• 임상간호연구
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• 제14권3호
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• pp.73-85
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• 2008

Purpose: To examine effects of application of bronchodilators after endotracheal suction on peak air way pressure (PAP), lung compliance (Cdyn), oxygen saturation ($SpO_2$), heart rate (HR), blood pressure (BP), and respiration rate (RR) in cardiac surgery patients. Method: Data were collected from October 2007 to March 2008. Participants were patients who were treated with bronchodilators through mechanical ventilators in the SICU. At each suctioning, bronchodilators were applied immediately, and at 5, 10, and 15 minutes after suctioning. Besides PAP, Cdyn, $SpO_2$, HR, BP, RR, data on the frequency of side effects were also collected at 15, 30, 60 minutes after nebulization. Data were analyzed using the SAS program. Results: For application of bronchodilator right after suctioning and after, 5, 10 and 15 minutes, PAP and Cdyn did not show any significant differences although PAP was persistently decreased for 15 to 30 minutes and Cdyn increased at 15 minutes and decreased gradually after nebulization. Besides $SpO_2$, HR, BP, and RR, frequency of side effects did not show any significant difference. Conclusion: Bronchodilators can be applied at any time. However, the positive effects of bronchodilation right after suctioning on PAP and Cdyn, as also shown in previous reports, indicate it is a more efficient clinical process to maintain an adequate airway.

• 설비공학논문집
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• 제17권5호
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• pp.496-504
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• 2005

Heat recovery ventilators (HRV) are developed in order to satisfy both energy conservation and the improvement of indoor air quality as an alternative for current natural ventilation systems and local mechanical ventilation systems in kitchens and bathrooms. However, the performance of HRV system and the consequent effect on heating and cooling energy saving have not been sufficiently validated quantitatively in case of the application of HRVs in real residences. In this study, field measurement and computer simulation were conducted in both summer and winter period to assess the performance and validate energy conservation effect of HRVs. Under the Korea weather condition, average total heat recovery efficiency was $27\%$ in summer and $46\%$ in winter. According to the field measurement, HRV system can save the energy by $10\%$ in summer and 15$\%$ in winter. Furthermore, according to the simulation assessment, HRV system can save the energy by $17\%$ in summer and $17\%$ in winter.

• 설비공학논문집
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• 제28권6호
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• pp.232-241
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• 2016

Installing a ventilator for an apartment house composed of over 100 dwelling units was mandated in 2006 to improve indoor air quality. In the case of mechanical ventilators, the air change rate is kept stable, however 68% of dwellers do not operate their ventilator because of an increased electrical bill and noise. In the case of natural ventilators, the former problems are settled, but there are concerns about cold draught and an increase of heating/cooling cost. Authors are developing a heat recovery type natural ventilator which is a natural ventilator equipped with total heat recovery element, and it is expected that those problems of mechanical ventilator and natural ventilator are resolved by this. The combined type diffuser of this study is an under developed fit to the heat recovery type natural ventilator above. There are no standards to evaluate the performance for this type of diffuser. Due to this issue this study investigated the performance of the ventilation and maintained a thermal environment for the combined type diffuser by comparing it with existing diffusers. The results revealed that the performances of the combined type of diffusers showed different features from the existing ones, and was estimated to be high enough in the performances above.

• Journal of Korean Biological Nursing Science
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• 제9권1호
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• pp.71-84
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• 2007

Purpose : The Purpose of this study was to identify the physiological, psychological factors to successful weaning of mechanical ventilation in ICU patients. Method: Data was collected by interview with the use of questionnaires from 70 ICU patients, who were mechanically ventilated more than 3days at Y university medical center. Data was analyzed with descriptive statics, t-test, and $x^2$ test, and Pearson Coefficient Correlation using SPSS WIN 12.0 program. Result: ICU patients with mechanical ventilator during weaning period reported high levels of anxiety, moderate levels of stress, and fatigue. The physiological, psychological factors influencing ventilator weaning success were RSBI(p=0.007), stress(p=0.009), anxiety(p=0.020), depression(p=0.040), fatigue(p=0.001), and dyspnea(p=0.010). The RSBI factor was shown to have positive correlations with ventilator care periods, $PaCO_2$, and fatigue. Dyspnea was also positively correlated with stress, anxiety, depression, and fatigue. Conclusion: This study suggests that RSBI, stress, anxiety, depression, fatigue, and dyspnea are significant factors to successful weaning from mechanical ventilation.

