, 1.10-1.75). Prior CPR training and accurate knowledge of CPR skills were also associated with the willingness to perform CPR and use an AED. Conclusion: Placing AEDs in high-rise apartment buildings and providing refresher CPR education for maintaining CPR skills will be necessary to support apartment managers in their role as first responders.

Proposal of elevator calling intelligent IoT system using smartphone Bluetooth (스마트폰 블루투스를 이용한 승강기 호출 지능형 IoT 시스템 제안)

  • Si Yeon Kim;Sun-Kuk Noh
    • Smart Media Journal
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    • v.13 no.1
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    • pp.60-66
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    • 2024
  • The Internet of Things, which began by connecting sensors through a network, is developing into an intelligent IoT by combining it with artificial intelligence technology. Elevators are essential for high-rise buildings in the city, and elevators move from floor to floor and perform the functions of transporting goods and moving users. It is necessary to provide safe and convenient services for elevator users in high-rise buildings or special environments (hospitals, etc.). In an environment where rapid patient transportation is important, such as large hospitals, there is a problem that hospital staff and the general public often use the elevator for patients. In particular, when moving patients where golden time is important, the waiting time to board the elevator is a major hindrance. In order to solve this problem, this study proposes an intelligent IoT system for elevator calling using smartphone Bluetooth. First, we experimented with the elevator calling IoT system using smartphone Bluetooth, and as a result of the experiment, it was confirmed that it can authenticate elevator users and reduce unnecessary waiting time for boarding. In addition, we propose an intelligent IoT system that connects with intelligent IoT.

A novel approach for the definition and detection of structural irregularity in reinforced concrete buildings

  • S.P. Akshara;M. Abdul Akbar;T.M. Madhavan Pillai;Renil Sabhadiya;Rakesh Pasunuti
    • Structural Monitoring and Maintenance
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    • v.11 no.2
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    • pp.101-126
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    • 2024
  • To avoid irregularities in buildings, design codes worldwide have introduced detailed guidelines for their check and rectification. However, the criteria used to define and identify each of the plan and vertical irregularities are specific and may vary between codes of different countries, thus making their implementation difficult. This short communication paper proposes a novel approach for quantifying different types of structural irregularities using a common parameter named as unified identification factor, which is exclusively defined for the columns based on their axial loads and tributary areas. The calculation of the identification factor is demonstrated through the analysis of rectangular and circular reinforced concrete models using ETABS v18.0.2, which are further modified to generate plan irregular (torsional irregularity, cut-out in floor slab and non-parallel lateral force system) and vertical irregular (mass irregularity, vertical geometric irregularity and floating columns) models. The identification factor is calculated for all the columns of a building and the range within which the value lies is identified. The results indicate that the range will be very wide for an irregular building when compared to that with a regular configuration, thus implying a strong correlation of the identification factor with the structural irregularity. Further, the identification factor is compared for different columns within a floor and between floors for each building model. The findings suggest that the value will be abnormally high or low for a column in the vicinity of an irregularity. The proposed factor could thus be used in the preliminary structural design phase, so as to eliminate the complications that might arise due to the geometry of the structure when subjected to lateral loads. The unified approach could also be incorporated in future revisions of codes, as a replacement for the numerous criteria currently used for classifying different types of irregularities.

An Analytic Case Study on the Management of an Upper-level General Hospital(2010-2012)

