• 한국화재소방학회논문지
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• 제29권2호
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• pp.8-12
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• 2015

성능위주소방설계 초기단계로서 피난안전성평가에 있어서 Available safe egress time (ASET)과 Required safe egress time (RSET)를 계산하여 단순비교하고 있다. 본 논문에서는 FDS를 이용하여 열, 연기, 독성가스 등에 대한 위험정보값을 추출하였다. 또한 피난시뮬레이션 프로그램인 Artisoc를 이용하여 FDS에서 추출한 위험정보값을 적용하였다. 건축물의 구조는 가로 60 m, 세로 65 m로 구성하였으며, 출입구는 2곳에 설치하였으며 재실자는 50명을 랜덤하게 배치하였다. 시뮬레이션은 case1~case20 까지 총 20회에 걸쳐 진행하여, 피난 경로별 위치에 따른 재실자의 위험도를 분석하였다. 이를 통해 위험정보값을 적용하여 기존의 단순비교 하던 피난안전성평가의 신뢰도를 높이기 위한 위험정보값 전달기반의 평가기법을 제시하였다.

• Structural Engineering and Mechanics
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• 제23권5호
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• pp.543-562
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• 2006

Base isolation technology has been accepted as a feasible and attractive way in improving seismic resistance of structures. The seismic design of new seismically isolated structures is mainly governed by the Uniform Building Code (UBC-97) published by the International Conference of Building Officials. In the UBC code, the distribution formula of the inertial (or lateral) forces leads to an inverted triangular shape in the vertical direction. It has been found to be too conservative for most isolated structures through experimental, computational and real earthquake examinations. In this paper, four simple and reasonable design formulae, based on the first mode of the base-isolated structures, for the lateral force distribution on isolated structures have been validated by a multiple-bay three-story base-isolated steel structure tested on the shaking table. Moreover, to obtain more accurate results for base-isolated structures in which higher mode contributions are more likely expected during earthquakes, another four inertial force distribution formulae are also proposed to include higher mode effects. Besides the experimental verification through shaking table tests, the vertical distributions of peak accelerations computed by the proposed design formulae are in good agreement with the recorded floor accelerations of the USC University Hospital during the Northridge earthquake.

• 대한안전경영과학회지
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• 제25권1호
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• pp.31-38
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• 2023

The object of this study is to evaluate whether the means of egress of Jechon Sports Center and Miryang Sejong Hospital, where massive fire human casualties occurred in 2017 and 2018 respectively, comply with NFPA 101(Life Safety Code), and to suggest the need for supplementation of domestic means of egress regulations. The study evaluated the number and arrangement of the means of egress, travel distance, common path of travel, dead end and discharge from exit for each building by applying the means of egress regulations of NFPA 101. As a result of the evaluation through NFPA 101, the travel distance was appropriate, but some of the other items except for the travel distance did not meet NFPA 101. The regulations that need to be supplemented are 1)occupant load calculation 2)egress capacity calculation 3)continuous concept of means of egress 4)concept of common path of travel. It is especially necessary to revise the requirement for fire door of the evacuation floor(normal 1^st floor) of the stairwell in case of below the five story building.

• Earthquakes and Structures
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• 제22권5호
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• pp.487-502
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• 2022

China is prone to earthquake disasters, and the higher seismic performance is required by many existing civil buildings. And seismic evaluation and retrofit are effective measures to mitigate seismic hazards. With the development of performance-based seismic design and diverse retrofit technology for buildings, advanced evaluation methods and retrofit strategies are in need. In this paper, we introduced the evolution of seismic performance objectives in China combined with performance-based seismic design. Accordingly, multi-phase evaluation methods and comprehensive seismic capacity assessment are introduced. For buildings with seismic deficiency or higher performance requirements, the retrofit technologies are categorized into three types: component strengthening, system optimization, and passive control. Both engineering property and social property for the retrofit methods are discussed. The traditional seismic retrofit methods usually are costly and disturbing, and for example in Beijing, seismic strengthening costs approx. 1000 RMB/m² (for 160 USD/m²), for hospital building even more expensive as 5000 RMB/m²(for 790 USD/m²). So cost-efficient and little disturbance methods are promising techniques. In the end, some opinions about the retrofit strategy and schemes category are shared and wish to discuss the situation and future of seismic retrofit in China.

