• Tuberculosis and Respiratory Diseases
• /
• 제79권3호
• /
• pp.158-164
• /
• 2016

Background: One to three percent of cases of acute tuberculosis (TB) require monitoring in the intensive care unit (ICU). The purpose of this study is to establish and determine the mortality rate and discuss the causes of high mortality in these cases, and to evaluate the clinical and laboratory findings of TB patients admitted to the pulmonary ICU. Methods: The data of patients admitted to the ICU of Yedikule Chest Diseases and Chest Surgery Education and Research Hospital due to active TB were retrospectively evaluated. Demographic characteristics, medical history, and clinical and laboratory findings were evaluated. Results: Thirty-five TB patients (27 males) with a median age of 47 years were included, of whom 20 died within 30 days (57%). The Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores were significantly higher, and albumin and $PaO_2/FIO_2$ levels were significantly lower, and shock, multiple organ failure, the need for invasive mechanical ventilation and drug resistance were more common in the patients who died. The mortality risk was 7.58 times higher in the patients requiring invasive mechanical ventilation. The SOFA score alone was a significant risk factor affecting survival. Conclusion: The survival rate is low in cases of tuberculosis treated in an ICU. The predictors of mortality include the requirement of invasive mechanical ventilation and multiple organ failure. Another factor specific to TB patients is the presence of drug resistance, which should be taken seriously in countries where there is a high incidence of the disease. Finding new variables that can be established with new prospective studies may help to decrease the high mortality rate.

• 대한설비공학회:학술대회논문집
• /
• 대한설비공학회 2008년도 하계학술발표대회 논문집
• /
• pp.1378-1385
• /
• 2008

This study is aimed to analyze the flow patterns and thermal characteristics by computer simulation under the variations of fire strength for Daegu-Pahang Yimgo-4th tunnel, from which flow and heat distributions are predicted in the longitudinal tunnel. Though the results of numerical computations, followings are found; one is that the volume flow rate is discontinuously increasing as closer to fire location, and the other is that a critical design to get faster flow rate is required because of existence of backlayer flow for the high fire strength in view of safety for the people in fire of the tunnel.

• Clinical and Experimental Pediatrics
• /
• 제64권4호
• /
• pp.157-164
• /
• 2021

Since the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in December 2019, a small number of coronavirus disease 2019 (COVID-19) cases in neonates have been reported worldwide. Neonates currently account for only a minor proportion of the pediatric population affected by COVID-19. Thus, data on the epidemiological and clinical features of COVID-19 in neonates are limited. Approximately 3% of neonates born to mothers with COVID-19 reportedly tested positive for SARS-CoV-2. Current limited data on neonates with COVID-19 suggest that neonatal COVID-19 shows a relatively benign course despite a high requirement for mechanical ventilation. However, neonates with pre-existing medical conditions and preterm infants appear to be at a higher risk of developing severe COVID-19. The greatest perinatal concern of the COVID-19 pandemic is the possibility of vertical transmission, especially transplacental transmission of SARS-CoV-2. Although direct evidence of the vertical transmission of SARS-CoV-2 is lacking, its possibility during late pregnancy cannot be ruled out. This review summarizes available case studies on COVID-19 in neonates and introduces what is currently known about neonatal COVID-19 with focus on its vertical transmission.

• Tuberculosis and Respiratory Diseases
• /
• 제73권4호
• /
• pp.224-230
• /
• 2012

Background: We evaluated the clinical outcomes and prognostic factors of patients requiring prolonged mechanical ventilation (PMV), defined as ventilator care for ${\geq}21$ days, who were admitted to the medical intensive care unit (ICU) of a university hospital in Korea. Methods: During the study period, a total of 2,644 patients were admitted to the medical ICU, and 136 patients (5.1%) were enrolled between 2005 and 2010. Results: The mean age of the patients was $61.3{\pm}14.5$ years, and 94 (69.1%) were male. The ICU and six-month cumulative mortality rates were 45.6 and 58.8%, respectively. There were 96 patients with tracheostomy placement after admission and their mean period from admission to the day of tracheostomy was $21.3{\pm}8.4$ days. Sixty-three patients (46.3%) were successfully weaned from ventilator care. Of the ICU survivors (n=74), 34 patients (45.9%) were transferred to other hospitals (not university hospitals). Two variables (thrombocytopenia [hazard ratio (HR), 1.964; 95% confidence interval (CI), 1.225~3.148; p=0.005] and the requirement for vasopressors [HR, 1.822; 95% CI, 1.111~2.986; p=0.017] on day 21) were found to be independent factors of survival on based on the Cox proportional hazard model. Conclusion: We found that patients requiring PMV had high six-month cumulative mortality rates, and that two clinical variables (measured on day 21), thrombocytopenia and requirement for vasopressors, may be associated with prognostic indicators.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권8호
• /
• pp.3587-3592
• /
• 2014

