• Journal of Chest Surgery
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• v.50 no.3
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• pp.211-214
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• 2017

Outcomes of ventricular septal rupture (VSR) as a complication of acute myocardial infarction are extremely poor, with an in-hospital mortality rate of 45% in surgically treated patients and 90% in patients managed with medication. Delaying surgery for VSR is a strategy for reducing mortality. However, hemodynamic instability is the main problem with this strategy. In the present case, venoarterial extracorporeal membrane oxygenation (ECMO) was used to provide stable hemodynamic support before the delayed surgery. Awake ECMO was also used to avoiding the complications of sedatives and mechanical ventilation. Here, we describe a successful operation using awake ECMO as a bridge to surgery.

• Korean Journal of Computational Design and Engineering
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• v.4 no.4
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• pp.318-326
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• 1999

Recently, electronic systems including computers have been rapidly shrinking in size while at the same time the complexity and the capability of these systems continue to grow/sup [1]/. Thus, system volumes have decreased as system power has increased, resulting in dramatic increases in system heat density. The high temperature of the computer system is considered as the major reason for low performance and shortening life of the product. It is necessary to solve this problem due to the heat density increased and to develop the design skill of the computer cabinet according to miniaturization. M4500 desk-top computer was selected for analyzing the thermal management inside cabinet. The cabinet volume, the configuration of the heating devices, the size and location of air ventilation, and the fan selection have been investigated as the important parameters to find out an optimal cabinet design. The objectives of this project were to analyze which design parameters would affect cooling performance by thermal strategy, to design an optimal model, and to measure the temperatures of the main parts to confirm the effect of the thermal design. The temperatures of each part of the optimal model were compared with those of the existing model. As a result. the volume of this miniaturized model was about 16% smaller than that of M4500 without any change in operating performance.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.14 no.12
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• pp.1092-1101
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• 2002

The objective of this study is to develop energy saving strategies for indoor swimming pools and to estimate the effect of each energy saving strategy. For this purpose, field measurements regarding pool water heating energy, domestic hot water heating energy are conducted and a base energy consumption model is implemented using the DOE-2.1E program. The results of the study reveal that 25% of the total pool water heating energy may be saved by using night time pool covers, 27% of the total domestic hot water heating energy may be saved by using a waste water heat recovery system (effic. 60%), and of the total ventilation energy may be saved using an exhaust air heat recovery system (effic. 60%).

• Advances in pediatric surgery
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• v.7 no.1
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• pp.21-25
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• 2001

Congenital diaphragmatic hernia (CDH) in the past was considered a surgical emergency requiring immediate operation. Several groups now advocate preoperative stabilization and delayed surgery. The treatment strategy for CDH in this institution is delayed surgery after preoperative stabilization. The aim of this study was to evaluate the results of delayed surgery. A retrospective review of 16 neonates with CDH was performed. Surfactant. conventional mechanical ventilation. high frequency oscillation. and nitric oxide were utilized for preoperative stabilization as necessary. The difference in outcome between two groups differentiated by the duration of the preoperative stabilization periods with mechanical ventilation (${\leq}$ 8 hours and > 8 hours) was determined. Chi-square test was used to analyze the data. There were 7 right-sided hernias and 9 left. The average duration of stabilization was 32.4 hours. Hepatic herniation through the defect was found in 6 cases and all died. The most common postoperative complication was pneumothorax. The mortality rate of the right side hernia was higher than the left (85.7% vs. 33.3%. p=0.036). Mortality rate of the group (N=8) whose preoperative stabilization period was 8 hours or less was better than that (N=6) whose preoperative stabilization period was more than 8 hours (25.0% vs. 83.3%. p=0.031). The overall mortality rate was 56.3%. The better prognosis was noticed in left side hernia. no liver herniation, or shorter preoperative stabilization period.

• Clinical and Experimental Pediatrics
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• v.46 no.11
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• pp.1073-1079
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• 2003

Purpose : Recently there has been a decrease in ventilator care rate and duration of very low birth weight infants(VLBWI) in Fatima Hospital. The aims of this study were to survey the frequency and duration of ventilation in VLBWI and to develop a non-invasive neonatal intensive care unit (NICU) policy. Methods : We performed a retrospective study of 284 newborn of infants less than 1,500 gm admitted to NICU and discharged from January 1998 to December 2001. Patients were intubated or applied continuous positive airway pressure(CPAP) via nasal prong immediately after presenting signs of respiratory distress. We analyzed epidemiologic data to study the changes in ventilator care rate, duration and outcome of ventilator care groups. Results : Of 284 newborn infants, 146 required invasive management, such as endotracheal intubation and assisted ventilation. The characteristics, the severity of clinical symptoms and laboratory findings in ventilator care groups at birth showed no significant differences. The annual proportion of infants requiring assisted ventilation decreased according to increasing gestational age. The median duration of ventilation decreased markedly from 6.0 days in 1998 to 2.7 days in 2001. Final complications and outcomes in ventilator care groups showed no significant differences. Conclusion : Our study shows a significant reduction in the invasiveness of the treatment of VLBW infants, which was not associated with an increased mortality or morbidity. A non-invasive strategy for the VLBW infant with minimal to moderate respiratory distress after birth in NICU is better than immediate invasive management. Non-invasive nasal CPAP is a simpler and safer method than invasive assisted ventilation.

