• 제목/요약/키워드: Ventilation condition

검색결과 446건 처리시간 0.034초

실내 미생물오염 전파방지를 위한 멀티존 모델링에 관한 연구 (A Study on the Multizone Modeling for Preventing Transmission of Air Borne Contagion)

  • 최상곤;이현우;홍진관
    • 설비공학논문집
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    • 제18권11호
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    • pp.933-940
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    • 2006
  • In this study multi-zone modeling program CONTAM 2.4 developed by NIST is used for estimating the air disinfection rate of the interior of a room which is set up the indoor air disinfection system with filter and ultra violet germicidal irradiation (UVGI). Developed models those enable to predict the transmission of air home contagion such as bacteria and fungus generated in our daily life are useful model for designning air cleaning & ventilation system of building. Also, results indicate that these models are enable to compute the real situation that is almost impossible of carrying out experiment in an actual condition due to biohazard problems and suggest that engineers will use these models as a design tool for the future immune building system.

Guillain-Barré Syndrome after Lung Transplantation in the Immediate Postoperative Period: Case Report

  • Gu, Byung Mo;Ko, Ho Hyun;Lee, Hong Kyu;Ra, Yong Joon;Lee, Hee Sung;Kim, Hyoung Soo
    • Journal of Chest Surgery
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    • 제54권5호
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    • pp.396-399
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    • 2021
  • A 58-year-old man, incapable of maintaining oxygen saturation with mechanical ventilation, was admitted to our hospital for veno-venous extracorporeal membrane oxygenation (ECMO) treatment. He was diagnosed with acute respiratory distress syndrome (ARDS) due to influenza A pneumonia. His condition stabilized with antibiotics and steroid administration, but weaning from ECMO failed due to post-infectious pulmonary sequelae. On day 84 after admission, he underwent bilateral lung transplantation. In the postoperative phase, he did not regain consciousness even after discontinuation of sedatives for 3 days. However, spontaneous pupillary reflex and eye movements were preserved, while communication and upper and lower limb movements were affected. The nerve conduction study was diagnostic of Guillain-Barré syndrome. He was managed with intravenous immunoglobulins and plasmapheresis. Mild recovery of the facial muscles was seen, but he died 24 days post-surgery due to progressive ARDS and sepsis.

Pain in amyotrophic lateral sclerosis: a narrative review

  • Kwak, Soyoung
    • Journal of Yeungnam Medical Science
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    • 제39권3호
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    • pp.181-189
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    • 2022
  • Amyotrophic lateral sclerosis (ALS) is a rapidly progressive neurodegenerative condition characterized by loss of motor neurons, resulting in motor weakness of the limbs and/or bulbar muscles. Pain is a prevalent but neglected symptom of ALS, and it has a significant negative impact on the quality of life of patients and their caregivers. This review outlines the epidemiology, clinical characteristics, underlying mechanisms, and management strategies of pain in ALS to improve clinical practice and patient outcomes related to pain. Pain is a prevalent symptom among patients with ALS, with a variable reported prevalence. It may occur at any stage of the disease and can involve any part of the body without a specific pattern. Primary pain includes neuropathic pain and pain from spasticity or cramps, while secondary pain is mainly nociceptive, occurring with the progression of muscle weakness and atrophy, prolonged immobility causing degenerative changes in joints and connective tissue, and long-term home mechanical ventilation. Prior to treatment, the exact patterns and causes of pain must first be identified, and the treatment should be tailored to each patient. Treatment options can be classified into pharmacological treatments, including nonsteroidal anti-inflammatory drugs, antiepileptic drugs, drugs for cramps or spasticity, and opioid; and nonpharmacological treatments, including positioning, splints, joint injections, and physical therapy. The development of standardized and specific assessment tools for pain-specific to ALS is required, as are further studies on treatments to reduce pain, diminish suffering, and improve the quality of life of patients with ALS.

Prognosis of aerodynamic coefficients of butterfly plan shaped tall building by surrogate modelling

  • Sanyal, Prasenjit;Banerjee, Sayantan;Dalui, Sujit Kumar
    • Wind and Structures
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    • 제34권4호
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    • pp.321-334
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    • 2022
  • Irregularity in plan shape is very common for any type of building as it enhances better air ventilation for the inhabitants. Systematic opening at the middle of the facades makes the appearance of the building plan as a butterfly one. The primary focus of this study is to forecast the force, moment and torsional coefficient of a butterfly plan shaped tall building. Initially, Computational Fluid Dynamics (CFD) study is done on the building model based on Reynolds averaged Navier Stokes (RANS) k-epsilon turbulence model. Fifty random cases of irregularity and angle of attack (AOA) are selected, and the results from these cases are utilised for developing the surrogate models. Parametric equations are predicted for all these aerodynamic coefficients, and the training of these outcomes are also done for developing Artificial Neural Networks (ANN). After achieving the target acceptance criteria, the observed results are compared with the primary CFD data. Both parametric equations and ANN matched very well with the obtained data. The results are further utilised for discussing the effects of irregularity on the most critical wind condition.