  • Park, Hyun-Suk;Lee, Jung-Min;Baek, Hong-Suck;Lee, Jun-Ho;Park, Sang-Sub
    • Journal of Korean Clinical Health Science
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    • v.2 no.1
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    • pp.1-16
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    • 2014
  • Purpose. For a more efficient hospital management, this study aims to provide basic data so that the hospital management and staff in charge of hospital administration may systematically classify and collect hospital information, by analyzing the ordinary characters of an upper-level general hospital system and its common-type balance sheet, common-type profit and loss statement and financial ratio. Methods. By using information about an upper-level general hospital in C Province, provided by Alio(www.alio.go.kr), a public organization information provision site, Health Insurance Review & Assessment Service(www.hira.or.kr) and Ministry of Health and Welfare(www.mw.go.kr), this study analyzed 3 year's data from 2010 to 2012 and provided basic data by analyzing the ordinary characters of an upper-level general hospital system, and its common-type balance sheet, common-type profit and loss statement and financial ratio. Results. After analyzing the ordinary characters, common-type balance sheet, common-type proft and loss statement and financial ration of this general hospital, based on the 2010 to 2012 data, this study came to the following conclusions. Firstly, out of all the 1,069 hospital staff, there were 272 doctors working for 24 medical departments, out of whom the majority was 33 physicians. Most of the nurses were third-class ones, and about 2,000 outpatients and 600 inpatients on average were treated per day. Secondly, as a result of analyzing the common-type balance sheet, this study discovered that intangible assets out of fixed assets accounted for 41%, the majority, out of which usable and profitable donation asset buildings were of great importance, and the liquid assets increased more in 2012 than 2011. In the financial structure, the ratio of liquid liabilities was over 50% out of all the liabilities in 2012, and the ratio of purchase payables was high as well. The ratio of fixed liabilities reached up to 40%, out of which the retirement benefit appropriation fund was quite high. The capital was over 80%, but the surplus was in a deficit state. Compared to the capital, the ratio of total liabilities was about 90%, which indicates the financial structure of this general hospital was vulnerable. Thirdly, as a result of analyzing the common-type profit and loss statement, this study found out that the medical profits from inpatients were higher than profits from outpatients. The material cost was related to the medical quality of this general hospital, and it was as high as 30% out of the total costs and was about 45% of the labor cost. This general hospital showed 10% in the ratio of non-medical profits, and it seemed because of government subsidies. The ratios of medical profits and current net income were gradually changing for the better in 2012, compared to 2011. Lastly, as a result of analyzing the financial ratio, it was found that the liquidity ratio kept decreasing, from 110.7% in 2010 and 102.0% in 2011 to 77.2% in 2012. Besides, it was analyzed that the liquidity ratio and the net working capital ratio greatly decreased, while the quick ratio and the liquid ratio kept decreasing. Conclusions. 1. It is necessary to take the risk management into more consideration, and particularly, it is needed to differentiate and manage the levels of risk in detail. 2. By considering the fact that investments into hospital infrastructures were mostly based on liabilities, it is needed to deal with the scale of losses when evaluating risks. 3. By reflecting the character that investments into hospital infrastructures were based on liabilities, it is necessary to consider the ratio of ordinary profits as well as the ratio of operating profits to sales, and it is also important to consider sales productivity factors, such as the sales amount per a sickbed, by comparing them with other hospitals. As for limitations of this study, there may be some problems in terms of data interpretation because of the lack of information about the number of inpatients and the number of outpatients per year, which are needed for the break-even point analysis. Besides, to suggest a direction for the improvement of hospital management through analyses, non-financial factors should be reflected, such as the trend of economy, medical policies, and politic backgrounds. However, this study only focused on the common-type balance sheet, common-type profit and loss statement and financial ratio, so this study is actually limited to generalizing all the factors by analyzing public data only.

Impact of Indoor Plants on Indoor Air Quality and Occupational Health in Newly Built Public Building Offices - Focusing on Allergic Conjunctivitis and Stress-related Symptom Questionnaires - (신축건물 사무실내 식물 적용의 실내 공기질 및 재실자 건강영향 평가 - 알레르기 비결막염 및 스트레스 관련 증상설문을 중심으로 -)

  • Lee, Yong Won;Lim, Young Wook;Kim, Kwang-Jin;Kim, Ho-Hyun
    • Journal of Environmental Health Sciences
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    • v.43 no.4
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    • pp.334-348
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    • 2017
  • Objectives: We investigated the impacts of indoor plants on indoor air quality and occupational health, focusing on allergic rhinconjunctivitis and stress among employees in new office buildings. Methods: A total of 34 employees working at new public office buildings were enrolled as subjects (n=17, with indoor plants) and as a control (n=17) group. Before and after introducing indoor plants for three months, indoor air quality measurements including VOCs and aldehydes and questionnaires on sick building syndrome, AR symptoms (ARIA based), stress (DASS 42, KOSS, and SACL), and indoor characteristics were performed and statistically analysed. Results: Among the 34 enrolled subjects, 19 were included in the probable AR subject group (subjects with indoor plants, n=8, control n=11) and completed all questionnaires. Statistical analyses were done for total, AR subject groups, and controls. As a result, it was confirmed that major indoor air pollutants decreased after the introduction of indoor plants (p<0.5). Among major symptoms of allergic rhinoconjunctivitis, watery rhinorrhea, nasal stuffiness, and nasal itching indexes decreased (p<0.5, respectively). A decrease was noted in some areas of work-related stress indexes (mainly KOSS) among the subject group (total and AR) and a decrease of indoor environmental attractiveness among the control group (total and AR) (p<0.5, for all). Conclusions: Indoor plants may help reduce indoor air pollutants and decrease AR symptoms and work-related stress of employees in newly built office buildings. Various further follow-up studies on the mechanism of environmental, physical, and emotional influences and utilization of indoor plants in association with allergic diseases will be needed.

