• Title/Summary/Keyword: Respiratory cycle

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Effectiveness of the Respiratory Gating System for Stereotectic Radiosurgery of Lung Cancer (Lung Cancer의 Stereotactic Radiosurgery시 Respiratory Gating system의 유용성에 대한 연구)

  • Song Heung Kwon;Kim Min Su;Yang Oh Nam;Park Cheol Su;Kwon Kyung Tae;Kim Jeong Man
    • 대한방사선치료학회:학술대회논문집
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    • 2005.06a
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    • pp.13-17
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    • 2005
  • Introduction : For stereotactic radiosurgery (SRS) of a tumor in the region whose movement due to respiration is significant, like Lung lower lobe, the gated therapy, which delivers radiation dose to the selected respiratory phases when tumor motion is small, was peformed using the Respiratory gating system and its clinical effectiveness was evaluated. Methode and Materials : For two SRS patients with a tumor in Lung lower lobe, a marker block (infrared reflector) was attached on the abdomen. While patient' respiratory cycle was monitored with Real-time Position Management (RPM, Varian, USA), 4D CT was performed (10 phases per a cycle). Phases in which tumor motion did not change rapidly were decided as treatment phases. The treatment volume was contoured on the CT images for selected treatment phases using maximum intensity projection (MIP) method. In order to verify setup reproducibility and positional variation, 4D CT was repeated. Result : Gross tumor volume (GTV) showed maximum movement in superior-inferior direction. For patient $\#$1, motion of GTV was reduced to 2.6 mm in treatment phases ($30\%\~60\%$), while that was 9.4 mm in full phases ($0\%\~90\%$) and for patient $\#$2, it was reduced to 2.3 mm in treatment phases ($30\%\~70\%$), while it was 11.7 mm in full phases ($0\%\~90\%$). When comparing two sets of CT images, setup errors in all the directions were within 3 mm. Conclusion : Since tumor motion was reduced less than 5 mm, the Respiratory gating system for SRS of Lung lower lobe is useful.

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A Review of Airway Clearance Technique (기도청결 기법(Airway Clearance Technique)에 관한 고찰)

  • Kim Kyoung
    • The Journal of Korean Physical Therapy
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    • v.16 no.1
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    • pp.1-13
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    • 2004
  • Airway clearance technique are used to aid in mucus clearance in a variety of disease states. In this review I discuss airway physiology including airway mucus, action of airways, and airway resistance and review the literature and theory regarding forced expiratory technique, active cycle of breathing technique, and autogenic drainage. Also, I look at the appropriate device such as positive expiratory pressure mask(PEP mask), Flutter, and HFCWO(Vest system) which can be applied in the field of respiratory physical therapy. This study is provided as the basic resource regarding the application method of respiratory physical therapy.

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The Changes of Breathing Pattern Observed During Maximal Exercise Testing in the Patients with Chronic Airflow Obstruction : the Correlation Between the Change of Inspiratory Duty Cycle and the Degree of Airflow Obstruction (만성기도폐쇄 환자에서 최대운동부하시 관찰되는 호흡양상 - 기도폐쇄정도와 흡기책임비율변화 사이의 상관관계 -)

  • Lee, Kye-Young;Jee, Young-Koo;Kim, Keun-Youl
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.574-582
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    • 1997
  • Background : Normal humans meet the increased ventilatory need during exercise initially by the increase of tidal volume (TV) and later by the increase of respiratory frequency (Rf). And the inspiratory duty cycle (Ti/Ttot) is also increased more than 50% for the compensation of the decrease of respiratory cycle provoked by the increase of respiratory frequency. The patients with chronic airflow obstruction show rapid and shallow breathing pattern during exercise because of the decreased ventilatory capacity and the increased dead space ventilation. However, the studies about the change of inspiratory duty cycle are only a few and there is no literature about the relationship between the change of inspiratory duty cycle and the degree of airflow obstruction. Methods : The subjects were the twelve patients with chronic airflow obstruction (CAO) and ten normal people. The incremental exercise test was done. The increase of work load was 10 W in CAO group and 25 W in normal control group. The analysis of the results was done by the comparison of the parameters such as minute ventilation (VE), TV, Rf, physiologic dead space (Vd/Vt), and inspiratory duty cycle between the two groups. Each parameters were compared after transformation into % control duration base that means dividing the total exercise time into five fractions and % control duration data were obtained at rest, 20%, 40%, 60%, 80%, and max. Statistical analysis was done by repeated measure ANOVA using SAS program. Results : The changes of VE and TV were significantly different between two groups while the change of Rf was not significant. The decrease of Vd/Vt was significantly low in CAO group. Ti/Ttot was markedly increased from 38.4 + 3.0% at rest to 48.6 + 4.5% at max in normal control group while Ti/Ttot showed little change from 40.5 + 2.2% at rest to 42.6 + 3.5% at max. And the change of inspiratory duty cycle showed highly good correlation with the degree of airflow obstruction (FEV1%). (r=0.8151, p < 0.05). Conclusions : The increase of Ti/Ttot during exercise observed in normal humans is absent in the patients with CAO and the change of Ti/Ttot is well correlated with the degree of airflow obstruction.

