분당 서울대학교 병원 견학기

김길채 한국의료복지시설학회 2003 의료·복지 건축 Vol.9 No.2

2003년 6월 28일 학회에서는 (주)우일종합건축사 사무소가 설계한 경기도 성남시 분당구에 있는 분당서울대학교병원을 견학하게 되었다. 이특구회장, 김광문 명예회장 등 60여명의 회원들은 아침 10시에 대회의실에 모여 병원관계자와 설계사무소인 우일 종합건축사 사무소 박대식상무의 병원건립과정에 대하여 설명을 듣고, 두팀으로 나누어 병동, 중앙진료부 등 부문별로 견학을 하였다.

지방공사 의료원의 면적구성에 관한 건축계획적 연구

김길채 한국의료복지시설학회 2008 의료·복지 건축 Vol.14 No.2

Over the last 10 years several Provincial Medical Center has been carried out rapidly in the welfare facilities in Korea. Provincial Medical Center is for public and economic. So This study is an analysis of the areal composition between the Provincial Medical Center and General Hospital in Korea. The changes of Provincial Medical Center are caused by role in the environments. The Factor of economic is more important than for public in this situation. This paper analyzes architectural drawings for 4 Korean medical center which constructed in recent 10 years in aspects of the spacial composition, presents areal composition and pattern of spacial allocation for researching hospitals. According to the areal composition of Provincial Medical Center is important in healthcare facility environment.

우리나라 암센터 구성에 관한 건축계획적 연구

김길채 한국의료복지시설학회 2005 의료·복지 건축 Vol.11 No.2

As a society advances and develops more rapidly, there is a corresponding increase of cancer. Cancer centers have been the healthcare facilities for the public in Korea. But architectural studies on cancer centers have been insufficient. In this study some methods for the organization of space in the cancer centers in korea. The purpose of this study is to understand the current situation of cancer centers and to collect the data of spatial composition of cancer centers. And the research data collected might be utilized for planning of cancer centers.

디지털 미디어를 이용한 종합병원 디자인에 관한 연구

김길채 한국의료복지시설학회 2007 의료·복지 건축 Vol.13 No.1

The purpose of this study is to suggest the design by using digital media the general hospital. The important result and advantage of the study are as follows; At first, applicability and maintenance of form and function design are enhanced and the digital media could be used for development of better and economical design. Secondly, the 3D CAD system useful for communication media and instructional tool for hospital planners and designers. Thirdly, fast and economical evaluation are obtained through the study of experimental simulation. Finally as a new tool in architectural field, the system helps to enhance the relationship between digital media and human. New concept and tools of hospital design are being developed in terms of its function, environment, and psychology. The computational design system should be improved for user friendly in the future.

폐암 환자에서 종격동 임파절 크기와 암전이에 대한 상관관계 연구 : A prospective study of operative and pathologic finding

고정관,이길노 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.1

Computed tomography is being increasingly used for evaluation of mediastinal lymph node in patients with non-small cell luntg cancer. A lack of CT and pathologic correlationled the author to compare the result of CT scans of mediastinal lymph nodes with the result of postoperative pathologic findings. The number of three group patients had been through surgical-pathologic determination of mediastinal node ststus. The first group was a control group containing 10 normal nodes in non cancer patient. The number of non metastatic mediastinal lymph node as second group was 15 and metastatic lymph node of third group was 14. In the study of mediastinal lymph nodes size, maximal long axis diameter and maximal short axis diameter were higher in group 3 than in group 2(P<0.05), and group 3 than in group 1(P>0.05). The sensitivity of preoperative CT scan was 71.4% and specificity was 53.3%, but surgical-pathologic correlation of mediastinal lymph nodes was not statistically significant(P>0.05). In conclusion, the malignant mediastinal adenopathy was depond on size of lymph node. CT staging of the mediastinum in patients with non-small cell lung cancer was clinically not useful.

