• International journal of advanced smart convergence
• /
• 제10권1호
• /
• pp.151-158
• /
• 2021

The main cause of ulcer is pressure, which starts to develop when the critical body pressure (32mmHg) is exceeded, and when the critical time elapses, ulcer occurs. In this study, the keyboard mechanism of the medical bed with 4 bar links was adopted, and each key can be controlled vertically. A key has one servo drive and one sensor controller which hasseveral body pressure sensors. The sensor controllers and the servo drives are connected to the main controller by two CAN (Car Are Network) in series, respectively. By reading the maximum body pressure value of each keyboard sensor, and by calculating the error value based on the critical body pressure, the fuzzy controller moves each key so that the total error becomes zero. If the fuzzy controller fails, then it prevents ulcer by lifting and lowering the keys of the bed alternatively within a short time. Thus, the controller operates in two-stage. The validity and effectiveness of the proposed approach have been verified through experiments.

• 한국기계가공학회지
• /
• 제15권3호
• /
• pp.8-14
• /
• 2016

Medical bed head consoles (BHC) are generally used to increase the efficiency of medical equipment and speed the medical treatment response time. The BHC design has been consistently improved including a movable shelf unit that is embedded to mount stably medical instruments on the lower part of the main console. The cost of a BHC can be reduced through design optimization to limit the overall weight. However, as the size of a head console might decrease due to design optimization, the BHC deflection could be increased. In this study, multi-objective optimal design was adopted to consider this BHC design problem. In order to reduce the cost of optimization planning, an approximate model was applied for the design optimization. In the context of approximate optimization, we used the response surface method and non-dominant sorting genetic algorithm developed from various fields. Multi-objective optimal solutions were also compared with a single objective optimal design.

• Archives of Plastic Surgery
• /
• 제33권1호
• /
• pp.107-112
• /
• 2006

If autogenous nail is lost in nail bed injuries, alternative effective nail bed protection material is questionable in postoperative follow up period. The conventional modality with autogenous nail coverage have several disadvantages such as drawback of maintenance, higher chance of loss and complex dressing step (eg. ointment apply for humidification and nail fixation using tape or bandage). So, we have studied the usefulness of adhesive silicone gel sheet for alternative nail bed protection material until the end of nail regeneration. From March 2003 to July 2004, we have experienced 215 traumatic nail bed injuries except fingertip loss. Among these patient, we classified two groups, 30 cases with autogenous nail protection(Group I) and 30 cases with adhesive silicone gel sheet protection(Group II). Mean full nail growth time was 3.6 months in group I and 3.8 months in group II. Mean final nail appearance score(0: poor, 4: excellent) was 3.0 in group I and 3.5 in group II. Adhesive silicone gel sheet protection(Group II) was slightly superior to the autogenous nail protection in final appearance, especially sterile matrix laceration. In conclusion, we believe that adhesive silicone gel sheet application is a simple, acceptable, alternative method for protecting nail bed with loss of autogenous nail. It has a number of advantages compared with autogenous nail such as better humidification, controllable hygiene, less pain, less hospitalization, less frequent visit, less chance of loss, avoiding complex dressing step and more even pressure with adhesiveness, flexibility and durability.

• 한국병원경영학회지
• /
• 제6권3호
• /
• pp.109-129
• /
• 2001

The purpose of this study was the acquisition of the optimum scale of the apportionment of standard & high-class bed for the maximum profit representative of the desire of customers in a General Hospital with 1,100 beds located in Seoul. This investigation was proceeded by the analysis of the result of the simulation with the survey of both the patients' needs for bed and the degree of the medical service by the grade of the ward. And finally the consequence was obtained as follows: 1. The result of the investigation of the inpatients' preference for the grade of ward classes shows that a private ward reflected 4.3 percent, a semi-private ward 1.7 percent, a three-bed ward 0.1 percent, and a ward with six beds 93.9 percent each other. 2. A questionnaire poll was paralleled of service terms of a medical doctor and a nurse by ward class, the data were used for the standard of the allotment of labor cost by the ward class. The poll shows that the service tenn of a medical doctor and a nurse based on a ward with six beds by ward class showed 1.7 times in internal medicine and 1.9 times in surgery at a private ward; 1.4 times in internal medicine and 1.7 times in surgery at a semi-private room; and 1.2 times both in internal medicine and in surgery at a three-bed ward 3. The resultant findings revealed the most profit per bed and per patient in a private ward. However, an analysis of profit with a standard of unit area by ward class represented a higher profit in both the internal medicine and the surgery semi-private ward than other ward classes. 4. The result of the analysis through simulation based on the data of the prime cost per the ward class proved the optimum scale of the distribution of beds by class as follows: sixteen beds of the internal medicine and twenty three beds of the surgery in the private ward; two hundreds and two of the internal medicine and one hundred and ninety eight of the surgery in the semi-private room; three of both the internal medicine and the surgery each other in the three-bed ward; one hundred and ninety eight of the internal medicine and two hundred and fifty two of the surgery in the ward with six beds. The result of this research exhibits that the income and expenditure of the hospital could be improved by changing parts of wards into private ones(containing the maximum profit per a unit of width) in case the scale of the number of beds is reset with the consideration of the profit per the unit width. In the near future it's strongly expected that the research for the more scientific standard of the allotment of labour cost by ward class and for definition of the optimum scale of the number of beds that actualize the maximum profit with the change of the three elements of the prime cost: cost of materials; labor costs; management expenses.

