• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.231-239
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• 2006

Purpose: The purpose of this study was to identify the effect of web-based learning for ventilator practice on the knowledge and clinical competence of nursing students. Method: The research design was a non-equivalent control group pre-post non-synchronized design. Twenty five nursing students were collected for the experimental group from August 23 to November 26, 2004 and nineteen nursing students for the control group from August 22 to November 25, 2005. All subjects experienced clinical practices in an intensive care unit of a hospital in G city for 2 weeks. The web-based learning for ventilator practice was conducted in the experimental group only. The data were analyzed with t-test and ANCOVA using SPSS 10.1 program. Result: The 2 week web-based clinical practice learning significantly improved the knowledge scores for the experimental group, however, there was no significant differences in the score for the clinical competence between experimental and control group. Conclusion: These findings suggest that a self-directed web-based learning for ventilator practice of nursing students can facilitate the knowledge of care for a ventilated patient. Therefore, faculties should develop a variety of web-based multimedia content programs for clinical instruction based on clinical situation.

• Journal of Korean Academy of Nursing
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• v.41 no.2
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• pp.175-181
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• 2011

Purpose: This study was conducted to identify endotracheal colonization and the incidence of ventilator-associated pneumonia related to the type of endotracheal suction system. Methods: The participants in this study were ICU patients hospitalized between October 2009 to March 2010 who used ventilators for over 48 hr with closed (CSS, n=30) or open (OSS, n=32) suction systems. To standardize the pre-intervention suction system, a suctioning protocol was taught to the ICU nurses. Collected data were analyzed using ${\chi}^2$-test, Fisher's exact test, Wilcoxon rank sums test, Wilcoxon test, Log-rank test and Poisson regression. Results: Endotracheal colonization was higher in OSS than CSS from day 1 to day 8 while using a ventilator and there was a significant difference between the two groups. The CSS reached 50% of endotracheal colonization by the 4th day, whereas for the OSS, it was the 2nd day (p=.04). The incidence of ventilator-associated pneumonia showed no significant difference. Conclusion: For patients with a high risk of pneumonia, CSS must be used to lower endotracheal colonization.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.24 no.3
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• pp.224-229
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• 2012

The importance of ventilation system is being emphasized by interest of indoor air quality. Especially, heat recovery ventilation system has attracted attention as most effective ventilation plan. Because it can reduce hazardous construction materials, indoor air pollutions, and also can reduce air conditioning energy cost. In heat recovery ventilator, the element core is the most important part. The element core is composed of liner and spacer. And liner and spacer are stacked alternately. On the Liner, heat and humidity transfer are made between supply and exhaust air. And spacer plays a role as a tunnel of exhaust and supply. In this study, we investigated and analyzed the efficiency of a heat recovery ventilator, when the spacer's properties are changed. As a result, difference spacer's properties affect an efficiency of heat recovery ventilator.

• Proceedings of the SAREK Conference
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• 2008.06a
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• pp.889-894
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• 2008

Exhaust system used in toilet and cooking place of high riser public house is roof fan of two basic types : natural roof ventilator and natural/forced roof ventilator. Natural/forced roof ventilator has a motor in the rotary shaft. There are many high riser public house in Korea. These buildings were not viewed as being major contributors to exhaust pollutants producted in indoor. It was because many engineers thought that exhaust in high riser building depend on stack effect. This study investigates on stack pressure determined by exterior pressure and the difference pressure control in exhaust stack used in high riser public house. This paper focuses mainly on the effect of the time interval for power supply of motor installed in roof fan with function of natural wind velocity and of exhaust air volume of toilet. It is observed there are higher exhaust efficiency than the existing natural roof ventilator.

• Korean Journal of Computational Design and Engineering
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• v.17 no.1
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• pp.54-61
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• 2012

In this paper, we performed numerical analysis to improve the heat exchange efficiency of wasted heat recovery ventilator which has a delivery and a exhaustion fan. One of the most important design factors that affect the efficiency of heat exchange is uniform counter-flow between inbound and outbound air flows. We had simulated several types of porous plates which were installed at air intake area. With plate having 45 degrees of installation angle and 15 mm diameter holes which are uniformly arranged, we can generate a uniform air flows at the area of porous media where inbound and outbound air flows are cross over. In addition, we installed a duct to reduce vortex flows at the outlet and to discharge exhaust airs rapidly. By using the proposed numerical assessment, we expect the improvement of the heat exchange efficiency of ventilator.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.19 no.2
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• pp.202-211
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• 2007

Ventilation system is being recommended as an effective tool to improve indoor air quality (IAQ) in apartment houses. Recently, in Korea, apartment house suppliers must establish ventilation system in apartment houses in law. In this study, improvement of IAQ by establishing mechanical ventilation system at apartment house was investigated by mockup test. Seven apartment houses were arranged for the test and improvement of IAQ was examined under the various conditions of ventilation rates, ventilator type and duct works. The results of this study show that IAQ in the test houses which were established mechanical ventilation system was improved about from 30% to 40% compared with IAQ in the apartment house which was not established ventilation system. However, there were no apparent concentration differences between the cases of changing ventilation rates, ventilator types and ductworks.

