• 제목/요약/키워드: forced-ventilation

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Comparison of Two Treadmill Gait Training Techniques on the Gait and Respiratory Function in Stroke Patients

  • Park, Sung-Hun;Kim, Nan-Hyang;Cha, Yong-Jun
    • 대한물리의학회지
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    • 제15권4호
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    • pp.47-54
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    • 2020
  • PURPOSE: This study compared two different techniques of treadmill gait training, and evaluated the outcomes on gait and respiratory function in patients with hemiplegic stroke. METHODS: This was a single-blinded, randomized, controlled, comparative study, enrolling a total of 21 stroke patients in a rehabilitation hospital. Subjects were randomly assigned to either the treadmill walking training group with gradual speed increase (GSI group, n = 10), or treadmill walking training group with random speed changing (RSC group, n = 11). All participants performed 60 min of comprehensive rehabilitation therapy (5 × / week for 6 weeks). In additional, each group received either GSI or RSC treadmill walking training for 20 min (5 × / week for 6 weeks, total 30 sessions). Gait and respiratory function were measured before and after the 6-week training. RESULTS: Both groups showed significant improvements in the 10-m walking test, 6-minute walking test, timed up and go test, forced vital capacity (FVC), forced expiratory volume in 1 second, and maximal voluntary ventilation after training (p < .05). The GSI group showed a significantly greater increase in the FVC than the RSC group (+14.8 L vs. +12.5 L, p < .05). CONCLUSION: Both training methods can be effective for improving the walking and respiratory functions of stroke patients. However, our results indicate that treadmill walking training with gradual speed increase might be a more effective method for improving the respiratory function (FVC) than treadmill walking training with random speed changing.

마스크 필터가 만성 뇌졸중 환자의 호흡기능에 미치는 영향 (Effect of Mask Filter on Respiratory Function in Chronic Stroke Patients)

  • 이윤희;금동민;신원섭
    • 대한통합의학회지
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    • 제10권1호
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    • pp.149-155
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    • 2022
  • Purpose : This study investigated the effects of wearing a mask and different mask filters on the respiratory function of stroke patients. Methods : A total of 15 stroke patients were selected according to the inclusion and exclusion criteria. The respiratory functions were compared between participants with and without masks and among respiratory functions with three different mask filters. The order of using masks was non-wearing masks, Dental masks, KF80 masks, and KF94 masks; the difference in respiratory volumes among these conditions were measured. For accuracy of the measurement, sufficient education on the respiratory measurement method was provided to the researcher, and the heart rate of the participants was estimated to confirm their stability before the measurements. To ensure accuracy, the subjects were educated on the researchers' respiratory measurement methods. Each measurement was followed by 10 min breathing stability before replacing the next mask. Results : The results of this study showed that the difference in respiratory functions, including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and maximal voluntary ventilation (MVV), in stroke patients was statistically significant among different masks (p<.05). Afterwards, the values of FVC, FEV1, and MVV in stroke patients wearing masks were significantly lower than those of the non-masked control group (p<.05). The difference in respiratory functions with different mask filters showed no statistical significance (p<.05). Conclusion : This study showed that participants wearing any of the masks presented a lower respiratory function than that of those without using masks; additionally, no difference in respiratory functions was observed with differences in mask filters. Therefore, wearing a mask for a prolonged period is confirmed to affect breathing in stroke patients with weak respiratory function.

호흡 재교육 훈련이 만성 목통증 환자의 통증과 기능장애 수준, 자세, 삶의 질, 폐 기능에 미치는 영향: 무작위 대조군 실험 (Effects of Breathing Re-education Training on Pain and Dysfunction Levels, Posture, Quality of Life, Pulmonary Function in Patients with Chronic Neck Pain: A Randomized Controlled Trial)

