• 제목/요약/키워드: Room

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응급실 급성심근경색증 환자의 체류시간에 영향을 미치는 요인에 관한 연구 (A Study of Factors that have Influence on the Length of Stay in the Emergency Room of Patients who have Acute Myocardial Infarction)

  • 정혜경;김해준;윤석준;이준영;이희영
    • 한국의료질향상학회지
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    • 제10권1호
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    • pp.42-56
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    • 2003
  • Background : The purpose of this study is to investigate the influencing factors on the length of emergency department stay of patients with acute myocardial infraction. Methods : we reviewed medical records of all patients who were Hospitalized with acute myocardial infraction from March 1, 2002 to February 28, 2003. Results : The average length of stay in the emergency room of the subjects was 182.74 minutes. After the emergency room treatment, 48.1% of the subjects were transferred to intensive care unit. The hospitalization through emergency room mostly took place in the office hours. There were more patients on Monday. The influencing factors on the length of stay in the emergency room of patients with acute myocardial infraction were emergency room arrival time which was classified in seasons, treatment hours of specialized doctors, medical care insurance and required time of radiologic examination. Conclusion : In order to reduce the length of emergency room stay, it might be an available solution secure enough spaces, facility, and staff of the radiologic test only for the patients of the emergency room. And the effective use of emergency facility and space, establishment of standardized treatment guideline, and provision of emergency treatment support system are also needed.

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노인전문요양시설 입소노인의 거실이용실태에 관한 조사연구 (A Study on the Residents' Behaviors in Living Area of Special Nursing Homes for the Elderly)

  • 안병영;조준영;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제14권1호
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    • pp.31-38
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    • 2008
  • Nursing Homes are different from other medical facilities, because they have a living space. And most of residents in a nursing home have dementia, therefore nursing homes are in control of outdoor activities for resident's safety and most of residents live in the living room at the daytime. The purpose of this study is analysis of spacial behaviors of residents in the living room, and reflection of the analysis into the architectural plan of nursing homes.There are two activities, individual activity and social interchange activity, in a living room and the role of a living room is semi-private space that includes both of them. Most numerous activities are watching TV and take a eat. Activities are different in accordance with the position at the living room. Individual activity and social interchange activity is same ratio in the middle and the ratio of social interchange activities are more than individuals in outside of living room. but alcove use of private.The types of living rooms are distinguished by combination of functions of livingroom, activity-room, and diningroom. The activity of use of residents have been shown different phases following the types of livingroom. The type of combination has been seen high rate of use and private activities and social communications are expressed evenly. The type of mixing has been seen low rae of use, but two activities, the above, are equal. The type of separation has been seen not only low rate of use, but also there has been only private activities.

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사용자 중심 디자인을 위한 다인병실에 대한 사용자 평가연구 - 부산 H 종합병원 사례를 중심으로 - (A Case Study on User Evaluation of Patients' Room for User-Oriented Design - Focused on H General Hospital in Busan -)

  • 오찬옥;백진경
    • 한국실내디자인학회논문집
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    • 제21권6호
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    • pp.12-22
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    • 2012
  • This study was carried out to focus on the user-oriented design of patients' room in general hospital. The purpose of the study was to examine the users' evaluation on their patients' rooms in H General Hospital and to suggest how to improve the patients' room design. The users were inpatients, care givers, and nurses, 300 subjects of each 100 users in H hospital. They evaluated 26 items related to the patients' room design using by 5-points Likert scale. Also, they answered three elements which bothered them, what needed improvement, and what they feel ill at ease. The results were as followings; 1) The users evaluated positively the location and size of window. This implies that the current one is relatively ideal and deserve to be maintained. 2) The users responded negatively to the thermostat system and the space for care-givers. 3) The lack of space for care-givers and visitors, common use of refrigerator and bathroom, and the lack of space bothered the users. 4) Most users mentioned the lack of space in patients' room. This implies that it needs to consider the change of the person number per patient's room, from 5 persons to 4 ones. 5) The lacks of sleeping space, dining space, and bathroom space bothered the care-givers. This implies that the space for care-givers such as sleeping, dinging, and bathing should be considered in patients' room.

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응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발 (Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room)

  • 정민진;신현아;김윤희;이지향;이승자;송미라
    • Child Health Nursing Research
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    • 제18권4호
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.

