• Title/Summary/Keyword: healthcare environment

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Patterns of Antimicrobial Resistance and Detection of mecA Gene from Methicillin Resistant Staphylococcus aureus Isolated from Healthcare Facilities and U.S. Military Hospital in Korea

  • Sin Chin-Su;Lee Gyu-Sang;Lim Kwan-Hun;Kim Jong-Bae
    • Biomedical Science Letters
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    • v.11 no.4
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    • pp.447-453
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    • 2005
  • A total of 108 strains of MRSA (Methicillin-resistant Staphylococcus aureus) clinical isolates was collected from $121^{st}$ general hospital (U.S. military hospital), Korean healthcare facility from January to March in 2005 and Wonju Christian hospital in 1999. Antimicrobial susceptibility test by Vitek System and MIC test using oxacillin and cephalothin stripes by E-test were executed. PCR based detection of mecA gene was performed on the all of MRSA clinical isolates, too. MRSA clinical isolates were characterized with antimicrobial resistance patterns, PCR based detection of mecA gene and validation of the multiplex PCR strategy of SCCmec among clinical isolates.

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A Study on Characteristics of Healing Environment in the Late Work of Frank Lloyd Wright (프랭크 로이드 라이트 후기 작품의 치유환경적 특성에 관한 연구)

  • Kim, Kwang-Ho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.12 no.1
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    • pp.41-48
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    • 2006
  • The purpose of this study is to find Healing elements in the late work of Frank Lloyd Wright. Healing elements are mainly composed of physical, social and psychological functions, which are clearly reflected in holistic attitude and intuition in his Organic theory of Architecture. Late works of Wright since 1935 show particularly shapes of triangle and circle creating the emotional images associated with Hope and Infinity. His image-oriented design attitude is thought to be strongly related to the pursuit of Utopian ideal which means peaceful condition. He regarded it as the consequence of integrity and control, which could be thought as condition of Healing environment. Refuge and Prospect can be complementary elements of spatial expression representing peaceful and dynamic condition of the Nature itself. Five works selected in this case study have unique design ideas related to the function and image of Healing environment interpreted by the criteria of Refuge and Prospect.

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Development of an Information Security Standard for Protecting Health Information in u-Health Environment (u-Health 환경에서의 정보보호 수준제고를 위한 보안 표준 개발)

  • Kim, Dong-Soo;Kim, Min-Soo
    • IE interfaces
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    • v.20 no.2
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    • pp.177-185
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    • 2007
  • e-Business in healthcare sector has been called e-Health, which is evolving into u-Health with advances of ubiquitous technologies. Seamless information sharing among health organizations is being discussed in many nations including USA, UK, Australia and Korea. Efforts for establishing the electronic health record (EHR) system and a nation-wide information sharing environment are called NHII (National Health Information Infrastructure) initiatives. With the advent of u-Health and progress of health information systems, information security issues in healthcare sector have become a very significant problem. In this paper, we analyze several issues on health information security occurring in u-Health environment and develop an information security standard for protecting health information. It is expected that the standard proposed in this work could be established as a national standard after sufficient reviews by information security experts, stakeholders in healthcare sector, and health professionals. Health organizations can establish comprehensive information security systems and protect health information more effectively using the standard. The result of this paper also contributes to relieving worries about privacy and security of individually identifiable health information brought by NHII implementation and u-Health systems.

A Study on the Architectural Design Guideline for Intensive Care Unit - Focused on Cases of The US, The UK and Australia (중환자부 시설기준 수립을 위한 가이드라인 조사·분석연구 - 미국, 영국, 호주 사례를 중심으로)

  • Yun, Woo Young;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.4
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    • pp.17-25
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    • 2015
  • Purpose: At the moment, There is a facility standard for intensive care units on the Korea medical services Act. However, the contents of regulation are so limited and difficult to apply. Therefore, it is necessary to draw up the guideline to complement the regulation for efficient operation of intensive care units. This study aims to suggest basic data for guideline of intensive care units. Methods: 2 Methods have been used in this paper. 1) Comparative analysis between the national regulation of Korea with the design standard of the United States America, the United Kingdom and Australia. 2) A literature survey about operation method for intensive care unit, focused on materials published in intensive care medicine society of each country. Results: In comparison with guideline of abroad cases, additional supplement are required, with regard to item such as operation environment, size, nursing manpower ratio, bed space area, space program of intensive care units for healing environment. Implications: This study is a basic research for guideline of intensive care unit, and need to be followed by further study using various perspectives and methods.

