• Journal of The Korea Institute of Healthcare Architecture
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• v.26 no.4
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• pp.15-26
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• 2020

Purpose: The purpose of this study is to derive a plan to establish a more sophisticated master plan so that the direction of master plan study can be sustained in the mid to long term. Methods:: Compare and analyze the differences between the master plan and the design to identify causes and problems. First, after establishing the master plan, compare the expansion area, net area per bed, and service area with the design drawing of the first project to determine the degree of recovery to the level required by the recent medical environment. Second, the possibility of responding to future internal changes is reviewed by comparing and analyzing the arrangement and connection method of extension buildings. Third, comparing the difference between the project following the first project and the phased of masterplan. Results: The first one is that continuous participation of person or group with high understanding of the master plan. Second, establishing a master plan and proceeding with the project through the determination of the correct business budget. Third, a specific area of the mechanical and electrical room suitable for the size and purpose of the hospital should be presented, and research on the arrangement method should be conducted. Finally, the feasibility of the hospital's own plan for securing parking facilities should be accurately investigated. Implications: It is important for the hospital to recover from the past to the present and respond to the future that the direction of the master plan continues after the establishment.

• Hip & pelvis
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• v.35 no.2
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• pp.63-72
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• 2023

The aim of this study was to conduct a meta-analysis of randomized controlled trials (RCTs) for comparison of the effectiveness of pericapsular nerve group (PENG) block with that of other analgesic techniques for reduction of postoperative pain and consumption of opioids after total hip arthroplasty (THA). A search of records in the PubMed, Embase, and Cochrane Library, and ClinicalTrials.gov databases was conducted in order to identify studies comparing the effect of the PENG block with that of other analgesics on reduction of postoperative pain and consumption of opioids after THA. Determination of eligibility was based on the PICOS (participants, intervention, comparator, outcomes, and study design) criteria as follows: (1) Participants: patients who underwent THA. (2) Intervention: patients who received a PENG block for management of postoperative pain. (3) Comparator: patients who received other analgesics. (4) Outcomes: numerical rating scale (NRS) score and opioid consumption during different periods. (5) Study design: clinical RCTs. Five RCTs were finally included in the current meta-analysis. Significantly lower postoperative opioid consumption at 24 hours after THA was observed in the group of patients who received the PENG block compared with the control group (standard mean difference=-0.36, 95% confidence interval -0.64 to -0.08). However, no significant reduction in NRS score at 12, 24, and 48 hours after surgery and opioid consumption at 48 hours after THA was observed. The PENG block showed better results for opioid consumption at 24 hours after THA compared with other analgesics.

• Korea Journal of Hospital Management
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• v.22 no.3
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• pp.118-132
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• 2017

This study developed key elements of dental service guidelines for the disabled patients. In order to provide consumer-oriented service guidelines for the dental patients with disability, service design method was applied. Using service design method guided by the double diamond design process, this study implemented consumer survey, observation, and contextual interviews for consumers' needs assessment. And customer journey map, mind maps, and blueprints were utilized to visualize consumer needs and guidelines for dental care services for the disabled. According to the study, disabled consumers have needs for expertise of the medical staff, dental care institutions specialized on the disabled, financial support, establishment of the facilities for the disabled, comfortable atmosphere in the institutions, and communication with medical staffs. Based on the needs of the disabled, 5 key elements of the dental care services were developed: convenience, expertise, empathy, financial support, and education and management. And service design guidelines were proposed to implement key elements of dental care services for the patients with disability. This study is significant in that it is the first attempt to apply the service design technique from the consumer perspectives in the field of dental care for the disabled. Furthermore the process of this study has become a reference that can be utilized and applied to other medical institution.

• Korea Journal of Hospital Management
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• v.26 no.3
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• pp.28-42
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• 2021

Purposes: The objective of this study is to analyze service design process of dental clinic preventive service by using 'Double Diamond Design Process' which is user-centered for improving dental clinic management efficiency. Methodology: We examine case study that dental clinic preventive service of local dental clinic. Following the double diamond design four steps(①discover, ②define, ③develop, ④deliver), we use suitable analytic tools in each steps. In discover step, we perform observation and desk research. Next, in define step, affinity diagram, user persona, and user journey map are performed. We then make service blueprint in develop step. Finally, in deliver step, virtual scenario and confirm some outputs which are based on results of former steps are suggested. Findings: As a result of this study, waiting and consulting phases turn out that these phases are in the most trouble than others. Users(patients) have lots of complain and dissatisfaction in these phases. These touch-points will have to be modified Practical Implication: After checking this study result, it could suggest improvement schemes. To apply these, we try to make some scenarios, and finally realize some outputs. Service design has arisen to strengthen the competitiveness by reflecting user's experience and needs. Especially, service design is not typical, it is so flexible that can apply to various situation and objects. We hope that result of this study is made good use for dental clinics in need.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.3
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• pp.1691-1695
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• 2013

