• Physical Therapy Rehabilitation Science
• /
• v.7 no.4
• /
• pp.147-153
• /
• 2018

Objective: This study investigated the effects of air stacking training (AST) on pulmonary function, respiratory strength, and peak cough flow (PCF) in persons with cervical spinal cord injury (CSCI). Design: Randomized controlled trial. Methods: A total of 24 persons with CSCI were randomly allocated to the AST group (n=12) or the incentive spirometry training (IST) group (n=12). Patients with CSCI received AST or IST for 15 minutes, with 3 sessions per week for 4 weeks, and all groups performed basic exercises for 15 minutes. In the AST group, after the subject inhaled the maximal amount of air as best as possible, the therapist insufflated additional air into the patient's lung using an oral nasal mask about 2-3 times. In the IST group, patients were allowed to hold for three seconds at the maximum inspiration and then to breathe. The pre and post-tests measured forced vital capacity (FVC), forced expiratory volume one at second (FEV1), maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP) and PCF. Results: Both groups showed significant improvements in FVC, FEV1, MEP, MIP and PCF values after training (p<0.05). The FVC in the post-test and the mean change of FVC, FEV1, MIP were significantly higher in the AST group than the IST group (p<0.05). Conclusions: The findings of this study suggested that AST significantly improved pulmonary function, respiratory strength, and PCF in persons with CSCI. Therefore, AST should be included in respiratory rehabilitation programs to improve coughing ability, pulmonary function and respiratory muscle strength.

• Journal of Korean Neurosurgical Society
• /
• v.64 no.5
• /
• pp.791-798
• /
• 2021

Objective : The period of mechanical ventilator (MV)-dependent respiratory failure after cervical spinal cord injury (CSCI) varies from patient to patient. This study aimed to identify predictors of MV at hospital discharge (MVDC) due to prolonged respiratory failure among patients with MV after CSCI. Methods : Two hundred forty-three patients with CSCI were admitted to our institution between May 2006 and April 2018. Their medical records and radiographic data were retrospectively reviewed. Level and completeness of injury were defined according to the American Spinal Injury Association (ASIA) standards. Respiratory failure was defined as the requirement for definitive airway and assistance of MV. We also evaluated magnetic resonance imaging characteristics of the cervical spine. These characteristics included : maximum canal compromise (MCC); intramedullary hematoma or cord transection; and integrity of the disco-ligamentous complex for assessment of the Subaxial Cervical Spine Injury Classification (SLIC) scoring. The inclusion criteria were patients with CSCI who underwent decompression surgery within 48 hours after trauma with respiratory failure during hospital stay. Patients with Glasgow coma scale 12 or lower, major fatal trauma of vital organs, or stroke caused by vertebral artery injury were excluded from the study. Results : Out of 243 patients with CSCI, 30 required MV during their hospital stay, and 27 met the inclusion criteria. Among them, 48.1% (13/27) of patients had MVDC with greater than 30 days MV or death caused by aspiration pneumonia. In total, 51.9% (14/27) of patients could be weaned from MV during 30 days or less of hospital stay (MV days : MVDC 38.23±20.79 vs. MV weaning, 13.57±8.40; p<0.001). Vital signs at hospital arrival, smoking, the American Society of Anesthesiologists classification, Associated injury with Injury Severity Score, SLIC score, and length of cord edema did not differ between the MVDC and MV weaning groups. The ASIA impairment scale, level of injury within C3 to C6, and MCC significantly affected MVDC. The MCC significantly correlated with MVDC, and the optimal cutoff value was 51.40%, with 76.9% sensitivity and 78.6% specificity. In multivariate logistic regression analysis, MCC >51.4% was a significant risk factor for MVDC (odds ratio, 7.574; p=0.039). Conclusion : As a method of predicting which patients would be able to undergo weaning from MV early, the MCC is a valid factor. If the MCC exceeds 51.4%, prognosis of respiratory function becomes poor and the probability of MVDC is increased.

