• Title/Summary/Keyword: 호흡수

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The Effect of Respiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease - Preliminary Study - (만성 폐쇄성 폐질환 환자에 있어서 호흡근육 훈련의 효과에 관한 실험적 연구)

  • Kim Mae-Ja
    • Journal of Korean Academy of Nursing
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    • v.16 no.1
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    • pp.55-66
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    • 1986
  • The effect on strength and endurance training (SET) (2 patients) were compared with those of strength training(ST) (2 patients) in patients with-chronic obstructive pulmonary disease. The result of training was assessed by 4 tests: maximal inspiratory pressure(PImax), sustainable inspiratory pressure (SIP), maximal voluntary ventiiation(MVV) and bronchitis-emphysema symptom checklist(BESC). Measurements were repeated before and after training per week for 6 weeks. The SET group performed inspiratory muscle training, using a inspiratory muscle trainer 30 minutes per day, 6 days per week and performing endurance training-12-minute walking-2 days per week for 6 weeks, whereas the ST-only group trained for 30 minutes daily, 6 days per week using inspiratory muscle trainer. SET was no significant increase in exercise performance, whereas ST produced an increase in SIP and a decrease in BESC. There was significant change in BESC betweet the two groups. A simple at home training program using inspiartory muscle trainer was more effective than that of SET program in improving exercise performance of some patients with COPD.h COPD.

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Respiratory Support by Performing Percutaneous Cardiopulmonary Support (PCPS) for Tracheal Resection and Reconstruction in Patients with Severe Distal Tracheal Stenosis (고도의 원위부 기관협착 환자에서 경피적 심폐보조장치를 이용한 호흡보조 하에 시행한 기관절제 및 단단 문합술)

  • Cho, Sang-Ho;Park, In-Kyu;Lee, Chang-Young;Bae, Mi-Kyung;Chung, Kyung-Young
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.259-262
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    • 2009
  • Surgery on the distal trachea or the carina presents special problems for maintaining the airway and systemic oxygenation. Cardiopulmonary bypass is an alternative method for respiratory support for the patients with these conditions. Percutaneous cardiopulmonary support (PCPS) applied under local anesthesia has recently been used for respiratory support in tracheal surgery and the outcome is satisfactory. We encountered a patient who had severe distal tracheal stenosis after prolonged intubation. We had a gratifying result with performing tracheal resection and repair under the support of PCPS.

Development of 3 Channel Biomedical Signal Measurement System for Mac-yule (맥율용 3채널 생체신호 계측시스템 개발)

  • Byeon, M.K.;Kim, H.J.;Jang, J.K.;Han, S.W.;Huh, W.
    • Journal of IKEEE
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    • v.11 no.1 s.20
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    • pp.24-29
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    • 2007
  • In this paper, we developed a Mac-Yule measurement system which consider psychological stable state of patience. The developed system consist with a hardware device that can derive a EEG, respiration and pulse wave, and a software which acquire a biological signal and signal processing The EEGs are derived with bipolar method from frontal head. The respiration signals obtain from nasal front with a transducer which consist with thermistor bridge. The pulse waves are detected from earlobe with photoplethysmograph method. A power spectrum of EEG are used as the decision parameters of psychological stable state of patience. The decision of Mac-Yule are defined as origin text method that of numbers of pulse to 1 respiration period. As the results of experiment with developed system, we could have a spectrum band discretion of EEG signal, stable respiration signal detection and automatic gain controlled pulse signal with realtime. And then, we could detect Mac-Yules from processed signals.