• 대한간호학회지
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• 제3권1호
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• pp.97-104
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• 1972

This study was designed to investigate differences in some aspects of value conceptions in fundamentals of nursing functions between nursing service personnel and nurse-educators. The purpose of the study was to identify the difference of value conceptions between the hospital nurses and school instructors, to contribute as a reference in strengthening the educational program in establishing nay hinder professional growth. The questionaries of this study were focused in the following aspects: 1) establishment of nursing service management system, 2) strengthening of the professionalization of nursing service, 3) hindrance in accomplishment of independent nursing functions, 4) communication skills in nurse-patient relationship, 5) activities directly related to nursing care planning, 6) communication skills in nurse-doctor relationship, 7) attitude towards taking responsibilities for patient- centered nursing approach, and 8) nursing educational approach towards preparation of professional competence in practicing independent nursing functions. 265 graduate nurses from 14 general hospitals and 88 nursing instructors from 18 schools, collegiate and diploma, were sampled. The main findings of the study were as follows; 1. Both groups responded highly in the lack of public recognition of nursing profession and hospital administrators support in establishment of nursing service management system. Further investigation is needed to define some relationship between the intrinsic and extrinsic factors which might give influence to the professional development. 2. while hospital nursing personnel responded on environmental pressure such as a heavy nursing load as the factor giving hindrance to independent nursing functions, the nurse educators responded highly on lack of nursing competence of individual nurses. An emphasis should be placed on the development of nursing interaction through professional education. If the professional model is not well established, nursing function will be limited to medical assistance. 3. 3. The patient-centered approach for nurse-patient communication had given positive respond for both group, tut lacks in team concept in problem solving process. There exist a social distance between nurses and other professional co-workers in the hospital hierarchy. 4. It was indicated that, as an intrinsic factor in the development of nursing service and nursing education, building up a philosophical basis is an utmost importance. This question is opened for further and extensive study to clarify whether existence of philosophical absence or philosophical stasis in nursing profession hinders the development.

• 한국병원경영학회지
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• 제21권1호
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• pp.1-13
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• 2016

As the importance of strengthening the competency of managers who are in charge of cash collection and disbursement, and preparing for financial statements becomes more visible, this study examined the competency of middle-level managers of accounting department in general hospitals in Korea. Based on the literature, competency was measured by seven components: achievement and action, service, influence, management, cognition, individual effectiveness, and change management. Survey questionnaires included the respondents' perceived importance and performance of each of the seven components of competency. A total of 84 managers from 29 general hospitals responded to the survey between October 2015 and November 2015. Descriptive statistics, mean comparison (t-tests and ANOVAs), and multiple linear regression were conducted. The results of this study are as follows. Overall perceived importance of the competency was 4.16, while the performance was 3.87, and thus, the difference was 0.29. Among the seven components of the competency, cognition and change management had higher scores in terms of difference between the importance and performance. The regression analyses found that female managers had higher perceived importance and performance of competencies in achievement and action, and influence compared to male counterparts. In addition, participants in this study responded that main reasons for the gap between the perceived importance and performance are low compensation, lack of support, lack of knowledge, insufficient technical experience, excessive workload, and regulations. The results of this study can be used when designing capacity building training opportunities for the hospital accounting department. Also, the managers may evaluate themselves and look at the areas where they can narrow the gap between the perceived importance and performance of the competency that is required for today's leading managers.

• 한국실내디자인학회논문집
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• 제16권2호
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• pp.295-302
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• 2007

The use of colors plays an important role in the field of space design. The selection of proper colors influences on people who use space by making the most of the psychological and physical functions of colors. Especially, the medical space is relatively more important than other indoor spaces in the selection of colors. The medical space has to be something to do with diversity and functions, and at the same time with stability and quietude, as well as the space with general convenient facilities. Color is not only related to the expression but also to the distinction of things and the existence. It also functions as a visual language. Human beings depend heavily on the function of color as a visual language. According to previous studies, human beings depend on color by 80% of the whole range of eyesight. Thus, color is an important factor in recognizing things and space. For example, in hospital, it Is very important to apply proper colors to various medical treatment spaces for the sake of patients' rest and healing. Various colors which do not consider the function of patients' rest and healing may make the space confusing against the change of space and structure. It is also important to apply colors to the change of space and structure. Another key point that I would like to make is that color has visual, direct and physical influence on the human body. For example, the color red with long wavelength serves to regulate body temperature. Research on the color scheme for hospitals should consider both physical and psychological factors. That is why the research should be carried out in depth through continuous clinical demonstration. The present research aims to outline color planning.

