• Title/Summary/Keyword: Artificial respiration

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Performance Ability after CPR Education of the ground workers in an airport (공항 지상 근무자의 심폐소생술 수행능력)

  • Shin, Ji-Hoon
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.3
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    • pp.29-40
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    • 2009
  • Objective : This study is an experimental study which is designed to examine the differences between knowledge and self-confidence before and after theory education(CPR PPT material) based on guidelines of CPR and emergency cardiac treatment of American Heart Association(AHA, 2005) and video self-instruction program for the general public by Korean Association of Cardiopulmonary Resuscitation(KACPR), trace CPR performance ability after CPR and AED education and investigate the accuracy of artificial respiration and chest compression, and know the difference in CPR performance abilities including AED. Methods : Subjects of this study include ground crews and staffs at M airport in G province equipped with emergency equipments for CPR according to Art. 47, Sec. 2 of Emergency Medical Law, airport police, rent-a-cops, security guard, quarantine officer, custom officer, and communication, electricity, civil engineering, facility management staff, airport fire fighting staff, air mechanic, traffic controller, and airport management team among airport facility management staffs. They were given explanation of necessity of research and 147 of 220 subjects who gave consent to this research but 73 who were absent from survey were excluded were used as subjects of this study. of 147 subjects, there were 102 men and 45 women. Results : 1) Knowledge score of CPR was $6.18{\pm}0.87$ before instruction and it was increased to $15.12{\pm}1.78$ after instruction, and there was statistically significant difference. 2) Self-confidence score in CPR was $3.16{\pm}0.96$ before instruction and it was increased to $7.05{\pm}0.75$ after instruction, and there was statistically significant difference. 3) Total average score in CPR performance ability after instruction was 7.46 out of 9, performance ability was highest in confirmation of response as 144(97.95%), follwed by request of help as 140(95.25%) and confirmation of respiration as 135(91.83%), and lowest in performing artificial respiration twice(gross elevation of chest) as 97(65.98%). Accuracy of artificial respiration(%) was $28.60{\pm}16.88$ and that of chest compression(%) was $73.10{\pm}22.16$. 4) Performance ability of AED after instruction showed proper performance in power on by 141(95.91%) and attaching pad by 135(91.83%), hand-off for analyzing rhythm showed 'accuracy' in 115(78.23%) and 'non-performance' in 32(21.77%), delivery of shock and hand-off confirmation showed 'accuracy' in 109(74.14%) and 'inaccuracy' in 38(25.86%), and beginning chest compression immediately after AED was done by 105(71.42%).

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The Wireless Monitoring System of Respiration Signal (호흡신호 무선 통신 시스템 개발)

  • Son, Byoung-Hee;Jang, Jong-Chan;Yang, Hyo-Sik;Cha, Eun-Jong
    • Journal of the Institute of Convergence Signal Processing
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    • v.12 no.3
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    • pp.157-162
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    • 2011
  • This study is about implementing wireless transferring system in pre-hospital cardiopulmonary resuscitation(CPR). Also, this study includes monitoring based feedback between patient and hospital to increase the survival rate of emergency patient by developing the performance of cardiopulmonary resuscitation in pre-hospital. It minimizes the loss of flow rate or gastric inflation through the space between the airway and the esophagus, which enables the inspiration-expiration rate to be measured more precisely. Due to these reasons this study applied ET insertion based respiratory sensor to measure flow rate. The main indices of artificial ventilation are justified from minute respiration(V), end-tidal $CO_2(E_TCO_2)$, and tracheal pressure($P_{tr}$). The simulation is performed to verify the bandwidth and delay time of transport network for in-hospital monitoring even as transporting images and voice information simultaneously. The total bandwidth is 815 kbps, and WLAN (IEEE 802.11x) is used as communication protocol. The network load is under 1.5% and the transmit delay time is measured under 0.3 seconds.

