• Tuberculosis and Respiratory Diseases
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• v.82 no.2
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• pp.166-172
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• 2019

Background: The purpose of this study was to determine whether components of the ProVent model can predict the high medical costs in Korean patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]). Methods: Retrospective data from 302 patients (61.6% male; median age, 63.0 years) who had received PMV in the past 5 years were analyzed. To determine the relationship between medical cost per patient and components of the ProVent model, we collected the following data on day 21 of mechanical ventilation (MV): age, blood platelet count, requirement for hemodialysis, and requirement for vasopressors. Results: The mortality rate in the intensive care unit (ICU) was 31.5%. The average medical costs per patient during ICU and total hospital (ICU and general ward) stay were 35,105 and 41,110 US dollars (USD), respectively. The following components of the ProVent model were associated with higher medical costs during ICU stay: age <50 years (average 42,731 USD vs. 33,710 USD, p=0.001), thrombocytopenia on day 21 of MV (36,237 USD vs. 34,783 USD, p=0.009), and requirement for hemodialysis on day 21 of MV (57,864 USD vs. 33,509 USD, p<0.001). As the number of these three components increased, a positive correlation was found betweeen medical costs and ICU stay based on the Pearson's correlation coefficient (${\gamma}$) (${\gamma}=0.367$, p<0.001). Conclusion: The ProVent model can be used to predict high medical costs in PMV patients during ICU stay. The highest medical costs were for patients who required hemodialysis on day 21 of MV.

• Korean Journal of Environment and Ecology
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• v.35 no.6
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• pp.659-668
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• 2021

The purpose of this study is to propose a ventilation corridor management plan to improve the thermal environment for Busan Metropolitan City. To this end, the characteristics of hot and cool spots in Busan were identified by conducting spatial statistical analysis, and thermal image data from Landsat-7 satellites and major ventilation corridors were analyzed through WRF meteorological simulation. The results showed the areas requiring thermal environment improvement among hot spot areas were Busanjin-gu, Dongnae-gu, industrial areas in Yeonje-gu and Sasang-gu, and Busan Port piers in large-scale facilities. The main ventilation corridor was identified as Geumjeongsan Mountain-Baekyangsan Mountain-Gudeoksan Mountain Valley. Based on the results, the ventilation corridor management strategy is suggested as follows. Industrial facilities and the Busan Port area are factors that increase the air temperature and worsen the thermal environment of the surrounding area. Therefore, urban and architectural plans are required to reduce the facility's temperature and consider the ventilation corridor. Areas requiring ventilation corridor management were Mandeok-dong and Sajik-dong, and they should be managed to prevent further damage to the forests. Since large-scale, high-rise apartment complexes in areas adjacent to forests interfere with the flow of cold and fresh air generated by forests, the construction of high-rise apartment complexes near Geumjeongsan Mountain with the new redevelopment of Type 3 general residential area should be avoided. It is expected that the results of this study can be used as basic data for urban planning and environmental planning in response to climate change in Busan Metropolitan City.

• Journal of Dental Anesthesia and Pain Medicine
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• v.24 no.3
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• pp.219-221
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• 2024

• Journal of The Korean Society of Clinical Toxicology
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• v.2 no.2
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• pp.72-76
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• 2004

Purpose: Dealing patients with organophosphate poisoning, cholinesterase level has been used as a diagnostic and prognostic value. But there are some controversies that the cholinesterase level is significantly related to the severity or prognosis of acute organophosphate poisoning. We evaluated the correlation between initial serum level of cholinesterase and APACHE II score as an index for severity, and we assessed cholinesterase levels for predicting value of weaning from mechanical ventilation. Method: From August 1996 to March 2003, 23 patients with organophosphate poisoning who needed ventilatory care were enrolled. Retrospective review was done for the serum level of cholinesterase, APACHE II score, and the duration of ventilatory care. The percentage of measured serum cholinesterase to median normal value was used to standardize cholinesterase levels from different laboratories. Result: There were tendencies that the lower initial serum of cholinesterase, the higher the APACHE II score (r=0.297) and the longer the duration of mechanical ventilation (r=-0.204), but they were not significant (p=0.264 and p=0.351 respectively). In 9 patients whose serum cholinesterase level were checked at the time of weaning, mean of measured cholinesterase level was $10.3\pm7.60\%$ of normal value. Conclusion: There was no significant relationship between initial level of serum cholinesterase and severity or duration of mechanical ventilation. General health status of patient, amount of ingestion, toxicity of agent should be considered as important factors for severity of poisoning. And the decision of weaning should be based not solely on the cholinesterase level but on the consideration of general and respiratory state of individual patients.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.19 no.4
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• pp.328-334
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• 2009

There are various methods for welding fume control. These methods can be divided into local exhaust system, general ventilation system and integrated control system. With the general ventilation system, we should have a good prediction tool for testing various appropriate control options. But, until now there are not many studies about how to predict the welding fume concentrations. Especially, the prediction of welding fume concentration is not a very easy task because welding fume is the particulate matters. In this study, we tried to measure $CO_2$ concentrations and welding fume concentrations in a small single room with a small ventilation opening. Using commercially available CFD (Computational Fluid Dynamics) software, we tried to predict $CO_2$ concentrations under the exactly same conditions. Then, we tried to compare the numerical $CO_2concentrations$ with the experimental results to know whether we could predict $CO_2$ concentrations. Then we tried to compare $CO_2$ concentrations with experimental welding fume concentrations to know whether we can use the numerical $CO_2concentrations$ to predict the welding fume concentration indirectly.

