• Title/Summary/Keyword: 폐유순도

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The Effects of Chest Physiotherapy on Sputum Amount, Lung Compliance, Tidal Volume and Oxygen Saturation of Intensive Care Unit Patients Mechanical Ventilated (흉부물리요법이 인공호흡기환자의 객담량, 폐유순도, 일회호흡량 및 산소포화도에 미치는 효과)

  • Seo, Kyoung-San;Kwon, En-Ok
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.15-25
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    • 2009
  • Purpose: This study investigated the effects of chest physiotherapies on intensive care unit patients mechanical ventilated. Methods: Good lung down position, chest percussion, postural drainage was applied to patients who admitted to ICU. Each patients divided into four groups and each group received different treatments. Sputum amount, lung compliance, tidal volume and oxygen saturation were measured before treatment and immediately, and time flowing. Data was analyzed with frequency, percentage, ANOVA and paired t-test using via SPSSWIN 12.0 program. Results: There were significant differences in variables each characteristics of subjects. Chest percussion increased tidal volume, static lung compliance for the mean time. Desaturation related to suction. Conclusion: Chest percussion influences on lung compliance. Based on this study results and limitation, this study suggests repeated studies in various groups

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Removal of Free Fatty Acid in used oil on Zeolite Catalysts (제올라이트 종류에 따른 유리지방산 제거 특성)

  • Chang, Duk-Rye;Oh, Sung-Hwa
    • 한국신재생에너지학회:학술대회논문집
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    • 2008.05a
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    • pp.263-265
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    • 2008
  • 자원 재활용 및 에너지 생산관점에서 폐유지로부터 환경친화적인 연료인 바이오디젤에 대한 연구가 활발히 진행되고 있다. 특히 폐유지내 함유된 유리지방산 및 수분에 의해 효율적인 에스테르화 반응이 어렵기 때문에 이를 전처리 단계에서 제거되어야 한다. 본 연구에서는 폐유지내 유리지방산을 효과적으로 제거하기 위하여 회분식 반응기에서 제올라이트 촉매의 종류에 의한 세공구조와 산성도 변화에 따른 유리지방산 전환반응에 미치는 영향을 조사해 보았다. 제올라이트 촉매의 유리지방산 전환율은 세공구조와 산성도에 따라 큰 차이를 나타내었다. 유리지방산 전환율은 FAU < MOR < MFI < BEA의 순으로 높았다. 제올라이트의 세공구조는 1차원적인 구조를 가질 경우 탄소침적이 일어나지만 3차원적인 세공구조를 가지는 경우 탄소침적에 의한 촉매의 활성저하가 감소된다. 또한 제올라이트의 산성도에 따른 특성으로는 유리지방산의 전환반응에는 중간정도의 산세기를 가진 촉매가 유리함을 확인하였다. 그러므로 폐유지로부터 유리지방산을 제거하기 위한 우수한 제올라이트 촉매로는 BEA 제올라이트 촉매임을 확인하였다.

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Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients (기관 내 흡인 유형이 인공호흡기 대상자의 폐기능과 저산소혈증에 미치는 효과)

  • Lee, Eun Young;Kim, Su Hyun
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.149-158
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    • 2014
  • Purpose: This study was conducted to compare effects of open and closed suctioning methods on lung dynamics (dynamic compliance, tidal volume, and airway resistance) and hypoxemia (oxygen saturation and heart rate) in mechanically ventilated patients. Methods: This study was a cross-over repeated design. Participants were 21 adult patients being treated with endotracheal intubation using a pressure-controlled ventilator below Fraction of Inspired Oxygen ($FiO_2$) 60% and PEEP $8cmH_2O$. Data were collected at baseline and 1, 2, 3, 4, 5, and 10 minutes after suctioning. Data were analyzed using two-factor ANOVA with repeated measures on time and suctioning type. Results: Effects of the interaction between suction type and time were significant for oxygen saturation and heart rate but not significant for dynamic compliance, tidal volume, or airway resistance. Prior to performance of suctioning, tidal volume and oxygen saturation were significantly lower, but airway pressure and heart rate were significantly higher using the closed suctioning method as compared with the open suctioning method. Conclusion: For patients on ventilator therapy below $FiO_2$ 60% and PEEP $8cmH_2O$, open suctioning performed after delivery of 100% $FiO_2$ using a mechanical ventilator may not have as much negative impact on lung dynamics and hypoxemia as closed suctioning.