Characteristics of Allergic Patients in Soonchunhyang University Cheonan Hospital (순천향대학교 천안병원에 내원한 알레르기 환자의 특성)

  • Park, Jae-Suk;Lee, Tae-Young;Choi, Seoung-Hey;Kim, Hwi-Jun;Choi, Young-Jin
    • Korean Journal of Clinical Laboratory Science
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    • v.39 no.2
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    • pp.104-112
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    • 2007
  • The purpose of this study was to evaluate the general features of allergic patients in northwestern Chungcheongnamdo who visited Soonchunhyang University Cheonan Hospital. The subjects in this study were 1692 suspected allergic patients. After their allergic symptoms were checked and a MAST-CLA test was conducted, the following results were obtained: 1. The mean age of the subjects was 23.1 years old. The male patients represented 56.2% and the female patients accounted for 43.8%. 1387 (82.0%) patients of those investigated suffered from allergic disease. 2. Among the 1387 patients, 1022 (73.7%) patients showed an increased total IgE level. The positive rate of those who were in their 40s (87.0%) was the highest, but their age made no difference to their positive rate of total IgE. 3. Concerning the positive rate for allergen specific antibody by age, those who were in their teens (73.5%) topped the list and similar in all age group except in their 40s. By gender, the positive rate of the male and female were 56.3% and 43.9% respectively. Regarding the positive rates by allergic disease, those who suffered from allergic rhinitis (60.4%) were most vulnerable, followed by the patients with allergic dermatitis (47.4%), with bronchial asthma (47.2%) and with urticaria (39.4%). 4. As for seasonal positive rates, they were most susceptible in April (77.2%) and May (71.1%). We discovered a significant difference according to seasons; Spring (60.1%), Winter (45.4%) and Summer (39.2%). 5. In case of Korean inhalent panel, the most dominant allergen-specific antibodies were "Cockroach mix" (31.1%), followed by "D. pteronyssius" (23.8%) and "Dog" (14.3%). In the event of food panel, the most popular allergen-specific antibodies were "D. farinae" (25.0%), followed by "D. pteronyssinus" (19.8%) and "Hose dust" (12.0%). 6. The residential type made no difference to the positive rates of "House dust", "Cockroach mix" and "Dog" as major antigen but compared with others, positive rates for "Tick" were somewhat higher in apartment buildings.

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A Study on the Greenhouse Gas Intensity of Building Groups and Regional in Korea (국내 에너지다소비건물의 용도별.지역별 온실가스 배출원단위분석 연구)

  • Lee, Chung-Kook;Suh, Seung-Jik
    • Journal of the Korean Solar Energy Society
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    • v.32 no.3
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    • pp.162-169
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    • 2012
  • Our country set the mid-term reduction goal of greenhouse gases up to 2020 in accordance with Bali roadmap agreed in 2007 through the negotiation with UNFCCC in 2009 and specified the proper goal as by the Basic Act on Green Growth that went into effect at April, 2010. First of all the enlargement of green building construction has been suggested as a worldwide strategy to achieve the green house gas reduction. Building area is one of most important sectors for the countermeasure of climate change agreement and the achievement of national green house gas reduction goal and the need to reduce its green house gases has been increased accordingly. The objective of the study is to examine the status and characterization of mass energy consumption local governmental buildings' green house gas emissions depending on usage (hotel, school, apartment, hospital) through the green house gas emission source unit analysis. The result indicated that the energy source unit was proportional to green house gas source unit and hotel showed the highest green house gas emission source unit per open area of construction unit, followed by hospital, apartment, and then school. In case of apartment, green house gas emission source unit per open area of construction unit decreased as year went on. Meanwhile school building showed a striking increase in the annual energy source unit.