Monitoring and Interpretation of Mechanical Ventilator Waveform in the Neuro-Intensive Care Unit (신경계 중환자실에서 기계호흡 그래프 파형 감시와 분석)

  • Park, Jin
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.63-70
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    • 2018
  • Management of mechanical ventilation is essential for patients with neuro-critical illnesses who may also have impairment of airways, lungs, respiratory muscles, and respiratory drive. However, balancing the approach to mechanical ventilation in the intensive care unit (ICU) with the need to prevent additional lung and brain injury, is challenging to intensivists. Lung protective ventilation strategies should be modified and applied to neuro-critically ill patients to maintain normocapnia and proper positive end expiratory pressure in the setting of neurological closed monitoring. Understanding the various parameters and graphic waveforms of the mechanical ventilator can provide information about the respiratory target, including appropriate tidal volume, airway pressure, and synchrony between patient and ventilator, especially in patients with neurological dysfunction due to irregularity of spontaneous respiration. Several types of asynchrony occur during mechanical ventilation, including trigger, flow, and termination asynchrony. This review aims to present the basic interpretation of mechanical ventilator waveforms and utilization of waveforms in various clinical situations in the neuro-ICU.

The education evaluation of basic CPR on middle school students (중학교 재학생의 기본 심폐소생술 교육 효과 평가)

  • Kim, Youl
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.1
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    • pp.71-77
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    • 2006
  • This study is focused on middle school students who are composed of a factor in medical emergency system. In the case of cardiac failure, it is to make its basic data and develop its education program of CPR(cardiopulmonary resuscitation) which can increase the patient's survival rate before his hospitalization. The findings of this study is as follows. The subject of study is composed of 117 persons who are 54 boy-students(46.2%) and 63 girl-students(53.8%) in sex and 72 first-grade students(61.5%) and 45 second-grade students (38.5%) in a school year. In the accuracy degree, the practice of artificial respiration is $42.28{\pm}34.42%$ in case of basic CPR(cardiopulmonary resuscitation). The accuracy degree of the thorax pressure is $82.17{\pm}15.40%.$ In the accuracy degree, the practice of artificial respiration is $92.16{\pm}25.68%$ in boy-students and $20.38{\pm}24.16%$ in girl-students, the second-grade students is $58.40{\pm}33.29%$, which is higher than the first-grade students' $32.21{\pm}31.14%$. In the accuracy degree, the thorax pressure is $92.16{\pm}3.91%$ in boy-studetns and $73.61{\pm}16.41%$ in girl-students. In the accuracy degree of the thorax pressure, the second-grade students are $82.60{\pm}16.54%$ and the first-grade students $81.91{\pm}3.91$, which doesn't show any significant difference in school year. The satisfaction degree after theory & practice education is $2.12{\pm}.85$. In the satisfaction degree of its basic CPR, girl-students are $2.14{\pm}.83$ and boy-students are 2.11. In the satisfaction degree of its basic CPR, the second-grade students are $2.40{\pm}.61$ and the first-grade students are $1.95{\pm}.94$. This study is to lead to some suggestions. First, it is necessary to develop the education program and educate its knowledge & technology in proportion to student's characteristics of sex and school year. Second, education authorities should develop a subject of the accident prevention and first-aid treatment in its curriculum and provide the practical education of CPR for adults, adolescents and children. Third, it is necessary to study the education program as well as the education evaluation of CPR further on.

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Education Evaluation of Basic CPR on Guard Major Collegian in Gwangju and Jeonnam Region (광주·전남지역 경호학과 대학생의 심폐소생술(CPR) 교육평가)

