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The Effect of Nasal BiPAP Ventilation in Acute Exacerbation of Chronic Obstructive Airway Disease (만성 기도폐쇄환자에서 급성 호흡 부전시 BiPAP 환기법의 치료 효과)

  • Cho, Young-Bok;Kim, Ki-Beom;Lee, Hak-Jun;Chung, Jin-Hong;Lee, Kwan-Ho;Lee, Hyun-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.190-200
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    • 1996
  • Background : Mechanical ventilation constitutes the last therapeutic method for acute respiratory failure when oxygen therapy and medical treatment fail to improve the respiratory status of the patient. This invasive ventilation, classically administered by endotracheal intubation or by tracheostomy, is associated with significant mortality and morbidity. Consequently, any less invasive method able to avoid the use of endotracheal ventilation would appear to be useful in high risk patient. Over recent years, the efficacy of nasal mask ventilation has been demonstrated in the treatment of chronic restrictive respiratory failure, particularly in patients with neuromuscular diseases. More recently, this method has been successfully used in the treatment of acute respiratory failure due to parenchymal disease. Method : We assessed the efficacy of Bilevel positive airway pressure(BiPAP) in the treatment of acute exacerbation of chronic obstructive pulmonary disease(COPD). This study prospectively evaluated the clinical effectiveness of a treatment schedule with positive pressure ventilation via nasal mask(Respironics BiPAP device) in 22 patients with acute exacerbations of COPD. Eleven patients with acute exacerbations of COPD were treated with nasal pressure support ventilation delivered via a nasal ventilatory support system plus standard treatment for 3 consecutive days. An additional 11 control patients were treated only with standard treatment. The standard treatment consisted of medical and oxygen therapy. The nasal BiPAP was delivered by a pressure support ventilator in spontaneous timed mode and at an inspiratory positive airway pressure $6-8cmH_2O$ and an expiratory positive airway pressure $3-4cmH_2O$. Patients were evaluated with physical examination(respiratory rate), modified Borg scale and arterial blood gas before and after the acute therapeutic intervention. Results : Pretreatment and after 3 days of treatment, mean $PaO_2$ was 56.3mmHg and 79.1mmHg (p<0.05) in BiPAP group and 56.9mmHg and 70.2mmHg (p<0.05) in conventional treatment (CT) group and $PaCO_2$ was 63.9mmHg and 56.9mmHg (p<0.05) in BiPAP group and 53mmHg and 52.8mmHg in CT group respectively. pH was 7.36 and 7.41 (p<0.05) in BiPAP group and 7.37 and 7.38 in cr group respectively. Pretreatment and after treatment, mean respiratory rate was 28 and 23 beats/min in BiPAP group and 25 and 20 beats/min in CT group respectively. Borg scale was 7.6 and 4.7 in BiPAP group and 6.4 and 3.8 in CT group respectively. There were significant differences between the two groups in changes of mean $PaO_2$, $PaCO_2$ and pH respectively. Conclusion: We conclude that short-term nasal pressure-support ventilation delivered via nasal BiPAP in the treatment of acute exacerbation of COPD, is an efficient mode of assisted ventilation for improving blood gas values and dyspnea sensation and may reduce the need for endotracheal intubation with mechanical ventilation.

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A Study on the Removal of Organics and Nutrients in the Process Using Attached Biomass and Aquatic Floating Plants (부착미생물과 부유수생식물을 이용한 공정에서 유기물 및 영양염류 제거에 관한 연구)

  • Seon, Yong-Ho
    • KSBB Journal
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    • v.23 no.4
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    • pp.323-328
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    • 2008
  • This study was accomplished using Anaerobic/Anoxic/Oxic biofilm reactors with fixed media and post-treatment reactor for natural purification with aquatic floating plants. The objectives of this study was to investigate the characteristics of organics, nitrogen and phosphorus removal from sewage with the HRT. The average removal efficiency of SS and $COD_{Cr}$ increases as increasing the hydraulic retention time (HRT) until 12 hr of the HRT, and it was constant over 12 hr of the HRT. The removal efficiency of them was about 93% and 89% respectively over the 12 hr of HRT. The average $BOD_5$ and $COD_{Mn}$ increases as increasing the HRT and the removal efficiency of them was 84.91 % and 76.03% respectively at the 26 hr of HRT. The removal efficiency of T-N and T-P increases as increasing the HRT until 61 hr of the HRT, and it was constant over 61 hr of the HRT. At the HRT of 61 hr, it was 70.20%, 77.86% respectively. It was found that the optimum HRT was 61 hr in case of the nutrients. Before and after experiment, the nitrogen content was similar in leaves of the water hyacinths but the nitrogen content in roots after experiment was 5.5% more than its content before experiment. It was known that the nitrogen was absorbed by the water hyacinths.

