• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.29 no.12
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• pp.628-637
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• 2017

This study was conducted to present an effective control method for the common duct system to uniformly discharge volume flow rate exhausted from the kitchen and bathroom of each household in an apartment regardless of the position of household. Since the common duct system is installed vertically and the ventilator is installed in the terminal, the static pressure of each household decreases when vertical height increases. Therefore, the volume flow rate exhausted from each household is different. In order to improve such a phenomenon, a constant air volume damper shall be installed in a branch duct coupled with a common vertical duct system. The selected ventilator should also be able to handle the maximum volume flow rate considering diversity factor. Therefore, a uniform volume flow rate must be exhausted from all households where the hood is operated. This paper mainly focuses on suggestion of an optimum exhaust control method by comparing exhaust performance of each household according to the presence or absence of a constant air volume damper.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.23 no.1
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• pp.25-33
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• 2016

Purpose: This study aimed to survey caregivers of patients with Neuromuscular Rare and Incurable Disease (NRID) using invasive home mechanical ventilator (HMV), in order to compare the incident rate of pneumonia by tracheal suction procedures used. Method: Participants were 99 family caregivers of NRID patients using HMV. Participants were given a questionnaire consisting of 12 demographic items, 10 items about disease and HMV related characteristics, 11 items about tracheal suction procedures, and 2 items about the incidence of pneumonia. Data were analyzed using chi-square tests and t-tests. Results: The items that predicted the incidence of pneumonia were "change of irrigation saline every suction" (p=.047), "use of aseptic catheter every suction" (p=.004), and "instillation of normal saline before suction" (p=.027). In addition, these items were 47.4%, 51.4%, and 38.8% respectively. Conclusion: Family members caring for NRID patients with invasive HMV should be educated about tracheal suction, especially the necessity of changing irrigation saline after every suction, using the aseptic catheter for every suction, and instillation of normal saline before suction. Medical personnel such as home care nurses should periodically check tracheal suction procedures, and re-educate family caregivers when necessary.

• 한국태양에너지학회:학술대회논문집
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• 2009.11a
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• pp.291-296
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• 2009

This paper investigates the energy saving potentials of a dedicated outdoor air system (DOAS) applied to a highrise apartment building. As for a typical $132-m^2$ apartment unit, two different HVAC systems; centralized DOAS-Ceiling Radiant Cooling Panel and decentralized Energy Recovery Ventilator-Packaged Air Conditioner were installed. Transient behavior and control characteristics of each system were modeled numerically using a commercial equation solver program, and annual cooling coil load and heating load reduction potentials were compared. The research shows that DOAS-Ceiling Radiant Cooling Panel system can reduce the cooling coil load over 21% annually compared with the current Energy Recovery Ventilator-Packaged Air Conditioner pair. In addition, over 40% of annual ventilation heating load can be reduced by use of DOAS.

• Journal of Biomedical Engineering Research
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• v.22 no.6
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• pp.479-486
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• 2001

Spirometer is a medical equipment which diagnoses respiratory function by measuring 9as volume across Patient's lunes through airway. Because a little overdose of anesthesia medicine can take away Patient's life in the ventilator for a surgical operation. an exact measurement of respiring volume is very important. This Paper Presented an exact flow volume calculation method from factors having an influence on measurement and introduced a spirometry system for an anesthesia ventilato. This system, using differential Pressure sensor measured flow by mutual relation with Pressure. temperature. gas density and linearization from the 2nd order characteristics of differential pressure with flow.

• Proceedings of the KOSOMBE Conference
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• v.1996 no.11
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• pp.189-191
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• 1996

Computerized spirometer was developed in a form of proto type system. The system consisted of pneumotachometer, flow measurement unit, fan ventilator unit, and software program. Patient's respiratory flow signal was first converted to corresponding pressure drop signal by a screen type pneumotachometer, sensed by a differential pressure transducer, amplified and low pass filtered, and digitized at a rate of 100 Hz, then fed into a PC thru RS-232C serial port. Customized application software controls data acquisition followed by computation of test parameters. The fan ventilator unit dries and eliminates microorganism in the pneumotachometer after each test. The system performs conventional spirometic tests and manages the test results in a database for retrograde research. The proto type system was fully developed and the commercialized system is currently being built up.

• Fire Science and Engineering
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• v.23 no.6
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• pp.82-90
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• 2009

Natural smoke ventilator is one of domestic prescriptive methods to be used to exhaust smoke in case of fire in a high-rise buildings. The goal of this study is to evaluate the stack effect and the smoke exhaust performance in high-rise buildings with the opening of natural smoke ventilators using computer modeling technology, thus to estimate its effectiveness as a tool of smoke exhaust. For this purpose, the pressure differential in a domestic high-rise building with natural smoke ventilators was experimentally measured to analyze the stack effect with the closure or the opening of natural smoke ventilators and to calculate compensated air leakage of the building. Computer modeling based on experimentally measured data was carried out to estimate effectiveness of natural smoke ventilators in high-rise buildings using CONTAMW network program.

