• Tuberculosis and Respiratory Diseases
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• v.44 no.5
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• pp.1072-1082
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• 1997

Background : To characterize the clinical features and determine the prognostic factors of severe community-acquired pneumonia. This study is the first of its kind in Korea. Methods : Recruited were 40 patients diagnosed as severe community-acquired pneumonia in Hallym University Hospital from January 1, 1989 through July 31, 1996. Patients were analysed retrospectively for age, sex, underlying disease, respiration rate, hypoxemia, requirement of mechanical ventilation, involvement on chest radiograph, shock, and the serum concentration of BUN and albumin. All parameters were compared between survived and dead group. Results : Male to female ratio was 2.07 : 1. The mean age was $63.1{\pm}17.5$years(range 25~90years) with 65% of patients aged equal to or more than 60. The major underlying diseases were old pulmonary tuberculosis(12.5%), chronic obstructive pulmonary disease(7.5%), bronchial asthma(5%), bronchiectasis(2.5%), and diabetes mellitus(22.5%). Microbiologic diagnosis was made in 26 out of 40 patients(65%). The most common causative organism was S. pneumoniae(17.5%, 7/40) followed by S. aureus(15.0%, 6/40), K. Pneumoniae(12.5%, 5/40), M. tuberculosis(7.5%, 3/40), H. influenzae(2.5%, 1/40), coagulase negative staphylococcus(2.5%, 1/40), P. aeruginosa(2.5%. 1/40), E. cloaceae(2.5%, 1/40), and E. coli(2.5%, 1/40). M. pneumoniae was detected in no patient. The most frequent drugs administered in single or combination therapy were aminoglycosides(75%, 30/40), second- and third-generation cephalosporin(40%, 16/40 and 27.5%, 11/40), macrolides(27.5%, 11/40), and amoxicillin/clavulanic acid(22.5%, 9/40). Of the 40 patients, 14 died of severe community-acquired pneumonia(37.5%). Among them, seven patients (50%) expired within 72h of hospital arrival. According to multivariate analysis, mortality was significantly associated with requirement of mechanical ventilation, bilateral pulmonary involvement, and serum albumins$\leq$3.0g/dl. Conclusion : An understanding of the clinical characteristics and prognostic factors in severe community-acquired pneumonia identified in this study will optimize therapeutic approach in this disease and help decreasing its notorious mortality rate.

• Neonatal Medicine
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• v.18 no.2
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• pp.328-336
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• 2011

Purpose: An association between very low birth weight infants(VLBWI) and hearing loss has long been recognized. Early identification and intervention for hearing loss benefits language and speech/cognitive development. We investigated the risk factors and clinical outcomes of hearing loss among VLBWI. Methods: We analyzed the results of auditory brainstem response (ABR) testing of VLBWI. These infants were admitted to the neonatal intensive care unit (NICU) of Pusan National University Yangsan Hospital between December 2008 and February 2011. A follow-up was conducted subsequently. Results: ABR evaluations were performed on 65 infants, and 31 showed abnormal results (47.7%). Among the 31 infants, 10 were classified with moderate/severe/profound hearing loss (15.4%). The infants with abnormal ABR had a higher incidence of low birth weight, prolonged ventilator care, cumulative dose of furosemide, and the lowest $PaO_2$ (P<0.05). Those with moderate/severe/profound hearing loss had a higher incidence of low Apgar scores at 5 minutes (odds ratio[OR],0.34; 95% confidence interval[CI],0.13-0.89), prolonged ventilator care (OR,1.06; 95% CI,1.01-1.12), and mild hearing loss compared to those without profound hearing loss. Follow-up evaluations on eight infants with ABR reveled improvements 5.6${\pm}$3.9 months later. One infant, who had profound hearing loss in both ears, used a hearing aid. Conclusion: Factors influencing hearing loss at the first VLBWI hearing screening test included lower Apgar scores at 5 min and prolonged use of a ventilator. Most VLBWI with hearing losses were expected to recover after several months of follow-up.

• 한국신재생에너지학회:학술대회논문집
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• 2010.11a
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• pp.157-157
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• 2010

