• Tuberculosis and Respiratory Diseases
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• 제44권3호
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• pp.592-600
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• 1997

연구배경 : 부가적 호흡일(imposed work of breathing)은 기계환기치료로부터의 이탈 성공에 영향을 미치는 중요한 인자가 되며 환기유발의 방식과 그 민감도는 부가적호흡일을 결정하는 요소 중의 하나이다. 최근 몇가지 인공호흡기에서 유량유발법을 채택하고 있으며 이 방법은 부가적 호흡일이 기존의 압력유발법에 비하여 있으나 환자를 대상으로 부가적 측정 비교한 연구는 없었다. 이에 본 연구는 압력유발법과 유량유발법에서의 부가적 호흡일 그리고 총 호흡일에 대한 부가적 호흡일의 비율을 조사하고자 본 연구를 시행하였다. 또한 각 유발방법에서 만감도를 달리하여 (유량유발 ; 0.7 L/min 대비 2.0 L/mm 및 압력유발 $-1\;cmH_2O$ 대비 $-2\;cmH_2O$) 부가적 호흡일에 미치는 영향을 조사하고자 하였다. 방 법 : 기저질환이 안정되고 CPAP $3\;cmH_2O$ 상태에서 호흡이 안정된 환자 12명(평균연령 $64.8{\pm}4.2$세)을 대상으로 하여 CP-100 pulmonary monitor를 이용하여 총 호흡일과 부가적 호흡일, Pressure Time product 및 호흡역학지수들을 측정하였다. 부가적호흡일을 측정하기 위해 Hi-Lo Jet tracheal tube를 이용하여 기도하부 압력을 조사하였다. 각 유발방법은 무작위로 적용하였다. 결 과 : 부가적 호흡일은 유량유발 0.7 L/min에서 압력유발 $-2\;cmH_2O$에 비해 37.5% 감소를 보였고 압력유발 $-1\;cmH_2O$에서의 평균 부가적 호흡일도 $-2\;cmH_2O$에서의 평균값에 비해 14%의 감소를 보여 통계적으로 유의한 차이를 보였다. 그러나 유량유발 0.7 L/min과 2 L/min 및 압력유발 $-1\;cmH_2O$에서의 부가적 호흡일은 차이가 없었다. Pressure Time Product(PTP)도 유량유발 0.7 L/min 및 압력유발 $-1\;cmH_2O$에서 압력유발 $-2\;cmH_2O$에 비해 유의한 감소를 보여 부가적 호흡일의 결과와 일치하였다. 총 호흡일에 부가적 호흡일의 비율 및 생리적 호흡일 그리고 부가적 호흡일의 비율 및 생리적 호흡일 그리고 분당 호흡수, 평균기도저항, 최고 흡기유량, 폐유순도 및 $P_{0.1}$등은 각 유발단계에서 의미있는 차이를 보이지 않았다 결 론 : 기계호흡을 하는 환자에서 총 호흡일에 대한 부가적 호흡일의 비율은 환자마다 다양하였고 민감도가 높은 유량유발법은 일반적인 압력유발법에 비해 부가적 호흡일을 줄이는데 효과적이며 같은 압력 유발법에서도 유발 민감도를 높이는 것이 부가적 호흡일의 감소에 도움이 될 것으로 사료된다.

• 수산해양기술연구
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• 제51권1호
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• pp.136-145
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• 2015

A large number of divers that are engaged in a diving apparatus fishery (DAF) have been experienced a decompression sickness. This study has two purposes. One is measurement of the diving patterns and respiration rate. The other one is to research the institutional improvement plan of the DAF. In the experiments, the diving depth, the diving time, the total ascent time and the ascent rate were about 12.4 m, 22 min, 28 s and 28.1 m/min, respectively, in Tongyeong. In the case of Geoje the diving depth, the diving time, the total ascent time and the ascent rate were about 20 m, 64 min, 17 min and 1.3 m/min, respectively. In a questionnaire survey, the diving depth was 20~29 m (56.4%) in Tongyeong and Geoje, the diving time was 50~59 min (42.9%) in Tongyeong and 70~79 min (35%) in Geoje and all of the divers experienced decompression sickness. In the investigation related to a institutional issue, both of the diving apparatus fisheries had adopted the share system. And the laws and the system for the safety of the divers were not enough in Korea. This study suggests that the license and the diving time for diver of the DAF are needed and diver protection for decompression sickness is needed in the law. And the wage payments should change from full sharing to partial sharing included a regular pay to enhance the safety of the divers.

