• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.41-50
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• 2021

Purpose: This study is aimed at the case of the cognitive health design pilot projects promoted by the Seoul Metropolitan Government since 2014 in terms of design to solve social problems in accordance with the aging population of our society. The purpose of this study is to analyze the maintenance and management of the projects and to suggest implications for the promotion and expansion of sustainable cognitive health design in the future. Method: It set the analysis frame by dividing management into maintenance-damage-demolition for the spatial types and spatial elements suggested in the Seoul Cognitive Health Guidelines. And it analyze the actual conditions of four pilot projects based on the field survey. Results: First, the ratio of damage and demolition was higher than maintenance. Second, designs and techniques with low durability were applied. Most of the cases where floor marks were applied to the external environment were lost or difficult to recognize, and their functions were limited due to storage of goods and parking of vehicles and motorcycles. Third, there was a large variation according to the type of residence. The project contents that can be applied to the low-rise residential area were also limited, and more elements were demolished than in the apartment type. Implications: First, it should limit project contents of space types and space elements that can be maintained even over time. Second, it should seek sustainable design and technical solutions. Third, it should seek alternatives to cognitive health design in low-rise residential areas where a large number of elderly people live.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권4호
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• pp.69-77
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• 2023

Purpose: During the COVID-19 pandemic, there have been many cases of converting regular hospital wards into temporary negative pressure isolation wards. The purpose of this study is to evaluate the minimum airflow differences that satisfies the pressure difference criteria(-2.5 Pa) according to airtightness of switching type wards, in preparation for utilization of aging regular wards as negative pressure isolation wards. Methods: Visual inspection and field measurements were conducted using blower door to evaluate airtightness of 5 hospital wards. CONTAM simulation was used to assess the airflow differences when pressure difference between the corridor and wards met the criteria at various levels of airtightness. Results: The ACH₅₀ of evaluated wards ranged from 19.3 to 50.1 h^-1 with an average of 37.0 h^-1, indicating more than four times leakier than other building types. The minimum airflow differences increased as the airtightness of the wards decreased and the size of the wards increased. Implications: When operating rapidly converted negative pressure isolation wards, understanding airtightness is crucial for determining the minimum airflow differences to maintain the pressure differences. The analysis of this study suggests that improving the airtightness of aging rooms is essential and the minimum airflow differences should be suggested considering both the airtightness and size of rooms.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권3호
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• pp.25-35
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• 2015

Purpose: Signs that are installed at unnoticeable places or that disconnect before the destination can bring errors of location information delivery. Therefore, this study aims to find out the spatial relation between structure of space and signs in the perspective of visual exposure possibility, operating arrangement and assesment by applying spatial structure theory. Methods: Effectiveness of organization of guidance signs was evaluated after the four way-finding factors(Plan Configuration, Sign System, Perceptual Access, Architectural Difference) that G.D.Weisman suggested were interpreted by spatial structure theory(J-Graph analysis, Space Syntax, Visual Graph Analysis) under the premise that it is closely related to the structure of space. Results: 1) Because the south corridor that connects each department of outpatient division is located in the hierarchy center of the space, and walking density is expected to be high, guidance signs need to be organized at the place with high integration value. 2) The depth to the destination space can be estimated through J-Graph analysis. The depth means a switch of direction, and the guidance signs are needed according to the number. 3) According to visibility graph analysis, visual exposure can be different in the same hierarchy unit space according to the shape of the flat surface. Based on these data, location adjustment of signs is possible, and the improvement effect can be estimated quantitatively. Implications: Spatial structure theory can be utilized to design and evaluate sign systems, and it helps to clearly understand the improvement effect. It is desirable to specify design and estimation of sign systems in the order of J-Graph analysis${\rightarrow}$Space Syntax Theory${\rightarrow}$visibility graph analysis.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권1호
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• pp.7-16
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• 2010

The cultural assets of the palaces royal tombs remains institution expanded the convenient facilities for the disabled that can help the disabled to watch, to propel the convenient facility expanding business according to the condition of each facility. However, there has been limitations for the disabled facility users in viewing the cultural assets, as the facilities were not installed or were not installed properly. Due to the uniform installation of the convenient facilities that did not consider the features of the cultural assets, the conservation value of the cultural assets have been depreciated and the convenient use standards of the facility users such as the disabled were simultaneously unsatisfactory. Thus, this study maintains the pre-existing value of the palaces royal tombs remains institution that is the Korean indigenous traditional heritage, and uses a part of the improvement model development study on the palaces royal tombs remains institution of the disabled convenience enhancement to understand the current convenient facility installation and relevant services to find the restricted factors in using the facilities and the main problems. The problems were categorized into 13 types of questions, using the repeated problems occurred within the investigated facilities to look at the actual condition of the facilities, which showed that the facilities were in adequate in the aspects of convenient facility installation and relevant service.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권4호
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• pp.3-11
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• 2009

As de-schooling students (students who leave schools) have been produced and increased in middle and high schools every year since 1990s, urban alternative schools have founded with Seoul as the center. The objects of such urban alternative schools are de-schooling teenagers, and their educational goal is to make the students to discover their own values and grow as members of the community by accomplishing their healing and growth. Most of students in alternative schools have excessive self-centered feeling than ordinary people, and since they don't have exchanges with others, they have to receive holistic healing along with education. Here, 'healing' is a method of approaching to health through environmental, psychological, social and cultural supports unlike 'treatment' used for medical means. Therefore, holistic healing for alternative schools' students has to accomplish self-knowledge, self-control, and self-healing without repulsion through spaces of healing environments instead of heavy-handed exchanges. This study has integrated a theory of Max $L{\ddot{u}}scher$ who suggested a psychological healing theory in terms of internal character and a theory of Rudolf Steiner who suggested it in terms of practical and holistic sense and analyzed Sungmisan School, one of urban alternative schools in Seoul through the integrated theory. The analysis of the integrated theory are intended to emphasize the importance of healing environments and suggest methods in creating healing environments for urban alternative schools in the future.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권1호
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• pp.17-34
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• 2021