The Effects of Chest Physiotherapy on Applied to Patients Mechanicalventilated - In Patients with Acute Lung Injury (흉부물리요법이 인공호흡기 적용 환자에게 미치는 효과 - 급성 폐손상 환자를 대상으로)

  • Lee, Moon Kyung;Lee, Hyeon Joo;Park, Hyo jin
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.61-73
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    • 2019
  • Purpose : The purpose of this study was to examine the effects of two single chest physiotherapies mechanically ventilated patients with acute lung injury. Method : Participants were 30 ICU patients depending entirely on ventilators without self-respiration. Each patients received two single chest physiotherapiesvibration palm cup percussion at hour intervals. Data were analyzed one-way ANOVA and Wilcoxon signed-rank test. Statistical significance was accepted at a p value less than .05. Results : ibration therapy, dynamic compliance and statics compliance demonstrated a significant increase immediately and remained increased until 30 minutes after chest physiotherapy. palm cum percussion therapy saturation showed a significant increase immediately chest physiotherapyut there were no significant differences in tidal volume, dynamic compliance and statics compliance. Conclusion : In this study, we analyzed the effects of oscillation method and palm cup percussion method separately for each type of chest physiotherapy. Nursing interventions that actively utilize vibration methods should be provided to patients with respiratory diseases.

Influence of Painting Materials based on Wasted Oil and Applying Timing on Carbonation and Chloride Resistances of High Volume SCM Concrete (폐유지류를 중심으로 한 도포제 종류 및 도포시기 변화가 혼화재 다량치환 콘크리트의 탄산화 및 염해저항성에 미치는 영향)

  • Han, Cheon-Goo;Choi, Young-Doo
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.3 no.3
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    • pp.228-236
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    • 2015
  • In this research, the influence of painting materials and applying timing on carbonation and chloride resistances of high volume SCMs concrete was evaluated. As a durability improving method, comparative tests were conducted with painting materials of ERCO (emulsified refined cooking oil), RCO (refined cooking oil), WR (water repellent agent), and ERCO + WR and with painting timings of right after demolding, and 28 days after the wet curing. From the experiment results, in the case of carbonation and chloride resistance, the carbonation depth and chloride penetration depth were decreased when the painting materials were applied in 28 days of wet curing. Additionally, for painting materials, with the order of ERCO, RCO, ERCO+WR, and WR, the carbonation and chloride penentration was delayed. Hence it is considered that ERCO shows the most favorable performance of resistance against carbonation and chloride penetration.

Correlation of Tracheal Cross-sectional Area with Parameters of Pulmonary Function in COPD (만성 폐쇄성 폐질환에서 기관의 단면적과 폐기능지표와의 상관관계)

  • Lee, Chan-Ju;Lee, Jae-Ho;Song, Jae-Woo;Yoo, Chul-Gyu;Kim, Young-Whan;Han, Sung-Koo;Shim, Young-Soo;Chung, Hee-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.5
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    • pp.628-635
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    • 1999
  • Background : Maximal expiratory flow rate is determined by the size of airway, elastic recoil pressure and the collapsibility of airway in the lung. The obstruction of expiratory flow is one of the major functional impairments of emphysema, which represents COPD. Nevertheless, expiratory narrowing of upper airway may be recruited as a mechanism for minimizing airway collapse, and maintaining lung volume and hyperinflation by an endogenous positive end-expiratory pressure in patients with airflow obstruction. We investigated the physiologic role of trachea in respiration in emphysema. Method : We included 20 patients diagnosed as emphysema by radiologic and physiologic criteria from January to August in 1997 at Seoul Municipal Boramae Hospital. Chest roentgenogram, high resolution computed tomography(HRCT), and pulmonary function tests including arterial blood gas analysis and body plethysmography were taken from each patient. Cross-sectional area of trachea was measured according to the respiratory cycle on the level of aortic arch by HRCT and calibrated with body surface area. We compared this corrected area with such parameters of pulmonary function tests as $PaCO_2$, $PaO_2$, airway resistance, lung compliance and so on. Results : Expiratory cross-sectional area of trachea had significant correlation with $PaCO_2$ (r=-0.61, p<0.05), $PaO_2$ (r=0.6, p<0.05), and minute ventilation (r=0.73, p<0.05), but inspiratory cross-sectional area did not (r=-0.22, p>0.05 with $PaCO_2$, r=0.26, p>0.05 with $PaO_2$, and r=0.44, p>0.05 with minute ventilation). Minute ventilation had significant correlation with tidal volume (r=0.45, p<0.05), but it had no significant correlation with respiratory frequency (r=-0.31, p>0.05). Cross-sectional area of trachea had no significant correlation with other parameters of pulmonary function including $FEV_1$, FVC, $FEV_1$/FVC, peak expiratory flow, residual volume, diffusing capacity, airway resistance, and lung compliance, whether the area was expiratory or inspiratory. Conclusion : Cross-sectional area of trachea narrowed during expiration in emphysema, and its expiratory area had significant correlation with $PaCO_2$, $PaO_2$, and minute ventilation.

