• 제목/요약/키워드: breath-by-breath

검색결과 473건 처리시간 0.035초

Development of a Breath Control Training System for Breath-Hold Techniques and Respiratory-Gated Radiation Therapy

  • Hyung Jin Choun;Jung-in Kim;Jong Min Park;Jaeman Son
    • 한국의학물리학회지:의학물리
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    • 제33권4호
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    • pp.136-141
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    • 2022
  • Purpose: This study aimed to develop a breath control training system for breath-hold technique and respiratory-gated radiation therapy wherein the patients can learn breath-hold techniques in their convenient environment. Methods: The breath control training system comprises a sensor device and software. The sensor device uses a loadcell sensor and an adjustable strap around the chest to acquire respiratory signals. The device connects via Bluetooth to a computer where the software is installed. The software visualizes the respiratory signal in near real-time with a graph. The developed system can signal patients through visual (software), auditory (buzzer), and tactile (vibrator) stimulation when breath-holding starts. A motion phantom was used to test the basic functions of the developed breath control training system. The relative standard deviation of the maxima of the emulated free breathing data was calculated. Moreover, a relative standard deviation of a breath-holding region was calculated for the simulated breath-holding data. Results: The average force of the maxima was 487.71 N, and the relative standard deviation was 4.8%, while the average force of the breath hold region was 398.5 N, and the relative standard deviation was 1.8%. The data acquired through the sensor was consistent with the motion created by the motion phantom. Conclusions: We have developed a breath control training system comprising a sensor device and software that allow patients to learn breath-hold techniques in their convenient environment.

영양소와 열량측정법의 발달과정 및 간접 열량 측정법 (Historical Development of Nutrient and Calorimetry and Expired Gas Analysis Indirect Calorimetry)

  • 윤병곤;김종원;김도연
    • 생명과학회지
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    • 제20권8호
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    • pp.1159-1165
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    • 2010
  • 간접 열량측정법은 호흡 시의 산소 소모량이나 이산화탄소나 질소의 배출량을 측정해 에너지 소모량을 측정하고, 산화작용의 열 방출량(칼로리소비)을 산출하여 측정한다. 지난 20년 내에 간접 열량측정법에서 사용된 laboratory와 computerized 시스템은 현저하게 발전되었으며, 특히 매 호흡의 변인의 산출을 가능하게 해주는 호흡당 시스템의 사용이 증가되었다. 많은 이전의 연구에서 호흡당 시스템은 간접 열량측정도구로 타당도와 신뢰도가 높아 실험에 적합하다고 평가 하였다. 본 연구는 간접 열량측정법의 가장 적합한 호흡당 시스템을 분석하고자 한다. 하지만 다른 모든 호흡당 간접열량측정계의 타당도와 신뢰도의 효과를 검증한 연구가 많지 않다는 문제점이 있다. 그러므로, 앞으로 연구에서는 호흡당 간접열량측정계의 가장 타당도와 신뢰도가 높은 적합한 측정도구가 필요하다고 사료된다.

구강기류 분석에 근거한 정상 성인의 문단 읽기 시 호흡그룹의 특징 (The Study of Breath Group Based on Oral Airflow in Reading by Healthy Speakers)

  • 한지연;이옥분;심이슬
    • 음성과학
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    • 제15권4호
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    • pp.135-146
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    • 2008
  • Breath group generally refers to one of units of speech production. It is an integral component of structural and contextual features of utterances with some responsibility for fluctuations in speech intelligibility. The purpose of this study was to know the characteristics of breath group in reading passages spoken by healthy speakers, specifically in view of aerodynamic aspects. Eighteen female speakers aged from 20 to 30 years old without communication problems and in healthy condition were participated in this study. PAS (Phonatory Aerodynamic System) was used for aerodynamic measurement of breath group. Results showed that the mean value of breath group in reading tasks was 16.03 per minute (SD=3.1), and the spoken syllables per one breath group were 17.95. And the mean time (m) of breath group was 3.06 (SD=0.62), and the ratio of exhalation and inhalation was appeared in the 1:5. The results need to be discussed in values of normality of breath group and clinical viewpoint, especially their potential implication from speech intelligibility caused by brain damage.