RDF는 장기저장이 가능한 것이 특징 중의 하나이지만, 우리나라보다 앞서 대량저장을 시작한 일본의 RDF 저장 사일로에서 폭발사고가 발생한 사례가 있어, RDF를 실제로 저장하여 RDF 온도 및 가연성가스 발생상황 등을 장기간 감시 측정하여 사일로 안전관리지표를 도출하였다. 실험에 사용한 RDF 저장조는 직경 3.1m, 높이 11.4m의 사일로방식으로 제작하였다. RDF 저장량은 $70m^3$이었으며, 저장기간은 475일이었다. 사일로에는 15개의 열전대를 설치하여 사일로 표면, 직경방향 1.2m 지점 및 기온을 측정하여 수직방향 및 수평방향의 온도변화를 분석하였다. 가스 샘플링포트는 온도측정지점과 동일한 위치 설치하여 진공펌프로 흡인하여 테트라 백에 포집하여 GC로 분석하였으며, 가스샘플링은 17회 실시하였다. 비교적 대형 저장설비이고 RDF가 열전도성이 낮은 물질임에도 불구하고 사일로 내부온도는 기온보다는 높았지만, 기온의 영향을 많이 받아 7월에 정점, 1월에 하점을 나타내는 사인곡선과 같은 패턴을 보였다. 측정지점별 온도차는 수평방향 보다 수직방향에서 높게 나타났으며, RDF층으로 전열 및 축열이 진행되고 생화학반응을 촉진시키는 상승작용의 결과로 월평균온도가 $49^{\circ}C$를 나타내는 지점도 있었다. 실제 사일로는 RDF의 투입과 배출이 연속적으로 진행되어 방열이 이루어지므로 하계에 대량저장을 실시하지 않는 한 RDF층 내부에서 생화학적 반응열이 생성되더라도 $40^{\circ}C$를 상회할 가능성은 매우 희박할 것으로 판단된다. RDF 저장시 발생하는 가스는 대부분 $CO_2$였으며, 미량이지만 $H_2$, CO, $CH_4$도 검출되었다. 가연성 가스는 저장 후 2개월 동안은 발생하지 않았으며, 하계에는 타 계절에 비해 상대적으로 고농도로 검출되었다. 발생가스와 온도 및 $CO_2$와 $H_2$농도의 상관성은 높게 나타나지 않았지만, 정의 상관관계를 나타내었다. 저장한 RDF의 성상(수분, 발열량, 분화물)은 실험개시 전의 RDF분석결과와 실험종료 후 분석결과에서는 큰 차이가 나타나지 않았다. 따라서 RDF의 안전 저장을 위해서는 (1) 반입되는 RDF성상관리, (2) RDF가 2개월 이상 장기간 체류하는 데드스페이스가 발생하지 않고 선입선출이 확보되는 저장조 설계, (3) 사일로 내부에 최소 3개 이상의 지점에서 온도를 측정하여 상시감시하고 $40^{\circ}C$이하로 관리, (4) 발생가스는 CO, $CO_2$, $H_2$, $CH_4$ 등의 가연성가스를 모두 측정 감시하는 것이 바람직하지만, 최소 $CO_2$와 $H_2$는 상시감시하고 각각 1%와 100ppm 미만으로 관리, (5) 배풍기 등을 이용한 상시 환기실시, (6) 하계에는 대량저장이 이루어지지 않도록 저장조 운용계획 수립 등을 실시해야 한다.

• Neonatal Medicine
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• v.16 no.1
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• pp.64-70
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• 2009

Congenital diaphragmatic hernia (CDR) with severe pulmonary hypoplasia is associated with significant mortality. Recently, several new therapeutic methods have been suggested, such as high-frequency oscillatory ventilation and inhaled nitric oxide. For hypoxemic respiratory failure unresponsive to these advanced medical treatment options, extracorporeal membrane oxygenation (ECMO) serves as the last potentially effective treatment. An understanding of the pathophysiology of pulmonary hypertension associated with CDH led to a strategy involving preoperative stabilization and delayed surgical intervention with ECMO. We describe four cases of ECMO, including the first report of ECMO for neonatal CDH in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.723-729
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• 2016

This study compared fin-tube and parallel-flow heat pipes for their sensible heat exchange rate, heat recovery amount, and air-side pressure drop. Tests were done with different refrigerant charging rates of 40-60% vol. and air flow rates of 300-1,400. The sensible heat exchange rate was highest for both types of heat pipes at a working fluid charge of 40% vol. and low flow rate. For the parallel-flow heat pipe, the 60% vol. charge is too high and results in a low sensible heat exchange rate. The reason is that the thicker liquid film of the tube wall deteriorates the heat transfer effect. Hence, the optimal charging rate is 40 to 50% vol. The evaporator heat pipe has a larger air-side pressure drop than the condenser section heat pipe. The reason is considered to be condensation water arising from the evaporator surface. Compared to the fin-tube heat pipe, the parallel-flow heat pipe showed better performance with a working fluid charging rate of 48%, volume of 41%, and an air-side pressure drop about 37%.

• Tuberculosis and Respiratory Diseases
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• v.59 no.6
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• pp.690-695
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• 2005

Nitric acid is an oxidizing agent used in metal refining and cleaning, electroplating, and other industrial applications. Its accidental spillage generates oxides of nitrogen, including nitric oxide (NO) and nitrogen dioxide ($NO_2$), which cause chemical pneumonitis when inhaled. The clinical presentation of a nitric acid inhalation injury depends on the duration and intensity of exposure. In mild cases, there may be no symptoms during the first few hours after exposure, or the typical symptoms of pulmonary edema can appear within 3-24 hours. However, in cases of prolonged exposure, progressive pulmonary edema develops instantaneously and patients may not survive for more than 24 hours. We report a case of a 44-year-old male who was presented with acute respiratory distress syndrome after nitric acid inhalation. He complained of cough and dyspnea of a sudden onset after inhaling nitric acid fumes at his workplace over a four-hour period. He required endotracheal intubation and mechanical ventilation due to fulminant respiratory failure. He was managed successfully with mechanical ventilation using positive end expiratory pressure and systemic corticosteroids, and recovered fully without any deterioration in his pulmonary function.