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Comparison of respiration characteristics on the new variety of oyster mushroom according to the growth temperature (신품종 느타리버섯의 생육온도에 따른 호흡특성 비교)

  • Jang, Myoung-Jun;Ha, Tae-Moon;Ju, Young-Cheol
    • Journal of Mushroom
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    • v.5 no.2
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    • pp.65-70
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    • 2007
  • This study was carried out to find out respiration characteristics of new variety of oyster mushroom to the temperature response. In new species of oyster mushroom, the account of respiration was on the increase when the growth temperature with the passage of growth stage was on the rise. The $CO_2$ concentration was accelerated as increasing the growth temperature, whereas the $O_2$ concentration was decreased. The account of respiration of new variety was in the descending order, Hukbaek>Jinmi>Chungpung>Suhan2>Chunchu2. Also, the ventilation exponent at $15^{\circ}C$ was Suhan2 2 ~12%, Chungpung 9~24%, Jinmi 15~37%, Hukbaek 17~39% in proportion to Chunchu2. The experiments related to respiration characteristics of new variety of oyster mushroom were worthy of recommending to new variety cultivator.

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Weaning Following a 60 Minutes Spontaneous Breathing Trial (1시간 자가호흡관찰에 의한 기계적 호흡치료로부터의 이탈)

  • Park, Keon-Uk;Won, Kyoung-Sook;Koh, Young-Min;Baik, Jae-Jung;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.3
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    • pp.361-369
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    • 1995
  • Background: A number of different weaning techniques can be employed such as spontaneous breathing trial, Intermittent mandatory ventilation(IMV) or Pressure support ventilation(PSV). However, the conclusive data indicating the superiority of one technique over another have not been published. Usually, a conventional spontaneous breathing trial is undertaken by supplying humidified $O_2$ through T-shaped adaptor connected to endotracheal tube or tracheostomy tube. In Korea, T-tube trial is not popular because the high-flow oxygen system is not always available. Also, the timing of extubation is not conclusive and depends on clinical experiences. It is known that to withdraw the endotracheal tube after weaning is far better than to go through any period. The tube produces varying degrees of resistance depending on its internal diameter and the flow rates encountered. The purpose of present study is to evaluate the effectiveness of weaning and extubation following a 60 minutes spontaneous breathing trial with simple oxygen supply through the endotracheal tube. Methods: We analyzed the result of weaning and extubation following a 60 minutes spontaneous breathing trial with simple oxygen supply through the endotracheal tube in 18 subjects from June, 1993 to June, 1994. They consisted of 9 males and 9 females. The duration of mechanical ventilation was from 38 hours to 341 hours(mean: $105.9{\pm}83.4$ hours). In all cases, the cause of ventilator dependency should be identified and precipitating factors should be corrected. The weaning trial was done when the patient became alert and arterial $O_2$ tension was adequate($PaO_2$ > 55mmHg) with an inspired oxygen fraction of 40%. We conducted a careful physical examination when the patient was breathing spontaneously through the endotracheal tube. Failure of weaning trial was signaled by cyanosis, sweating, paradoxical respiration, intercostal recession. Weaning failure was defined as the need for mechanical ventilation within 48 hours. Results: In 19 weaning trials of 18 patients, successful weaning and extubation was possible in 16/19(84.2 %). During the trial of spontaneous breathing for 60 minutes through the endotracheal tube, the patients who could wean developed slight increase in respiratory rates but significant changes of arterial blood gas values were not noted. But, the patients who failed weaning trial showed the marked increase in respiratory rates without significant changes of arterial blood gas values. Conclusion: The result of present study indicates that weaning from mechanical ventilation following a 60 minutes spontaneous breathing with $O_2$ supply through the endotracheal tube is a simple and effective method. Extubation can be done at the same time of successful weaning except for endobronchial toilet or airway protection.

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Effect of Additional 1 hour T-piece Trial on Weaning Outcome to the Patients at Minimum Pressure Support (최소압력보조 수준에서 추가적 1시간 T-piece 시도가 이탈에 미치는 영향)

