• Tuberculosis and Respiratory Diseases
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• 제79권4호
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• pp.289-294
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• 2016

Background: The aim of our study was to evaluate the prognostic value of Charlson's weighted index of comorbidities (WIC) in patients with prolonged acute mechanical ventilation (PAMV, ventilator care ${\geq}96$ hours). Methods: We retrospectively enrolled 299 Korean PAMV patients who were admitted in a medical intensive care unit (ICU) of a university-affiliated tertiary care hospital between 2008 and 2013. Survivors were defined as patients who survived for 60 days after ICU admission. Results: The patients' mean age was $65.1{\pm}14.1$ years and 70.6% were male. The mean ICU and hospital length of stay was $21.9{\pm}19.7$ and $39.4{\pm}39.1$ days, respectively. In addition, the 60-day mortality rate after ICU admission was 35.5%. The mean WIC was $2.3{\pm}1.8$, with significant differences between nonsurvivors and survivors ($2.7{\pm}2.1$ vs. $2.1{\pm}1.7$, p<0.05). The area under the curve of receiver-operating-characteristics curve for WIC was 0.593 (95% confidence interval [CI], 0.523-0.661; p<0.05). Based on Kaplan-Meier curves of 60-day survival, WIC ${\geq}5$ had statistically lower survival than WIC <5 (logrank test, p<0.05). In a multivariate Cox proportional hazard model, WIC ${\geq}5$ was associated with poor prognosis (hazard ratio, 1.901; 95% CI, 1.140-3.171; p<0.05). The mortality rate of patients with WIC ${\geq}5$ was 54.2%. Conclusion: Our study showed a WIC score ${\geq}5$ might be helpful in predicting 60-day mortality in PAMV patients.

• Current Research on Agriculture and Life Sciences
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• 제15권
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• pp.69-81
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• 1997

세계적(世界的)으로 양잠지역(養蠶地域)에서 큰 피해를 주는 핵다각체병(核多角體病)은 양잠현장(養蠶現場)에서 잠실(蠶室) 잠구류(蠶具類)의 철저한 포르말린 소독에도 불구하고 예방효과가 의문시(疑問視)되는 경우가 발생하며, 이는 병원체의 존부(存否) 만으로 본 질병(疾病)의 만연(蔓延)이 설명될 수 없기 때문이라는 사실을 실험병리학적(實驗病理學的)으로 입증(立證)하였다. 핵다각체병(核多角體病)의 발생(發生)을 조장(助長)하는 불량(不良) 환경요인(環境要因)을 파악하기 위하여 1979년부터 1993년 까지 15년간 한국 일본 필리핀 등지에서 57건의 사육사례를 조사하였다. 환경상태(環境狀態)와 발병사례(發病事例)의 연관성을 분석하므로써 발병생리(發病生理)와 관련된 환경요인(環境要因)을 해명한 결과, 고름병 발생빈도(發生頻度)는 상엽육과 인공사료육 간에 비슷한 경향을 나타내었고, 잠실 잠구류의 소독(消毒)방법에서는 포르말린 소독(消毒) 여부(與否)에 따른 차이가 인정되지 않았다. 교잡종(交雜種)은 원종(原種)보다 핵다각체병(核多角體病) 발생율이 다소 높은 수준이었으며, 특히 애누에때 부터 장기간 통기불량(通氣不良)인 사육환경에서는 발병률(發病率)이 현저하게 높았다. 또한, 1993년부터 1997년 까지 5년간의 실증시험(實證試驗)에서는 잠실(蠶室) 및 잠구류(蠶具類)의 청소와 사육실의 강제순환식(强制循環式) 환기(換氣)로 사육환경을 개선하므로써 인체(人體)에 유해(有害)한 농약을 사용하지 않고도 누에 핵다각체병(核多角體病) 발생을 효율적으로 제어할 수 있음을 입증(立證)하였다.

• 교육녹색환경연구
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• 제6권2호
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• pp.66-90
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• 2007

The purpose of this study is to measure and analyze primary causes of indoor air pollution, including carbon dioxide, minute dust, and total volatile organic compounds, for each room before the beginning of a class through the time of discharge after the end of the class in general classrooms, computer rooms, and science rooms of three newly-established schools that opened in 2006, examine properties of indoor air environment in each room by educational activities at school, and determine effective management schemes; the results of this study can be summarized as follows: 1) As for implications for each item found in the mean for each place, since minute dust (PM10) was more likely to occur in time slots full of students' activities, such as a traveling class and a recess, than in the middle of a class and could be expected fully, it is necessary to make a scheme for cleaning in order to reduce minute dust within a room, for example, by usually using a vacuum cleaner indoors. 2) While carbon dioxide was expected to vary with the differences in the amount of breath between higher-graders and lower-graders in a general classroom but showed insignificant difference by grades, showing differences in pollution by four times at a maximum according to the opening of a window as expected, it is necessary to implement artificial or natural ventilation and take a positive measure, for example, by presenting a concrete ventilation scheme, in order to improve indoor air pollution at a room practice. 3) Total volatile organic compounds were found to exceed the standard by more than twice in general classrooms, science rooms, and computer rooms of the schools because of building materials, furnitures including desks and chairs, panels and boards for environment beautification, and items which could be detected even from students' clothes; while a field directly-reading tool was used, obtaining high reliability for the results, it is necessary to apply an analytical method based on process test separately for actual correct measurement if a significantly great amount of total volatile organic compounds appear as compared with other schools due to measuring expenses and consecutive measurements. 4) Since formaldehyde (HCHO) was generally found to exceed the standard in general classrooms, science rooms, and computer rooms, it is necessary to establish and operate a ventilator during a class in a computer room which requires airtightness and a science room in which an organic compound should be used for a class.

