• Tuberculosis and Respiratory Diseases
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• v.57 no.5
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• pp.434-438
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• 2004

Background : An excessive endotracheal cuff pressure can cause tracheal injury, and insufficient cuff pressure may not generate an effective cuff seal. The peak inspiratory pressure influences the minimal occlusion pressure of the endotracheal tube cuff. However, the relationship between the minimal occlusion pressure and the tidal volume has not been investigated. This study was conducted to estimate the relationship between the tidal volume and the minimal occlusion pressure of the cuff. Methods : Ten mechanically ventilated patients were included. The minimal occlusion pressure of the cuff was measured using a pressure gauge. The basal tidal volume was increased and decreased as much as 10% whilst maintaining the same peak inspiratory pressure. The, minimal occlusion pressures were then measured in the high and low tidal volume state, respectively. Results : The peak inspiratory pressure was $32.6{\pm}4.72cmH_2O$ and the minimal occlusion pressure was $19.0{\pm}2.26$ mmHg in the basal ventilator setting. There was a significant relationship between the peak inspiratory pressure and the minimal occlusion pressure(r=0.77, p<0.01). The minimal occlusion pressure of the cuff was increased to $20.3{\pm}2.4$ mmHg in the high tidal volume state(p<0.05), and decreased to $16.8{\pm}3.01$ mmHg in the low tidal volume state (p<0.001). Conclusion : The minimal occlusion pressure of the cuff can be influenced by changes in the tidal volume as well as by the peak inspiratory pressure.

• Transactions of the Korean Society of Automotive Engineers
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• v.22 no.3
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• pp.228-233
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• 2014

Reduction of the atmospheric pressure in high altitude affects brake booster system which was operated by the difference between the intake pressure and the atmospheric pressure. So, braking system can not stably perform due to decrease of brake boost pressure. In this study, effects of altitude change on engine intake pressure was analyzed by prediction model of engine intake pressure which was studied previously. And engine intake pressure was simulated by simulation model in various driving conditions and environmental conditions.

• Tuberculosis and Respiratory Diseases
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• v.48 no.5
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• pp.766-772
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• 2000

Background : Pressure rise time (PRT) is the time in which the ventilator aclieves the set airway pressure in pressure-targeted modes, such as pressure control ventilation (PCV). With varying PRT, in principle, the peak inspiratory flow rate of the ventilator also varies. And if PRT is set to a shorter duration, the effective duration of target pressure level would be prolonged, which in turn would increase inspiratory tidal volume(Vti) and mean airway pressure (Pmean). We also postulated that the increase in Vti with shortening of PRT may relate inversely to the patients' basal airway resistance. Methods : In 13 paralyzed patients on PCV (pressure control 18$\pm$9.5 cm $H_2O$ $FIO_2\;0.6\pm0.3$, PEEP 5$\pm$3 cm $H_2O$, f 20/min, I : E1 : 2) with Servo 300 (Siemens-Elema, Solna, Sweden) from various causes of respiratory failure, PRT of 10 %, 5 % and 0 % were randomly applied. At 30 min of each PRT trial, peak inspiratory flow (PIF, L/sec), Vti (ml), Pmean (cm $H_2O$) and ABGA were determined. Results : At PRT 10%, 5%, and 0%, PIF were 0.69$\pm$0.13, 0.77$\pm$0.19, 0.83$\pm$0.22, respectively (p<0.001). Vti were 425$\pm$94, 439$\pm$101, 456$\pm$106, respectively (p<0.001), and Pmean were 11.2$\pm$3.7, 12.0$\pm$3.7, 12.5$\pm$3.8, respectively (p<0.001). pH were 7.40$\pm$0.08, 7.40$\pm$0.92, 7.41$\pm$0.96, respectively (p=0.00) ; $PaCO_2$ (mm Hg) were 47.4$\pm$15.8, 47.2 $\pm$15.7, 44.6$\pm$16.2, respectively (p=0.004) ; $PAO_2-PaO_2$ (mm Hg) were 220$\pm$98, 224$\pm$95, 227$\pm$94, respectively (p=0.004) ; and $V_n/V_T$ as determined by ($PaCO_2-P_E-CO_2$)/$PaCO_2$ were 0.67$\pm$0.07, 0.67$\pm$0.08, 0.66$\pm$0.08, respectively (p=0.007). The correlation between airway resistance and change of Vti from PRT 10% to 0% were r= -0.243 (p=0.498). Conclusion : Shortening of pressure rise timee during PCV was associated with increased tidal volume, increased mean airway pressure and lower $PaCO_2$.

