• Title/Summary/Keyword: breathing control

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Improvement on Pressure Drop Performance of Flow Control Disk in Portable Resuscitator (CFD 해석을 통한 인공호흡기 유량조절디스크의 압력 강하 성능개선)

  • Kim, Young-Soo;Kim, Min-Wook;Park, Yong-Hwan
    • Fire Science and Engineering
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    • v.30 no.1
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    • pp.1-5
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    • 2016
  • Cases of cardiac arrests due to cardiovascular ailments have increased recently., portable Current portable resuscitators which can be automatically supply oxygen operated by the pressure of supplied oxygen without manual or electronic actuators are now widely used in emergency worldwide. However, reductions in Pressure drop characteristics through the extended use of this type of resuscitator, however, is are not well-known described. This paper describes the reduction in pressure loss drop performance of the various holes in within the flow control disc of with various hole size of the portable resuscitators using on breathing resistance through the CFD simulation, and suggests the an optimum optimal design of the hole shapes for the minimization of alteration in order to minimize this pressure drops.

Development of Conformal Radiotherapy with Respiratory Gate Device (호흡주기에 따른 방사선입체조형치료법의 개발)

  • Chu Sung Sil;Cho Kwang Hwan;Lee Chang Geol;Suh Chang Ok
    • Radiation Oncology Journal
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    • v.20 no.1
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    • pp.41-52
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    • 2002
  • Purpose : 3D conformal radiotherapy, the optimum dose delivered to the tumor and provided the risk of normal tissue unless marginal miss, was restricted by organ motion. For tumors in the thorax and abdomen, the planning target volume (PTV) is decided including the margin for movement of tumor volumes during treatment due to patients breathing. We designed the respiratory gating radiotherapy device (RGRD) for using during CT simulation, dose planning and beam delivery at identical breathing period conditions. Using RGRD, reducing the treatment margin for organ (thorax or abdomen) motion due to breathing and improve dose distribution for 3D conformal radiotherapy. Materials and Methods : The internal organ motion data for lung cancer patients were obtained by examining the diaphragm in the supine position to find the position dependency. We made a respiratory gating radiotherapy device (RGRD) that is composed of a strip band, drug sensor, micro switch, and a connected on-off switch in a LINAC control box. During same breathing period by RGRD, spiral CT scan, virtual simulation, and 3D dose planing for lung cancer patients were peformed, without an extended PTV margin for free breathing, and then the dose was delivered at the same positions. We calculated effective volumes and normal tissue complication probabilities (NTCP) using dose volume histograms for normal lung, and analyzed changes in doses associated with selected NTCP levels and tumor control probabilities (TCP) at these new dose levels. The effects of 3D conformal radiotherapy by RGRD were evaluated with DVH (Dose Volume Histogram), TCP, NTCP and dose statistics. Results : The average movement of a diaphragm was 1.5 cm in the supine position when patients breathed freely. Depending on the location of the tumor, the magnitude of the PTV margin needs to be extended from 1 cm to 3 cm, which can greatly increase normal tissue irradiation, and hence, results in increase of the normal tissue complications probabiliy. Simple and precise RGRD is very easy to setup on patients and is sensitive to length variation (+2 mm), it also delivers on-off information to patients and the LINAC machine. We evaluated the treatment plans of patients who had received conformal partial organ lung irradiation for the treatment of thorax malignancies. Using RGRD, the PTV margin by free breathing can be reduced about 2 cm for moving organs by breathing. TCP values are almost the same values $(4\~5\%\;increased)$ for lung cancer regardless of increasing the PTV margin to 2.0 cm but NTCP values are rapidly increased $(50\~70\%\;increased)$ for upon extending PTV margins by 2.0 cm. Conclusion : Internal organ motion due to breathing can be reduced effectively using our simple RGRD. This method can be used in clinical treatments to reduce organ motion induced margin, thereby reducing normal tissue irradiation. Using treatment planning software, the dose to normal tissues was analyzed by comparing dose statistics with and without RGRD. Potential benefits of radiotherapy derived from reduction or elimination of planning target volume (PTV) margins associated with patient breathing through the evaluation of the lung cancer patients treated with 3D conformal radiotherapy.

Effects of the Neck Stabilizing Exercise Combined With the Respiratory Reeducation Exercise on Deep Neck Flexor Thickness, Forced Vital Capacity and Peak Cough Flow in Patients With Stroke (목 안정화와 호흡 재교육 운동이 만성 뇌졸중 환자의 목 깊은 굽힘근육의 두께, 노력성 폐활량과 최대 기침 유량에 미치는 효과)

