• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.7-14
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• 2021

Purpose: This study summarized architectural planning data for clinical practice spaces for CPX/OSCE and Simulation spaces, through analysis of domestic and foreign literature and a survey of domestic colleges of medicine. Methods: This study analyzed the architectural planning elements of the clinical practice spaces of the college of medicine, through a literature review on the clinical practice space and the survey of four recently established colleges of medicine. Results: ① It is desirable to plan the floor plan type for Simulation and CPX/OSCE spaces as a corridor-separated type that separates the circulations between students and staff (faculty). ② The simulation area arranges their practice rooms around the control space where the circulation of the staff is made. Conversely, it is desirable to arrange the CPX/OSCE rooms around the test waiting room where students enter. ③ It is desirable to separate access to the staff and students to allow student control, and to install various support spaces facing the staff corridor to secure the movement of equipment and the flow of evaluators. ④ In the simulation area, the equipment stored in the storage must be set in each room before the practice according to the setting of delivery or surgery like, and the equipment that has been removed must be back, so the circulation is short and does not intersect with the student circulations. ⑤ Debriefing rooms, seminar rooms, etc. are arranged in the staff area for review and discussion of clinical situations where practice and evaluation have been completed. Implications: It is important to configure an appropriate movement system and spatial zoning for each space for simulation and CPX/OSCE.

• 한국방재안전학회논문집
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• 제15권4호
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• pp.1-9
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• 2022

본 연구는 도시철도 지하역의 '피난' 및 '소방'에 관련한 제도적 현황을 분석하여 현행 도시철도 지하역에서의 '피난'에 대한 제도적 한계점을 도출하여 이를 바탕으로 건축공간적 측면에서의 가이드라인을 제안하고자 하였다. 연구의 결과 다음과 같은 점이 도출되었다. 첫째, 유사 기준이 개별법령에 분리 제정되어 기준 파악이 어렵고 서로 이원화되어 있기 때문에, 도시철도에 한정하여 도시철도 이용객의 이동 동선에 따라 머무는 공간을 표준화하여 규정할 필요가 있다. 둘째, 열차 이용을 위해서는 반드시 '티켓팅' 이라는 특수한 절차를 고려해야 하며 대합실과 승강장 사이에 피난안전구역, 피난계단에 대한 규정이 필요하다. 마지막으로 지하 30m이상 깊이의 대심도에서 승강장이 있는 경우, 현행 건축법과 유사한 기준에 따라 피난층을 설치하도록 할 필요가 있다.

• 한국산학기술학회논문지
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• 제19권5호
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• pp.89-97
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• 2018

과거 병원은 치료만 목적으로 하여 최소한의 공용공간을 확보하여 계획되었지만, 현대 병원은 치유환경의 중요성이 높아지면서 공용공간이 늘어나고, 환자와 보호자와 의료진을 고려하여 계획된다. 또한 로비형태가 홀형에서 발전하여 스트리트형이나 컨코스형으로 계획되면서 공용면적이 증가했다. 과거병원과 다르게 접수, 대기, 수속공간에서 발전하여 현대병원은 상업,취미,문화공간으로 사용된다. 본 연구의 목적은 종합병원의 치유환경 요소를 선행연구에서 도출하여 치유환경 평가방법을 분석의 틀로 세워, 병원 로비공간의 치유환경을 로비 평면형태를 중심으로 분석, 평가한다. 병원 로비는 여러 행위가 이루어지는 중요한 공간으로, 병원 로비 평면타입별 각 3개의 사례를 비교분석한다. 연구의 결과로 스트리트형이 홀형보다 로비치유환경이 더 좋은 것으로 나타났지만 접근성, 옥상정원, 휴게공간의 분석결과는 비슷하다. 이는 사례대상이 대형종합병원이기에 충분한 공간이 계획되어 로비형태와 크게 관련 없는 요소로 사료된다. 스트리트형 중에서도 아트리움이 선형인 사례가 4면형 아트리움보다 오픈체적비가 크기에 로비의 공간감과 자연채광 유입효과가 크다. 또 로비평면이 홀형일 때, 단면이 중정형이면 오픈체적비가 큰 것을 보아 로비의 평면 형태도 중요하지만, 단면형태도 중요한 것으로 분석된다.