The Citizen Plaza Design around the 1st Korean Postal Building, 'Woojeongchongkuk' (우정총국주변 시민광장 설계)

  • 김성균
    • Journal of the Korean Institute of Landscape Architecture
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    • v.29 no.4
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    • pp.67-74
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    • 2001
  • This paper presents a landscape design for the citizen plaza around the ˝Woojeongchongkuk˝(the 1st Korean postal building) where the ˝Gapsinjeongbyeon˝(1844 coup d´etat) occurred and which was once used as the ˝Jeoneoigam˝(a palace hospital). The site is located in 39 Kyeonji-dong, Jongno-gu, Seoul, and of which area is about 2,013$m^2$. The landscape design goals are to build traditional spaces which fit the traditional buildings and where people feel the old atmosphere; to build interesting spaces where people can learn the post and telegraphic history; and to build nature-friendly green rest spaces in the city. To achieve these goals, symbolic, traditional, educational, historical, and environmentally-friendly concepts are developed. With this concept the space is divided into two axis of the pst and telegraph of Korea. Along the two axis the Postage Stamp ˝Madang˝(yard), the Letter Garden, the Telegraphic ˝Ddeul˝(garden), the Communication Plaza, and the ˝Jeoneoigam˝(old palace hospital) and the ˝Gapsinjeongbyeon˝(1884 coup d´etat) Memorial Place are arranged. The Postal Stamp Madang which symbolizes the first Korean postage stamp is a space for studying history and evolution of stamps in Korea. The Letter Garden which symbolizes and formalizes a letter paper is composed with white bamboo trees which are planted linearly and long granite benches on which famous letters are carved. In the Telegraphic Ddeul which symbolizes the telegraph, the history of the telegraphic instrument and the telephone is exhibited. In the Communication Plaze which symbolizes future post and telegraph service extending to the world, the images of satellite communication, internet, webmail etc. are exhibited. The Jeoneoigan, and the Gapsinjeongbyeon Memorial Place is for memorializing the historic place and events. Throughout the whole place, various models and ceramic picture tiles about the post and telegraph and exhibited for effective education. In conclusion, sustainable management schemes for the site are suggested.

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Energy Consumptions and Daylight Illumination levels of a Multi-beded Patient Room according to the Window Shapes and Shading (창의 형태 및 차양 계획에 따른 다인 병실의 에너지소비량과 주광조도의 평가 및 분석)

  • Choi, Changdae;Kwon, Soonjung;Kim, Sunsook
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.18 no.3
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    • pp.29-39
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    • 2012
  • Window and shading designs have a great influence on energy consumption and daylighting in buildings. As far as energy is concerned, small window area is advantageous. But it is not good to the patient healing in hospital. So it is important to find out the optimum window shape which is favorable for both energy consumption and patient healing. In this study, annual energy consumption and daylight illumination levels were analyzed according to the window shapes and shading devices for a multi-beded patient room in hospitals. The simulations were conducted for 19 different cases by COMFEN 4.0 computer simulation program. The results of this paper are as follows. First, window to wall area ratio and shading devices have great influences on annual energy consumption. But it is a problem in that they decrease significantly daylight level in bed room. Second, considering the same energy consumption, reducing the width of window rather than the hight of window is desirable for the secure of daylight level. Third, increase of the number of horizontal shade is not desirable in south face of the building for the energy consumption and daylight level. Fourth, sun shade is not necessary in north face of the building for the energy consumption and daylight level.

A Study on the Development of the Expert System for Validation of Spatial Layout in Terms of Space Program in Healthcare Architecture based on BIM Technologies - Focused on the Design Competition for Seoul Geriatric Hospital - (공간프로그램에 따른 공간배치의 유효성 평가 위한 BIM기반 병원건축 전문가시스템 개발에 관한 연구 - 서울특별시 노인전문병원 설계경기 사례를 중심으로 -)

  • Park, Youngsup
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.4
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    • pp.7-14
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    • 2010
  • The planning and design of healthcare architecture generally requires the participation and consultation of skilled experts since it has more complex space program than any other buildings. Therefore, the computer-based expert systems for the planning of healthcare architecture have been tried continuously. The recent development of BIM technologies and object-oriented CAAD systems is leading these attempts to realize gradually. Thus, this study attempts to verify whether the new evaluation model and system of the spatial layout, which are based on the validation of space program that developed in earlier studies, are applicable to real examples of design competition. Through this simulation, this study tries to find the possibility of expert systems for the planning of healthcare architecture and act as basic data for the development of new system for the integrated design environment based on BIM technologies in the near future.