• Tuberculosis and Respiratory Diseases
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• v.44 no.6
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• pp.1318-1325
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• 1997

Background : Since the late 1960s, mechanical ventilation has been accomplished primarily using volume controlled ventilation(VCV). While VCV allows a set tidal volume to be guaranteed, VCV could bring about excessive airway pressures that may be lead to barotrauma in the patients with acute lung injury. With the increment of knowledge related to ventilator-induced lung injury, pressure controlled ventilation(PCV) has been frequently applied to these patients. But, PCV has a disadvantage of variable tidal volume delivery as pulmonary impedance changes. Since the concept of combining the positive attributes of VCV and PCV(dual control ventilation, DCV) was described firstly in 1992, a few DCV modes were introduced. Pressure-regulated volume control(PRVC) mode, a kind of DCV, is pressure-limited, time-cycled ventilation that uses tidal volume as a feedback control for continuously adjusting the pressure limit However, no clinical studies were published on the efficacy of PRVC until now. 'This investigation studied the efficacy of PRVC in the patients with unstable respiratory mechanics. Methods : The subjects were 8 mechanically ventilated patients(M : F=6 : 2, $56{\pm}26$ years) who showed unstable respiratory mechanics, which was defined by the coefficients of variation of peak inspiratory pressure for 15 minutes greater than 10% under VCV, or the coefficients of variation of tidal volume greater than 10% under PCV. The study was consisited of 3 modes application with VCV, PCV and PRVC for 15 minutes by random order. To obtain same tidal volume, inspiratory pressure setting was adjusted in PCV. Respiratory parameters were measured by pulmonary monitor(CP-100 pulmonary monitor, Bicore, Irvine, CA, USA). Results : 1) Mean tidal volumes($V_T$) in each mode were not different(VCV, $431{\pm}102ml$ ; PCV, $417{\pm}99ml$ ; PRVC, $414{\pm}97ml$) 2) The coefficient of variation(CV) of $V_T$ were $5.2{\pm}3.9%$ in VCV, $15.2{\pm}7.5%$ in PCV and $19.3{\pm}10.0%$ in PRVC. The CV of $V_T$ in PCV and PRVC were significantly greater than that in VCV(p<0.01). 3) Mean peak inspiratory pressure(PIP) in VCV($31.0{\pm}6.9cm$ $H_2O$) was higher than PIP in PCV($26.0{\pm}6.5cm$ $H_2O$) or PRVC($27.0{\pm}6.4cm$ $H_2O$)(p<0.05). 4) The CV of PIP were $13.9{\pm}3.7%$ in VCV, $4.9{\pm}2.6%$ in PVC and $12.2{\pm}7.0%$ in PRVC. The CV of PIP in VCV and PRVC were greater than that in PCV(p<0.01). Conclusions : Because of wide fluctuations of VT and PIP, PRVC mode did not seem to have advantages compared to VCV or PCV in the patients with unstable respiratory mechanics.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.11 no.5
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• pp.1013-1018
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• 2007

In general, there are many sensors for fuel injection control such as an air flow sensor, an air intake temperature sensor, a cooling water temperature sensor, a throttle position sensor, and a motor position sensor. In this paper, we proposed a method for controlling the amount of fuel consumption in cars using fuzzy control technique by temperature change of an air intake temperature sensor and air-fuel ratio, the ratio of air and fuel mixture. In the proposed method, the amount of fuel injection is controlled by fuzzy membership functions and fuzzy inference rules established for air-fuel ratio, air intake temperature, and final fuel compensation, after computing air-fuel values using each amount of air intake and each amount of fuel injection. We verified that the proposed method is more efficient than conventional methods in fuel injection control from the results of the simulation program.