Objective: To evaluate the association between tea consumption and the risk of renal cell carcinoma. Methods: We searched PubMed, Web of Science and Scopus between 1970 and November 2012. Two evaluators independently reviewed and selected articles based on predetermined selection criteria. Results: Twelve epidemiological studies (ten case-control studies and two cohort studies) were included in the final analysis. In a meta-analysis of all included studies, when compared with the lowest level of tea consumption, the overall relative risk (RR) of renal cell carcinoma for the highest level of tea consumption was 1.03 (95% confidence interval [CI] 0.89-1.21). In subgroup meta-analyses by study design, there was no significant association between tea consumption and renal cell carcinoma risk in ten case-control studies using adjusted data (RR=1.08, 95% CI 0.84-1.40). Furthermore, there was no significant association in two cohort studies using adjusted data (RR=0.95, 95% CI 0.81-1.12). Conclusion: Our findings do not support the conclusion that tea consumption is related to decreased risk of renal cell carcinoma. Further prospective cohort studies are required.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.12
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• pp.6181-6185
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• 2012

Background: The aim of the study was to evaluate the available breast nomograms (MSKCC, Stanford, Tenon) to predict non-sentinel lymph node metastasis (NSLNM) and to determine variables for NSLNM in SLN positive breast cancer patients in our population. Materials and Methods: We retrospectively reviewed 170 patients who underwent completion axillary lymph node dissection between Jul 2008 and Aug 2010 in our hospital. We validated three nomograms (MSKCC, Stanford, Tenon). The likelihood of having positive NSLNM based on various factors was evaluated by use of univariate analysis. Stepwise multivariate analysis was applied to estimate a predictive model for NSLNM. Four factors were found to contribute significantly to the logistic regression model, allowing design of a new formula to predict non-sentinel lymph node metastasis. The AUCs of the ROCs were used to describe the performance of the diagnostic value of MSKCC, Stanford, Tenon nomograms and our new nomogram. Results: After stepwise multiple logistic regression analysis, multifocality, proportion of positive SLN to total SLN, LVI, SLN extracapsular extention were found to be statistically significant. AUC results were MSKCC: 0.713/Tenon: 0.671/Stanford: 0.534/DEU: 0.814. Conclusions: The MSKCC nomogram proved to be a good discriminator of NSLN metastasis in SLN positive BC patients for our population. Stanford and Tenon nomograms were not as predictive of NSLN metastasis. Our newly created formula was the best prediction tool for discriminate of NSLN metastasis in SLN positive BC patients for our population. We recommend that nomograms be validated before use in specific populations, and more than one validated nomogram may be used together while consulting patients.

• Journal of The Korea Institute of Healthcare Architecture
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• v.8 no.1
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• pp.13-20
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• 2002

Large hospital designs try to accommodate functional needs and spatial organization. The purpose of this study is to propose an effective compositional method by horizontal interconnection of public circulation spaces with 'hospital street'. 'Hospital street' and network of public circulation spaces are major elements of consideration for the design of large hospitals, which not only connect functional components but also provide satisfying environment, amenity and patients' life.

• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2006.05a
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• pp.297-301
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• 2006

최근 생명 연장과 삶의 질에 관한 많은 관심에 따라서 의료 부문에 있어서도 Ubiquitous 환경을 도입하는 노력이 시도되고 있다. 그 중 Ubiquitous Hospital은 여러 가지 병원 서비스 부분의 편의성을 제공하고자 분야로써 이것을 이용하여 시간과 장소의 제약 없이 각종 의료서비스와 건강관리를 제공 받을 수 있는 Ubiquitous Healthcare 서비스에 대한 관심이 증대되고 있다. 본 논문에서는 이 Ubiquitous Healthcare 서비스 제공 system 구현을 위한 framework을 제안한다. 이 framework에서는 사용자가 되는 의사와 환자에 적합한 인터페이스를 제공하고 환자에 대한 추적 관찰과 증상의 판단 및 환자 진료시의 지원 서비스를 제공한다. 또한 보험회사나 병원과 같은 외부시스템과 연계하여 필요한 데이터의 공유가 가능하도록 한다. 그리고 제안된 framework를 이용하여 전립선 환자를 위한 BPH 환자관리 시스템을 구현한다.

• Korea Journal of Hospital Management
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• v.16 no.3
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• pp.75-91
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• 2011

The purpose of this study is to compare the characteristics of hospital websites across four nations(e.g., South Korea, Singapore, Thailand and India). We selected English websites of 58 hospitals with JCI accreditation. For the analysis of websites, we developed assessment tool with four domains(e.g., contents, convenience, design, interactivity). The results showed that Korean hospitals provided more channels for appointment on the website compared to other countries. In contrast, foreign hospitals used actively SNS(e.g., Facebook, Twitter or Youtube) on the websites. They also provided more information on diverse services(e.g., airport pickup services, treatment costs, consultation services).

• Journal of the Korean Institute of Rural Architecture
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• v.3 no.3
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• pp.35-46
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• 2001

The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in medical facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 geriatric hospitals and 1 special hospital for the aged with dementia. The results of this study are summarized as follows; There is no wide difference between geriatric hospital and special hospital for the aged with dementia on the characteristic of living behaviors of the elderly with dementia. The usage of behavioral places in hospitals are influenced by the physical environments and the basic characteristics of the elderly with dementia.