• Sleep Medicine and Psychophysiology
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• v.2 no.1
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• pp.55-64
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• 1995

During sleep, relatively major respiratory physiological changes occur in healthy subjects. The contributions and interactions of voluntary and metabolic breathing control systems during waking and sleep are quite different Alterations of ventilatory control occur in chemosensitivity, response to mechanical loads, and stability of ventilation. The activities of intercostal muscles and muscles involved in regulating upper airway size are decreased during sleep. These respiratory physiological changes during sleep compromise the nocturnal ventilatory function, and sleep is an important physiological cause of the nocturnal alveolar hypoventilation. There are several causes of chronic alveolar hypoventilation including cardiopulmonary, neuromuscular diseases. Obstructive sleep apnea syndrome (OSAS) is an important cause of nocturnal hypoventilation and hypoxia. Coexistent cardiopulmonary or neuromuscular disease in patients with OSAS contributes to the development of diurnal alveolar hypoventilation, diurnal hypoxia and hypercapnia. The existing data indicates that nocturnal recurrent hypoxia and fragmentation of sleep in patients with OSAS contributes to the development of systemic hypertension and cardiac bradytachyarrhythmia, and diurnal pulmonary hypertension and cor pulmonale in patients with OSAS is usually present in patients with coexisting cardiac or pulmonary disease. Recent studies reported that untreated patients with OSAS had high long-term mortality rates, cardiovascular complications of OSAS had a major effect on mortality, and effective management of OSAS significantly decreased mortality.

• Proceedings of the Korean Radioactive Waste Society Conference
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• 2006.06a
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• pp.62-62
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• 2006

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.5 no.1
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• pp.65-78
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• 2007

The pollutants (Rn, CH, CO, HS, radioactive gas from radiolysis) were generated from the process of construction and operation of underground repository, and after disposal of low-intermediate radioactive waste inside there must be controlled by a ventilation system to distribute them in area where enough air is supported. Therefore, a suitable technical approach is needed especially at an underground repository that is equipped with many entry tunnels, storage tunnels, exhaust-blowing tunnels, and vertical shafts in complicated network form. For the technical approach of such a ventilation system, WIPP (Waste Isolation Pilot Plant) in U. S and SFR (Slutforvar for Reaktorafall) low-intermediate radioactive waste repository in Sweden were selected as the models, for calculating the required air quantity, organizing a ventilation network considering cross section, length, surface roughness of the air passage, and describing a calculation of resistance of each circuit. Based on these procedures, a best suited ventilation system was completed with designing proper capacity of fans and operating plan of vertical shafts. As a result of comparing the two repositories based on the geometry dimensions and ventilation facility equipment operation, more parallel circuit as in WIPP, brought decrease in resistance for entire system leading to reduce of operating costs, and the larger cross-sectional area of the SFR, the greater the percentage of disposal capacity. Accordingly, the mixture of parallel circuit of WIPP repository for reducing resistance and SFR repository formation for enlargement of disposal capacity would be the most rational and efficient ventilation system.

• Sleep Medicine and Psychophysiology
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• v.22 no.1
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• pp.30-34
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• 2015

Obesity hypoventilation syndrome (OHS) is characterized by severe obesity, excessive daytime sleepiness, hypoxemia and hypercapnea. Because OHS mimics pulmonary hypertension or cor pulmonale, clinicians should recognize and treat this syndrome appropriately. A 58-year-old female visited the emergency room because of dyspnea. She was obese and had kyphoscoliosis. The patient also experienced snoring, recurrent choking during sleep and daytime hypersomnolence which worsened after gaining weight in the recent year. The arterial blood gas analysis showed she experienced hypoxemia and hypercapnea not only during nighttime but also daytime. We suspected OHS and the patient underwent polysomnography to confirm whether obstructive sleep apnea was present. During the polysomnography test, sleep obstructive apnea was observed and apnea-hypopnea index was 9.2/hr. The patient was treated with bilevel positive airway pressure therapy (BiPAP). After BiPAP for 4 days, hypoxemia and hypercapnia were resolved and she is currently well without BiPAP. We report a case successfully treated with clinical improvement by presuming OHS early in a patient who had typical OHS symptoms, even while having other conditions which could cause hypoventilation.

