• Title/Summary/Keyword: Respiratory Rate

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Extracorporeal Membrane Oxygenation Treatment of Traumatic Lung Injury - 2 cases - (외상성 폐손상시 체외막형 산화기 치료 - 2 예 -)

  • Yang, Jin-Sung;Shin, Hwa-Kyun;Her, Keun;Won, Yong-Soon
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.155-158
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    • 2011
  • Mechanical ventilation is usually the treatment of choice for severe respiratory failure associated with trauma. However, in case of severe hypoxia, mechanical ventilation may not be sufficient for gas exchange in lungs. Patients with Acute Respiratory Distress Syndrome (ARDS) undergo difficulties in oxygen and carbon dioxide exchange. Extracorporeal Membrane Oxygenation (ECMO) is the ideal therapeutic option for those patients with severe traumatic injuries. ECMO allows lungs to reserve their functions and decreases further lung injuries while increasing survival rate at the same time. We report two cases of patients with traumatic ARDS and Multiple Organ Failure including compromised heart function. The preservation of lung function was successful using ECMO therapy.

Studies on the Acupuncture Therapy for Respiratory Diseases in Calves (호흡기질환 송아지의 침술요법에 관한 연구)

  • 조용성
    • Journal of Veterinary Clinics
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    • v.14 no.1
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    • pp.88-92
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    • 1997
  • The present experiment was investigated to compare tretment effect of drug therapy, acupuncture therapy, the combination of acupuncture and drug therapy, and electro-acupuncture therapy using 152 calves with respiratory deseases. Among 20 cases of drug therapy group, 16 cases (80%) were recovered and 4 cases (20%) were ineffective. Among 28 cases using Su Qi in acupuncture therapy group, 21 cases using San Tai, An Bi and Fei Shu, 17 cases (72%) were available and 7 cases (28%) were unavailable. Among 28 cases of the combination group of acupuncture and drug therapy, 24 cases(86%) were recovered with the highest tretment effect in Su Qi and drug therapy. In addition, among 24 cases of the combination group of acupuncture and drug therapy, 20 cases(84%) were effective and 4 cases (16%) were ineffective with lower effective rate compared by Su Qi and drug therapy in San tai, An bi and Fei shu and drug therapy. And among electro-acupuncture group using Fei Shu $[left({\ominus}), right({\oplus})],$ 22 cases (82%) were effective and 6 cases (18%) were ineffective.

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Review of Respiratory Disorders in terms of Insurance (주요 호흡기질환의 보험의학적 이해)

  • Lee, Sinhyung
    • The Journal of the Korean life insurance medical association
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    • v.32 no.2
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    • pp.39-49
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    • 2013
  • The textbook of insurance medicine is very bulky volume and it's revision time may be long. Nowadays medical knowledge and evidences are developing rapidly. It is necessary to revise current insurance risk of certain disease. Review of respiratory diseases in terms of insurance medicine may be valuable information for insurance doctors and life underwriters. Newly estimated mortality ratio and excess death rate of several respiratory diseases in this review are organizing pneumonia, 266%/44‰; multi-drug resistant tuberculosis, 1200%/110‰; idiopathic interstitial pneumonia, 869%/85‰; VATS lobectomy of stage I lung cancer, 550%/33‰; lymphangioleiomyomatosis 9826%/66‰; lung transplantation 2026%/92‰, respectively.

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Saccharomyces cerevisiae의 물질대사에 미치는 중성자의 영향

  • 이민재
    • Journal of Plant Biology
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    • v.7 no.4
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    • pp.9-14
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    • 1964
  • According to the results measured the respiratory quotient of Saccharomyces cerevisiae with neutron radiation by manometric direct method, the respiratory quotient of them was stimulated at the dose(7$\times$106N/$\textrm{cm}^2$/sec) of neutron radiation for 60 seconds, and was inhibited in each group irradiated at the high dose (7$\times$108N/$\textrm{cm}^2$/sec) of neutron. Its physiological effects influenced on neutron had relations with respiratory quotient, reproductive rate and fermentation in the curve of normal logarithmic phase. The multiple reactions which appeared in yeast, indicated that a great deal of physiological function were closely correlated with the irradiated dosage of neutron. The kinds of free amino acid in yeast irradiated with neutron were different from those of unirradiated yeast. The activityof dehydrogenase system accelerated the metabolic function of yeast irradiated at some low dose of neutron. By this results, it may demonstrate that the fact which the phenomena obtained in the stimulation of neutron possess its character for several generation, is dependent on the theory of mutation. Subsequently, it seemed reasonable certain dominant type of microorganisms.

