• Title/Summary/Keyword: 구조호흡

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A Study on Utilization Improvement of Resuscitation Equipment on Board Ships (선박 내 구조호흡 장비 활용 개선에 관한 연구)

  • Jeong-Hee Hwang
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.7
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    • pp.819-827
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    • 2023
  • If respiratory arrest occurs or cardiopulmonary resuscitation (CPR) is performed for a long period on board ships, CPR with rescue breathing (not compression-only CPR) is required. Accordingly, ships must have resuscitation equipment for oxygen supply, and seafarers must have the maritime competence to use it. This study aimed to analyze the placement status of resuscitation equipment on ships and seafarers' intention to use them in order to increase the usability of resuscitation equipment on board ships and propose improvement measures. The study was conducted from February 2, 2023, to April 21, 2023, and a total of 340 seafarers were surveyed. The data were analyzed by frequency, percentage, and chi-square test using SPSS WIN 23.0. The results showed that the checking of resuscitation equipment was high among seafarers in the positions of officer, captain, deck department personnel, and ocean-going personnel. The intention of seafarers to use resuscitation equipment was low, and the main barrier was the lack of knowledge on how to use. Among the general characteristics of the study participants, those whose rank was that of officer or captain, whose working department was the deck, voyage who were ocean-going, and who managed a gross tonnage of 20,000 tons or more had a high intention to use resuscitation equipment. Participants who knew the necessity of rescue breathing and had received practice and equipment-based training were active in using resuscitation equipment. Therefore, a system should be developed so that all ships can be equipped with resuscitation equipment, and an environment must be created to increase accessibility to resuscitation equipment on board ships. In addition, an education system based on practical and resuscitation equipment training must be established to ensure that seafarers have maritime competence.

The Effects of Training on the Proper Use of Respiratory Rate Measurement Devices for Providing High-Quality Artificial Ventilation

  • Jae-Ran Lim;Sung-Hwan Bang;Hyo-Suk Song;Gyu-Sik Shim;Ho-Jin Park
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.165-171
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    • 2024
  • This study aims to investigate the appropriate volume of artificial ventilation and success rate when Basic - emergency medical Technician administer bag valve mask(BVM) artificial ventilation to patients experiencing respiratory failure or respiratory arrest using a respiratory rate measurement device. The research was conducted from December 11th to 12th, 2023, targeting 20 Basic - emergency medical Technicians enrolled at D University. Ten participants were selected for the experimental group, receiving BVM ventilation training with the use of a respiratory rate measurement device, while the other ten were assigned to the control group, receiving BVM ventilation training without the use of a respiratory rate measurement device. The experiment involved providing artificial ventilation for 2 minutes. The results of the study indicated that the control group did not provide accurate tidal volume (p=.025). The experimental group demonstrated a higher success rate of ventilation over the 2-minute period, while the control group showed a significant difference (p=.001). Subjective perception of tidal volume and objectively measured tidal volume also exhibited a significant difference in the control group (p=.010). Therefore, training with a respiratory rate measurement device can align the subjective perception of tidal volume with objective measurements, increase the success rate of ventilation, and potentially contribute to improving survival rates in patients experiencing respiratory failure or respiratory arrest during cardiopulmonary resuscitation.

Differences of EEG and Sleep Structure in Pediatric Sleep Apnea and Controls (소아 수면무호흡증 환아와 정상 소아에서 수면구조와 뇌파 양상 차이)

  • Ahn, Young-Min;Shin, Hong-Beom;Kim, Eui-Joong
    • Sleep Medicine and Psychophysiology
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    • v.15 no.2
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    • pp.71-76
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    • 2008
  • Introduction: In this study, we compared sleep structure, EEG characteristic of pediatric obstructive sleep apnea (OSA) and normal controls which were matched in sex and age. Methods: Fifteen children (male:female=4:11) who complained snoring and were suspected to have sleep apnea and their age and sex matched normal controls (male:female=5:10) have been done nocturnal polysomnography (NPSG). Sleep parameters, sleep apnea variables and relative spectral components of EEG from NPSG have been compared between both groups. Results: Pediatric OSA group were distinguished from normal controls in terms of apnea index, respiratory disturbance index and nadir of oxyhemoglobulin desaturation. Pediatric OSA group showed increased percent of sleep stage 1, decreased rapid eye movement sleep percent and increased delta power in O1 EEG channel. However other sleep parameters and spectral powers were not different between two groups. Conclusion: In pediatric OSA group, sleep structure parameter disruption may be not prominent as the previous studies for adult OSA group because of including mild OSA data in diagnostic criteria. In addition, EEG changes might not be distinct due to low arousal index compared to adult OSA patients. We can observe general characteristics and particularity of pediatric OSA through this study.