• 한국의료질향상학회지
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• 제10권2호
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• pp.216-231
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• 2003

Objectives: To develop a model that predicts a death probability of acute myocardial infarction(AMI) patient, and to evaluate a performance of hospital services using the developed model. Methods: Medical records of 861 AMI patients in 7 general hospitals during 1996 and 1997 were reviewed by two trained nurses. Variables studied were risk factors which were measured in terms of severity measures. A risk model was developed by using the logistic regression, and its performance was evaluated using cross-validation and bootstrap techniques. The statistical prediction capability of the model was assessed by using c-statistic, $R^2$ as well as Hosmer-Lemeshow statistic. The model performance was also evaluated using severity-adjusted mortalities of hospitals. Results: Variables included in the model building are age, sex, ejection fraction, systolic BP, congestive heart failure at admission, cardiac arrest, EKG ischemia, arrhythmia, left anterior descending artery occlusion, verbal response within 48 hours after admission, acute neurological change within 48 hours after admission, and 3 interaction terms. The c statistics and $R^2$ were 0.887 and 0.2676. The Hosmer-Lemeshow statistic was 6.3355 (p-value=0.6067). Among 7 hospitals evaluated by the model, two hospitals showed significantly higher mortality rates, while other two hospitals had significantly lower mortality rates, than the average mortality rate of all hospitals. The remaining hospitals did not show any significant difference. Conclusion: The comparison of the qualities of hospital service using risk-adjusted mortality rates indicated significant difference among them. We therefore conclude that risk-adjusted mortality rate of AMI patients can be used as an indicator for evaluating hospital performance in Korea.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권1호
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• pp.37-46
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• 2017

Purpose: There is little information about China's medical service system and health care facilities in Korean medical architecture papers, which is inconvenient for scholars engaged in medical building research and comparison. Futhermore, the transformation of the notion of health and the ascension of the service needs show the lack of medical function, and then make functions of hospital construction are always in the state of dynamic renewal. Therefore, the purpose of this study is to analyze the Chinese medical service system and general hospital related laws and regulations for future research to provide effective analysis of data, and find shortcomings. Methods: This study was conducted by a research on law and regulation of China's medical service system and general Hospital. Results: At present hospital construction in China is in the period of rapid development and it exposes the layout of medical health facilities is not reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of medical health services. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese medical architecture system and medical facilities, and can promote and perfect the construction of Chinese medical architecture theory system.

• 한국융합학회논문지
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• 제10권10호
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• pp.259-266
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• 2019

본 연구는 의료 환경의 변화로 병원의 경쟁력을 갖추기 위하여 병원의 행정전략에 대한 변화의 필요성이 있으며, 의료서비스 향상을 위해서 어떤 전략이 가장 중요한지 제시하여, 의료서비스 향상을 위한 병원 행정전략에 기초자료를 제공하고자 한다. 이를 위해서 병원행정 분야와 관련된 행정학 및 경영학 박사급 전문가 20명을 선정하였고, 자료분석방법은 AHP 방법으로 상대적 중요도를 측정하였다. 이에 대한 연구결과는 다음과 같다. 첫째, 측정영역에서 의료서비스 향상을 위한 병원 행정전략에 대한 상대적 중요도는 의료진 요인(1순위), 제반시설 요인(2순위), 직원서비스 요인(3순위), 접근편의 요인(4순위) 순으로 결과가 나타났다. 둘째, 복합가중치 분석 결과, 의료진 전문성(1순위), 의료진 다양성(2순위), 의료장비수준(3순위) 순으로 상대적 중요도가 측정되어 의료서비스 향상을 위한 병원 행정전략은 의료진의 전문성 확보, 의료진의 다양성, 그리고 의료장비 수준을 높이는 것이 가장 중요함을 알 수 있다. 이러한 결과가 의료서비스를 향상시키기 위한 병원의 행정전략 마련 시에 유용한 기초자료로 활용될 수 있을 것이며, 또한 향후 병원 행정전략 마련 시에 다각적인 요소들을 파악해야 할 것이다.