• Title/Summary/Keyword: 인공폐

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A Study on the Effects of Early Surfactant Replacement and Gentle Ventilation in the Treatment of Respiratory Distress Syndrome (미숙아 호흡 곤란 증후군에서 폐 표면 활성제의 조기 투여와 연성 환기 요법의 치료 효과에 관한 연구)

  • Lee, Yong Suk;Lee, Ji Hye;Lee, Sang Geel
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1096-1101
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    • 2005
  • Purpose : Recently, early surfactant replacement and tidal volume based gentle ventilation has been a fundamental treatment of respiratory distress syndrome(RDS). The aims of this study were to survey the changes in ventilator care duration and rate of complication in RDS groups. Methods : We performed a retrospective study of 255 newborn infants less than 1,500 g admitted to the neonatal intensive care unit(NICU) and discharged from January 1999 to December 2003. 141 of 255 newborn infants were RDS groups that required invasive management, such as endotracheal intubation, surfactant replacement and assisted ventilation. We analyzed epidemiologic data to study the changes in ventilator care duration and outcome of RDS groups. Results : Of 141 RDS groups, 135 were mild to moderate RDS groups and only 6 were severe RDS groups. 24(17.8%) of 135 mild to moderate RDS groups and 3(50%) of 6 severe RDS groups were antenatal no use of maternal dexamethasone. 127(90.1%) of 141 RDS groups underwent replacement of surfactant during 3 hours after birth. 121(85.9%) weaned within 48 hours. Conclusion : Our study shows a decreased frequency of severe RDS by a antenatal use of maternal dexamethasone and decreased duration of ventilator care by early surfactant replacement and gentle ventilation.

Comparative study on effects of volume-controlled ventilation and pressure-limited ventilation for neonatal respiratory distress syndrome (신생아 호흡곤란 증후군에서 volume-controlled ventilation과 pressure-limited ventilation의 효과에 관한 비교연구)

  • Kim, Jae Jin;Hwang, Mun Jung;Lee, Sang Geel
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.21-27
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    • 2010
  • Purpose : In contrast with traditional time-cycled, pressure-limited ventilation, during volume-controlled ventilation, a nearly constant tidal volume is delivered with reducing volutrauma and the episodes of hypoxemia. The aim of this study was to compare the efficacy of pressure-regulated, volume controlled ventilation (PRVC) to Synchronized intermittent mandatory ventilation (SIMV) in VLBW infants with respiratory distress syndrome (RDS).Methods : 34 very low birth weight (VLBW) infants who had RDS were randomized to receive either PRVC or SIMV with surfactant administration : PRVC group (n=14) and SIMV group (n=20). We compared peak inspiratory pressure (PIP), duration of mechanical ventilation, and complications associated with ventilation, respectively with medical records. Results : There were no statistical differences in clinical characteristics between the groups. After surfactant administration, PIP was significantly lower during PRVC ventilation for 48hrs and accumulatevive value of decreased PIP was higher during PRVC ventilation for 24hrs (P<0.05). Duration of ventilation and incidence of complications was no significant difference. Conclusion : PRVC is the mode in which the smallest level of PIP required to deliver the preset tidal volume in VLBW infants with RDS, adaptively responding to compliance change in lung after surfactant replacement.

Pulmonary Infarction of Left Lower Lobe after Left Upper Lobe Lobectomy - 1 case report - (좌 상엽의 폐엽 절제 후 발생한 좌하엽의 폐 경색 치험 1례)

  • 윤용한;강정신;홍윤주;이두연
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.318-321
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    • 1999
  • The remaining lung infarction is a rare but life-threatening complication after a thoracic operation and trauma. We report a case of this rare complication after the left upper lobectomy due to pulmonary aspergilloma. The infarction of the remaining left lower lobe occurred due to kinking of the pulmonary vessels after the left upper lobectomy and the completion pneumonectomy was performed in the post-operative second day. Therefore, prompt diagnosis and treatment may be necessary to prevent morbidity and mortality associated with pulmonary infarction from torsion of pulmonary artery and vein.