• Journal of Fisheries and Marine Sciences Education
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• v.26 no.6
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• pp.1352-1357
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• 2014

In the present study, the heat transfer performance on the heat recovery ventilator with rotary disk were experimentally investigated. The temperature of entrance and exit of the heat recovery ventilator, air flow distribution of high temperature air and low temperature air, heat flux and the overall heat transfer coefficients are estimated from the experimental results. As the number of revolution of rotary disk, the air flow distribution increase, heat flux and overall heat transfer coefficients increase.

• Journal of the Korea Safety Management & Science
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• v.17 no.2
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• pp.117-127
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• 2015

This study investigated the smoke blocking and control systems for the safety of residents evacuation and for the prevention of smoke spread through the central corridor in the event of central corridor type of intelligent building fire. We offered additional ways of utilizing smoke ventilators and intake ventilation equipment and utilized CFD-based fire simulation program(FDS Ver.5.5.3) in order to analyze the effect. As a result, many differences in the smoke block effect, depending on the application of smoke ventilator and location of installation, was found. In addition, the result was found that larger effect was showed not in the case of application of smoke ventilator in central corridor only but application in fire room. The reason is that the smoke leakage is blocked primarily as air is flowed in the fire room through open door by operation of intake smoke ventilator in the public corridor and secondarily, the smoke leakage to the public corridor could be blocked as fire and smoke were released to the opened smoke ventilator continuously. Especially, the effect was maximized through complex interactions by applying smoke ventilator and intake ventilation equipment in corridor together rather than applying smoke ventilator and intake ventilation equipment independently. The proposed measure through this study shall be considered from architectural plan as one of ways for blocking from smoke spread to the central corridor in the central corridor type of intelligent building. In addition, flaws on regulation shall be established and supplemented.

• Journal of Trauma and Injury
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• v.35 no.2
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• pp.76-83
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• 2022

Purpose: Ventilator-associated pneumonia is the most common nosocomial infection in patients with mechanical ventilation. In 2013, the new concept of ventilator-associated events (VAEs) replaced the traditional concept of ventilator-associated pneumonia. We analyzed risk factors for VAE occurrence and in-hospital mortality in trauma patients who received mechanical ventilatory support. Methods: In this retrospective review, the study population comprised patients admitted to the Jeju Regional Trauma Center from January 2020 to January 2021. Data on demographics, injury characteristics, and clinical findings were collected from medical records. The subjects were categorized into VAE and no-VAE groups according to the Centers for Disease Control and Prevention/National Healthcare Safety Network VAE criteria. We identified risk factors for VAE occurrence and in-hospital mortality. Results: Among 491 trauma patients admitted to the trauma center, 73 patients who received ventilator care were analyzed. Patients with a chest Abbreviated Injury Scale (AIS) score ≥3 had a 4.7-fold higher VAE rate (odds ratio [OR], 4.73; 95% confidence interval [CI], 1.46-17.9), and those with a glomerular filtration rate (GFR) <75 mL/min/1.73 m² had 4.1-fold higher odds of VAE occurrence (OR, 4.15; 95% CI, 1.32-14.1) and a nearly 4.2-fold higher risk for in-hospital mortality (OR, 4.19; 95% CI, 1.30-14.3). The median VAE-free duration of patients with chest AIS ≥3 was significantly shorter than that of patients with chest AIS <3 (P=0.013). Conclusions: Trauma patients with chest AIS ≥3 or GFR <75 mL/min/1.73 m² on admission should be intensively monitored to detect at-risk patients for VAEs and modify the care plan accordingly. VAEs should be closely monitored to identify infections early and to achieve desirable results. We should also actively consider modalities to shorten mechanical ventilation in patients with chest AIS ≥3 to reduce VAE occurrence.

• Journal of Korean Critical Care Nursing
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• v.17 no.2
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• pp.42-54
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• 2024

Purpose : This study aimed to assess the effectiveness of an advanced practice nurse (APN)-driven ventilator weaning protocol for patients undergoing cardiac surgeries. Methods : A retrospective analysis was conducted on 226 patients admitted to the intensive care unit (ICU) of a tertiary hospital between January and June 2020, following a cardiac surgery. Patients were divided into an APN protocol-applied group (experimental group, n=152) and a control group managed based on doctors' judgment (n=74). Ventilator weaning criteria and clinical outcomes, including duration of ventilation, length of ICU stay, and rate of reintubation, were compared between the two groups. Results : Patients in the control group were older and had a higher incidence of massive bleeding from chest tube drainage (>100 cc/hr) at baseline. The average duration of ventilation was significantly shorter in the experimental group compared to the control group (7.44 vs. 21.61 hours, p <.001). Furthermore, the mean length of ICU stay was shorter in the experimental group compared to the control group (47.96 vs. 77.97 hours, p <.001). There was no difference in the rate of reintubation between the two groups. Conclusion : These findings suggest that an APN-driven ventilator weaning protocol can improve clinical outcomes without significant complications. These results support the adoption of APN-driven mechanical ventilator weaning protocols in clinical practice.