Hospice and Palliative Care for Patients in the Intensive Care Unit: Current Status in Countries Other than Korea

  • Minkyu Jung
    • Journal of Hospice and Palliative Care
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    • 제26권1호
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    • pp.22-25
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    • 2023
  • Although most patients prefer dying at home, patients whose condition rapidly becomes critical need care in the intensive care unit (ICU), and it is rare for them to die at home with their families. Therefore, interest in hospice and palliative care for patients in the ICU is increasing. Hospice and palliative care (PC) is necessary for all patients with life-threatening diseases. The following patients need palliative care in the ICU: patients with chronic critical illnesses who need tracheostomy, percutaneous gastrostomy tube, and extracorporeal life support; patients aged 80 years or older; stage 4 cancer patients; patients with specific acute diseases with a poor prognosis (e.g., anoxic brain injury and intracerebral hemorrhage requiring mechanical ventilation); and patients for whom the attending physician expects a poor prognosis. There are two PC models-a consultative model and an integrative model-in the ICU setting. Since these two models have advantages and disadvantages, it is necessary to apply the model that best fits each hospital's circumstances. Furthermore, interdisciplinary decision-making between the ICU care team and PC specialists should be strengthened to increase the provision of hospice and palliative care services for patients expected to have poor outcomes and their families.

Life-threatening nasotracheal tube obstruction by a blood clot: a case report

  • Dajeong Lee;Chan Yong Park;Sang Wha Kim
    • Journal of Trauma and Injury
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    • 제37권3호
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    • pp.220-223
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    • 2024
  • The nasotracheal tube (NTT) is frequently used in oral and maxillofacial surgery and is generally considered a safe means of protecting the airway while ensuring an adequate surgical field. The most common complication associated with NTT is epistaxis, and only a few cases of foreign body obstruction have been reported. In this case report, the authors aimed to highlight the potential for NTT obstruction following surgery. A 24-year-old female patient, who underwent mandibuloplasty and rhinoplasty at a local clinic, was referred to our hospital patient due to dyspnea and edema on her right mandibular angle. Even with NTT, patient continued to experience mild dyspnea and tachypnea, so a T-piece was applied. However, tachycardia accompanied by a sudden worsening of dyspnea was observed, and bag-valve-mask ventilation was initiated promptly. But oxygen saturation remained unimproved, so an emergency cricothyroidotomy was performed. After 4 hours, the patient's condition stabilized. Upon examination, the previously inserted NTT was identified, and a blood clot approximately 10 cm long at the NTT tip was discovered, causing lumen obstruction. The obstructions of NTT can lead to serious or life-threatening consequences if left unobserved or ignored. Therefore, when a patient with an NTT complains of dyspnea, clinicians should promptly investigate the possibility of partial NTT obstruction to ensure the airway's security.

인공 환기가 필요한 환자에서 변형된 수동식 인공호흡기(Ambu®)의 유용성 (Usefulness of modified ambu® in patients who need artificial ventilation)

