• 한국화재소방학회논문지
• /
• 제12권2호
• /
• pp.29-42
• /
• 1998

최근에 소방안천과 관련된 화재 현상의 수치해석 연구률 위한 컴퓨터의 이용이 크게 중가하고 있는 실정이다. 밀폐된 구획의 창유리(3mm, 4mm 두쩨) 파단시 화재의 동륙성을 초사하기 위하여 zone형 컴퓨터 수치해석 프로그햄인 FASTLite(version 1.1.2)와 창유리 파단 시간 계산 프로그랩인 BREAKl(ver¬S sion 1.0)을 사용하여 foam sofa 화재에 대한 모의 실험융 하였다. 본 연구률 흉하여 개방- 혹온 멀쩨-상태의 구획 화재의 동륙성과 밀떼된 구획의 창유리 파단시 화재 동특성 사이에 큰 차이가 있옴을 확인하였다. 또 4mm 두째 유리의 경우 벼쟁상 연소로 인해 발생 . 축객된 미연소 가연성 가스에 의해 backdraft 현상이 발생합융 볼 수 있었고, 않run와 4mm 두께의 유리 내 . 외면에 온도차가 있음을 확인하였다. 본 연구의 결과는 소방대원의 화재진압 혹은 피난을 위한 소방천술과 소방안전 공학도의 구획 화재 관련 컴퓨터 수치 혜석 프로그램의 운영 기법을 향상시키는데 큰 도용이 되리라 생각된다.

• 한국화재소방학회논문지
• /
• 제11권1호
• /
• pp.3-9
• /
• 1997

화재시 설내의 열적성충의 형성을 연구하기 위하여 쓰레기통, 의자, 카페트, 소파, 매트리스 및 장 농의 화재실험을 실제건물에서 수행하였다. 카페트와 같은 균퉁분산 가연물화재의 경우는 초기 점화기 간과 성장기의 기간이 화재 전기간에 비하여 매우 짧고, 최성기는 매우 길게 나타났다. 반면에 쓰레기 통, 매트리스 및 장농과 같은 집중 가연물화재의 경우는 초기점화기간과 성장기가 매우 길게 나타났다. 쓰레기통과 같은 위에서 아래인 한쪽 방향으로만 연소하는 경우는 봉우리가 하나로 나타났고, 의자, 소 파, 매트리스 및 장농과 같은 연소방향이 다양한 화재의 경우는 봉우리가 2개이상 나타났다. 어느 화재 의 경우나 경계면이 뚜렷이 나타났고, 상부충의 온도는 거의 일정하며 경계면 높이는 가구화재시 모두 1 l[m] 근처에서 일정한 상태값을 유지하였다. 다만, 최대온도를 나타내는 시간에는 경계면 높이가 바 닥에서 O.2S[m]내지 O.7S[m]까지도 내려왔다.

• Tuberculosis and Respiratory Diseases
• /
• 제73권2호
• /
• pp.100-106
• /
• 2012

Background: There are a plethora of literatures showing that high-intensity intensive care unit (ICU) physician staffing is associated with reduced ICU mortality. However, it is not widely used in ICUs because of limited budgets and resources. We created a critical care team (CCT) to improve outcomes in an open general ICU and evaluated its effectiveness based on patients' outcomes. Methods: We conducted this prospective, observational study in an open, general ICU setting, during a period ranging from March of 2009 to February of 2010. The CCT consisted of five teaching staffs. It provided rapid medical services within three hours after calls or consultation. Results: We analyzed the data of 830 patients (157 patients of the CCT group and 673 patients of the non-CCT one). Patients of the CCT group presented more serious conditions than those of the non-CCT group (acute physiologic and chronic health evaluation II [APACHE II] 20.2 vs. 15.8, p<0.001; sequential organ failure assessment [SOFA] 5.5 vs. 4.6, p=0.003). The CCT group also had significantly more patients on mechanical ventilation than those in the non-CCT group (45.9% vs. 23.9%, p<0.001). Success rate of weaning was significantly higher in the CCT group than that of the non-CCT group (61.1% vs. 44.7%, p=0.021). On a multivariate logistic regression analysis, the increased ICU mortality was associated with the older age, non-CCT, higher APACHE II score, higher SOFA score and mechanical ventilation (p<0.05). Conclusion: Although the CCT did not provide full-time services in an open general ICU setting, it might be associated with a reduced ICU mortality. This is particularly the case with patients on mechanical ventilation.

