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pISSN : 2733-8649 / eISSN : 2733-8657

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2018, Vol.24, No.2

  • 1.

    Investigation on Ventilation Mmethod and Recognition of Users in Healthcare Facilities of KOREA

    Jo, Seongmin , Sung, Minki | 2018, 24(2) | pp.7~14 | number of Cited : 0
    Purpose: The outbreak of Middle East Respiratory Syndrome(MERS) in KOREA has brought up the demands for ventilation guideline and regulations for healthcare facilities since most of the infection was spreaded inside healthcare facility. Currently KOREA has no ventilation guideline or regulations covering entire section of healthcare facility. The purpose of this study is to investigate current ventilation methods in KOREA healthcare facilities to in future, propose ventilation guideline. Methods: Research of foreign counties ventilation guideline and regulation for healthcare facilities were conducted for reference. Field investigation with survey of 21 healthcare were conducted to identify the ventilation system and operating methods. Additionally survey for healthcare workers were conducted to observe the recognition related to ventilation system in healthcare facility. Results: The result showed that most of foreign countries ventilation guideline and regulation suggests similar items to reduce the spread of infection and maintain good indoor air quality. The investigation results indicated that fixed guideline for ventilation in healthcare facility were required due to different ventilation operating methods. Survey result of healthcare workers has told us that ventilation guideline and regulation is needed to prevent further infection. Implications: Absence of ventilation guideline and regulations for healthcare facility in KOREA is an urgent issue.
  • 2.

    A Study on the Effective Health Examination Center Distribution and Space Coordination using Agent based Model

    Kim, Suktae , SACHUL HONG | 2018, 24(2) | pp.15~25 | number of Cited : 3
    Purpose: The important things in space plan of a screening center are improving the spatial awareness by space systemization and minimizing the examination time for customers, and reducing the required time of screening work and maximizing the capacity for the screening center. Therefore, we tried to solve the problem of improving spatial awareness and reducing the examination time by using the pedestrian based discrete event simulation at the minimum cost. Methods: We have analyzed the drawbacks and the supplement points by comparing the floor plan at the time of opening and the current floor plan. Based on the analysis, we propose an improved plan which changes the location of the examination rooms and the number of services, and we also verify the improved plan based on simulation analyses. Results: 1) Through the analyses, we derived the drawbacks of the floor plan at the time of opening, and we realized that the current floor plan reflects the drawbacks. 2) The major reasons of the long examination time are the human traffic jam and the occurrence of queues due to unreasonable allocation of services. 3) Through the discrete event simulation analyses, it was possible to specify the place of the queues manually so as to use the given space fairly. 4) Using the discrete event simulation, it was possible to reduce the examination time and to improve the spatial awareness effectively at the minimum cost. Implications: Although the proposed simulation methodology in this paper is an analysis of the existing screening center, we expect that the proposed methodology will be used to develop a more efficient architectural design process by pre-applying the method to the course of designing a screening center and finding the suitability of the proposed method with the matched number of services.
  • 3.

    A Study on the Site Selection Process of Field Emergency Medical Facilities Based on Text Mining

    Suh, SangWook | 2018, 24(2) | pp.27~36 | number of Cited : 3
    Purpose: In the case of mass disaster, the establishment of temporary medical facilities for the first aid and treatment is required for the stable accommodation of patients caused by the disaster. However, the criteria for decision making related to the deployment of field emergency medical facilities are not specified. So, The purpose of this study is to draw considerable factors needed for the deployment of field emergency medical facilities and to make proposal for site selection process of field emergency medical facilities on the basis of the factor. Methods: This study performs text mining of disaster-related laws, guidelines and documents to derive key factors affecting site selection, also proposes a decision making process and conducts virtual deployment to validate the process. Results: The key factors for the site selection derived as the size of the damage, the size of the DMAT inputs, the location of available place, and distance to the disaster base hospital. As a result of virtual deployment following proposed decision making process, It is confirmed that the site of field emergency medical facilities is changed depending on the type of disaster, even if the scope of the disaster damage was the same. Implications: The deployment of field emergency medical facilities requires a separate criteria for each type of disaster, not uniform, as a future research a quantitative approach of the criteria needs to be performed.
  • 4.

    A Numerical Study on Coughed Particle Dispersion and Deposition in Negative Pressure Isolation Room according to Particle Size

    Jung, Minji , HONG JIN KWAN | 2018, 24(2) | pp.37~44 | number of Cited : 3
    Purpose: This study investigates the influences of coughing direction and healthcare worker’s location on the transport characteristics of coughed particles in airborne infection isolation room (AIIR), which is commonly called negative pressure isolation room, with a downward ventilation system. Methods: Computational Fluid Dynamics (CFD) was used to simulate the airflow and for tracing the behavior of particles. Results: The results show that the airflow pattern and coughing direction have a significant influence on the characteristics of particle dispersion and deposition. When healthcare workers are in the isolation room with the patient who is lying on the bed, it is recommended to be located far from the anteroom to reduce the exposures from infectious particles. And when the patient is lying, it is more effective in removing particles than when the patient is in Fowler’s position. Although it is an isolation room that produces unidirectional flow, coughing particles can spread to the whole room and a large number of particles can be deposited onto patient, bed, side rails, healthcare worker, ceiling, floor, and sidewall. Implications: Following the patients’ discharge or transfer, terminal cleaning of the vacated room, furniture, and all clinical equipment is essential. Also, it is necessary to establish detailed standard operating procedure (SOP) in order to reduce the risk of cross-contamination.
  • 5.