• Journal of the Korea Institute of Military Science and Technology
• /
• v.16 no.4
• /
• pp.435-440
• /
• 2013

In this paper, a design method of the simulation program for HILS(Hardware-In-the-Loop Simulation) system is proposed. The present method consists of definition of requirements for HILS, development of specifications, and implementation of the program to satisfy the specifications. In the implementation of the program, the application of hardware interface and the concept of structural modularization are proposed to satisfy the specifications. The concepts of CSCI(Computer Software Configuration Item) and encapsulation are used for structural modularization. The proposed method was practically applied to the development of the simulation program for the efficient operation in HILS of an anti-ship missile system.

• The Transactions of the Korean Institute of Power Electronics
• /
• v.15 no.2
• /
• pp.96-102
• /
• 2010

Nowadays, climate change becomes serious problem in all around country. Especially because of global warming problem, every country is suffered from various natural disasters. To prevent these changes, every industry are keep requiring the increase in energy efficiency. Recently, in the regulation of CSCI (climate savers computing initiate), the efficiency of server power supply should meet the demand of 94% at 50% load condition by 2010, which is called platinum level. Hence, server power system has been dramatically developed with the various technique for the high efficiency of it. Among those technique, hold up time extension technique has received wide attention and has been researched for a long time. In this paper, technical trend of hold up time extension circuit will be covered for the high efficiency, high power density server power supply.

• Journal of the Korea Institute of Military Science and Technology
• /
• v.2 no.2
• /
• pp.173-185
• /
• 1999

고품질의 소프트웨어를 개발하는 사업의 중요성이 나날이 증대되고 있는 시점에서 소프트웨어를 종합군수지원 관점에서 해석하려고 하는 연구가 최근에 진행되고 있다. 즉, 소프트웨어 설계자의 입장은 소프트웨어 개발도 중요한 문제이지만 소프트웨어를 얼마나 가용성 있게 유지하는가에 더 많은 관심을 갖게 된다. 하드웨어는 개발 시부터 종합군수지원이라는 기법을 적용하여 체계 배치 시 체계 장비가 최상의 가용도를 가질 수 있도록 하는 노력이 이루어지고 있으며, 그 결과도 현실화되고 있다. 본 논문에서는 하드웨어에서만 적용하고 있는 종합군수지원 개발 기법을 소프트웨어에 적용하여 소프트웨어에 대한 종합군수지원 적용방안을 제시하고, 향후 소프트웨어 개발/배치 시에 경제적이고 가용도가 높은 소프트웨어의 개발/활용이 가능하도록 군수지원 분석을 통한 종합군수지원 활용 방안을 제안한다.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.6 no.2
• /
• pp.101-104
• /
• 2013

The actual aircraft flight training can be done, but falls pilots primary flight training skills to the many risks and costs are formidable. It also requires considerable skill to follow at a higher risk of flight training is the same. These things through software simulation training can reduce the risk and cost of the expected risk situations such as virtual reality development and has the advantage that you can try. In this paper, the characteristics and actual aircraft flight dynamics of the considered armed ballistics software platform for game development by designing a student wants to become a pilot in the aircraft is to help you understand.

• Journal of the Korean Society for Aeronautical & Space Sciences
• /
• v.33 no.9
• /
• pp.104-112
• /
• 2005

This paper presents the technique to develop an operational flight program(OFP) of avionic system computer(ASC) which integrates the avionics control, navigation and fire control and provides informations for flight, navigation and weapon aiming missions. For the development of the OFP of ASC, two i960KB chips are used as central processing units board and standard computer interface library(SCIL) which is built in house is used. The Irvine compiler corporation(ICC) integrated development environment(IDE) and the programming language Ada95 are used for the OFP development. We designed the OFP to a computer software configuration item(CSCI) which consists of to three parts for independency of software modules. The OFP has been verified through a series of flight tests. The relevant tests also have been rigorously conducted on the OFP such as software integrated test, and ground functional test.