• Title/Summary/Keyword: 환기량

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Risk Factors of Primary Lung Cancer and Spirometry (원발성 폐암의 위험인자와 폐활량 측정)

  • Rhee, Yang-Keun;Hwang, Keum-Man;Lee, Yong-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.6
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    • pp.646-652
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    • 1993
  • Background: Lung cancer and chronic obstructive lung disease often coexist in the same person who are elderly and cigarette smoking. There are several reports that the presence of chronic obstructive pulmonary disease constitutes an independent risk factor for the development of lung cancer. Moreover, the association between mucus hypersecrtion and lung cacer has been reported. Method: In 72 cases with primary lung cancer which were confirmed histopathologically at Chonbuk University Hospital from August 1986 to July 1991, We evaluated the relationship between spirometry and lung cancer characteristics. Results: Six cases(8.3%) showed normal lung function, 16(22.2%) cases showed pure restrictive lung disease, 46(63.9%) cases showed moderated obstructive lung disease and 4(5.6%) cases showed severe obstructive lung disease. $FEV_1$(%) was lower in central type than in peripheral type, lower in advanced non-small cell cancer and lower in subjects with phlegm. $FEV_1$/FVC(%) was higher in small cell cancer than in squamous cell cancer and higher in patients without previous pulmonary disease than with previous pulmonary disease. But there was no statistically significant difference in lung function according to histologic types and smoking history. Lung cancers with $FEV_1$/FVC less than 75% consisted of 35 cases of squamous cell cancer, 7 of small cell cancer(14%), 5 of adenocarcinoma(10%), 2 of large-cell carcinoma and 1 of unclassified carcinoma. Squamous cell carcinoma occured more in patients with $FEV_1$/FVC<75% than with $FEV_1$/FVC$\geq$75%(p<0.05). Conclusion: It was suggest that low $FEV_1$/FVC, as reflection of obstructive lung disease, may be at greater risk for squamous cell carcinoma in cigarette smoker.

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An analysis on Flicker Phenomenon of a Fluorescent lights for the commercial operating EMU (영업운행 전동차 객실형광등의 플리커(Flicker) 현상에 관한 분석 연구)

  • Ha, Jong-Eun;Han, Seon-Ho;Park, Jae-Hong;Lee, Dae-Won
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.1240-1246
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    • 2006
  • Generally, there are two types of main factors to affect output power quality of a auxiliary power supply an EMU(electric multiple unit). One is a voltage flicker by amplitude modulation of short time and air compressors. The other is repetitive motion of large capacity motor such as air compressors, HVAC unit etc. in main factors. This paper compared two kinds of fluorescent lamp, 32W (after remodeling interior) and 40W(before remodeling interior) and measured the light output varying input power(AC220V) for a flicker phenomenon related power supply of lamps in EMU. Also, we analyzed a flicker considering EMU operating time and density in order to grasp main factors of a load change to cause a voltage change. As a results of test, a 40W fluorescent lamp was more insensitive with 20.26% degree an eye recognition degree sides about changes of the input power and lower with 19.9% voltage side generating flicker compare with fluorescent lamp 32W. Also, we confirmed the fact which the fluorescent lamp flicker was generated by varying fluorescent lamp output voltage when the commercial EMU was in high driving density and at the busy time. Additionally, we confirmed the frequency band which an EMU passenger could feel sensitively blinking of a fluorescent lamp was visually $8Hz{\sim}15Hz$.

