• Title/Summary/Keyword: Mouth-to-mouth ventilation

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Effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation (입-입 인공호흡(Mouth-to-mouth ventilation)을 위한 감염방지 도구의 병원성 세균 여과 효과)

  • Shim, Gyu-Sik;Kim, Eun-Mee
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.3
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    • pp.49-56
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    • 2016
  • Purpose: The purpose of this study was to investigate the effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation. Methods: Two kinds of face shields were used for the study. One rescuer blew the filter through a bag valve mask and the filter was then cultured for bacteria. The mask was tested both on the front and back side. Results: Two kinds of face shields including the KF shield and CM shield were tested. The KF shield has received national certification and it prevented transmission of bacterial infection but the CM shield showed the opposite result and did not prevent bacterial transmission. Pathogenic bacteria were found on the back of the CM shield. Conclusion: A certified face shield is very important to prevent bacterial transmission. Face shields should be demonstrated and used by paramedic students.

Comparison of compression pause time between different rescue ventilation maneuvers in two-rescuer cardiopulmonary resuscitation (2인구조자 심폐소생술 시 환기방법에 따른 가슴압박 중단시간의 비교: 일개 대학병원 간호사를 대상으로)

  • Hyun, Kwang-Rok;Moon, Jun-Dong
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.2
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    • pp.7-17
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    • 2015
  • Purpose: This study aimed to compare the effects of rescue ventilation maneuvers on the quality of two-rescuer cardiopulmonary resuscitation (CPR). Methods: We implemented mouth to mouth (MMV), mouth to pocket mask (MPV) and bag-valve mask ventilation (BMV) maneuvers. Each team of two-nurses was randomized to perform three consecutive sessions of two-rescuer CPR by using three artificial ventilation maneuvers. Results: The subjects were 26 teams of nurses (female: 96.2%, male: 3.8%, age: 26.6 years). Failed ventilation was more frequent in BMV ($2.23{\pm}2.21$, p <.001) than MMV ($0.31{\pm}0.74$) and MPV ($0.38{\pm}0.64$). BMV had more compressions per minute ($93.7{\pm}5.7$) than MMV ($87.0{\pm}7.2$, p = .001) and shorter total compression pause time ($46.1{\pm}5.8sec$) and compression pause fraction ($23.3{\pm}2.2%$) than MMV ($54.8{\pm}10.3sec$, p = .001, $25.5{\pm}3.5%$, p = .001, respectively) and MPV ($53.1{\pm}7.1sec$, p =. 006 and $25.8{\pm}2.6%$, p = .006, respectively). Conclusion: In our simulation study, BMV reduced the compression pause time and increased the number of compressions per minute, thus indicating CPR provided to patients was effective. However, considering the high rate of ventilation failure, we recommend periodic training.

Effect of a CPR Educational Face Shield on Pathogenic Bacteria Protection (심폐소생술 교육용 페이스 쉴드의 병원성 세균 차단 효과)

  • Kim, Eun-Mee;Shim, Gyu-Sik;Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.30 no.6
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    • pp.137-141
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    • 2016
  • Cross contamination between a patient and rescuer or CPR trainees can occur when performing mouth to mouth ventilation during cardiopulmonary resuscitation (CPR). On the other hand, there has been a lack of research on the filtration efficacy of face shields that are designed to protect people from cross-contamination. This study aims to secure the safety of rescuers from communicable diseases in pre-hospital emergency settings and CPR trainees by verifying the protective effects of face shields. The FA shield and CM Shield were used to verify the safety. The bacteria collected from filters used by CPR trainees were incubated. These incubated bacteria were smeared onto the new filters, and were then blown out through the filters using a Bag Valve Mask (BVM) and the pathogens at the front and the back of the filters were checked. While the FA shield was effective in preventing the transmission of pathogens, the CM shield did not prevent the transmission of pathogens. Therefore, some of face shields that received national certification are ineffective in preventing cross-contamination. Accordingly, it is necessary to verify the safety of other face shields used domestically.

ICT Fusion Type Plasma Waste Heat Ventilation System for Improvement of Indoor Air Quality (실내 공기질 개선을 위한 ICT 융복합형 플라즈마 폐열 환기 시스템)

  • Kim, Eung-Kon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.14 no.6
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    • pp.1215-1220
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    • 2019
  • Currently, each farm bears both the outbreak of foot-and-mouth disease and the damage caused by AI. In addition, complaints about odors in the livestock industry are constantly being recovered and are expected to occur in the future. The purpose of this study is to improve the indoor air quality of enclosed facilities such as barns, houses, pigsty, and etc. This paper develops low-temperature plasma waste heat ventilation system to be installed in ventilation unit location and standardizes heat exchange element, low-temperature plasma lamp, and ballast for enhanced air cleaning function. In addition, this study intends to develop a new control system so that the farmers can connect with existing weather systems, flow fans, and other facility equipment by incorporating ICT.

