• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.37-45
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• 2013

Purpose: With the rapid development of technology and individual life styles, Korea faces ever-increasing mental diseases caused by divorce, suicide, alcohol, drug addiction, and internet addiction. To reflect this, the quantitative expansion of mental health centers that make up is time. The purpose of this study is to understand the current situation of standard mental health centers by analysing Seoul's cases of mental health. First, this study presents the direction of mental health policy through specific examples about the function of public and private sectors. Second, advantages and disadvantages of the facilities will be delineated through in-depth comparisons and analyses, ultimately providing architectural quidelines for establishing future standard mental health center. Methods: Data were collected through literature research, field surveys, and expert interviews to standard mental health centers in Seoul. In the field investigation, we collected various data(architectural plan, dimension, photos) by visiting standard mental health centers. Data were analysed by content analysis. Results: The result of this study can be summarized into three points. The first one is that Mental health environment changing role of the mental health center is derived the spatial variations. The second one is that Standard Mental Health Center is divided into four sectors. Implications: It is necessary to give and architectural suggestion of mental health center in response to the proposal of the system.

• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.190-198
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• 2021

Objectives: Insufficient evidence exists regarding factors that affect screening adherence among people with a family history of diabetes, who comprise roughly half of all patients with diabetes. Therefore, we aimed to identify the determinants of diabetes screening adherence in adults with a family history of diabetes who had not yet been diagnosed with diabetes. Methods: This cross-sectional study was conducted at selected urban primary healthcare facilities in Tehran, Iran. The study population was clinically non-diabetic adults above 20 years of age with a family history of diabetes in at least 1 first-degree relative. All eligible people identified on randomly-selected days of the month were invited to join the study. Results: Among 408 participants, 128 (31.4%) had received a fasting blood glucose check during the last year. Using binary logistic regression, the independent predictors of screening adherence were knowledge of adverse effects of diabetes such as sexual disorders (odds ratio [OR], 3.05) and renal failure (OR, 2.73), the impact of family members' advice on receiving diabetes screening (OR, 2.03), recommendation from a healthcare provider to have a fasting blood glucose check (OR, 2.61), and intention to have a fasting blood glucose check within the next 6 months (OR, 2.85). Other variables that predicted screening adherence were age (OR, 1.05), job (being a housekeeper; OR, 3.39), and having a college degree (OR, 3.55). Conclusions: Knowledge of the adverse effects of diabetes, physicians' and healthcare providers' advice about the benefits of early disease detection, and family members' advice were independent predictors of screening adherence.

• 대한물리치료과학회지
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• 제29권2호
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• pp.66-76
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• 2022

Purpose: To investigate the satisfaction of students majoring in physiotherapy and to confirm a change of perception on employment decisions after clinical training. Methods: Structured questionnaires were distributed to 500 undergraduate physiotherapy students in 2014. Data from 462 respondents were analyzed using the Mann-Whitney, Kruskal-Wallis, Wilcoxon's signed-rank, stepwise regression, and independent samples t tests. Design: Cross-section study Results: The satisfaction and perceptions of employment decision increased post-clinical training among physiotherapy students who hoped to find employment. After clinical training, the desired employment venues also changed: fewer students desired to work in rehabilitation centers and secondary hospitals, and more desired to work in university hospitals, general hospitals, public welfare centers, and the industrial company health facilities. There were changes in the preferred fields of those who hoped to find employment in the field, as well. There was decreased interest in clinical electrophysiology, sports, and women's health, and increased interest in neurology, orthopedics, and pediatrics. Conclusion: The results of this study confirmed that clinical training changes student' employment decisions and affects their desire to enter specific fields.

• 웰빙융합연구
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• 제7권1호
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• pp.51-65
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• 2024

Purpose: This study is to propose the establishment and direction of a public health-medical cooperation system for rehabilitation medical services for people with physical and brain disabilities in Gangneung, Korea. Research design, data and methodology: The study focused on 30 individuals with these disabilities registered. Data was collected from December 20, 2021, to December 31, 2021, through structured surveys administered by researchers visiting disability-related facilities, utilizing convenience and random sampling methods. Descriptive statistics and cross-analysis were applied for analysis. Results: Specifically, among respondents with physical disabilities, a total of 20 needs were identified, with 'Visiting health services' (25.0%) and 'Oral health services' (20.0%) ranking highest. The survey results regarding visit-based rehabilitation services for disability support showed a high demand, emphasizing the necessity of service provision tailored to the needs of recipients, focusing on disability prevention, health management, and motor function recovery, rather than solely medical or therapeutic concepts. Conclusions: Gangwon National University Hospital, as the regional referral hospital in Gangwon, should collaborate with Gangwon Province Rehabilitation Hospital to provide prompt acute rehabilitation services. Moreover, cooperation and collaboration with Gangneung Asan Hospital, the tertiary hospital in the region, are essential to ensure continued acute and recovery phase rehabilitation therapy for a certain period in the Gangneung area.

• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.416-426
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• 2019

Objectives: In recent years, transboundary air pollution from mainland East Asia has led to growing concerns about air pollution in Japan. Air pollution is reportedly associated with the exacerbation of respiratory diseases. In this study, we assessed the effects of air pollution on respiratory symptoms and the health status of participants with and without chronic respiratory diseases. Methods: Participants (n=2753) with and without chronic respiratory diseases who visited healthcare facilities in Japan during February from 2010 to 2015 filled out a self-report questionnaire regarding their symptoms and perceived health status. Participants were followed up during April-May and June-July. Results: Oxidant concentrations were associated with respiratory symptoms, overall health, and quality of life (QoL). Suspended particulate matter (SPM) and particulate matter <$2.5{\mu}m$ levels were associated with physical fitness; SPM was also associated with QoL. Recent experience of an Asian sand dust event had a significant effect on allergic symptoms, change in health, and QoL. Conclusions: Respiratory symptoms were more strongly affected by oxidants than by other pollutants. Significant associations of air pollutants were found with a comprehensive range of items related to perceived health status, including overall health and QoL. Although the effects of air pollutants on respiratory symptoms and health status were more apparent among patients with respiratory diseases, the adverse effects of air pollutants were significant even among participants without such conditions.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제11권3호
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• pp.19-30
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• 2005

As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.