• Tuberculosis and Respiratory Diseases
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• v.46 no.5
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• pp.709-717
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• 1999

Background & Method : Bronchiolitis obliterans organizing pneumonia(BOOP) is a specific clinicopathologic condition characterized by chronic inflammatory interstitial infiltrates. Cryptogenic form of BOOP presents subacute clinical course of flu-like illness, such as cough, fever, dyspnea with exertion and other constitutional symptoms. Pathologically it shows the presence of granulation tissue filling the lumen of terminal and respiratory bronchioles, extending into distal airspaces. Recently, we reviewed 24 cases of idiopathic type of BOOP, 5 cases of our hospital and another 19 cases on Korean literatures, and compared with reviewed data from foreign literatures. Results : Mean age was 54 years old and there was female preponderance in domestic reports. Their common presenting symptoms were dyspnea and cough, and mean duration of illness was 41 days. On chest examination, inspiratory crackle was a common finding. The laboratory findings were nonspecific except hypoxemia. Lung function studies revealed restrictive defect or combined obstructive and restrictive pattern in most patients. Bilateral patchy and nonsegmental alveolar opacities constituted characterized radiographic finding, highlighted on high resolution computed tomogram. It showed a favorable prognosis with an excellent responsiveness to corticosteroid therapy. The clinical features and laboratory findings were similar between domestic and foreign cases except female preponderance in Korean cases. Conclusion : If the clinical course is atypical or pregressive under proper treatment, clinicians should reevaluate clinical features and radiographic findings under the consideration of BOOP. Tissue confirmation would be recommended for the definitive diagnosis of BOOP.

• Membrane Journal
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• v.30 no.3
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• pp.173-180
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• 2020

As the demand for fossil fuels continues to increase worldwide, carbon dioxide (CO₂) concentration in the air has increased over the centuries. The way to reduce CO₂ emissions to the atmosphere, carbon capture and sequestration (CCS) technology have been developed that can be applied to power plants and factories, which are primary emission sources. According to the climate change mitigation policy, direct air capture (DAC) in air, referred to as "negative emission" technology, has a low CO₂ concentration of 0.04%, so it is focused on adsorbent research, unlike conventional CCS technology. In the DAC field, chemical adsorbents using CO₂ absorption, solid absorbents, amine-functionalized materials, and ion exchange resins have been studied. Since the absorbent-based technology requires a high-temperature heat treatment process according to the absorbent regeneration, the membrane-based CO₂ capture system has a great potential Membrane-based system is also expected for indoor CO₂ ventilation systems and immediate CO₂ supply to smart farming systems. CO₂ capture efficiency should be improved through efficient process design and material performance improvement.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.11
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• pp.3121-3129
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• 2009

Conventional marine radar systems utilize pulse radar which is capable of high-power transmissions and is effective for remote detection purposes. A pulse radar is most commonly used on medium or large vessels due to its expensive installation and maintenance costs. I propose the use of a Frequency Modulated Continuous Wave (FMCW) radar system operated at low-power and high-resolution instead of the conventional pulse-radar based system. The transmitted and received signals of the FMCW radar system were theoretically analyzed and radar signal processing design and simulation experiments were performed to detect the range and speed. Intermediate Frequency (IF) signal mixed with virtual transmit and receive signals were generated to perform FMCW radar signal processing simulations where the IF signal underwent noise reduction through a lowpass filter. The maximum frequency was derived through the sample interval of the FFT size instead of using A/D converter. This maximum frequency was used to get the frequency range and frequency speed which were in turn used to calculate the range and speed. The virtual beat frequency generated using MATLAB is utilized to analyze the beat frequency used in the actual FMCW radar system signal processing. The differences in the range and speed of the beat frequency signals are processed and analyzed.

• Journal of Korean Society of Environmental Engineers
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• v.34 no.7
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• pp.439-444
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• 2012

We studied the characteristics of odor emitted from 40 swine facilities across the country under various conditions like rearing densities, management style, ventilation system and swine manure handling characteristics, based on the olfactory and analytical evaluation. Odor concentrations (D/T) measured from swine facilities were respectively an average 4,055 D/T at liquid manure storage tanks on aeration, an average 913 D/T at slurry manure storage, an average 506 D/T at finishing swine facilities and an average 201 D/T at composting facilities. The higher rearing densities and slurry accumulation volume in finishing swine house, the more odor concentration (D/T) was increased. But The odor concentration (D/T) in finishing swine house did not show significant difference according to application of microbial additives. 9 odor compounds ($NH_3$, $H_2S$, MM, DMS, DMDS, PA, n-BA, n-VA, i-VA) were detected at swine facilities and the main odor compounds were volatile sulfur compounds such as $H_2S$, MM and volatile fatty acids compounds such as n-BA, n-VA, i-VA. 97.5% of swine farms surveyed in this study is located within 300 m of residential area and it is easy to bring odor complaints.