• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.38.1-38.7
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• 2020

Background: Lipomas are benign soft tissue neoplasms of mature adipose tissue commonly occurring in the trunk or extremities. But, intraoral lipomas are rare entities which may be only noticed during routine dental examinations. Especially intramuscular lipomas on the tongue have been reported very rarely. In this study, we report a case of intramuscular lipoma on tongue, with a review of the literature from 1978 to 2019, providing data on age, gender, location, presenting symptoms, size, surgical methods, and recurrence. Case presentation: A case of intramuscular lipoma occurring in tongue region in a 65-year-old male is reported. Surgical excision is the mainstay of treatment for the lesion. In order to decrease the deformity and discomfort after the excision, we tried to modify surgical technique using enveloped mucosal flap. This technique provided more comfortable healing procedure on the operative site without recurrence. Conclusion: This is a rare case of large intramuscular lipoma on tongue. Surgical excision with enveloped mucosal flap design was performed to diminish postoperative raw surface and discomfort and a 24-month follow-up showed excellent healing without any recurrence. A case of intramuscular lipoma on tongue and relevant literature reviews are presented in this study.

• 국제초고층학회논문집
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• 제12권3호
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• pp.251-262
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• 2023

In response to China's "Regulations on the Management of Earthquake Resistance of Building Constructions" on the provision of eight types of important buildings to maintain functional after fortified earthquakes occur, "Guidelines for Seismic Design of post-quake functional buildings (Draft for Review)" distinguishes Class I and Class II buildings, and gives the performance objectives and seismic verification requirements for design earthquakes and severe earthquakes respectively. In this paper, a hospital and a school building are selected as examples to design according to the requirements of fortification of Intensity 8 and 7 respectively. Two design strategies, the seismic isolation scheme and energy dissipation scheme, are considered which are evaluated through elastic-plastic dynamic time-history analysis to meet the requirement of post-quake functional buildings. The results show that the seismic isolation design can meet the requirements in the above cases, and the energy dissipation scheme is difficult to meet the requirements of the "Guidelines" on floor acceleration in some cases, for which the scheme shall be made valid through the seismic resilience assessment. The research in this paper can provide a reference for designers to choose schemes for post-quake functional buildings.

• 디자인학연구
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• 제18권2호
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• pp.303-314
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• 2005

본 연구는 강원도 인제군 향토축제의 활성화와 목공예산업의 동반 육성을 궁극적인 목적으로 하고 있으며, 이에 따라 'DESIGN HOSPITAL' 의 운영, '퍼즐(Puzzle)식 레이저 목재상감 기법'을 접목시킨 모듈화 생산공정 구축을 통한 지역고유성을 상징하는 목공예 관광기념품의 디자인 개발 및 축제와 연계한 생산 유통계획을 수립하여 제시하였다. 연구방법으로서 문화컨텐츠화를 목표로 추진된 타 시 군 지역축제의 관광기념품 개발 성공사례를 분석, 벤치마킹을 통해 인제군의 여건에 적합한 관광문화상품 개발계획을 수립하고자 하였다. 연구결과는 다음과 같다. 우선, 가칭 '문화상품 DESIGN HOSPITAL'의 운용으로 생산업체에 디자인 아웃소싱을 실시, 디자인 전문 브레인을 무상 공급하여 인력난 해소 및 단기간의 제품개발 능력을 확보할 수 있도록 하였다. 이를 토대로 첨단 디지털 제작기술의 도입 및 활용에 의한 대량맞춤(Mass Customization) 생산을 적용하여 축제의 특성에 적합한 문화상품 생산유연성을 확보 가능토록 했으며, 차별화 된 마케팅 전략, 관광기념품 공모전을 통한 제품의 디자인파워 제고, 캐릭터 개발 등의 세부계획 실천으로 관내 목공예업체의 수익성 제고와 지역 문화/경제의 발전 가능성을 동시에 획득할 수 있도록 최적안을 제시하고자 하였다.