  • Jang, Chul-Won
    • Journal of the Society of Disaster Information
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    • v.7 no.4
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    • pp.266-272
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    • 2011
  • This study is focused on guard major collegians who are composed of factor in medical emergency system. In the case of cardiac failure, it is to make its basic data develop its education program of CPR which can increase the patient's survival rate before his hospitalization. The subject of study is composed of 120 persons who are 94 boy-collegians(78.3%) and 26 girl-collegians(21.7%) in sex and 66 first-grade collegians(55.0%) and 54 second-grade collegians(45.0%) in a school year. There is significant difference in the practices of artificial respiration and the thorax pressure after the education of basic CPR in sex(p<0.01). The practices of artificial respiration in boy-collegians($93.72{\pm}4.21$) is higher than in girl-collegians($82.31{\pm}6.36$) and the practices of thorax pressure in boy-collegians($92.45{\pm}4.44$) is higher than in girl-collegians($88.08{\pm}6.49$). The satisfaction degree of boy-collegians($4.33{\pm}0.59$) is higher than that of girl-collegians($3.73{\pm}0.67$) after theory & practice education of basic CPR(p<0.01). It is necessary to develop the education program and educate its knowledge & technology in proportion to collegians characteristics of sex and school year. Also, education authorities should develop a subject of the accident provided the practical education of CPR for guard major collegians.

Experimental Throughfall Exclusion Studies on Forest Ecosystems: A Review

  • Park, Seunghyeon;Kim, Ikhyun;Kim, Beomjeong;Choi, Byoungkoo
    • Journal of Forest and Environmental Science
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    • v.35 no.4
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    • pp.213-222
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    • 2019
  • Climate change has been intensifying and affecting forest ecosystems. Over the years, the intensity and frequency of climate change have increased and the effects of climate change have been aggravating due to cumulative greenhouse gases such as CO2, which has resulted in several negative consequences, drought being the main threat among all. Drought affects forest ecosystems directly and indirectly. Insufficient soil moisture, due to drought, may affect the growth of plants and soil respiration (SR), and soil temperature may increase because of desiccated soil. In addition, the mortality rate of plants and soil microorganisms increases. As a result, these effects could reduce forest productivity. Thus, in this article, we have presented various research studies on artificial drought using throughfall exclusion, and we have mainly focused on SR, which is significantly related to forest productivity. The research studies done worldwide were sorted as per the main groups of Köppen-Geiger climate classification and intensively reviewed, especially in tropical climates and temperate climates. We briefly reviewed the properties among the exclusion experiments about the temperate climate, which mostly includes Korean forests. Our review is not a proof of concept, but an assumption for adequate investigation of drought effects in the Korean forest.

Analysis of respiration gas of a fertile chicken egg during incubation by gas mass spectrometer (기체질량분석기를 이용한 유정란 부화과정의 호흡량 분석)

  • Kim, Hyunjoo;Min, Deullae;Kim, Dalho;Kim, Jin Seog
    • Analytical Science and Technology
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    • v.26 no.6
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    • pp.401-406
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    • 2013
  • Oxygen($O_2$) consumption and carbon dioxide($CO_2$) excretion of a fertile chicken egg during incubation were measured by a gas mass spectrometer. A closed sample chamber was developed to collect gas samples during the 20 days of artificial incubation of both a fertile and an infertile egg. After leaving an egg in the sample chamber for an hour, using a gas-tight syringe, samples of 2 mL of gas were collected from the closed sample chamber and analyzed using a gas mass spectrometer in 2~4 day intervals. The $O_2$ consumption and $CO_2$ excretion of chicken embryos increased rapidly after 10 days from the starting point of incubation. After 20 days, 23 mL of $O_2$ was consumed and 16 mL of $CO_2$ was excreted per hour. Throughout the whole period of incubation, concentration of $O_2$ decreased 4.3 mol% and $CO_2$ increased only 3.1 mole%, i.e., the mole of consumed $O_2$ and the mole of excreted $CO_2$ were not the same. On the other hand, during the same period, concentration of $N_2$ increased about 1.3 mol% and the increased mole fraction of $N_2$ was comparable with the difference (1.2 mol%) between the mole fraction of consumed $O_2$ and excreted $CO_2$. Therefore, we can attribute the increase of $N_2$ mole% to the difference of mole fraction between consumed $O_2$ and excreted $CO_2$. In this study, through the analysis of gas, we could explain the respiration of a fertile chicken egg during incubation.