• 한국가축번식학회지
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• 제19권4호
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• pp.245-250
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• 1996

This study was undertaken to illustrate the uterotonic effect of Leonurus sibiricus. It was dissolved in sterile water and several different dosages were administered both in vitro and in vivo study. Rat uterine tissue for in vitro bioassay was obtained from estrous rat. From the low to high dosages of Leonurus sibiricus were tried and each uterine contraction was recorded and integrated. Anesthetized estrous rat for in vivo study was cannulated into the jugular vein for infusion of the compound. Another cannula with a balloon tipped and water filled was inserted into the uterus to measure uterine activity. While the uterine tissue did not respond to low dosage of compound, high dosage of compound stimulated the tissue to contract less than 1 minute with low amplitude. In vivo rat uterus showed a certain, consistent pattern of contractions which was initial relaxation and followed by prolonged and increased amplitude of contractions. It also caused a short breathing stop which might be due to acute acidosis.

• 대한임상검사과학회지
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• 제43권4호
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• pp.188-193
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• 2011

Obstructive sleep apnea (OSA) is the most common type of sleep apnea and is caused by obstruction of the upper airway. Since it is closely related to sleep parameter and body indices, the study was focused on the relationship with them. The results of polysomnography (PSG) in obstructive sleep apnea was done at ENT department of Ewha women university Mokdong hospital from March to September 2010 with 52 subjects (male 35, female 17). The leads were placed to measure electroencephalogram (EEG), electrooculogram (EOG), mandibular and anterior tibialis electromyogram (EMG), airflow in nasal and oral cavity, chest and abdominal breathing pattern, snoring sound and arterial oxygen saturation ($SpO_2$) level. From sleep parameter and body indices of adult obstructive sleep apnea compared to normal adult revealed that age (p<0.01) and snoring sound (p<0.05) were increased, stage 1 sleep (p<0.01) was increased, the deeper stages (3&4) of sleep (p<0.05) were reduced. Respiratory disturbance index (RDI) (p<0.01), mean $SpO_2$ (p<0.05) and lowest $SpO_2$ (p<0.01) were also decreased. The correlation analysis from sleep parameter and body indices of OSA showed the positive correlation with age (r=0.463, p<0.001), snoring sound (r=0.278, p<0.05), stage 1 sleep (r=0.391, p<0.01) and RDI (r=0.409, p<0.01), but showed the negative correlation with the deeper stages (3&4) of sleep (r=-0.307, p<0.05), mean $SpO_2$=(r=-0.274, p<0.05) and lowest $SpO_2$ (r=-0.392, p<0.01). This study proves that obstructive sleep apnea and indices have closed related.

• 여성건강간호학회지
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• 제10권2호
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• pp.128-135
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• 2004

Purpose: Women who undergo gynecological surgery have moderate and severe sensation and distress of pain despite the advent of patient controlled analgesia (PCA). The purposes of this study were to describe perception of non-pharmacological therapy for postoperative pain control and examine changes of pain sensation and distress in women who had gynecological surgery. Method: The sample consisted of 52 women who were having gynecological surgery. Subjects who agreed to participate in the study were asked for their opinion about non-pharmacological approaches for postoperative pain control using a structured study questionnaire. Pain sensation and distress were assessed by VAS in the morning and afternoon for 2 days following the surgery. Result: About 50% of the subjects thought that non-pharmacological methods such as relaxation, music, massage, or meditation would be helpful for their postoperative pain control. If both pharmacological and non-pharmacological therapy were given for pain control, 96% of subjects reported it would be effective. Nurses can apply techniques of relaxation, deep breathing, meditation, and music therapy to surgical patients along with PCA. Expected sensation and distress of pain was high, but pain levels gradually decreased over time. However, subjects experienced moderate levels of pain postoperatively although they used PCA. Conclusion: The effect of a combined method of pharmacological and non-pharmacological approach needs to be tested if postoperative pain is to be decreased more.

