• 제목/요약/키워드: isolation room

검색결과 149건 처리시간 0.025초

사회복귀를 고려한 일본 정신과 급성기치료병동의 변화경향 (Changing Tendency of the Psychiatric Hospitals' Acute Wards for Return to Society in Japan)

  • 고상균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권4호
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    • pp.19-27
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    • 2016
  • Purpose: This study shows a changing tendency of Japanese psychiatric hospitals, presenting "Visions in Reform of Mental Health and Medical Welfare", changed to "Hospitalized Medical Treatment to Living in the Community" and reducing the number of beds since 2004. Methods: This study uses a documentary survey, especially Jananese "Visions in Reform of Mental Health and Medical Welfare System" and a field survey on hospital built for early treatment and return to society after 2004. Results: Change tendencies of psychiatric hospitals are 1) diversification of isolation room and ward, 2) cluster of patient's room, 3) phased organization of space, 4)individualization. Implication: This study will be an important data for researching plan of Korea psychiatric hospital which needs to change by global tendency.

백선 환자가 사육하고 있는 애완동물 및 침실먼지에서 피부사상균의 분리 (Isolation of Dermatophytes from Domestic Animals and Bed Room Dust of Tinea Patients)

  • 방용준;김쌍용
    • 대한임상검사과학회지
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    • 제38권2호
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    • pp.94-98
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    • 2006
  • The mattresses and dust in the bed rooms of nine dermatophytes infected patients and nine domestic animals were examined by the KOH method. Microsporum canis species and Trichophyton mentagrophytes were isolated from cats and rabbits, respectively. The sources of infection of three patients were the M. canis infected cats raised by them and the four other patient's sources of infection were not confirmed. The sites of infection of the nine patients were their heads and those of the domestic animals were their heads and bodies. M. canis species were isolated from the infection sites of three cats and specimens collected by hair brush from the nine domestic animals. T. mentagrophytes species were also isolated from the infection sites of two rabbits. The seven patients had mattresses and bed room dust contaminated with M. canis.

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Rapid Isolation of Genomic DNA from Normal and Apoptotic Cells Using Magnetic Silica Resins

  • Park, Jee-Sun;Park, Jung-Hyun;Na, Shin-Young;Choe, Soo-Young;Choi, Sang-Nam;You, Kwan-Hee
    • Journal of Microbiology and Biotechnology
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    • 제11권5호
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    • pp.890-894
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    • 2001
  • The isolation of genomic DNA from mammalian cells is usually performed by cell lysis followed by protein digestion, extraction, and finally, ethanol precipitation of the chromosomal DNA. However, in the case of large sample numbers or when only small amounts of starting materials are available, such conventional methods are not efficient and are cumbersome to be applied. Some alternative methods have been described as well as having commercial DNA isolation kits to be available, nevertheless, there is room left for much improvement. In the present study, a novel method is introduced, where it simplifies conventional protocols by omitting some time-consuming steps such as protease incubation or DNA precipitation and its resuspension. Using paramagnetic silica resins, the genomic DNA was purified over a magnetic field, and the bound DNA was eluted with a low-salt buffer. The fidelity and effectiveness of this novel method was determined by using normal and apoptotic cells as a starting material and then compared to other protocols. The high speed and convenience along with its high efficiency in detecting apoptotic chromosomal DNA will prove this method to be an improved alternative in the isolation of genomic DNA from mammalian cells.

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감염병전문병원의 병동부 및 중환자부 영역 구성에 관한 연구 (A Study on the Zoning of Wards and Intensive Care Units (ICUs) in the Infectious Disease Hospital)

  • 이주랑;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권3호
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    • pp.17-28
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    • 2023
  • Purpose: This study aims to provide basic data for the future construction plans of the Infectious Disease Hospitals by analyzing the area composition and required room ratios in the wards and ICU of currently under-construction infectious disease hospitals. Methods: 3 Methods have been used in this paper. 1) This study conducted a literature review on major considerations and related guidelines for hospitals specializing in infectious diseases using existing data. 2) Based on the objects and activities of the hospital space, zones and areas were set for each department according to infection control. 3) Based on the established zones and areas, basic plan drawings of three hospitals specializing in infectious diseases currently under construction were collected and architectural drawing analysis was performed. Results: 1) Infectious Diseases Hospital must have a spatial organization that can accommodate patient isolation, infection control, efficiency of medical service, and changes. 2) Zones for infection control are divided into negative pressure and non-negative pressure zones based on airborne precaution isolation. It is divided into clean and contaminated zone according to class of cleanliness by Aseptic technique. Areas are classified by objects (patients, healthcare workers, supplies) and activities (access, medical treatment, support), and a system for organizing space is established based on this. 3) By analyzing the area composition of each departmental area, each required room, and each required space in the wards and intensive care units, it provides basic data for the spatial organization for architectural planning of the infectious disease hospital. Implication: It can be used as basic data when planning related facilities by analyzing the characteristics of the space plan of the required room according to the relationship between activities, movement lines, and operation plans based on user behavior.