Effects of Asymmetric Airway Inertance on Mean Lung Volume During High Frequency Ventilation(HFV)

  • Cha, Eun-Jong
    • Journal of Biomedical Engineering Research
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    • v.11 no.2
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    • pp.203-208
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    • 1990
  • A possible asymmetry in airway inertance was modeled based on previously reported radiographic visualization data of the airway wall fluctuation in intact dogs. Effects of asymmetric Inertance on mean lung volume during high frequency ventilation (HFV) were evaluated in terms of mean inertive pressure drop across the airways. It was found that a negligible inertlve pressure drop was expected ($<1{\;}cmH_20$) in normal subjects, while a sig- nificant rise in mean alveolar pressure compared to mean mouth pressure by approximately $3{\;}cmH_20$ was resulted for about 40% airway fluctuation representing bronchoconstriction state by Histamine induction. These results demonstrate that asymmetric Inertance could lead patients with airway diseases to a significant lung hyperinflation (LHI), and bronchodilation treatment is recommended prior to applying HFV to prevent those patients from a possible barotrauma.

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An Empirical Study Applying the PAD Factors to Loyalty of Culture and Arts Website Service (감정반응(PAD) 요인이 문화예술 웹사이트 서비스에서의 만족과 구전을 통해 충성도에 미치는 영향)

  • Baek, Heon;Kwon, Doo-Soon;Lee, Jae-Beom;Kim, Jin-Hwa
    • Information Systems Review
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    • v.14 no.1
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    • pp.105-128
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    • 2012
  • The Culture and Arts Website, one of the parts of providing information related to culture and art utilizing internet, is the website that giving information of arts genre like theater, music, art, architecture, video, and literature. As growing interest in the field of culture and arts, market of this website has been increasing and providing customized content which each customer wants in the field of culture and arts. Developers of culture and arts website consider the website media for increasing and developing awareness about culture and arts. They are accelerating development of various business models and application of culture and arts website service which it meets trend of the times and customers needs. This study will seize about influencing factors to culture and arts website service of domestic website users and analyze how these factors affect loyalty through satisfaction and word of mouth. This study presented research model applied main parameters of PAD(Pleasure, Arousal, Dominance) theory emphasized human's emotions that they are expected to affect the loyalty of culture and arts website service users based on satisfaction and word of mouth. The researcher in this study surveyed students of Seoul S University who had experiences with such culture and arts website to validate the model empirically. The results, firstly, if you experienced feeling related to pleasure and dominance in culture and arts website, you would satisfy this website and it could lead to loyalty. Secondly, the feeling related to ventilation does not affect the loyalty through satisfaction and word of mouth. Thirdly, the results show that all of three factors of emotional responses do not influence the loyalty through word of mouth.

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Pulmonary and Cutaneous Evaporative Water Losses in Sahiwal and Sahiwal × Holstein Cattle During Solar Exposure

  • Aggarwal, Anjuli;Upadhyay, R.C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.10 no.3
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    • pp.318-323
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    • 1997
  • In order to assess the effect of solar exposure on pulmonary functions and evaporative losses from skin and pulmonary surfaces, in six healthy Sahiwal (S) and six Sahiwal ${\times}$ Holstein ($S{\times}H$) cattle were exposed to direct sun during summer. Breed differences were observed during exposure. Increase in sweating rate was higher in crossbreds (222%) than in Sahiwal (125%). Pre-exposure (ambient temperature, $32.6{\pm}0.85^\circ}C$, solar radiation, $0.9cal\;cm^{-2}min^{-1}$) evaporative loss from skin accounted for about 90% of the losses and remaining losses were contributed by pulmonary surfaces in Sahiwal. The contribution of evaporation through skin increased to 92% (ambient temperature $39.4{\pm}0.68^\circ}C$, solar radiation, $1.35cal\;cm^{-2}min^{-1}$). In crossbreds 80% of the evaporative losses were through skin before exposure which increased to 87% after exposure to solar radiations. Rectal temperature increase was higher in crossbreds ($1.5^{\circ}C$) than in Sahiwal ($0.8^{\circ}C$). With the increase in pulmonary evaporative losses, respiratory frequency increased to 2 fold in Sahiwal and pulmonary ventilation increased 1.6 times the resting value in Sahiwal due to solar exposure. In $S{\times}H$ crossbreds the respiratory frequency increased 3.5 times and pulmonary ventilation increased only to 1.8 times due to decrease in tidal volume. There was about 2 fold increase in alveolar ventilation in both the breeds, the increase in dead space ventilation was more in crossbreds than in Sahiwal. Behavioral symptoms exhibited by animals after exposure were profuse salivation, open mouth panting, tongue protrusion and general restlessness.