• 대한간호
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• 제33권3호
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• pp.79-91
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• 1994

The purpose of this study was to identify the meaningful nursing diagnosis in maternity unit and to suggest formally the basal data to the nursing service with scientific approach. The subject for this paper were 64 patients who admitted to Chung Ang University Hospital, Located in Seoul, from Mar. 10, to July 21, 1993. The results were as follows: 1. The number of nursing diagnosis from 64 patients were 892 and average number of nursing diagnosis per patient was 13.9. 2. Applying the division of nursing diagnosis to Roy's Adaptation Model, determined nursing diagnosis from the 64 patients were 621 (69.6%) in physiological adaptation mode and (Comfort, altered r/t), (Injury, potential for r/t), (Infection, potential for r/t), (Bowel elimination, altered patterns r/t), (Breathing pattern, ineffective r/t), (Nutrition, altered r/t less than body requirement) in order, and 139 (15.6%) in role function mode, (Self care deficit r/t), (Knowledge deficit r/t), (Mobility, impaired physical r/t) in order, 122 (13.7%) in interdependence adaptation mode, (Anxiety r/t), (Family Process, altered r/t) in order, 10(1.1%) in self concept adaptation mode, (Powerlessness r/t), (Grieving, dysfunctional r/t) in order. 3. Nursing diagnosis in maternity unit by the medical diagnosis, the average hospital dates were 3.8 days in normal delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 64.6%, (Self care deficit r/t) 13.6% in order, and the average hospital dates were 9.6 days in cesarean section delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 51.6%, (Self care deficit r/t) 15.2%, (Infection, potential for r/t) 9.9%, (Injury, potential "for r/t) 8.1%, (Anxiety r/t) 5.0%, (Mobility, impaired physical r/t) 3.3% in order, and the average hospital dates were 15.8days in preterm labor and majority of used nursing diagnosis, (Comfort, altered r/ t), (Anxiety r/t), (Injury, potential for r/t) in order, and the average short-term hospital dates were 2.5days, long-term hospital dates were 11.5days in gynecologic diseases and majority of used nursing diagnosis, (Comfort, altered r/t). (Self care deficit r/t), (Injury, potential for r/t), (Infection, potential for r/t) in order.

• 가정간호학회지
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• 제8권1호
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• pp.25-37
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• 2001

Spinal cord injury patients need rehabilitation after the acute stage. They should be cared for at home to decrease hospitalization. Home care nurses play an important role in making spinal cord injury patients who have physical. and psychosocial problems do their best. For effective care, home care nurses need standardized nursing intervention protocols for spinal cord injury patients, but they are rarely developed. Therefore, this study was conducted to develop home care nursing protocols, based on NIC, that are applicable to spinal cord injury patients at home. Forty home care nursing charts of spinal cord injury patients registered in a home care nursing agency from July 1st, 1994 to August 31st, 1999 in S city were analyzed. Fifteen home care nurses participated in this study as a user validity validation group, The results of this study are as follows. 1. Fifteen nursing diagnoses were classified through the frequency analysis of home care nursing charts and previous literature for 40 spinal cord injury patients: altered urinary elimination, constipation, high risk for impaired skin integrity, chronic pain, impaired skin integrity, impaired social interaction, knowledge deficit, bowel incontinence, high risk for injury, altered role performance, care giver role strain, impaired physical mobility, sexual dysfunction, dysreflexia, and ineffective breathing pattern. 2. Based on validation by experts and user validities, 93 nursing interventions which were above ICV(Index of Content Validity) .80 were chosen. 3. Nursing intervention protocols which showed above ICV .80 were developed.

• 대한한의학원전학회지
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• 제34권1호
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• pp.47-65
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• 2021

