• Tuberculosis and Respiratory Diseases
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• v.69 no.2
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• pp.75-80
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• 2010

The year of 2009~2010 brought a number of concepts and new ideas were evaluated with promising results. However, some studies that challenged many beliefs. In acute respiratory distress syndrome (ARDS), recent clinical studies took into consideration of pathophysiologic changes of respiratory system compliance. Meta-analysis of positive end-expiratory pressure trials showed survival benefit of high positive end-expiratory pressure in ARDS. Until now, prone positioning did not show survival benefit in patients with ARDS. Extracorporeal membrane oxygenation (ECMO) based management improved survival in patients with severe ARDS. ECMO can be a management option in severe ARDS. Sedation is a standard practice in critically ill patients needing mechanical ventilation. However, Danish group reported less sedation of critically ill patients receiving mechanical ventilation was associated with an increase in days without ventilation. Although this single center study has some limitations, the overall results are promising. Use of maximal sterile barrier precautions (mask, sterile gown, sterile gloves, and large sterile drapes) with chlorhexidine-impregnated dressing reduced central venous catheter related infection. Selective oropharyngeal decontamination (application of topical antibiotics in the oropharynx) reduced the mortality rate of an intensive care unit (ICU) population. Normoglycemia in Intensive Care Evaluation and Survival Using Glucose Algorithm Regulation (NICE-SUGAR) trial reported intensive glucose control increased mortality among adults in the ICU. Some of the results of above papers are promising. However, some ideas may need for more frequent individual assessment and increase the workload of ICU staffs. Before implementation of new practice in ICU, we should take into consideration of individual hospital situation including human and material resources.

• Clinical and Experimental Emergency Medicine
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• v.3 no.3
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• pp.148-157
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• 2016

Objective Our aim was to compare the compression quality, exercise intensity, and energy expenditure in 5-minute single-rescuer cardiopulmonary resuscitation (CPR) using 15:1 or 30:2 compression-to-ventilation (C:V) ratios or chest compression only (CCO). Methods This was a randomized, crossover manikin study. Medical students were randomized to perform either type of CPR and do the others with intervals of at least 1 day. We measured compression quality, ratings of perceived exertion (RPE) score, heart rate, maximal oxygen uptake, and energy expenditure during CPR. Results Forty-seven students were recruited. Mean compression rates did not differ between the 3 groups. However, the mean percentage of adequate compressions in the CCO group was significantly lower than that of the 15:1 or 30:2 group ($31.2{\pm}30.3%$ vs. $55.1{\pm}37.5%$ vs. $54.0{\pm}36.9%$, respectively; P<0.001) and the difference occurred within the first minute. The RPE score in each minute and heart rate change in the CCO group was significantly higher than those of the C:V ratio groups. There was no significant difference in maximal oxygen uptake between the 3 groups. Energy expenditure in the CCO group was relatively lower than that of the 2 C:V ratio groups. Conclusion CPR using a 15:1 C:V ratio may provide a compression quality and exercise intensity comparable to those obtained using a 30:2 C:V ratio. An earlier decrease in compression quality and increase in RPE and heart rate could be produced by CCO CPR compared with 15:1 or 30:2 C:V ratios with relatively lower oxygen uptake and energy expenditure.

• Proceedings of the KSME Conference
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• 2003.04a
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• pp.1384-1388
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• 2003

In structural fires, flashover is characterized by the rapid transition in fire behavior from localized burning of fuel to the involvement of all combustibles in the enclosure. An investigation of parameter effects on the time to reach flashover conditions in a typical single room fire is undertaken using a zone method (FAST) and Thomas method. Major parameters affecting the time to reach flashover are found to be fire growth rate, ventilation opening area and internal room surface. The results of the FAST and the Thomas Method give very similar results of the time to reach flashover..

• Journal of Bio-Environment Control
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• v.9 no.1
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• pp.27-39
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• 2000

In this study, we quantitatively compare the cooling effects of single span plastic greenhouses by opening or shutting of toot and side vents, and operation of fan or sprinkler. With those variables, we simultaneously made experiments at 4 greenhouses under equivalent conditions. By the experiments, the shutting of roof and side vents caused the high temperature difference of indoor and outdoor which the crops cannot be cultivated. However, the opening of the windows effectively reduced the indoor temperature and showed uniform temperature distribution in the greenhouses. The sprinkler abruptly reduced the indoor temperature, and showed excellent cooling effects. Finally, this paper provides the fundamental data for environmental control in greenhouses.