    A Study on the Space Configuration and Required Area of the Inpatient department of Psychiatric Hospital in China

    Gao, Wen Mei , Moon, Hani , Choul-Gyun Chai | 2018, 24(2) | pp.45~54 | number of Cited : 0
    Purpose: China is increasingly paying more attention to mental illness as the number of people with mental illness increases rapidly. However, the design of a specialized psychiatric hospital is rarely studied. The purpose of this study is to analyze the spatial composition and the required area of psychiatric hospitals for the efficient design of psychiatric hospitals in China. In particular, we will analyze the space composition and present basic data for the future design of the Chinese psychiatric hospital space composition. Methods: This study examined the theories and related literature, and analyzed the plans of Chinese psychiatric hospital. Results: The results of the study are as follows. First, the spatial composition and area were analyzed. Second, the units of medical team, patient, supplies, and common area were analyzed by perspective of function, arrangement and composition. Third, based on the results of the analysis, considerations for the planning of Inpatient department were presented. Implications: This study will help improve the environment of Chinese psychiatric hospitals and provide basic data for the design of the Inpatient department of psychiatric hospital in China.
  • 6.

    A Study on the Space configuration and Area of the Standard Ward in General Hospital in China

    Lyu, Cheng , Choul-Gyun Chai | 2018, 24(2) | pp.55~64 | number of Cited : 1
    Purpose: The ward division is a representative part of the hospital, where a variety of user activities are performed. Users can be broadly categorized as patients and carers, visitors, and medical staff (doctors and nurses). The relationship between these two is a major issue with ward planning as the patient's place of life centers around the hospital room and the task of the clinical workforce centers around the nursing station (NS). Against this backdrop, the study divides the ward units of the General Hospital of China into patient areas, medical team areas, supply areas, and public domain, with the focus on the ward areas affecting most significantly in the hospital patients. Methods: The theoretical advance studies of the standard ward unit are identified by the associated guidelines, articles, and documentation. Results: This study is a summary analysis of relevant regulations, reference literature, and drawing data from the target hospital. Further work is expected to be undertaken, including further surveys and observational surveys, to produce more detailed results. Implications: It is expected that the research in this paper will provide an effective reference for the future research of China General Hospital Ward department, so as to promote and improve the work system of China General Hospital Ward department.
  • 7.

    Analysis of Local Community Spaces Bringing Empty Homes Back into Use in Japan - Focused on Empty Home Utilization Model Project of Kyoto City -

    Park, Hae-Sun , Eun, Nan soon | 2018, 24(2) | pp.65~77 | number of Cited : 2
    Purpose: By identifying the contents of the "Empty Home Utilization & Community Revitalization Model Project" which is a pilot project of empty homes back into use in Kyoto City and analyzing the characteristics of the case housing, the purpose of this study is to find out implications and suggest improvements for the domestic empty home utilization project. Methods: The scope of the survey covers seven project sites in the period from 2014 to 2016. The research method is to derive the physical and operational characteristics of the project, through the literature reviews related to bringing empty homes back into use in Kyoto City and the field survey including the space measurement and the operator interview. Results: First, in order to succeed in bringing empty homes back into use for community revitalization, the selection process of the project and the role of the public in and after supporting the project are important. Second, the important features that are required as a physical characteristic of the project are an advantage in location and an interactive space that is available at all time like a community cafe at the entrance. Third, as an operational characteristic of the empty home utilization project, it is advantageous for the local residents to participate as a business actor or an operator, and it is the continuous use of residents and outsiders by implementing an operating program that is suitable for the characteristics of the local community. Implications: The physical and operational activation factors to bring empty homes back into use need to be included as the project screening standards. And it is necessary for the public to develop the Intermediate Support Organization and to participate in linking with residents in order to carry out the empty homes utilization project effectively.
  • 8.

    A Study on Effective Floor Area for Wheelchair Users to Use Toilet

    RYU Sang-oh , Kim, Bo-hee , Park, Ji-young | 2018, 24(2) | pp.79~87 | number of Cited : 0
    Purpose: The purpose of this paper is to provide logical basis on enlargement of toilet floor space for the disabled by 「ACT ON GUARANTEE OF PROMOTION OF CONVENIENCE OF PERSONS WITH DISABILITIES, THE AGED, PREGNANT WOMEN. ETC」 Revised Enforcement regulation [Asterisk 1] (2018.2.10.) and to help with making plans, designs and establishing policies by conducting experimental study with the enhanced floor area regulations. Methods: We conduct Experimental study, field work and interview for this paper. In experimental study, verification of the effective floor area was proceeded by measuring activity space for people in manual wheelchair, electric wheel chair and electric scooter and also reviewed useable area with the space expanded 0.2m both width and depth. In filed work, conducted an observation what other things (ex. sanitary equipment , hand rail and so on) can also affect the active space as well as effective floor space. In the interview, other problems and requirements that were not revealed were experimental study and observation of field work. Results : it's expected to provide better access to toilets for the disabled with the law revision of effective floor area. But, with the usage increasement of enlarged wheel chair and electric wheel chair , expanding side areas of toilet is also highly likely to be required going forward. Implications : Additional research is required on locations of exists and internal arrangement that effect the usage of toilet. It should be led to Universal design by making additional investigation and verification of the users patterns.