• Physical Therapy Rehabilitation Science
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• 제9권2호
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• pp.82-89
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• 2020

Objective: The purpose of this study was to assess the effect of hospital-based pulmonary rehabilitation (PR) on exercise capacity and quality of life as well as barriers to participation in persons with chronic obstructive pulmonary disease (COPD) in South Korea. Design: One-group pretest-posttest design. Methods: A total of 14 patients were enrolled in this study in an 8-week PR program with two 60-minute sessions per week. The program included: flexibility exercises, breathing techniques, strengthening exercises, and aerobic exercises. The outcomes were defined as changes in the variables before and after the PR program. A change in the 6-minute walk distance (6MWD) was defined as the primary outcome, and changes in pulmonary function test, respiratory and grip strength, and the St. George's Respiratory Questionnaire (SGRQ) about quality-of-life results were secondary outcomes. A dropout was defined as missing >3 of the 16 sessions. Results: Patients who completed the program showed a significant improvement of 43.57±39.43 m in the 6MWD (p<0.05), but no significant differences were noted for the other function tests. The SGRQ showed a significant improvement in the activity and total score (p<0.05). The total dropout rate was 53.3%. Newly developed symptoms, exacerbation of COPD, transport problems, and lack of motivation were major barriers to PR. Conclusions: Our study showed that an 8-week hospital-based PR program improved exercise capacity and quality of life but had a high dropout rate in individuals with COPD. Since comprehensive PR has only recently been established in South Korea, patient motivation and education are critical.

• KIEAE Journal
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• 제15권2호
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• pp.19-26
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• 2015

Purpose: Maximizing human comfort in design of medical environments depends immensely on specialized architects particularly critical care design; the study proposes Evidence-Based Design as an apparent analog to Evidence-Based Medicine. Healthcare facility designs are substantially based on the findings of study in an effort to design environments that augment care by improving patient safety and being therapeutic. On SPSS (Statistical Package for Social Science) t-test is applied to simulate two independent variables of PDR (Pre Design-Research) and POE (Post- Occupancy Evaluation). PDR is conducted on relatively new hospital Hallym University Dongtan Sacred Heart Hospital to analyse visibility from researchers' point of view, here the ICU is arranged in I-Shape. POE is applied on Dongguk University Ilsan Hospital to simulate walking on LogWare where two NS are designed based on L- Shape and Seoul St. Mary's Hospital, The Catholic University of Korea where five NS are functional for ICU Intensive Care Unit, Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), Critical Care Unit (CCU), Korean Oriental Medical Care Unit which are mostly arranged in U-Shape, and walking pattern is recognized to be in a zigzag path. Method: T-Test is applied on two dependent communication variables: walkability and visibility, with confidence interval of 95%. This study systematically analyses the Nurse Station (NS) typo-morphology, and simulates nurse horizontal circulation, by computing round route visits to patient's bed, then estimating minimum round route on LogWare stop sequence software. The visual connectivity is measured on depth map graphs. Hence the aim is to reduce staff stress and fatigue for better patients care by minimizing staff horizontal travel time and to facilitate nurse walk path and support space distribution by increasing effectiveness in delivering care. Result: Applying visibility graph and isovist field on space syntax on I- Shape, L- Shape and U- Shape ICU (SICU, MICU and CCU) configuration, I-shape facilitated 20% more patients in linear view as they stir to rise from their beds from nurse station compared to U-shape. In conclusion, it was proved that U-Shape supply minimum walking and maximum visibility; and L shape provides just visibility as the nurse is at pivot. I shape provides panoramic view from the Nurse Station but very rigorous walking.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권3호
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• pp.71-78
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• 2021