Burden of cancer is progressively increasing in developing countries like India which has also led to a steep rise in toxicity due to anti-cancer therapy. A cross-sectional analysis was here conducted for patients with different malignancies (except leukaemia) who while undergoing radical anti-cancer therapy were admitted to our oncology ward from January-July 2013. In a total of 280 patients, the total number of toxicity events was 473. Nine patients expired over this time period. Among the events, grade 2 anaemia the most common (n=189) while the most common grades of neutropenia and thrombocytopenia were grade 4 (n=114) and grade 2 (n=48), respectively. Among the tracable microbial etiologies, gram negative bacteria were the most commonly found pathogens. Treatment interruptions took place in 240 patients (median duration=8.8 days). Prolonged hospital admission, intensive care and artificial ventilation support was needed to be given in 48, 7 and 13 patients respectively. Advanced NSCLC, KPS <70, pancytopenia and artificial ventilation requirement were found to have a significant impact on death. Such studies show the prevailing practice from institutes of our country and may guide us formulating a guideline for managing such toxicities for this part of the world.

• 한국산업보건학회지
• /
• 제24권3호
• /
• pp.310-320
• /
• 2014

Backgrounds: Endotoxin, which found in the outer membrane of the gram-negative bacteria cell wall, makes up almost all of the lipopolysaccharide(LPS). When people are exposed to endotoxin,it can result in diverse health effects such as an airway irritation and inflammation, fever, malaise, bronchitis, allergic asthma, toxic pneumonitis, hypersensitivity lung disease. Cases among the elderly, children or pregnant can occur more frequently than a healthy adult if they are repeatedly exposed to the existing endotoxin. Therefore, we investigated and assessed the environmental characteristics associated with the airborne endotoxin concentration level in six hospital lobbies. Method: Endotoxin from indoor air in six hospital lobbies was measured by an area sampling method and analyzed according to American Society for Testing and Materials International(ASTM international) E2144-01. Total suspended particulate(TSP), carbon dioxide($CO_2$), temperature and humidity were also measured by using direct reading measurements or airborne sampling equipment at the same time. Environmental characteristics were appropriately divided into two or three groups for a statistics analysis. One-way analysis variable(one-way ANOVA) was used to examine a difference of the endotoxin concentration, depending on the environmental characteristics. In addition, only variables with p-value(p<0.25) were eventually designed to the best model by using multiple regression analysis. Results: The correlation analysis result indicated that TSP(p=0.003) and $CO_2$(p<0.0001) levels were significantly associated with endotoxin concentration levels. In contrast, temperature(p<0.068) and humidity(p<0.365) were not associated with endotoxin concentration. Levels of endotoxin concentration were statistically different among the environmental characteristics of Service time(p=0.01), Establishment of hospital(p<0.001), Scale of hospital(p=0.01), Day average people using hospital(p=0.03), Cleaning time of lobby(p=0.05), Season(p<0.001), and Cleaning of ventilation system(p<0.001) according to ANOVA. Finally, the best model(Adjusted R-square=72%) that we designed through a multiple regression test included environmental characteristics related to Service time, Area of lobby, Season, Cleaning of ventilation system, and Temperature. Conclusions: According to this study, our result showed a normal level of endotoxin concentration in the hospital lobbies and found environmental management methods to reduce the level of endotoxin concentration to a minimum. Consequently, this study recognized to be requirement for the management of ventilation systems and an indoor temperature in order to reduce the level of endotoxin concentration in the hospital lobbies.

