• 한국터널지하공간학회 논문집
• /
• 제19권2호
• /
• pp.319-333
• /
• 2017

초장대 해저터널의 건설은 건설공간의 제약 및 건설비용 측면에서, 공사중에 사용되는 환기 시스템 설치에 유리한 조건을 갖고 있지 않다. 공사중 환기시스템을 제공하기 위해, 환기갱이 설치되는 인공섬들이 해저터널의 루트를 따라서 일부위치마다 건설됨으로써, 건설 비용이 많이 소요된다. 따라서 이러한 인공섬의 수를 최소화하는 것이 경제적으로 필요하다. 그러나 이것은 환기갱 사이의 거리가 더 길어지게 되므로, 필요한 환기풍량을 이송하기 위한 높은 팬 압력으로 인해 환기 덕트 접속부에서 누풍이 더 많이 발생하게 된다. 선행 연구에서 공기 누설이 중요한 문제임을 조명하였다. 본 연구는 개선된 덕트 접속 방식을 개발하기 위한 실험들을 소개하고, 또한 SIA 의 "S" 등급 누풍율 및 다양한 조건들을 비교하여 터널 연장에 따른 달성된 누풍율의 환기 성능을 제시한다. 본 연구의 결과로 누풍율이 $1.46mm^2/m^2$인 새로운 접속방식을 개발하였으며, 개선된 방식이 30 km규모의 장대터널에 적합한 것으로 분석되었다.

• 대한조선학회논문집
• /
• 제52권3호
• /
• pp.206-221
• /
• 2015

Supercavitation is a modern technique which can be used to surround an underwater vehicle with a bubble in order to reduce the resistance of the vehicle. When the vehicle is at low speed in the deep sea, the cavitation number is relatively big and it is difficult to generate a cavity large enough to envelope the vehicle. In this condition, the artificial cavity, called ventilated cavity, can be used to solve this problem by supplying gas into the cavity and can maintain supercavitating condition. In this paper, a relationship between the ventilation gas supply rate and the cavity shape is determined. Based on the relationship a ventilation rate control is developed to maintain the supercavitating state. The performance of the ventilation control is verified with a depth change control. In addition, dynamics modeling for the supercavitating vehicle is performed by defining forces and moments acting on the vehicle body in contact with water. Simulation results show that the ventilation control can maintain the supercavity of an underwater vehicle at low speed in the deep sea.

• Journal of Chest Surgery
• /
• 제23권4호
• /
• pp.816-819
• /
• 1990

This reports describes our experience with the operative stabilization of flail chest with the use of Judet’s struts. Two patients with flail chest, the method allowed shorter duration of artificial ventilation and decreased functional sequelae. We find this technique to be better than previously published method, since it provides better stabilization and immobilization of the ribs and thus obviates the need for artificial ventilation and prevents post-traumatic chest deformity.

• 한국전문물리치료학회지
• /
• 제29권3호
• /
• pp.200-207
• /
• 2022

Background: The oxygen uptake efficiency slope (OUES) is the most important index for accurately measuring cardiopulmonary function in patients with acute ischemic heart disease. However, the relationship between the OUES variables and important cardiopulmonary function parameters remain unelucidated for patients with acute ischemic heart disease, which accounts for the largest proportion of heart disease. Objects: The present cross sectional clinical study aimed to determine the multiple relationships among the cardiopulmonary function variables mentioned above in adults with acute ischemic heart disease. Methods: A convenience sample of 110 adult inpatients with ischemic heart disease (age: 57.4 ± 11.3 y; 95 males, 15 females) was enrolled at the hospital cardiac rehabilitation center. The correlation between the important cardiopulmonary function indicators including peak oxygen uptake (VO₂ peak), minute ventilation (VE)/carbon dioxide production (VCO₂) slope, heart rate recovery (HRR), and ejection fraction (EF) and OUES was confirmed. Results: This study showed that OUES was highly correlated with VO₂ peak, VE/VCO₂ slope, and HRR parameters. Conclusion: The OUES can be used as an accurate indicator for cardiopulmonary function. There are other factors that influence aerobic capacity besides EF, so there is no correlation with EF. Effective cardiopulmonary rehabilitation programs can be designed based on OUES during submaximal exercise in patients with acute ischemic heart disease.

• 중환자간호학회지
• /
• 제2권1호
• /
• pp.69-80
• /
• 2009

Purpose: The purpose of this preliminary study was to describe the physical and psychosocial distress of critically ill patients undergoing noninvasive ventilation(NIV). Method: Open-ended question interviews were conducted with four patients using NIV. Considering the outcomes of the interviews, literature, and experts'opinions, a survey questionnaire was developed. Twenty patients in medical and surgical intensive care units answered the questions. Results: Through open-ended question interviews and survey, the patients using NIV reported feeling heavy, impotent feeling, pain, loss in feeling, loss in communication, and lack of sleep as physical distress and a loss in sense of time, pain, anxiety, mind of desiring to die, worry about family, and a sense of burden for medical-cure expenses as psychosocial distress. Conclusion: Critically ill patients undergoing NIV experience physical and psychosocial distress to artificial respiratory ventilation treatment. Further research should be performed with a large sample for generalization of the study result.