Purpose: It is important to plan the ward module at a time when the size of beds, the floor area, and the construction budget are all set prior to the hospital design. In this context this study aims (1) to derive various factors affecting the ward module, and (2) to analyze the appropriate room module according to the type. Methods: Design factors related to hospital modules are derived through precedential studies, and the types of ward elevation are classified by reviewing the drawings of 18 case hospitals. And the detailed dimensions and area of the derived elements are analyzed. Results: The X-axis modules of the ward are switched to long span structural columns of 9.9 m, 12.6 m and 13.2 m, but the ward modules still represent 6.6 m. The Y-axis module of the ward shows a dimension of 9 to 9.9m in the process of changing a multi-person room into a four-person room. Type A of curtain wall with columns located on the wall of the room and type B of curtain wall located in the center of the room are analyzed due to their variations. The square window type, which forms the elevation of the square window by exposing the columns to the elevation, and the outframe type, which protrudes from the structural columns and beams, have elevation designs limited. There are, however, no obstacles to the interior space of the hospital room, so the wall composition and furniture arrangement are expected to be free. The ward area of Curtain Wall Type A, which can secure an effective area of 5.9m*5.0m, are 52.1m². The Curtain Wall Type A, Square window type, and the outframe type are 49.8m². Implications: As part of the hospital standard module plan for economical and reasonable hospital building planning, a type was proposed in this study in conjunction with the external design. It is hoped that it be a base for standard module research linked together to the Central Treatment department, Outpatient department and underground parking lot.

• 간호행정학회지
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• 제14권1호
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• pp.45-50
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• 2008

Purpose: This study was intended to determine how an in-patient guide movie enhanced the understanding of hospital life. Method: A non-equivalent control group post-test design was used for the study. The experimental group was allowed to watch the in-patient guide movie. The in-patient guide booklets were given to the control group for reading. The understanding and satisfaction of the respective programs were surveyed with questionnaires. The data was analyzed using SPSS. Result: The movie watching experimental group had better understanding on the hospital life than the booklet reading control group. The movie watching group had more satisfaction with the guide program than the booklet reading group. The understanding of the hospital life and satisfaction with the program had relevance. Conclusion: This study suggests that the in-patient guide movie would help the would-be in-patients understand and adapt to the hospital life better. Therefore, the in-patient guide movie is considered to be a useful medium to educate in-patients for their hospital life.

• 보건의료산업학회지
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• 제8권1호
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• pp.1-13
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• 2014

The purpose of this study is to investigate the perception of quality property of hospital information system, the quality level, and its effects. The participants were 730 employees who are using hospital information system in hospitals. In order to analyze the relationship, the quality property regulates the consideration of user's taste and the state of user's favor for the design of hospital information system, and the quality level regulates user's convenience and properness. The main results from this study can be summarized as follows, First, the perception of quality property for hospital information system showed few significance level between occupation, but revealed significance level between position. The evaluation of quality level showed significance level depending on the occupation and position. Second, quality property which generally affects to the quality level of the hospital information system were different between types of occupation and quality factor.

• 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.

• 대한치과보철학회지
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• 제56권3호
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• pp.250-257
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• 2018

현재까지 의치는 전통적인 방법을 이용하여 제작하는 것이 일반적이지만, 최근 디지털 기술의 발달로 이를 이용한 의치 제작 빈도가 증가하는 추세이다. 디지털 방식을 이용하여 의치를 제작하는 방법에는 인상체를 3D 스캔하여 CAD 상에서 인공치를 배열한 뒤 이를 3D 프린팅하여 레진상 총의치를 제작하는 방식과 모델을 3D 스캔 후 CAD를 이용하여 frame-work을 디자인하고 3D 프린팅으로 resin pattern을 제작하여 이를 주조 후 금속상 총의치나 국소의치를 제작하는 방식이 대표적이다. 본 증례에서는 디지털 방식의 의치 제작 방법으로써 전자 서베잉을 이용한 진단과 CAD 프로그램을 이용한 framework 디자인, 그리고 이를 3D 프린팅 후 주조하여 상악 총의치와 하악 국소의치를 제작하였으며, 만족스러운 결과를 얻었기에 이를 보고하고자 한다.