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Clinical predictors of chest radiographic abnormalities in young children hospitalized with bronchiolitis: a single center study

  • Kim, Ga Ram;Na, Min Sun;Baek, Kyung Suk;Lee, Seung Jin;Lee, Kyung Suk;Jung, Young Ho;Jee, Hye Mi;Kwon, Tae Hee;Han, Man Yong;Sheen, Youn Ho
    • Clinical and Experimental Pediatrics
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    • v.59 no.12
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    • pp.471-476
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    • 2016
  • Purpose: Chest radiography is often performed on patients hospitalized with typical clinical manifestations of bronchiolitis. We aimed to determine the proportion of subjects with pathologic chest radiographic findings and the clinical predictors associated with pathologic chest radiographic findings in young children admitted with the typical presentation of bronchiolitis. Methods: We obtained the following data at admission: sex, age, neonatal history, past history of hospitalization for respiratory illnesses, heart rate, respiratory rate, the presence of fever, total duration of fever, oxygen saturation, laboratory parameters (i.e., complete blood cell count, high-sensitivity C-reactive protein [hs-CRP], etc.), and chest radiography. Results: The study comprised 279 young children. Of these, 26 had a chest radiograph revealing opacity (n=24) or atelectasis (n=2). Multivariate logistic regression analysis showed that after adjustment for confounding factors, the clinical predictors associated with pathologic chest radiographic findings in young children admitted with bronchiolitis were elevated hs-CRP level (>0.3 mg/dL) and past history of hospitalization for respiratory illnesses (all P<0.05). Conclusion: The current study suggests that chest radiographs in young children with typical clinical manifestations of bronchiolitis have limited value. Nonetheless, young children with clinical factors such as high hs-CRP levels at admission or past history of hospitalization for respiratory illnesses may be more likely to have pathologic chest radiographic findings.

Effect of Enrofloxacin (Baytril Premix)for the Treatment and Prevention of Respiratory Diseases in Swine (돼지의 호흡기질병 치료 및 예방에 대한 Enrofloxacin의 효과)

  • Yeh Jae-Gil;Seo Jeong-Ky;Park Kyung-Yoon;Kim Byeung-Gie;Kim Yong-Hee
    • Journal of Veterinary Clinics
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    • v.9 no.2
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    • pp.401-406
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    • 1992
  • For the purpose of effective treatment and prevention of porcine respiratory diseases, Enrofloxacin(Baytril premix) was administered in the feed to trial herd occurred sporadically the respiratory diseases and then a serious investigation was carried out on the therapeutic effect, weight gain, feed conversion rate and lung lesion scoring. The results obtained were as follows, 1. The grower pigs which were administered with Baytril premix for 10 days gained the average body weight of 31kg for 33 days compared to 20.5kg of control group(p<0.05). Also drastical improvement of feed conversion rate(p<0.05) and disappearance of clinical signs were approved. 2. Average scorings of lung lesions were 7.92% in the medication group and 15.8% in the control group respectively. 3. Respiratory diseases outbreaked in the trial farm were pleuropneumonia caused by Actinobacillus (Haemophilus)pleuropneumoniae, Mycoplasmal pneumonia and Pasteurellosis.

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Inspiratory Muscle Strengthening Training Method to Improve Respiratory Function : Comparison of the Effects of Diaphragmatic Breathing with Upper Arm Exercise and Power-Breathe Breathing (호흡 기능 향상을 위한 들숨근 강화 훈련 방법 : 위팔운동을 동반한 가로막 호흡과 파워브리드 호흡의 효과 비교)

  • Lee, Keon-Cheol;Choo, Yeon-Ki
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.3
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    • pp.203-211
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    • 2021
  • Purpose : It was to compare changes in respiratory function (pulmonary function, inspiratory function) after four weeks of inspiratory muscle strengthening training (diaphragmatic breathing with upper arm exercise, Power-Breathe breathing) for 36 healthy people. Methods : Subjects were randomly assigned to diaphragmatic breathing with upper arm exercise (Group I) and Power-breathe breathing (Group II) was conducted by the protocol for four weeks five times per week. As the main measurement method for comparison between groups For pulmonary function, Forced Vital Capacity (FVC) and Forced Expiratory Volume at One second (FEV1) were used, and for inspiratory function, Maximum Inspiratory Capacity (MIC), Maximum Inspiratory Pressure (MIP), and Maximum Inspiratory Flow Rate (MIFR) were used. Results : In changes in pulmonary function between groups, FVC and FEV1 showed no significant difference, and in inspiratory function changes, MIC showed no significant difference, but in MIP and MIFR, Group B significantly improved over Group A. Conclusion : The progressive resistance training using the Power-breath device applied to the inspiratory muscle did not show a significant difference in the increase in the amount of air in the lungs and chest cage compared to the diaphragmatic breathing training accompanied by the upper arm exercise. However, by increasing the air inflow rate and pressure, it showed a more excellent effect on improving respiratory function.

