• 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 the Korean Institute of Rural Architecture
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• v.14 no.3
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• pp.69-76
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• 2012

This study aims to investigate the mechanism that analysis of the layout-structure of the Traditional Village Oeam. It can identify through the division of area, the properties of layout residential type, the relationship between buildings and roads and location of buildings and a gate. Traditional Folk Village is our precious cultural heritage. However, now is time for our disappearing heritage due to the indiscriminate development. This study will good references for residential Complex in modern society. As a result of this study road in the center of village is divided into two areas. The road and stream plays an important role in the housing layout and composition of the village. Oeam village houses are separated by scale as large, middle, small scale housing. The courty yard is formed widely through a various of housing plan. So that ventilation and light is favorable even if the main house is high. Each house has the individuality with avoiding the village roads and using the byroads and stone wall. Therefore, each house can protect the privacy of houses.

• Journal of environmental and Sanitary engineering
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• v.21 no.4 s.62
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• pp.1-10
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• 2006

This research is based on self-filling survey which 220 dental hygienists who work in seoul participated on July 2006 through August 2006. This survey was analyzed the experience item and occurred time of the symptoms and the time of acute and vanish of the symptoms that dental office's working environment effects on physical subjective symptom. We suggest a plan to minimizing physical subjective symptom for health manage of dental hygienist. We found out the fact that dental hygienists were unsatisfied with hospital air condition and this polluted air condition cause them physical subjective symptom in work place. As follows analyzed results ventilation time is below the 3-times a day, this may be have some trouble in indoor air quality. The experience the symptoms level is higher then non-experience level in "Fatigue and sleepiness", "Dorsalgia, omarthralgia, cervicodynia", "Hypersensitivity", "Dry eye, itch, smarting", "Headaches" and a subjective symptom is occurred at after 11:00(am) more then 60%, 50% of the dental hygienist. This experience the symptom' pain is vanished after the work and reduced when go out the office and building, respectively. The ratio of the experience the symptoms and starting time the symptoms is anywhere from 12 noon to 4 pm (73.2%) in a day. The time of acute pain the symptoms is anywhere from 12 noon to 4 pm (78.7%) refer to the individual characteristics and work environment.

• Journal of the Korean Institute of Educational Facilities
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• v.1 no.1
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• pp.21-32
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• 1994

It is time to put our top priority on the computer education to cope with rapid chage in technology and expansion of information. With 6th educational reform plan, from 1995 computer courses will be offered as elective subjects in the most of middle schools. However, detail planning for training of computer courses will be offered as elective subjects in the most of middle schools. However, detail planning for training of computer teachers and providing facilicles for computer education hasn't been adequately prepared yet, This will bring about confusion in computer education. The purpose of this study is to propose how to renovate the ordinary classroom into computer classroom. Followings are the suggestions for the educational specification for the renovated computer classroom for middle school in the urban area. 1) Purpose of computer classroom, 2) Size of computer classroom, 3) Curriculum design and class hour, 4) Facilities, 5) Environments, 6) Equipment and media(lighting and electric system, acoustical treatment, cooling/heating and ventilation system), 7) Activity area(Teacher workstation, Student workstation, Support area, Display surface). For the promotion of computer education, the legal, financial and administrative supports by concerned authorities should be established ahead of discussing the contents of computer education.

• Journal of The Korean Digital Architecture Interior Association
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• v.10 no.3
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• pp.79-86
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• 2010

From the research which sees the building which uses a natural control method with ecological architecture, continuity tried to divide the building which uses a physical control method with sustainable architecture. Ecological architecture analyzes the microclimate of the area and applies mining and natural ventilation leads and that the interior environment controls, the condition of the site actively and there is a possibility of seeing. Also sustainable architecture which is possible to lead and recycling and reuse of the resources and energy cyclic process of the construction resources to lead and the interior environment to control. Therefore the case where the facility system and structural system become integrated design organically in natural circulating method is many. Specially the sunshade system and double skin system are combined and structural system of the building and there is a possibility of having the envelope which form is feature. Today the buildings lead and the system integration process where the integral parts are systematic is demanded the interior environment which and an external form and that, they make they are there is a possibility of seeing. the environmental building which hits joins in with natural control method and the structure and facility system are integrated and has the tendency which is developed and there is a possibility of saying that a meaning with the alternative construction will be able to reduce the resources and an energy.