  • 이상휴;김선엽
    • 대한정형도수물리치료학회지
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    • 제30권1호
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    • pp.29-42
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    • 2024
  • Background: This study aimed to determine the effects of training on breathing re-education on pain and dysfunction levels, posture, quality of life (QoL), and pulmonary function in patients. Methods: This study included 34 patients with chronic neck pain and upper thoracic breathing pattern were included. The participants were assigned to either the routine physical therapy program (RPTP) (CG; n=17) or RPTP and breathing pattern re-education training (EG; n=17). The CG and EG groups performed RPTP for 40 minutes, and only the EG groups performed breathing re-education training for 10 minutes. Exercises were performed thrice weekly for both groups. Level of pain and dysfunction, posture, QoL and pulmonary function status were assessed before and after the intervention. Results: After four weeks of intervention, numeric pain rating scale (NPRS), Korean version of neck disability index, cranio-vertebral angle, cranial rotation angle, and 12-item short form health survey-physical and mental component summaries had significant differences before and after intervention in both groups (p<.01). However, only NPRS, forced vital capacity, forced expiratory volume in 1s, and maximum voluntary ventilation showed significant interactions between the two groups and measurement time (p<.01). Conclusion: Breathing re-education training and RPTP may be optimal for patients with chronic neck pain and may be more effective in improving neck pain and pulmonary function.

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운동기능성과 심미성을 고려한 아웃도어웨어의 디자인개발연구 (Design Process of Outdoor-Wear for Improvement of Comfort and Appearance)

  • 박우미;박춘덕;이귀례;나정은
    • 복식
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    • 제52권8호
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    • pp.29-39
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    • 2002
  • It was increased leisure hours by automation and computerization of industry. Many people spend on hours in enjoying leisure sports, and then. nowadays, Many women tend to prefer casual wear to formal suits. The purpose of this research was to design of outdoor-wear that improve the functional and aesthetic effects for clothing comfort. Total 4 design prototype consisting of jumper and slacks were developed for this research. Outdoor-wear design forced on armhole type of jumper and ease of the back crotch length of slacks to improve the functional and aesthetic effects. And Outdoor-wear design focused on color harmony to aesthetic effects. Ease amount and materials of jumper and slacks were controlled. Design A: Jumper was designed as dropped shoulder with set-in steeve and band collar, A break-away zipper to facilitate ventilation control were made the area of back of jumper and the area of outside seam line of slacks Color of jumper and slacks were olive green color. Ease amount of the crotch length of slacks pattern was constructed as 7% of total crotch length: Design B 4DM cut pattern were applied to the jumper and slacks pattern. A break-away zipper to facilitate ventilation control were made the area of back of jumper and the area of inside seam line of thigh. Color of jumper and slacks were grey and orange color. Ease amount of the crotch length of slacks pattern was constructed as 5% of total crotch length. Design C : Jumper was designed as the set in sleeve and hood. and A break- away zipper to facilitate ventilation control were made the ares of the armhole and elbow. Color of jumper and slacks were ivory and orange color. Ease amount of the crotch length of slacks pattern was constructed as 5% of total crotch length. Design D : Jumper was designed as raglan sleeve. Color of jumper and slacks were olive green color. Ease amount of the crotch length of slacks pattern was constructed as 5% of total crotch length. Total six females, ages 20-45, served as subjects for this research. Subjects have standard body type, generally, wearing 66 size of ready-to-wear clothing. The performance of the newly designed outdoor-wear was evaluated for their effectiveness in several aspects such as conditions of skin temperature, sensory evaluation of comfort during body movements, appearance and color harmony and aesthetic collar design. Design 3 was appeared to be the most positive in aesthetic evaluation and functional effects of design 2 of 4DM cut pattern was appeared to be beter than other designs.