• KIEAE Journal
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• v.5 no.2
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• pp.19-26
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• 2005

Every site has a different given geometrical and climatic condition, which influenced not only the lifestyle of the humanbeings but also the regional architecture. For example, on a cold region, the reduction of the energy loss is necessary, like an igloo, which has a littlest energy loss at hemisphere. Or on a warm region, the house must be protected thermally from the overheating at the sunshining. like a huge shading. An architectural interpretation in the (extreme) moderate climate, like Korea, has always tried to satisfy the both opposite demands simultaneously. A facade, which divides out- and inside, has an ideal position to lead the regulated regional climatic conditions into the room. The Double Facade System(DFS) is well known as an innovative solution in the european countries, like Germany. It provides an reasonable alternative, which can achieve these goals at the same time. A Double Facade System provides an effective sunshade, which means a cooling energy reduction at the warm season. In addition, it enables a natural ventilation at the cold season with the preheating at the system as well as spring and autumn. An ordinary Single Facade System with a inside or outside sun blind provides a solution just for a specified season, like a summer or winter. But the Double Facade System can deal with the various climatic conditions in the moderate climate.

• Journal of the Korean Institute of Rural Architecture
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• v.21 no.1
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• pp.45-52
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• 2019

Since 1980's, Countless schools across the nation, particularly in rural areas, have been closed down by the large fall in number of students. Otherwise, an elderly population has been increasing rapidly, so the demand for welfare services for the elderly population is also increasing. However, the supply of elderly welfare facilities remains inadequate. The purpose of this study is to propose remodelling plan of elderly welfare facility using Closed schools. The result of this study were as follows; in unit-based facility plans, Single room type can be used for elder who lives alone or an elderly couple. Senior Congregate Housing type can be used for four to five people. These two types have equal sunlight and ventilation conditions for each room, and are for an old man in relatively good health. Membership resort type is for the healthy senior who lives in the rural area or lives in the city who wants short-term residence. In case of a Nursing home type, the existing one-sided corridor was converted into a central corridor and each classroom is divided into four rooms. This type has advantage for nursing and management, on the other hand, the corridor is narrow and each room has differences for sunlight and ventilation.

• Journal of The Korean Society of Agricultural Engineers
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• v.51 no.5
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• pp.79-86
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• 2009

This research performed to analyze surplus solar energy, which is generated from a greenhouse during daytime, and to make the basic materials for designing thermal energy storage system for surplus solar energy. For this goal, it analyzed the surplus solar energy coming from two types of greenhouse. The results of this research are as per the below: In the case of 1-2W-type greenhouse, this research gave the same temperature and ventilation condition regardless of regions, but it was judged that the quantity of surplus solar energy could be greatly changed, depending on the energy consumed for the photosynthesis and evapotranspiration of crops in the greenhouse, on the heating temperature during daytime and night, on the existence/non-existence of a curtain and its warming effect, and on the ventilation temperature suitable for the overcoming of high temperature troubles or for the optimum cultivation temperature. In the case of a single-span greenhouse, there was a big difference in energy incoming and outgoing by month, but throughout seasons, 85.0 % of the total energy put into the greenhouse was solar energy and the energy input by heating was just 15.0 % of the total. 26.4 % of the total energy input for the greenhouse was used for photosynthesis and evapotranspiration of crops, and 44.2 % of the remaining 73.6 % went out in the form of radiant heat through the surface of the greenhouse. That is, 25.2 % of the total energy loss was just the surplus solar energy. 67.6 % of the total heating energy was concentrically used for 3 months from December to February next year, but the surplus solar energy during the same period was just 19.4 % of the total annual quantity so it was found that the given condition was more restrictive in directly converting the surplus heat into greenhouse heating. Under the disadvantageous circumstance of 3 months from December to February next year, it was possible to supplement 28 % (December) $\sim$ 85 % (February) of heating energy with surplus solar energy.