• 한국실내디자인학회논문집
• /
• 제19권3호
• /
• pp.22-29
• /
• 2010

Recent days, transition to ecological thought is being accelerating by environmental impact with a sustainable development. This symptom is no exception in architecture area. So is vernacular design affecting on modern architecture in many ways in terms of economical aspect and eco-friendly environment as well. Natural energy like solar power, environment, and terrestrial heat that applied in vernacular architecture is also widely accepted in name of 'sustainable energy' of which a design applied with ventilation and airing of natural wind is very useful & pragmatic in terms of economical reason. Accordingly, this study examined a relation between vernacular architecture and natural wind and compared it with traditional type and its feature of ventilation & airing. Ventilation & airing applied in the past can be divided into three categories: methods by convection, natural element, and architectural type. All these methods gave some pleasant felling indoors when there were no artificial energies. Even in modern age, such a ventilation & airing is being used with traditional type in different variety of materials, and it will be developed with modern technology without any extra cost in terms of sustainable expansion, and opened for further researches.

• 한국터널지하공간학회 논문집
• /
• 제20권1호
• /
• pp.145-160
• /
• 2018

초장대 해저터널은 환기를 위한 연직갱 또는 경사갱 설치에 공간적으로 많은 제한을 받게 되므로 일부 인공섬을 건설하여 환기를 수행할 필요가 있다. 그러나 인공섬 설치는 건설의 어려움뿐만 아니라 건설비용이 증가하게 되므로 인공섬 설치를 최소화할 필요가 있다. 이에 따라 환기거리가 증가하여 누풍에 의한 공급 풍량이 커지게 되면, 공사 중 환기를 위한 덕트 설치가 불가능해지거나 팬 정압 및 동력이 상당히 증가하게 된다. 따라서 초장대 해저터널을 건설하기 위해서는 이러한 현실적인 문제를 극복하고 시공 중 터널 내 환경을 쾌적한 상태로 유지할 수 있는 기술력이 필요하다. 선행 연구에서 우리는 누풍이 이 문제들을 해결하는 핵심 인자이며 실험 결과 새로운 접속방식의 누풍율은 대략 $1.46mm^2/m^2$임을 밝혔다(Jo et al., 2017). 본 연구에서는 새로운 접속방식이 적용된 시제품의 누풍율 측정 결과를 제시하고 기존 접속방식의 누풍 성능 개선을 위해 덕트 내부에 연질막 적용시의 누풍 성능 개선을 실험적으로 분석하였다.

• International Journal of Contents
• /
• 제11권2호
• /
• pp.69-73
• /
• 2015

This study was performed to determine the optimal doses of alfentanil or remifentanil (effect-site concentrations) required to prevent pain and other suffering after abdominal general surgery in ICU patients. A total of 52 general abdominal surgical patients (ASA IIIII) requiring artificial ventilatory care in the ICU were provided with either alfentanil (24 patients) or remifentanil (28 patients) through target controlled infusion (TCI). Alfentanil and remifentanil concentrations were titrated up and down until the pain score became less than 3 (VAS; Visual Analogue Score < 3). The effect-site concentrations (ng/ml) of alfentanil or remifentanil required to adequately control postoperative pain in the ICU were 64 +/- 12 and 1.9 +/- 0.5 for intubation with artificial ventilation, 57 +/- 9 and 1.7 +/- 0.7 for intubation with spontaneous ventilation, and 41 +/- 10 and 1.2 +/- 0.5 after extubation, respectively. Pain scores and the corresponding opioid concentrations were independent from respiratory condition. The three effect-site concentrations of alfentanil and remifentanil obtained from this clinical trial using the TCI technique can be a guideline in the administration of the same opioids to relieve the discomfort of ICU patients who have undergone abdominal general surgery.

• Mycobiology
• /
• 제31권3호
• /
• pp.145-150
• /
• 2003

This study investigated the morphological differences of P. ostreatus grown in the artificial environmental conditions such as humidity, temperature, ventilation, and watering. Oyster mushroom, which was cultivated on artificial environmental condition, was shown to have different morphology of fruitbodies. The optimum $CO_2$ concentration for good morphology of P.ostreatus was 0.3%. But most fruitbody showed the morphologically low qualities in more than 0.5% of $CO_2$ concentration. In the humidity in excess of 80% at $13{\sim}16^{\circ}C$, the best morphology of P. ostreatus was investigated. The growth of fruitbodies of P. ostreatus in the ventilation system was good at the wind velocity ranging from $0.2{\sim}0.5$ fpms and expouring type. In other conditions, P. ostreatus generally showed the morphology closing to malformation.

• Journal of Yeungnam Medical Science
• /
• 제32권2호
• /
• pp.106-110
• /
• 2015

The prevalence of pneumothorax cases among Intensive Care Unit patients who require mechanical ventilation ranges from 4%-15%. A pneumothorax remains one of the most serious complications of positive pressure ventilation. It can be diagnosed in a critically ill patient through a physical examination or radiographic studies that include chest radiographs, ultrasonography, or computed tomography scanning. However, in a critically ill patient, the diagnosis of a pneumothorax is often complicated by other diseases and by difficulties in imaging sick and unconscious patients. Although electrocardiogram changes associated with a pneumothorax have been described for many years, there has been no report of such among patients who require mechanical ventilation. In this paper, we report 2 cases of a spontaneous pneumothorax with paroxysmal supraventricular tachycardia in patients who required invasive mechanical ventilation due to acute respiratory failure.