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발화조건에 따른 정상 성인의 호흡 능력 차이 비교: 예비연구 (The Study of Breath Competence Depending on Utterance Condition by Healthy Speakers: a Preliminary Study)

  • 이인애;이혜은;황영진
    • 말소리와 음성과학
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    • 제4권2호
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    • pp.115-120
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    • 2012
  • This study sought to compare breath competence in three different utterance conditions when reading a passage aloud, making a spontaneous speech, and singing. We tested 15 normal females (ages averaging $24{\pm}4.4$) and measured breath competence through an objective, aero-mechanical instrument called PAS (Phonatory aerodynamic system, model 6600, KAY Electronics, Inc). Breathing sets of inspiration and expiration were measured by breath group number, breath group duration, and the ratio of inspiration to expiration. The results from this study led us to the following conclusion: The breath group number and the breath group duration showed no significant difference. However, the only variance that we could find was in the ratio of inspiration and expiration. In significantly different speech patterns, singing resulted in the most varied ratio of inspiration and expiration, followed by reading a text aloud, and spontaneous speech. The average frequency rates and maximum intensity levels varied with regards to varying utterance conditions. This thus shows that breath competence and phonation competence have a closely interrelated relationship.

정상 성인 화자와 음성장애 성인 화자의 문단낭독 시 호흡단락에 대한 비교 연구: 예비연구 (A Comparison Study of Breath Groups during Reading Paragraph Tasks in Normal Adults and Adult Patients with Voice Disorders: A Preliminary Study)

  • 표화영;김소연;백승국
    • 말소리와 음성과학
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    • 제6권4호
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    • pp.181-187
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    • 2014
  • The present study was performed to investigate the characteristics of breath groups while reading paragraph in normal adults and adult patients with voice disorders. 10 normal females(avr. 20.6 yrs.), 10 young voice disorder females(avr. 33.5 yrs., P1 group), and 10 old voice disorder females(avr. 56.3 yrs., P2 group) read a paragraph of 210 syllables. By using the 'Running Speech' program of the Phonatory Aerodynamic System(PAS), total duration, numbers of breath groups, duration per breath group, and numbers of syllables per breath group were measured, and their correlations with aerodynamic measurement results of reading were analyzed. As a result, in total duration, numbers of breath groups, normals scored highest and P2 group speakers, lowest. Normals showed the longest duration per breath group which was not significant. P2 group speakers showed the highest numbers of syllables per breath group. Correlation analysis showed significantly high correlation scores of total duration and expiratory airflow; numbers of breath groups and inspiratory volume.

지식(止息)호흡에 대한 인체의 특성연구 (Characteristic Study of Breath-holding)

  • 유승연;오환섭;박영재;박영배
    • 대한한의진단학회지
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    • 제15권1호
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    • pp.95-110
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    • 2011
  • Objectives: The aim of the present study is to define breath-holding in spontaneous respiration and to observe the difference of respiratory variables, EEG and HRV. Methods: 46 healthy young volunteers (M:F=31:15) were recruited in the study. By measuring and analysing respiration, EEG and HRV in the spontaneous respiration. We segment subjects by 100% of coefficient of variation in the breath-holding. Results & Conclusions: 1. There is a period of breath-holding after expiration and before endeavored inspiration, in the course of respiration. The greater coefficient of variation in the breath-holding, longer respiration period mean, inspiration period mean and breath-holding mean in respiratory variable. 2. There was no significant difference between HRV parameters. 3. The greater coefficient of variation in the breath-holding, the higher ${\beta}$ frequency and ${\gamma}$ frequency in the left prefrontal lobe.

서미스터를 이용한 호흡유량 바이오센서 (Development of Breath Flow Sensor with Thermistor)

  • 송찬이;배황;장근식;김사지
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2008년도 춘계학술대회논문집
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    • pp.468-471
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    • 2008
  • We have developed a breath flow sensor that is cheap, robust and has reasonable accuracy. It based on using two thermistors implanted in a breath nozzle, apart by a small but known distance. The sensors detect the small time interval when the breath tidal wave passes by. Therefore the speed of the breath gas can be determined in a given pipe of known diameter. The sensors are calibrated for a few parameters and their accuracy has been estimated.