• The Korean Journal of Emergency Medical Services
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• v.23 no.3
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• pp.29-40
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• 2019

Purpose: This study was conducted to identify the effects of educational intervention on pre-test and post-test tidal volume, endotracheal peak pressure, and ventilation interval measurements during single-rescuer respiratory-assistant therapy by paramedic students. Methods: The present study, with a quasi-experimental design, included a pre-test and post-test nonequivalent control group. A total of 62 paramedic students (31, experimental group; 31, control group) participated in this study. The intervention lasted 80 minutes. Data were collected from each student before the intervention and two weeks after the intervention, between September 3 and 21, 2018. The collected data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. Results: Tidal volume (p<.001) and endotracheal peak pressure (p=.002) measurements after the intervention were significantly different between the two groups. Analysis of covariance was used to control the variance (the pretest value of endotracheal peak pressure) in order to identify the effect of the intervention in the two groups. Endotracheal peak pressure was not significantly different between the two groups. Conclusion: Education and training of paramedic students in emergency medical services on single-rescuer respiratory-assistant therapy is necessary for the emergency care of patients with respiratory arrest.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.20 no.1
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• pp.41-46
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• 2010

The purpose of this study is to assess the level of fungi concentration in the university laboratories in Seoul, Korea, and to investigate factors contributing to these concentrations. The samples were taken from three spots in each laboratory; the top of sink, the center of laboratory, and the front of ventilation system, i.e fume hood at the chemical laboratory and clean bench/biosafety cabinet at the microbial laboratory. Air samples were collected using the single-stage Anderson sampler (Quick Take 30) at a flow rate of 28.3 l/min for 5 min on nutrient media in Petri-dishes located on the impactor. Fifty-two air samples were collected from 19 different laboratories (13 microbiology laboratories, 6 chemistry laboratories) in the university, and concentrations of airborne fungi showed no significant difference (p>0.05) between microbiology and chemistry laboratory, and also no significant difference at three locations (sink, center, front of ventilation system) in microbiology and chemistry laboratories. Average concentrations of fungi in 19 laboratories ranged from 7 to 459 cfu/$m^3$, with an overall Geometric Mean of 52 cfu/$m^3$. Airborne fungi concentrations of 6 samples (12 %) exceeded 150 cfu/$m^3$, the guideline of WHO. The ratios of Indoor/Outdoor for airborne fungi ranged from 0.2 to 4.8 (mean = 1.6). Related factors were measured such as relative humidity, temperature, and laboratory area. Temperature and laboratory area showed no significant relations to concentrations of airborne fungi except for relative humidity in the laboratory Concentrations of fungi were significant different (p<0.01) between rainy or cloudy and sunny. However, there was no significant difference between general ventilation and nongeneral ventilation.

• Journal of Bio-Environment Control
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• v.18 no.3
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• pp.215-224
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• 2009

A survey on the actual state of heating, cooling, ventilation, and air-flow and experimental measurement of temperature and humidity distribution in tomato greenhouse were performed to provide fundamental data required in the development of air-flow control technology. In single-span plastic houses, which account for most of 136 tomato greenhouses surveyed, roof windows, ventilation and air-flow fans were installed in a low rate, and installation specs of those facilities showed a very large deviation. There were no farms installed greenhouse cooling facilities. In the hot air heating system, which account for most of heating type, installation specs of hot air duct showed also a large deviation. The exhaust air temperature and wind speed in hot air duct also were measured to have a big difference depending on the distance from the heater. We are using the maximum difference as indicator to determine whether temperature distribution is uniform. However if the temperature slope is not identical in greenhouse, it can't represent the uniformity. We analyzed relation between the maximum difference and the uniformity of temperature and humidity distribution. The uniformity was calculated using the mean and standard deviation of data from 12 measuring points. They showed high correlation but were represented differently by linear in the daytime and quadratic in the nighttime. It could see that the uniformity of temperature and humidity distribution was much different according to greenhouse type and heating method. The installation guidelines for ventilation and air-flow fan, the spread of greenhouse cooling technology for year-round stable production, and improvement of air duct and heating system, etc. are needed.