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Epidemiology of Facial Bone Fractures During the Coronavirus Disease 2019 Pandemic: A Single Korean Level I Trauma Center Study

  • Kim, Min Ji;Yang, Kyung Min;Lim, Hyoseob
    • Journal of Trauma and Injury
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    • v.34 no.4
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    • pp.233-241
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    • 2021
  • Purpose: The medical community has been heavily impacted by the coronavirus disease 2019 pandemic. The management of facial trauma patients has been affected by the patient capacity of emergency rooms. In this study, we share our experiences of facial trauma management during the social lockdown period and investigate the epidemiological changes in facial bone fractures. Methods: A total of 997 patients who presented to Ajou University Hospital Emergency Center and were evaluated by plastic or maxillofacial surgeons for facial trauma were included in this retrospective study. Our study design was a comparative study of two groups: the 2019 group (control) and the 2020 group (the experimental group that experienced social lockdown). Results: The total number of emergency room inpatients reflected the national pandemic trends with three peaks in patient numbers. According to these trends, facial bone fractures had two different low points in August 2020 and December 2020. A comparison of the 2019 and 2020 facial bone fractures did not show a statistically significant difference in the total number of patients. An analysis of the causes of trauma showed that domestic accidents increased in 2020 (30.92%; p<0.001). Among the anatomical sites of facial injury in surgical patients, the frontozygomatic complex fracture increased the most in 2020 (p=0.018). Facial injuries with two separate sites of injury or with three or more involved sites also showed a significant increase in 2020 (p<0.001). Conclusions: We demonstrated that the incidence of facial trauma patients correlated with the incidence of patients presenting to the emergency department and that facial trauma is inextricably related to multi-trauma cases. Domestic accidents and facial trauma with multiple anatomically involved sites are increasing trends that need more attention.

Determinants of Profitability of Regional Public Hospitals in Korea - Focusing on the COVID-19 Pandemic Period - (지역거점 공공병원의 수익성 결정요인 - COVID-19 유행기간을 중심으로 -)

  • Ji, Seokmin;Ok, Hyunmin
    • Korea Journal of Hospital Management
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    • v.27 no.3
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    • pp.26-38
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    • 2022
  • Purposes: We analyzed the profitability determinants of regional public hospitals during the entire period between 2010 and 2020 and the period before and after COVID-19. We intended to provide fundamental data for developing publicness evaluation index and task of establishing and expanding regional public hospitals. Methodology: The financial and non-financial information of the regional public hospitals were used as the main analysis data; The financial data was established by the Center for Public Healthcare Policy of National Medical Center, and the non-financial data by the Health Insurance Review and Assessment Service. T-test and regression analysis were used. Findings: The results can be summarized in two. First, the main determinants of profitability of the regional public hospitals were appeared to be the total asset turnover rate and the labor cost rate. Second, during the COVID-19 pandemic in the regional public hospitals, the number of sickbeds, the number of isolation rooms, the total asset turnover rate and the labor cost rate appeared to be the factor worsening the profitability. Practical Implication: The results of this study suggests that the management of the regional public hospitals is not aiming for the profit making, but it performs the functions as the community healthcare safety net such as controlling infectious diseases.

A Study on the Systematic Construction of the Utility Space in General Hospital (국내 종합병원 Utility Space의 체계 구축에 관한 연구)

  • Kim, Eun Seok;Yang, Nae Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.4
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    • pp.77-84
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    • 2017
  • Purpose: In terms of the flexibility in hospital architecture, there are fixed elements of hospital architecture: mechanical, electrical, aeration rooms and shafts, which are the main utility spaces. Thus, it is necessary to recognize the utility space as a system that helps internal functions and flexible internal changes. This study analyzes the notion of the main utility space in hospital architecture and the architectural planning features of the main utility spaces as the system in the design process of the recently built hospitals. Methods: The design factors are extracted comparing two hospitals' plans in each stage and the systematic characteristics of utility spaces are analyzed accordingly. The opinions gathered from interviews of practitioners, architects and facility planning experts directly involved in the architecture design process are analyzed and reflected in the results. Results: Planning for utility spaces should be accompanied by the architectural plan from the basic design process, and proceeded with recognizing utility spaces as a system, which is a fixed element. Utility spaces are highly organically connected. Horizontal and vertical distribution of air chambers can reduce the length and number of ducts, and thus save story height, and reduce the number of shafts, the vertical connection passage. This is advantageous in securing the variable area, which is the ultimate objective of the system-centered hospital architecture plan. Implications: Thereby aims to provide fundamental data on systematic utility space planning in the hospital architecture planning.

