• Journal of Environmental Health Sciences
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• v.47 no.4
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• pp.330-338
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• 2021

Background: This study was conducted to provide background information for the proper management of radon contamination in apartments using mechanical ventilation facilities in residential environments. Objectives: To this end, this study compared and evaluated changes in radon concentrations based on different operating intensities of mechanical ventilation with or without natural ventilation. Methods: For the continuous measurement of radon concentrations, an RAD7 instrument was installed in four apartments equipped with a ventilation system. The measurements were done for comparison of ventilation types and different ventilation intensities ("high", "middle", "low"). Results: The results confirmed that both mechanical and natural ventilation sufficiently reduced the radon concentration in the apartments. In particular, mechanical ventilation at "high" intensity was the most effective. Natural ventilation combined with mechanical ventilation and then natural ventilation alone were the second and the third most effective, respectively. Conclusions: When using ventilation to reduce indoor radon concentrations, it is most effective to operate mechanical ventilation ("high") or natural ventilation and mechanical ventilation at the same time. In cases where mechanical ventilation is available alone, it is recommended to operate it at a minimum of "middle" intensity.

• Clinical and Experimental Pediatrics
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• v.48 no.12
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• pp.1310-1316
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• 2005

Mechanical ventilation in children has some differences compared to in neonates or in adults. The indication of mechanical ventilation can be classified into two groups, hypercapnic respiratory failure and hypoxemic respiratory failure. The strategies of mechanical ventilation should be different in these two groups. In hypercapnic respiratory failure, volume target ventilation with constant flow is favorable and pressure target ventilation with constant pressure is preferred in hypoxemic respiratory failure. For oxygenation, fraction of inspired oxygen($FiO_2$) and mean airway pressure(MAP) can be adjusted. MAP is more important than FiO2. Positive end expiratory pressure(PEEP) is the most potent determinant of MAP. The optimal relationship of $FiO_2$ and PEEP is PEEP≒$FiO_2{\times}20$. For ventilation, minute volume of ventilation(MV) product of tidal volume(TV) and ventilation frequency is the most important factor. TV has an maximum value up to 15 mL/kg to avoid the volutrauma, so ventilation frequency is more important. The time constant(TC) in children is usually 0.15-0.2. Adequate inspiratory time is 3TC, and expiratory time should be more than 5TC. In some severe respiratory failure, to get 8TC for one cycle is impossible because of higher frequency. In such case, permissive hypercapnia can be considered. The strategy of mechanical ventilation should be adjusted gradually even in the same patient according to the status of the patient. Mechanical ventilators and ventilation modes are progressing with advances in engineering. But the most important thing in mechanical ventilation is profound understanding about the basic pulmonary mechanics and classic ventilation modes.

• Journal of Mechanical Science and Technology
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• v.14 no.11
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• pp.1286-1295
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• 2000

The ventilation effectiveness is evaluated as a function of air exchange rate and supply / extract locations in a simplified model chamber using a tracer gas technique of CO$_2$ gas injected into a supply duct. Ventilation systems consist of supply and extract fans, a CO$_2$gas generator, a CO$_2$gas analyzer and a test chamber. The ventilation effectiveness is evaluated using a step-down method based on ASTM Standard E741-83. The room mean age of the model chamber is decreased with increasing air exchange rate fanged from 6to 10 air changes per hour. The ventilation effectiveness of the mechanical inlet/natural extract system is better than that of the mechanical extract system.

• Journal of Yeungnam Medical Science
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• v.40 no.2
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• pp.123-135
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• 2023

Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient's individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.13 no.6
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• pp.448-454
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• 2001

In the present study, the transient axi-symmetric numerical simulation of traffic ventilation induced by a train running through a 15.6km-long tunnel is performed by using over 100,000 computational cells. With train running, three cases of ventilation schemes are simulated, which are the case of ventilation fans turned on, the case of no fan but ventilation shafts open, and the case of no fan and no shaft. Results of the ventilation flow rate are pressure transients are compared for the cases considered.