• 대한의용생체공학회:의공학회지
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• 제40권6호
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• pp.260-267
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• 2019

In the present study, we aimed to demonstrate that MV2000-MT(SU:M2)^® (MV, MEK-ICS, Paju, Korea), a domestic ventilator, is not inferior in terms of usability, safety, and medical staff satisfaction as compared to Hamilton G5 (G5, Hamilton Medical AG, Rhäzuns, Switzerland). A total of 39 patients who applied MV (group M) or G5 (group H) were included in the study sample. Usability was evaluated by the following factors: the number of alarm errors, replacement requirement of breathing circuit, replacement requirement of a right-angle connector, and ease of ventilator weaning. For safety evaluation, the number of ventilator replacements due to malfunction of the ventilator was evaluated. Items for medical staff satisfaction survey were as follows: the number of MV and G5 uses, hardware, and software assessment. In the usability evaluation, the replacement requirement of the right-angle connector was lower in Group M than in Group H (mean ± standard deviation, Group M: 7.39 ± 6.72, Group H: 14.19 ± 10.24, p = 0.021); however, the evaluations of other parts were not significantly different between the two groups. The number of ventilator replacements due to a malfunction of the ventilator did not differ between two groups. The number of MV and G5 uses was 3.0 [3.0-4.0] and 10.0 [5.0-10.0] (median [interquartile range], p < 0.001). Overall, the mean medical staff satisfaction score of Hamilton G5 was higher than that of MV2000-MT(SU:M2)^®. The usability of MV is comparable to that of G5. However, medical staff satisfaction with Hamilton G5 was higher than that with MV2000-MT(SU:M2)^®, and this difference could be due to the difference in the number of uses. In order to improve the penetration rate of the domestic mechanical ventilator, it is necessary to find ways to increase familiarity of medical staff with domestic mechanical ventilators.

• 설비공학논문집
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• 제25권10호
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• pp.529-533
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• 2013

Heat-recovery ventilators are being adopted in most newly built apartment houses for energy reduction and indoor environment improvement. In winter, however, the dew condensation resulting from the difference between the indoor and outdoor temperatures may reduce the ventilator's performance and threaten the health of indoor residents. This study analyzes the occurrence of dew condensation according to the ventilator's operational conditions and the changes of temperature and products. The experimental results show that condensations is formed at $26^{\circ}C$ and 60%R.H, which is an unfavorable climatic condition, and when the damper is not closed tightly. Therefore it is important to ensure damper performance to prevent back flow.

• Journal of Advanced Marine Engineering and Technology
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• 제40권6호
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• pp.468-475
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• 2016

본 연구에서는 기존 열회수형 환기장치의 음향 문제점을 파악하고, 흡음덕트 설치위치별 열회수형 환기장치의 소음저감 방안을 강구하기 위하여 관련된 국내 외 규격을 기준으로 열회수형 환기장치의 크기, 풍량 및 흡음덕트 길이를 파라미터로 한 발생소음을 측정하여 비교하고 고찰하였다. 그 결과, 무향실에서 열회수형 환기장치에 대한 소음은 흡음덕트를 설치하지 않았을 경우에 소형 및 중형 모두 풍량에 관계없이 거의 대부분 소음기준인 50 dB(A) 보다 높게 나타났고, 흡음덕트를 설치하였을 경우에는 소음도가 감소됨을 알았다. 또한, 흡음덕트의 길이에 따른 주파수 대역별 음압수준은 소형과 중형 열회수형 환기장치에서 흡음덕트의 길이가 클수록 대체적으로 감소하였고, 풍량이 클수록 대체적으로 음압수준이 증가하였다.

• Clinical and Experimental Pediatrics
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• 제48권12호
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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.

• 한국산업융합학회 논문집
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• 제21권3호
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• pp.133-139
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• 2018

Precipitator is the most widespread device used to separate dust particles from the exhaust gas. In the shipyard, welding umbrellas, spark protection covers, and ventilators are not purchased and used for the work place to capture the flames and high temperature metal dust generated during the gardening process. In particular, a thorough analysis of design factors, such as capture rate, collection capacity calculation, filter speed, and materials selection, is required since spatial constraints are followed by structures, etc. In this study, conceived to address problems such as this cyclone and filtration filter system that combines all-in-one gausing collector prototype. Assessed through interpretation through the validity of the design and reliability.

• 터널과지하공간
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• 제20권2호
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• pp.92-96
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• 2010

본 연구에서는 지하공간에서 화재 발생시 배연장비의 연기배출 성능을 평가하기 위하여 실험을 실시하였다. 배연장비로는 이동식 송풍기를 사용하였으며 가연물질로는 에탄올을 사용하였다. 한 변의 길이가 80cm의 정사각형 화원을 사용하였으며 최대 열방출률은 약 460 kW이다. 급기방식 배연의 영향을 평가하였다. 급기방식의 경우 실내의 가시도 향상 및 온도감소 효과를 확인할 수 있었다.