• Title/Summary/Keyword: 환기장애

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Detection of Antibody to Hepatitis C Virus in Psychiatric Inpatients (정신과(精神科) 입원(入院) 환자(患者)의 C형(型) 간염(肝炎) 항체(抗體) 양성솔(陽性率))

  • Cheon, Jin-Sook;Han, Ho-Sung
    • Korean Journal of Biological Psychiatry
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    • v.2 no.1
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    • pp.100-106
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    • 1995
  • Antibodies to hepatitis C drew attention because of high morbidity to chronic hepatitis, liver cirrhosis and hepatocellular carcinoma. HCV was known to be transmitted by transfusion, sexual behavior and parenteral drug use. However, some kind of autoimmune mechanism was suggested to be involved in the genesis of HCV-induced liver diseases. We hypothesized the prevalence of having anti-HCV might be higher in psychiatric patients rather than general population because of the characteristic route of transmission. Using Abbott HCV BA kit, anti-HCV was detected in the sera of 113 psychiatric inpatients from early December in 1992 to late May in 1994. The Positivity of anti-HCY was significantly(P<0.05) higher among psychiatric inpatients(10.6%) than in healthy controls(3.0%). There were no disease specificity among psychiatric inpatients who had anti-HCV, though alcoholics tended to have more anti-HCV. We couldn't find any significant correlation of anti-HCV with age, seasons of birth, lymphocytes (%) and liver function.

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Clinical Characteristics and Prognosis of Lung Cancer Patients Admitted to the Medical Intensive Care Unit at a University Hospital (한 대학병원 내과계 중환자실로 입원한 폐암 환자들의 임상 특성 및 예후)

  • Moon, Kyoung Min;Han, Min Soo;Lee, Sung Kyu;Jeon, Ho Seok;Lee, Yang Deok;Cho, Yong Seon;Na, Dong Jib
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.1
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    • pp.27-32
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    • 2009
  • Background: The management of patients with lung cancer has improved recently, and many of them will require admission to the medical intensive care unit (MICU). The aim of this study was to examine the clinical characteristics and to identify risk factors for mortality in patients with lung cancer admitted to the MICU. Methods: We conducted retrospective analysis on 88 patients with lung cancer admitted to the MICU between April 2004 and March 2008. Results: Of the 88 patients (mean age, 66 years), 71 patients (80.7%) had non-small cell lung cancer and 17 patients (19.3%) had small cell lung cancer. Distant metastasis were present in 79 patients (89.8%). The main reasons for MICU admission were acute respiratory failure (77.3%), sepsis (11.4%), and central nervous system dysfunction (4.5%). Mechanical ventilation was used in 54 patients (61.4%). Acute Physiology and Chronic Health Evaluation (APACHE) II score, length of MICU stay, need for mechanical ventilation, source of MICU admission were correlated with MICU mortality. The type of lung cancer and metastasis were not predictive factors of death in MICU. Conclusion: Most common reason for ICU admission was acute respiratory failure. Mortality rate of lung cancer patients admitted to the MICU was 65.9%. APACHE II score, length of ICU stay, need for mechanical ventilation, source of MICU admission were predicted factors of death in the MICU.

Modeling of Steam Injection Heater for Fresh Water Generator (조수기용 증기분사 열교환기에 대한 모델링)

  • Hong, Cheol-Hyun;Lee, Euk-Soo
    • Journal of Advanced Marine Engineering and Technology
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    • v.32 no.6
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    • pp.877-885
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    • 2008
  • Steam injection heater is the most widely used method for fresh water generator throughout industry. This method is often chosen because of its simplicity. The steam bubbles condense and give up their heat to the surrounding liquid. Experimental study on steam injection heater has been performed in order to find the effect of major parameter. And conservation equation and Bernoulli obstruction theory are used for numerical simulation model of vapor flow-rate. Qualitative comparisons between simulations and measurements show a good agreement and the simulation models are thereby verified.