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Cardiopulmonary Resuscitation and Pediatric Advanced Life Support for Pediatric Dentist (소아치과의사를 위한 심폐소생술과 소아고급생명구조술)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.243-255
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    • 2017
  • Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.

넙치, Paralichthys olivaceus 아가미의 미세구조

  • Kim, Jae-Won;Kim, Hyung-Soo;Kim, Kyung-Sun;Lee, Jung-Sik;Jin, Pyung
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2000.05a
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    • pp.385-386
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    • 2000
  • 어류의 아가미는 호흡, 삼투조절, 질소 노폐물의 배설과 산, 염기의 평형 조절을 담당하는 기관이다. 특히 아가미는 좌운 4쌍의 새궁으로 구성되며, 각각에서 여러 개의 새엽이 그리고 각각의 새엽으로부터 좌우로 새판이 돌출된 구조로 호흡상피의 표면이 확장된 구조적 특징을 갖는다. 이 호홉층판구조가 직접 그리고 계속해서 서식수의 흐름과 맞닿게 되므로 서식수의 변화에 의해 영향을 받게 되어 빠른 세포의 재생율을 가진도고 알려져 있다.(중략)

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Characteristics of Obstructive Sleep Apnea Syndrome Patients Proven with Nocturnal Polysomnography as Correlates of Age and Gender (야간 수면다원 기록으로 확진된 폐쇄성 수면무호흡증 환자의 특성: 연령과 성별에 따른 차이)

  • Lee, Ju-Young;Kim, Seog-Ju;Lee, Jung-Ho;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.16 no.2
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    • pp.65-73
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    • 2009
  • Objectives: The purpose of this study was to assess the clinical and polysomnographic characteristics of Korean patients with obstructive sleep apnea syndrome (OSAS), especially in relation to differences due to age and gender. Methods: All subjects were consecutive patients who were proven to have OSAS with nocturnal polysomnography. They were interviewed with a structured interview format including sociodemographic information, past medical history, medication, and sleep-related history. Simultaneously, they were also given Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) to answer in order to check subjective sleep quality and subjective sleepiness. Results: Mean age of the 308 subjects was $49.5{\pm}$13.3 years, with 77.6% of the subjects being males and 22.4% of the subjects being females. The aging effects on the sleep architecture in Korean OSAS corresponded with normal aging, but with the effect of OSAS itself superimposed, the extent of aging effects was more marked than that of normal aging. The severity of Korean patients of OSAS was not correlated with age. When divided into age subgroups, significant correlation was found between RDI and BMI in patients of each subgroup of those in the 4th to 7th decades. The oldest subgroup (>70 years) described their subjective sleep quality as poorer than any other age subgroups, despite of less subjective drowsiness. The severity of OSAS and the change of sleep architecture of male subjects turned out to be severer than those of female ones. The female/male ratio of the subjects tended to increase with aging. Conclusions: The aging effect on the sleep architecture in Korean OSAS seems to be a mixture of the changes by normal aging and sleep disorder per se. The severity of OSAS was not correlated with age, but highly correlated with BMI. The severity of OSAS and the change of sleep architecture of male patients were severer than those of female ones.

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Sleep Architecture and Physiological Characteristics of Obstructive Sleep Apnea in Split-Night Analysis (수면분할 분석으로 본 수면무호흡증의 수면구조와 생리적 특징)