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A Study on a Method for Detecting Leak Holes in Respirators Using IoT Sensors

  • Woochang Shin
    • International journal of advanced smart convergence
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    • v.12 no.4
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    • pp.378-385
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    • 2023
  • The importance of wearing respiratory protective equipment has been highlighted even more during the COVID-19 pandemic. Even if the suitability of respiratory protection has been confirmed through testing in a laboratory environment, there remains the potential for leakage points in the respirators due to improper application by the wearer, damage to the equipment, or sudden movements in real working conditions. In this paper, we propose a method to detect the occurrence of leak holes by measuring the pressure changes inside the mask according to the wearer's breathing activity by attaching an IoT sensor to a full-face respirator. We designed 9 experimental scenarios by adjusting the degree of leak holes of the respirator and the breathing cycle time, and acquired respiratory data for the wearer of the respirator accordingly. Additionally, we analyzed the respiratory data to identify the duration and pressure change range for each breath, utilizing this data to train a neural network model for detecting leak holes in the respirator. The experimental results applying the developed neural network model showed a sensitivity of 100%, specificity of 94.29%, and accuracy of 97.53%. We conclude that the effective detection of leak holes can be achieved by incorporating affordable, small-sized IoT sensors into respiratory protective equipment.

Statistical Study on Respiratory Signal Analysis according to Patient Position and Device in Radiation Therapy (방사선치료 시 자세와 device에 따른 호흡신호의 분석)

  • Seo, Jeong-Min;Park, Myung-Hwan;Shim, Jae-Koo;Kim, Chan-Hyeong;Park, Cheol-Soo;Kim, Kyung-Keun;Cho, Jae-Hwan
    • Journal of the Korean Society of Radiology
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    • v.5 no.4
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    • pp.179-187
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    • 2011
  • This study statistically analyzed the difference of the stability of maintaining a respiratory period shown according to position and use of a device to search the tendency and usefulness of a device. The supine position showed better maintaining respiratory cycles than the prone position. The 85% of subjects who showed bad maintenance pattern of a respiratory cycle were significantly different pattern with using belly board. It could be said that there was a significant correlation between the maintenance of a respiratory cycle and relative index of respirational stability(p=0.044, kappa=0.607). The movement due to respiration was one of important considerations in the radiation therapy on chest, abdomen, and even pelvis. This study could contribute to the high quality radiation therapy by statistic analysis of respiratory signals and its application.

Antagonistic effects on Respiration and Photosynthesis of Chlorella cells treated with GA and IAA (Chlorella의 호흡 및 광합성에 미치는 IAA와 GA의 길항작용)

  • 채인기;정영숙;이영녹
    • Korean Journal of Microbiology
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    • v.12 no.4
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    • pp.188-193
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    • 1974
  • Effects of GA and IAA on the respiratory and photosynthetic activity of each growth stage during the synchronous culture of Chlorella ellipsodiea, were investigated. 1) GA ($2{\times}10^{-8}M$) affected most insignificantly on the respiratory activity of the stages Dn, Da, $L_1$, $L_2$, $L_3$-cells but only at $L_4$-cells treated with IAA($10^{-3}/M$) were promoted and $L_3$, $L_4$-cells were suppressed. With the treatment of GA-IAA the effects on respiration of eah stage cells were antagonistic. 2) Photosynthetic activity treated with GA during the each stage of Chlorella cells was promoted and IAA treated-cell were suppressed. The effect of GA-IAA upon the process of life cycle was also antagonistic. 3) It was revealed that respiratory and photosynthetic activity of Chlorella cells by the treatment of GA(($2{\times}10^{-8}M$) and IAA($10{\times}^{-3}/M$) had antogonistic effects.

