• 대한방사선기술학회지:방사선기술과학
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• 제38권2호
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• pp.89-99
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• 2015

본 연구는 광자 신호의 검출 효율에 따른 collimator의 특성과 폐기능 정량분석의 상관관계를 비교하여 고감도 collimator 폐 환기 SPECT의 임상적용 가능성을 평가하였다. 2014년 3월부터 5월까지 10명의 정상 성인을 대상으로 초고해상도, 고해상도, 고감도 3종류의 collimator를 이용하여 평면 스캔과 SPECT를 비교 실험하였다. 기존 검사방법인 고해상도 collimator 평면 스캔과 비교하여 정량분석 결과는 유의하였으며(p=0.89), 고해상도 collimator SPECT보다 4.9배의 시간이 단축되었다. 따라서 효용성 저하로 제한적으로 시행하였던 폐 환기 SPECT는 고감도 collimator를 이용하면 진단 정보의 양과 질, 검사시간의 단축 측면에서 효과적이므로 추후 임상적용에 유용할 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제54권3호
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• pp.220-224
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• 2013

Objective : This study aimed to determine the optimal time for tracheostomy by evaluating the benefits and safety of early versus late tracheostomy in spinal cord injury (SCI) patients. Methods : We retrospectively reviewed a total of 254 patients with spinal cord injury. Of them, we selected 21 spinal cord injury patients who required tracheostomy due to long-term mechanical ventilation and analyzed their medical records. The patients were categorized into two groups. Early tracheostomy was performed day 1-10 from intubation in 10 patients and the late tracheostomy was performed after day 10 in 11 cases. We also evaluated the duration of mechanical ventilation, stay in the ICU and complications related to tracheostomy, the injury level of and clinical severity. All data was analyzed using SPSS 18.0/WIN. Results : The early tracheostomy offered clear advantages for shortening the total ICU stay (20.8 day vs. 38.0 day, p=0.010). There was also statistically significant reduction in the total length of time on mechanical ventilation (5.2 day vs. 29.2 day, p=0.009). However, the reductions in the incidence of pneumonia (40% vs. 82%) and the length of ICU stay post to tracheostomy (6 day vs. 15 day) were found to be statistically not significant. There were also no statistically significant differences in the injury level and clinical severity between the groups. Conclusion : We concluded that the early tracheostomy (at least 10 days) is beneficial for SCI patients who are likely to require prolonged mechanical ventilation.

• Journal of Trauma and Injury
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• 제32권3호
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• pp.136-142
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• 2019

Purpose: Near drowning refers to immediate survival after asphyxia due to submersion or immersion in water, which is a crucial public safety problem worldwide. Acute lung injury or acute respiratory distress syndrome (ARDS) is a common complication of near drowning. The purpose of this study was to investigate the feasibility and effectiveness of noninvasive nasal positive pressure ventilation (NINPPV). Methods: This retrospective study was conducted at a tertiary emergency department. NINPPV was administered for moderate ARDS caused by submersion or immersion in patients who were older than 18 years, from January 2015 to December 2018. We collected the demographic (age, sex, length of hospital stay, and outcome), laboratory (arterial blood gas, lactate, oxygen saturation, partial pressure of oxygen divided by the fraction of inspired oxygen, complete blood count, blood urea nitrogen, and creatinine), and clinical data (acute lung injury index and ventilator failure) of the patients. A statistical analysis was performed using Statistical Package for the Social Sciences version 20.0 for Windows. Results: NINPPV treatment was provided to 57 patients for near drowning, 45 of whom (78.9%) were successfully treated without complications; in 12 (21.1%), treatment was changed to invasive mechanical ventilation within 48 hours due to ARDS or acute kidney injury. NINPPV treatment was successful in 31 (75.6%) out of 41 sea-water near drowning patients. They were more difficult to treat with NINPPV compared with the fresh-water near drowning patients (p<0.05). Conclusions: NINPPV would be useful and feasible as the initial treatment of moderate ARDS caused by near drowning.

• 한국터널지하공간학회 논문집
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• 제17권3호
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• pp.353-362
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• 2015

도시철도 지하역사에 설치되어 운영중인 승강장 안전문(PSD)은 승객의 추락방지 등 안전사고 예방에 큰 기여를 하고 있지만, 기존 승강장 선로 배기설비의 차단으로 인해, 일부 역사에서 승강장내 환기효율 저하문제를 발생시키고 있다. 본 연구에서는 PSD가 설치된 승강장의 기존 급배기 시스템의 환기효율 개선을 위해, 승강장과 대합실로 통하는 계단부 하부공간의 무효한 공간(창고)에 국부적인 하부 배기시스템을 추가하고, 승강장 배기용 덕트를 선로부의 기존 배기시스템에 연결하여 연동함으로써 기존 시스템에 무리 없이 승강장 실내환경을 개선하고자 하였다. 즉, PSD 설치이후 승강장 내부의 전체적인 기류혼합효과와 오염된 실내공기를 효율적으로 배출하기 위한 하부배기 방식을 연구하였다. 이러한 하부배기 방식의 효과를 예측하기 위하여, 서울지하철 2호선 역사를 선정하여 급배기량을 실측하고, 이를 바탕으로 전산수치해석 연구를 수행하여 개선효과를 예측해보았다. 하부 배기시스템의 적용은 승강장 기류의 지체상태 및 환기효율 특성을 나타내는 공기연령 측면에서 약 16.5%의 개선효과가 있는 것으로 분석되었다.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2007년도 하계학술발표대회 논문집
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• pp.86-86
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• 2007