늑간신경냉동차단요법에 의한 개흉술후 진통효과

신화균,이길노 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

Remarkable effect of pain relief and prevention of the postoperative complications after standard thoracotomy has been achieved by cryoblock of intercostal nerves. Application of cold stimulator directly to the nerves causes localized destruction of the axons while preserving the endoneurium and connective tissue, thereby introducing a temporary pain block and complete regeneration of intercostal nerves be able to controling pain. This study was carried out for twenty patients who received the posterolateral thoracotomy. The patients were divided into two groups: Group A, the patients with cryoblock(n=10) and Group B, the patients without cryoblock(n=10). Before closure of the thorax, in the group A, the intercostal nerve at the thoracotomy space and each one above and below intercostal space were frozen for 40 seconds by cryoprobe. A postoperative analgegics was given only who were needed patients. Vital signs were checked during preoperative day and 2, 8, 24 hours postoperatively. Pulmonary function tests(Tidal volume, forced vital capacity) were performed preoperatively, and 2, 8, 24 hours and 2nd, 5th, 7th postoperative days. Arterial blood-gas were measured on the 2, 8, 24 hours and 7th postoperative days. Careful observations were done about the pain score, the limitation of motion score, the analgegics consumption and occurence of adverse effects during immidiate postoperatively 1st, 2nd, 7th postoperative days. The results were as follows; 1. There were no significant changes of vital signs. 2. Percent recovery of tidal volume( 87±7.7 % vs 70.3±11.7 %, p < 0.05) and FVC(64.8±13.3 % vs 45.6±10.2 %, p < 0.01) were significantly improved in the study group comparing with the control group during the first postoperative day. 3. A significant reduction of immediate post-thoracotomy pain was assessed in the cryoblock group comparing with the control group. 4. The cryoblock group decreased the limitation of motion in the operative side comparing with the control group. 5. A significant reduction of the postoperative analgegics consumptions was noted comparing with the control group. 6. No significant specific complications were not occured during follow-up period.

개심술중 저온 심장정지에 의한 심근효소치 변화 추적

안상구,이길노 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

Early detection of myocardial injury is a subject of considerable interest and investigation in patients undergoing cardiac surgery for evaluating the postoperative response. The diagnosis of myocardial damage depends upon the interpretation of historical, electrocardiographic, and serum enzyme data. The serial measurement of postoperative serum enzymes has been proposed as an important method for identifying myocardial infarction following open heart surgery. In order to assess the correlation of the myocardial damage and the duration of cardiopulmonary bypass, measurement of creatine phosphokinase(CPK), lactic dehydrogenase(LDH), serum glutamic oxalacetic transaminase(SGOT), serum glutamic pyruvic transaminase(SGPT), MB band of CPK and LDH isoenzyme(LDH₁) were carried out on the immediate postoperation, first, second, third, fifth, seventh day in 25 patients following open heart surgery. The patients were divided into two groups according to the duration of aortic cross clamp time(ACT): Group Ⅰ(ACT<90 minutes,n=16) and Group Ⅱ(ACT>90 minutes,n=9). The results were as follows; 1) The leakage of CPK and SGPT in total patients increased to the highest level at POD 1(P<0.05) with gradual decrease and returned to the normal range on the 7th day after the operation. THE leakage of CPK in Group Ⅱ were greater than in Group Ⅰ at POD 1(P<0.05), and the value of SGPT between two groups were no signification. 2) the serum levels of LDH and SGOT in total patients reached to maximum on the second day after the operation(P<0.05) with slightly increase until 7th postoperative day in LDH. The levels of two enzymes in Group Ⅱ were higher than in Group Ⅰ at POD 2(P< 0.05). 3) LDH₁was reached to the maximum on the 2nd day after the operation(P<0.001), and returned to the normal range on the 7th postoperative day. The values of Group Ⅱ were higher than Group Ⅰ on the 2nd day after operation(P<0.05). 4) The value of CPK-MB in group Ⅱ was greater than Group Ⅰ on first postoperative day(P<0.0). It is concluded that the myocardial injury was closely related with the duration of cardiopulmonary bypass in open heart surgery.

한국 병원의 스트레스에 대응한 치유환경 조건에 관한 연구

최광석,김길채 한국의료복지시설학회 2002 의료·복지 건축 Vol.8 No.1

It is the well-documented fact that most patients experience considerable stress in hospital. Stress is also a problem for families of patients. visitors and for hospital staffs. To promote wellness, It is fundamentally important that hospital be designed to foster copying with stress. By Literature review, this study presents stressors of patients. families, hospital staffs and various healing design elements. And then, it cross-checks the relations between stress-reducing conditions and healing design elements. Finally, this presents the healing design conditions for each stress-reducing conditions of patients, families and staffs.

경북 진량읍 문천지 붕괴 홍수피해범위 가상모의: A Case Study

최영선,이길하 대구대학교 산업기술연구소 2014 産業技術硏究 Vol.25 No.1

Natural hazard are a inevitable phenomena and cause and timeing need to be identified on the bais of scientific ground to reduce life and property damage. A series of scenarios and disaster management manual can be a approach to take steps for disaster prevention and reduction for the water-related structure such as dam and reservior. FLO-2D along with a dam-break model is used to reproduce physical phenomena of dam-break and build a flood hazard map at the Seongdeok dam, Cheongsong, Gyeongbuk. The accuracy of dam-break model depends on the physical parameters and were determined based on the historical record and field investigation, 12-hour simulation shows whole inundation areas are about 53㎢ . 3.43㎢ with 5 villages is severly inudated just after 10 minute of collapse and inundation areas increase with running time. 21 villages are inudated after 80 minute. This study will contribute to reduce flood damage from dam-break disaster in the future.

베트남 중부지역 종합병원 건립공사(당선작)

㈜명승종합건축사사무소,김길채 한국의료복지시설학회 2007 의료·복지 건축 Vol.13 No.2