• Tuberculosis and Respiratory Diseases
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• 제78권4호
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• pp.336-340
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• 2015

Background: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of UE and its impact on clinical outcomes in patients with MV in a medical ICU (MICU). Methods: We retrospectively evaluated MICU data prospectively collected between December 2011 and May 2014. Results: A total of 468 patients were admitted to the MICU, of whom 450 were on MV. Of the patients on MV, 30 (6.7%) experienced UE; 13 (43.3%) required reintubation after UE, whereas 17 (56.7%) did not require reintubation. Patients who required reintubation had a significantly longer MV duration and ICU stay than did those not requiring reintubation ($19.4{\pm}15.1days$ vs. $5.9{\pm}5.9days$ days and $18.1{\pm}14.2days$ vs. $7.1{\pm}6.5days$, respectively; p<0.05). In addition, mortality rate was significantly higher among patients requiring reintubation than among those not requiring reintubation (54.5% vs. 5.9%; p=0.007). These two groups of patients exhibited no significant differences, within 2 hours after UE, in the fraction of inspired oxygen, blood pressure, heart rate, respiratory rate, and pH. Conclusion: Although reintubation may not always be required in patients with UE, it is associated with a poor outcome after UE.

• 보존과학연구
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• 통권31호
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• pp.103-120
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• 2010

Most of the important stone cultural heritage (National treasures and Treasures) in Korea are mainly located outdoor and considerably affected by the changes of the temperature, humidity and rainfalls. 541 of the stone cultural heritage are preserved as National treasure and Treasure. The pagodas occupy 187 remains and next 127 Buddha statues, 68 monuments, 60 stupas, and the others 74 stone cultural heritages. The shelter has been installed for one pagoda, 60 Buddha statues, 36 monuments and two stupas. The shelters are categorized in three shapes as traditional shape, modern shape, and others (tradition+modern). Approximately 100 of shelters that have constructed in traditional ways, and about nine of shelters have modern ways, and the only one has the combination shape of tradition and modern, which has been constructed since mid 1900s and repaired from the 1980s~2000s. Many researchers are studying for improvement of manners such as repairing, remodeling or removing of the shelter because problems have occured on shelters. Architectural form of traditional style of Korean timber building is respected, but it has problems on importing natural sunlight to the inside as well as ventilation and spacial problems. However, it needs to supplement policies to improve the positive roles of shelters such as prevention of artificial damage, blocking acid rain, and so on. For instance, the rock-carved Buddha Triad in Seosan, it had problems with viewing, contamination, and dew condensation on the surface. These problems decreased after dismantling the shelter, the space was made for improvement of viewing and dew condensation, and moisture problems were in better conditions. The velocity wind is an important factor in drying conditions on the surface of the rock, therefore the condition has improved after dismantling the shelter.

• Journal of Chest Surgery
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• 제30권10호
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• pp.1010-1014
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• 1997

다발성 늑골골절 환자의 치료시 Judet씨의 struts를 사용한 늑골고정 술 유효성을 알아보기 위해 1995년 12 월부터 1996년 12월까지 1년 1개월 동안 천안 충무병원에서 치험한 Judet씨 struts를 사용하여 늑골고정술을 시행한 30명의 환자를 대상으로 임상분석을 시행하였다. 외과적 늑골고정 술의 대상은 다발성 늑골골절에 동 요흉이 동반된 경우가 14r11,분쇄골절을 포함하여 늑골의 전위가 심했던 경우가 8례, 그리고 흉강내 장기의 손상으로 심한 혈흉이나 혈기흉이 동반되어 수술중 부수적으로 시행됐던 경우가 7례였다. 수술후 환자의 상 태는 비교적 양호하여 단지 1례만이 술후 5일간 인공호흡이 요했으며,술후 합병증으로 혈기흉이 2례, 알코 올 금단현상에 의한 진전섬망이 2례, 그리고 간염이 1례 있었고, 입원기간 역시 짧아 흉곽외 타장기의 손상이 없는 경우에 평균 10.5일로 조기퇴원이 가능하였다. 이상의 결과로 Judet씨 struts를 사용한 늑골고정술은 흉곽의 안정성을 조기에 확보하여 치료기간을 단축시킬 뿐만 아니라 흉곽의 변형에 의한 폐활량의 감소 및 흉통의 예방에 기여할 것으로 예상되나, 향후 더 많은 치료방법에 대한 비교연구가 요\ulcorner 것으로 생각된다.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5950-5957
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• 2012

