• Journal of Trauma and Injury
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• 제24권2호
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• pp.155-158
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• 2011

Mechanical ventilation is usually the treatment of choice for severe respiratory failure associated with trauma. However, in case of severe hypoxia, mechanical ventilation may not be sufficient for gas exchange in lungs. Patients with Acute Respiratory Distress Syndrome (ARDS) undergo difficulties in oxygen and carbon dioxide exchange. Extracorporeal Membrane Oxygenation (ECMO) is the ideal therapeutic option for those patients with severe traumatic injuries. ECMO allows lungs to reserve their functions and decreases further lung injuries while increasing survival rate at the same time. We report two cases of patients with traumatic ARDS and Multiple Organ Failure including compromised heart function. The preservation of lung function was successful using ECMO therapy.

• 화훼연구
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• 제26권4호
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• pp.166-178
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• 2018

In this study, the principal objective was to investigate the effect of light quality and vessel ventilation on the growth and development, physiology, activities of antioxidant enzymes, and contents of mineral nutrients of carnation (Dianthus caryophyllus L.) 'Marble Beauty'. Single node cuttings stuck into the plant growth regulator (PGR)-free MS medium in containers covered with caps with or without a ventilation filter were cultured first four weeks under white and then additional four weeks under either white (control), blue, red, or red + blue light emitting diodes (LEDs) for 56 days. Interestingly, a ventilated culture condition not only reduced the percentage of the hyperhydricity, but also increased the total chlorophyll content (Chl a + Chl b) of the plantlets as compared to the non-ventilated condition. In addition, blue LEDs produced plantlets with the greatest number of shoots and red LEDs produced plantlets with the greatest shoot length. The quality of plantlets was improved under a ventilation condition. Besides, under a ventilated condition, red + blue LEDs raised APX activity, and blue LEDs not only raised the activity of the CAT, but also increased tissue contents of such elements as K, Ca, Mg, Zn, Mn and Fe. The red LEDs increased contents of B and Si under a ventilated condition, and Na accumulation under a non-ventilated condition. Thus, including blue or red LEDs as the light source in a ventilated culture condition will produce plantlets of carnation 'Marble Beauty' in vitro with improved quality.

• Tuberculosis and Respiratory Diseases
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• 제73권2호
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• pp.100-106
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• 2012

Background: There are a plethora of literatures showing that high-intensity intensive care unit (ICU) physician staffing is associated with reduced ICU mortality. However, it is not widely used in ICUs because of limited budgets and resources. We created a critical care team (CCT) to improve outcomes in an open general ICU and evaluated its effectiveness based on patients' outcomes. Methods: We conducted this prospective, observational study in an open, general ICU setting, during a period ranging from March of 2009 to February of 2010. The CCT consisted of five teaching staffs. It provided rapid medical services within three hours after calls or consultation. Results: We analyzed the data of 830 patients (157 patients of the CCT group and 673 patients of the non-CCT one). Patients of the CCT group presented more serious conditions than those of the non-CCT group (acute physiologic and chronic health evaluation II [APACHE II] 20.2 vs. 15.8, p<0.001; sequential organ failure assessment [SOFA] 5.5 vs. 4.6, p=0.003). The CCT group also had significantly more patients on mechanical ventilation than those in the non-CCT group (45.9% vs. 23.9%, p<0.001). Success rate of weaning was significantly higher in the CCT group than that of the non-CCT group (61.1% vs. 44.7%, p=0.021). On a multivariate logistic regression analysis, the increased ICU mortality was associated with the older age, non-CCT, higher APACHE II score, higher SOFA score and mechanical ventilation (p<0.05). Conclusion: Although the CCT did not provide full-time services in an open general ICU setting, it might be associated with a reduced ICU mortality. This is particularly the case with patients on mechanical ventilation.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2007년도 하계학술발표대회 논문집
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• pp.215-215
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• 2007

• 한국태양에너지학회:학술대회논문집
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• 한국태양에너지학회 2011년도 춘계학술발표대회 논문집
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• pp.174-178
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• 2011

This paper deals with the free cooling system of express bus using natural energy source in order to improve the room air quality and save cooling energy. In an express bus, there are may passengers in unit area, requiring the improvement of air quality and giving higher energy saving efficiency. Particularly, the express buses running fast make it easy to take in outdoor air at a flow rate controllable with a damper mechanism. This paper proposes the analysis on the air flow achieved by a damper controlled vertically and horizontally in order not to deteriorate the ride comfort of the passengers.