• Tuberculosis and Respiratory Diseases
• /
• 제67권5호
• /
• pp.402-408
• /
• 2009

Background: Pre-B-cell colony enhancing factor (PBEF) has been suggested as a novel biomarker in sepsis and acute lung injury. We measured the PBEF in bronchoalveolar lavage (BAL) fluid of acute critically ill patients with lung infiltrates in order to evaluate the clinical utility of measuring PBEF in BAL fluid. Methods: BAL fluid was collected by bronchoscope from 185 adult patients with lung infiltrates. An enzyme-linked immunosorbent assay was then performed on the collected fluids to measure the PBEF. Results: Mean patient age was 59.9 ${\pm}$14.5 years and 63.8% of patients were males. The mean concentration of PBEF in BAL fluid was 17.5 ${\pm}$88.3 ng/mL, and patients with more than 9 ng/mL of PBEF concentration (n=26, 14.1%) had higher Acute Physiology and Chronic Health Evaluation (APACHE) II and Sequential Organ Failure Assessment (SOFA) scores on the BAL exam day. However, there were no significant differences in clinical characteristics between survivors and non-survivors. In patients with leukocytosis (n=93) seen on the BAL exam day, the linear regression analysis revealed a significant, positive relationship between PBEF and APACHE II ($r^2$=0.06), SOFA score ($r^2$=0.08), Clinical Pulmonary Infection Score ($r^2$=0.05), and plateau pressure in patients on ventilators ($r^2$=0.07) (p<0.05, respectively). In addition, multivariate regression analysis with PBEF as a dependent variable showed that the plateau pressure ($r^2$=0.177, p<0.05) was correlated positively with PBEF. Conclusion: The PBEF level in the BAL fluid may be a useful, new biomarker for predicting the severity of illness and ventilator-induced lung injury in critically ill patients with lung infiltates and leukocytosis.

• 한국실내디자인학회논문집
• /
• 제21권5호
• /
• pp.264-271
• /
• 2012

As changed population structure variously, population decrease is one of the important problem in present urbanization. It resulted decline of the medium-large size housings that increasing of 1-2 person household need the variety of small housing with housing type. This study was researched the Gold-Generation on theme by Gold Miss, Gold Mr. who preferring urban small housings that it analyzed survey of Gold generation who be wanted urban small housing by interior coordination elements. Data to be analyzed that first, Gold Mr. and Miss are preferred two bedroom applied by spatial structure coordination. Especially it is based on the separation between livingroom and bedroom with duplex type which is bathroom formed single unit type(shower/toilet/basin). In interior coordination of spatial elements, Gold Mr. considered the form of kitchen with huge ㄷ type instead of Gold Miss are preferred alpha room or alpha space to use powder room or dress room. Second, In Preference of interior coordination elements, Gold Mr. and Miss are preferred bed-clothes and curtains by fabrics, lighting are hanging and spot lighting, accessories are carpet with rug and porcelains. Color are preferred bright scheme both white and ivory, however preference of furniture is different from Gold Mr. and Gold Miss that Gold Mr. are ordered desk, sofa and shelves but Gold Miss are preferred sofa, bed, and dressing table. It showed between Gold Mr. and Gold Miss are equal needs or differences. It expects the basic research for understanding the interior coordination elements for preference in urban small housing as focused on Gold generation(Gold Miss, Gold Mr.) that they will be applied the interior space on urban small housing.

• 대한응급의학회지
• /
• 제29권5호
• /
• pp.455-464
• /
• 2018

Objective: Machine learning is not yet widely used in the medical field. Therefore, this study was conducted to compare the performance of preexisting severity prediction models and machine learning based models (random forest [RF], gradient boosting [GB]) for mortality prediction in pneumonia patients. Methods: We retrospectively collected data from patients who visited the emergency department of a tertiary training hospital in Seoul, Korea from January to March of 2015. The Pneumonia Severity Index (PSI) and Sequential Organ Failure Assessment (SOFA) scores were calculated for both groups and the area under the curve (AUC) for mortality prediction was computed. For the RF and GB models, data were divided into a test set and a validation set by the random split method. The training set was learned in RF and GB models and the AUC was obtained from the validation set. The mean AUC was compared with the other two AUCs. Results: Of the 536 investigated patients, 395 were enrolled and 41 of them died. The AUC values of PSI and SOFA scores were 0.799 (0.737-0.862) and 0.865 (0.811-0.918), respectively. The mean AUC values obtained by the RF and GB models were 0.928 (0.899-0.957) and 0.919 (0.886-0.952), respectively. There were significant differences between preexisting severity prediction models and machine learning based models (P<0.001). Conclusion: Classification through machine learning may help predict the mortality of pneumonia patients visiting the emergency department.

