• Tuberculosis and Respiratory Diseases
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• 제72권2호
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• pp.117-123
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• 2012

Optimal level of sedation and analgesia is important for the comfort and safety of critically ill patients. However, suboptimal sedation is relatively common in the intensive care unit (ICU) and it could cause prolonged mechanical ventilation and ICU stay, also increase delirium and ICU acquired weakness and resultant decreased survival. Therefore, accurate assessment of the level of sedation and analgesia, maintaining adequate level of sedation, and daily evaluation of each patient and following adjustment could be important treatment strategy in critically ill patients. Recently, the strategy for sedation in the ICU is changing toward the direction of lowering sedation level or even "no sedation" with concurrent use of analgesics and the use of ultra short acting analgesics could be helpful in some patients. Clinicians should be aware of the importance of algorithmic approach including daily interruption of sedative and assessment of sedation level and especially in the patients under mechanical ventilation, organizational approaches such as the 'ABCDE' bundle could improve the management of critically ill patients.

• 한국방사선학회논문지
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• 제9권7호
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• pp.425-431
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• 2015

응급상황에서 중환자에게 시행되는 인공호흡 과정 중 호흡기류를 측정할 수 있도록 개발된 센서의 계측 정확도를 평가하였다. 호흡기류 센서의 압력-기류 특성식을 산출하였으며, 인공호흡시에 인가되는 호흡기류신호와 유사한 6가지 파형을 표준기류생성시스템으로 생성하여 호흡기류 센서에 가하면서 기류신호를 측정하였다. 이 기류신호로부터 일회호흡용적과 최대기류값을 산출하였으며, 이를 표준기류생성시스템에 부착되어 있고 물리적으로 오차가 없는 선형변위센서로부터 측정한 용적신호에서 산출한 표준값과 비교하였다. 일회호흡용적의 상대오차는 3% 이내이었으며, 최대기류값은 약 5% 정도로서 충분히 정확한 기류 계측이 가능함을 확인하였다. 따라서 실제 응급상황에서 호흡기류 센서로 적용하여 응급 중환자의 호흡신호와 호흡주기별 진단변수들을 실시간으로 모니터링 할 수 있는 시스템에 활용 가능할 것으로 사료된다.

• Clinical and Experimental Pediatrics
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• 제49권4호
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• pp.446-450
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• 2006

Congenital central hypoventilation syndrome은 혈중 이산화탄소 증가와 저산소에 대한 자율 신경계와 호흡 조절 기능의 선천성 결함으로 호흡의 저환기가 주로 수면시에 발생하는 질환이다. 이는 신경 이주장애 질환(neurocristopathy)에 속한다고 알려져 있으며 선천성 거대결장 등의 질환과 잘 동반된다. 아직까지 확실한 완치법은 없는 상태이고 환아들은 평생을 환기 보조에 의존하여 생존해야 하며 적절한 환기 보조를 통해서 생존 기간을 연장할 수 있다. 저자들은 출생시부터 반복되는 수면시의 무호흡과 청색증이 있는 환아에서 congenital central hypoventilation 및 선천성 거대 결장이 동반된 1례를 경험하였기에 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제78권2호
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• pp.85-91
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• 2015

Background: In sepsis patients, target mean arterial pressures (MAPs) greater than 65 mm Hg are recommended. However, there is no such recommendation for patients receiving mechanical ventilation. We aimed to evaluate the influence of MAP over the first 24 hours after intensive care unit (ICU) admission on the mortality rate at 60 days post-admission in patients showing acute hypoxemic respiratory failure under mechanical ventilation. Methods: This prospective, multicenter study included 22 ICUs and compared the mortality and clinical outcomes in patients showing acute hypoxemic respiratory failure with high (75-90 mm Hg) and low (65-74.9 mm Hg) MAPs over the first 24 hours of admission to the ICU. Results: Of the 844 patients with acute hypoxemic respiratory failure, 338 had a sustained MAP of 65-90 mm Hg over the first 24 hours of admission to the ICU. At 60 days, the mortality rates in the low (26.2%) and high (24.5%) MAP groups were not significantly different. The ICU days, hospital days, and 60-day mortality rate did not differ between the groups. Conclusion: In the first 24 hours of ICU admission, MAP range between 65 and 90 mm Hg in patients with acute hypoxemic respiratory failure under mechanical ventilation may not cause significantly differences in 60-day mortality.

• 터널과지하공간
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• 제25권2호
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• pp.186-198
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• 2015

본 연구에서는 적정 소요환기량의 확보를 통한 갱내 환경의 최적화를 위한 기초연구로 갱내 소요환기량을 추정하였다. 채굴의 심부화 및 운행갱도의 증가로 인한 온도상승으로 작업환경이 점차 악화되는 광산에서 작업환경의 개선을 위하여 J광업소를 대상으로 환기평가를 하였으며 갱내의 환기효율을 증가시키기 위하여 갱도의 길이에 따른 온도에 대한 효과를 수치 해석하였다. 연구결과 J광업소의 소요환기량은 $17,831m^3/min$으로 산출되었으며, 실제 총 입기량은 $16,474m^3/min$로 환기량이 $1,357m^3/min$ 부족한 것으로 나타났다. 개발된 프로그램을 이용하여 J 광업소의 두 가지 개발모델에 관하여 온도 예측을 하였으며 온도계산의 기본 인자인 환기량 예측을 위해서 수치해석 프로그램인 VnetPC를 사용하였다. 실험 결과 첫 번째 개발모델인 -425ML을 전체 개발할 경우의 C 생산부 주운반갱도 9X의 온도는 $29.30^{\circ}C$로 예측되었으며 두 번째 모델인, A 생산부를 제외한 일부 지역만 개발할 경우의 온도는 $27.45^{\circ}C$로 예측되었다.