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Mechanism improvement of the heat exchanger and the ventilator for the thermal efficiency increment of hot-air heater (온풍난방기의 열이용효율 증대를 위한 열교환부 및 송풍기 구조개선)

  • 이기명;박규식;최성우
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2002.02a
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    • pp.558-563
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    • 2002
  • 시설원예에서 난방장치를 사용하는 겨울철 재배 농산물의 생산비 중 난방 연료비가 30%~37% 정도를 차지하여 비중이 가장 높다. 따라서 시설원예 농가에서는 난방비를 절감하는 것이 농가소득과 직결되므로, 난방장치의 선정이 대단히 중요하다. 본 연구에서는 겨울철 재배 농산물의 생산비 중 30%-37% 정도를 차지하는 연료비를 절감하기 위해 기존의 온풍난방기와 다른 새로운 방식의 열교환기와 원심식 송풍블로워를 사용하는 블로워 송풍방식의 온풍난방기를 개발하고 개발된 온풍난방기의 가동으로 인한 난방 연료비 절감효과와 온실내의 균일한 온도분포를 획득하기 위해 8연동 비닐온실에서의 시험을 실시하였으며 얻어진 결과를 요약하면 다음과 같다. 가. 저 정압용의 전동기 축직결식 송풍팬을 대신하여 고 정압용의 블로워 송풍팬을 장착하고 열교환 면적을 크게 한 지그재그식 환류의 열교환실을 채용한 온풍난방기를 개발하였다. 나. 공시한 온실에서 기존 온풍난방기의 2일 가동시 DH당 연료 사용량이 평균 1.082$\ell$/$^{\circ}C$.hr 이며, 블로워 송풍방식 온풍난방기의 3일 가동시 DH당 연료 사용량은 평균 0.854$\ell$/$^{\circ}C$.hr로써 21%의 난방 연료비 절감효과가 나타났다. 다. 블로워 송풍방식 온풍난방기는 동일시간대 3$^{\circ}C$의 경시적 온도변화가 발생하였고, 기존의 은풍난방기의 동일시간대 온도변화는 최대 6.1$^{\circ}C$로 나타나 개발된 블로워 송풍방식 온풍난방기가 동일시간대 온실내의 온도변화를 크게 줄일 수 있었고 온도분포를 비교적 균일하게 하는 효과가 있음을 확인하였다.도 33$^{\circ}C$를 기준으로 한 열 회수 시간은 유입공기 온도가 52$^{\circ}C$ 및 64$^{\circ}C$ 일 각각 120분 및 140분으로 나타났다. (3) 제 3종 자갈: 축열조로 공급되는 공기의 온도가 52$^{\circ}C$와 64$^{\circ}C$ 일 때, 축열조 출구의 공기온도가 33$^{\circ}C$에 도달될 때까지 가열되는데 소요된 시간은 가열공기의 온도가 52$^{\circ}C$와 64$^{\circ}C$ 일 때 각각 180분과 150분이었고, 방열에 소요된 시간은 각각 240분 및 270분으로 나타났다. 방열과정 동안 축열조 출구의 최고 공기온도는 가열 공급공기의 온도가 52$^{\circ}C$$65^{\circ}C$일 때 각각 35.5$^{\circ}C$ 및 39.5$^{\circ}C$였다. 출구 공기온도 33$^{\circ}C$이상을 기준으로 한 에너지 회수시간은 유입공기 온도가 52$^{\circ}C$ 및 64$^{\circ}C$일 때 각각 140분 및 160분으로 나타났다. 이와 같이 자갈이 작을수록 축열조 출구의 공기온도가 기준온도 33$^{\circ}C$에 도달되는 시간이 길었으며, 이것은 축열조내의 공극이 작고 비중량이 커 자갈층을 가열시키는 축열시간이 길어지기 때문인 것으로 사료된다. 또한 작은 자갈일수록 방열시간도 다소 길어져 회수 가능 열에너지가 큰 것으로 나타났다

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Development of Traffic Accident Index Considering Driving Behavior of a Data Based (데이터 기반의 도로구간별 운전자의 통행행태를 고려한 교통사고지표 개발)