• Transactions of the Korean Society of Mechanical Engineers
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• v.13 no.3
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• pp.500-507
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• 1989

The improvement of volumetric efficiency of air charging into combustion chamber is a primary requirement to obtain better mean effective pressure of an engine. Since parameters such as the air resistances in intake and exhaust flow passages, valve lift and valve timing influence greatly to the volumetric efficiency, it is very convenient and time saving if we can optimize these parameters by computation before we enter into long time fact finding engine tests. In this study we have developed a semi-empirical engine simulation program for the determinations of intake and exhaust valve timings, valve lifts, intake and exhaust port diameters in order to obtain highest volumetric efficiency. In this computation it requires only the measured variational pressures in intake and exhaust port. Using these variational pressures as an input data for our simulation program, we can calculate volumetric efficiency more accurately and can save computing time drastically. To confirm the validity of our simulation program we have made engine operation test in parallel and taken the experimental data. Comparing the computation result with the experimental data obtained through real engine test it has shown only the difference of 3%.

• Journal of Advanced Marine Engineering and Technology
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• v.37 no.8
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• pp.969-976
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• 2013

This study suggests the improvement of ROK Navy salvage and rescue diving system. ROK Navy system experiences characteristic restrictions for the environmental loading. These restrictions are known to deteriorate the efficiency of Navy salvage and rescue diving activity. In this study, the measurements were suggested to improve the efficiency. To achieve the goal, a comprehensive analysis is conducted using the published data including those of USN, NOAA and IANTD. Based on the analysis, suggestions were made. The technical diving techniques may be introduced to improve current ROK Navy diving system in limited areas. By adopting that technique, decompression procedures and underwater operation can be improved.

• Transactions of the Korean Society of Automotive Engineers
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• v.14 no.5
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• pp.32-38
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• 2006

Currently, due to the serious world-wide air pollution by substances emitted from vehicles, emission control is enforced more firmly and it is expected that the regulation requirements for emission will become more severe. A new concept combustion technology that can reduce the NOx and PM in relation to combustion is urgently required. Due to such social requirement, technologically advanced countries are making efforts to develop an environment-friendly vehicle engine at the nation-wide level in order to respond to the reinforced emission control. As a core combustion technology among new combustion technologies for the next generation engine, the homogenous charge compression ignition(HCCI) is expanding its application range by adopting multiple combustion mode, catalyst, direct fuel injection and partially premixed combustion. This study used a 2-staged injection method in order to apply the HCCI combustion method without significantly altering engine specifications in the aspect of multiple combustion mode and practicality by referring to the results of studies on the HCCI engine. In addition, this study confirmed the possibility of securing optimum fuel economy emission reduction in the IMEP 8bar range(which could not be achieved with existing partially premixed combustion) through forced charging, exhaust gas recirculation(EGR), compression ratio change and application of DOC catalyst.