A CLINICAL STUDY ON THE RETENTION OF MAXILLARY COMPLETE DENTURE WITH DIFFERENT DENTURE BASE MATERIALS (의치상의 종류에 따른 상악 의치상의 유지력에 관한 임상적 연구)

  • Lee Jong-Hyuk;Lim Ju-Hwan;Cho In-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.1
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    • pp.58-70
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    • 2001
  • For the successful treatment of complete denture, obtaining a good retention is essential. There are lots of factors affecting denture retention. Denture material, one of those factors affecting denture retention, was the subject of this study, and internal surface treatment also considered for the method of enhancing denture retention. Two resin(Lucitone $199^{(R)}$(heat cured resin) Vertex $CP^{(R)}$(self cured resin)) and two metal($Biosil^{(R)}$(Co-Cr alloy), $Vitallium^{(R)}$(Co-Cr alloy)) denture base materials were used for making test denture base. Newly developed device was used for measuring denture retention. After the retention was measured. We treated internal surface of test denture base with $50{\mu}m\;Al_2O_3$ powder, under 90psi, for 1 minute. Then the retention was measured again. The result was analyzed with K-S test, one-way ANOVA test and independent t-test to deter mine the significant differences as the 95% level of confidence. The results are as follows : In cases of without internal surface treatment, the retention was increased in order of $Vitallium^{(R)},\;Biosil^{(R)},\;Vertex CP^{(R)}$ and Lucitone $199^{(R)}$. Except between Vertex $CP^{(R)}$ and $Biosil^{(R)}$, retention of the other materials was significantly different (p<0.05). After the treatment of internal surface, the retention was increased in order of $Vitallium^{(R)},\;Biosil^{(R)},\;Lucno\;199^{(R)},\;Vertex\;CP^{(R)}$. Except between Lucitone $199^{(R)}$ and Vertex $CP^{(R)}$, $Vitallium^{(R)}$ and $Biosil^{(R)}$ the retention of remaining groups was significantly different each other (p<0.05). In the matter of each material, after the internal surface treatment the retention was increased with Vertex $CP^{(R)},\;Biosil^{(R)}\;and\;Vitallium^{(R)}$ and the value of differences were statistically significant. When we compare the retention of resin and metal denture base, the retention of both denture bases increased significantly with internal surface treatment, and resin denture base showed better retention. As the results show, selecting denture base material could be an important choice of complete denture treatment. To increase denture retention, internal surface treatment can be considered as a possible method.

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Crystallinity and Chemical Reactivity of Bimessite(δ-MnO2) Influenced by Iron (철에 의한 버네사이트의 결정도 및 화학적 활성의 변화)

  • Kim, Jae-Gon
    • Korean Journal of Soil Science and Fertilizer
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    • v.32 no.4
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    • pp.327-332
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    • 1999
  • Manganese (Mn) oxides in soils have been a research subject since they react with nutrients and contaminants and Mn itself is an essential element for plant growth. Birnessite was synthesized in the presence of iron (Fe) in the precipitating solution. Influence of Fe, one of common elements in soils, on crytallinity, morphology, and chemical reactivity of birnessite was examined using X-ray diffraction (XRD), electron microscope, canon exchange capacity (CEC), and chromium (Cr) oxidation capacity. With increasing Fe concentration in the precipitating solution, crystallinity and crystal size decreased. Hexagonal plates of the birnessites formed at low Fe concentration were dominant and replaced more and more by aggregate of small particles with increasing the Fe concentration. There is no significant change in CEC with changing the Fe concentration. Chromium oxidation capacity of the birnessite increased with increasing the Fe concentration. Iron in the precipitating solution poisoned crystal growth by adsorption on the surface and increased nucleation. Since Fe is a common constituent under pedogenic environment and Fe and Mn oxides often coexist in Mn oxide nodules, the birnessite with small particle, low crystallinity, and high chemical reactivity is the form which is more likely to be formed in soils. The high CEC ($140cmol_ckg^{-1}$) and oxidation capacity of birnessite indicate that birnessite can be used in environment and agriculture.

