• The Journal of Korean Physical Therapy
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• v.33 no.4
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• pp.179-186
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• 2021

Background: Patients with advanced asthma and chronic obstructive pulmonary disease (COPD) have postural deviations such as thoracic hyperkyphosis, forward shoulder posture (FSP) due to an increase in head and cervical protraction, reduced shoulder range of motion and a corresponding increase in scapula elevation and upward rotation. Unlike congenital vertebral kyphosis that are permanent and rigid deformities with bony and other structural deformations which cause respiratory impairment, these deformities in these patients may be more flexible. Since the thoracic hyperkyphosis has been implicated as having adverse health consequences it is necessary to evaluated the relationship between thoracic kyphosis and cardiopulmonary functions of patients with COPD and asthma. Methods: It was a cross-sectional analytical study. Eighty-four eligible patients with COPD and asthma were recruited from the Respiratory Unit, Department of Medicine, Lagos University Teaching Hospital (LUTH), and basic anthropometric parameters, pulmonary parameters, cardiovascular parameters, thoracic kyphosis (Cobb) angle and presence of respiratory symptoms of participants were assessed. Data was analyzed using SPSS version 20. Results: There was no significant correlation between the thoracic kyphosis and selected pulmonary parameters (Forced Expiratory Volume in one second (FEV1, p=0.36), Forced Vital Capacity (FVC, p=0.95), Peak Expiratory Flow Rate (PEFR, p=0.16), Thoracic expansion (TE, p=0.27)/cardiovascular parameters (Systolic Blood Pressure (SBP, p=0.108), Diastolic Blood Pressure (DBP, p=0.17) and Pulse Rate (PR, p=0.93) as well as the respiratory symptoms (SGRQ scores, p=0.11) in all subjects. Conclusion: There was no relationship between thoracic kyphosis and selected pulmonary/cardiovascular parameters as well as respiratory symptoms in patients with COPD and asthma.

• Journal of the Korean Society for Geothermal and Hydrothermal Energy
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• v.17 no.3
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• pp.30-40
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• 2021

This paper compares the annual energy performance of four different types of air-conditioning systems in a medium-sized office building. Chiller and boiler, air-cooled VRF, ground-source VRF, and ground-source heat pump systems were selected as the systems to be compared. Specifically, the energy performance of the GSHP system and the ground-source VRF system were compared with each other and also with conventional HVAC systems including the chiller and boiler system and air-cooled VRF system. In order to evaluate and compare the energy performances of four systems for the office building, EnergyPlus, a whole-building energy simulation program, was used. The EnergyPlus simulation results show that both the GSHP and the ground-source VRF systems not only save more energy than the other two systems but also significantly reduce the electric peak demand. These make the GSHP and the VRF systems more desirable energy-efficient HVAC technologies for the utility companies and their clients. It is necessary to analyze the impact of partial load performance of ground-source heat pump and ground-source VRF on the long-term (more than 20 years) performance of ground heat exchangers and entire systems.

• PNF and Movement
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• v.16 no.3
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• pp.461-473
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• 2018

Purpose: The purpose of this study was to evaluate and compare the effects of inspiratory muscle training with chest expansion exercises on pulmonary function, maximal inspiratory pressure, and gait in individuals with stroke. Methods: The participants in this study included 36 stroke patients. These patients were randomly divided into three groups: an inspiratory muscle training (IMT) with chest expansion (CE) group (n=12), an IMT group (n=12), and a control group (n=12). Participants in the IMT with CE group underwent IMT and CE exercises 5 times per week for 30 minutes over 4 weeks, whereas those in the CE group and the control group received IMT and conventional physical therapy, respectively, for the same duration. The investigator measured the patients' pulmonary function, maximal inspiratory pressure, and gait endurance. Results: After the intervention, the change values for the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF), maximal inspiratory pressure (MIP), and six-minute walk test (6MWT) in the IMT with CE group and the control group were significantly greater than those of the control group (p<0.05). Similarly, after the intervention, the change values of the FVC, FEV1, PEF, MIP, and 6MWT in the IMT with CE group were significantly greater than those in the IMT group (p<0.05). Conclusion: These findings suggest that IMT with CE could be used to increase pulmonary function, maximal inspiratory pressure, and gait endurance in stroke patients.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.1
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• pp.101-110
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• 2019

PURPOSE: This study was conducted to analyze the effects of virtual reality inspiratory muscle training and conventional inspiratory muscle training on diaphragm movement and pulmonary function in patients with thoracic restriction. METHODS: This study measured diaphragm movement, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and thoracic mobility (upper, middle, and lower trunk) under two different conditions. Forty young women between 19 and 24 years of age who had no history of orthopedic symptoms for the last 6 months were divided into experimental and control groups. The experimental group performed virtual reality inspiratory muscle training and diaphragm breathing, and the control group performed conventional inspiratory muscle training and diaphragm breathing. RESULTS: The control group showed a significant increase in all dependent variables except for lower trunk mobility and PEF. The experimental group showed a significant increase in all dependent variables except for lower trunk mobility. Particularly, the experimental group showed significant increases in diaphragm movement (p<.05), FVC (p<.05), FEV1 (p<.05), and PEF (p<.05) relative to the control group. CONCLUSION: We recommend inspiratory muscle training with a virtual reality program over conventional training to improve diaphragm movement and pulmonary function in patients with thoracic restriction.