  • Lee, Myoung-Hyo;Hwang-bo, Gak
    • Physical Therapy Korea
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    • v.22 no.1
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    • pp.19-29
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    • 2015
  • Impaired respiratory function is common in patients with stroke. The purpose of this study were to investigate the effectiveness of exercises and to assess forced vital capacity and peak cough flow after completion of neck stabilizing and respiratory reeducation exercises (combining diaphragmatic breathing and pursed-lip breathing exercises). The 45 participants were randomly assigned to an experimental group 1 ($n_1=15$), experimental group 2 ($n_2=15$), and a control group ($n_3=15$). All subjects performed conservative physical therapy for 30 minutes. Experimental group 1 undertook the neck stabilizing exercise and the respiratory reeducation exercise. Experimental group 2 undertook the respiratory reeducation exercise. Additional exercise did not exceed 30 minutes, five times a week for six weeks. The subjects were assessed for deep neck flexor thickness and breathing function (forced vital capacity, forced expiratory volume at one second, forced expiratory volume at one second/forced vital capacity, peak expiratory flow, and manual assisted peak cough flow) at pre-post value. The results of this study were as follows. Experimental group 1 showed a significant increase only in deep neck flexor thickness change rate (p<.05). All groups showed significant increases in forced vital capacity, forced expiratory volume at one second, and peak expiratory flow in pre-post measurement (p<.05). Experimental groups 1 and 2 showed an increase in manual assisted peak cough flow in pre-post measurement (p<.05). There was no significant difference between experimental group 1 and experimental group 2, but experimental group 1 improved more than experimental group 2 in respiratory function as a whole. In conclusion, these findings suggest that the neck stabilizing exercise in combination with the respiratory reeducation exercise can improve forced vital capacity and peak cough flow in patients with stroke.

How Does the Filter on the Mask Affect Your Breathing?

  • Kum, Dong-Min;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.438-443
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    • 2021
  • Objective: The purpose of this study was to determine the effect of the difference in mask filters on the respiration rate of healthy people. Design: A randomized cross-over design. Methods: A total of 15 subjects were selected for this study (n=15). After filling out the Physical Activity Readiness Questionnaire, the selected participants abstained from caffeinated beverages and meals 30 minutes before and sat in a chair 10 minutes before stabilizing their breathing. Afterwards, the lung function test was performed 3 times for each mask, and the maximum value was used. The provided masks were Mask Free, Dental Mask, KF80, and KF94. Exhalation was measured for 6 seconds for each mask, and breathing was stabilized by repeating inhalation and exhalation until the next time. Results: In this study, the difference in respiratory function according to the mask type was statistically significant except for FEV1 and FVC (p<0.05). As a result of post-hoc analysis, FVC, FEV1, PEF, and FEF values were significantly lower than those of the control group not wearing a mask (p<0.05). When wearing KF94, FVC, FEV1, PEF25-25%, and FEF were significantly lower than when wearing a dental mask (p<0.05). When wearing a KF80 mask, it was significantly lower in FVC and FEV1 than when wearing a dental mask (p<0.05). In FEV1/FVC, the difference by mask type was not statistically significant (p<0.05), but it was lower than the spirometry standard of COPD patients (FEV1/FVC<0.7). Conclusions: As Now that wearing a mask is essential, it has been confirmed that the mask affects the respiratory rate.Therefore, in the case of healthy adults, it is recommended to rest after wearing a mask if attention deficit or headache occurs. People with low breathing capacity are recommended to have low-intensity activities and frequent rest periods after wearing a mask.

Effects of Diaphragm Breathing and Garlic Powder Intake on Body Composition, Heart Rate, Blood Pressure and Immunoglobulin in Middle-aged Male smokers. (횡격막 호흡과 마늘 분말 섭취가 중년 남성 흡연자의 신체조성, 심박수, 혈압 및 면역글로불린에 미치는 영향)

  • Choi, Seung-Uk;Baek, Yeong-Ho;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.17 no.9 s.89
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    • pp.1266-1271
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    • 2007
  • The purpose of this study was to investigate combined effects of diaphragm breathing and garlic powder intake on body composition, heart rate, blood press and immunoglobulin levels in middle-aged male smokers from the age 40-49. Diaphragm breath training was 2-5 grade intensity on dyspnea scale for 20 minutes four times a week for 4 weeks and subjects were given garlic at 3 g of powder after breakfast and dinner two times a day during the 4 weeks. The conclusions of this study are as follows; Garlic intake group decreased in percentage of body fat, in the comparison between groups, garlic intake group had a lower percentage of body fat than control group. Heart rate was decreased in Diaphragm breathing group at rest. SBP was decreased in Diaphragm breathing+garlic intake group. Garlic intake group and diaphragm breathing+garlic intake group increased in IgG.

Study of Interrelationship in Five Mimic-Animal Boxing and Viscera (방생도인(仿生導引) 오금희(五禽戱)와 장부(臟腑)와의 상관성 연구)

