• 한국지구물리탐사학회:학술대회논문집
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• 2003.11a
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• pp.252-254
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• 2003

In this study, it was purposed to develop the new method for the prediction of pollutant concentration in road tunnels. The new method was the use of artificial neural network with the back-propagation algorithm which can model the non-linear system of tunnel environment. This network system was separated into two parts as the visibility and the CO concentration. For this study, data was collected from two highway road tunnels on Yeongdong Expressway. The tunnels have two lanes with one-way direction and adopt the longitudinal ventilation system. The actually measured data from the tunnels was used to develop the neural network system for the prediction of pollutant concentration. The output results from the newly developed neural network system were analysed and compared with the calculated values by PIARC method. Results showed that the prediction accuracy by the neural network system was approximately five times better than the one by PIARC method. ill addition, the system predicted much more accurately at the situation where the drivers have to be stayed for a while in tunnels caused by the low velocity of vehicles.

• Annals of Clinical Neurophysiology
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• v.7 no.1
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• pp.28-30
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• 2005

Bilateral brachial neuritis is clinically uncommon and accidentally involvement of bilateral phrenic nerves is rarely reported. We experienced a 26 year old man who developed subacute onset of asymmetric bilateral shoulder and arm weakness. The weakness slowly aggravated and finally suffered from dyspnea due to bilateral phrenic nerve palsy. Cervical spine MRI and CSF study showed no abnormality. Viral markers and other serological test showed no specific finding. Electromyographic study showed bilateral brachial axonal polyneuropathy with cervical and upper thoracic polyradiculopathy. And bilateral phrenic nerve conduction study showed no resopnse. He showed no improvement for 10 months after treatment and managed with continuous artificial ventilation. We report a case of idiopathic bilateral brachial neuritis accidentally involving bilateral phrenic nerves.

• KIEAE Journal
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• v.9 no.6
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• pp.19-26
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• 2009

In modern architecture, the air-tight construction aimed at saving the energy rather causes ventilation problems and the artificial materials for cost reduction worsen the residential quality. To deal with such negative effect, the study on evaluating the health performance becomes increasingly critical. Among the various factors such as design quality, selected material, construction method and mechanical system that shall be subject to evaluation to identify the health performance of the building, the study was aimed at investigating the legal standards associated with healthy building in various countries. Such evaluation items will provide inputs for an attempt to build legal criteria for a building health performance rating system in Korea.

• Architectural research
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• v.19 no.2
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• pp.45-52
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• 2017

Recently, as a new perspective to view the architecture in relation to global environmental problems, interest in environmental architecture that conforms to the surrounding environment and nature with nature has been expanded as a part of the natural ecosystem, rather than seeing the building as an independent entity. Traditional Korean architecture creates a comfortable indoor environment by appropriately using the natural energy around, ranging from the arrangement of the building and the space composition to the use of detailed materials and to harmonize the artificial architectural environment without harming the natural ecosystem. The purpose of this study is to propose a method to apply the environmental control techniques of traditional buildings to modern buildings. As a research method, the characteristics of Korean traditional buildings according to the climatic characteristics of Korea were recognized through existing literature data and when applied to methods of traditional buildings, ventilation systems, control through eaves, and humidity control using Hanji the effect of energy load control on traditional buildings was analyzed and identified through existing literature. After analyzing the problems of modern architecture, we analyzed the effect of the environmental control system of traditional architecture on modern architecture. Simulation results show that the application of the environmental control system of traditional buildings to modern buildings reduces the cooling and heating load of modern buildings and has an effect on humidity control. This study suggests that quantitative energy saving will be possible if the environmental control techniques of traditional buildings are appropriately applied to modern buildings.