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뉴로피드백을 이용한 명상훈련이 정상 성인의 기억과 집중력에 미치는 영향 (The Effects of Breath Meditation with Neurofeedback on Memory and Concentration of Healthy Adult Volunteers)

  • 정선용;서진우;김종우;황의완
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.15-39
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    • 2008
  • Objective : The objective of this study was to investigate the effects of breath meditation with neurofeedback on memory, concentration of healthy adult volunteers Method 25 healthy adult volunteers were divided into two groups. One group was treated with breath meditation and real neurofeedback, but the other group was administered with breath meditation and sham neurofeedback three times a week for 10 sessions, Before and after 10 sessions neurofeedback, all subjects were measured by cognitive functions assessment, heart rate variability, BDI, STAI, K-WAIS, HRSD, VAS about amnesia. Results : 1. Breath Meditation decreased error rate and increased concentration, cognition strength, and success rate of Cognitive Functions Assessment. Also, Breath Medication elevated IQ score of K-WAIS short form. 2. Sham : neurofeedback increased concentration, cognition strength compared to Real neurofeedback. Conclusion : The results suggest that breath meditation might effect cognitive function of healthy adult positively, but neurofeedback is not clear. In order to prove whether neurofeedback is effective or not, it should be studied more.

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구취가 후각인지도 및 methyl mercaptan에 대한후각감지역치에 미치는 영향 (Effect of Bad Breath on Olfactory Identification Ability and on Olfactory Detection Threshold for CH3SH)

  • 도영환;최재갑;안형준
    • Journal of Oral Medicine and Pain
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    • 제26권4호
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    • pp.309-318
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    • 2001
  • The purposes of the study were (1) to evaluate the olfactory identification ability in those who have bad breath, (2) to determine the olfactory detection threshold for methyl mercaptan in normal subjects and those who have bad breath, and (3) to evaluate the effect of oral hygiene care on the olfactory detection threshold for methyl mercaptan. Sixteen male subjects with bad breath (male odor group), 9 male subjects without bad breath (male non-odor group), and 10 female subjects without bad breath (female non-odor group) were included for the study. Olfactory identification ability was assessed by administrating the Cross-Cultural Smell Identification Test (CC-SIT), and the olfactory detection threshold for methyl mercaptan was measured by two-alternative forced-choice single-staircase detection threshold procedure in a double-blinded condition. The geometric mean of the last four staircase reversal points of a total of seven reversals is used as the threshold. For the male odor group, after 1 month of intensive oral hygiene care for reducing oral volatile sulfur compounds (VSC) concentration, the olfactory detection threshold for methyl mercaptan was measured again and compared to the initial value. The ANOVA was used to test the group difference of olfactory threshold and olfactory identification ability and the paired t-test was used to test the difference of olfactory threshold between before and after reduction of oral VSC in male odor group. The results were as follows : 1. There was no significant difference in olfactory identification ability among those who have bad breath and normal male or female subjects. 2. The olfactory detection threshold for methyl mercaptan was about 8.4 ppb in normal male and female. 3. There was a tendency that male subjects with bad breath showed a higher olfactory detection threshold for methyl mercaptan when compared to those of no bad breath. 4. The olfactory detection threshold for methyl mercaptan returned to a normal level after 1 month of intensive oral hygiene care for reducing oral VSC.

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일산화탄소 폐확산능검사에서 단회호흡법과 호흡내검사법의 비교 (Comparison of Single-Breath and Intra-Breath Method in Measuring Diffusing Capacity for Carbon Monoxide of the Lung)