Security Analysis of Remote Healthcare System in Cloud-based IoT Environment (클라우드 기반 IoT 환경의 원격 헬스케어 시스템에 대한 보안성 분석)

  • Kwon Jaemin;Hong Sewoong;Choi Younsung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.19 no.1
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    • pp.31-42
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    • 2023
  • As computer performance is leveled upward, the use of IoT systems is gradually expanding. Although IoT systems are used in many fields, it is true that it is difficult to build a safe system due to performance limitations. To overcome these limitations, many researchers have proposed numerous protocols to improve security issues. Among them, Azrour et al. except. We proposed a new efficient and secure authentication protocol for remote healthcare systems in a cloud-based IoT environment, and claimed that the new protocol could solve the security vulnerabilities of the existing protocols and was more efficient. However, in this paper, through the security analysis of the remote healthcare system in the cloud-based IoT environment proposed by Azrour et al., the protocol of this system was found to be vulnerable to Masquerade attack, Lack of Perfect Forward Secrecy, Off-line password guessing attack, and Replay attack.

A Study on Educational environment Theory of Reggio Emilia and Space Concept for Healing - Focused on the Childcare Facilities (레지오 에밀리아의 교육 환경 이론과 심리치유 공간 개념 - 어린이 유치원 시설을 중심으로)

  • Byeon, Jihye;Kim, Kwangho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.2
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    • pp.25-33
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    • 2015
  • Purpose: This study is to suggest a direction for comprehensive planning of educational environment in which children's cognitive development and emotional needs are achieved in childcare facilities. The importance of educational environment in childcare facilities has increased since it was discovered that high quality educational environment can not be guaranteed in current childcare facilities while the number of women participating in labor force, hence the number of children spending most of their time in these facilities is rapidly increasing. Methods: Correlation analysis on Reggio Emilia Approach to education environment and Max Luscher's psychological healing theory, and case study. Results: The result of the correlation analysis, the 4 key elements of educational environment and the 4 emotional status have significant relationship. Based on the elements of educational environment in Reggio Emilia Approach, case studies were pursued in 3 different childcare facilities in Korea. Implications: Evaluation of these case studies addresses the important elements to be considered in comprehensive planning of the educational environment in childcare facilities.

A Study on the Evaluation and Improvement of Healing Environment for Public Hospital wards considering Elderly Inpatient Characteristics - Focused on the Public Hospitals in Yeongnam area (노인환자 특성을 고려한 공공병원 병동부의 치유환경 평가 및 개선방안에 관한 연구 - 영남지역 사례를 중심으로)

  • Han, Sukbum;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.3
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    • pp.7-15
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    • 2014
  • Purpose: This study is to propose direction for healing environment design in hospital architecture considering the characteristics of elderly patients. The primary goal of a public hospital is providing cheap health care and quality service chance to the underprivileged and elderly in the dead zone. Compared to the rapid increase of the aged population and chronic diseases, Ministry of Health & Welfare is currently planning model of health promotion hospital in development plans of local based public hospital. Due to the increased elderly medical expenses, elderly patients' high utilization is considered. Methods: The literature on the design factors of healing environments were investigated. based on this, analyzed drawings of surveyed hospitals ward in architectural characteristics and observe and evaluate directly healing environment design through field surveys. Results: The design of hospital environment affects patient's therapeutic effect. There is no any official formula for hospital design but environment that architect create could be a big part of the healing process. To increase the quality of the environment, apply the characteristic factors and harmonize well as a human-centered healing environment. Implications: Healing environment design for the elderly is first necessary condition due to high proportion of elderly patients.