• Journal of radiological science and technology
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• v.45 no.1
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• pp.41-47
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• 2022

The purpose of this study is to apply a deep learning model that can distinguish lung perfusion and lung ventilation images in nuclear medicine, and to evaluate the image classification ability. Image data pre-processing was performed in the following order: image matrix size adjustment, min-max normalization, image center position adjustment, train/validation/test data set classification, and data augmentation. The convolutional neural network(CNN) structures of VGG-16, ResNet-18, Inception-ResNet-v2, and SE-ResNeXt-101 were used. For classification model evaluation, performance evaluation index of classification model, class activation map(CAM), and statistical image evaluation method were applied. As for the performance evaluation index of the classification model, SE-ResNeXt-101 and Inception-ResNet-v2 showed the highest performance with the same results. As a result of CAM, cardiac and right lung regions were highly activated in lung perfusion, and upper lung and neck regions were highly activated in lung ventilation. Statistical image evaluation showed a meaningful difference between SE-ResNeXt-101 and Inception-ResNet-v2. As a result of the study, the applicability of the CNN model for lung scintigraphy classification was confirmed. In the future, it is expected that it will be used as basic data for research on new artificial intelligence models and will help stable image management in clinical practice.

• Clinical and Experimental Pediatrics
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• v.49 no.11
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• pp.1194-1201
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• 2006

Purpose : The comatose mentality can be catastrophic, especially if the condition is severe or the duration is prolonged. Therefore, delayed diagnosis can result in a poor outcome or death. The best radiologic modality to differentiate from cerebral lesions in patients suffering from cerebral diseases is magnetic resonance imaging (MRI) rather than computed tomography (CT). Special apparatuses with metal materials such as ventilators, and cardiac pacemakers belonging to patients cannot be located in the magnetic field. We aimed to exhibit the possibility of examining MRI, maintaining ventilation at a relative long distance by means of modified $Ambu^{(R)}$. Methods : Self-inflating bags as a sort of a manual ventilator, connected with relatively long extension tubes instead of mechanical ventilators, were adopted to obtain MRI. PVC (polyvinyl chloride) extension tubes had different lengths and diameters. Lengths were 1, 2, and 3 cm and diameters were 15, and 25 mm. The work of breathing and expiratory changes of expiratory tidal volume (TVe), minute volume of expiration (MVe), peak inspiratory pressure (PIP) were measured by use of the mechanical ventilator, $Servoi^{(R)}$, as the alteration of TVi (inspiratory tidal volume), extension tube lengths and diameters with other values fixed. Results : Measured TVe and MVe by ventilator were the same values with control at every TVi, regardless of extension tube lengths and diameters, but PIP were increased with the rise of TVi, tube lengths, with decline of tube diameters, these were statistically significant. Conclusion : MRI examination can be carried out with a self-inflating bag connected with an extension tube at a long distance in patients who need artificial ventilation.

• The Korean Society of Law and Medicine
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• v.17 no.2
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• pp.257-279
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• 2016

Recently, the Well-dying Act was legislated in Korea, and it will come into effect in August 4, 2017. This Act allows to withdraw the life sustaining treatment from impending death patients and also provide the hospice and palliative treatment to terminal patients. In the Supreme Court's case so called "Madam Kim", medical condition of Madam Kim was a persistent vegetative status owing to brain damage and her family members wanted to remove the artificial ventilation. In 2009, the Supreme Court allowed to withdraw the artificial ventilation under the specific conditions. We applied this new Well-dying Act to the Madam Kim's case hypothetically in order to know this Act can reasonably solve the problem of life sustaining treatment for dying or terminal patients. For the impending patients, the Well-dying Act has the problem not to withdraw the futile treatment due to the advance directives of patients. Vice versa, the terminal patients have no chance to withdraw the life sustaining treatment due to the this Act impose the duty to provide the hospice and palliative treatment despite of advance directives. We need to ruke out the persistent vegetative patients from the terminal patients caused by the cancer, acquired immune deficiency syndrome, chronic obstructive lung disease and chronic liver cirrhosis, In addition, we have to discuss the effect of the advance directives of terminal patients in view of self determination right.