• Journal of Biomedical Engineering Research
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• v.44 no.1
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• pp.19-24
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• 2023

Due to the spread of COVID-19, many patients with severe respiratory diseases have occurred worldwide, and accordingly, the use of mechanical ventilators has exploded. However, hospitals do not have systematic risk management, and the Medical Device Regulation also provides medical device risk management standards for manufacturers, but does not apply to devices in use. In this paper, we applied the Failure Mode Effects Analysis (FMEA) risk analysis technique based on the International Standard ISO 14971 (Medical Devices-Application of risk management to medical devices) for 85 mechanical ventilators of a specific model in use in hospitals. Failure modes and effects of each parts were investigated, and risk priority was derived through multiplication of each score by preparing criteria for severity, occurrence, and detection for each failure mode. As a result, it was confirmed that the microprocessor-based Patient Unit/Monitoring board in charge of monitoring scored the highest score with 36 points, and that reliability management is possible through systematic risk management according to priority.

• Clinical and Experimental Pediatrics
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• v.48 no.4
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• pp.401-405
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• 2005

Purpose : The use of mechanically-assisted ventilators at home reduces morbidity and improves the quality of life in children with chronic respiratory failure. But in Korea there is no clinical data of children with home mechanical ventilation. We investigated ventilator types, duration, the causes of failure or death, and the cost needed for care. Methods : We retrospectively analyzed the medical records of 21 children who were admitted and who applied for home mechanical ventilation at the Pediatric Intensive Care Unit in Asan Medical Center. Phone interviews took place after discharge. and interviewed by phone after discharge. Results : The median age was 31 months; the median duration with ventilator was 25 months. Underlying diseases were 16 neuromuscular diseases, one metabolic disease and four chronic respiratory diseases. The types of ventilator were pressure and volume type(16 and five patients, respectively). The frequency of ventilation failure was once per 19 months. Weaning could be performed in three cases. Frequencies of admission after receiving ventilators were 1.7 times per year; the most common cause was pneumonia. Nine patients(43%) died; four of them died because of endotracheal tube obstruction. The costs for medical care were about 1,110,000 won per month. Conclusion : There is an increment in the numbers of individuals who need mechanical ventilation support. The most common cause of death was endotracheal tube obstruction. The most important problem for the patients was medical cost. There needs to be more interest in patients with ventilator and social welfare systems to support their families need to be prepared.

• The Journal of Korean society of community based occupational therapy
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• v.10 no.1
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• pp.39-49
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• 2020

Objective : The aim of this study was to investigate the care burden and life quality in family caregivers of community-dwelling patients using home mechanical ventilator(HMV) in Yeognam region. Methods : Survey performed to family caregivers of the patients using HMV in Yeognam region, Korea. The questionnaire is composed with patient care and the burden on caring. Korean version of Short Form Zarit Burden Interview(K-ZBI-12) and 3-Level version of EuroQol-5 Dimension applying Korean weight(KEQ-5D-3L) were also investigated. Statistical significance was accepted for p<.05. Results : A total 98 out of 150 questionnaires were analyzed. The K-ZBI-12(33.08±10.34) had a correlation with KEQ-5D-3L(0.71±0.25) negatively(p=.038). Patients' age, duration of HMV, financial burden and professional caregivers' care time had correlations with K-ZBI-12 positively(p<.05). KEQ-5D-3L correlated duration of HMV negatively(p=.017). Invasive ventilator group had lower KEQ-5D-3L than the non-invasive ventilator group(p=.008). K-ZBI-12 was lower in more than one caregiver care of patients than in one(p=.001). Conclusion : This study revealed high care burden and low quality of life in family caregivers of the patients with HMV in Yeongnam region, Korea. Efforts are needed to continually identify the needs of patients and their families, and the socioeconomic support and medical services associated with HMV.

• Journal of Chest Surgery
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• v.41 no.6
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• pp.736-741
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• 2008

Background: Pneumonia continues to be the most common major infection in trauma patients. Despite the advances in prevention, diagnosis, and treatment for pneumonia, it remains a major cause of morbidity and mortality. The aim of this retrospective study is to identify the risk factors and clinical features of ventilator-associated pneumonia among chest trauma patients. Material and Method: The study population consisted of 78 mechanically ventilated patients admitted to the ICU of Chonnam National University Hospital between January, 2001, and December, 2006. The patients were divided into two groups: those with pneumonia (Group I) and without pneumonia (Group II). Clinical predictors of the occurrence and mortality for ventilator associated pneumonia were analyzed. Result: There were 57 men and 21 women, with a mean age of $48.3{\pm}19.9$ years. Almost half of the patients, 48.7% (38 of 78), had pneumonia. The mortality rate was 21.0% (8 of 38) in Group I and 2.5% (1 of 40) in Group II. The predictors of ventilator-associated pneumonia were the duration of mechanical ventilation (17.4 days vs 6.5 days, p<0.001), the mean stay in the ICU (21.7 days vs 9.7 days, p<0.001), the use of inotropics due to hemodynamic instability (63.1% vs 25.0%, p=0.001), and the serum level of CRP ($11.3{\pm}7.8$ vs $6.4{\pm}7.3$, p=0.006). Conclusion: Posttraumatic ventilator-associated pneumonia was significantly related with the duration of mechanical ventilation, the mean stay in ICU, and the use of inotropics due to hemodynamic instability. The serum level of CRP at admission was higher in the pneumonia group. Morbidity and mortality can be reduced by early identification of predictive factors for developing pneumonia in chest trauma patients.