• 생물환경조절학회지
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• 제29권3호
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• pp.259-264
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• 2020

본 연구에서는 겨울철 보온으로 인해 야간 및 새벽에 상대습도가 높아지는 온실에 대향류형 환기장치를 설치하고 그 효과를 분석하였다. 대향류형 환기장치는 크기 0.96×0.65×0.82(W×D×H, m)의 케이스에 크기 0.54×0.40×0.75(W×D×H, m)의 PE소재의 열교환 소자와 급기와 배기를 위한 송풍팬(풍량 6,800㎥/h, 소비전력1.7kW) 2대가 내부에 있다. 환기장치는 총 2대를 이용하였으며 토마토의 적정 생육 환경을 고려하여 설정 습도를 80%하고 18시부터 익일 8시까지 온실 내 온도 및 습도를 측정하고 분석하였다. 관행 온실에서 야간 평균 온도 및 습도는 14.9℃, 82.8%, 시험구 온실에서 야간 평균 온습도는 15.1℃, 79.9%로 측정되어 온도는 0.1℃, 습도는 약 3% 차이가 났다. 온실 평균 온도 및 습도를 월별로 비교하고 독립표본 t검정을 통해 분석해 본 결과, 유의수준 1%에서 각 월의 온도는 차이가 없는 것으로 나타났으며 습도는 차이가 있다고 판단된다. 따라서 대향류형 환기장치의 사용이 온실의 습도를 관리하고 작물 생육에 적합환 환경을 조성하여 작물 생산성 향상에 도움을 줄 수 있다고 판단된다. 이 외에도 환기장치 사용에 따른 난방비 증가와 같은 손실적 요소와 이익적 요소를 복합적으로 고려한 추가적인 연구도 필요할 것으로 사료된다.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2010년도 춘계학술대회 논문집
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• pp.1131-1132
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• 2010

• 한국조명전기설비학회:학술대회논문집
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• 한국조명전기설비학회 2009년도 추계학술대회 논문집
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• pp.371-374
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• 2009

This paper presents a cooling system using thermoelectron for improving the output of BIPV module. The temperature characteristic in regard to improving the output of BIPV system has rarely been studied up to now but some researchers only presented the method using a ventilator. The cooling system efficiency of BIPV module applied to a ventilator mainly depends on the weather such as wind, insolation etc. Because the cooling system of BIPV module using a ventilator is so sensitive, that is being set off by wind speed at all time but is unable to operate in the NOCT(Nominal Operating Cell Temperature) which is able to make the maximum output The paper presents the cooling system using thermoelectron so as to solve such problems. The temperature control of thermoelectron can be controlled independently in the outside environment because that is performed by micro-controller. The temperature control of thermoelectron, also, can be operated around NOCT through algorism of the temperature control. Therefore, outputs of the whole system increase and the efficiency rises. The paper demonstrates the validity of proposed method by comparing the data obtained through a experiment of the cooling method of BIPV using a ventilator and proposed thermoelectron.

• Journal of Chest Surgery
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• 제27권10호
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• pp.833-837
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• 1994

Lung contusion due to blunt chest trauma is the most common lung injury and correlated with the clinical course and prognosis. Its diagnosis by CT[Computerized Tomogram] gives a more clear and understandable three dimensional view, by which we are able to measure the volume of the contused and entire lung. Other variables are arterial blood gas, number of rib fracture, presence of hemopneumothorax, sternal fracture and clavicle fracture, number of associated non-thoracic injuries, ventilator time and presence of pulmonary complication. Percentage[%] of lung contusion are expressed as mean $\pm$ standard deviation and data analysis was performed by means of multivariate repeated measures analysis of variance to detect significant differences in variables between positive thoracic injury group and negative group. The paired t-test was used. Differences of percentage of lung contusion between groups were assessed by one-way analysis of variance. Simple linear regression was used to perform correlation analysis in the number of rib fracture and ventilator time. A p value less than 0.05 was considered statistically significant. Pneumothorax and the number of associated other injuries affect the amount of lung contusion and pulmonary complication group has more contused lung volume. Arterial blood gas study shows no correlation with the amount of lung contusion statistically. The number of rib fracture correlated with the amount of lung contusion, which also correlated with ventilator time[r=0.56, p<0.05]. In conclusion, quantitative anlysis of lung contusion by CT predicts the clinical course and treatment such as ventilator care.

• 중환자간호학회지
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• 제3권2호
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• pp.13-22
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• 2010

Purpose: This study was intended to examine the effects of educating the Ventilator-Associated Pneumonia (VAP) control for the nurses working in the intensive care unit (ICU). Methods: The study was conducted using one group pre-post test research design. The education on infection control was provided to 31 nurses working at the medical and surgical ICUs. A comparison was then made in terms of the degree of performing infection control a month before, two weeks after, and three months after the education respectively. The incidences of VAP at the medical and surgical ICUs were compared for 3 months before and after the education. Results: The average performance scores between before and after the education showed statistically significant differences. Compared to three months before, the incidence of VAP after the education was decreased slightly from 5.48 to 1.88 per 1,000 ventilator days. Conclusion: It is necessary to continue the VAP education, specifically on infection prevention and control methods and the consistent evaluation of its effects as well as the development of standardized educational program should be approached extensively in further studies.