  • Jeong, Hyun-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.1
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    • pp.1-9
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    • 2012
  • Five mimic-animal boxing(五禽戱, FAB) is physical fitness exercises conducted by imitating the motions of tiger, deer, bear, monkey, and bird, devised by the famous doctor Hwa-Ta(華陀) in the Three Kingdoms of China. FAB is one of bionic-physical and breathing exercises(傍生導引) by combined automassage as a practice for health care. Although FAB have effects of health control and medical treatment, but interrelationship of five animals(五禽) of FAB and five viscera(五臟) of five elements(五行) is complicated. So, the present was designed to investigate the progress of FAB, movement-feature of FAB, and the interrelationship of five animals and five viscera. further I will develop value by sports-treatment medicine in oriental medicine. The results were as follows ; FAB is physical exercises of dynamic exercises and new-dynamic exercises. Feature of China-FAB have each movement by imitating the motions of each animals, movements of Formosa-FAB were mixed. In philosophical viewpoint, Five animals (tiger, deer, bear, monkey, bird) were attached to metal, wood, water, earth, fire of five elements, and lung, liver, kidney, spleen, heart of five viscera. In viewpoint of breathing exercises, Five animals (tiger, deer, bear, monkey, bird) were attached to water, wood, earth, fire, metal of five elements, and kidney, liver, spleen, heart, lung of five viscera. Although FAB have effects of health control and medical treatment, FAB have indication and contraindication. Therefore, I think that mechanism of treatment should reason with Oriental medicine doctor in FAB.

The Study of Faulty Vocal Habits in Patients with Hoarsenes (애성환자에 있어서 잘못된 발성습관에 관한 연구)

  • 안철민;박정은
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.1
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    • pp.12-16
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    • 1999
  • Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

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Does "Pyegi" Mean Holding One's Breath? (폐기는 숨을 참는 것인가?)

  • Ahn, Hun Mo;Na, Sam Sik;Kang, Han Joo
    • Journal of Korean Medical Ki-Gong Academy
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    • v.20 no.1
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    • pp.1-14
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    • 2020
  • Objective : The purpose of this study is to grasp the concept of Pyegi and to find out the points of attention in the study of the classics of Korean Medicine. Methods : We searched domestic and foreign databases for examples of Pyegi used in classics and prior research on Pyegi, Taesik, and Respiration. Results : As a result of searching the Kanseki Repository, Pyegi appeared 1,710 times in 335 kinds of literatures. In the Korean Traditional Medicine Knowledge DB, Pyegi appeared 61 times in 21 kinds of literature. In the Korean Classics Comprehensive DB, a total of 25 data were searched for Pyegi, and 10 of them were translated. Conclusions : The term "Pyegi" should not be interpreted in a linguistic sense. In order to understand the intention of the sentence at the time, "Pyegi" must be translated into breathing control exercises during Naedan training methods.

Evaluation of the Usefulness of the Respiratory Guidance System in the Respiratory Gating Radiation Therapy (호흡동조 방사선치료 시 호흡유도시스템의 유용성 평가)

  • Lee, Yeong-Cheol;Kim, Sun-Myung;Do, Gyeong-Min;Park, Geun-Yong;Kim, Gun-Oh;Kim, Young-Bum
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.167-174
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    • 2012
  • Purpose: The respiration is one of the most important factors in respiratory gating radiation therapy (RGRT). We have developed an unique respiratory guidance system using an audio-visual system in order to support and stabilize individual patient's respiration and evaluated the usefulness of this system. Materials and Methods: Seven patients received the RGRT at our clinic from June 2011 to April 2012. After breathing exercise with the audio-visual system, we measured their spontaneous respiration and their respiration with the audio-visual system respectively. With the measured data, we yielded standard deviations by the superficial contents of respiratory cycles and functions, and analyzed them to examine changes in their breathing before and after the therapy. Results: The PTP (peak to peak) of the standard deviations of the free breathing, the audio guidance system, and the respiratory guidance system were 0.343, 0.148, and 0.078 respectively. The respiratory cycles were 0.645, 0.345, and 0.171 respectively and the superficial contents of the respiratory functions were 2.591, 1.008, and 0.877 respectively. The average values of the differences in the standard deviations among the whole patients at the CT room and therapy room were 0.425 for the PTP, 1.566 for the respiratory cycles, and 3.671 for the respiratory superficial contents. As for the standard deviations before and after the application of the PTP respiratory guidance system, that of the PTP was 0.265, that of the respiratory cycles was 0.474, and that of the respiratory superficial contents. The results of t-test of the values before and after free breathing and the audio-visual guidance system showed that the P-value of the PTP was 0.035, that of the cycles 0.009, and that of the respiratory superficial contents 0.010. Conclusion: The respiratory control could be one of the most important factors in the RGRT which determines the success or failure of a treatment. We were able to get more stable breathing with the audio-visual respiratory guidance system than free breathing or breathing with auditory guidance alone. In particular, the above system was excellent at the reproduction of respiratory cycles in care units. Such a system enables to reduce time due to unstable breathing and to perform more precise and detailed treatment.

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Design and Implementation of a Up Down Converter for Asynchronous IMT-2000 Base Station (비동기식 IMT-2000 기지국용 Up Down Converter 설계 및 제작)

  • 손병일;전석찬;방성일
    • Proceedings of the IEEK Conference
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    • 2000.06a
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    • pp.61-64
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    • 2000
  • In this paper, we design up-down converter for asynchronous IMT-2000 base station using W-CDMA(Wideband Code Division Multiple Access) technology. This up-down converter(UDC) has AGC (Automatic Gain Control), TPTL(Transmitting Power Tracing Loop), RSSI(Received Signal Strength Indicator) function. And for the cell control of BS(Base Station), breathing, blossoming, wilting function also available. This UDC has diversity structure for better performance.

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