• 분석과학
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• 제33권1호
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• pp.49-57
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• 2020

Controlling the quality of indoor air is important in order to maintain a healthy life. In this study, we investigated the correlation between the hazardous substance concentration of indoor air and circulation based on different ventilation methods in the apartment, which is one of the representative housing types in Korea. As target substances, we considered the hazardous substances which are generated during the cooking process and radon gas which is originated from building materials. We measured the concentrations of carbon dioxide and fine particles in relation to type of food and ventilation methods in order to determine the change in the concentration levels of hazardous substances which are generated during the cooking process. On the other hand, we measured the concentration of radon gas before and after letting fresh air into a room through windows in order to determine the change in the concentration level of radon gas which is originated from building materials. The results show that turning on the ventilation fan plays a major role in reducing the concentration levels of hazardous substances in the kitchen, and that it is more effective to turn on the ventilation fan during cooking than after cooking to prevent the diffusion of hazardous materials produced by cooking through the indoor air. Also, the results indicate that letting fresh air into a room through windows more than one time a day is necessary to reduce the concentration level of radon gas in the room to safe concentration range.

• 한국가스학회지
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• 제15권3호
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• pp.31-38
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• 2011

본 연구에서는 미국 NIST의 Fire Dynamics Simulator (FDS) ver. 5.4.8을 이용하여 지하철 터널 안의 지하철에서 화재가 발생한 경우에 터널에 설치된 환기팬의 제연효과를 검증하였다. 시뮬레이션을 위해 서울 지하철의 실측 자료를 활용하여 지하터널과 지하철을 모델링 하였다. 이를 바탕으로 환기용량을 2.0~3.0 m/s 범위에서 변화시키면서 CO와 $CO_2$의 제거 효율을 예측한 결과, 0.5 m/s의 용량 증가에 의해 평균 35 % 이상의 제거효과가 있음을 확인하였다. 또한 FDS의 결과값이 전체 그리드 개수와 크기에 영향을 받는 점을 고려하여 정확한 결과값을 얻기 위해 FDS의 그리드 민감성을 검토하였다. 그리고 그리드 크기를 변화시켜 CO와 $CO_2$ 농도 산출값과 계산에 걸리는 시간을 비교한 결과를 바탕으로 최적의 그리드를 선정하여 시뮬레이션에 적용하였다.

• 설비공학논문집
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• 제20권1호
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• pp.1-10
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• 2008

A transient 3-D numerical simulation was performed to analyze the fire safety in a railway tunnel equipped with a mechanical ventilation system. The behavior of pollutants was studied for the emergency operation mode of ventilation system in case of fire in the center of the rescue station and near the escape route. Various schemes of escape route construction for connection angle($45^{\circ}$, $90^{\circ}$, 135^{\circ}$) and slope($10^{\circ}$) were evaluated for the ventilation efficiency in the fire near the escape route. From the results, it was shown that the mode of the ventilation fan operation which pressurizes the tunnel not under the fire and ventilates the smoke from the tunnel under the fire is most effective for the smoke control in the tunnel in case of the fire occurrence. It was also shown that the blowing of jet fan from the rescue tunnel to the main tunnel should be in the same direction as the flow direction in the main tunnel arising from the traffic and the buoyancy.

• 한국산업보건학회지
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• 제4권1호
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• pp.71-80
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• 1994

This study was conducted to evaluate worker exposure to welding fume in automobile body shop and to evaluate metal components by type of welding. The results are summarized as follows: 1. Average concentrations of total welding fume without and with ventilation were $5.2mg/m^3$ and $2.49mg/m^3$, respectively. Thus, the average reduction rate of total fume by ventilation was 52.1 %. 2. The highest fume concentration was indicated at shielded arc welding, followed by $CO_2$ gas welding, argon arc welding, and spot welding in order of decreasing concentration. 3. Average respirable fume concentrations without and with ventilation were $2.97mg/m^3$ and $1.64mg/m^3$, respectively. 4. Further analysis of welding fume indicated that total fume consisted of $Fe_2O_3$, ZnO, Mn, Pb, and CuO, in order of decreasing amount. Combined effect of metals was below the American Conference of Governmental Industrial Hygienists (ACGIH)Threshold Limit Values (TLVs).

• 성인간호학회지
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• 제24권5호
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• pp.509-519
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• 2012

Purpose: This retrospective study was designed to examine the frequency of unplanned extubation, and to identify the related factors of unplanned extubation in medical intensive care unit patients. Methods: Data were collected from medical records of patients who received intubation in a medical intensive care unit. One hundred eighteen patient charts were selected for the study. The Patient Severity Classification Scale and unplanned extubation risk factors were examined. Data were analyzed with descriptive statistics, $x^2$-test, Fisher's exact test and Mann-Whitney U test. Results: The incidence of unplanned extubation was 11 (9.32%) out of 118 patients who had undergone intubation. There were statistically significant differences between the unplanned extubation and work shift ($x^2$=61.52, p=.001), ventilation mode (p=.001), number of days of ventilator application (U=366.00, p=.038) and administration of sedatives (p=.025). Conclusion: Unplanned extubation is affected by the following variables: a) whether a nurse is in night shift, b) whether ventilation is mandatory, c) duration of ventilation use and d) administration of sedatives.