Objectives : An accurate judgment of prognosis when treating diseases is crucial. While the 『Shanghanlun(傷寒論)』 deals with the prognosis of the Three Yin Diseases with great importance, full-scale studies have been lacking. This paper aims to study the Three Yin Diseases with a focus on prognosis analysis. Methods : Among the Three Yin Disease verses, those that could provide clues to prognosis were selected and analysed. Conclusions & Results : When Yang pulse patterns such as long(長脈)·floating(浮脈)·rapid(數脈) pulses and Yang symptoms such as fever, vexing heat, mild perspiration, thirst, warmth in hands and feet are present in Yin disease, it could be taken as signs of Yang Qi restoration. In these situations, Yin Cold pattern such as diarrhea and reversal cold disappear and the prognosis is positive. However, despite Yang pulse patterns and symptoms, there are cases where diarrhea happens as a result of cold dampness being eliminated due to Yang Qi restoration. Also, when Yang Qi starts communicating smoothly after its restoration in the Three Yin Diseases, perspiration can happen. When diarrhea and reversal cold, which are patterns of Yin Cold get worse, with pulse patterns such as unfelt(脈不至)·replete(實脈)·fulminating(脈暴出) pulses, false heat symptoms such as fever and hot flashes happen, accompanied with Yang Qi depleted symptoms such as inability to lie down due to agitation, continuous perspiration, sore throat, dyspnea, and exaggerated breathing happen. When fast pulse, fever, and perspiration are present due to depression and stagnation of ministerial fire, symptoms such as bloody stool with pus, purulent abscess, sore throat, and inability to lie down due to agitation show, which signal negative prognosis. In bad cases of Reverting Yin Disease, there is continuous diarrhea and bloody stool with pus, which can be due to either Kidney Yang deficiency or depression and stagnation of ministerial fire. It could also be caused by excessive heat.

• 한국의류산업학회지
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• 제25권4호
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• pp.520-533
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• 2023

The present study developed a test protocol for evaluating the mobility of firefighting chemical and flame personal protective equipment (PPE) for the National 119 Rescue Headquarters in Korea and suggested ergonomic design factors to improve their mobility and performance. Six types of PPE were employed, including three types for flame protective PPE (5 ~ 6 kg excluding the self-contained breathing apparatus), and three types for chemical and flame protective PPE (8 ~ 11 kg). These PPEs are used by the 119 Rescue firefighters. Three male firefighters (34.3 ± 1.2 y in age, 175 ± 8 cm in height, 81 ± 13 kg in body weight) participated in the mobility test and interview. A mobility test protocol consisting of 16 components (nine postures and seven motions including a dexterity test) along with a visibility test were developed based on pre-interviews and literature reviews. The findings indicated that the clothing microclimate humidity on the neck and chest exceeded 85%RH on average for all the six PPE conditions, with the chest area reaching as high as 98%RH. This high humidity caused fogging inside the visor and impaired visibility. The requirements for improving the PPE design in terms of mobility varied depending on whether it was the separated types or all-in-one types, particularly regarding the hood and gloves design. The findings of this study can be applied to improve the design of Level A_PPE for firefighters. The mobility test protocol and visibility test developed in this study can also be applied to other types of Level A impermeable PPE.

• 예술인문사회 융합 멀티미디어 논문지
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• 제8권10호
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• pp.63-70
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• 2018

영상을 이용한 생체 신호 측정 기술이 발전하고 있으며, 특히 생명 유지를 위한 호흡 신호 측정기술 연구가 지속적으로 진행되고 있다. 기존 기술은 사람의 몸에서 방출하는 열을 측정하는 열화상 카메라를 통하여 호흡 신호를 측정하였다. 또한, 실시간으로 사람의 흉부 움직임을 분석하여 호흡률을 측정하는 연구도 진행되었다. 하지만, 적외선 열화상 영상을 이용하여 영상 처리를 하는 것은 외부 환경 요인으로 인해 호흡 기관의 탐색이 어려울 수 있으며, 이에 따라 호흡률 측정의 정확도가 떨어지는 문제들이 발생했다. 본 연구에서는 호흡 기관의 영역 탐색을 강화하기 위해 가시광 및 적외선 열화상 카메라를 이용하여 영상을 취득하였다. 그리고 두 영상을 기반으로 얼굴 인식, 영상 정합 등의 과정을 통해 호흡 기관 영역의 특징을 추출한다. 추출한 특징 값을 통계학적 분류 방법 중 하나인 k-최근접 이웃 분류기를 통해 호흡 신호의 패턴을 분류한다. 분류한 패턴의 특성에 따라 호흡률을 계산하며, 측정한 호흡률의 성능을 확인하기 위해 실제 호흡률과 비교 과정을 통해 분석함으로써, 호흡률 측정의 가능성을 확인하였다.