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유연성 스테인레스와 폴리이미드 기판에서 제조된 CIGS 박막 태양전지의 효율 개선 및 특성 연구

  • Kim, Jae-Ung;Kim, Hye-Jin;Kim, Gi-Rim;Kim, Jin-Hyeok;Jeong, Chae-Hwan
    • Proceedings of the Korean Vacuum Society Conference
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    • 2015.08a
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    • pp.245-245
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    • 2015
  • Cu(In,Ga)Se2 (CIGS) 박막 태양전지는 높은 효율과 낮은 제조비용, 높은 신뢰성으로 인해 박막 태양전지 중 가장 각광받고 있다. 특히 유리기판 대신 가볍고 유연한 철강소재나 플라스틱 소재를 이용하여 발전분야 외에 건물일체형, 수송용, 휴대용등 다양한 분야에 적용이 가능하다. 이러한 유연 기판을 이용한 CIGS 태양전지의 개발을 위해서는 기판의 특성에 따른 다양한 공정개발이 선행되어야 한다. 특히 CIGS 태양전지에서는 Na의 역할이 매우 중요한데 유연기판의 경우 이러한 Na이 없을 뿐만 아니라 철강기판의 경우 Fe, Ni, Cr등의 불순물이 확산되어 흡수층의 특성을 저하시켜 효율을 감소시킨다. 따라서 이러한 철강 기판의 경우 불순물의 확산을 방지하는 확산방지막이 필수적이다. 또한 플라스틱기판의 경우 내열성이 낮아 저온에서 공정을 진행해야하는 단점이 있다. 이러한 유연기판의 특성을 고려하여 본 연구에서는 유연기판으로 STS 430 stainless steel과 poly-imide를 이용하여 특성 개선을 진행하였다. 먼저 stainless steel과 Poly-imide, soda-lime glass, coning glass의 기판을 이용하여 기판에 따른 흡수층의 특성을 비교 분석하였으며 stainless steel 기판을 이용하여 확산 방지막의 유무 및 두께에 따른 흡수층 및 소자의 특성을 분석하였다. 이때 확산 방지막은 기존 TCO 공정에서 사용되는 i-ZnO를 사용하였으며 RF sputter를 이용하여 50~200nm로 두께를 달리하며 특성 비교를 실시하였다. 이때 효율은 확산방지막을 적용하지 않았을 때 약 5.9%에서 확산 방지막 적용시 약 10.6%로 증가하였다. 또한 poly-imide 기판을 이용하여 $400^{\circ}C$이하에서 흡수층을 제조하여 특성평가를 진행하였으며 소자 제조 후 효율은 약 12.2%를 달성하였다. 모든 흡수층은 Co-Evaporation 방법을 이용하여 제조하였으며 제조된 흡수층은 SEM, XRF, XRD, GD-OES, PL, Raman등을 이용하여 분석하였으며 그 외 일반적인 방법을 이용하여 Mo, CdS, TCO, Al grid를 제조하였다. AR 코팅은 제외 하였으며 제조된 소자는 솔라 시뮬레이터를 이용하여 효율 특성 분석을 실시하였으며 Q.E. 분석을 실시하였다.

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Treatment of Livestock Wastewater with Coagulant-loess (황토를 이용한 축산폐수의 처리에 관한 연구)

  • Park, Jin-Hee;Kim, Bo-Guk;Won, Chan-Hee
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.10
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    • pp.1799-1808
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    • 2000
  • To investigate the applicability of loess as a coagulant. the optimum conditions of coagulation and efficiency comparison of several coagulants (PAC, PACS, LAS) in chemical treatment of livestock wastewater were performed. As a result, the optimum mixing ratio of loess and lime(CaO) was 3:7. The optimum dosage of the mixed coagulant was 30 g/L. The optimum speed for rapid mixing of the mixed coagulant was 200 rpm at 1 min. and the optimum speed for slow mixing was 50 rpm at 10 min. The mixed coagulant showed the removal efficiency of turbidity, SS, BOD, $COD_{cr}$. T-P and TKN to 95.8%, 92.5%, 71.6%, 71.1%, 98.2% and 32.5%, respectively, which was better than other several coagulants. The mixed coagulant was possible to use as substitutional coagulants of traditional coagulant, and the producted sludge can use as a soil amendments.

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Planar Type Flexible Piezoelectric Thin Film Energy Harvester Using Laser Lift-off

  • Noh, Myoung-Sub;Kang, Min-Gyu;Yoon, Seok Jin;Kang, Chong-Yun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.489.2-489.2
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    • 2014
  • The planar type flexible piezoelectric energy harvesters (PEH) based on PbZr0.52Ti0.48O3 (PZT) thin films on the flexible substrates are demonstrated to convert mechanical energy to electrical energy. The planar type energy harvesters have been realized, which have an electrode pair on the PZT thin films. The PZT thin films were deposited on double side polished sapphire substrates using conventional RF-magnetron sputtering. The PZT thin films on the sapphire substrates were transferred by PDMS stamp with laser lift-off (LLO) process. KrF excimer laser (wavelength: 248nm) were used for the LLO process. The PDMS stamp was attached to the top of the PZT thin films and the excimer laser induced onto back side of the sapphire substrate to detach the thin films. The detached thin films on the PDMS stamp transferred to adhesive layer coated on the flexible polyimide substrate. Structural properties of the PZT thin films were characterized using X-ray diffraction (XRD) and scanning electron microscopy (SEM). To measure piezoelectric power generation characteristics, Au/Cr inter digital electrode (IDE) was formed on the PZT thin films using the e-beam evaporation. The ferroelectric and piezoelectric properties were measured by a ferroelectric test system (Precision Premier-II) and piezoelectric force microscopy (PFM), respectively. The output signals of the flexible PEHs were evaluated by electrometer (6517A, Keithley). In the result, the transferred PZT thin films showed the ferroelectric and piezoelectric characteristics without electrical degradation and the fabricated flexible PEHs generated an AC-type output power electrical energy during periodically bending and releasing motion. We expect that the flexible PEHs based on laser transferred PZT thin film is able to be applied on self-powered electronic devices in wireless sensor networks technologies. Also, it has a lot of potential for high performance flexible piezoelectric energy harvester.

