• Journal of the Korean Data and Information Science Society
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• 제28권2호
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• pp.297-307
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• 2017

질병 확산 모형은 질병의 확산 과정을 모형화 함으로써 질병이 발생하고 퍼지는 시간 내에서 통제하기 위하여 활용하고자 하는 모형이다. 본 연구에서는 질병 확산 모형의 가장 대표적인 SIR 모형에 기본적인 확장 접근을 하여 접촉군 (exposed)이라는 단계를 추가한 SEIR 모형을 이용하여 모형 구축을 하였다. 이 모형은 감염 대상군 (susceptible)의 사람들이 질병에 노출 된 잠복기를 거쳐 일정 시간이 경과한 후 감염되어 감염군 (infected)으로 이동한 후 다시 회복군 (removed)으로 이동하는 모형이다. 이와 같이 질병에 감염된 후 감염력이 생기는 잠복기가 있는 경우에 연구에 활용될 수 있다. 본 연구에서는 2015년 국내에서 발생한 메르스 코로나바이러스 (Middle East respiratory syndrome coronavirus; MERS CoV)에 의한 호흡기 감염증 자료를 수집하였다. 질병의 확산 과정이 결정적이 아닌 확률적인 흐름을 따른다고 가정하여 포아송 확률과정을 따른다고 보고 확률적 화학반응 모형을 이용하여 모형을 구축하였다. 모형을 구현하기 위해서 SEIR 모형의 세 모수인 질병에 노출된 정도를 나타내는 접촉률 (exposed rate), 질병의 감염 정도를 나타내는 감염률 (transmission rate), 질병의 회복정도를 나타내는 회복률 (recovery rate)를 추정함으로써, SEIR 모형에 적합하고 전염병 확산에 대한 예측을 수행하였다. 또한 접촉군이 정확하게 관찰되지 않을 부분을 보완하기 위하여 접촉군을 생성하는 과정을 전체 모형 구축 과정에 추가하였다.

• 기본간호학회지
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• 제23권4호
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• pp.402-410
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• 2016

Purpose: Personal protective equipment (PPE) is critical to protect healthcare workers from pandemic outbreaks. This study was designed to identify nurses' knowledge, attitude and perceptions on PPE. Methods: Data were collected from 154 nurses working at a tertiary general hospital, where positively diagnosed and suspected patients were accepted and admitted during the Middle East Respiratory Syndrome Coronavirus outbreak in 2015. The PPE tool consists of 20 items for knowledge, and 5 each for attitudes and perceptions. Results: Overall, knowledge for PPE was higher than moderate (76.95/100), but there was a lack for items related to powered air purifying respirator (PAPR). For attitudes, willingness to work in pandemic outbreaks was the most positive (4.04/5.00). Goggles and PAPR were perceived as the most uncomfortable barriers to work. There was no correlation between knowledge, attitude and perceptions, despite a strong positive correlation between attitude and perceptions. PPE training was identified as a factor to improve knowledge and attitudes on PPE. Conclusion: To respond to pandemic influenza, nurses need to expand their knowledge on PPE up to Level C, and be updated through regular training. Study findings suggest that repetitive studies targeting nurses and other healthcare workers at various hospital settings are necessary.

• 한국환경보건학회지
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• 제41권3호
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• pp.216-221
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• 2015

Since Patient Zero of MERS was diagnosed in May 20, 2015, cases of MERS continued to grow. The current situation, which people have been confirmed to be infected, suggested that contaminated indoor air could be the potential cause of hospital-acquired infections. It is important to address the indoor air quality in hospitals because pathogens can spread through air. While the heating, ventilating and air conditioning(HVAC) system is useful managing indoor air quality in hospitals, it can transmit the pathogens if operated improperly. Therefore, it is necessary to remove contaminants in hospitals and operate the HVAC system according to the guidelines, in order to maintain clean indoor air.