• 핵의학기술
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• 제16권1호
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• pp.50-56
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• 2012

일시 출입자로 분류된 핵의학과 출입 환경미화원은 주기적으로 타과와 업무순환을 하고, 또한 작업 시간과 환경 등의 변화가 많기 때문에 관리하기에 어려운 점이 있으며 따라서 이들의 분류를 명확히 할 필요가 있다. 이에 본 논문에서는 핵의학과에서 근무하는 환경미화원의 피폭 상황을 분석하여 일시 출입자로 분류된 조건의 타당성에 대하여 검토해 보고 작업 환경의 변화 및 근무 시간의 조절이 필요한가를 알아보았다. 우선 먼저 PET실과 혈액 검사실에서 근무하는 환경미화원과 감마 카메라실에서 근무하는 환경 미화원 2명을 대상으로 한 달간 근무 시간 중에 OSL을 각각 착용시켜 개인 피폭 선량을 측정하였다. 둘째로 survey meter를 이용하여 두 명의 환경미화원의 작업 환경, 근무 형태에 따라 시간대 별로 핵의학과 내 14개 구역을 선정, 총 10회 공간 선량률을 측정한 결과 이들의 피폭 선량은 연간 1mSv를 초과하지 않았으며, survey meter를 이용하여 조사한 결과 또한 연간 1 mSv를 초과하지 않을 것으로 추정되지만 그 수치가 1 mSv에 근접하였다. 따라서 일시 출입자로써의 분류를 좀 더 명확히 하기 위해서는 PET 안정실과 같은 피폭이 상대적으로 많은 구역에서의 노출 확률을 줄이기 위하여 이들에게 방사선 관리 구역내 교육을 실시하고, 또한 근무시간 및 근무 형태를 적절히 변경한다면 이들의 피폭 선량은 확연히 줄어들 것으로 사료된다.

• 대한간호학회지
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• 제38권1호
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• pp.140-151
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• 2008

Purpose: The purpose of this study was to understand the meanings and nature of living in the world among cancer patients. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Method: The participants for this study were 5 men and 6 women, who were over the age of 20 with admission or a follow up visit in the medical or surgical department. Data were collected by using in-depth interviews and observations from February to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Result: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were: a body that cannot be restored, a body that endures and lives, waiting in uncertainty, a valued calculation for the living day, being in a world of invisible power, reestablishing relationships, and reflection on his or her life. Conclusion: These findings revealed that living in the world is affected to varying degrees by the cancer. It is important for nurses to identify and take care of disabilities and to support the reorientation in the disintegrated life situation. The result of this study can give nurses some insight into these experiences and help promote empathetic care.

• 센서학회지
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• 제29권5호
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• pp.283-292
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• 2020

Current sensors that use a Hall element and Hall IC to measure the magnetic fields generated in steel silicon core gaps do not distinguish between direct and alternating currents. Thus, they are primarily used to measure direct current (DC) in industrial equipment. Although such sensors can measure the DC when installed in expensive equipment, ascertaining problems becomes difficult if the equipment is set up in an unexposed space. The control box is only opened during scheduled maintenance or when anomalies occur. Therefore, in this paper, a method is proposed for facilitating the safety management and maintenance of equipment when necessary, instead of waiting for anomalies or scheduled maintenance. A Bluetooth 4.0 low-energy current-sensor system based on near-field communication is used, which compensates for the nonlinearity of the current-sensor output signal using a piecewise linear model. The sensor is controlled using its generic attribute profile. Sensor nodes and cell phones used to check the signals obtained from the sensor at 50-A input currents showed an accuracy of ±1%, exhibiting linearity in all communications within the range of 0 to 50 A, with a stable output voltage for each communication segment.