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The Mineralogical and Geochemical Study on Korean Scheelites and its Application to the Ore Prospecting (한국산 灰重石鑛의 광물학적, 지화학적 연구 및 그의 探査에의 이용)

  • So, Chil-Sup;Park, Maeng-Eon
    • Economic and Environmental Geology
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    • v.12 no.2
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    • pp.79-93
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    • 1979
  • Twenty five samples of the scheelite-powellite series from twelve Korean tungsten deposits of various geologic settings were studied mineralogically and geochemically. Variations in the trace-element contents of the scheelite minerals are considered in relation to geologic settings and mineralogic properties. Scheelites from ore deposits developed in similar geologic settings and under similar physicochemical conditions are characterized by specific combinations of trace elements.

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Evaluation of Low-temperature Thermal Pre-treatment and Biogas Characteristics using Waste Activated Sludge (잉여슬러지를 이용한 저온 열적전처리 및 바이오 가스 특성 평가)

  • Choi, Jae-Hoon;Jeong, Seong-Yeob;Kim, Ji-Tae
    • Journal of Korean Society on Water Environment
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    • v.35 no.4
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    • pp.299-307
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    • 2019
  • The purpose of this study was to investigate the effect of low temperature thermal pre-treatment on biodegradation of waste activated sludge for anaerobic digestion as a countermeasure for increasing sludge generation. The experimental condition was accomplished in 2 %, 4 %, and 6 % TS concentration, and $70^{\circ}C$, $80^{\circ}C$, $90^{\circ}C$ of temperature for a maximum of 120 minutes retention time. Then, it was followed by analysis of physical/chemical properties, BMP test and composition of biogas. The biogas characteristic was evaluated by applying the modified Gomperz model. As a result, solubility of dissolved substrate, such as $SCOD_{Cr}$, soluble carbohydrate, and soluble protein, and biogas production increased as temperature increased. Solubilization efficiency at $90^{\circ}C$ was 18.4 %, 17.03 % and 16.88% in 2 %, 4 %, and 6 % TS concentration respectively. Also, solubilization rates of carbohydrate and protein similarly increased. BMP test results also showed that methane production in excess sludge increased to 0.194, 0.187 and $0.182m^3/kg$ VS. respectively, and lag phase decreased to 0.145, 0.220, 0.351 day due to acceleration of the hydrolysis step. Consequently, low-temperature thermal pre-treatment could increase biodegradability of sludge, positively affecting biogas production and sludge reduction.

TEM Analysis on Oxide Films of Al1050 and Al7075 Exposed to 24-month Atmospheric Conditions (24개월 대기 노출된 Al1050 및 Al7075 알루미늄 합금 산화막에 대한 투과전자현미경 분석)

  • Kim, Dae-Geon;Kim, Ga-Rim;Choi, Wonjun;Bahn, Chi Bum
    • Journal of the Korean institute of surface engineering
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    • v.52 no.2
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    • pp.62-71
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    • 2019
  • Al1050 and Al7075 alloy specimens were exposed to atmospheric conditions for 24 months and analyzed by Transmission Electron Microscopy to characterize their corrosion behavior and oxide film characteristics, especially focusing on intergranular corrosion or oxidation. In general, the intergranular oxygen penetration depth of Al1050 was deeper than Al7075. Since O and Si signals were overlapped at the oxidized grain boundaries of Al1050 and Mg is not included in Al1050, it is concluded that Si segregated along the grain boundaries directly impacts on the intergranular corrosion of Al1050. Cr-Si or Mg-Si intermetallic particles were not observed along the grain boundaries of Al7050, but Mg-Si particle was barely observed in the matrix. 10-nm size Mg-Zn particles were also found all over the matrix. Mg was mainly observed along the oxidized grain boundary of Al7075, but Si was not detected due to the Mg-Si particle formation in the matrix and relatively low concentration of Si in Al7075. Therefore, it is thought that Mg plays an important role in the intergranular corrosion of Al7075 under atmospheric corrosion conditions.