• Journal of Korean Society of Environmental Engineers
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• v.28 no.10
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• pp.1065-1073
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• 2006

The unturned carbon in fly ash, recently occurred in the coal-fired Yong Hung power station, caused some problems in ash utilization and boiler efficiency. This paper describes the analysis of unburned carbon and six coals, some tests performed at Yong Hung Boiler, and the results of combustion modification for the reduction of unburned carbon in fly ash. From the physical and chemical analysis of unburned carbon in fly ash, most particles were turned out to be hollow cenosphere and agglomerated soot particles. The sooting potential from six coals used in the plant were investigated with CPD(Chemical Percolation Devolatilization) model. The results showed that the higher potential was presented to Peabody, Arthur, Shenhua coals rather than other coals. It was necessary to measure the coal flow rates at each coal feeding pipe for four burner levels since they affect the extent of mixing of soot with oxidant, in turn, the oxidation rate of soot particles. The unbalance in coal flow rate was found in several coal pipes. We successfully reduced unturned carbon in ash by increasing the excess air and changing the SOFA's yaw angle.

• Defense and Technology
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• no.7 s.281
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• pp.28-37
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• 2002

지난 반세기 동안 주한미군은 한반도 안보에 결정적 역할을 수행해 왔따. 그러나 변화하는 안보환경은 국민의 주한미군에 대한 인식에 영향을 미치고 나아가 주한미군의 주둔과 관련 문제들에 영향을 미치고 있따. 한국측에서는 주한미군의 지위를 법적으로 규정하고 있는 '한미행정협정(SOFA)' 의 주한미군 범죄, 환경, 한국인 근로자 노무 규정 등과 관련하여 다양한 불만의 목소리가 나오고 있다. 또한 주한미군측 역시 나름대로 한국 주둔에 따르는 불편함을 호소하고 있는데, 그 대표적인 것이 '주택문제'이다. 이러한 문제들은 단시일 내에 해결되기 어려운 특성을 지니고 있으나 주한미군의 안정적 주둔을 위해서는 반드시 해소되어야 될 과제로 여겨진다.

• Proceedings of the Korea Institute of Fire Science and Engineering Conference
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• 2008.04a
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• pp.44-47
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• 2008

This paper evaluated the fire characteristics by using furniture calorimeter. Fire property assessment using the furniture calorimeter showed that the heat release rate is maximum 1,600 kW, maximum CO is 0.261%, maximum CO2 is 2.597%, while for the sofa for one person, the maximum heat release rate is approx. 531.5 kW, max. CO is 0.102%, and max. CO2 is 1.011%.

• The Science & Technology
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• v.34 no.4 s.383
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• pp.38-40
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• 2001

녹색연합은 (상임대표 박영신 -한국사회학연구소 부소장) 91년 창립된 '배달환경연구소"와 '푸른 한반도 되찾기 시민모임'이 모체가 되어 94년에 통합, 96년 '녹색연합'으로 이름을 바꿔 오늘에 이른 환경지킴이이다. 녹색연합은 97년 '대만핵폐기물 북한반입 반대운동'을 펼쳐 세계적인 뉴스가 되었으며 최근에는 미군의 한강 독극물사건을 폭로하여 SOFA 개정의 열기를 불러일으켰다. 녹색연합은 인간과 자연이 생태계 안에서 더불어 살아가는 21세기를 환경의 세기로 열어갈 것을 다짐하고 있다.

• Journal of The Korean Society of Clinical Toxicology
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• v.12 no.1
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• pp.14-21
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• 2014