  • Hong, Sang-Bum;Koh, Youn-Suck;Lim, Chae-Man;Ann, Jong-Jun;Park, Wann;Shim, Tae-Son;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.813-822
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    • 1998
  • Background: Extubation is recommended to be performed at minimum pressure support (PSmin) during the pressure support ventilation (PSV). In field, physicians sometimes perform additional 1 hr T-piece trial to the patient at PSmin to reduce re-intubation risk. Although it provides confirmation of patient's breathing reserve, weaning could be delayed due to increased airway resistance by endotracheal tube. Methods: To investigate the effect of additional 1 hr T-piece trial on weaning outcome, a prospective study was done in consecutive 44 patients who had received mechanical ventilation more than 3 days. Respiratory mechanics, hemodymic, and gas exchange measurements were done and the level of PSmin was calculated using the equation (PSmin=peak inspiratory flow rate $\times$ total ventilatory system resistance) at the 15cm $H_2O$ of pressure support. At PSmin, the patients were randomized into intervention (additional 1 hr T-piece trial) and control (extubation at PSmin). The measurements were repeated at PSmm, during weaning process (in cases of intervention), and after extubation. The weaning success was defined as spontaneous breathing more than 48hr after extubation. In intervention group, failure to continue weaning process was also considered as weaning failure. Results: Thirty-six patients with 42 times weaning trial were satisfied to the protocol. Mean PSmin level was 7.6 (${\pm}1.9$)cm $H_2O$. There were no differences in total ventilation times (TVT), APACHE III score, nutritional indices, and respiratory mechanics at PSmin between 2 groups. The weaning success rate and re-intubation rate were not different between intervention group (55% and 18% in each) and control group (70% and 20% in each) at first weaning trial. Work of breathing, pressure time product, and tidal volume were aggravated during 1 hr T-piece trial compared to those of PSmin in intervention group ($10.4{\pm}1.25$ and $1.66{\pm}1.08$ J/L in work of breathing) ($191{\pm}232$ and $287{\pm}217$cm $H_2O$ s/m in pressure time product) ($0.33{\pm}0.09$ and $0.29{\pm}0.09$ L in tidal volume) (P<0.05 in each). As in whole, TVT, and tidal volume at PSmin were significantly different between the patients with weaning success ($246{\pm}195$ hr, $0.43{\pm}0.11$ L) and the those with weaning failure ($407{\pm}248$ hr, $0.35{\pm}0.10$L) (P<0.05 in each). Conclusion : There were no advantage to weaning outcome by addition of 1 hr T-piece trial compared to prompt extubation to the patient at PS min.

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Effect of Crating Density and Weather in Transit on Behavior, Surface Temperature, and Respiration Rate in Broilers Considering Animal Welfare (동물복지를 고려한 육계 운송 시 운송 밀도와 계절에 따른 행동, 체표면 온도, 호흡수 평가)

  • Jeseok Lee;Myunghwan Yu;Shan Randima Nawarathne;Elijah Ogola Oketch;Jung Min Heo
    • Korean Journal of Poultry Science
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    • v.50 no.4
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    • pp.293-301
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    • 2023
  • This study aimed to investigate the effects of seasonal differences and crating densities on the behavior, surface temperature, and respiration rate of broilers during transportation. A total of 600 broilers aged 35 days were divided into 10 treatment groups based on five crating densities (10.3, 11.5, 12.8, 14.1, 15.4 birds/m2) with two seasons (i.e. summer and winter) to give six replicates. Broilers were allocated to the crates (1.00 m × 0.78 m × 0.26 m) in a randomized design. The transportation distance was 20 km for 40 minutes (average 30-50 km/h) during the early morning. The results revealed that standing behavior of broilers during transportation was shown more frequently (P<0.05) in winter. Moreover, sitting behavior was significantly shown (P<0.05) more at densities of 14.1 birds/m2 and 15.4 birds/m2 compared to other treatments. Standing behavior was significantly shown more (P<0.05) in winter and lower crating density. Changes in broilers surface temperature after transportation were higher (P<0.05) in summer. However, surface temperature after transportation was not affected (P>0.05) by crating density, and interaction between seasonal differences and crating density. Respiration rate was higher (P<0.05) in summer. But there were no effects (P>0.05) on respiration rate based on crating density, and interaction between seasonal differences and crating density. Based on the results of the present study, broilers transportation is recommended in winter rather than summer to minimize the climatic stress, but further research is required to identify proper crating densities to improve the broilers welfare during transportation.