The Comparison of Histopathology of Cats Received Conventional Mechanical Ventilation and High Frequency Oscillation Ventilation (전통적 인공호흡과 고빈도환기시 폐의 조직.병리학적 소견의 비교 관찰)

  • Lee, Kwan-Ho;Kim, Young-Jo;Chung, Jae-Chun;Lee, Hyun-Woo;Nam, Hae-Joo;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.39-46
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    • 1989
  • The tracheobronchial histopathologic findings in 7 healthy cats used with high frequency oscillation ventilation (HFOV) were compared with those in 6 cats used with conventional mechanical ventilation (CMV). 4-point, 9-variable scoring system was used to evaluate the injury in the trachea, right & left main bronchi and parenchyme. The following results were obtained ; 1) The tracheobronchial tree received HFOV had no significant damage compared with CMV (P>0.05). 2) Intraepithelial mucus loss and emphysema were s lightly more prominent in CMV groups. As above results ; the tracheobronchial histopathologic difference was not prominent between CMV and HFOV groups received with relatively short period, however, the cellular function and barotrauma may be more prominent in CMV groups. From now on, as causes of tracheobronchial injury in HFV, interaction between humidification and mechanical trauma considers further study.

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The hot water production through the combination of solar thermal energy and freon gas compression heat (태양열과 프레온 기체 압축열 복합온수기 개발)

  • Jung, Hyun-Chai;Kim, Ki-Sun;Sun, Kyung-Ho;Nam, Sung-Young;Lee, Jong-Won
    • Solar Energy
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    • v.10 no.2
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    • pp.18-27
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    • 1990
  • The hot water producer by the combination of the solar thermal energy and freon gas compression heat has been developed. Freon R-12 gas was circulated through the system including the solar absorption panel, which has no glassing and no insulation, and the frozen and burst problems were intrinsically eliminated. The manufacturing and running costs may go further down than the regular solar hot water systems.

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A Study on Reducing Method for Stack Effect in High-rise Building (고층 건축물 연돌효과 저감 방법에 대한 연구)

  • Kim, Jin Soo
    • 한국방재학회:학술대회논문집
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    • 2011.02a
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    • pp.66-66
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    • 2011
  • 중위도 이북의 건물에서 고층건물의 혹한기 연돌효과는 건물의 여러 가지 기능에 큰 영향을 미치며, 승강기 승강로는 화재시 차압 때문에 연기의 주된 전파통로가 된다. 외피의 밀폐성능을 높여 건물 내부의 연도효과를 줄일 수 있으나, 외피의 밀폐기능은 비상시 피난을 위해 피난경로를 개방하는 순간 일시에 무력화된다. 또한 건물 외피의 밀폐성능이 우수할수록 연돌효과 그 자체로써 건물외피에 미치는 구조적 영향이 커진다. 고층부의 연돌효과는 외피를 밖으로 밀어내는 작용이므로 풍하측에서는 마이너스 풍압에 더하여 건물 외피에 부담을 증가시킨다. 그러므로 고층건물에 발생하는 혹한기 연돌효과의 영향을 정리하자면 다음과 같다. ${\bullet}$ 건물 외벽 및 창문에 미치는 구조적 영향 ${\bullet}$ 제연 시스템의 기능 저해 ${\bullet}$ 승강기 문 개폐 장애와 소음 등 설비 기능의 부정적 영향 ${\bullet}$ 공조기능 장애 ${\bullet}$ 화재시 승강기 승강로 등 수직 샤프트를 통한 연기 전파 혹한기 건물 안팎의 온도차가 40K일 때 높이 600m인 초고층 건물 최상층에 발생하는 연돌효과에 의한 차압은 풍속으로 환산할 때 32m/s에 달한다. 그러므로 초고층 건물 설계시에는 최상층의 풍하측에 설계상의 예상 최대풍속에다 이러한 환산풍속을 더한 고속 풍력이 창문을 밖으로 밀어내는 것으로 보아야 한다. 또한 공조 및 환기시스템에서는 이러한 차압을 고려하지 않으면 고층부에서 환기 성능이 무력화될 수 있다. 다음과 같은 방법들을 이용하여 고층건물의 연돌효과를 효과적으로 줄일 수 있다. 1) 계단실의 연돌효과 저감 방법 계단실에 발생하는 연돌효과에 의한 차압은 계단실에 상승기류를 발생시킨다. 이러한 차압과 상승기류는 계단실 상하부를 개방하면 자연적으로 평형을 이루게 되므로 별도의 제어가 필요 없게 된다. 또한 화재감지기와 연동하여 상하부 외벽의 개구부를 열어두게 되면 피난상황에 따라 문이 여닫힘으로써 발생하는 압력상태의 변화를 고려할 필요가 없게 된다. 2) 승강기 승강로의 연돌효과 승강로의 상하부에 대규모 개구를 두면 대규모의 외기가 도입되어 상승 유동 후 배출되므로 승강로 내부 온도 저하로 연돌효과가 저감되고, 승강로로 유입된 연기는 대규모의 외기에 희석되어 농도가 낮아지고 대부분 외부로 배출된다. 3) 샤프트 복합효과를 이용하는 방법 거실 평면적에 비해 승강기나 계단이 아주 많고 누설틈새 등 개구의 면적 합계가 크면 샤프트들이 서로 복합효과를 이루어 연돌효과에 의한 차압이 줄어든다. 연돌효과 제어용 샤프트를 하나 더 보조적으로 설치함으로써, 보조샤프트에 의해 발생하는 차압으로 거실을 가압 혹은 감압하여 문제가 되는 차압을 어느 정도 상쇄할 수 있다.