도로터널의 제연용량 산정을 위한 정체차량대수 산정기법에 관한 연구 - 정체길이를 중심으로 (A study on the calculation method for the number of vehicles in queue to determine the fire ventilation capacity in road tunnels - forced on the effect of queue length)

  • 유용호;김효규;류지오
    • 한국터널지하공간학회 논문집
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    • 제18권1호
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    • pp.41-52
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    • 2016
  • 터널 화재시 정체차량에 의한 정체길이가 터널연장을 초과할 경우, 환기저항의 증가에 따른 제연설비 용량의 증가가 발생하게 된다. 그러나 현행 방재지침에는 정체길이에 대한 정의가 없기 때문에 합리적 산출식의 제시가 필요하다. 본 연구에서는 터널 화재시 정체차량 대수에 의한 정체길이의 산정식을 제시하고, 터널연장별 적용성 분석을 수행하였다. 일반적인 터널의 경우, 화재시 정체길이의 과도한 적용을 방지하기 위해서는 터널연장 1,200 m 까지는 정체길이와 터널연장과의 상호비교가 필요한 것으로 분석되었고, 모델터널에 대한 적용성 평가결과 제연용 제트팬의 절감효과가 있는 것으로 분석되었다. 더불어 정체길이의 판별여부를 대형차혼입률과 터널연장의 관계로 설명할 수 있는 정량화 선도를 제시하였다. 결과적으로 제연설비 용량결정시, 정체차량에 의한 정체길이가 터널연장을 초과하는 경우에는 터널연장을 초과하는 차량대수는 차량에 의한 환기저항 산정에서 제외하는 것이 타당한 것으로 분석된다.

밀폐공간에서 수소 누설로 인한 수소 제트 확산에 대한 수치해석 (THE NUMERICAL SIMULATION OF HYDROGEN JET DIFFUSION FOR HYDROGEN LEAKAGE IN THE ENCLOSED GEOMETRY)

  • 안혁진;이상혁;허남건;이문규;용기중
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2009년 춘계학술대회논문집
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    • pp.176-182
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    • 2009
  • In the present study, a numerical simulation for the diffusion of hydrogen jet in a enclosure was performed to aid the leakage test of the hydrogen for the safety of the hydrogen vehicle. The temporal and spatial distributions of the hydrogen concentration in the test chamber are predicted from the present numerical analyses. Flammable region of 4-74% and explosive region of 18-59% hydrogen by volume was identified from the present results. Factors influencing the diffusion of the hydrogen jet were examined to evaluate the effectiveness of forced ventilation for relieving the accumulation of the leaked hydrogen gas in the chamber, which include location of open windows, size of leakage nozzle, and leakage rate among others. The distribution of the concentration of the leaked hydrogen for various cases can be used as a database in various applications for the hydrogen safety.

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진폐증의 조기진단에 관한 연구 (A Study on the Early Diagnosis of Pneumoconiosis)

  • 임영;윤임중
    • Journal of Preventive Medicine and Public Health
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    • 제23권3호
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    • pp.262-273
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    • 1990
  • In order to assess the method which is more sensitive one to detect the early change of lung tissue by the inhaled dust, we have performed the various medical examinations such as chest radiography, pulmonary function test, high resolution chest CT, brnchoalveolar lavage and lung biopsy used bronchoscope and ultrathin bronchoscopy examination to 48 persons. The control group were 8 persons who did not exposed to dust, 40 cases of the experimental group have professionally exposed to the mineral dust. The results were as follows 1. The total number of cells in bronchoalveolar lavage was significantly increased in all of the pneumoconiosis group classified by chest and high resolution chest CT. 2. The composition rate of macrophage to the total number of cells in bronchoalveolar lavage fluid was significantly decreased in all of the pneumoconiosis group compared with the control group. 3. The composition rate of neutophils and lymphocytes to the total number of cells in bronchoalveolar lavage fluid was significantly increased in all of the pneumoconiosis group compared with the control group. 4. The forced expiratory volume in one second ($FEV_{1-0}$), maximal mid-expiratory flow (MMF), and maximal voluntary ventilation (MVV) were significantly increased only in the group of the progressed pneumoconiosis relatively. 5. We observed submucosal edema, anthracotic pigmentation and granuloma formation in transbronchial lung biopsy of the suspected pneumoconiosis (category 0/1) case which is thought to the early change of coal workers' pneumoconiosis.