• Journal of Mechanical Science and Technology
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• v.19 no.4
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• pp.1001-1005
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• 2005

This paper evaluates the performance of ventilation for the removal of indoor pollutants as a function of ventilation rate and the number of occupants in a test room and school classroom. An experimental apparatus consists of a test room, a tracer gas supply system, a gas detector, and a fan for ventilation air supply with a controller. The ventilation performance is evaluated in a step-down method based on ASTM Standard E741-83 using $CO_{2}$ gas as a tracer gas in the test room of 35 $m^{3}.$ For the ventilation air flow rate of 1.0 ACH, a recommended ventilation flow rate of Korea school standard for acceptable indoor air quality in the case of one person, CO_{2}$ gas concentration decreases up to $55{\%}$ within 50 minutes without occupancy and increases up to $75{\%}$ in the case of one occupant. Also indoor air quality at the school classroom is investigated experimentally.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.26 no.4
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• pp.594-603
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• 2002

The characteristics of moisture ventilation in a dry room were studied numerically The effect of three important parameters: position of outlets, aspect ratio($\beta$) of horizontal plane and air exchange rate(N), was analyzed by using the scales of ventilation efficiency. The ventilation performance was evaluated by varying the aspect ratio and air exchange rate in the four types of outlet position. It was shown that the ventilation performance was improved by decreasing the aspect ratio in the longitudinal arrangement of outlet. The highest ventilation performance was determined when $\beta$ was 4 in the transverse arrangement of outlet. Regardless of the aspect ratio, the ceiling arrangement of outlet played more dominant effect on the ventilation efficiency than the floor arrangement. In every type and aspect ratio, the increase of air exchange rate to improve ventilation performance was appropriate up to N=60 /h.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.19 no.3
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• pp.240-249
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• 2009

HRSG(Heat Recovery Steam Generator) building is large enclosed structure included various heat sources. This building needs to appropriately keep internal air temperature for worker's safety and operability of control devices. In this study, ventilation analysis is performed to find proper ventilation method for temperature control. Ventilation analysis is applied to entire internal space of the building with standard $k-{\varepsilon}$ model and enhanced wall treatment because of large size of the structure. And the ventilation method is considered natural and forced convection with two louver structures which has damper or not. Louver structure affect directly air circulation in near HRSG and lower region of the building. Forced ventilation provides strong inertial force which cause upward airflow. From the analysis, it is found that design requirement for internal air temperature can be satisfied by forced ventilation method with louver structure without damper.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.23 no.12
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• pp.828-835
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• 2011

The purpose of this study is to analyze and evaluate the 3 types of indoor ventilation methods such as natural, mechanical, and hybrid ventilation in high-rise building which is affected by stack effect and outdoor air pressure. For the evaluation of the ventilation capacity, CFD simulation was performed in a typical high-rise residential building. The results of the simulations are as follows: 1) Natural ventilation method is not enough to the regulation. 2) In case of mechanical ventilation, congested area is occurred but meets the regulation. 3) In case of hybrid ventilation with stack effect, all the areas of indoor meet the regulation and congested area is reduced. 4) In case of high-rise building, the differences of ventilation rate among houses in the building are not large because the mechanical ventilation is main factor.

• The Korean journal of internal medicine
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• v.39 no.2
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• pp.295-305
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• 2024

Background/Aims: The prognosis of patients with idiopathic pulmonary fibrosis (IPF) and respiratory failure requiring mechanical ventilation is poor. Therefore, mechanical ventilation is not recommended. Recently, outcomes of mechanical ventilation, including those for patients with IPF, have improved. The aim of this study was to investigate changes in the use of mechanical ventilation in patients with IPF and their outcomes over time. Methods: This retrospective, observational cohort study used data from the National Health Insurance Service database. Patients diagnosed with IPF between January 2011 and December 2019 who were placed on mechanical ventilation were included. We analyzed changes in the use of mechanical ventilation in patients with IPF and their mortality using the Cochran-Armitage trend test. Results: Between 2011 and 2019, 1,227 patients with IPF were placed on mechanical ventilation. The annual number of patients with IPF with and without mechanical ventilation increased over time. However, the ratio was relatively stable at approximately 3.5%. The overall hospital mortality rate was 69.4%. There was no improvement in annual hospital mortality rate. The overall 30-day mortality rate was 68.7%, which did not change significantly. The overall 90-day mortality rate was 85.3%. The annual 90-day mortality rate was decreased from 90.9% in 2011 to 83.1% in 2019 (p = 0.028). Conclusions: Despite improvements in intensive care and ventilator management, the prognosis of patients with IPF receiving mechanical ventilation has not improved significantly.