• Title/Summary/Keyword: Mechanical Ventilations

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Respiratory Review of 2013: Critical Care Medicine

  • Choi, Hye Sook
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.1
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    • pp.1-8
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    • 2013
  • Several papers on respiratory and critical care published from March 2012 to February 2013 were reviewed. From these, this study selected and summarized ten articles, in which the findings were notable, new, and interesting: effects of high-frequency oscillation ventilation on acute respiratory distress syndrome (ARDS); safety and efficacy of hydroxyethyl starch as a resuscitation fluid; long-term psychological impairments after ARDS; safety and efficacy of dexmedetomidine for sedation; B-type natriuretic peptide-guided fluid management during weaning from mechanical ventilation; adding of daily sedation interruptions to protocolized sedations for mechanical ventilation; unassisted tracheostomy collar of weaning from prolonged mechanical ventilations; and effects of nighttime intensivist staffing on the hospital mortality rates.

A Study on the Mechanical Ventilation System of Bathroom in Apartment House (공동주택 화장실의 기계 환기시스템에 관한 연구)

  • 함진식
    • Journal of the Korean housing association
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    • v.12 no.3
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    • pp.141-148
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    • 2001
  • To design mechanical ventilation for bathroom of apartment houses where air supply and exhaust are taken into consideration, mock-ups of ventilation systems, widely used in bathroom of apartment houses with an area of 100$\textrm{m}^2$, were made and installed in a laboratory. These ventilation mock-ups were available for control of air supply and exhaust, and the sizes of supply openings were 40cm${\times}$1cm, 40cm${\times}$3cm, and 40cm${\times}$5cm. They were installed at five positions, spaced 45cm at a height of 5cm from the floor. The exhaust fan was designed for its operating voltage to be set to five steps(100V, 130V, 150V, 180V and 220V) in order to control its air flow rates. When the size and position of each supply opening were changed with the wind velocity of the exhaust fan set to the step 5, the ventilation rates were measured and analyzed by the concentration decay method of tracer gas method, in order to present an efficient mechanical ventilation system. The results of the study revealed that the ventilations rates would increase in the presence of supply openings, compared to the absence of supply openings, and that the larger the size of the supply opening, the more the ventilation rates. Therefore, it was found necessary to take air supply into consideration.

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Numerical study for smoke behavior in case of train fires in railway tunnel with axial fan vents (강제환기 통풍구가 설치된 철도터널 열차화재에서 연기거동에 관한 수치해석적 연구)

  • Kim, Dong-Hyeon;Shin, Min-Ho;Moon, Jung-Joo
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.1998-2004
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    • 2003
  • Numerical study were performed to analyze for fire safety in railway tunnel with forced ventilation vents. For the condition of train fires with heat release rate of 30 MW, unsteady three dimensional analysis were carried out to investigate the effects of smoke movements, the heat transfer and $CO_2$ concentrations and in double track tunnel with two vents. Among three operation modes of forced ventilations at two vents, the exhaust-exhaust mode of the vent represents the best performance for the evacuation of passengers to avoid the fire.

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A Study on the Decrease of Pressure in Truck Cabin With Closing Door (도어 닫힘에 따른 차실내압 저감에 관한 연구)

  • Kim N. H.;Rho B. J.;Kim W. T.;Namkung J. W.;Lee S. J.
    • Proceedings of the KSME Conference
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    • 2002.08a
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    • pp.667-670
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    • 2002
  • Vehicle's airtight integrity is a very important factor that greatly affects passenger's habitability. However, when a door is closed, the pressure in the passenger compartment increases due to the vehicle's airtight integrity. That pressurizes the eardrums of the passenger, and makes passenger unpleasant. Thus, in this study, the configurations of air ventilation hasve been investigated to reduce pressure in the passenger compartment. Truck cab is utilized to measure the pressure in the passenger compartment. Various kinds of air ventilations are considered to find out optimized pressure in truck cab when a door is closed.

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Clinical Year in Review 2014: Critical Care Medicine

  • Lee, Jeong Moon;Lee, Heung Bum
    • Tuberculosis and Respiratory Diseases
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    • v.77 no.1
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    • pp.6-12
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    • 2014
  • Severe sepsis is the most common cause of death among critically ill patients in non-coronary intensive care units. In 2002, the guideline titled "Surviving Sepsis Campaign" was published by American and European Critical Care Medicine to decrease the mortality of severe sepsis and septic shock patients, which has been the basis of the treatment for those patients. After the first revised guidelines were published on 2008, the most current version was published in 2013 based on the updated literature of until fall 2012. Other important revised guidelines in critical care field such as 'Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit' were revised in 2013. This article will review the revised guidelines and several additional interesting published papers of until March 2014, including the part of ventilator-induced lung injury and the preventive strategies.