• Tuberculosis and Respiratory Diseases
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• v.53 no.5
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• pp.561-568
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• 2002

Severe obesity can produce a marked impairment of respiratory function. The obesity hypoventilation or Pickwickian syndrome comprises of extreme obesity, alveolar hypoventilation, somnolence, plethora, pulmonary hypertension and right heart failure. It is sometimes associated with obstructive sleep apnea but can be distinguished from obstructive sleep apnea by the presence of awake $CO_2$ retention. Alt hough uncommon, it is important to recognize this syndrome because due to its potential life threatening nature and because can be reversed by appropriate treatment. Here, we report 3 cases of obesity hypoventilation syndrome.

• Sleep Medicine and Psychophysiology
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• v.29 no.1
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• pp.4-8
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• 2022

Obesity hypoventilation syndrome (OHS) is defined as the triad of obesity (body mass index, [BMI] ≥ 30 kg/m²), daytime hypercapnia (PaCO2 ≥ 45 mm Hg), and sleep breathing disorder, after excluding other causes for hypoventilation. As the obese population increases worldwide, the prevalence of OHS is also on the rise. Patients with OHS have poor quality of life, high risk of frequent hospitalization and increased cardiopulmonary mortality. However, most patients with OHS remain undiagnosed and untreated. The diagnosis typically occurs during the 5th and 6th decades of life and frequently first diagnosed in emergency rooms as a result of acute-on-chronic hypercapnic respiratory failure. Due to the high mortality rate in patients with OHS who do not receive treatment or have developed respiratory failure, early recognition and effective treatment is essential for improving outcomes. Positive airway pressure (PAP) therapy including continuous PAP (CPAP) or noninvasive ventilation (NIV) is the primary management option for OHS. Changes in lifestyle, rehabilitation program, weight loss and bariatric surgery should be also considered.

• Journal of the KSME
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• v.35 no.7
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• pp.638-646
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• 1995

직접접촉 얼교환 기술은 냉각탑, 접촉급수 가열기 및 공기분리기 등과 같은 장치에 예전부터 이용되어 왔는데, 그 주요한 적용이유는 가열유체와 수열유체의 사이에 일어나는 전열이 일반 열교환기와는 달리 고체벽(금속 열전달표면)을 통과하지 않고 열교환을 함으로써, 종래의 열교 환기에 비하여 상대적으로 설비의 간단화, 부식 및 스케일 부착문제가 경감됨에 따른 적은 유 지보수비 및 높은 열전달률을 얻을수 있는 이점이 있으며, 저 온도차에서의 효율적인 사용이 가능하기 때문이다. 이 글에서는 직접접촉응축 현상의 장점을 이용하는 직접접촉식 교환기의 구조와 형태, 그리고 그 응용분야에 대해서 알아보고자 한다.

• Sleep Medicine and Psychophysiology
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• v.14 no.1
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• pp.49-53
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• 2007

Mitochondrial myopathy is characterized by variable clinical manifestations from mild limb weakness to fatal respiratory failure and central nervous system sequela. But it is a rare event that sleep disordered breathing become a clue of diagnosis for mitochondrial myopathy. We report a case of a 21 year-old man who was diagnosed as mitochondrial myopathy during the investigation for the possible cause of chronic hypoventilation syndrome. Before being admitted to our hospital, he was suspected as having sleep apnea syndrome in another hospital. We re-evaluated the history, physical examination, laboratoy findings and polysomnography in detail. Severe hypoxemia was noted during REM sleep on nocturnal polysomnography and the diagnosis of mitochondrial myopathy was made by muscle biopsy in rectus abdominis muscle. We treated him with bilevel positive airway pressure therapy during sleep and it could reverse the hypoxemia during REM sleep. He could be discharged with improved condition and is being well with the use of this ventilatory assistance.

• Tunnel and Underground Space
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• v.25 no.6
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• pp.543-555
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• 2015

At present, local limestone mines with large opening employ auxiliary fans for workplace ventilation which have been used in coal mines with much smaller airways. Considering the low static pressure loss in the large-opening mines, high pressure auxiliary fans face serious economical limitations mainly due to their excessive capacity. The optimal fan selected for the ventilation in large-opening working places should supply air quantity enough for maintaining safe environment and keep its operating cost as low as possible. This study focuses on the development of a low pressure auxiliary fan designed to have smaller range of the static head but to have more potential for higher ventilation and energy efficiency. The flow characteristics of high and low pressure auxiliary fans were theoretical as well as experimentally investigated to assess the ventilation efficiency in term of environmental and economical aspects. Moreover, the low pressure fan was tested in two limestone mine sites with small and large cross-sectional areas for evaluating its ventilation efficiency. Results from this study can be applied to improve the economy and efficiency of auxiliary fan for ensuring better air quality and work environment management.

• The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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• v.44 no.12
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• pp.64-68
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• 2015