  • LEE, Soongbong;CHANG, Hyunho;CHEON, Seunghoon;BAEK, Seungkirl;LEE, Young-Ihn
    • Journal of Korean Society of Transportation
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    • v.34 no.4
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    • pp.341-353
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    • 2016
  • Highway is mainly in charge of middle-long distance of vehicular travel. Trip length has shown a growing trend due to increased commute distances by the relocation of public agencies. For this reason, the proportion of driver-driven accidents, caused by their fatigue or sleepiness, are very high on highways. However, existing studies related to accident prediction have mainly considered external factors, such as road conditions, environmental factors and vehicle factors, without driving behavior. In this study, we suggested an accident index (FDR, Fatigued Driving Rate) based on traffic behavior using large-scale Car Navigation path data, and exlpored the relationship between FDR and traffic accidents. As a result, FDR and traffic accidents showed a high correlation. This confirmed the need for a paradigm shift (from facilities to travel behavior) in traffic accident prediction studies. FDR proposed in this study will be utilized in a variety of fields. For example, in providing information to prevent traffic accidents (sleepiness, reckless driving, etc) in advance, utilization of core technologies in highway safety diagnostics, selection of priority location of rest areas and shelter, and selection of attraction methods (rumble strips, grooving) for attention for fatigued sections.

Characteristics of Radon Reduction of Small-scale Water Supply System (소규모수도시설 지하수의 라돈저감 특성)

  • Cho, Byong-Wook
    • The Journal of Engineering Geology
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    • v.29 no.1
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    • pp.37-50
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    • 2019
  • It is possible that radon removal in groundwater of small-scale water supply system (SWSS) is caused by atmospheric storage and aeration facilities installed in the water tank. Radon removal rates at water tank and tap of the 32 SWSS during summer season ranged from -69.3% to 62.7% (average 25.7%) and from -64.3% to 83.1% (average 30.3%) while those of 16 SWSS during autumn season ranged from 21.3% to 78.0% (average 42.8%) and from 17.7% to 66.9% (average 44.8%). The reason of higher radon removal rate in the autumn season compared with the summer season is due to higher atmospheric storage effect by lower groundwater use rate. The radon removal rates at the water tank from 12 SWSS were 47.4~94.0% (average 78.9%), in which the removal rates at the atmospheric storage are also included. Atmospheric storage and aeration can be used to reduce radon concentration in SWSS groundwater. For more efficient use of radon reduction, further studies are necessary to assess the radon removal rate considering variation conditions of radon concentration in groundwater, size and forms of water tank, change in groundwater usage rate, aeration capacity and ventilation facilities.

Measuring Attitudes and Satisfaction Level towards Military Foodservices (군 급식소의 이용실태 및 만족도 조사)

  • Kang, Bo-Kyoung;Lee, Young-Eun
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.40 no.7
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    • pp.1032-1042
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    • 2011
  • The purpose of this study was to examine the attitudes and satisfaction level towards military foodservices as well as suggest effective ways to increase foodservice quality. A questionnaire survey was administered to 413 subjects, which included 400 soldiers and 13 foodservice managers. The survey period was from August 6 to August 25, 2008. The collected data were statistically treated using SPSS V12.0. Most of the investigated soldiers were 20~25 years old. The foodservice managers were male general officials and the majority of them had no prior food service training. None of the foodservice managers had a dietician certificate. Menu was planned through a local foodservice conference, and most food materials were delivered in the form of center-type and military unit-type. Deficiency and deterioration of food service facilities (28.6%) as well as deficiency in the number of cooking personnel (14.3%) increased the difficulty of operational management. Soldiers expressed a desire for increases in Western (25.7%) and Korean traditional foods (21.5%), which meant menu diversity. To increase the quality of military foodservices, taste of food (40.6%), increased portion size (30.4%), and improvement in hygienic conditions (13.6%) were demanded by the soldiers. Food taste (30.8%), improvement in hygienic conditions (23.1%), and better job management were all demanded by the foodservice managers. After factor analysis, quality attributes were rearranged into five dimensions, including facilities, food, menu, service, and sanitation most attributes were over 4 points out of 5 total in importance, but only 3 points in performance. The importance score was higher than the performance score. Soldiers' overall satisfaction level was on average 3.43 points out of 5 points.