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Fundamental Studies on the Equilibrium and Kinetics for the fractional Distillation Reaction of Waste Organic Solvent (폐용제 분별증류 회수 반응의 평형 및 속도론적 기초연구)

  • Noh Hyun-Sook;Kim Dong-Su
    • Resources Recycling
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    • v.11 no.6
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    • pp.38-46
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    • 2002
  • Fundamental investigations were conducted far the recovery process of waste organic solvent by fractional distillation in the aspects of equilibrium and kinetics. Mixture of toluene and xylene, which were both being used in the largest amount as industrial organic solvent, was taken as the artificial waste organic solvent and their distillation behaviors were studied. The purity of recovered solvent was investigated by Cir Chromatography and shown to be in the range of 94~98%. Based upon equilibrium calculations, the changes in the Gibbs free energy, standard enthalpy, and standard entropy for distillation reaction have been estimated. The standard enthalpy changes for toluene and xylene were shown to be 44.833 and 47.044 kJ $mol^{-1}$ respectively, which were similar to their molar heats of evaporation. The activation energies of distillation fur toluene and xylene obtained from kinetic studies were 3.281 and 2.699 kJ $mol^{-1}$ and they were about one tenths of the standard enthalpy changes of distillation reaction. The highness of the purity of recovered organic solvents suggested the possibility that the recovered waste organic sol-vent could partly replace the original solvent.

Relationship of Compliance and Oxygen Transport in Experimental Acute Respiratory Failure during Positive End-Expiratory Pressure Ventilation (실험적 급성호흡부전에서 호기말양압에 의한 폐유순도와 산소운반의 변화 및 상관관계 - 호흡부전의 기전에 따른 차이 -)

  • Lee, Sang-Do;Yoon, Se-Jin;Lee, Bok-Hee;Han, Sung-Koo;Shim, Young-Soo;Kim, Keun-Youl;Han, Yong-Chol
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.1
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    • pp.6-15
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    • 1993
  • Background: Positive end, expiratory pressure (PEEP) has become one of the standard therapies for adult respiratory distress syndrome (ARDS). Total static compliance has been proposed as a guide to determine the size of PEEP ('best PEEP') which is of unproven clinical benefit and remains controversial. Besides increasing functional residual capacity and thus improving oxygenation, PEEP stimulate prostacyclin secretion and was proposed for the treatment of acute pulmonary embolism. But little is known about the effect of PEEP on hemodynamic and gas exchange disturbances in acute pulmonary embolism. Methods: To study the validity of total static compliance as a predictor of 'best PEEP' in ARDS and acute pulmonary embolism, experimental ARDS was induced in mongrel dog with oleic acid and acute pulmonary embolism with autologous blood clot. Then hemodynamic and gas exchange parameters were measured with serial increment of PEEP. Results:In ARDS group, total static compliance and oxygen transport were maximal at 5 cm$H_2O$, and decreased thereafter (p<0.05). With increment of PEEP, arterial oxygen tension ($PaO_2$) and arterial carbon dioxide tension ($PaCO_2$) increased and cardiac output and physiological shunt decreased. In pulmonary embolism group, total static compliance, oxygen transport, physiological shunt and cardiac output decreased and $PaO_2$ and $PaCO_2$ increased with increment of PEEP (p<0.05). Comparing the change induced by increment of PEEP by 1 cm$H_2O$ in ARDS group with that in pulmonary embolism group, there was no significant difference between two groups except cardiac output which decreased more in pulmonary embolism group (p<0.05). In ARDS group, oxygen transport and total static compliance increased after PEEP application, and total static compliance was maximal at the PEEP level where oxygen transport was maximal. However in pulmonary embolism group, oxygen transport and total static compliance decreased after application of PEEP. There was significant correlation between change of total static compliance and change of oxygen transport in both groups. Conclusion: In both ARDS and acute pulmonary embolism, it can be concluded that total static compliance is useful as a predictor of 'best PEEP'.