• Journal of Korean Clinical Nursing Research
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• v.26 no.2
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• pp.131-140
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• 2020

Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and χ² test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

• Journal of Chest Surgery
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• v.36 no.9
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• pp.678-682
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• 2003

Video-assisted thoracoscopic surgery is good indication of secondary spontaneous pneumothorax. This method usually required general anesthesia and single-lung ventilation with collapse of other lung. But, risks of general anesthesia and single-lung ventilation must be considered in high-risk patients. Material and Method: Between September f999 and August 2001, 15 high-risk patients were treated by video-assisted thoracoscopic surgery under epidural anesthesia. Result: Video assisted thoracoscopic surgery was successfully performed in 15 patients. Duration of postoperative air-leakage was 4.3days, Significance of complication was none, No recurrence of pneumothorax was encountered. Conclusion: Video-assisted thoracoscopic surgery can be performed safely under epidural anesthesia for treatment of secondary spontaneous pneumothorax in high-risk patients.

• Journal of Korean Society of Environmental Engineers
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• v.32 no.4
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• pp.311-322
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• 2010

The common life with modern urban residence, spending more than 80~90% of daily life in indoor environment, makes the importance of indoor air quality (IAQ) even higher. Many efforts have made to improve indoor air quality (IAQ), which requires those systematic approaches for field practice. A recent study reported that no general approach cannot be made for IAQ improvement due to the great deal of variety in different indoor environments. Those indoor spaces included in Korean IAQ regulation were classified based on their characteristics and the IAQ guideline was suggested for each group of indoor spaces. Apart from those indoor spaces, the classroom in elementary school has different characteristics. By introducing the systematic approaches, the elementary classroom was surveyed and analyzed to understand its characteristics in due IAQ consideration. Based on the characteristics, there are several IAQ control measures suggested, including ventilation operation, dust mat installation, and white board. $CO_2$ and airborne dust were monitored and analyzed in order to evaluate the effectiveness of each control measure to IAQ. It was found that the general level of $CO_2$ concentration was managed under the IAQ guideline by applying the ventilator operation. The ventilation was also effective to the fugitive airborne particulate in elementary classroom environment.

• Journal of The Korean Dental Society of Anesthesiology
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• v.11 no.1
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• pp.55-60
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• 2011

When patients with cerebral palsy are put under general anesthesia, there may be problems like difficult endotracheal intubation caused by deviation of respiratory tract due to scoliosis, hypotension related to chronic malnutrition and anemia, and failure of ventilation due to deformation of the thoracic cavity. The main clinical problem of postanesthetic complication is hypoxemia. The patients with cerebral palsy need close monitoring during treatment under general anesthesia and postanesthetic management. The purpose of this report is to evaluate a patient with cerebral palsy and mental retardation appeared to have dyspnea after general anesthesia.

• Design & Manufacturing
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• v.14 no.2
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• pp.28-33
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• 2020

Recently, as the income level and quality of life have improved, the desire for a pleasant environment has increased, and a deodorization plan is required through thorough prevention and diffusion of odorous substances in waste treatment facilities recognized as hateful facilities, appropriate collection, and selection of the right prevention facilities. In this study, a waste disposal facility was modeled and computerized analysis for odor and ventilation analysis was conducted. Numerical analysis of the waste treatment facility was performed at the size of the actual plant. CATIA V5 R16 for numerical model generation and ANSYS FLUENT V.13 for general purpose flow analysis were used as analysis tools. The average air-age of the internal was 329 seconds, and the air-flow velocity was 0.384m/s. The odor diffusion analysis inside the underground pump room showed congestion-free air circulation through streamline distribution and air-age distribution. This satisfies the ASHRAE criteria. In addition, the results of diffusion analysis of odorous substances such as ammonia, hydrogen sulfide, methyl mercaptan and dimethyl sulfide were all expected to satisfy the regulatory standards. Particularly in the case of the waste loading area, the air-flow velocity was 0.297m/s, and the result of meeting the regulatory standards with 0.167ppm of ammonia, 0.00548ppm of hydrogen sulfide, 0.003ppm of methyl mercaptan, and 0.003ppm of dimethyl sulfide was found.