A Case of Amitraz Insecticide Intoxication after Ingestion of Large Amount (많은 양을 음독한 급성 amitraz 살충제 중독 1례)

  • Suh, Joo-Hyun;Roh, Hyung-Keun
    • Journal of The Korean Society of Clinical Toxicology
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    • v.6 no.1
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    • pp.52-56
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    • 2008
  • Amitraz is used as farm-animal insecticide. Its side effects in humans are related to its pharmacological activity on alpha 2-adrenergic receptors. The case describes a previously healthy 46-year-old woman who intentionally ingested approximately 250mL of liquid amitraz. She presented with vomiting, altered mental status, miosis, dry mouth, hypopnea, metabolic and respiratory acidosis, hypotension, hypothermia, polyuria, metabolic acidosis, elevated serum aminotransferase and abdominal distension. Supportive treatments including mechanical ventilation, hydration, dopamine infusion, bicarbonate infusion and gastric decompression resulted in improvement. By hospital day 3, she recovered with resolution of abdominal distension. It is paramount to recognize amitraz poisoning when a pesticide-intoxicated patient presets with signs and symptoms consistent with organophosphate intoxicated patients but with greater alpha 2-adrenergic related symptoms such as decreased bowel motility and xerostomia.

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Use of Laryngeal Mask Airway in Sevoflurane Sedation for the Difficult Airway (Sevoflurane 흡입진정에서 어려운 기도관리를 위한 LMA 활용)

  • You, Tae-Min;Doh, Re-Mee;Song, Young-Gyun;Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.4
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    • pp.235-241
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    • 2012
  • Although sevoflurane sedation have the advantage of the reduction of anxiety and pain relief, difficult airway is attributed to increased agitation, tachycardia, desaturation, ventilation difficulty, sedation failure. In the sedation for dental treatment, we should pay more attention to the airway management because dental procedures take place in the mouth of airway unlike any other area. The layngeal mask airway (LMA) has become commonly used device for airway management during anesthesia for relatively short procedures, such as minor oral surgery and dental procedures. It can be inserted without use of a larygoscope and muscle relexants, and insertion is easy to achieve and generally takes less time than endotracheal intubation. The LMA is an excellent barrier against aspiration of saliva, blood within the surgical field but should not be used in patients at risk of aspiration In this study, we reported that after a failure of airway management in inhalation sedation, we performed the short-emergency dental treatment successfully, using a laryngeal mask.

Practical modeling of cigarette ventilation rate

  • Kim, Young-Hoh;Lee, Moon-Yong;Rhee, Kyu-Seo;Lee, Dong-Wook
    • Journal of the Korean Society of Tobacco Science
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    • v.21 no.2
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    • pp.109-118
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    • 1999
  • A model predicted describing the effect of cigarette making materials on the level of filter ventilation was developed and evaluated. The developed model was expressed in terms of a linear and quadratic relationship which was validated with experimental measurements for different porosity of plug wrap and tipping paper, unencapsulated pressure drop of filter plug and cigarette column and vent position. Forty-six experimental frequencies were determined as a result of using three levels with five factors Box-Behnken design and analyzed by the multiple regression analysis with backward stepwise in STATISTICA/PC under restricted conditions. The four factors, except filter pressure drop variable, were statistically significant at the level of 0.05 but most of all linear by linear interactions were comparatively lower significant. By the analysis of linear and quadratic regression coefficient, filter ventilation of the cigarette was affected by porosity of plugwrap (5.87, -4.25), porosity of tip paper (5.68, -1.00), vent position (-3.87, 3.08), tobacco column pressure drop (2.56, 0.66), and filter pressure drop (1.50, 0.58) in the decreasing order. It should be emphasized that the major conclusion of this study was not that any particular parameter was linear or quadratic on any limit scale, but that there were highly significant relationships among factors involving linear, quadratic and their interaction and perhaps even linearity between and within factors. While, there is also quite strong evidence that vent position from mouth end and cigarette making materials are reverse relationship on this experimental model. On the basis of the result, it can be concluded that the porosity of the plug wrap and tipping paper has a marked effect on degree of filter ventilation rate. The F-value of plug wrap and tipping paper porosity among five factors were 39.2 and 36.8 respectively with P-value of 0.000 indicating higher significant for both factors. According to the analysis of variance, the model fitted for filter ventilation was significant at 5% confidence level and the coefficient of determination ($R^2$=0.84) was the proportion to variability in the data well fitted for by the model.

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