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Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients (장애 환자의 전신 마취를 위한 세보플루란 흡입 유도 시 발생한 호흡 저하의 혈액 가스 분석)

  • Yoon, Taewan;Kim, Seungoh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.4
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    • pp.508-513
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    • 2018
  • Tidal volume by sevoflurane in small amounts is stable due to the increase in the breathing rate. But alveolus ventilation decreases due to sevoflurane as the degree of sedation increases; this ultimately causes $PaCO_2$ to rise. The occurrence of suppression of breath increases the risk of severe hypoxia and hypercapnia in deeply sedated patients with disabilities. Sevoflurane inhalation anesthesia has a number of risks and may have unexpected problems with hemodynamic changes depending on the underlying state of the body. This study was conducted to examine the stability of internal acid-base system caused by respiratory depression occurring when patients with disabilities are induced by sevoflurane. Anesthetic induction was carried out by placing a mask on top of the patient's face and through voluntary breathing with 4 vol% of sevoflurane, 4 L/min of nitrous oxide, and 4 L/min of oxygen. After the patient's loss of consciousness and muscle relaxation, IV line was inserted by an expert and intravenous blood gas was analyzed by extracting blood from vein. In a deeply sedated state, the average amount of pH of the entire patients was measured as $7.36{\pm}0.06$. The average amount of $PvCO_2$ of the entire patients was measured as $48.8{\pm}8.50mmHg$. The average amount of $HCO_3{^-}$ of the entire patients was measured as $27.2{\pm}3.0mmol/L$. In conclusion, in dental treatment of patients with disabilities, the internal acid base response to inhalation sedation using sevoflurane is relatively stable.

Value of Pulmonary Function Test as a Predicting Factor of Pneumothorax in CT-guided Needle Aspiration of the Lung (전산화단층촬영 유도하 경피적 폐침생검시 기흉발생 예측인자로써의 폐기능검사의 가치)

  • Kim, Yeon-Jae;Kim, Chang-Ho;Lee, Yeung-Suk;Park, Jae-Yong;Kang, Duk-Sik;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.3
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    • pp.259-266
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    • 1993
  • Background: To evaluate the risk factor of pneumothorax (PNX) which is the most common complication of CT-guided needle aspiration of the lung, we have examined the frequency of PNX according to the presence of obstructive ventilatory impairment determined by pulmonary function tests. Methods: A comparative study of analysis of forecd expiratory volume and folw-volume curves, and determinations of diffusing capacity taken before procedure were made between each 16 cases with PNX and controls with no PNX. Each of the control group was matched for sex, age, height, and size and depth of lesion with the former. Results: 1) In comparison of vital capacity and parameters derived from forced expiratory volume curve between two groups, VC and FVC were not significantly different, whereas $FEV_1$, $FEV_1$/FVC%, and FEF25-75% showed a significant decrease in the PNX gorup. Also, in the PNX group, all the observed values of parameters analyzed from flow-volune curve were siginificantly reduced in the PNX group compared with those in the control group. 2) The diffusing capacity tended to decrease along with varying individual differences in the PNX group. 3) Patients who had obstructive ventilatory impairment according to the results of pulmonary function tests experienced a twofold increase in the frequency of PNX and a sixfold increase in the frequency of chest tube drainage for treatment of PNX compared with those whose results were normal. Conclusion: These findings suggest that the exact evaluation of obstructive lung disease determined by pulmonary function test be considered assessing a pastient's risk for PNX in the patients who will take the CT-guided needle aspiration of the lung.