A study on the evaluation of elderly care facilities for elderly people with dementia using the therapeutic environment elements (치유환경요소를 이용한 치매노인요양시설 평가 연구)

  • Cho, Ju-Young;Lee, Hyo-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.1
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    • pp.25-33
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    • 2010
  • This study is to realize the importance of the therapeutic environment of nursing facilities for elderly people; to comparatively analyze the therapeutic environment elements of the facilities in Gwangju, Jeonnam area, Seoul, and Japan by classifying the therapeutic environment elements according to two aspects on the basis of preceding studies; and to find out the differences among the three regional groupsnaFirst, all therapeutic elements were put together on the basis of two preceding studies based on the two aspects. Second, an expert group was organized primarily with architects and care-givers to find out the therapeutic environment elements of nursing facilities for elderly people with dementia, and to draw up an evaluation standard. Third, the regional differences were analyzed, by comparing the distribution of therapeutic elements of the facilities in Gwangju-Jeonnam area, Seoul, and Japan, through the found therapeutic environment elements. Consequently, eighteen therapeutic environment elements were found out of total 32 elements, and the elements were classified into nine factors based on the meaning of each element. The therapeutic environment elements were showed highest in Japan, and lowest in Gwangju-Chonnam area according to the comparative case analysis based on the nine factors. Especially, there were great regional differences in terms of awareness, safety, orientation, privacy, and freedom of choice.

Hospital Healthcare Service Innovation: Interaction and Knowledge Sharing based on ICT Relatedness (병원 헬스케어 서비스 혁신: ICT 조직기능 연관성 (ICT Relatedness)에 기반한 상호작용과 지식공유)

  • Kim, Chan Young;Lee, Kang Duck;Kim, Yong Jin
    • Information Systems Review
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    • v.17 no.1
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    • pp.19-47
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    • 2015
  • The purpose of this research is to represent how ICT relatedness and organization environment influence on interactions between healthcare specialist and patients, and how knowledge sharing influence on healthcare innovation, and how service innovation influence on service performance through structured research model. This research also has applied to resource based view, adaptive structuration theory, service innovation, ICT relatedness to find out performance effect on healthcare service innovation and service performance. In other words, organization structure environment and ICT relatedness are important factors to promote interaction between healthcare service providers and customers like patients each other, moreover, to share the tacit knowledge by creating in the interaction. Moreover in order to verify model fitness, this research has surveyed among healthcare specialists, technicians and other staffs. Model verification result, all hypotheses have been found to give a positive effect on the creation and significantly. Structured organizational environment and ICT association is to promote the organization's functions by influencing the behavior of the service organization and patient interaction and knowledge sharing, and suggests that the major factors influencing the innovation performance of hospitals and health care services.

IoT Healthcare Communication System for IEEE 11073 PHD and IHE PCD-01 Integration Using CoAP

  • Li, Wei;Jung, Cheolwoo;Park, Jongtae
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.4
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    • pp.1396-1414
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    • 2018
  • With the proliferation of the Internet of Things (IoT) healthcare devices, significant interoperability issue arises where devices use proprietary data transfer protocols. The IHE PCD-01 standard has been suggested for the exchange of healthcare data in ISO/IEEE 11073 PHD data model. However, the PCD-01 is not efficient to be used in the IoT environment. This is because the use of SOAP for PCD-01 may be too complex to be implemented in the resource-constrained IoT healthcare devices. In this paper, we have designed a communication system to implement ISO/IEEE 11073 and IHE PCD-01 integration using the IETF CoAP. More specifically, we have designed the architecture and procedures, using CoAP, to seamlessly transmit the bio-signal from the tiny resource-constrained IoT healthcare devices to the server in a standardized way. We have also built the agent, gateway, and PCD-01 interface at the server, all of which are using the CoAP as a communication protocol. In order to evaluate the performance of the proposed system, we have used the PCD data to be transmitted over CoAP, MQTT, and HTTP. The evaluation of the system performance shows that the use of CoAP results in faster transaction and lesser cost than other protocols, with less battery power consumption.