• Title/Summary/Keyword: Hospital design

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A Study on Ward of Public Hospital for Spatial Composition of Efficient Integrated Nursing Care Service - Focused on the Regional Public Hospital - (효율적 간호·간병통합서비스 공간 조성을 위한 공공병원 병동부에 관한 연구 - 지역거점 지방의료원을 중심으로 -)

  • Han, Suk-Bum;Park, Jae-Seung
    • Korean Institute of Interior Design Journal
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    • v.26 no.6
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    • pp.71-80
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    • 2017
  • The purpose of this study is identify the status of the ward of public hospital for integrated nursing care service. Integrated nursing care service has been expanding on a national scale from 2016 but most of public hospitals are currently unable to operate due to nursing shortage. In this study 8 wards of public hospital have been chosen and analyzed. The measure of space program and area distribution(patient area percentage, staff area percentage, circulation area percentage), nurses's walking distance(distance from ns to patient room, distance from ns to core) were calculated by depthmapX and autocad programs. The result of this study is as follows. Nurse's walking distance is more than 24m so the efficiency of nurse's patient care is reduced. The percentage of patient area in double-corridor is higher and the patient feels more comfortable but the Nurse's walking distance is longer and the accessibility is lowered. NS should be located in the center of the ward and close to the core but some wards are not composed of proper space-separation and flow of human trrafic is overlapped. This study may serve as basic research for the architectural plan for future integrated nursing care ward.

A Study on the Nucleus System of Standard Hospitals in U.K. (영국의 표준병원에서 뉴클리우스 시스템에 대한 연구)

  • Moon, Chang-Ho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.3 no.4
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    • pp.59-68
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    • 1997
  • This study is intended to review the Nucleus System of standard hospitals in U.K. The research is focused on the theoretical background, contents of Nucleus System, and the operational problems through the survey of sample hospitals. The contents of research include the development history of standardization, outlines, aimes, advantages, the data of Nucleus system, and the study-visits of sample hospitals. The conclusion could be summarized as follows ; 1) The form of standard hospitals is compact and low-rise the major movements are horizontal. The standard plans of the functional dpartments are unified as cruciform with $15m{\times}15m$ module. 2) The Nulceus System has been developed. The hospitals have 3 stories maximum and courtyards for natural light & ventilation. 3) The advantages of Nucleus System includes reduction of design & construction period, the buildability due to the repetitive construction, and the running cost. And the disadvantages are mentioned as the lack of storage, staff accomodation, pantry, and sanitary facilities. 4) Sample hospitals provide human scale, possibilities of growth & change, and curing environment from art decoration & artificial lake. 5) In case of Korean situation, even the minimum standardization such as hospital design guidelines should be developed in near future.

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The "Sombrero-Shape" Super-Thin Pedicled ALT Flap for Complete Scrotal Reconstruction Following Fournier's Gangrene

  • Sapino, Gianluca;Gonvers, Stephanie;Cherubino, Mario;di Summa, Pietro G.
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.453-456
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    • 2022
  • When the scrotal sac is entirely debrided following a Fournier gangrene, testes exposure poses unique challenges for the reconstructive surgeon. Despite the anterolateral thigh (ALT) flap is considered a workhorse in such context, aesthetic results are often suboptimal because of the lack of natural ptosis and patchwork appearance. We describe the use of a super-thin pedicled ALT flap for total scrotal reconstruction, modified according to a peculiar flap design and inset technique. A 42-year-old man was referred to our department for delayed total scrotal reconstruction 8 months after a Fournier gangrene extensive debridement. A super-thin pedicled ALT flap from the right thigh was designed: in the central portion of the ALT, a lateral skin paddle extension was marked to guarantee adequate posterior anchorage during insetting and ptosis of the scrotal sac. This particular flap arrangement has inspired the name "sombrero" as the shape is akin to the famous hat. No secondary refinements were needed, and the patient showed satisfying aesthetic and functional results at 12 months' follow-up. The ALT flap design "sombrero" modification proposed in this article can improve scrotum cosmesis and patient satisfaction in a single-stage single-flap procedure.