• Journal of the Korean Institute of Rural Architecture
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• v.18 no.1
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• pp.57-65
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• 2016

When the castle of the city was destructed from 1911 through 1915 in Cheongju, the city's spatial structure was reorganized and "Han-ok Housing", a dwelling site filled with Korean traditional houses, was newly formed around the former castle site. These days, the Han-ok housing in Seoun-dong, Cheongju in which elderly couples and senior citizens live is enclosed by modernized roads and three or four-story buildings, leaving the housing as an isolated island in the city block. Nonetheless, the Han-ok housing not only plays an important role in sustaining the historic and local identity of the city, but also offers environmental benefits in terms of daylighting and ventilation. The purpose of this study is to reorganize the housing suitable for those who currently live and recreate it by adding new functionality. Consequently, three strategies are established; the conservation of existing building through the improvement of existing facilities; the conversion of vacant buildings into a new use; and the creation of the urban mid-rise Han-ok housing at street sides. The first strategy has a significance in that the traditional building's single wing plan, small room sizes and lack of storages now cause great inconvenience for current life style. The second strategy also promotes the practical use of abandoned buildings through alterations and additions. Finally, the creation of the urban mid-rise Han-ok housing that is accomplished by the combination of reinforced concrete and wooden structure interacts with or respond to the city's development. As a result, this study for the adaptive reuse of Han-ok housing proves how the traditional properties can be maintained in a careful manner and how its creative reuse can be achieved.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.28 no.2
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• pp.49-54
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• 2016

The purpose of this study is to analyze the indoor temperature distribution of a room controlled by a personal and portable cooler. As an energy saving strategy, the personal air-conditioning or task conditioning system was developed and installed in office buildings in the 90 s. Many research results regarding the personal air-conditioning (PAC) system were focused on thermal comfort, localized ventilation efficiency and energy savings. However, the conventional PACs were only developed for application in office buildings. In this study, as a type of PAC, a portable cooler was analyzed in terms of indoor temperature distribution changes with the passage of time. The measurement was performed in a bedroom in an apartment house. The results showed that indoor temperature was controlled at about $24^{\circ}C$ around the human body. However, the ambient zone up to 1.5 m away from the the human body stayed at about $27.5^{\circ}C$.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.29 no.3
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• pp.105-110
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• 2017

Underfloor air distribution (UFAD) is an air distribution strategy for providing ventilation and space conditioning in buildings. UFAD systems use the underfloor plenum beneath a raised access floor to provide conditioned air through floor diffusers that create a vertical thermal stratification during cooling operations. Thermal stratification has significant effects on energy, indoor air quality, and thermal comfort performance. The purpose of this study was to characterize the influence of a linear bar grille diffuser on thermal stratification in both interior and perimeter zones by developing Gamma-Phi based prediction models. Forty-eight simulations were carried out using a Computational Fluid Dynamics (CFD) technique. The number of diffusers, the air flow supply, internal heat gains, and solar radiations varied among the different cases. Models to predict temperature stratification for the tested linear bar grille diffuser have been developed, which can be directly implemented into dynamic whole-building simulation software such as EnergyPlus.

• Journal of Environmental Health Sciences
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• v.35 no.3
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• pp.143-152
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• 2009

Indoor air quality at classrooms is of special concern since students are susceptible and indoor air problems can be so subtle that it does not always produce easily recognizable health effects. The main objectives of the study were to investigate the time-activity pattern of school students, to determine the sources of poor indoor air quality in schools, and to demonstrate how indoor air quality in schools causes adverse health effects such as headache, upper airway irritation, fatigue, and lethargy. Recent articles ranging from 1987-2009 related to school indoor air quality were systematically reviewed. Building-associated health effects can increase student absences from school and degrade the performance of children while in school. The reduced ventilation rate was associated with a decreased ability to concentrate along with increased adverse health symptoms. There was an association between residential proximity to busy roads and a variety of adverse respiratory health outcomes in children. Consequently, the current findings suggest the need for control strategy for school indoor air pollutants with multidisciplinary approach methods because Korea has no other natural resources except manpower especially.

• Journal of Yeungnam Medical Science
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• v.38 no.4
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• pp.374-380
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• 2021

Pulmonary alveolar proteinosis (PAP) is an uncommon disease characterized by progressive accumulation of lipoprotein material in the lungs due to impaired surfactant clearance. Whole-lung lavage (WLL) is the current standard treatment and consists of sequential lavage of each lung to mechanically remove the residual material from the alveoli. Although WLL is considered safe, unexpected complications can occur. Moreover, due to the rarity of the disease itself, this procedure is unknown to many physicians, and management of intraoperative complications can be challenging for anesthesiologists. Lung ultrasound (LUS) provides reliable and valuable information for detecting perioperative pulmonary complications and, in particular, quantitation of lung water content. There have been reports on monitoring the different stages of controlled deaeration of the non-ventilated lung during WLL using LUS. However, it has been limited to non-ventilated lungs. Therefore, we report the use of LUS in WLL to proactively detect pulmonary edema in the ventilated lung and implement a safe and effective anesthesia strategy. Given the limited diagnostic tools available to anesthesiologists in the operating room, LUS is a reliable, fast, and noninvasive method for identifying perioperative pulmonary complications in patients with PAP undergoing WLL.