• 한국의류산업학회지
• /
• 제17권3호
• /
• pp.440-446
• /
• 2015

This study identified active senior women's wearing and the purchase situation of bicycle wear to develop functional bicycle wear that can satisfy active senior consumers. The survey was conducted for women in their fifties and sixties who ride bicycles on a regular basis. A total of 119 questionnaires were used for data analysis excluding incompletely replied questionnaires. Data was analyzed by descriptive analysis, frequency analysis and cross analysis. The results are as follows. First, 50's individuals represented 60% of this survey who continuously rodebicycles for 5 years or more. The purpose of riding bicycle was exercise, leisure and club activities. Second, they wore bicycle wear while riding due to activity, functionality and safety. There is also a requirement to manufacture comfortable bicycle wear easy to put on and take off and for old people. Third, considering the purchase situation of bicycle wear, the respondents had difficulties buying bicycle wear due to price. It is necessary to have bicycle wear at a reasonable price. Fourth, the most necessary functionsforbicycle wear materials were ventilation and durability. A major function needed for future developmentwill bethermoregulation.

• 대한설비공학회:학술대회논문집
• /
• 대한설비공학회 2009년도 하계학술발표대회 논문집
• /
• pp.102-107
• /
• 2009

Window system is an essential component for lighting, ventilation and thermal environment in buildings. Moreover, as balcony extension in apartment houses become legalized, the performance requirements of window systems in balcony space are getting complicated. However, at this moment, five properties of the windows are used to represent the performance aspects of the system, including wind resistance, air tightness, water tightness, sound insulation, thermal resistance. And such single properties are not capable to express the performance of a space with the window systems in terms of performance concept. A performance analysis with wholistic approach is required to see the effect of the window system in built environment. Thus, performance-based approach should be established, which will be able to evaluate the goal/function and comfort of occupants/owners. As the first step to develop the performance indicator for the window systme for balcony space, this study conducts a survey to find the required performance aspects. A complete set of performance-based indicators will be developed with verification methods in the later stage of research.

• Advances in Automotive Engineering
• /
• 제1권1호
• /
• pp.79-104
• /
• 2018

A detailed literature review is presented for the applications of the heat pump technologies on the electric vehicles Heating, Ventilation and Air Conditioning (HVAC) system. Due to legal regulations, automotive manufacturers have to produce more efficient and low carbon emission vehicles. Electric vehicles can be provided these requirements but the battery technologies and energy managements systems are still developing considering battery life and vehicle range. On the other hand, energy consumption for HVAC units has an important role on the energy management of these vehicles. Moreover, the energy requirement of HVAC processes for different environmental conditions are significantly affect the total energy consumption of these vehicles. For the heating process, the coolant of internal combustion (IC) engine can be utilized but in electric vehicles, we have not got any adequate waste heat source for this process. The heat pump technology is one of the alternative choices for the industry due to having high coefficient of performance (COP), but these systems have some disadvantages which can be improved with the other technologies. In this study, a literature review is performed considering alternative refrigerants, performance characteristics of different heat pump systems for electric vehicles and thermal management systems of electric vehicles.

• 대한의용생체공학회:의공학회지
• /
• 제40권6호
• /
• pp.260-267
• /
• 2019

In the present study, we aimed to demonstrate that MV2000-MT(SU:M2)^® (MV, MEK-ICS, Paju, Korea), a domestic ventilator, is not inferior in terms of usability, safety, and medical staff satisfaction as compared to Hamilton G5 (G5, Hamilton Medical AG, Rhäzuns, Switzerland). A total of 39 patients who applied MV (group M) or G5 (group H) were included in the study sample. Usability was evaluated by the following factors: the number of alarm errors, replacement requirement of breathing circuit, replacement requirement of a right-angle connector, and ease of ventilator weaning. For safety evaluation, the number of ventilator replacements due to malfunction of the ventilator was evaluated. Items for medical staff satisfaction survey were as follows: the number of MV and G5 uses, hardware, and software assessment. In the usability evaluation, the replacement requirement of the right-angle connector was lower in Group M than in Group H (mean ± standard deviation, Group M: 7.39 ± 6.72, Group H: 14.19 ± 10.24, p = 0.021); however, the evaluations of other parts were not significantly different between the two groups. The number of ventilator replacements due to a malfunction of the ventilator did not differ between two groups. The number of MV and G5 uses was 3.0 [3.0-4.0] and 10.0 [5.0-10.0] (median [interquartile range], p < 0.001). Overall, the mean medical staff satisfaction score of Hamilton G5 was higher than that of MV2000-MT(SU:M2)^®. The usability of MV is comparable to that of G5. However, medical staff satisfaction with Hamilton G5 was higher than that with MV2000-MT(SU:M2)^®, and this difference could be due to the difference in the number of uses. In order to improve the penetration rate of the domestic mechanical ventilator, it is necessary to find ways to increase familiarity of medical staff with domestic mechanical ventilators.