• 한국융합학회논문지
• /
• 제12권1호
• /
• pp.163-170
• /
• 2021

기능성 섬유를 가능하게 하는 스마트 텍스트로닉스가 최근 스마트 의류, 스마트 홈, 스마트 헬스케어 등 다양한 분야에서 활용되어 다양한 제품이 개발되고 있다. 이러한 관점에서 본 연구에서는 체계적인 참여형 디자인 방법을 기반으로 한 스마트 텍스트로닉스 제품 개발 프로세스를 제안한다. 프로세스는 심층 인터뷰와 분석의 두가지 단계로 구성되며 심층 인터뷰 단계에서는 참여자가 사용행위, 행위별 요구조건, 만족도 수준 등을 포함한 사용자 여정맵과 스케치 및 간단한 프로토타입 제작을 통한 아이디어 생성 활동을 수행한다. 이 후 분석 단계에서는 디자인 연구자가 심층 인터뷰 단계로부터 도출된 결과에 행동 패턴 분석 방법을 적용하여 핵심 특성을 도출하고 이를 기반으로 한 사용자 페르소나를 생성하고 각 페르소나의 주요 니즈를 E3 가치 체계의 가치요소와 연관시킨다. 본 연구에서는 사전 설문조사를 실시하여 스마트 텍스트로닉스 시장 파악하였으며, 제안된 방법론에 대한 검증을 위해 스마트 홈 분야에서 가장 많은 사용자와의 상호작용을 갖는 소파의 디자인 사례연구를 수행하였다.

• Tuberculosis and Respiratory Diseases
• /
• 제54권4호
• /
• pp.429-438
• /
• 2003

배 경 : 후기 ARDS로 스테로이드를 투여 받은 환자들에서 어느 시점까지의 반응의 유무가 기계환기에서의 이탈 여부를 예측할 수 있는지 시간경과에 따른 생리학적 지표의 변화를 기준으로 살펴보았다. 방 법 : 1999년 12월부터 2002년 7월까지 내과계 중환자실에서 ARDS로 7일 이상 기계환기치료를 받은 후에도 심한 저산소증($PaO_2/FIO_2$ ratio<200)이 지속되어 스테로이드 치료를 시행하였던 28명(남 : 여 24 : 4, 중앙연령 64세)을 대상으로 후향적 연구를 시행하였다. 스테로이드는 Meduri 등의 방법을 사용하여 투여하였다. 스테로이드 투여 후 기계환기에서 이탈이 가능하였던 환자들을 이탈군(n=14)으로, 기계환기 중 사망하였거나 이탈에 실패했던 환자들을 실패군(n=14)으로 나누어 기저특성과 기계환기 시작일(Dmv), 스테로이드 투여 3일전(D-3), 투여 당일(D0), 그리고 투여 후 3일(D3), 7일(D7)의 생리학적 지표들을 비교하였다. 결 과 : 이탈군과 실패군 사이의 기저특성상의 유의한 차이는 발견되지 않았으며 Dmv과 D-3에 두 군간에 생리학적 지표들의 차이는 없었다(p>0.05). D0에는 이탈군의 다장기부전 점수(SOFA score)가 6.6+/-2.5로 실패군의 8.8+/-2.9보다 유의하게 낮았다(p<0.05). 투여 D7에는 폐유순도를 제외한 대부분의 지표들이 두 군간 유의한 차이를 보였으며(p<0.05), 이탈군에서는 D0에 비해 생리학적 지표들이 유의한 호전이 있었던 반면에 실패군에서는 유의한 호전이 관찰되지 않았다. 결 론 : 결론적으로 후기 ARDS에서 스테로이드 투여 후 7일까지 생리학적 지표의 호전을 보이지 않는 경우 스테로이드 치료 지속 여부를 신중히 고려해야 할 것으로 생각한다.

• 한국실내디자인학회논문집
• /
• 제14호
• /
• pp.55-62
• /
• 1998

One of the major changes in the information era is that the concept of workplace is changing, Therefore this research is to provide basic data for future home office design by surveying office workers's opinions about preferred design for home office. This research is based on a survey of 215 office workers in Seoul. The major findings are ; Office workers prefer an isolated type of workplace that is arranged by U-shped workstation at home. Office workers preferred ivory color of walls and ceiling in home office, Brown color for the floor and brown ivory beige green and grey colors are preferred for the furniture. For home office furniture office workers put to an importance on desk chair computer table cabinet filbox sofa mobil lack credenza, and tea table.

• 한국실내디자인학회논문집
• /
• 제10호
• /
• pp.3-10
• /
• 1997

The purpose of this study was to identify and categorize the space use characteristics of the university professor's office. The data were recorded and collected through the physical trace method. Acture Measurement. Photograph, sketch and CAD drawings were used to trace 118 professors offices at Yonse-University. The analysed features were the user characteristics, the size, characteristics of space (such as composition, layout and furniture arrangement), the appliance and the instrument characteristics. To categorize the 'space use' characteristics. 6 variables were used: 1) the territorial characteristics, 2) the spatial relationship between professor's territory and entrance, 3) the layout type of work area, 4) the spatial relationship between professor's and assistant's work area, 5) the arrangement of table, and 6) the completion of sofa set. The results of this study are expected to be used as a basis for the development of design alternatives for the most typical university professors' office.