호흡기 감염 격리병원의 물류시스템 계획에 관한 연구 (A Study on the Architectural Planning of Material Handling System for the Airborne Infection Isolation Hospitals)

  • 최광석;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권2호
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    • pp.63-72
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    • 2017
  • Purpose: The purpose of this study is to review the material handling system of the Airborne Infection Isolation Hospitals which is the one of the key elements of infection control and to improve the basic data for the planning and design of those facilities. Methods: Research was conducted by literature reviews and case studies for the material handling system of domestic and foreign Isolation hospitals. Results: The result of this study can be summarized into three points. First, a general isolation unit and a high level isolated unit need to be distinguished in terms of efficiency and safety. In particular, it is desirable that a high level isolated unit have to completely separate clean and soiled circulations, and soiled corridor should be installed by those means. By doing this, the medical staff can observe patient rooms and supply clean materials directly in the clean zone without wearing PPE, so that safety and work efficiency can be improved at the same time. Second, for the safe disposal of wastes, it is desirable to install a dedicated sterilizer per ward and sterilize it at least in the ward. In addition, It is desirable to install a central waste treatment room and a dedicated soiled corridor in consideration of the inadequate handling capacity and emergency situation. Third, the characteristics of material flow chart in the negative pressured isolation hospitals and the corresponding material handling system have been presented. Implications: Infection control is very important in safety, but it is necessary to respond to the symptoms of the patient.

거주 후 평가를 통한 국가지정 입원치료병상 시설 개선 방향 도출에 관한 연구 (A Study on the direction for Facility Improvement of Nationally Designated Negative Pressure Isolation Ward through Post Occupancy Evaluation)

  • 정다운;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제27권3호
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    • pp.39-49
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    • 2021
  • Purpose: The negative pressure isolation ward is a key facility in preparedness and response to infectious diseases. For the sustainable operation of the facility, appropriate facility improvement is required. The experience of medical staff responding to infectious diseases in the COVID-19 pandemic provides effective informations for facility planning. Methods: The post occupancy evaluation (POE) was conducted by interviewing medical staff who is working on Nationally designated negative pressure isolation ward in general hospital. Floor plan analysis was conducted before field surveys for identifying facility characteristic and spatial composition. After that, field surveys were conducted at 3 hospitals, and interviews and fieldwork were conducted together. Results: It is necessary to increase the standard size of ward area from 15m2 to 20m2. The size of the doffing room has to be planned for accommodation of two or more people. Equipment storage, clean storage and waste storage also should be properly planned. There were almost no problems with the circulation in the ward. There was not enough space for medical staff. Implications: For a sustainable and safe negative pressure isolation ward planning, it is necessary to exploit learning from the medical staffs who have many experiences of coping with infectious diseases.

Multiplex 영화관의 보행면 진동방지 대책 (Vibration Isolation Method of Walking Space in the Multiplex Cinema)

  • 이성호;정갑철
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2000년도 춘계학술대회논문집
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    • pp.913-920
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    • 2000
  • The hall and the projection room of the multiplex cinema being constructed on the sixth and seventh floors at Jeonpo-dong market, Pusan, is composed of structural beams and decks considering the structures self weight problem, and the following problems are expected: - Vibration and noise generated on the floors by moving audiences may annoy the audiences in the other hall - Vibration and noise generate on the floor of the nearby hall as the audiences walk through the alley near the projection room - Vibration and noise generate on the floor of the hall nearby the projection room as the film drops This study measured and reviewed the vibration amount of the seven representative transferring routes that were selected for the halls and the alley near the projection room. Based on the analysis, the model hall was constructed and the vibration in the hall was estimated after cutting the deck. Also, this study constructed the steel stairs and investigated the vibration transferring characteristics to decide whether to construct the steel stairs in the building. Finally, the results were evaluated by actually using the stairs and reviewed the appropriateness of the measurement.