Relationship between Land-Use Change and Soil Carbon and Nitrogen (토지(土地) 이용(利用) 형태(形態)의 변화(變化)와 토양(土壤) 내(內) 탄소(炭素)와 질소(窒素의 관계(關係))

  • Son, Yowhan;Lee, Sook Hee
    • Journal of Korean Society of Forest Science
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    • v.90 no.3
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    • pp.242-248
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    • 2001
  • Changes in land-use can affect soil organic matter content and fertility. We compared total soil carbon and nitrogen concentrations, soil respiration, and nitrogen availability under three land-use types in central Korea; conversion of old rice field to natural willow-maple (Salix-Acer) forest, conversion of old field to artificial Korean pine (Pines koraiensis) forest, and indigenous oak (Quercus spp.) forest. After 20 years of fallow the area of rice field conversion to forest had higher soil carbon and nitrogen concentrations in the soil depth of 0-10cm and 10-20cm than the areas of field conversion to Korean pine forest and indigenous forest. In general, soil carbon and nitrogen concentrations decreased with soil depth. Organic matter accumulation as a balance of input and decomposition seemed to be higher in the soil of previous rice field, and carbon and nitrogen accumulation was largely confined to the topsoil. Soil respiration rates were greatest at the area of rice field conversion to forest, and appeared to be related to soil carbon and soil moisture. Soil nitrogen availability measured by the ion exchange resin bag method differed significantly among land-use types; soil inorganic nitrogen ($NH_4{^+}+NO_3{^-}$) and ammonium availability were highest in the soil under indigenous oak forest followed by conversion of old field to artificial Korean pine forest and conversion of old field to natural willow-maple forest.

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Heart rate monitoring and predictability of diabetes using ballistocardiogram(pilot study) (심탄도를 이용한 연속적인 심박수 모니터링 및 당뇨 예측 가능성 연구(파일럿연구))

  • Choi, Sang-Ki;Lee, Geo-Lyong
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.231-242
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    • 2020
  • The thesis presents a system that continuously collects the human body's physiological vital information at rest with sensors and ICT information technology and predicts diabetes using the collected information. it shows the artificial neural network machine learning method and essential basic variable values. The study method analyzed the correlation between heart rate measurements of BCG and ECG sensors in 20 DM- and 15 DM+ subjects. Artificial Neural Network (ANN) machine learning program was used to predictability of diabetes. The input variables are time domain information of HRV, heart rate, heart rate variability, respiration rate, stroke volume, minimum blood pressure, highest blood pressure, age, and sex. ANN machine learning prediction accuracy is 99.53%. Thesis needs continuous research such as diabetic prediction model by BMI information, predicting cardiac dysfunction, and sleep disorder analysis model using ANN machine learning.

Discussion of Soil Respiration for Understanding Ecosystem Carbon Cycle in Korea (생태계 탄소순환 이해를 위한 국내 토양호흡 연구의 고찰)

  • Lee, Jae-Ho;Yi, Jun-Seok;Chun, Young-Moon;Chae, Nam-Yi;Lee, Jae-Seok
    • Korean Journal of Ecology and Environment
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    • v.46 no.2
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    • pp.310-318
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    • 2013
  • In territorial ecosystem, soil has stored considerable amount of carbon, and it is vulnerable to weakness release much of the carbon to atmosphere. In this study, we have been effort realization and discussion to the error between inter-instruments and measurement methods, time and special variations, gap filling and separation from each source included in soil respiration, used to collect soil respiration data in various ecosystems in Korea. In conclusion, it have to collect calibration data throughout comparison test between methods and instruments because accumulated data from past and accumulating data in present did not calibrated. In predicting change of soil carbon dynamic using the model method, it needs important data such as longterm and short-term data, artificial handling data of major factor, data from various ecosystem, soil texture, soil depth etc. In company with, we should collect highly qualified data through deep consideration of present problems.