Study on the Spatial Standard for Data Reading Rooms in Public Libraries (공공도서관 자료열람실 공간기준에 관한 연구)

  • Lim, Ho-Kyun
    • Korean Institute of Interior Design Journal
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    • v.22 no.5
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    • pp.328-335
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    • 2013
  • This study investigated the ratios of area, according to the domains and functions, of a public library. To this end, 20 public libraries were selected as samples from the 2012 Public Library Construction Casebook and from cases of consulting on the construction and operation of public libraries. The domains of a public library were categorized into data reading, cultural education, operation, common use, and others. There was a large difference in the area ratios between public libraries that were built with the aid of consulting (Group B) and those without consulting (Group A). In functional terms, the data(bookshelf) space and reading space had similar ratios within a data reading room, while the ratio of the library information space was smaller. Within a general data reading room, the ratio of the library information space was 12%, while the ratios of the data space and seating space were 44%, respectively. Moreover, within a data reading room for children, the ratios of the library information space and children's space were adjusted to 14%, respectively, while the data space and seating space each accounted for 36%, with either 3- or 5-decker bookshelves installed. This study has identified how to calculate the area for each domain, capacity of books, and seating capacity by applying area ratios through functions in the data storage domain, along with numbers of books and seats per unit space. This study has also succeeded in calculating the required area and seats for each type of data storage room by applying the number of books that exist. However, this study has its limitation in that the regional characteristics(Metropolis, Small & medium size cities, Rural areas) were not considered because the number of samples was only 20 libraries.

A Case Study on The Changes in Space Composition According to Departmental System - Through the 10 Remodeling Cases of High School - (교과교실제 운영에 따른 공간구성 변화에 대한 현황분석 - 리모델링된 10개 고등학교의 사례 -)

  • Lee, Dong-Wook;Rieu, Ho-Seoup
    • Journal of the Korean Institute of Educational Facilities
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    • v.19 no.1
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    • pp.13-24
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    • 2012
  • Recently, many middle and high schools are remodeling the buildings and facilities based on departmental system. This study, through analyzing on 10 remodeling cases of high school, is showing the variation before and after remodeling, space organization types, and the types of school management. This also gives us the information on the number of classrooms and teachers' rooms for each subject, the area and number of home base, and the current state of all these facilities. Furthermore, this study is comparing and analyzing the rate of use of specialized classrooms to the type of management. Through this analysis, we reach the following conclusions. l. However all the cases remodeled their buildings to implement departmental system, the methods of space composition, the numbers of the classrooms, and the status of home base are in various forms. 2. Taken as a whole, there are only few spaces used by departmental system. 3. The spaces for practical subjects such as Science and Art are inadequate than the ones for major subjects such as Languages and Mathematics. 4. A system to assign a room for a teacher records the lowest space usage rate. 5. The area of home base per one student is only $0.48m^2$, and even the area is mostly filled with lockers. The present condition of the 10 high schools which we surveyed shortly after remodeled shows that departmental system is not firmly settled down yet.

Trust to Share: Investigating the Key Factors to Influence Tenants' Participation in Online Short-Term Rent

  • Liuye Yu;Zhixia Zang;Xue Yang
    • Asia pacific journal of information systems
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    • v.29 no.2
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    • pp.308-327
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    • 2019
  • The concept of sharing economy has received rich attention in recent years. As a typical type of business model in the sharing economy, online short rent has been paid attention by both industry and academia. In this study, we find trust to be a critical determinant to the success of online short rent platforms. Based on three dimensions of trust theory, i.e., ability, benevolence and integrity, we investigate the factors influencing tenant' willingness to participate in online short rent. We further examine the extent to which trust can influence the number of sales and comments of rooms listed at online short-term rent platforms, which can represent tenant' willingness to participate in the sharing economy. The results show that the trust dimensions represented by a landlord's personal characteristics have significant positive correlations with the number of sales and comments. For example, the real name authentication and the sesame score can represent the trust integrity; online replay ratio and the average confirmation time representing the trust sincerity, and the order acceptance ratio representing the trust ability. On this basis, we proposed some recommendations for both platforms and landlords. For example, the landlords can improve the tenants' trust by authenticating his/her real name, replying actively and timely. For platforms, when they make housing list ranking rules, they can take the landlord's personal attributes that may affect trust into consideration. Moreover, platforms can also allow landlords to supply value-added services to improve service quality and ultimately promote the virtuous circle of the platform ecosphere. Through conducting the empirical research on a particular application of the sharing economy, we aim to fill the research gap of this field in China and provide theoretical and practical contributions to the future development of online short rent.