The Usefulness of Noninvasive Positive Pressure Ventilation as a New Weaning Method (새로운 이탈방법으로서 비침습적 양압환기법의 유용성)

  • Shim, Tae-Sun;Koh, Youn-Suck;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong;Lim, Chae-Man
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.4
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    • pp.500-511
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    • 1999
  • Background: Noninvasive positive pressure ventilation (NPPV) using facial or nasal mask have been widely used for several years in stable patients with chronic neuromuscular disease or central alveolar hypoventilation, and recently have been tried in patients with acute respiratory failure. In a few studies, NPPV was also used to rescue the patients with post-extubation respiratory failure. However, yet it has not been adopted as a weaning method in patients on long-term mechanical ventilation. So we performed this prospective clinical study to evaluate the usefulness of NPPV as a weaning method after removing endotracheal tube intentionally in patients on long-term mechanical ventilation. Method: Twelve patients who had been on invasive mechanical ventilation over 10 days were enrolled and 14 trials of NPPV were done. All had failed at least one weaning trial and showed ventilator dependence(pressure support requirement between 8-15cm $H_2O$, and PEEP requirement between 5-10cm $H_2O$), so tracheostomy was being considered. After removing the endotracheal tube, NPPV was applied using facial mask. Respiratory rate, arterial blood gas, pressure support level, and PEEP level were monitored just before intended extubation, at 30 minutes, 1 to 6, 6 to 12, 12 to 24 hours, 2nd day, and 3rd day following initiation of NPPV, and just before weaning from NPPV. The successful weaning was defined as spontaneous breathing off the ventilator for 48 hours or longer without respiratory distress. Results: The weaning through NPPV after intended extubation was successful in 7(50%) of 14 trials, and tracheostomy could be avoided in them. There were no differences in age, sex, APACHE III score, duration of invasive mechanical ventilation, baseline respiratory rate, $PaCO_2$ $PaO_2/FiO_2$, and ventilatory requirement(PS and PEEP) between the success and failure groups. In the success group, respiratory rate, pH, $PaCO_2$, and $PaO_2/FiO_2$ were not different between invasive MV and NPPV period. But in the failure group, pH decreased after 30 minutes of NPPV initiation compared with that of invasive MV($7.40\pm0.08$ vs. $7.34\pm0.06$, p<0.05). The causes of failure were worsening of ABG(n=3), retained tracheal secretion(n=2), mask intolerance(n=1), and flail chest(n=1). Conclusion: NPPV may be worth trying as a bridge method in weaning patients on long-term invasive mechanical ventilation.

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Study on PM10, PM2.5 Reduction Effects and Measurement Method of Vegetation Bio-Filters System in Multi-Use Facility (다중이용시설 내 식생바이오필터 시스템의 PM10, PM2.5 저감효과 및 측정방법에 대한 연구)