Bio Clean Room(BCR)의 멸균을 위한 산소 클러스터이온 발생 장치 개발에 관한 연구 (A Study on the Development of Oxygen Cluster Ion Generator for Sterilization of Bio Clean Room(BCR))

  • 박동일;정광섭;김영일;김성민
    • 설비공학논문집
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    • 제25권1호
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    • pp.7-13
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    • 2013
  • Bio Clean Room(BCR) and pharmaceutical product manufacturing facilities require careful assessment of many factors, including HVAC, controls, room finishes, process equipment, room operations, and utilities. Flow of equipment, personnel, and product must also be considered along with system flexibility, redundancy, and maintenance shutdown strategies. It is important to involve designers, operators, commissioning staff, quality control, maintenance, constructors, validation personnel, and the production representative during the conceptual stage of design. Critical variables for room environment and types of controls vary greatly with the clean space's intended purpose. It is particularly important to determine critical parameters with quality assurance to set limits and safety factors for temperature, humidity, room pressure, and other control requirements. In this paper, oxygen cluster ion equipment was utilized in order to enhance the indoor air quality and to prevent the airborne infection of ward in hospital. Moreover, the performance test of the equipment was also performed in order to develop the optimal sterilization system of BCR using the equipment.

숙박시설의 객실 유형에 따른 유니버설디자인 적용 방안에 대한 연구 - 장애인객실과 일반객실 유형비교·분석 및 FGI를 통하여 (A Study on the Application of Universal Design according to Room Types of Accommodation - Through classification and analysis of room types and FGI)

  • 류상오;김인순
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권3호
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    • pp.29-37
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    • 2017
  • Purpose : Due to the shortage of the room for the disabled, it may be difficult to use the accommodation for the disabled (especially wheelchair users). The purpose of this paper is to propose a universal design(UD) application for all rooms to solve the problems caused by the shortage and the decrease of the usage rate of the rooms for the disabled. Methods : Classify and analyze the type of room and bathroom according to the survey. The space of the room is classified into six types mainly based on the relation and location among the entrance, the bathroom, and the bedroom. Also, the bathroom is classified into 20 types considering the positional relationship with the entrance and between sanitary fixture. By using these types, FGI survey will be conducted and the application of UD will be reviewed and presented. Results : We analyzed by using the types of the room and the bathroom. One of majority type in the actual research and two of UD applicable types from FGI, are shown UD application. In addition, the bathroom were analyzed about four types from FGI. The room were shown about the activity space and the furniture layout for UD. The bathroom were shown about the space for the entrance, the internal activitiy space and the arrangement of the sanitary fixture. Implications : By comparing and analyzing through type classification, it was found that universal design can be applied to all rooms. Therefore, it is expected that the UD will be activated in all rooms of the accommodation.

자연과 교우하는 주거공간 계획 (Plan of Nature-friendly Residential Space)

  • 김봉순
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2008년도 춘계학술발표대회 논문집
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    • pp.32-35
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    • 2008
  • If human beings could make friends with nature, it would be a truly wellbeing. This project has selected the design concept under the supposition that human beings and the nature become friends. This residential house, which is consisted of one ground floor and two underground floors, is confronting the mountains that surround the residential complex. Residents can enjoy viewing the mountains from the living room. The garden is created by using this given environment in maximum. The walls are made up with rocks, and a small pond is formed with water from the mountain, presenting another attractive sight. Through the connection rather than the break between mountain and garden, living room and garden, and again garden and mountain, the dialogue with nature was attempted. The water of the pond in the garden flows down along the walls and creates another water space at the gate area of the house. Passing through the entrance, there are a living room, a kitchen, a bedroom for spouses, a common bathroom, and a library on the ground floor. On the second floor, there are two rooms, a bathroom, and a mini living room. The platform of living room on the 1st floor is lowered to produce the comfortable living room with the hearth. From the view of living room, the garden with full feeling of nature can give a good emotional rest for modem people who want the mental relaxation. The marble stones are used as its material to present rich texture and sophisticated image presentation. The hearth in the living room is harmonized with high-tech electronic home appliances and surrounding accessories. On the kitchen, the high-glossy materials are used to express the external appearance neatly and the depository function is more improved for housewives.