Effect of a vertical incision on postoperative swelling after an impacted mandibular third molar extraction: two cases with split-mouth designed magnetic resonance imaging analysis

  • Jeong-Kui Ku;Sung Hyun Baik;Jae-Young Kim;Jong-Ki Huh
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.2
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    • pp.91-95
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    • 2023
  • This study examined the effects of a vertical incision on postoperative edema after third molar extraction. The study design was that of a comparative split-mouth approach. Evaluation was performed via magnetic resonance imaging (MRI). Two patients with homogeneous bilateral impacted mandibular third molars were enrolled. These patients underwent facial MRI within 24 hours after simultaneous extraction surgery. Modified triangular flap and enveloped flap incisions were made. Postoperative edema was evaluated by MRI and was assessed according to anatomical space. The two pairs of homogeneous extractions demonstrated that vertical incisions were associated qualitatively and quantitatively with extensive postoperative edema. The edema associated with these incisions spread toward the buccal space, beyond the buccinator muscle. In conclusion, a vertical incision with mandibular third molar extraction was related to edema in the buccal space and the fascial space, which contributed to clinical facial swelling.

Case Study of New Employee Mentoring Program at Hospital A (의료기관 신입직원 멘토링프로그램 사례연구: A병원을 중심으로)

  • Jiyoung Han;Jongil Choi
    • Korea Journal of Hospital Management
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    • v.29 no.1
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    • pp.19-31
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    • 2024
  • Purposes: The purpose of this study is to analyze cases of development and operation of a mentoring program that provides psychological support to new employees and helps them adapt to work, thereby applying it to actual work and laying the foundation for follow-up research. Methodology: We explored the development and application process of A Hospital mentoring program by applying the mentoring program model developed according to the procedures of the ADDIE model, and confirmed the perceptions of participants who participated in the training course through analysis of activity logs and in-depth interviews. Findings: The main results of the case analysis are as follows. First, the curriculum was developed according to the stages of analysis, design, development, implementation, and evaluation. As a result of activity log and in-depth interview analysis, participants recognized that the mentoring program was helpful in forming social relationships, organizational adaptation, and preventing job turnover, and recognized difficulties in communication. Participants mentioned supplementing the operating system. Practical Implication: The results of a systematic review of the application and effectiveness of mentoring programs for new employees can serve as reference material for practical program design.

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The Effect of a Hospital Life Guidance Movie for Elderly In-patients (노인을 대상으로 한 입원생활 안내 동영상의 효과)

  • Jeong, Hyeon-Cheol;Seong, Kea-Mi;Jeong, Mi-Yang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.142-148
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    • 2010
  • Purpose: This study was done to determine how a hospital life guidance movie enhanced the understanding of hospital life by elderly in-patients. Method: A non-equivalent control group post-test design was used for the study. The experimental group watched a movie on guidance for hospital life while an in-patient control group read corresponding guidance booklets. The understanding and satisfaction from the respective programs for the two groups were surveyed with a questionnaire. The data were analyzed using SPSS. Results: The group which watched the movie had a better understanding of hospital life than the group which read the booklets. The patients who watched the movie also expressed more satisfaction with their guide program than the patients who only read the booklets. Understanding of hospital life had relevance to satisfaction with the given program. Conclusion: The results of this study suggests that a movie on hospital life provides better guidance which helps the prospective patients understand and adapt better to their hospital life. Therefore, this type of movie is considered to be an effective medium to provide guidance to elderly in-patients.

A Study on the Architectural Characteristics and Planning for the Wards in A.F.M.H. - Focused on Case Studies - (군 통합병원 병동부의 건축적 특성과 계획에 관한 연구 - 사례분석을 중심으로 -)

  • Kim, Ho-Young;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.5 no.9
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    • pp.69-79
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    • 1999
  • Now new A.F.M.H. is under construction but it didn't reflect army hospital's characteristics. The purpose of this study was to get the design guidelines of the wards for the design of wards in army hospital. This research is accomplished through an understanding of the characteristics of wards in army hospitals by analyzing the plans of the bundang A.F.M.H. and behavior survey of other A.F.M.H. This study attempts to examine the current status of domestic and to establish the design guideline of the wards of the army hospitals.