  • Kim, Tae-Han;Choi, Boo-Hun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.48 no.5
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    • pp.80-88
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    • 2020
  • With the issuance of one-week fine dust emergency reduction measures in March 2019, the public's anxiety about fine dust is increasingly growing. In order to assess the application of air purifying plant-based bio-filters to public facilities, this study presented a method for measuring pollutant reduction effects by creating an indoor environment for continuous discharge of particle pollutants and conducted basic studies to verify whether indoor air quality has improved through the system. In this study conducted in a lecture room in spring, the background concentration was created by using mosquito repellent incense as a pollutant one hour before monitoring. Then, according to the schedule, the fine dust reduction capacity was monitored by irrigating for two hours and venting air for one hour. PM10, PM2.5, and temperature & humidity sensors were installed two meters front of the bio-filters, and velocity probes were installed at the center of the three air vents to conduct time-series monitoring. The average face velocity of three air vents set up in the bio-filter was 0.38±0.16 m/s. Total air-conditioning air volume was calculated at 776.89±320.16㎥/h by applying an air vent area of 0.29m×0.65m after deducing damper area. With the system in operation, average temperature and average relative humidity were maintained at 21.5-22.3℃, and 63.79-73.6%, respectively, which indicates that it satisfies temperature and humidity range of various conditions of preceding studies. When the effects of raising relatively humidity rapidly by operating system's air-conditioning function are used efficiently, it would be possible to reduce indoor fine dust and maintain appropriate relative humidity seasonally. Concentration of fine dust increased the same in all cycles before operating the bio-filter system. After operating the system, in cycle 1 blast section (C-1, β=-3.83, β=-2.45), particulate matters (PM10) were lowered by up to 28.8% or 560.3㎍/㎥ and fine particulate matters (PM2.5) were reduced by up to 28.0% or 350.0㎍/㎥. Then, the concentration of find dust (PM10, PM2.5) was reduced by up to 32.6% or 647.0㎍/㎥ and 32.4% or 401.3㎍/㎥ respectively through reduction in cycle 2 blast section (C-2, β=-5.50, β=-3.30) and up to 30.8% or 732.7㎍/㎥ and 31.0% or 459.3㎍/㎥ respectively through reduction in cycle 3 blast section (C-3, β=5.48, β=-3.51). By referring to standards and regulations related to the installation of vegetation bio-filters in public facilities, this study provided plans on how to set up objective performance evaluation environment. By doing so, it was possible to create monitoring infrastructure more objective than a regular lecture room environment and secure relatively reliable data.

Role of Invasive Procedures in the Diagnosis and Management of Pulmonary Infiltrates in Patients with Leukemia (백혈병 환자에서 발생한 폐침윤의 진단 및 치료에 있어 침습적 검사의 역할)

  • Kang, Soo-Jung;Park, Sang-Joon;An, Chang-Hyeok;Ahn, Jong-Woon;Kim, Ho-Cheol;Lim, Si-Young;Suh, Gee-Young;Kim, Ho-Joong;Kwon, O-Jung;Lee, Hong-Ghi;Rhee, Chong-H.;Chung, Man-Pyo
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.4
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    • pp.448-463
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    • 2000
  • Background : Pulmonary infiltrate is a frequent cause of morbidity and mortality in patients with leukemia. It is often hard to obtain a reliable diagnosis by clinical and radiologic findings alone. The aim of this study was to evaluate diagnostic and therapeutic benefits of invasive procedures for new lung infiltrates in leukemia. Methods : Patients with leukemia who developed new lung infiltrates from December 1994 to March 1999 were included in this study. These patients were classified into the empirical group who received empirical therapy only and into the invasive group who underwent bronchoscopy or surgical lung biopsy for the diagnostic purpose of new lung infiltrates. A retrospective chart review was done to find the etiologies of new lung infiltrates, the yield of invasive procedures, outcome as well as predicting factors for survival. Results : 1) One hundred-two episodes of new lung infiltrates developed in 90 patients with leukemia. Invasive procedures were performed in 44 episodes while 58 episodes were treated with empirical therapy only. 2) Invasive procedures yielded a specific diagnosis in 72.7%(32/44), of which 78.1% had infectious etiology. Therapeutic plan was changed in 52.3%(23/44) of patients after invasive procedures. None of them showed procedure-related mortality. 3) The overall survival rate was 62.7%(64/102). Survival rate in the invasive group (79.5%) was significantly better than that in the empirical group (50.0%) (p=0.002). 4) Upon multivariate analysis, the performance of invasive procedures, no need for mechanical ventilation and achievement of complete remission of leukemia after induction chemotherapy were the independent predicting factors for survival in patients with leukemia and new lung infiltrates. Conclusion : Bronchoscopy and surgical lung biopsy are useful in the diagnosis of new lung infiltrates in patients with leukemia. However, survival benefits of invasive procedures should be considered together with disease status of leukemia and severity of respiratory compromise.