Purpose: The purpose of this study was to find out the difference in the priority level of recognition for universal design application in public spaces by gender. Method: ANOVA(analysis of variance) and post-hoc test were conducted to determine the priority level of recognition and pattern for the disabled, non-disabled, and experts classified into males and females. Results: There was no gender difference in the comparison by sector for all males and females. However, in comparing of domains and facilities, women showed a higher level of recognition than men in the building sector and cross domain. When comparing space consumers and producers by dividing them into male and female groups, women showed a higher level of recognition than men in producers, but there was no gender difference between consumers. In comparison by sector, domain and facility, women producers also showed a higher level of recognition in the road sector, park and recreation sector, sidewalk domain, four-spaces in the park and recreation sector, and six-spaces in the building sector than men producers. Also, in the building sector, women producers and consumers showed a higher recognition level than men. Comparing the disabled, non-disabled people and experts by dividing them into male and female groups, in the case of non-disabled people and experts, women showed a higher level of recognition than men, while men showed a higher level of recognition than women in the disabled. In addition, there were differences in recognition patterns in many spaces and facilities by gender. Implications: This study is meaningful in comparing the differences in the priority level of recognition and patterns between men and women to apply universal design for people of all ages and both sexes.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제12권3호
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• pp.27-34
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• 2006

Planning for the space of the Media Medical Department requires the details about the efficiency of the equipment and the operation in professional sector. For that, as designing, it is necessary to keep communicating with the experts on the technology and the officials from the company producing the equipment. One of the common concerns is not only how to insure enough room for the future extension and the upgrade of the equipment, as concerning the scale of the hospital, but the plan to cover movie cameras. As technology has been developed, despite the fact that machinery tend to be small, it can be possible to require continuously about the concerns of the scale because the camera taking body-picture tend to be much bigger and more complicated than before. Currently used diagnostic media techniques are divided by the method and the feature of the equipment such as Diagnostic X-ray, Ultrasound, CT, MRI, Angiography. The general and special photographing units which are used more than the other diagnostic parts, must be planned not for experiencing any inconvenience and unnecessary risks for the patients and must accept technical requirements. Also, it must be designed not to be seen as a clinic zone, as concerning the psychological stability of the patients. However, study of the general and special photographing units among the domestic general hospitals is insufficient. Also, as there is shortage of the material considering the development of the equipment, when planning, it's involving a lot of difficulties. Thus, this study has got a purpose on giving the basic material which is essential for further study, as suggesting the planning guidelines and the alternative plans for the general and special photographing units in a general hospital.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권3호
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• pp.37-48
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• 2010

This study analyzes the present condition of the elements of a healing environment of the waiting rooms in outpatient clinics of children' hospitals (3 hospitals in Seoul) so as to propose a design to build a healing environment within the children' hospital. And analyzing the importance, satisfaction and preference of the healing environment in the waiting rooms, this paper has come to the following conclusions: 1)The study shows that the space structure of outpatient clinics in children' hospitals are composed of 1 story or 2 stories and designed in a duplication design or a dispersed alcove design. 2)The waiting room of the SC Hospital, with an area of 66.56$m^2$, and the waiting room of the SU Hospital, with an area of 38.78$m^2$ received the highest score for its space. 3)As most patients visit the hospital with their guardian, the waiting room should also be someplace families can rest and share information with others. 4)It is essential to build an environment that eliminates stress elements that patients may come to face by minimizing noise and elements that obstruct the view for mental stability. 5)The results show that those who took part in the survey preferred the following, respectively, healing environment design for the waiting room in the outpatient clinic at children' hospital: Pleasantness>Easiness in finding one' destination>Artificial materials>Natural materials>Environment like that at home>Co-promotion spaces>Space that supports the patients'activities>Openness>Sociality>Safety/Security>Approachability and Privacy. The results also show that healing conditions respect these preferences.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권3호
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• pp.51-60
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• 2021

Purpose: The purpose of this study is to derive the residential environment design elements that affect suicide, and then analyze the actual situation in terms of suicide prevention and suggest implications. Methods: The study was conducted through literature analysis, field surveys, and interviews with stakeholders. Results: As a result of extracting the variables related to the residential environment that affect suicide suggested in a total of 18 papers, 15 variables were extracted and organized into major categories such as housing type, health and welfare facilities, leisure and cultural facilities, and living environment. Next, we selected a public rental housing complex with a relatively high suicide rate among multi-family housing as the case, and conducted a empirical analysis. It was investigated that the facilities were insufficient, and apart from the quantitative satisfaction of the rest, various problems were exposed, such as the classification of users according to age and insufficient management in terms of the actual use of residents including suicide attempters. Implications: First, it is necessary to search for the design direction of the residential environment for suicide prevention. Second, it is necessary to find a way to solve the exclusion phenomenon that appears in space and programs. Third, when planning a space for suicide prevention, understanding of the behavior of high-risk groups should be reflected.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권2호
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• pp.57-64
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• 2021

Purpose: The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward spaces in a psychiatric hospital. Recent research has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Methods: A survey at three kinds of wards in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of wards have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient's diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staffs and their private rooms where the nurse station is close. In addition, the patients in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.