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Clinical Value of a Desktop Spirometer (HI-801) for Spirometry Screening (선별 검사를 위한 탁상용 폐활량기 (HI-801)의 임상적 유용성에 관한 고찰)

  • Choi, Hye Sook;Choi, Cheon Woong;Park, Myung Jae;Kang, Hong Mo;Yoo, Hong Ji
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.4
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    • pp.276-283
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    • 2007
  • Background: A national health care initiative recommends routine spirometry screening of all smokers over age 45 or patients with respiratory symptoms. In response to the recommendation, new, simple, and inexpensive desktop spirometers for the purpose of promoting widespread spirometric screening were marketed. The performance of these spirometers was evaluated in vivo testing with healthy subjects. However, the clinical setting allows spirometric assessment of various pathologic combinations of flow and volume. Objective: The aim of this study was to compare the accuracy of a desktop spirometer to a standard laboratory spirometer, in a clinical setting with pathologic pulmonary function. Method: In a health check-up center, where screening pulmonary funct test was performed using the HI-801 spirometer. Subjects who revealed the ventilation defect in screening spirometry, performed the spirometry again using the standard Vmax spectra 22d spirometer in a tertiary care hospital pulmonary function laboratory. Pulmonary function test with both spirometer was performed according to the guidelines of the American Thoracic Society. Results: 109 patients were enrolled. Pulmonary function measurements (FVC, $FEV_1$, PEFR, FEF25%-75%) from the HI-801 correlated closely (r=0.94, 0.93, 0.81, 0.84, respectively) with those performed with the Vmax spectra 22d and showed the good limits of agreement and differences between the 2 devices; FVC +0.35 L, $FEV_1$ +0.16 L, PEFR +1.85 L/s, FEF25%-75%-0.13 L/s. With the exception of $FEV_1$, FEF25%-75%, these differences were significant(p<0.05) but small. Conclusion: The HI-801 spirometer is comparable to the standard laboratory spirometer, Vmax spectra 22d, with high accurary for $FEV_1$ and FVC and acceptable differences for clinical use.

Survey of ICT Apply to Plastic Greenhouse, Rack·Pinion Adaption to Single Span and CFD Analysis (온실 ICT융복합 실태조사와 복숭아형 랙피니언천창 적용 단동온실 및 CFD 유동해석)

  • Cho, Kyu Jeong;Kim, Ki Young;Yang, Won Mo
    • Journal of Bio-Environment Control
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    • v.24 no.4
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    • pp.308-316
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    • 2015
  • This study was conducted to investigate the situation of ICT apply to plastic greenhouse, and the results be apply to design of new one. A CFD analysis were conducted to monitering the ventilation and energy saving of the single span greenhouse newly designed. The causes of delay to apply ICT to plastic greenhouse are the high cost for installation(24%), insufficiency of after services(19%), often disorder(16%), unskillful management of soft ware(15%), insufficient ICT efficiency(13%) and unsatisfying of income increase(12%). The parts of problem occurred in ICT plastic greenhouse are the structure, actuator, environmental control system and sensor(approximate 14%, respectively), remote control technique(13%), plant management technique(12%), energy saving technique(10%) and utilization of software(8%). In the condition of lateral window closed, the average wind speed changed to slow, but it was faster in the condition of leeward side window opened than in the condition of lee and winward side window opened. The air movement in the condition of lateral window closed occur by air moving fan not by out air. It is not affect the room temperature but effective the uniformity of room temperature. The average temperature of low height greenhouse was uniform than high height one. The average temperature in condition of 3rd curtain opened become same with outside temperature after 2 hours, but take more 5 hours in condition of 3rd curtain closed.