• 터널과지하공간
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• 제27권4호
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• pp.217-229
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• 2017

최근 국내의 탄광들은 오랜 가행으로 작업심도가 깊어지고 운행갱도가 길어지면서 지열에 의한 온도증가로 인하여 작업환경이 더욱 악화되고 있다. 갱내의 작업환경 개선을 위하여 A광업소를 대상으로 통기평가를 하였으며 갱내의 통기 효율을 증가시키기 위하여 통기전용수갱을 건설할 시에 온도 예측 프로그램인 CLIMSIM을 이용하여 온도에 대한 효과를 수치 해석하였다. A광업소의 필요 공기량은 $6,152m^3/min$으로 산출되었으며, 실제 총 입기량은 $4,710m^3/min$로 공기량이 $1,442m^3/min$ 부족한 것으로 나타났다. -395 ML에서 -488 ML까지 93 m 길이의 통기전용수갱을 건설하였을 시에 -488 ML 작업장의 온도가 현재보다 약 $3^{\circ}C$가 감소되었다. 인공신경망을 이용하여 -523 ML 개발시의 $CO_2$ 용출을 예측한 결과 채탄량과 탄층 두께가 증가할수록 $CO_2$의 발생량은 증가하였다. $CO_2$ 발생량에 가장 큰 영향을 주는 인자는 탄층 두께와 채탄량으로 나타났으며 통기량이 증가할수록 이산화탄소의 농도 저하에 큰 영향을 미치는 것으로 나타났다.

• 한국염색가공학회:학술대회논문집
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• 한국염색가공학회 2008년도 제39차 학술발표회
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• pp.149-150
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• 2008

인체에 무해한 친환경 소재인 TPU수지를 인조합성피혁에 채용하여 기존에는 없던 통기성을 부여하였으며 PU 소재의 제품보다 내가수분해성이 뛰어나면서 기본물성이 우수한 고감성 인조합성 피혁 제품을 개발하였다.

• 한국염색가공학회:학술대회논문집
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• 한국염색가공학회 2011년도 제45차 학술발표회
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• pp.33-33
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• 2011

Artificial silk that called "Ponggi (Gyeongsangbukdo, Korea) In-Gyeun" in Korea is entirely viscose rayon of which made main component refined larches and cotton linter. It also is natural fabrics with light weight, cool texture, free from the body and well ventilation property, so, feel good touch during the wearing. In addition, it often used as summer cloth and bedding because it has good absorbancy to perspiration and antistatic. The "Hanji", made of paper mulberry, is known as useful material for human. In this research focused on dyeability of Artificial silk/paper mulberry mixed fabrics using Dendropanax morbifera Lev.(called as "Hwangchil") Especially, the results were in comparison to the dyeing properties of Hwangchil with liquid/solid fermentation or not. As the results, The ${\Delta}E$ difference was dominated when the fabric dyed with fermentation by solid state at $60^{\circ}C$. And it was confirmed that the pH of fermented dye had an important influence in the coloration.

• Journal of Chest Surgery
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• 제17권3호
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• pp.409-417
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• 1984

In the early days of open heart surgery, acute respiratory failure following extracorporeal circulation was a significant deterrent to an uncomplicated recovery. Although a marked improvement in prevention and treatment of postoperative respiratory failure has been achieved, the problem has not been completely eliminated and continues to be a causative factor in morbidity and mortality Fates following open heart surgery. We have attempted to evaluate postoperative respiratory failure in patients undergoing cardiac operation with the aid of extracorporeal circulation. Our series comprised 92 patients who underwent elective open heart surgery at the Department of Thoracic and Cariodvascular Surgery, School of Medicine, Kyungpook National University, from January, 1980 to December, 1982. In our study, the overall incidence of acute respiratory failure following open heart surgery was 18.8 percent. The duration of extracorporeal circulation in a series of 18 patients who developed postoperative respiratory failure [Group B] was longer in the mean value [120.3 minutes] than the uncomplicated 74 patients [Group A] [85.8 minutes]. The duration of artificial ventilation after open heart surgery in Group A averaged 13.4 hours as contrasted with 76.5 hours in Group B. In Group B, the inspired oxygen concentration [FiO2] in artificial ventilation was continued in the higher level than Group A until 18 hours after operation. Upon pulmonary function test performed pre-and postoperatively, residual volume[RV], RV/TLC and FEV 1.0/FVC were remained essentially unchanged following extracorporeal circulation, whereas forced vital capacity [FVC], FEV 1.0 and FEF 25-75% were significantly decreased in the early postoperative days. The incidence of acute respiratory failure was significantly higher in a series of patients who developed postoperative complications, such as re- exploration due to massive bleeding, low cardiac output, acute renal failure and arrhythmias. A total of 9 patients died, giving an overall mortality was 33.3 percent whereas the mortality was only 1.1 percent for patients without respiratory failure.

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