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The Effect of External PEEP on Work of Breathing in Patients with Auto-PEEP (Auto-PEEP이 존재하는 환자에서 호흡 일에 대한 External PEEP의 효과)

  • Chin, Jae-Yong;Lim, Chae-Man;Koh, Youn-Suck;Park, Pyung-Whan;Choi, Jong-Moo;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.201-209
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    • 1996
  • Background : Auto-PEEP which develops when expiratory lung emptying is not finished until the beginning of next inspiration is frequently found in patients on mechanical ventilation. Its presence imposes increased risk of barotrauma and hypotension, as well as increased work of breathing (WOB) by adding inspiratory threshold load and/or adversely affecting to inspiratory trigger sensitivity. The aim of this study is to evaluate the relationship of auto-PEEP with WOB and to evaluate the effect of PEEP applied by ventilator (external PEEP) on WOB in patients with auto-PEEP. Method : 15 patients, who required mechanical ventilation for management of acute respiratory failure, were studied. First, the differences in WOB and other indices of respiratory mechanics were examined between 7 patients with auto-PEEP and 8 patients without auto-PEEP. Then, we applied the 3 cm $H_2O$ of external PEEP to patients with auto-PEEP and evaluated its effects on lung mechanics as well as WOB. Indices of respiratory mechanics including tidal volume ($V_T$), repiratory rate, minute ventilation ($V_E$), peak inspiratory flow rate (PIFR), peak expiratory flow rate (PEFR), peak inspiratory pressure (PIP), $T_I/T_{TOT}$, auto-PEEP, dynamic compliance of lung (Cdyn), expiratory airway resistance (RAWe), mean airway resistance (RAWm), $p_{0.1}$, work of breathing performed by patient (WOB), and pressure-time product (PTP) were obtained by CP-100 Pulmonary Monitor (Bicore, USA). The values were expressed as mean $\pm$ SEM (standard error of mean). Results : 1) Comparison of WOB and other indices of respiratory mechanics in patients with and without auto-PEEP : There was significant increase in WOB ($l.71{\pm}0.24$ vs $0.50{\pm}0.19\;J/L$, p=0.007), PTP ($317{\pm}70$ vs $98{\pm}36\;cm$ $H_2O{\cdot}sec/min$, p=0.023), RAWe ($35.6{\pm}5.7$ vs $18.2{\pm}2.3\;cm$ H2O/L/sec, p=0.023), RAWm ($28.8{\pm}2.5$ vs $11.9{\pm}2.0cm$ H2O/L/sec, p=0.001) and $P_{0.1}$ ($6.2{\pm}1.0$ vs 2.9+0.6 cm H2O, p=0.021) in patients with auto-PEEP compared to patients without auto-PEEP. The differences of other indices including $V_T$, PEFR, $V_E$ and $T_I/T_{TOT}$ showed no significance. 2) Effect of 3 cm $H_2O$ external PEEP on respiratory mechanics in patients with auto-PEEP : When 3 cm $H_2O$ of external PEEP was applied, there were significant decrease in WOB ($1.71{\pm}0.24$ vs $1.20{\pm}0.21\;J/L$, p=0.021) and PTP ($317{\pm}70$ vs $231{\pm}55\;cm$ $H_2O{\cdot}sec/min$, p=0.038). RAWm showed a tendency to decrease ($28.8{\pm}2.5$ vs $23.9{\pm}2.1\;cm$ $H_2O$, p=0.051). But PIP was increased with application of 3 cm $H_2O$ of external PEEP ($16{\pm}2$ vs $22{\pm}3\;cm$ $H_2O$, p=0.008). $V_T$, $V_E$, PEFR, $T_I/T_{TOT}$ and Cdyn did not change significantly. Conclusion : The presence of auto-PEEP in mechanically ventilated patients was accompanied with increased WOB performed by patient, and this WOB was decreased by 3 cm $H_2O$ of externally applied PEEP. But, with 3 cm $H_2O$ of external PEEP, increased PIP was noted, implying the importance of close monitoring of the airway pressure during application of external PEEP.

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