An Experimental Study of Smoke Movement in Tunnel Fire with Natural and Forced Ventilations (자연 및 강제 배기시의 터널 내 연기거동에 관한 실험적 연구)

  • Hwang Cheol-Hong;Yoo Byung-Hun;Kum Sung-Min;Kim Jung-Yup;Shin Hyun-Joon;Lee Chang-Eon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.29 no.6 s.237
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    • pp.711-721
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    • 2005
  • In order to design of emergency ventilation systems, the smoke movements in tunnel fire with natural and forced ventilation were investigated. Reduced-scale experiments were carried out under the Froude scaling with novel fire source consisting many wicks. Temperature profiles were measured under the ceiling and vertical direction along the center of the tunnel and poisonous gases were measured at emergency exit point in the natural ventilation case. In forced ventilation, temperature profiles were measured with various flow rate to obtain critical velocity. The results showed that the interval of emergency exit having 225m was estimated reasonably through the measurements of temperature variation and poisonous gas in the natural ventilation. In the case of forced ventilation, the temperature distribution near fire source is remarkably different from that of natural ventilation. Also, the critical velocity to prevent upstream smoke flow has the range of 0.57m/s between 0.64m/s. Finally, it was also identified that although the increase of flow rate can suppress the backward flow of smoke to upstream direction, brings about the increase of flame intensity near stoichiometric fuel/air ratio.

Biodrying of municipal solid waste under different ventilation periods

  • Ab Jalil, N.A.;Basri, H.;Basri, N.E. Ahmad;Abushammala, Mohammed F.M.
    • Environmental Engineering Research
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    • v.21 no.2
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    • pp.145-151
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    • 2016
  • Biodrying is a pre-treatment method that applies biological and mechanical concepts to drying solid waste. In Malaysia, municipal solid waste (MSW) is unseparated and contains a high level of moisture, making the use of technology such as solid waste burning unsuitable and harmful. MSW containing organic material can be processed naturally until the moisture content of the waste is reduced. This study on MSW biodrying was carried out on a laboratory scale to measure the percent moisture content reduction and to monitor temperature patterns under different ventilation periods. This work was conducted using five biodrying reactors volumes of 50 liters each. Reactors were ventilated for 5, 10, 15, 20 and 30 min every 3 h, with a 3 bar air supply. The duration of this process was 14 days for all samples. The results showed that the optimum ventilation time was 10 min, with an 81.84% reduction in moisture content, and that it required almost half of the electricity cost required for the 20 and 30 min ventilations.

Two Cases of Bronchopulmonary Dysplasia of Similar Appearance in Adult Monozygotic Twin: Pathology and Computed Tomographic Findings

  • Lee, Yoon Pyo;Chun, Eun Mi;Kim, Yoo Kyung;Sung, Sun Hee
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.2
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    • pp.128-132
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    • 2015
  • Bronchopulmonary dysplasia (BPD) is related to decreased lung function throughout life. However, the pathology and radiology pattern of BPD of adults are not documented well yet. In this case report, we present BPD case of an adult monozygotic twin showing nearly identical lesions on chest computed tomography (CT). CT images showed mixed areas of ground-glass and reticular opacities in both lungs. They had common histories of pneumonias requiring mechanical ventilations in period of infants. Pulmonary function test of one patient showed a pulmonary insufficiency with airway obstruction. Pathologic findings showed bronchiolar hyperplasia and peribronchiolar fibrosis which was similar to classic BPD patients. Our twin case report might help provide distinguishing pathology and radiology pattern of an adult pulmonary sequelaes of BPD. It might be reasonable to make close follow-up for BPD patients to evaluate the long-term outcomes of BPD survivors.

Emissions of Odor, Ammonia, Hydrogen Sulfide, and Volatile Organic Compounds from Shallow-Pit Pig Nursery Rooms

  • Kafle, Gopi Krishna;Chen, Lide
    • Journal of Biosystems Engineering
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    • v.39 no.2
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    • pp.76-86
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    • 2014
  • Purpose: The objective of this study was to measure emissions of gases (ammonia ($NH_3$), hydrogen sulfide ($H_2S$) and carbon dioxide ($CO_2$)), volatile organic compounds (VOC) and odor from two shallow pit pig nursery rooms. Gas and odor reduction practices for swine operations based on the literature were also discussed. Methods: This study was conducted for 60 days at a commercial swine nursery facility which consisted of four identical rooms with mechanical ventilations. Two rooms (room 1 (R1) and room 2 (R2)) with different pig numbers and ventilation rates were used in this study. The pig manure from both the R1 and R2 were characterized. Indoor/outdoor temperatures, ventilation rates/duration, $NH_3$, $H_2S$, $CO_2$, and VOC concentrations of the ventilation air were measured periodically (3-5 times/week). Odor concentrations of the ventilations were measured two times on two days. Three different types of gas and odor reduction practices (diet control, chemical method, and biological method) were discussed in this study. Results: The volatile solids to total solids ratio (VS/TS) and crude protein (CP) value of pig manure indicated the pig manure had high potential for gas and odor emissions. The $NH_3$, $H_2S$, $CO_2$ and VOC concentrations were measured in the ranges of 1.0-13.3, 0.1-5.7, 1600-3000 and 0.0-1.83 ppm, respectively. The $NH_3$ concentrations were found significantly higher than $H_2S$ concentrations for both rooms. The odor concentrations were measured in the range of $2853-4432OU_E/m^3$. There was significant difference in odor concentrations between the two rooms which was due to difference in pig numbers and ventilation duration. The literature studies showed that simultaneous use of dietary control and biofiltration practices will be more effective and environmentally friendly for gas and odor reductions from pig barns. Conclusions: The gas and odor concentrations measured in the ventilation air from the pig rooms indicate an acute need for using gas and odor mitigation technologies. Adopting diet control and biofiltration practices simultaneously could be the best option for mitigating gas and odor emissions from pig barns.