A Study on the Spatial Characteristics of Elderly Care Facilities in Gyeongnam- Province (경남지역 노인요양시설의 공간 특성에 관한 연구)

  • Yang, Kum-Suek
    • Journal of the Korean Institute of Rural Architecture
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    • v.23 no.4
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    • pp.21-29
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    • 2021
  • The purpose of this study is to present the basic direction of the desirable spatial plan for elderly care facilities by analyzing the spatial characteristics of elderly care facilities in gyeongnam-province. As a research method, 189 elderly care facilities in gyeongnam-province were investigated for location conditions, site area, floor area, total floor area, and space composition. In addition, the area of each specific space was analyzed for two elderly care facilities with a typical floor plan. The results of the survey and analysis are as follows. First, the average number of people in the facility was 53.8, and the number of people in the facility needs to be planned to be medium or less so that they can live in a more comfortable environment in the future. Second, in the location type, it was found that many facilities were distributed in the order of suburban and rural type, urban type, mountain type, and waterfront type. In addition, in terms of facility space composition, the proportion of detached facilities was 50.8%. Complex facilities require a reasonable plan in consideration of the location type and other functional facility characteristics. Third, the average total floor area per person of elderly care facilities was 27.57m2. There is a limit to constructing a unique nursing space. In the composition of bedrooms, quadruple rooms account for 67.4%, but it is necessary to expand the proportion of bedrooms that can be used by fewer people.

A Study of the Spatial Composition and Departmental Area Distribution in Geriatric Hospital (노인전문병원의 공간구성과 부문별 면적배분에 관한 연구)

  • Lee, Hyun-Jin;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.3
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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.

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A Survey on the Spaces in Police Substation for Improving Area Standards (지역경찰관서 면적기준 개선을 위한 실태조사)

  • Kang, Kyung-Yeon;Han, Gi-Sung;Lee, Kyung-Hoon
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.36 no.2
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    • pp.3-11
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    • 2020
  • The police substation includes work spaces for civil services, interviews, and meetings, etc, and private spaces for rest, showers and cafeterias and so on. Since a large number of rooms for each function should be installed in a relatively small building, it is important to develop an area standard for efficient space organization in consideration of the functional characteristics and usage patterns of each space. The purpose of this study is to suggest the way for improving the area standards for spaces in police substation based on the results of existing standards analysis and case study. For this objective, architectural documents of 161 police substations built after 2013 in Korea were comparatively analyzed. Sixteen of these facilities were selected for field survey and investigated how the workspace and private area were organized and used. The results of investigation showed that there were a number of problematic cases, such as spaces not installed or insufficient, spaces used for two or more functions, spaces installed even though they are not included in the standards. It was mainly due to the fact that several important spaces which had been installed in most police substations were not included in the existing standards. The ways for improvement were suggested like following four points: (1) Modifying the criteria for classifying facility size, (2) Modifying the lists of the required spaces, (3) Specifying the basis of calculation for each space in detail, and (4) Differentiating the way to organize spaces according to the facility size.

Infection management for emergency rescue equipment (119 구급대의 구급장비 감염 관리와 실태조사)

  • Park, So-Mi;Lee, Hyo-Ju;Choi, Jang-Hui;Kim, Jong-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.1
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    • pp.87-98
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    • 2017
  • Purpose: This study investigated the use of infection management and the frequency of emergency equipment sterilization by emergency rescue crews to provide basic guidelines and suggestions for infection control. Methods: A self-reported questionnaire was completed by 160 emergency medical technician rescue crews in J area from May 7 to May 22 in 2015. The questionnaire consisted of 95 items, including the general characteristics of the subjects (8 items), the use of emergency equipment (33 items), the frequency of facility sterilization (33 items), infection control (12 items), vaccination (4 items), and the use of personal protective equipment (5 items). Results: In all, 97.3% of respondents were aware of the "Guidelines of Infection management for Rescue Operators' and 90.9% received training on infection control. A total of 72.7% and 47.3% of rescue centers were equipped with disinfection facilities and laundry rooms, respectively. The average frequency of sterilization was $3.17{\pm}0.75$, which significantly differed for teams with more clinical experience (p=.050) and teams with three members (p=.030). The average score for individual protective equipment supplies was $1.95{\pm}0.66$. Conclusion: For proper infection management of emergency equipment, our results suggest that the number of crew members should be increased for each ambulance, protective equipment and rescue products should be supplied, and the number of facilities for sterilization and laundry at rescue centers should be doubled.