• 재활복지공학회논문지
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• 제9권3호
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• pp.223-230
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• 2015

기술의 발전과 기대수명의 증가 및 출산율 저하로 인한 인구 고령화로 의료기기와 의료용품들이 병원으로부터 일반인이 사용할 수 있는 가정과 일반 사회로의 이동이 증가하는 추세이다. 그러나 한국에서는 "가정용 의료기기"라는 용어에 대한 정의마저 불명확한 상황이며, 이에 본 연구에서는 글로벌 시장에서의 "가정용 의료기기"의 개념과 한국에서 사용되는 개념을 비교 연구하였다. 미국의 FDA의 가정용 의료기기에 대한 정의는 전문 의료기관과 가정에서 동시에 사용될 수 있는 의료기기를 포함하고 있으나, 한국에서는 식약처가 가정용 의료기기에 대한 정의를 하지 않고 있으며, 소비자를 대상으로 한 조사의 결과로 가정용 의료기기에 대한 정의를 유추하여 왔다. 유헬스케어 시대의 도래로 파라다임이 바뀌고 있는 상황에서, 한국에서도 병원과 가정에서 동시에 사용이 가능한 의료기기를 가정용 의료기기로 포함시켜야 할 것이다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권2호
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• pp.7-15
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• 2010

An early stage of general hospital in Korea was the quantitative growth period. Remodeling has been required to meet the increasing medical demands. To accept the change of paradigm and management operation method, remodeling occurred from the 20th century. Remodeling plans are difficult to define the direction of the detailed plan due to various factors in the beginning of the construction, Therefore, it is necessary to analyze the possibility and limitation of a feasible remodeling plan of general hospitals through the comparison of existing hospital before remodeling and after the remodeling takes effect. A comparison of the researched hospital's blue prints before and after the remodeling and recently built hospital's blue print, analyzed characteristic of the space variation by the remodeling. The purpose of research is to confirm a possibility and limitation of remodeling of general hospitals comparing with merits and faults of extension, reconstruction, and construction. In conclusion, the area of remodeling hospitals increase mostly medical department(ward, outpatient department, inpatient department) and subsidiary facilities, but the area of ward and inpatient department are less than the new hospitals. Especially, public area is greatly increased by the diversification of corridor function. Also, remodeling hospitals represent a limitation to plan departments in need of equipment-intensive space. To address this problem, expansion space is used mainly with inpatient department and existing space is placed mainly with low-impact department by equipment ; outpatient department, administration department.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권4호
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• pp.7-15
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• 2017

Purpose: The Korean government has implemented a Barrier Free Certification System since 2008 to create a secure and convenient environment for the socially disadvantaged. The drastic increase in the number of BF-certification facilities is expected due to the revision of the system and increasing the number of certification institutions. An analysis of individual evaluation items needs to be made for the BF-Certification with public confidence. Method: Korean standard, International Standard(ISO/FDIS 21542, 2011), German Standard(DIN 18040-1, 2010), Austrian Standard(${\ddot{O}}NORM$ B 1600, 2017) and Swiss Standard(Norm SIA 500 / SN 521 500, 2009) were investigated and analyzed. A comprehensive improvement plan is proposed by comparing details of the aforementioned standards and the evaluation items of BF-Certification. Results: Many problems arise in applying existing Barrier-free standards due to changes in population structure, environmental change and the use of powered wheelchairs. International standards are being improved to solve these problems. The korean standards also require improving of the Barrier Free Law and Certification System, which reflect these trends. In korean cases, standards such as the size of the doors (width and height), the Unobstructed Manoeuvring Space and Clear Space at the Latch side of the Door are required to improve standards in accordance with international standards. In addition, the expression of laws and evaluation items of BF-Certification should be clearly defined. And the application of visual contrast standards for the enhancement of perceptions presented in international standards should be considered. Implication: Barrier Free related legal standards and evaluation items of BF-Certification that are used in Korea are required to be revised in consideration of social and environmental changes. Comprehensive improvements should be made through detailed review.

• The Korean Journal of Medicine
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• 제93권6호
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• pp.509-517
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• 2018

A small number of viable tuberculosis bacilli can reside in an individual with latent tuberculosis infection (LTBI) without obvious clinical symptoms or abnormal chest radiographs. Diagnosis and treatment of LTBI are important for tuberculosis (TB) control in public and private healthcare facilities, particularly in high-risk populations. The updated 2017 Korean guidelines for TB recommend that tuberculin skin tests, interferon-gamma release assays, or a combination of them can be used for the diagnosis of LTBI, depending on the age and immune status of the patient as well as their TB contact history. For diagnosis of LTBI, exclusion of active TB is essential, and the possibility of healed TB in those without a history of treatment for TB but at risk of its development must be considered. The treatment options for LTBI include isoniazid, rifampicin, isoniazid/rifampicin, and isoniazid/rifapentine. The benefits and risks of these agents based on the age of the patient and their hepatotoxicity must be considered when selecting the appropriate drug. Standardized diagnosis and treatment of LTBI based on the updated 2017 guidelines will contribute to the control of TB in Korea as well as to further revisions of the guidelines.