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Cell Grading Technique Based on Fuzzy Logic for Battery Pack Using Wasted Li-ion Battery (폐배터리를 활용한 배터리팩을 위한 Fuzzy Logic 기반 Cell Grading 기법 연구)

  • Han, Dongho;Kwon, Sanguk;Lim, Cheolwoo;Jang, Minho;Kim, Jonghoon
    • Proceedings of the KIPE Conference
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    • 2019.07a
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    • pp.439-440
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    • 2019
  • 리튬 이온 배터리가 전기 자동차 및 다양한 어플리케이션에 적용됨에 따라 폐배터리의 수요 또한 증가하고 있다. 내부 화학적 상태가 상이한 배터리의 전기적 특성실험을 통해 파라미터를 선정하였으며, 데이터의 분포에 적합한 Fuzzy Logic을 설계하였다. 설계된 Fuzzy Logic을 통한 Cell Grading으로 내부 화학적 특성이 유사한 셀을 선별하였다.

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Different PEEP Effects on Lung Volume According to Underlying Lung Disease in Patients with Auto-PEEP (자가 호기말 양압(auto-PEEP)을 보인 환자에서 원인질환에 따른 PEEP적용 효과의 차이)

  • Sohn, Jang Won;Koh, Younsuck
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.6
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    • pp.567-572
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    • 2004
  • Background : The effect of PEEP(ed note: Define PEEP.) on the lung volume in patients with auto-PEEP during mechanical ventilation is not even. In patients with an expiratory limitation such as COPD, a PEEP of 85% from an auto-PEEP can be used with minimal increase in the lung volume. However, the application of PEEP to patients without an expiratory flow limitation can result in progressive lung. This study was carried out to evaluate the different PEEP effects on the lung volume according to the different pulmonary diseases. Methods : Sixteen patients who presented with auto-PEEP during mechanical ventilation were enrolled in this study. These patients were divided into 3 groups: asthma, COPD and tuberculosis sequela (patients with severe cicatrical fibrosis as a result of previous tuberculosis and compensatory emphysema). A PEEP of 25, 50, 75 and 100% of the auto-PEEP was applied, and the lung volume increments were estimated using the trapped lung volume. Results : In the asthma group, the trapped lung volume was not increased at a PEEP of 25 and 50% of the auto-PEEP. This group showed a significant lung volume increment from a 75% PEEP. In the COPD group, the lung volume was increased only at 100% PEEP. In the tuberculosis sequela group, the lung volume was increased progressively from low PEEP levels. However, a significant increment of the lung volume was noted only at 100% PEEP. Conclusion : The effects of the applied PEEP on the lung volume were different depending on the underlying lung pathology. The level of the applied PEEP >50% of the auto-PEEP might increase the trapped lung volume in patients with asthma.

Lightweight Aggregate Bloating Mechanism of Clay/Incinerated Ash/Additive System (점토/소각재/첨가제계 인공 경량골재의 발포기구)

  • Kwon, Yong-Joon;Kim, Yoo-Taek;Lee, Ki-Gang;Kim, Young-Jin;Kang, Seung-Gu;Kim, Jung-Hwan;Park, Myoung-Sik
    • Journal of the Korean Ceramic Society
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    • v.38 no.9
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    • pp.811-816
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    • 2001
  • The influence of the incinerated ash and additives on glass phase formation of lightweight aggregate, weight-lightening, and the bloating mechanism was investigated. Clay was used as base materials and incinerated ash was added from 0 to 30wt%. The additives such as $Na_2CO_3,\;CaCo_3,\;K_2CO_3,\;MgCO_3$, and a little amount of waste oil were added to the mixed body. In clay/incinerated ash/additive system, it turned out that $CaCO_3\;and\;MgCO_3$ were the components for glass phase formation and $Na_2CO_3$ was the component for both glass phase formation and weight-lightening. The small addition of waste oil from 0.5wt% to 3.0wt% affect on the bloating of aggregate. Incinerated ash had a good effect on the glass phase controlling. The most effective condition controlling glass phase and bloating of aggregate was 10wt% incinerated ash, 2wt% waste oil at 1200$^{\circ}$C. The bloating mechanism of lightweight aggregate is as follows; 1) micro-crack formation caused by thermal-shock and gas generation from inside of aggregate, 2) volume expansion by glass phase formation on the aggregate surface and rapid gas bloating inside of aggregate, 3) densification after bloating.