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동결건조시 감압증류되는 인삼의 휘발성물질의 분리 (Isolation of Volatiles from Panax ginseng Root by Vacuum-Distillation with Freeze-Drying)

  • Park, Hoon;Sohn, Hyun-Joo;Cho, Byung-Goo
    • Journal of Ginseng Research
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    • 제14권3호
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    • pp.353-356
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    • 1990
  • The isolation of volatile compounds by vacuum-distillation with freeze-drying was tested 1 with fresh ginseng roots. The roots were frozen at-8$0^{\circ}C$; they were dried at-4$0^{\circ}C$ tinder vacuum(40 tory), for 24 hours; and the ice condensed at the silrface of condenser in the freeze-dryer was thauved at room temperature. The ether extract of the resulting aqueous solution was analyzed by gas chromatography (GC) equipped with a flame ionization detector (FID) or a nitrogen-phosphorils detecto(NPD) and by gas : chromatography/mass spectrometry(GC/MS). More than forty peaks were observed in the CG(FID) profile. and more than ten peaks were observed in the GC(NPD) profile. Among them, thirteen components 1including one aldehyde, four hydrocarbons, two esters, folly alcohols, and two vyrazines were identified: six components the molesuiar ions of which were m/z, 204 were estimated to be a series of azulene compounds; and the other components unidentified were estimated to have molecular weights of lower than 254. Therefore, the freeze-drying technicue is thought to be usefu1 for the isolation of volatile compounds of such low molecufilar weights from vegetables, fruits and biological fluids as well as fresh ginseng roots under the tested conditions.

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국가지정 입원치료 격리병상 시설적격성 및 환경개선효과 분석에 관한 연구 (A Study on the Facility Eligibility Inspection & Effect of Environment Improvement for National Inpatient Isolation Units)

  • 이두루나;권순정;성민기;윤형진;홍진관
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권4호
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    • pp.67-75
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    • 2017
  • Purpose: This study is for the facility eligibility and improvement evaluation analysis for the patient care environment of 7 facilities which has national inpatient isolation units. Methods: For the evaluation, first of all, the patient care environment of national inpatient isolation units are scrutinized by the checklist which is used on from 2014 with the 4 fields of criteria : architectural planning and layout, general requirement and condition for operating the negative pressured isolated patient room, HVAC system, and waste water discharging system. Finally, the evaluation results are compared with that of 2014. Results: The result shows that the average value of facility eligibility is 89.3 percent and which is 8.9 percent higher than the value before the MERS occurred. Implications: It is clear that facility remodeling of 7 institutions is being performed continuously, and the result of facility eligibility evaluation is reflected on design of a new 21 national inpatient isolation units those are going to be constructed from 2016. Therefore, it is expected that this study is used as a practical reference to establish the criteria of patient care environment management and safety management for both infectious disease outbreak and general service condition.

긴급전환형 임시음압격리병실의 기밀도에 따른 최소 급배기 유량차 평가 (Analysis of Minimum Airflow Differences between Supply and Exhaust Air according to Airtightness of Rapidly Converted Temporary Negative Pressure Isolation Rooms)

  • 신희원;김동욱;김지민;정효범;강동화
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권4호
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    • pp.69-77
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    • 2023
  • Purpose: During the COVID-19 pandemic, there have been many cases of converting regular hospital wards into temporary negative pressure isolation wards. The purpose of this study is to evaluate the minimum airflow differences that satisfies the pressure difference criteria(-2.5 Pa) according to airtightness of switching type wards, in preparation for utilization of aging regular wards as negative pressure isolation wards. Methods: Visual inspection and field measurements were conducted using blower door to evaluate airtightness of 5 hospital wards. CONTAM simulation was used to assess the airflow differences when pressure difference between the corridor and wards met the criteria at various levels of airtightness. Results: The ACH50 of evaluated wards ranged from 19.3 to 50.1 h-1 with an average of 37.0 h-1, indicating more than four times leakier than other building types. The minimum airflow differences increased as the airtightness of the wards decreased and the size of the wards increased. Implications: When operating rapidly converted negative pressure isolation wards, understanding airtightness is crucial for determining the minimum airflow differences to maintain the pressure differences. The analysis of this study suggests that improving the airtightness of aging rooms is essential and the minimum airflow differences should be suggested considering both the airtightness and size of rooms.