Association between Respiratory Virus Infection and Pneumococcal Colonization in Children (소아에서의 호흡기바이러스 감염과 비인두 폐렴구균 보균의 연관성)

  • Lee, Hyeon Seung;Choe, Young June;Cho, Eun Young;Lee, Hyunju;Choi, Eun Hwa;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.21 no.3
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    • pp.207-213
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    • 2014
  • Purpose: This study aimed to investigate the association between respiratory virus infection and pneumococcal colonization in children. Methods: From May 2009 to June 2010, nasopharyngeal (NP) aspirates were obtained from patients under 18 years old who visited Seoul National University Children's Hospital for respiratory symptoms. NP samples were used to detect respiratory viruses (influenza virus A and B, parainfluenza virus 1, 2 and 3, respiratory syncytial virus A and B, adenovirus, rhinovirus A/B, human metapneumovirus, human coronavirus 229E/NL63 and OC43/HKU1) by RT-PCR and pneumococcus by culture. Results: Median age of the patients was 27 months old. A total of 1,367 NP aspirates were tested for respiratory viruses and pneumococcus. Pneumococcus was isolated from 228 (16.7%) of samples and respiratory viruses were detected from 731 (53.5%). Common viruses were rhinovirus (18.4%), respiratory syncytial virus (RSV) A (10.6%), adenovirus (6.9%), influenza virus A (6.8%). Pneumococcal isolation rate was significantly higher in the cases of positive virus detection than negative detection [21.3% (156/731) vs. 11.3% (72/636), P <0.001]. For individual viruses, pneumococcal isolation rate was positively associated with detection of influenza virus A [24.7% (23/93) vs 16.1% (205/1274), P=0.001], RSV A [28.3% (41/145) vs 15.3% (187/1222), P=0.001], RSV B [31.3% (10/32) vs 16.3% (218/1335), P=0.042], rhinovirus A/B [22.6% (57/252) vs 15.3% (171/1115), P=0.010]. Conclusion: The study revealed that pneumococcal isolation from NP aspirates is related with respiratory virus detection. The result of this study could be used to investigate how respiratory viruses and pneumococcus cause clinical diseases.

Accuracy Evaluation of Respiratory Air Flow Transducer for Artificial Ventilation (인공호흡시 호흡기류 계측 센서의 정확도 평가)

  • Lee, In-Kwang;Park, Mi-Jung;Kim, Kyoung-Ok;Shin, Eun-Young;Shon, Ho-Sun;Cha, Eun-Jong;Kim, Kyung-Ah
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.425-431
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    • 2015
  • Measurement accuracy was evaluated for the respiratory air flow transducer developed for applications under emergent situations. Pressure-Flow calibration equation was obtained by acquisition of air flow signals from the transducer in response to 6 flow waveforms, similar to those of artificial ventilation, generated by the standard flow generator system. Tidal volume and maximal flow rate were calculated on the flow signal then compared with the error-free data obtained by the linear displacement transducer of the flow generator system. Mean relative error of the tidal volume was within 3% and that of the maximal flow rate, approximately 5%, demonstrating accurate enough measurements. Therefore, the transducer could be applied to emergent situations to monitor the respiratory air flow signal as well as diagnostic parameters in real time.

Recovery Rate of Nontuberculous Mycobacteria and the Clinical Course of Nontuberculous Mycobacterial Pulmonary Disease at a Secondary Hospital (일개 2차 의료기관에서의 비결핵성 마이코박테리아 분리비율 및 폐질환의 임상 경과)

  • Lee, Jae Kwang;Kwon, Hwuck Young;Kwon, Jong Kyu;Lee, Hwa Jeong;Lee, Dong Wook;Lee, Yu Jin;Yoon, Kyung Hwa;Song, Do Young;Lee, Byung Ki;Kim, Yeon Jae
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.3
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    • pp.199-204
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    • 2009
  • Background: To examine the recovery rate of nontuberculous mycobacteria (NTM) from respiratory specimens and the clinical course of NTM pulmonary disease at a 700-bed secondary hospital. Methods: This study analyzed the results of 843 acid-fast bacilli (AFB) culture-positive respiratory specimens from 650 subjects collected between May 2003 and April 2008. In addition, the clinical course of NTM pulmonary disease, diagnosed using criteria established by the American Thoracic Society, was examined. Results: There were 67 (7.9%) NTM isolates recovered from 52 (8.0%) subjects. Among the 535 AFB smear-positive specimens, 34 (6.3%) NTM isolates were recovered. There were 33 (10.7%) NTM isolates were recovered from 308 AFB smear-negative specimens. Of 52 subjects with isolated NTM, M. intracellulare was the most common species at 73.1% (n=33), followed by M. kansassi (n=7), M. abscessus (n=2), M. fortuitum (n=2), and M. avium (n=1). Sixteen (30.8%) patients had NTM pulmonary disease and the most common causative organism was M. intracellulare (n=14, 87.5%). Of these, 6 cases attained negative conversion in culture, 4 cases failed to attain negative conversion because of poor cooperation or expiration from complicated underlying lung disease, and 5 cases were transferred to a higher-grade hospital. Conclusion: The recovery rate of NTM from respiratory specimens was relatively low and the most common species was M. intracellulare. Patients with NTM pulmonary disease showed variable clinical outcomes.