• 약학회지
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• 제59권6호
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• pp.245-250
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• 2015

Middle East respiratory syndrome - coronavirus infection has posed substantial threat to public health with extremely high mortality rate in 2015. Although there are no approved novel medications for coronavirus, several antiviral agents such as ribavirin and interferon have been tried to MERS patients according to the in-vitro inhibitory effect, therapeutic effect on the animal model and experience from the severe acute respiratory syndrome - coronavirus infection. The aim of this study is to evaluate the clinical evidence of the antiviral treatment for MERS-CoV infection. After systematically searching the medical literature databases, I found five studies described the clinical efficacy of antiviral treatment on MERS patients. All of them were about the combination therapy of ribavirin and interferon (IFN). Two of them were retrospective cohort studies with quality of evidence (QOE) II and the others were observational study and case reports with QOE III. As a result of critical appraisal, it is concluded that none of those studies represented confirmatory clinical evidence of the efficacy of ribavirin and interferon combination therapy on MERS patients. Although Omrani et al. represented that ribavirin and IFN treatment had significantly improved survival at 14 days, it was not enough time to conclude the effect.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권2호
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• pp.27-35
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• 2019

Purpose: This study is to address the spacial composition of a standard ward and bedroom size for sake of infection control and efficient medical service. Methods: Spacial composition of a standard ward has been proposed by comparative analysis of 5 big hospitals' wards. Bedroom sizes have been explored on the ground of Health care facility regulations from Korea, USA, Australia and Canada. Of course, Literature and field survey have been conducted in order to draw out various bedroom sizes. Results: 16 basic and some other additional spaces have been proposed for the composition of hospital standard ward. Area of Single bedroom is $11.6m^2$, and that of multi-beded room is $7.4m^2$. Bed to bed Clearance is 1.5m, spacing between bedsize and hard wall is 0.9m in 1~2 beded room, 0.75m in 4-beded room. Space clearance between Foot side of bed and curtain is proposed as 0.3m and additional 0.9m is necessary for the circulation. Implications: The result of this study can be applied to the new cons.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2020년도 제62차 하계학술대회논문집 28권2호
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• pp.625-628
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• 2020

현재 지구촌은 신종 감염병인 '코로나바이러스 감염증-19(COVID-19)로 인해 혼란을 겪고 있다. 우리나라의 경우 1만 명 이상 감염자가 발생하였으며, 사망자 역시 200여 명이 넘었다. 하지만 위와 같은 감염병을 치료하기 위한 백신은 계속 개발중에 있으며, 현재는 감염 예방 수칙으로 감염의 위험성에서 벗어나고 있는 실정이다. 또, 지구촌에 큰 혼란을 주었던 사스, 신종플루, 메르스와 같이 주로 호흡기를 통해 타인에게 전파되는 신종 감염병 출현 빈도 역시 계속 증가하고 있다. 이외에는 황사, 미세먼지에 관한 문제들로 인해 일상속에서 이뤄지는 생활 방역의 중요성이 대두되고 있는 상황이다. 본 논문에서는 생활 방역의 대표적 수칙인 마스크 착용에서 상황별 올바른 마스크 선택의 중요성을 알려주어 시민의식을 높일 수 있는 VR 연동 'Wearing a Mask' 구현에 대해 제안하고자 한다.

• 문화기술의 융합
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• 제4권3호
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• pp.269-274
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• 2018

본 연구는 2015년 메르스 사태 후 성인의 손씻기 실태 및 손씻기 포스터의 효과를 파악하기 위하여 공공 화장실을 이용하는 성인 370명( 포스터 미부착 185명, 포스터 부착 185명)을 대상으로 직접 관찰 및 설문조사를 실시하였다. 남성의 46%, 여성의 21.5%가 손씻기를 하지 않았으며, 포스터를 부착한 집단에서 손을 씻은 대상자는 83.2%로 포스터를 부착하지 않은 집단에서 손을 씻은 대상자 47%에 비해 많았다. 남성은 평균 7.6초 동안, 여성은 13.5초 동안 손을 씻어 여성이 더 오랫동안 손을 씻었으며, 포스터 부착군과 미부착군 간에 유의한 차이는 없었다. 손씻기의 6가지 절차를 다 실천한 대상자는 3.3%에 불과하였다. 손씻기 6가지 절차 중 4가지 이상을 수행한 대상자는 포스터 부착군 17%, 미부착군 10.3%이었다. 이상의 결과에서 손씻기 포스터는 손씻기 행위 자체에는 유의한 효과가 있었으나 올바른 방법으로 손씻기를 하는데, 즉 손씻는 시간 증진과 손씻기 절차 이행율 향상에는 효과적이지 못하였다. 그러므로 공공장소 화장실에 손씻기 안내방송과 시각적인 효과를 높일 수 있는 포스터의 보급이 필요하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권3호
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• pp.45-56
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• 2016