• 성인간호학회지
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• 제21권2호
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• pp.155-166
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• 2009

Purpose: This study developed and evaluated a systematic intervention among medical ICU nurses for preventing ventilator-associated pneumonia (hereafter VAP). Methods: A VAP prevention program was proposed based on a literature review, revised to fit the target situation, and validated. It was composed of one-time interventions including education, pamphlets, hand cultures, and a quiz event, as well as repeated interventions such as posters, reminders, posting hand culture results, and performance feedback. A simulated control group pretest-posttest design was used to verify the effectiveness of the VAP control program. The incidence of VAP among ICU patients was measured both during 3 months before (n=80) and during 3 months after (n=75) intervention. Results: The VAP prevention program's effectiveness, with a pre-intervention VAP rate of 17.38 and post-intervention rate of 11.04 per 1,000 ventilator days, showed a clinical tendency to decrease, but the difference was not statistically significant (p=.750). Conclusion: A VAP prevention program of multiple interventions can be useful in decreasing the VAP rate. Given that the monthly decrease in the VAP rate was not considered statistically significant, long-term research needs to be done. Additionally, since this study targeted only nurses, it is suggested that future research targets other health care workers who can influence VAP rates.

• International Journal of Advanced Culture Technology
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• 제6권3호
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• pp.211-215
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• 2018

Ventilator-associated pneumonia (VAP) is a lung infection that develops in patients receiving mechanical ventilation. VAP contributes to about 50% of hospital-acquired pneumonia in ICU settings. One of the recommendation of the Institute of for Healthcare Improvement ventilator bundle is HOB elevation. HOB elevation affects shearing forces and makes higher risk for pressure injury development. Pressure injury (PI) is localized damage to the skin over a bony prominence. PI prevention guidelines recommend that HOB positioning should be lower to reduce risk for PI development which contradicts VAP prevention guidelines for the HOB between 30 and 45 degrees for ICU patients. This presents a care dilemma and tension. The purpose of this study was to perform a secondary data analysis using cumulative electronic health record data in order to determine the association of HOB elevation with VAP and PI in ICU patients. A secondary data analysis was conducted to determine whether HOB elevation is associated with VAP and PI. HOB elevation was not likely to be associated with VAP prevention whereas it was likely to be related to PI development. This is somewhat contrary to popular data and publications. Prospective cohort study is desired to inform us in an evidence-based fashion what actually is optimal HOB elevation for ventilated patients in ICU settings.

• 중환자간호학회지
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• 제2권2호
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• pp.42-55
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• 2009

Purpose: Despite numerous evidence based preventive strategies of ventilator associated pneumonia (VAP) have been introduced, the incidence rate of VAP continues in an unacceptable range. The purposes of this review were to identify risk factors and diagnosis of VAP and to introduce current evidence based preventive strategies of VAP. Methods: A comprehensive literature search using keywords, including ventilator associated pneumonia were entered into a search engine. A number of highly pertinent papers relevant to the purpose of the review were identified. The papers that discussed specific preventive strategies of VAP were selected for analysis and inclusion in this review. Results: A number of evidence based preventive strategies that nurses can implement in their clinical practice to prevent VAP were identified. Such strategies include hand washing, use of protective gloves and gowns, oral care, stress ulcer prophylaxis, avoidance of unnecessary intubation, weaning protocol, sedation vacation, use of non-invasive ventilation, semi-recumbent position, continuous aspiration of subglottic secretions, and maintenance of proper endotracheal tube cuff pressure. Staff education is essential in preventing VAP. Conclusion: Preventive strategies of VAP should be applied to daily nursing care and each critical nurse should play a functional role in preventing VAP.

• 전기학회논문지
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• 제57권9호
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• pp.1555-1562
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• 2008

This paper presents a cooling system using thermoelectron for improving the output of BIPV module. The temperature characteristic in regard to improving the output of BIPV system has rarely been studied up to now but some researchers only presented the method using a ventilator. The cooling system efficiency of BIPV module applied to a ventilator mainly depends on the weather such as wind, insolation etc. Because the cooling system of BIPV module using a ventilator is so sensitive, that is being set off by wind speed at all time but is unable to operate in the NOCT(Nominal Operating Cell Temperature) which is able to make the maximum output. The paper presents the cooling system using thermoelectron so as to solve such problems. The temperature control of thermoelectron can be controlled independently in the outside environment because that is performed by micro-controller. The temperature control of thermoelectron, also, can be operated around NOCT through algorism of the temperature control. Therefore, outputs of the whole system increase and the efficiency rises. The paper demonstrates the validity of proposed method by comparing the data obtained through a experiment of the cooling method of BIPV using a ventilator and proposed thermoelectron.

• Journal of Chest Surgery
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• 제14권3호
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• pp.187-194
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• 1981

Cardiac surgery is generally followed by a period of routine ventilator support. When the patient seems hemodynamically stable and relatively alert following surgery, respiratory adequacy is tested by the weaning trial. In this study, physiological and clinical prediction of postoperative respiratory adequacy, including values of pulmonary function tests, were examined in an attempt to identity those few variables which predicted the outcome of the ventilator weaning trial following surgery. Our series comprised 27 patients who underwent elective open intracardiac operations at the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, from October 1979 to July, 1980. The pulmonary function tests performed on all patients included the following; forced vital capacity [FVC], forced expiratory volume [FEV1.0], forced expiratory flow [FEF 25--75~], residual volume [RV], and functional residual capacity [FRC], measured with a helium dilution technique. Of our 27 patients, 8 were successfully weaned within 20 hours of operation. All patients with cyanotic heart diseases or acquired heart diseases were unsuccessfully weaned. The bypass time in the successful weaning group was shorter in the mean value [82.8 minutes]than in the unsuccessful weaning group [120.5 minutes]. There was a relatively significant difference in the mean values for the two groups in arterial pressure, bleeding amounts and FiO2 among the postoperative monitoring variables, and in forced vital capacity [FVC]. The postoperative clinical assessments appeared vague but corresponded reasonably well to appraisal of success in weaning, especially in variables of cough and self-respiration efforts.