• 문화기술의 융합
• /
• 제6권3호
• /
• pp.353-359
• /
• 2020

본 연구에서는 욕창 예방과 치유를 위해 개발된 의료용 로봇 침대의 제어기 구조와 제어 알고리즘에 대해 기술한다. 상용의 기존 욕창 예방 매트리스는 수동으로 동작하고 잔존 최대 체압이 욕창 발생 임계 체압을 넘어서기 때문에 이론적으로는 항상 욕창이 발생할 여지가 있지만, 본 연구에 개발된 시스템은 능동형 전기구동 건반을 사용하여 침대의 건반이 하강하면 체압이 0으로 떨어져서 욕창이 발생하지 않는다. 또한, 침대의 건반이 상승하여 욕창 임계 체압 이상이더라도 지속시간을 욕창 발생 임계시간 이내로 하도록 기구와 제어 알고리즘이 설계되어 있어서 욕창 발생 자체가 일어나지 않으며, 이는 바로 상용화가 가능한 욕창 예방 로봇 침대임을 뜻한다. 침대 건반의 모터는 의료용으로 적합한 BLDC 서보 드라이버를 설계한 모터로 되어있고 전장이 단순하여 쉽게 사용할 수 있도록 설계되었으며, CAN(Car Area Network)방식으로 서로 통신한다. 제작된 시스템은 욕창 예방에 효과적인 새로운 의료용 로봇 침대로 욕창으로 고통받는 많은 환자들에게 제공될 수 있도록 보급할 예정이다.

• 문화기술의 융합
• /
• 제5권4호
• /
• pp.361-366
• /
• 2019

환자를 위해 시트를 교환하는 일은 궂은일에 속하며 간호환경을 힘들게 하는 요인 중에 하나이다. 환자를 위한 다양한 기능들을 갖는 많은 침대들이 이미 개발되어 있으나 시트를 자동으로 교환하는 장치는 아직 없다. 본 연구에서는 의료용 침대를 위한 시트 자동 교환 장치를 최초로 개발하고 시험하여 성능을 검증하였다. 개발된 시트 자동 교환 장치는 토크 리미터를 사용하여 장력을 적절히 조절하며 오염된 시트와 새로운 시트를 동시에 교환한다. 설계된 시트 자동 교환 장치는 기 개발된 욕창 예방, 환자 자동 이송 기능을 갖는 다기능 통합 침대에 장착되어 적절히 동작하는 것을 실험을 통해 확인하였다

• 동서간호학연구지
• /
• 제14권1호
• /
• pp.36-43
• /
• 2008

Purpose: This study was conducted for an evidence-based nursing intervention on bed rest period after puncture, by confirming whether there was a difference in scores of headache and back pain between the 1-hour bed rest group and the 6-hour bed rest group following lumbar puncture in patients with leukemia. Method: The subjects were 45 inpatients of the department of hematology at a general hospital in Seoul, from January 1 to March 31, 2005. There were 21 patients in the 1-hour bed rest group and 24 patients in the 6-hour bed rest group. A graphic rating scale was used to measure headaches and back pains. Collected data were analyzed with SPSS 12.0. Non- parametric statistics were used to analyze the data. Results: There was no significant difference between the 1-hour bed rest group and the 6-hour bed rest group in the headache level and back pain level. Conclusion: Therefore, it is considered that a long period of bed rest over 6 hours after lumbar puncture is not a necessary nursing intervention, and repeated studies are required to confirm the result.

• International Journal of Advanced Culture Technology
• /
• 제8권3호
• /
• pp.254-259
• /
• 2020

The medical bed developed in this study is an electrically driven segmental keyboard. First describe the instrument of the segmental bed specially designed for pressure ulcer prevention, then the motor control system and pressure ulcer prevention operation of the bed. The main factor of pressure ulcer generation is displayed as body pressure x time, and when the keyboard falls, the body pressure becomes zero, and the pressure becomes higher than the threshold even if the body pressure is above the threshold, the pressure control algorithm has been developed. Therefore, using the proposed pressure control method, it has no particular ulcer occurred theoretically.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제21권2호
• /
• pp.67-73
• /
• 2015

Purpose: This study examines areal composition of ward applying to 4 bedroom in provincial medical center. Methods: The existing five-bed patient rooms, general type of multiple-bed rooms in Korea causes many problems for the amenity of patients. We should reconsider their inconvenience carefully and try to provide the right to keep their privacy and enjoy amenity. The number of patients of multi-bed rooms is very critical point to improve the environmental condition of the patient rooms. This study separate 5 bedroom group and 4 bedroom group. Net area from space program was surveyed and analyzed. Results: The result of this study can be summarized into two points. The first one is that Group-4(4 bedroom) ward has more 23% patient's area and -23% convenience area than Group-5(5 bedroom). The second one is that Group-4 has more single bedroom and Group-5 has more dayroom. Implications: Consideration Should be taken into account for the effective bedroom composition and allocation in ward. This Study hopefully may serve as a stepping stone for the standard design of space program in ward.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제22권4호
• /
• pp.87-95
• /
• 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.