Relationships between Respiratory Diseases and Safety of Pediatric Dental Sedation (소아의 호흡기 질환과 안전한 치과진정법의 연관성)

  • Chung, Woojin;Jeong, Taesung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.4
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    • pp.327-330
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    • 2015
  • The safety and success of dental sedation for children depend mainly on respiratory status of patients. A special condition, that is, nasal breathing in supine position with their oral airway blocked by rubber dam, should be considered. Therefore, irrespective of medical consultation, pediatric dentists themselves should do respiratory assessment especially adenotonsillar hypertrophy, nasal obstruction, posterior nasal drainage and airway hypersensitivity. Patients with sinusitis, allergic rhinitis, asthma, snoring and OSAS(obstructive sleep apnea syndrome) can induce the sedation failure and complete management of these can improve the safety of dental sedation.

Patterns of Autonomic Responses to Affective Visual Stimulation: Skin Conductance Response, Heart Rate and Respiration Rate Vary Across Discrete Elicited-Emotions (정서시각자극에 의해 유발된 자율신경계 반응패턴: 유발정서에 따른 피부전도반응, 심박률 및 호흡률 변화)

  • ;Estate M. Sokhadze
    • Science of Emotion and Sensibility
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    • v.1 no.1
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    • pp.79-91
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    • 1998
  • 이 연구의 목적은 IAPS(국제정저사진체계) 사진자극에 의해 유발된 각각의 주관적 정서상태에 특정적인 자율신경계 반응이 존재하는지를 규명하는 것이다. 부정적 정서(분노, 슬픔, 놀람)와 긍정적 정서(행복, 흥분)를 유발하는 IAPS사진을 각 60초 동안 제시하였을 때 유발되는 심박률, 호흡률, 피부전도반응을 측정하였다. 시각자극이 주어진 초리 30초 동안 통계적으로 유의미한 심박률 감속 및 호흡률 감소를 보여주었으며, 뚜렷한 피부전도반응이 출현하였다. 심박률 감속은 혐오보다 흥분에서 더 크게 나타났고, 피부전도반응의 진폭은 혐오보다 흥분에서 더 큰 것으로 나타났다. 한편, 피부전도반응의 진폭이 상승하는 시간은 슬픔, 행복, 놀람보다 혐오에서 더 짧아지는 경향을 보여주었다. 이와 같은 자율신경계 반응(심박률, 호흡률, 피부전도반응)은 정서상태간에 뚜렷한 차이를 보여주며, 특정 정서상태에서 자율신경계 반응은 개인차가 있기는 하지만 전체적으로 매우 전형적인 반응패턴을 보여주었다. 본 연구의 결과는 정서 특정적인 자율신경계 반응이 존재할 가능성을 시사해주며, 생리신호분석을 통해서 심리적 정서를 결정할 수 있는 형판(template)의 구성을 위해서 다양한 자율신경계 정서반응의 지표를 포괄적으로 측정 분석하는 후속연구가 요구된다.

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Video-Assisted Thoracoscopic Thymectomy -Report of Two Cases- (흉강내시경을 이용한 흉선 절제술)

  • 조상록;이정상
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.589-592
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    • 1996
  • We report two cases of the thoracoscopic thymectomies for patients of myasthenia gratis with tracheostomy (Osserman's Group-ll-C-1). The Irst case was 47-year-old male wlth generalized myas- thenia gravis who was under the mechani al ventilator therapy with tracheostomy. The second case was 60-year-old male with deteriorating generalized myasthenia gratis after the mechanical ventilator therapy. We decided to resect the thymus by vldeo-assisted thoracoscopy to prevent the ouurrence of postoperative complications, especially mediastinitis because all two cases were under tracheostomy state. We could stop the mechanical ventilator therapy on the postoperati'fe 16th day and 3rd day respect- ively and they were recovered without mediastinitis. So we concluded that video-assisted thoracoscopic thymectomy is a good alternative surgical method for myasthenia gratis patients with tracheostomy.

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