  • Kim, Eui-Joong
    • Sleep Medicine and Psychophysiology
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    • v.13 no.2
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    • pp.45-51
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    • 2006
  • Obstructive sleep apnea (OSA) syndrome disrupts normal sleep. However, there were few studies to evaluate the asymmetric distribution, the one of the important factors of normal sleep in OSA subjects. We hypothesized that asymmetry would be broken in OSA patients. 49 male subjects with the complaint of heavy snoring were studied with polysomnography. We divided them into two groups based on the apnea-hypopnea index (AHI) fifteen: 13 simple snoring group (SSN, average AHI $5.9{\pm}4.4$) and 32 OSA group (average AHI $47.3{\pm}23.9$). We compared split sleep variables between the first half and the second half of sleep within each group with paired t-test for the evaluation of asymmetry. Changes of sleep architecture of OSA were higher stage 1 sleep% (S1), total arousal index (TAI), AHI, and mean heart rate (HR) and lower stage 2 sleep% (S2), REM sleep%, and mean arterial O2 saturation (SaO2) than SSN subjects. SWS and wake time after sleep onset (WASO) were not different between two groups. In split-night analysis, OSA subjects showed higher S2, slow wave sleep% (SWS), spontaneous arousal index (SAI), and mean HR in the first half, and higher REM sleep% and mean SaO2 in the second half. Those were same pattern as in SSN subjects. Mean apnea duration and longest apnea duration were higher in the second half only in the OSA. No differences of AHI, ODI, WASO, and S1 were found between the first and the second half of sleep in both groups. TAI was higher in the first half only in the SSN. SWS and WASO seemed to be influenced sensitively by simple snoring as well as OSA. Unlike our hypothesis, asymmetric distributions of major sleep architecture variables were preserved in OSA group. Losing asymmetry of TAI might be related to pathophysiology of OSA. We need more studies that include large number of subjects in the future.

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한국산 말뚝망둑어 Periophthalmus modestus (Pisces, Perciformes) 피부의 구조적 특징

  • 박종영;김익수
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2000.05a
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    • pp.483-484
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    • 2000
  • Mudskipper로 알려진 망둑어과 어류인 말뚝망둑어 Periophthalmus modestus는 구나 기수역의 갯벌바닥에 서식하면서 간조시에는 물 밖으로 나와 육상의 갯벌을 뛰어다니거나 또는 추운 계절에는 갯벌에 굴을 파서 생활하는 amphibious habit를 갖고 있다. 말뚝망둑어와 비슷한 서식환경을 가지는 드렁허리 Monoterus albus와 Amphinous는 용존산소를 이용한 수중호흡 이외에 피부를 이용한 공기호흡(cutaneous respiration)을 병행하는 dual respiration system을 갖는 것으로 알려져 있으며 (Liem, 1967; Mittal and Munshi, 1971) 또한 쉽게 건조가 되는 연못, 농수로 또는 진흙바탕에 서식하는 Misgurnus fossilis(Jakuboski, 1958), M. anguillicauda (Park and Kim, 1999)에서도 피부를 이용한 공기호흡이 알려져 있다. 그러나 이러한 어류들의 피부구조는 말뚝망둑어 피부와 많은 차이점을 보여 주고 있는 본 조사는 말뚝망둑어의 피부의 특징을 조사하고 및 이들의 호흡체계에 대한 기초자료를 얻고자 한다. (중략)

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Breath and Memory in Speech based on Quantitative Analysis of Breath Groups and Pause Units in Korean (언어 수행에서의 호흡과 기억 -호흡 단위와 휴지 단위의 양적 분석 결과를 바탕으로-)

  • Shin, Jiyoung
    • Korean Linguistics
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    • v.79
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    • pp.91-116
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    • 2018
  • This paper aims at proposing issues of breath and memory in speech based on the quantitative analysis of breath groups and pause units in Korean. As a human being, we have two kinds of limitations on continuing speech; breath and memory. The prosodic structure and temporal structure of spontaneous speech data from six speakers were closely examined. One of the main findings of the present study is that the prosodic structure and temporal structure of Korean appears to reflect the breath and memory problems in speech.

A Study on the Possibility of Three-dimensional Wearable Respiration Rate Sensor based on Surface Area Changes (표면적 변화에 기반한 입체적 웨어러블 호흡수 센서의 가능성 탐색)

  • Lee, Seungpyo;Ban, Hyunsung;Lee, Joohyeon
    • Science of Emotion and Sensibility
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    • v.21 no.1
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    • pp.35-44
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    • 2018
  • This study suggests the sensing method of the Three-dimensional respiration rate sensor based on surface area changes, and exploring the design direction of the three-dimensional breathing sensor and the design orientation of the garment. To achieve this, two types of three-dimensional respiration rate sensor were produced, and the study of the dummy and the subjects studied. The study I investigated the possibility of measurement of the three-dimensional respiration sensor by the study variables of the sensor type and speed of respiration. The study II proposes a suitable type of sensor for each of the three measuring positions in addition to the study variables in the study I. To evaluate accuracy, reproducibility, and reliability of the three-dimensional respiration rate sensor, the BIOPAC was used to measure the respiration rate simultaneously with the three-dimensional respiration rate sensor. Through all these results of the experiment, it explored the possibility of measurement of the three-dimensional respiration sensor for the dummy. It also proposed a suitable type of sensor by measuring the respiration rate for the human body.