• Journal of the Korean Institute of Rural Architecture
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• v.9 no.3
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• pp.33-45
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• 2007

Recently, large scale disasters have been occurred in rural areas. Most people suffering from the disaster live in the temporary containers. These could not provide the fundamental occupancy performances such as thermal insulation, ventilation and heating system. It is very important to rebuild the residence for sufferers quickly and safely. Because modular building system has some advantages such as short construction time, mobility, light-weight structure, modularity, flexibility and economical efficiency, it is expected that it could be easily applied to the disaster restoration. So, this research aims at developing the design model of modular building system for disaster restorations in fishing and agrarian villages. For this purpose, current counterplan for restoration was firstly investigated. Also the basic guideline was established through the investigation of current status of residence in fishing and agrarian villages. Finally, 2 types of design model such as single story residence and temporary accommodation facility were proposed. We could see that we could make the flexible building plan when applying the modular building system to the temporary housing for the sufferers.

• Journal of the Korean Society of Safety
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• v.21 no.1 s.73
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• pp.35-40
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• 2006

A study on fire phenomena in a subway transit mass station has been carried out as a part of disaster prevention plan at the subway station. The ventilation facilities installed in both the platform and the trackway are designed to convert into a smoke exhaust system in emergency situation, creating such an environment as necessary for evacuation. 3 dimensional Numerical Simulations based on the CFD are carried out using a simulation tool, Fire Dynamic Simulator. Additionally, four different vent modes are made and performances are compared with the original design mode and each other to find better operation of vents at both the platform and the trackway in case of fire. From the result, an vent operational characteristics under the condition of installed PSD is clarified for the effective smoke and heat removal from the platform area compared with non installed PSD.

• Journal of the Korea Safety Management & Science
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• v.19 no.3
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• pp.1-9
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• 2017

In the industrial field, various type of fuel have been used for product processing facilities. Recent for 10 years, the usage of natural gas (NG) was gradually increased. Because it has many merits; clean fuel, no transportation, storage facility and so on. There are common safety concept that strict explosion protection approaches are needed for facilities where explosive materials such as flammable liquid, vapor and gases exist. But some has an optimistic point of view that the lighter than air gases such as NG disperse rapidly, hence do not form explosion environment upon release into the atmosphere, many parts has a conventional safety point of view that those gases are also inflammable gases, hence can form explosion environment although the extent is limited and present. In this paper, the heating equipments (Hot Oil Heater) was reviewed and some risk management measures were proposed. These measures include hazardous area classification and explosion-proof provisions of electric apparatus, an early gas leak detection and isolation, ventilation system reliability, emergency response plan and training and so on. This study calculates Hazardous Area Classification using the hypothetical volume in the KS C IEC code.

• KIEAE Journal
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• v.10 no.6
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• pp.105-114
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• 2010

As children are known to touch and chew everything, green cleaning procedures are an important step in preventing children from ingesting harmful toxins. The objectives of this study are to develop a new, self-evaluation checklist and to suggest design recommendations which comply with easy, adaptable, economical ways to improve the eco-friendly indoor environment of Korean childcare facilities. The information compiled during this study was collected through literature review and internet surveys1) from July, 2009 to February, 2010. The results of this study show that the current Korean childcare accreditation system and practices emphasize clean building interiors, policies for sanitation and cleanliness, and control of humidity and lighting. On the other hand, the information provided by green-building rating systems from GBCC, LEED, and GBTool offers additional and comparative details regarding indoor environment quality and standards regarding the IAQ performance and management plan, ventilation and thermal comfort systems, views from windows, acoustics, and lighting. In conclusion, this document provides an appropriate and easy-to-follow, self-evaluation checklist composed of eight criteria and 51 practical items. This study also provides the design recommendations composed of 27 practical ideas focusing on interior elements. Both the checklist and design recommendations I have suggested can be a post-occupancy tool for evaluating eco-healthy facility standards as well as tips for continuing to maintain eco-healthy childcare facilities.

• KIEAE Journal
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• v.10 no.6
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• pp.55-66
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• 2010

The government is enacted "Housing Performance Grading Indication System" from qualitative housing supply policy and performance of housing under the background of looking for new plan to secure good housing stock and housing performance. This system consists of 5 main performance section, 14 performance categories and 20 detailed performance items. 5 main performance parts are sound insulation related grading(Light-weight impact sound insulation, heavy-weight floor impact sound insulation, noise emission in bathroom, airborne sound insulation for wall between units), Long-life housing related grading(flexibility, remodeling & maintenance, durability), environment related grading(landscape, indoor air quality and ventilation, energy performance), Living environment related grading(common resident facilities such as playground and consideration for the socially underprivileged such as the aged), Fire fire prevention grading(fire fire prevention). The purpose of this research is to analyze characteristics and assessment results of 20 detailed performance items on "Housing Performance Grading Indication System" which was enforced 240 cases from Jan 9th, 2006 to Sep 30th, 2010. The analysis of approval condition of detailed performance items will be important comments for understanding the current domestic level and development of technology.