Purpose: The objective of this study was to develop a new scoring tool that is comprehensively applicable and predicts fatality within 24 h of intoxication. Methods: This was a cohort study conducted in two emergency medical centers from 2011 to 2012. We identified factors associated with severe/fatality. Through a discriminant analysis, we devised the aBIG (age, Base deficit, Infection, and Glasgow coma scale) score. To compare the ability of aBIG to predict intoxication severity with that of previous scoring systems such as APACHE II, MODS, SAPS IIe, and SOFA, we determined the receiver operating characteristic curves of each variable in predicting severe-to-fatal toxicity. Results: Compared with the mild/moderate toxicity group (n=211), the severe/fatal group (n=143) had higher incidences of metabolic acidosis, infection, serious mental change, QTc prolongation and hepato-renal failure. Age, base deficit, infection-WBC count, and Glasgow Coma Scale were independently associated with severe/fatal poisoning. These variables were combined into the poisoning "aBIG" score [$0.28{\times}$Age group+$0.38{\times}WBC$ count/$10^3+0.52{\times}$Base deficit+$0.64{\times}$(15-GCS)], which were each calculated to have an area under the curve of 0.904 (95% confidence interval: 0.868-0.933). The aBIG poisoning score had an equivalent level of severity predictability as APACHE II and a superior than MODS, SOFA, and SAPS IIe. Conclusion: We developed a simplified scoring system using the four variables of age, base deficit, infected leukocytosis, and GCS. The poisoning aBIG score was a simple method that could be performed rapidly on admission to evaluate severity of illness and predict fatal severity in patients with acute intoxications.

• Journal of Chest Surgery
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• v.51 no.2
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• pp.109-113
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• 2018

Background: Low cardiac output syndrome (LCOS) after cardiac surgery usually requires inotropes. In this setting, critical illness-related corticosteroid insufficiency (CIRCI) may develop. We aimed to investigate the clinical features of CIRCI in the presence of LCOS and to assess the efficacy of steroid treatment. Methods: We reviewed 28 patients who underwent a rapid adrenocorticotropic hormone (ACTH) test due to the suspicion of CIRCI between February 2010 and September 2014. CIRCI was diagnosed by a change in serum cortisol of <$9{\mu}g/dL$ after the ACTH test or a random cortisol level of <$10{\mu}g/dL$. Results: Twenty of the 28 patients met the diagnostic criteria. The patients with CIRCI showed higher Sequential Organ Failure Assessment (SOFA) scores than those without CIRCI ($16.1{\pm}2.3$ vs. $11.4{\pm}3.5$, p=0.001). Six of the patients with CIRCI (30%) received glucocorticoids. With an average elevation of the mean blood pressure by $22.2{\pm}8.7mm\;Hg$ after steroid therapy, the duration of inotropic support was shorter in the steroid group than in the non-steroid group ($14.1{\pm}2.3days$ versus $30{\pm}22.8days$, p=0.001). Three infections (15%) developed in the non-steroid group, but this was not a significant between-group difference. Conclusion: CIRCI should be suspected in patients with LCOS after cardiac surgery, especially in patients with a high SOFA score. Glucocorticoid replacement therapy may be considered to reduce the use of inotropes without posing an additional risk of infection.

• Fire Science and Engineering
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• v.10 no.4
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• pp.19-27
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• 1996

The objective of this research is to study on the upper layer temperature, interface height and flow regime in case of several furniture fires such as trashcan, chair, carpet, sofa, mattress and wardrobe as a fire starter in a residential room by performing the experimental studies. The upper layer temperature and the Interface height were relatively well agreed with the experimental results when the flow coefficient at the opening was 0.65-0.8 for the rectangular trashcan, 0.65-0.9 for the circular trashcan and chair, and 0.7-0.9 for the carpet, sofa, mattress and wardrobe. The interface heights for the seven furniture fires were around 1[m] maintaining steady state. However, at the time of the maximum temperature, the interface height was lowered to 0.25[m]-0.75[m] from the floor. The flow regime at the opening was filling and buoyant for the distributed fire, and for the concentrated fire it was filling and then quickly changed to flow, and the flow period was long. The descending speed of the interface height was proportioned to the inflammability of the furniture and the contact surface area with air. The time required to come down around 1[m] was within 1-3 minutes.