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A Study on Gender Difference in Assessing Emotional Design Characteristics of General Hospital's Wards (사용자 성별에 따른 종합병원 병동부 감성디자인 특성 평가에 관한 연구)

  • Son, Yeorym;Hwang, Yeonsook
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.18 no.4
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    • pp.17-27
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    • 2012
  • Purpose: This research was for understanding the attitudinal difference by gender towards emotional design through questionnaire survey with female and male inpatients on environmental characteristics of wards in general hospitals. Methods: The survey was conducted by questioning inpatients at two general hospitals on the importance rating on emotional design elements of patient rooms, lounges, and hallways. Eighty questionnaires were returned and used for data analyses through SPSS windows version 15.0 statistic package program. Results: 1) In general, female patients considered emotional design of wards as more important than male patients and the most outstanding difference was indicated for patient rooms among patient rooms, lounges, and hallways. For patient rooms the comfortability index was rated as the most important to both female and male inpatient groups, and for lounges and hallways the safety index was evaluated as the most important to both gender groups. 2)For lounges, while male patients rated 'prevention of infection' important among safety relating items, women considered 'accident prevention' more important. It is inferred that female patients have more safety needs and anxiety about physical injury or accidents than male ones do. Implications: It is considered that there need to be further succeeding in-depth studies, e.g. research interviews with inpatient;s family members or other caregivers as well as patients themselves.

Subjective Imaging Effect Assessment for Intelligent Imaging Terminal Design: a Method for Engineering Site

  • Liu, Haoting;Lv, Ming;Yu, Weiqun;Guo, Zhenhui;Li, Xin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.14 no.3
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    • pp.1043-1064
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    • 2020
  • A kind of Subjective Imaging Effect Assessment (SIEA) method and its applications on intelligent imaging terminal design in engineering site are presented. First, some visual assessment indices are used to characterize the imaging effect: the image brightness, the image brightness uniformity, the color image contrast, the image edge blur, the image color difference, the image saturation, the image noise, and the integrated imaging effect index. A linear weighted function is employed to carry out the SIEA computation and the Analytic Hierarchy Process (AHP) technique is used to estimate its weights. Second, a SIEA software is developed. It can play images after the settings of assessment index or assessment reaction time, etc. Third, two cases are used to illustrate the application effects of proposed method: the image enhancement system design for surveillance camera and the imaging environment perception system design for intelligent lighting terminal. A Prior Sequential Stimulus (PSS) experiment is proposed to improve the evaluation stability of SIEA method. Many experiment results have shown the proposed method can realize a stable system design or parameters setting for the intelligent imaging terminal in engineering site.

A Study on the Space Design for Nosocomial Infection Control in Intensive Care Unit (병원 감염관리를 위한 중환자부 공간계획에 관한 연구)

  • Lee, Hyunjin;Kim, Khilchae;Oh, Young-Hun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.87-95
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    • 2016
  • Purpose: Recently an experience in the MERS crisis focused on the importance of infection control in hospitals. According to Korean National healthcare-associated Infection Surveillance System (KONIS) of the KSICP, a great number of 498 people, 841 people, and 1021 people were infected by pneumonia, urinary tract infection, and bacteremia respectively from 94 hospital ICUs during the year of 2014. Therefore, the purpose of this study is to investigate the configuration and design guidelines for the ICU rooms to minimize the nosocominal infections. Methods: Based on the several infection control guidelines and revised Medical Law, consequent analyses which classified the planning and operational behavior in the ICUs of seven hospitals, were performed to reduce the cross-infection. Results: The results of this study are offering a space, configuration and design guidelines for effective infection control in the intensive care units through the unit-bed area, the bed-to-bed distance, the isolation room, etc. Implications: It is expected that this study propose the direction of architectural planning and guideline for the ICU room in order to realize the intension of revised Medical Law.