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저온저장고 내부의 균일한 온도분포를 위한 3차원 공기유동 분석 (3-D Simulation of Air Flow in Cold Storage Room for Uniform Temperature Distribution)

  • 성제중;고학균;조성인;양길모
    • Journal of Biosystems Engineering
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    • 제25권4호
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    • pp.279-286
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    • 2000
  • Most of the domestic cold storage rooms are inefficient for agricultural products because of temperature gradients inside the storage rooms. Temperature gradients are developed mainly by improper airflow pattern inside the storage room, which is a main cause of the spoilage of the agricultural products. There proper airflow pattern is essential to minimize these temperature gradients and the spoilage. The performance and characteristics of a cold storage room were determined as a function of airflow pattern and temperature distribution in forced circulation cold storage room. A commercial CFD(computational fluid dynamics) code was used to simulate 3-D airflow in the cold storage room. Solving the flow equations for the storage room, a standard k-$\varepsilon$ turbulent model was implemented to calculate steady state turbulent velocity distribution. The CFD prediction results were compared with temperature measurements inside the cold storage room. In case of pallet storage, Temperature gradients inside pallet storage was reduced because the contact area of cold air expanded through an alley of airflow in storage. But is case of bulk storage, the last temperature of storage considerably rose more than the initial temperature of storage. The reason was that bulk storage didn't include any alley of airflow in storage.

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급기가압 제연설비의 내부 유동특성에 대한 수치해석 (Numerical Analysis on Flow Characteristics in the Pressurized Air Supply Smoke Control System)

  • 고권현
    • 한국화재소방학회논문지
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    • 제31권4호
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    • pp.52-58
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    • 2017
  • 본 연구에서는 급기가압에 따른 건축물 내부의 공기유동에 대한 수치해석을 수행하고 거실, 부속실 및 계단실 간의 차압분포 및 유동 특성을 분석하였다. 유동 해석은 유효누설면적을 측정하기 위해 제작된 누기율 시험설비에 대하여 수행하였으며, 급기가압에 따른 각 실의 압력 및 유속분포 등을 분석하였다. 본 해석에서 공기의 누설은 유효누설면적을 갖는 얇은 틈새를 방화문과 창문에 위치시키는 방법으로 모사하였다. 이러한 방법을 이용한 해석은 계단실과 부속실 간의 차압에 대한 기존 실험의 결과를 적절히 예측하였다. 해석 결과를 통해 국부적인 누설이 급기가압 제연 설비의 전체적인 유동 패턴 및 압력 분포에 큰 영향을 미치지 않음을 확인하였다. 거실-부속실 문 단면에서의 평균속도가 방연풍속에 대한 국가화재안전기준을 만족하였으나 문의 상부와 같은 국부적인 위치에서 부속실로의 유출이 발생할 수 있음을 확인하였다.

바닥 면이 정사각형인 격실 내 100% 인명피해를 위한 최소 화약량 산정 (Calculation of the Minimum Charge Weight Required for 100% Personnel Target Lethality inside a Room with a Square Base)

  • 한민성
    • 한국시뮬레이션학회논문지
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    • 제28권1호
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    • pp.109-115
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    • 2019
  • 격실 내 인명 살상확률을 계산하는 문제는 무기체계의 효과분석에 있어서 중요한 문제이다. 본 연구에서는 바닥 면이 정사각형인 직육면체 형태의 격실에서 격실 크기에 따른 인명 살상확률 100%를 만족하는 최소 화약량을 산출하는 식을 개발한다. 내부 폭발로 인해 생성된 폭풍파의 압력 이력은 고속 계산 폭압 모델로 계산하였고, 폭풍파에 노출된 인명의 살상확률은 Axelsson SP 방법론을 적용하여 계산하였다. 한 변의 길이가 5m에서 15m인 정사각형을 바닥 면으로 하는 격실 안에서 무게 20kg에서 170kg의 TNT가 폭발하는 총 176 가지의 시나리오들에 대해 시뮬레이션이 수행되었다. 선형 모델 및 화약밀도기반 모델을 개발하여 표적 격실의 바닥 면의 한 변의 길이에 따른 인명피해 100%를 만족하는 최소 폭약량을 예측하였다.