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Analysis of Etiology and Prognosis of Pulmonary Complications in Children with Hematological or Oncological Disorders in Pediatric Intensive Care Unit (소아 중환자실에 입원한 혈액-종양 환아에서 발생한 폐 합병증의 원인과 예후에 대한 분석)

  • Jung, Jin Young;Hong, Soo-Jong;An, Young Jun;Kim, Ja Hyung;Seo, Jong Jin;Moon, Hyung Nam;Ghim, Thad
    • Clinical and Experimental Pediatrics
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    • v.45 no.8
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    • pp.1000-1006
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    • 2002
  • Purpose : In the course of treatment, patients with hematological or oncological disorders often develop pulmonary complication. The patients who develop a severe pulmonary complication have a poor outlook. The causes of pulmonary complication are either infectious or non-infectious in origin. We have analyzed the etiology and outcome of these patients admitted to the pediatric intensive care unit of Asan Medical Center. Methods : Medical records of 95 patients on Pediatric oncology service who were admitted to pediatric intensive care unit(PICU) of Asan Medical Center from Jan 1997 to May 2000 were retrospectively reviewed. Results : The mean age of the patients was 8.5 years(2 months-18 years). The underlying malignancies of these 95 patients were as following; acute lymphoblastic leukemia(31 cases), lymphoma (11 cases), acute myeloid leukemia(nine cases), brain tumor(eight cases) and other solid tumors(25 cases). Pulmonary complications included pneumonia, acute respiratory failure, pneumothorax and pleural effusion. The most common cause of pulmonary complication was infection(88%) in etiology. The overall mortality rate was 56.8%. Pulmonary complications in these patients carried high rates of mortality regardless of whether they were immune compromised(76%) or not(69%). Even without pulmonary complications, the hematological or oncological patients admitted to PICU had high mortality rates of 43%. Conclusion : Pulmonary complications are frequent finding in the hematological or oncological patients admitted to Intensive Care Unit. The main etiology of these pulmonary complications was infection, which carried a high mortality rate regardless of their immune status at the time when they were admitted to PICU.

Application of microgravity for detecting the mineshaft (폐갱도 확인을 위한 고정밀중력탐사)

  • Rim Hyoungrae;Park Yeong-Sue;Lim Mutaek;Koo Sung Bon;Jung Hyun Key;Kim Hag Soo;Jung Chang Ho;Kwon Byoung Doo
    • 한국지구물리탐사학회:학술대회논문집
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    • 2005.05a
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    • pp.251-254
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    • 2005
  • Microgravity survey was carried out in order to detect an abandoned mineshaft. We tested the feasibility of cavity detection by means of numerical modeling and applied microgravity survey to detecting an abandoned mineshaft in the vicinity of Hawson mines, Junnam. The result shows the response of mineshaft where we expected.

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A Numerical Simulation of the Atmospheric Fields Related to Anthropogenic Heat Flux and Surface Characteristics (인공열과 지표 특성에 따른 기상장 수치모의)

  • 이화운;김유근;원경미;김미향
    • Proceedings of the Korea Air Pollution Research Association Conference
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    • 2000.11a
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    • pp.220-221
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    • 2000
  • 도시화가 진행될수록 인구 집중과 고층 건물의 점유 증가를 초래하고 이로 인해 도심내 공장의 증가, 자동차의 폐열량 증가, 겨울철 연료와 여름철 냉방에 의한 에너지 사용량이 증가된다. 이때 방출된 열원으로 인해 인공열 배출량이 커지게 된다. 단위면적에 대해 방출되는 열플럭스가 도시마다 큰 차이를 보이는데(Landsberg, 1981) 시드니 외곽부에 비해 도심내의 연간 에너지 사용량이 360배에 달한다는 것을 보였다. (중략)

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