  • 이재호;정희순;심영수
    • Tuberculosis and Respiratory Diseases
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    • 제42권4호
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    • pp.555-568
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    • 1995
  • 연구배경: 폐확산능은 산소를 이용하여 측정하는 것이 가장 생리적이지만 폐모세혈의 산소분압측정이 어려워 임상에서는 일산화탄소를 이용하여 측정하고 있으며, 단회호흡(single-breath)폐확산능검사법이 가장 널리 사용되고있는 방법이다. 그러나 총폐용량까지 흡기한후 10초간 숨을 참는 과정을 기침, 호흡곤란 등이 있는 환자로선 수용하기 곤란하므로 이러한 과정없이 낮은 유량의 일회호기만을 필요로 히는 호흡내(intra-breath)폐확산능검사법이 고안되었다. 본 연구에서는 단회호흡법과 호흡내법으로 측정한 폐확산능간에 유의한 차이가 있는지 그리고 차이가 있다면 어떤 인자가 영향을 미치는지를 알아보고자 하였다. 방법: 특정질환과 무관하게 임의로 73명을 선택하고 유량-용적곡선 검사를 3회 시행한후 노력성 폐활량(FVC)과 1초간 노력성호기량($FEV_1$)의 합이 가장 큰 검사에서 노력성폐활량, 1초간 노력성호기량, 1초간 노력성호기량의 노력성 폐활량에 대한 비($FEV_1$/FVC)를 구했다. 폐확산능은 5분간격으로 각각 3회씩 단회호흡법과 호흡내법으로 측정하였으며, 선형적 상관분석으로 어떤 인자가 두 방법간의 폐확산능의 차[단회호흡법과 호흡내법에 의한 각각의 폐확산능의 차이의 평균치(mL/min/mmHg)]에 영향을 미치는지를 평가하여 다음과 같은 결과를 얻었다. 결과: 1) 단회호흡법 및 호흡내법 모두 검사내 재현성은 우수하였다. 2) 단회호흡법과 호흡내법으로 측정한 폐확산능간에는 전체적으로 유의한 상관관계가 있었지만, 두 방법의 측정치간에는 의미있는 치아가 있었다($1.01{\pm}0.35ml/min/mmHg$, p<0.01). 3) 단회호흡법과 호흡내법간의 폐확산능의 차이는 노력성폐활량과는 상관관계가 없었지만, 1초간 노력성호기량, $FEV_1$/FVC 및 환기배분의 지표인 메탄농도의 기울기와는 유의한 상관관계가 있었고 다중상관분석결과 $FEV_1$/FVC에 의한 영향이 가장 컸다(r=-0.4725, p<0.01). 4) 단회호흡법과 호흡내법간의 폐확산능의 차이와 $FEV_1$/FVC를 도식화하면 두 방법간의 폐확산능의 차이는 $FEV_1$/FVC가 50~60%인 구간에서 두 군으로 분리됨을 알수 있으며, $FEV_1$/FVC가 60% 이상에서는 두방법간에 유의한 차이가 없으나($0.05{\pm}0.24ml/min/mmHg$, p>0.1) 60% 미만에서는 유의한 차이가 있었다($-4.65{\pm}0.34ml/min/mmHg$, p<0.01). 5) 메탄농도의 기울기가 정상범위인 2%/L이내에선 단회호흡법과 호흡내법의 폐확산능이 모두 $24.3{\pm}0.68ml/min/mmHg$로 측정방법에 따른 차이가 없지만 2%/L를 초과한 경우에는 단회호흡법에 의한 폐확산능이 $15.0{\pm}0.44ml/min/mmHg$ 호흡내법에 선 $11.9{\pm}0.51ml/min/mmHg$로 두 방법간에 유의한 차이가 있었다(p<0.01). 따라서 $FEV_1$/FVC가 60% 미만일때는 호흡내법으로 측정한 폐확산능이 단회호흡법보다 의미있게 낮은 값을 보이는데, 그 이유는 주로 환기배분의 장애로 추정되지만 폐확산능 이 단회호흡법에서 과대평가되거나 폐확산능의 감소가 호흡내법에서 더 예민하게 나타 났을 가능정도 배제할수 없다. 결론: 73명을 대상으로 폐확산능을 단회호흡법과 호흡내법으로 측정해본 결과 호흡내법은 검사의 재현성도 우수하고 폐기능이 정상이거나 제한성 장애, 그리고 경도의 폐쇄성장애가 있는 경우에는 단회호흡법을 대체해서 사용할수 있지만, 중등도 이상의 폐쇄성장애가 있는 경우에는 단회호흡법보다 유의하게 낮은 검사치를 보였다. 호흡내법과 단회호흡법에 의한 폐확산능의 차이가 호흡내법이 단회호흡법에 비해 폐확산능의 감소를 예민하게 나타내주는 것인지 혹은 환기의 불균형에 의한 영향을 많이 받아서인지는 연구가 더 필요할 것이다.

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