  • 하기수;문일홍;이희선;신동한;은소희;은백린;홍영숙;이주원
    • Clinical and Experimental Pediatrics
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    • 제49권11호
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    • pp.1194-1201
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    • 2006
  • 목 적 : 혼수 환자는 원인에 상관없이 혼수 상태가 오래 지속되었을 경우 회복불능의 상태로 될 수 있기 때문에 원인을 신속하게 발견하여 치료하는 것이 중요하다. 그 중 MRI 검사는 혼수 환자의 원인을 감별하는데 중요하나 자발호흡이 없는 환자에게 MRI 검사 시 여러 가지 제한점으로 인해 그 시행이 어려웠다. 저자들은 변형된 수동식 인공호흡기를 이용하여 일정 거리에서 환자에게 전달되는 환기량을 유지하면서 MRI 검사가 가능한지 알아보고 안정성을 확인하고자 본 연구를 실시하였다. 방 법 : 특별히 고안한 장치는 self-inflating bag type의 수동식 인공호흡기에 PVC 관을 연결하고 그 끝을 환자의 기도와 연결하여 만든 비교적 간단한 장치이다. 또한 안정성을 확인하기 위하여 기계식 인공호흡기를 이용하여 PVC 연결 관의 길이와 직경 및 일회호흡량(tidal volume)을 변화시켰을 경우 TVe, MVe, PIP를 측정하여 환기에 미치는 영향에 대해 알아보았다. 결 과 : 15 mm, 25 mm 직경의 2가지 종류의 PVC 연결 관을 이용하여 TVi를 변화시킴과 동시에 관의 길이를 1, 2, 3 m로 증가시킴에 따라 TVe, MVe, PIP 값을 측정하였으며, 그 결과 TVe, MVe 값은 대조군과 비교해 차이가 없었고 PIP 값은 TVi가 증가함에 따라, 관의 길이가 늘어남에 따라 의미 있는 증가를 보였다(P<0.05). 또한 관의 길이, TVi에 관계없이 PIP 값은 PVC 연결 관의 직경과 음의 상관관계를 보였다. 즉 관의 직경이 작을수록, 관의 길이가 길어질수록, 일회호흡량이 증가할수록, 환기량을 유지하기 위한 PIP값은 증가하였다. 5명의 환자들을 대상으로 이러한 방법을 이용하여 MRI 검사를 시행하였으며 성공적으로 검사를 실시하였다. 결 론 : 저자들이 고안한 수동식 인공호흡기를 이용한다면 자발호흡이 불안정하여 MRI 검사를 시행하지 못했던 많은 환자들에게 더 많은 검사의 기회가 주어질 것이며 환자의 질환을 진단하는데 많은 도움을 줄 것이다.

산욕부 안위에 영향을 미치는 병원환경 요인에 관한 연구 (Study on Hospital Environmental Causes Affected the Mother′s Comfort After Her Child Birth)

  • 변수자
    • 대한간호학회지
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    • 제8권1호
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    • pp.1-15
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    • 1978
  • The Purpose of this study is to examine closely the causes influenced upon the comfort and recovery of the woman delivered of a child in the hospital at the same time to understand environmental status of hospitals in order to promote mother's health recovery, and to improve hospital environment by emphasizing the meaning of environment and health before the medical staff and hospital administrative authority. In the method of servery of the research, 165 post paestum patients have been randomly selected who were accommodated and delivered their babies at OB(obstetric ) & GY (Gynecologic) unit the 7 general hospitals for the period of 6 December 1976 through 17 December 1976. As for the survey, it has been used of Questionnaire where we have 65 items in the respect of personal environment in the hospital such as trusting nurse, ability, reliability, kindness and etiquette of nurse and tile character of nurse the relationship with patients the other respect of physical environment included 9f temperature, moisture. air-ventilation lightening noise, cleanness. facilities, and the third realm being of mother's hearth ground to have the following conclusion 1. The feature of the collected personnel they are from OB or GY sects of from OB unit of the other 5 hospitals except the two general hospitals of the college or school Otherwise the rate of the patients to nurses would be 9 : 1. As for the nurses'ground it would be appeared of 20-25 years of age as the 76%. either 3 year course or 4 year course in the education would be each 50% and less than 2 year experience case would record as of 60 %. In the respect of hospital physical environmental status, there we have two hospitals without any thermometers, on the other han4 nowhere there's hygrometer, otherwise, the lightening is normal or over than normal As for the structure of noise protection the corridors're, generally speaking worse than rooms, nerver hueless, there's no ventilating system in the hospitals. The rooms'repainted in white and yellow, light green white, or green color. The patient's clothing were in green pink blue, light green or in white co for. There're not anything special in both decoration and equipments. Most of them used tall beds except in one hospital 2. To the extent of perception of patient's hatch 9round and hospital environment it is presented that they perceived nurse's ability in highest in total human variable, though perceived kindness or etiquette in the lowest otherwise, comparatively high in total average. 3. In the respect of physical environment it is highest perceived of lightening terms, otherwise, lowest perceived of air ventilation and total average became lowest than the one of the original record 4. To ages, in the respect of hatch ground rather old aged mother than the younger one has perceived that nurse would be trusting, in good service character, able, at the same time, liable, Otherwise, in physical environment regardless of age, they perceived lightening in high and remarkably lower in ventilation As a result of the examination of the difference in hospital environment to each age it is appeared of statistical difference at 5% level of ability in the personal environment otherwise little difference as for physical environment 5. In the respect of perceiving level to educational standard it is highly perceived of personal environment for higher ranking group rather than lower group in the educational standard. In case of physical environment it is highly perceived for lower level group rather than higher level group in educational background. The variables which have statistical significance at 5% level are from trusting kindness, etiquette and total kindness, etiquette and total all significance at 5% level are from trusting, kindness, etiquette and total human environment variable in personal environment, otherwise, there's little difference in the physical environment. 6. The perceiving level due to times of admission and accommodation at the hospital would be cleared out as gradual higher perception both physical and personal environment in the hospital. At 5% significant level of the ventilation condition in physical environmental variable it is presented of meaningful difference otherwise, there we have little difference both in Personal variable and other one. 7. In accordance with living standard, the perception degree of personal environment in tee hospital would be inclined to increase to higher living standard on the other hand, in case of the physical environment, the perception level world increase to lower living standard At 5 % level, the trustuariable and total scores in the personal eicuironmectal variable there appeared a meaningful/ significant difference otherwise, there presented little difference both in physical environmental and other variable to the living standard 8. Pertaining to family unit, the mother of an independent family unit perceived highly in all respect of the personal and the physical environment in the hospital rather than the woman of succeeding family unit. At 5 % level there appeared a difference in the respect of kindness and etiquette both in personal environment variable, on the other hand, there hardly marked a difference between other variable and physical environmental one. 9. The degree of perception to comforting level has little connection with a statistical difference the age, educational level hospital admitting times, living standard or family unit. 10. The most effective variable to mother's comforting level will be nurse's ability, reliability, trusting manner, and total physical environment variable in order.