• Journal of Trauma and Injury
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• v.28 no.3
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• pp.104-107
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• 2015

Purpose: Nitric oxide (NO) is a vasodilator and inhaled NO (iNO) is used in acute respiratory distress syndrome (ARDS) to improve alveolocapillary gas exchange. The mechanism to improve oxygenation is likely to redistribute blood flow from unventilated areas to ventilated areas. Though improvement of oxygenation, iNO therapy has not been shown to improve mortality and considered as only rescue therapy in severe hypoxemia. We conducted the study to investigate an efficacy of iNO in trauma patients with severe hypoxemia. Methods: We reviewed the trauma patients who underwent iNO therapy retrospectively from 2010 to 2014. Degree of hypoxemia was represented as $PaO_2/FiO_2$ ratio (PFR) and the severity of patient was represented with sequential organ failure assessment (SOFA) score. Patients were divided into the survivor group and non-survivor group according to the 28-day mortality. Results: A total of 20 patients were enrolled. The mortality of 28-day was 40%. There were no significant differences between survivor and non-survivor group in age, sex, severity of injury, PFR and SOFA score. There was significant difference in initiation time of iNO after injury (p=0.047). Maximum combinations of sensitivity and specificity for timing of iNO therapy were observed using cut-off of 3-day after injury with a sensitivity of 88% and specificity of 75%. Conclusion: Though iNO therapy does not influence the mortality, iNO therapy may decrease the mortality caused by respiratory failure in the early phase of trauma.

• Journal of The Korean Society of Clinical Toxicology
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• v.13 no.2
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• pp.87-94
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• 2015

Purpose: We investigated comparison of clinical characteristics and prognosis by initial endoscopic severity in caustic injury and then discussed predisposing factors which can be helpful in predicting the prognosis and determining the treatment. Methods: This study was a retrospective review of medical records from patients over the age of 15, who underwent initial endoscopy for caustic injury from April 2007 through November 2014. Patients were classified according to two groups based on the initial endoscopic finding by Zargar's classification: patients with grade 0, I, IIa at esophagus (low risk group) and patients with grade IIb, IIIa, IIIb at esophagus (high risk group). The two groups were then compared. Results: A total of 55 patients were included (low risk group [n=44] vs. high risk group [n=11]). Old age (p<0.001), large amount of ingestion (p<0.05), oropharyngeal symptoms (p<0.01), high SOFA score (p<0.001), high WBC count (p<0.05), low base excess (p<0.01), and HCO3 (p<0.05) were statistically significant factors in the high risk group. A poor prognosis was observed for hospital stay (p<0.001), ICU admission (p<0.001), mortality (p<0.01), and stricture (p<0.001) in the high risk group. Conclusion: Clinical characteristics including age, amount of ingestion, oropharyngeal symptoms, SOFA score, WBC count, base excess, and $HCO_3$ can be helpful in the decision to undergo initial endoscopy and risk assessment by initial endoscopic severity can be helpful in predicting prognosis and determining the treatment plan.

• Tuberculosis and Respiratory Diseases
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• v.79 no.3
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• pp.158-164
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• 2016

Background: One to three percent of cases of acute tuberculosis (TB) require monitoring in the intensive care unit (ICU). The purpose of this study is to establish and determine the mortality rate and discuss the causes of high mortality in these cases, and to evaluate the clinical and laboratory findings of TB patients admitted to the pulmonary ICU. Methods: The data of patients admitted to the ICU of Yedikule Chest Diseases and Chest Surgery Education and Research Hospital due to active TB were retrospectively evaluated. Demographic characteristics, medical history, and clinical and laboratory findings were evaluated. Results: Thirty-five TB patients (27 males) with a median age of 47 years were included, of whom 20 died within 30 days (57%). The Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores were significantly higher, and albumin and $PaO_2/FIO_2$ levels were significantly lower, and shock, multiple organ failure, the need for invasive mechanical ventilation and drug resistance were more common in the patients who died. The mortality risk was 7.58 times higher in the patients requiring invasive mechanical ventilation. The SOFA score alone was a significant risk factor affecting survival. Conclusion: The survival rate is low in cases of tuberculosis treated in an ICU. The predictors of mortality include the requirement of invasive mechanical ventilation and multiple organ failure. Another factor specific to TB patients is the presence of drug resistance, which should be taken seriously in countries where there is a high incidence of the disease. Finding new variables that can be established with new prospective studies may help to decrease the high mortality rate.