• Transactions of the Korean Society of Automotive Engineers
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• v.20 no.1
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• pp.88-94
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• 2012

One of the effective ways to reduce both $NO_x$ and PM at the same time in a diesel CI engine is to operate the engine in low temperature combustion (LTC) regimes. In general, two strategies are used to realize the LTC operation-dilution controlled LTC and late injection LTC - and in this study, the former approach was used. In the dilution controlled regime, LTC is achieved by supplying a large amount of EGR to the cylinder. The significant EGR gas increases the heat capacity of in-cylinder charge mixture while decreasing oxygen concentration of the charge, activating low temperature oxidation reaction and lowering PM and $NO_x$ emissions. However, use of high EGR levels also deteriorates combustion efficiency and engine power output. Therefore, it is widely considered to use increased intake pressure as a way to resolve this issue. In this study, the effects of intake pressure variations on performance and emission characteristics of a single cylinder diesel engine operated in LTC regimes were examined. LTC operation was achieved in less than 8% $O_2$ concentration and thus a simultaneous reduction of both PM and $NO_x$ emission was confirmed. As intake pressure increased, combustion efficiency was improved so that THC and CO emissions were decreased. A shift of the peak Soot location was also observed to lower $O_2$ concentration while $NO_x$ levels were kept nearly zero. In addition, an elevation of intake pressure enhanced engine power output as well as indicated thermal efficiency in LTC regimes. All these results suggested that LTC operation range can be extended and emissions can be further reduced by adjusting intake pressure.

• Tuberculosis and Respiratory Diseases
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• v.45 no.4
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• pp.736-745
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• 1998

Background: Respiratory muscle interaction is further profoundly affected by a number of pathologic conditions. Hyperinflation may be particularly severe in chronic obstructive pulmonary disease(COPD) patients, in whom the functional residual capacity(FRC) often exceeds predicted total lung capacity(TLC). Hyperinflation reduces the diaphragmatic effectiveness as a pressure generator and reduces diaphragmatic contribution to chest wall motion. Ultrasonography has recently been shown to be a sensitive and reproducible method of assessing diaphragmatic excursion. This study was performed to evaluate how differences of diaphragmatic excursion measured by ultrasonography associate with normal subjects and COPD patients. Methods: We measured diaphragmatic excursions with ultrasonography on 28 healthy subjects(l6 medical students, 12 age-matched control) and 17 COPD patients. Ultrasonographic measurements were performed during tidal breathing and maximal respiratory efforts approximating vital capacity breathing using Aloka KEC-620 with 3.5 MHz transducer. Measurements were taken in the supine posture. The ultrasonographic probe was positioned transversely in the midclavicular line below the right subcostal margin. After detecting the right hemidiaphragm in the B-mode the ultrasound beam was then positioned so that it was approximately parallel to the movement of middle or posterior third of right diaphragm. Recordings in the M-mode at this position were made throughout the test. Measurements of diaphragmatic excursion on M-mode tracing were calculated by the average gap in 3 times-respiration cycle. Pulmonary function test(SensorMedics 2800), maximal inspiratory(PImax) and expiratory mouth pressure(PEmax, Vitalopower KH-101, Chest) were measured in the seated posture. Results: During the tidal breathing, diaphragmatic excursions were recorded $1.5{\pm}0.5cm$, $1.7{\pm}0.5cm$ and $1.5{\pm}0.6cm$ in medical students, age-matched control group and COPD patients, respectively. Diaphragm excursions during maximal respiratory efforts were significantly decreased in COPD patients ($3.7{\pm}1.3cm$) when compared with medical students, age-matched control group($6.7{\pm}1.3cm$, $5.8{\pm}1.2cm$, p< 0.05}. During maximal respiratory efforts in control subjects, diaphragm excursions were correlated with $FEV_1$, FEVl/FVC, PEF, PIF, and height. In COPD patients, diaphragm excursions during maximal respiratory efforts were correlated with PEmax(maximal expiratory pressure), age, and %FVC. In multiple regression analysis, the combination of PEmax and age was an independent marker of diaphragm excursions during maximal respiratory efforts with COPD patients. Conclusion: COPD subjects had smaller diaphragmatic excursions during maximal respiratory efforts than control subjects. During maximal respiratory efforts in COPD patients, diaphragm excursions were well correlated with PEmax. These results suggest that diaphragm excursions during maximal respiratory efforts with COPD patients may be valuable at predicting the pulmonary function.