• Tuberculosis and Respiratory Diseases
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• v.72 no.2
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• pp.149-155
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• 2012

Background: This study is to evaluate the effect of systemic corticosteroid on the clinical outcomes and the occurrence of complications in mechanical ventilated patients with severe community-acquired pneumonia (CAP). Methods: We retrospectively assessed the clinical outcomes and complications in patients with severe CAP admitted to ICU between March 1, 2003 and July 28, 2009. Outcomes were measured by hospital mortality after ICU admission, duration of mechanical ventilation (MV), ICU, and hospital stay. Complications such as ventilator associated pneumonia (VAP), catheter related-blood stream infection (CR-BSI), and upper gastrointestinal (UGI) bleeding during ICU stay were assessed. Results: Of the 93 patients, 36 patients received corticosteroids over 7 days while 57 patients did not receive corticosteroids. Age, underlying disease, APACHE II, PSI score, and use of vasopressor were not different between two groups. In-hospital mortality was 30.5% in the steroid group and 36.8% in the non-steroid group (p>0.05). The major complications such as VAP, CR-BSI and UGI bleeding was significantly higher in the steroid group than in the non-steroid group (19.4% vs. 7%, p<0.05). The use of steroids and the duration of ICU stay were significantly associated with the development of major complications during ones ICU stay (p<0.05). Conclusion: Systemic corticosteroid in patients with severe CAP requiring mechanical ventilation may have no beneficial effect on clinical outcomes like duration of ICU stay and in-hospital mortality but may contribute to the development of ICU acquired complications.

• Journal of Bio-Environment Control
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• v.14 no.1
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• pp.29-37
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• 2005

In order to provide fundamental data on utilization of dehumidifier in greenhouses, a condensing type dehumidifier using ground water as a coolant was developed and tested dehumidification performance. The developed dehumidifier was applied to greenhouse with fog cooling system and effect of dehumidification on improvement of evaporative cooling efficiency was analyzed. Results of the dehumidifier performance test showed that dehumidification using ground water as a coolant was sufficiently possible in fog cooling greenhouse. When the set point temperature of greenhouse cooling was $32^{\circ}C$ and as temperatures of ground water rose from $15^{\circ}C\;to\;18^{\circ}C,\;21^{\circ}C\;and\;24^{\circ}C$, dehumidification rates decreased by $17.7\%,\;35.4\%\;and\;52.8\%$, respectively. As flow rates of ground water reduced to $75\%\;and\;50\%$, dehumidification rates decreased by $12.1\%\;and\;30.5\%$, respectively. Cooling efficiency of greenhouse equipped with fog system was distinctly improved by artificial dehumidification. When the ventilation rate was 0.7 air exchanges per minute, dehumidification rates of the fog cooling greenhouse caused by natural ventilation were 53.9%-74.4% and they rose up to 75.4%-95.9% by operating the dehumidifier. In case of using the ground water of $18^{\circ}C$ and flow rate of design condition, it was analyzed that whole fog spraying water can be dehumidified even if the ventilation rate is 0.36 exchanges per minute. As a utilization of dehumidifier, it is possible to improve cooling efficiency of fog system in naturally ventilated greenhouses.

• Tuberculosis and Respiratory Diseases
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• v.69 no.2
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• pp.103-107
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• 2010

Background: The aim of the present study was to evaluate whether findings on initial chest computed tomography (CT) of influenza pneumonia can help predict clinical outcome. Methods: We reviewed all adult patients admitted to the Emergency Department (ED) with a confirmed diagnosis of novel influenza A H1N1 virus (2009 H1N1) pneumonia, who underwent chest CT upon admission between Aug 26, 2009 and Jan 31, 2010. Radiologic findings were characterized by type and pattern of opacities and zonal distribution. Clinical outcome measures were intensive care unit (ICU) admission, mechanical ventilation, and inhospital death. Results: Of 59 patients diagnosed with 2009 H1N1 pneumonia, 41 (69.5%) underwent chest CT on admission into ED. Nine (22%) of these patients developed adverse clinical outcomes requiring the following treatments: 9 (22.0%) ICU admissions, 5 (12.2%) mechanical ventilation, and 3 (7.3%) inhospital deaths. Counting the number of patients with more than 4 involved lobes, the sensitivity, specificity, positive predictive value, and negative predictive value for detection of adverse clinical outcome were 67%, 84%, 55% and 80%, respectively. Conclusion: Extensive involvement of both lungs (over 4 lobes) is related to ICU admission, mechanical ventilation, and inhospital death. Initial chest CT may help predict an adverse clinical outcome of patients with 2009 H1N1 influenza pneumonia.