Purpose: The MERS(Middle East Respiratory Syndrome) outbreaks in Korea highlighted dramatically the failings of traditional hospital environment for controlling or preventing infections among both patients and healthcare workers. MERS is transmitted by droplets that can be airborne over a limited area. The point should be emphasized that MERS in South Korea was predominantly a hospital-acquired (not a community-acquired) infection, because approximately 93% of MERS cases were resulted from exposure in hospital settings. This paper tries to suggest the design guidelines of negative pressured isolation ward for the sake of proper control of severe respiratory infectious diseases. Methods: Literature survey on the design guideline and regulations of airborne infection wards in Korea, Europe U.K. and CDC of U.S. have been carries out. 4 special infection wards in Hongkong, Germany, Japan and Korea have been surveyed in order to make the best use of the experiences related to facility design and operations. Results: Operating system influencing the facility design, space organizations of infectious ward including required space and zoning, and circulations of patients, staffs and materials are proposed. Implications: The results of this paper can be the basic data for the design of the airborne infection ward and relevant regulations. Afterwards in-depth study such as the development of space standards for the single bedroom, locker room and so on could be explored.

• 한국직업건강간호학회지
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• 제26권4호
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• pp.207-217
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• 2017

Purpose: This study aimed to evaluate the workplace response system (WRS) against infectious disasters (IDs) based on the response attitudes and capacity of occupational health nurses (OHNs) who worked during the 2015 Middle East Respiratory Syndrome (MERS) outbreak in South Korea. Methods: Fifty-one participants who had worked as OHNs at the time of the 2015 MERS outbreak were surveyed from November 20 to December 10, 2016. Data were collected using a self-report questionnaire and analyzed using descriptive statistics and McNemaer's test. Results: According to the survey results, the following were lacking in the WRS: a dedicated ID-response team, manuals, related education programs for OHNs, and health education programs for workers. Results also confirmed that workers were vulnerable to new infectious diseases because of the lack of health checkups and support for workers before and after business trips abroad. Among the respondents, 98.0% answered affirmatively that an ID was important for health management in the workplace, but 64.7% answered that it was difficult to manage an ID. The perceived capacity items to respond to IDs ranged from 3.0 points to 3.3 points. This scores were generally high. Conclusion: As the WRS is currently insufficient, it is necessary to develop an adequate WRS to IDs by addressing the identified problems.

• 디지털융복합연구
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• 제15권3호
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• pp.287-294
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• 2017

본 연구는 최근 메르스와 같은 대규모 감염질환의 확산 경로를 추적하고 관리하는 의료서비스가 요구되면서 ICT 기술 도입을 시도하고 있는 의료환경의 새로운 패러다임에 적극 대응하기 위하여 비콘 스캐너 기반의 병실 모니터링 서비스 개발을 시도하였다. Beacon 하드웨어 개발과 Beacon 저전력 블루투스 4.0(Bluetooth Low Energy, BLE)용 펌웨어 개발 및 서버 및 웹기반 대시 보드 UI 개발을 통하여 위치기반서비스로 환자들의 위치를 파악하고 웹 UI 기반으로 모니터링 하는 등의 기능을 제공하는 개인 맞춤형 모니터링 시스템을 설계하였다. 비콘이라는 온라인 기술이 제대로 접목되지 못했던 곳에 온라인 기술을 접목함으로써 오프라인 병원 서비스의 효율성을 극대화하여 적극적인 감염대응 및 환자안전에 그 가치를 둘 수 있다.