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Biodiesel Production Technology from Sewage Sludge (하수 슬러지로부터 바이오디젤 생산기술)

  • Kim, Jae-Kon;Park, Jo-Yong;Jeon, Cheol-Hwan;Yim, Eui-Soon;Jung, Choong-Sub
    • Journal of the Korean Applied Science and Technology
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    • v.30 no.4
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    • pp.688-700
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    • 2013
  • The potential of biodiesel production technology using lipids extracted from sewage sludge was investigated. Despite the bright prospect of biodiesel production, efforts to commercialize it have been very limited. One of the major obstacles has been the high price associated with refined oil feedstock, which makes up nearly 70-75% of the total production costs. Hence, in order to reduce the cost of biodiesel production, using cheaper feedstock such as waste oil or low-quality oil has been proposed. Especially, sewage sludge, a relatively inexpensive feedstock, is a promising raw material for such a purpose. In this study, it is aimed to review biodiesel production technology from sewage sludge as a lipid feedstock. It is process modifications to combine the oil extraction steps, fuel conversion steps (i.e. in situ transesterification, thermo-chemical process with non-catalytic heterogeneous biodiesel production) and fuel quality from sewage sludge.

Comparison of Imposed Work of Breathing Between Pressure-Triggered and Flow-Triggered Ventilation During Mechanical Ventilation (기계환기시 압력유발법과 유량유발법 차이에 의한 부가적 호흡일의 비교)

  • Choi, Jeong-Eun;Lim, Chae-Man;Koh, Youn-Suck;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.592-600
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    • 1997
  • Background : The level of imposed work of breathing (WOB) is important for patient-ventilator synchrony and during weaning from mechanical ventilation. Triggering methods and the sensitivity of demand system are important determining factors of the imposed WOB. Flow triggering method is available on several modern ventilator and is believed to impose less work to a patient-triggered breath than pressure triggering method. We intended to compare the level of imposed WOB on two different methods of triggering and also at different levels of sensitivities on each triggering method (0.7 L/min vs 2.0 L/min on flow triggering ; $-1\;cmH_2O$ vs $-2cm\;H_2O$ on pressure triggering). Methods : The subjects were 12 patients ($64.8{\pm}4.2\;yrs$) on mechanical ventilation and were stable in respiratory pattern on CPAP $3\;cmH_2O$. Four different triggering sensitivities were applied at random order. For determination of imposed WOB, tracheal end pressure was measured through the monitoring lumen of Hi-Lo Jet tracheal tube (Mallincrodt, New York, USA) using pneumotachograph/pressure transducer (CP-100 pulmonary monitor, Bicore, Irvine, CA, USA). Other data of respiratory mechanics were also obtained by CP-100 pulmonary monitor. Results : The imposed WOB was decreased by 37.5% during 0.7 L/min on flow triggering compared to $-2\;cmH_2O$ on pressure triggering and also decreased by 14% during $-1\;cmH_2O$ compared to $-2\;cmH_2O$ on pressure triggering (p < 0.05 in each). The PTP(Pressure Time Product) was also decreased significantly during 0.7 L/min on flow triggering and $-1\;cmH_2O$ on pressure triggering compared to $-2\;cmH_2O$ on pressure triggering (p < 0.05 in each). The proportions of imposed WOB in total WOB were ranged from 37% to 85% and no significant changes among different methods and sensitivities. The physiologic WOB showed no significant changes among different triggering methods and sensitivities. Conclusion : To reduce the imposed WOB, flow triggering with sensitivity of 0.7 L/min would be better method than pressure triggering with sensitivity of $-2\;cm\;H_2O$.

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