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공동주택의 하절기 자연환기 시 지붕면 일사수열이 최상층 실내온열환경에 미치는 영향 분석 (Analysis of the Irradiated Solar Heat Effect on Indoor Thermal Environment of the Top Floor Units of Apartment Houses in the Summer - On Condition that All Openings of the Units are Opened -)

  • 최동호
    • 한국태양에너지학회 논문집
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    • 제25권1호
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    • pp.45-55
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    • 2005
  • In the summer, the irradiated solar heat gain through the roof has an effect on the thermal environment of the top floor units of apartment houses. This paper investigated the differences of the indoor air temperature, globe temperature and thermal comfort index between the top floor unit and the middle floor unit by measuring them at the sample units on the condition that all the openings of the units are opened. The purpose of this paper is to provide quantitative data about the irradiated solar heat gain during the summertime through the roof of an apartment house and these data to be the source to reevaluate the appropriate roof insulation efficiency. From this study, we obtained three brief results as follows. Indoor air temperature difference between the two sample units shifts a day. Indoor air temperature at the top floor unit is $0{\sim}1.8^{\circ}C$ higher than that of the middle floor unit from 12:00 p.m. to 12:00 a.m. and $0{\sim}2.8^{\circ}C$ lower from 12:00 a.m. to 12:00 p.m. The evaluation of the indoor thermal comfort index and the globe temperature shows similar results as the indoor air temperature measuring. Results of this experiment verified the actual existence of indoor air temperature difference between the top floor unit and the middle one and this difference comes from the heat storage of the roof.

한우사 내부 위치 및 TMR 배합 작업에 따른 분진 모니터링 (Dust Concentration Monitoring in Korean Native Cattle Farm according to Sampling Location and TMR Process)

  • 박관용;권경석;이인복;여욱현;이상연;김준규
    • 한국농공학회논문집
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    • 제59권4호
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    • pp.75-83
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    • 2017
  • Many parts of problems in livestock industry today are associated with organic dust. Endotoxin and toxic gasses on the surface of dust and dust itself can cause aesthetic displeasure and respiratory disease. It also reduces livestock productivity by suppressing immunity of animals and carrying microbes causing animal disease. However, dust level of cattle farm was rarely reported in Korea, and regulation for cattle farm worker does not exist. In this paper, dust concentration and environmental condition were regularly monitored in a commercial Korean native cattle farm. The measurement was conducted according to location and working activities. From the measurement, distribution of dust concentration was affected by wind environment, as the result of natural ventilation. TMR mixer was a major source of dust in target cattle house. The maximum inhalable dust concentration was 637.8 times higher than exposure limit as feed dropped into the TMR mixer. It was expected that dust generation could be affected by particle size and drop height of feed. This study suggests potential risk of dust in cattle farm, and necessity for latter study. Effect of aerodynamic condition and TMR processing should be investigated for dust reduction study.