• The Journal of Internal Korean Medicine
• /
• v.26 no.4
• /
• pp.875-880
• /
• 2005

Object : Dyspnea is a one of the common symptom in pulmonary disease. Jungchunghwadam-tang was used to treat chronic pulmonary disease patients with dyspnea. Thus in this study we evaluate the effect of Jungchunghwadam-tang on dyspnea. Methods : In this study, ten chronic pulmonary disease patients were treated with Jungchunghwadam-tang. Peak expiratory flow were obtained by peak flow meter. Result : After the treatment, peak expiratory flow was increased significantly compared with before treatment. Percentage of predict peak expiratory flow was also increased significantly compared with before treatment. Conclusion : The result of this study demonstrate that Jungchunghwadam-tang taken for dyspnea on chronic pulmonary disease are effective. Further investigation in well designed follow up study is needed.

• Journal of Korean Society of Water and Wastewater
• /
• v.25 no.6
• /
• pp.877-884
• /
• 2011

Although peak loading coefficient is one of critical design factors for sewer works, its detailed affecting factors were not analyzed because of limited data availability. This study analyzed the affecting factors on peak loading coefficient with plenty data obtained from several newly constructed sewer works. Simple and multiple regression analysis methods were adopted to analyze the relationships of each variable with or without data filtering. Drainage population, drainage area, population density, and daily sewage flow per person showed very weak relationships under diverse characteristics of cities. However, daily sewage flow per person showed stronger relationships with peak loading when daily sewage flow per person was splitted into two ranges. Population density (i.e., drainage population divided by drainage area) and daily sewage flow per person considerably were related with peak loading coefficient when daily sewage flow per person is less than about 400 Lpcd.

• Annals of Rehabilitation Medicine
• /
• v.42 no.6
• /
• pp.833-837
• /
• 2018

Objective To investigate and demonstrate persistent increase of peak cough flow after mechanical in-exsufflator application, in patients with neuromuscular diseases and pneumonia. Methods A mechanical in-exsufflator was applied with patients in an upright or semi-upright sitting position (pressure setting, +40 and $-40cmH_2O$; in-exsufflation times, 2-3 and 1-2 seconds, respectively). Patients underwent five cycles, with 20-30 second intervals to prevent hyperventilation. Peak cough flow without and with assistive maneuvers, was evaluated before, and 15 and 45 minutes after mechanical in-exsufflator application. Results Peak cough flow was 92.6 L/min at baseline, and 100.4 and 100.7 L/min at 15 and 45 minutes after mechanical in-exsufflator application, respectively. Assisted peak cough flow at baseline, 15 minutes, and 45 minutes after mechanical in-exsufflator application was 170.7, 179.3, and 184.1 L/min, respectively. While peak cough flow and assisted peak cough flow increased significantly at 15 minutes after mechanical in-exsufflator application compared with baseline (p=0.030 and p=0.016), no statistical difference was observed between 15 and 45 minutes. Conclusion Increased peak cough flow after mechanical in-exsufflator application persists for at least 45 minutes.

• Journal of Environmental Science International
• /
• v.7 no.4
• /
• pp.451-460
• /
• 1998

The objectives of this study Is to evaluate the total runoff yield, peak flow and peak flow travel time depending on the urbanization, return period and rainfall patterns at the downstream of Manchon urban watershed in TaeGu City. SWM(Storm Water Management Model) is used for runog analysis based on 5 different steps of urbanization and 4 different types of Hufrs quartile according to 8 return periods. It is analyzed that the order of total runoff yield according to raiun patterns is Huffs 4, Huffs 2. Huffs 3 and Huffs 1 quartile, that of peak flow magnitude is Huffs 2, Huffs 1, Huffs 4 and Huffs 3 quartile at present development ratio. under the 60, 70, 80 and 90ft of urbanization to the 50% of urbanization by means of the rainfall patterns, the mean Increasing ratio of total runoff yield for each case is 4.55, 11.43, 16.07 and 20.02%, that of peak flow is 5.82, 13.61, 17.15 and 18.83%, the mean decreasing ratio of peak flow travel time Is 0.00, 2.44, 5.07 and 6.26%, the mean increasing ratio of runoff depth Is 4.51, 11.42, 16.02 and 20.05% respectively. the mean increasing ratio of total runoff yield by means of each and 19.71%. Therefore, as the result of this study. it can be used for principal data as to storm sewage treatment and flood damage protection planning in urban small watershed.

• Journal of Korean Society of Water and Wastewater
• /
• v.19 no.6
• /
• pp.749-757
• /
• 2005

The present study analyzed actual cases of designed flow estimation method and designed flow rate of sewage pipe lines. In order to examine the effects of peak-hour demand factor estimation with given daily highest peak loading, we analyzed its effects on designed flow rate with changing the peak-hour demand factor from 2.0 to 10.0. The results of this study are as follows. When reviewing the recent designs, we found that 59.4% of pipe line with 250mm and 300mm diameter, which fall under minimum allowable pipeline did not meet the minimum velocity which is specified as 0.6m/sec in design standards. The pipe line that have minimal access population or have very low slope did not satisfy the minimum velocity. In estimating the designed sewage flow, the applied daily highest peak loading and hourly highest peaking loading were the load factor for the entire population of the planned area, and for the peak loading of the initial pipes connected to a very small population, we applied the same factor as that applied to the entire area and, as a result, the hourly highest flow was underestimated. Because, in case of the initial pipes, the method of applying the same peak loading to all subject areas is highly possible to produce underestimated design flow, when estimating the designed flow of the initial pipes connected to a small population need to adopt a rational flow factor according to the size of population. For this, it is considered to investigate and analyze raw data on daily and hourly variation of sewage flow.