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Studies on the organic acids metabolism in chlorella cells. (Chlorella의 유기산대사에 관한 연구)

  • Chin, Pyung;Lee, Yung-Nok
    • Korean Journal of Microbiology
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    • v.3 no.2
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    • pp.15-21
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    • 1965
  • Using the synchronous culture method and the manometric technique, changes in respiratory activities, utilization of some organic acids (succinate, malate, lactate and acetate etc.) and its effect on glucose metabolism in Chlorella cells at different growing stages were measured. 1) Endogenous respiration of the cells was not active at growing stage and was almost constant throughout the early ripening, maturing and division stages. 2) Lactate was utilized as respiratory substrate better than other organic acids tested. Exogenous respiration of glucose was most active at growing and maturing stages and was decreased strikingly at division stage. 3) Succinate and citrate inhibited endogenous and glucose respiration of the cells throughout the all life cycle. 4) Malate and acetate were utilized in the cells at early growing and division stages better, and malate enhanced the glucose respiration while in case of acetate it was depressed. 5) Calcium ion inhibited not only permeability of respiratory substrate but endogenous respiration itself.

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Respiratory Effort Monitoring Using Pulse Transit Time in Human (인체에서 맥파전달시간을 이용한 호흡노력 모니터링)

  • 정동근
    • Journal of Biomedical Engineering Research
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    • v.23 no.6
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    • pp.485-489
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    • 2002
  • In this study. respiratory efforts were monitored by the change of pulse transit time (PTT) which is related with the arterial pressure PTT is the time interval between the peak of R wave in ECG and the maximal slope point of photoplethysmogram(PPG). Biosignals, ECG and finger photoplethysmogram(PPG), were converted to digital data, and PTT was evaluated in personal computer with every heart beat. Results were presented as a graph using spline interpolation. The software was implemented in C$\^$++/ as a window-based application program. PTT was periodically changed according to airflow in resting respiration. In the resting respiration, PTT was changed according to the respiratory cycle. The amplitude of PTT fluctuation was increased by deep respiration, and increased by partial airway obstruction. These results suggest that PTT is responsible to respiratory effort which could be evaluated by the pattern of PTT change. And it is expected that PTT could be applied in the monitoring of respiratory effort by noninvasive methods, and is very useful method for the evaluation of respiratory distress.

Effectiveness of the Respiratory Gating System for Stereotectic Radiosurgery of Lung Cancer (폐암 환자의 정위적 방사선 수술 시 Respiratory Gating System의 유용성에 대한 연구)

  • Song Heung-Kwon;Kwon Kyung-Tae;Park Cheol-Su;Yang Oh-Nam;Kim Min-Su;Kim Jeong-Man
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.2
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    • pp.125-131
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    • 2005
  • Purpose : For stereotactic radiosurgery (SRS) of a tumor in the region whose movement due to respiration is significant, like Lung lower lobe, the gated therapy, which delivers radiation dose to the selected respiratory phases when tumor motion is small, was performed using the Respiratory gating system and its clinical effectiveness was evaluated. Materials and Methods : For two SRS patients with a tumor in Lung lower lobe, a marker block (infrared reflector) was attached on the abdomen. While patient' respiratory cycle was monitored with Real-time Position Management (RPM, Varian, USA), 4D CT was performed (10 phases per a cycle). Phases in which tumor motion did not change rapidly were decided as treatment phases. The treatment volume was contoured on the CT images for selected treatment phases using maximum intensity projection (MIP) method. In order to verify setup reproducibility and positional variation, 4D CT was repeated. Results : Gross tumor volume (GTV) showed maximum movement in superior-inferior direction. For patient #1, motion of GTV was reduced to 2.6 mm in treatment phases ($30{\sim}60%$), while that was 9.4 mm in full phases ($0{\sim}90%$) and for patient #2, it was reduced to 2.3 mm in treatment phases ($30{\sim}70%$), while it was 11.7 mm in full phases ($0{\sim}90%$). When comparing two sets of CT images, setup errors in all the directions were within 3 mm. Conclusion : Since tumor motion was reduced less than 5 mm, the Respiratory gating system for SRS of Lung lower lobe is useful.

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