• 한국응급구조학회지
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• 제14권2호
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• pp.5-12
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• 2010

Purpose : The comparative effectiveness of without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCPR) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR) in CPR. Methods : The CPR instruction to 774 students and faculties in universities and colleges. There selected without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCRP) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR). Compare the effectiveness to sills performance of DCPR and NDCPR students and faculties of according to the CPR. Results : 397(51%) students and faculties was DCPR and 377(49%) students and faculties was NDCPR. There was no difference in the compression depth, hand position, adequacy of recoil, volume of ventilation, self-confidence, and willingness to do CPR between the two instructional methods. Conclusion : Under the guide of dispatcher-assisted CPR instruction integrated into mobil phone, novice could perform more effective CPR. This method could be used as a supplement to CPR practice and skill retention.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2009년도 하계학술발표대회 논문집
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• pp.136-141
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• 2009

The platform screen door(PSD) is installed in the station of the Seoul Metro 9th line for passengers' safety and comfortable environment of the station. The track way exhaust system(TES) is also operated with PSD to exhaust heat released from train. TES can also be used for the purpose of the heat and smoke control in an emergency case of the carriage fire. When the fire is occurred, operation of TES is switched to the smoke exhaust mode form its normal ventilation mode. In the present study, a subway station of Seoul Metro 9th line is modeled, and a 3-D CFD simulation is performed to investigate effectiveness of designed TES in case of fire. A scenario that a train under fire is arriving the station is simulated for several possible operation modes of the TES using moving mesh technique. As a result, temperature and CO concentration distribution in the station is obtained for each operation modes of TES. The effectiveness of TES operation in case of fire is also discussed.

• 대한환경공학회지
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• 제32권4호
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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.

• Safety and Health at Work
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• 제12권3호
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• pp.416-420
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• 2021

Hazardous area classification design is required to reduce the explosion risk in process plants. Among the international design guidelines, only IEC 60079-10-1 proposes a new type of zone, namely zone 2 NE, to prevent explosion hazards. We studied how to meet the zone 2 NE grade for a facility handling hydrogen gas, which is considered as most dangerous among explosive gases. Zone 2 NE can be achieved considering the grade of release, as well as the availability and effectiveness of ventilation, which are factors indicative of the facility condition and its surroundings. In the present study, we demonstrate that zone 2 NE can be achieved when the degree of ventilation is high by accessing temperature, pressure, and size of leak hole. The release characteristic can be derived by substituting the process condition of the hydrogen gas facility. The equations are summarized considering relation of the operating temperature, operating pressure, and size of leak hole. Through this relationship, the non-hazardous condition can be realized from the perspective of inherent safety by the combination of each parameter before the initial design of the hydrogen gas facility.

• Clinical and Experimental Pediatrics
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• 제61권10호
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• pp.315-321
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• 2018

Purpose: To investigate the effectiveness of transient intubation for surfactant administration and extubated to nasal continuous positive pressure (INSURE) for treatment of respiratory distress syndrome (RDS) and to identify the factors associated with INSURE failure in extremely premature infants. Methods: Eighty-four infants with gestational age less than 28 weeks treated with surfactant administration for RDS for 8 years were included. Perinatal and neonatal characteristics were retrospectively reviewed, and major pulmonary outcomes such as duration of mechanical ventilation (MV) and bronchopulmonary dysplasia (BPD) plus death at 36-week postmenstrual age (PMA) were compared between INSURE (n=48) and prolonged MV groups (n=36). The factors associated with INSURE failure were determined. Results: Duration of MV and the occurrence of BPD at 36-week PMA were significantly lower in INSURE group than in prolonged MV group (P<0.05), but BPD plus death at 36-week PMA was not significantly different between the 2 groups. In a multivariate analysis, a reduced duration of MV was only significantly associated with INSURE (P=0.001). During the study period, duration of MV significantly decreased over time with an increasing rate of INSURE application (P<0.05), and BPD plus death at 36-week PMA also tended to decrease over time. A low arterial-alveolar oxygen tension ratio (a/APO2 ratio) was a significant predictor for INSURE failure (P=0.001). Conclusion: INSURE was the noninvasive ventilation strategy in the treatment of RDS to reduce MV duration in extremely premature infants with gestational age less than 28 weeks.