• Journal of The Korean Society of Integrative Medicine
• /
• v.7 no.2
• /
• pp.85-93
• /
• 2019

Purpose : The purpose of this study was to investigate the effects of abdominal functional electrical stimulation on peak cough flow and forced vital capacity in patients with cervical spinal cord injury. Methods : The study examined 20 patients with cervical spinal cord injury. The subjects were randomly divided into two groups. All subjects performed conservative physical therapy for 30 minutes. The experimental group also underwent abdominal functional electrical stimulation for at least 20 minutes per day. Abdominal functional electrical stimulation was applied to the rectus abdominis muscle twice each day, three times a week, for four weeks. In all subjects, the peak cough flow was measured using a peak flow meter and forced vital capacity was assessed using a spirometer. Results : The experimental group showed a significant increase in peak cough flow and forced vital capacity in pre-post measurements (p<.05), while the control group showed a significant increase only in peak cough flow. Conclusion : These findings suggest that conservative physical therapy in combination with the abdominal functional electrical stimulation can improve peak cough flow and forced vital capacity in patients with cervical spinal cord injury.

• Journal of Korean Society of Water and Wastewater
• /
• v.30 no.3
• /
• pp.225-231
• /
• 2016

Peak load rate(i.e., maximum daily flow/average daily flow) has not been considered for industrial water demand planning in Korea to date, while area unit method based on average daily flow has been applied to decide capacity of industrial water treatment plants(WTPs). Designers of industrial WTPs has assumed that peak load would not exist if operation rate of factories in industrial sites were close to 100%. However, peak load rates were calculated as 1.10~2.53 based on daily water flow from 2009 to 2014 for 9 industrial WTPs which have been operated more than 9 years(9-38 years). Furthermore, average operation rates of 9 industrial WTPs was less than 70% which means current area unit method has tendency to overestimate water demand. Therefore, it is not reasonable to consider peak load for the calculation of water demand under current area unit method application to prevent overestimation. However, for the precise future industrial water demand calculation more precise data gathering for average daily flow and consideration of peak load rate are recommended.

• Tuberculosis and Respiratory Diseases
• /
• v.45 no.5
• /
• pp.1000-1011
• /
• 1998

Background: For the diagnosis or evaluation of airway obstruction in bronchial asthma and chronic obstructive lung disorders, various parameters derived from the forced expiratory volume curve and maximal expiratory flow volume curve have been used. Recently the peak expiratory flow(PEF) measured by the peak flow meter is widely used because of its simplicity and convenience. But there were still no data of the predicted normal values measured by the peak flow meter in Korea. This study was to obtain the predicted normal value of PEF and to know the accuracy of this value to predict $FEV_1$. Method: The measurements of PEF by the MiniWright peak flow meter and several parameters derived from the forced expiratory volume and maximal expiratory flow volume curves by the Microspiro HI 501(Chest Co.) were done in 129 men and 125 women without previous history of the respiratory diseases. The predicted normal values of parameters according to the age and the height were obtained, and the regression equation of $FEV_1$ by PEF was calculated. Results: The predicted normal values of PEF(L/min) were -2.45$\times$Age(year) +1.36 $\times$ Height(cm)+427 in men, and -0.96 $\times$ Age (year) + 2.01 $\times$ Height (cm) + 129 in women. FEFmax derived from the maximal expiratory flow volume curve was less than by 125 L/min in men and 118 L/min in women respectively compared to PEF. $FEV_1$(ml) predicted by PEF was 5.98 $\times$ PEF(L/min) + 303 in men, and 4.61 $\times$ PEF(L/min) + 291 in women respectively. Conclusion : The predicted normal value of PEF measured by the peak flow meter was calculated and it could be used as a standard value of PEF while taking care of patients with airway obstruction. $FEV_1$, the gold standard of ventilatory function, could be predicted by PEF to a certain extent.

• Tuberculosis and Respiratory Diseases
• /
• v.50 no.3
• /
• pp.310-319
• /
• 2001

Background : The peak flowmeter is very useful in monitoring of out-patients as well as those in emergency departments because of its convenience and simplicity with low cost. There have been many studies aimed at determining the accuracy and reproducibility of the peak flow meter in normal population. However, there is a paucity of reports regarding its accuracy in patients with chronic obstructive pulmonary disease(COPD) or asthma. The accuracy of the peak expiratory flow(PEF) measured with a mini-Wright peak flowmeter was assessed by a comparison with the results of a mass flow sensor. Methods : The PEF measurements were performed in 108 patients aged 19-82 years presenting with either a chronic obstructive lung disease or asthma before and after inhaling salbutamol. The PEF measurements from the mini-Wright flowmeter were compared with those obtained by the calibrated mass flow sensor. Results : The average of the readings taken by the mini-Wright meter were 37-39 l/min higher than those taken by the mass flow sensor. The average percentage error of the mini-Wright meter were higher, ranging less than 300 l/min. The mean of the differences between the values obtained using both instruments (the bias)$\pm$limits of agreement(${\pm}2$ SD) were $37.1{\pm}90\;l/min$ for the PEF(p<0.001). Conclusions : The mini-Wright peak flowmeter overestimated the flows in patients with COPD or asthma. It was also found that the accuracy of the mini-Wright peak flowmeter decreased in its mid to low range. The limits of agreement are wide and the difference between the two instruments is significant. Therefore, the measurements made between the two types of machines in patients with asthma or COPD cannot be used interchangeably.

• Physical Therapy Korea
• /
• v.22 no.1
• /
• pp.19-29
• /
• 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.