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흉막 박피술후 폐기능회복에 관한 연구 (Pulmonary function improvement after decortication)

  • 권은수;정황규
    • Journal of Chest Surgery
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    • 제27권7호
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    • pp.587-597
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    • 1994
  • To study the recovery pattern of pulmonary function after decortication, the author performed serial pulmonary function tests using spirometry before and at lst., 3rd., 4th. week, lst., 3rd., 6th. month and 1st. year in 36 patients who underwent decortication from January 1989 to September 1991 at the Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan, Korea. Patients were divided into 3 groups by the degree of compression of lung parenchyme. Group I was classified below 20%, Group II between 21 to 40%, Group III above 41%. Their serial changes of pulmonary function test were compared. The obtained results were as follows; 1. Maximal voluntary ventilation was recovered in 1st post perative week and even greater improvement was noted in group III in which ratio to 44 % of the preoperative value. 2. Vital capacity reached nearly to preoperative values in 3rd postoperative week and had increased much further to 26 % above the preoperative figure in group II. 3. Forced expiratory volume in 1 second returned rather slowly in 3rd-4th postoperative week and the mean VC was improved more higher in group II than the other groups following decorti cation. 4. There was an greatest improvement over all tests[MW, VC, FEV1] in 2nd decade which ratios to preoperative value were 34, 25 and 22 % respectively.

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열유동 해석을 이용한 컴퓨터 구조의 소형화 설계 (Optimal Miniaturization of Desk-Top Computer by Thermal Design)

  • 박성관
    • 한국CDE학회논문집
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    • 제4권4호
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    • pp.318-326
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    • 1999
  • Recently, electronic systems including computers have been rapidly shrinking in size while at the same time the complexity and the capability of these systems continue to grow/sup [1]/. Thus, system volumes have decreased as system power has increased, resulting in dramatic increases in system heat density. The high temperature of the computer system is considered as the major reason for low performance and shortening life of the product. It is necessary to solve this problem due to the heat density increased and to develop the design skill of the computer cabinet according to miniaturization. M4500 desk-top computer was selected for analyzing the thermal management inside cabinet. The cabinet volume, the configuration of the heating devices, the size and location of air ventilation, and the fan selection have been investigated as the important parameters to find out an optimal cabinet design. The objectives of this project were to analyze which design parameters would affect cooling performance by thermal strategy, to design an optimal model, and to measure the temperatures of the main parts to confirm the effect of the thermal design. The temperatures of each part of the optimal model were compared with those of the existing model. As a result. the volume of this miniaturized model was about 16% smaller than that of M4500 without any change in operating performance.

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호흡기계 물리치료가 뇌졸중환자의 폐기능 증진에 미치는 영향 (The Effect of Chest Physical Therapy on Improvement of Pulmonary Function in the Patients with Stroke)

  • 김재현;홍완성;배성수
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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    • pp.133-144
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    • 2000
  • The purpose of this study was to determine whether respiratory physical therapy might increase the pulmonary function of the patients with stroke or not. Twenty patients with stroke were randomly assigned to experimental and control group. During four weeks, both groups participated in the conventional physical therapy and only the experimental group added in a program of respiratory physical therapy. Respiratory physical therapy consisted of chest mobilization, resistive ventilatory muscle training used the method of PNF technique and relaxed diaphragm breathing. Baseline and post-test measurements were made of vital capacity. inspiratory capacity, expiratory reserve volume, farced vital capacity, forced expiratory volume at one second, $FE1/FVC(\%)$ and maximal voluntary ventilation. Ater four weeks, the experimental group showed the significant improvement in VC(p<.05). FVC(p<.05), FFV1(p<.05) md MVV(p<.05). However, the controll group showed no significant differnece. As compared th the relationship of dependent variables between the experimental group and control group. experimental group showed the significant difference in VC(p<.01), FEV1(p<.05) and MVV(p<.05). These findings suggest that respiratory physical therapy can be used to improve pulmonary function in stroke patients. Also, respiratory physical therapy should be performed for at least four weeks and be followed by the continuous respiratory exercise programs.

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