흉부압박의 중단을 최소화하는 심폐소생술은 환자의 생존율 향상을 위한 중요한 요소이다. 본 연구의 목적은 이동 중 주들것에서 보조발판(C-step) 장착 여부에 따른 심폐소생술 정확도 및 오류를 파악하는 데 있다. 연구대상자는 C도 10개 소방서에 근무하고 있는 1급 응급구조사 70명(대조군 35명, 실험군 35명)으로 주들것에서 심폐소생술 정확도가 측정되었다. 연구결과 C-step을 적용한 주들것에서 심폐소생술은 적절한 흉부압박 높이와 안정된 자세를 제공해 흉부압박 정확도를 높이고(t=65.104, p=.000), 인공호흡 시 적절한 환기량을 공급하여 인공호흡 정확도를 높이며(t=5.207, p=.000) 심폐소생술 자신감 또한 향상시키는 것으로 나타났다(t=-10.612, p=.000). 결론적으로 주들것에 C-step 장착은 고품질의 심폐소생술(high quality CPR)을 충실히 수행해 심정지 환자의 생존율을 높이는데 도움이 될 것으로 사료된다.

• 한국융합학회논문지
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• 제8권11호
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• pp.439-445
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• 2017

본 연구는 최근 화장품 유해성분에 관한 이슈를 끊임없이 제기되면서 네일 제품에서 발생할 수 있는 유해물질 인체 노출 저감을 위한 안전관리 방안 마련을 목적으로 국내외 문헌고찰을 통해 네일 제품의 안전 표시 기준 현황을 비교 분석하고, 네일 제품 내 유해물질 허용 기준치 초과 사례를 파악하였다. 연구 결과 국내 유통된 인조 손톱 접착제와 네일팁에서 각각 톨루엔 40.3배, 클로로포름 22.8배, 안티몬 15.4배 초과 검출되었다. 선진국은 다양한 정책연구 및 법제화를 통해 작업장 물질안전보건자료 제공 및 환기 장치 설치 등을 의무화하고 있으나 국내에서는 별도의 안전 기준이 없어 네일 제품을 통한 유해물질 인체 노출이 심각한 상황이다. 따라서 네일 제품 작업환경 종사자 소비자 각각의 특성에 맞게 세부 네일 유해물질 안전관리 규정이 우선적으로 정립되어야 하고, 이에 따른 다양한 교육 프로그램 개발 및 보급을 통해 유해물질 화장품에 대한 인지도를 제고한다면 국민의 질병예방 및 건강증진의 융복합적 차원에 기여할 수 있을 것이다.

• KIEAE Journal
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• 제13권5호
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• pp.43-50
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• 2013

Recent researches on plant factory system deal with the convergence of lighting technology, agricultural technology inclusive to the high-tech industries worldwide in order to respond to the decreasing crop harvest due to global warming and abnormal weather phenomena. However, the fundamental performance standard is not currently being introduced in the case of plants factory and its commercialization is not activated because of high initial investment and operating cost. Large portion of the initial investment and operating cost of a plant factory is ascribed to artificial light sources and thermal control facilities, therefore, innovation should be provided in order to improve the economics of the plant factory. As an alternative, new plant factory could harness solar thermal and geothermal systems for heating, cooling and ventilation. In this study, a natural light dependent multi-layer plant factory's thermal environment was analyzed with two-dimensional numerical methods to elicit efficient operation conditions for optimized internal physical environment. Depending on the supply air temperature and airflow rate introduced in the facility, the temperature changes around the crops was interpreted. Since the air supplied into the plant factory does not stay long enough, the ambient temperature predicted around the plating trays was not significantly different from that of the supplied air. However, the changes of airflow rate and air flow pattern could cause difference to the temperature around the planting trays. Increasing the amount of time of air staying around the planting trays could improve energy performance in case the thermal environment of a natural light based multi-layer plant factory is considered.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2008년도 제39회 하계학술대회
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• pp.1971-1972
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• 2008

Cardiopulmonary resuscitation(CPR) is an important clinical technique performing artificial ventilation and chest compression on a patient under emergent situation before arriving in hospital. Since the quality of CPR significantly affects the survival rate, it would be of great advantage to monitor respiration in real time during CPR. However, currently applied respiratory air flow transducers are difficult to apply with sensing elements in the middle of the flow axis. The present study developed a new turbulent air flow transducer conveniently applicable to CPR. Abrupt changes in diameter of the flow tube generated turbulence in air flow, thereby pressure difference was obtained to estimate the air flow rate, with no physical object on the flow plane. Expiration and inspiration were separated by the direction of the pressure difference, resulting in good symmetry. Pressure-flow relationship was tested on a quadratic model, which provided accurate enough estimation results. Therefore, the present turbulent air flow transducer seemed appropriate to monitor respiration during CPR.