• Archives of Reconstructive Microsurgery
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• 제23권2호
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• pp.89-92
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• 2014

An 8-year-old girl diagnosed with dilated cardiomyopathy and Russell-Silver syndrome was admitted to our pediatric intensive care unit due to low cardiac output and multiple-organ dysfunction. The patient was placed on the heart transplant waiting list and extracorporeal membrane oxygenation was performed as a bridge to transplantation. After 17 days, heart transplantation was performed. The donor was a 46-year-old female (weight, 50 kg; height, 150 cm). The donor:recipient weight ratio was 3.37:1. Because the dimension and volume of the recipient's thoracic cage were insufficient, the sternum could not be closed. Nine days after transplantation, the patient underwent delayed sternal closure. To obtain adequate space, we left the sternum 4.5 cm apart from each margin using four transverse titanium plates. A transverse rectus abdominis musculocutaneous flap was chosen to cover the wound. Due to the shortage of donors, a size-mismatched pediatric heart transplantation is sometimes unavoidable. Closure of the opened sternum of a transplant recipient can be challenging. Sternal reconstruction after an extremely oversized heart transplantation with transverse titanium plate fixation and a musculocutaneous flap can effectively achieve sternal closure and stability.

• 한국실내디자인학회논문집
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• 제13권6호
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• pp.39-47
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• 2004

A general hospitals change continuously and rapidly, the way of growth and change becomes an important factor in the interior design. For this purpose, it compares and analyzes the image between different general hospital's ultrasonography with content level in the interior design to aspect investigating the preferences of the patient. Also the field survey on the real users was carried out, asking what kind of interior design you like in the general hospital ultrasonography. These research materials can be utilized for the practice application in the interior design of general hospital ultrasonography with the analyzing each available space. In the survey result, the point on the users needs things which are considered as the most important aspect for the fundamental data for the reasonable design planning and the basic principles of the modeling plan in the hospital's ultrasonography. So this study is to investigate and analyze the characteristics of the waiting area, way finding, color, lighting, counter design. This study would apply to interior design for the modeling of general hospital's ultrasonography.

• 성인간호학회지
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• 제20권1호
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• pp.149-162
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• 2008

Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 women, who were over the age of 20 with ICU admission period more than 3 days. Data were collected by using in-depth interviews and observations from March, 2007 to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Results: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were as follows: a body that cannot react the way it wants, a wave of fear and insecurity everywhere, a struggle to survive, coming out from death's door, loss of time path, a long and continued waiting until escaping, more of machinery room than a patient's room, existence of life and death, an abyss of suffering seen thru another patient, taken care of by a doctor, trust and distrust, family, the ultimate safe zone. Conclusion: Critically ill patients in ICU experienced feelings of discomfort, unsafety, and insecurity. The result of this study can give nurses some insight into these experiences and help promote empathetic care.

• 교육시설
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• 제15권2호
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• pp.27-38
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• 2008

This study aims to examine Japanese elementary school architecture in Meiji Era, in which Japanese modern education system was settled down and the school architecture flourished by mass construction of stereotyped school buildings. It is assumed that stereotyped school architecture is due to the influence of the standard drawings made by Japanese Ministry of Education, therefore standard drawings could be a key to understand the characteristics of the stereotyped school buildings in Meiji Era. In this perspective this study attempts to analyze 4 standard drawings and interpret it in relation to regulations and design guidelines for school architecture in that time. As results of this study the change and characteristics of stereotyped school architecture in Meiji Era are clarified in several categories. They are as follows : the deviation of classroom and corridor, the change of classroom size fixing to 4 kan(間) by 5 kan(間), the absolute use of north-lacing single corridor type block-plan, and the change of other space such as waiting room(控所), special instruction room, auditorium and gymnasium.