• Membrane and Water Treatment
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• v.10 no.1
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• pp.29-38
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• 2019

Microbial community and composition in stormwater runoff from mixed land use land cover (LULC) catchment with ongoing land development was diverse across the hydrological stage due different environmental parameters (hydrometeorological and physicochemical) and source of runoff. However, limited studies have been made for bacterial composition in this catchment. Therefore, this study aims to: (1) quantify the concentration of fecal indicator bacteria (FIB), stormwater quality and bacterial composition and structure according to hydrological stage; and (2) determine their correlation to environmental parameters. The 454 pyrosequencing was used to determine the bacterial community and composition; while Pearson's correlation was used to determine the correlation among parameters-FIB, stormwater quality, bacterial composition and structure-to environmental parameters. Results demonstrated that the initial and peak runoff has the highest concentration of FIB, stormwater quality and bacterial composition and structure. Proteobacteria, Bacteroidetes, Actinobacteria and Firmicutes were dominant bacteria identified in this catchment. Furthermore, the 20 most abundant genera were correlated with runoff duration, average rainfall intensity, runoff volume, runoff flow, temperature, pH, organic matter, nutrients, TSS and turbidity. An increase of FIB and stormwater quality concentration, diversity and richness of bacterial composition and structure in this study was possibly due to leakage from septic tanks, cesspools and latrines; feces of domestic and wild animals; and runoff from forest, destroyed septic system in land development site and urban LULC. Overall, this study will provide an evidence of hydrological stage impacts on the runoff microbiome environment and public health perspective.

• Membrane and Water Treatment
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• v.10 no.1
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• pp.91-97
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• 2019

Application of bioretention systems in Korea is highly considered due to its minimal space requirements, appropriateness as small landscape areas and good pollutant removal and peak hydraulic flow reduction efficiency. In this study, the efficiency of two lab-scale bioretention types having different physical properties, media configuration and planted with different shrubs and perennials was investigated in reducing heavy metal pollutants in stormwater runoff. Type A bioretention systems were planted with shrubs whereas type B were planted with perennials. Chrysanthemum zawadskii var. latilobum (A-CL) and Aquilegia flabellata var. pumila (A-AP) respectively were planted in each type A bioretention reactors while Rhododendron indicum linnaeus (B-RL) and Spiraea japonica (B-SJ), respectively were planted in each type B bioretention reactors. Results revealed that the four lab-scale bioretention reactors significantly reduced the influent total suspended load by about 89 to 94% (p<0.01). Type B-RL and B-SJ reactors reduced soluble Cr, Cu, Zn, and Pb by 28 to 45% that were 15 to 35% greater than the soluble metal reduction of type A-CL and A-AP reactors, respectively. Among the pollutants, total Cr attained the greatest discharged fraction of 0.52-0.81. Excluding the effect of soil media, total Pb attained the greatest retention fraction in the bioretention systems amounting to 0.15-0.34. Considering the least discharge fraction of heavy metal in the bioretention system, it was observed that the bioretention systems achieved effectual reduction in terms of total Cu, Zn and Pb. These findings were associated with the poor adsorption capacity of the soil used in each bioretention system. The results of this study may be used for estimating the maintenance requirements of bioretention systems.

• Membrane and Water Treatment
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• v.10 no.1
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• pp.99-104
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• 2019

In Korea, nonpoint pollutants have a significant effect on rivers' water quality, and they are discharged in very different ways depending on rainfall events. Therefore, preparing an optimal countermeasure against nonpoint pollutants requires much monitoring. The present study was conducted to help prepare a method for installing an automatic nonpoint pollutant measurement system for the cost-effective monitoring of the effect of nonpoint pollutants on rivers. In the present study, monitoring was performed at six sites of a river passing through an urban area with a basin area of $454.3km^2$. The results showed that monitoring could be performed for a relatively long time interval in the upstream and downstream regions, which are mainly comprised of forests, regardless of the rainfall amount. On the contrary, in the urban region, the monitoring had to be performed at a relatively short time interval each time when the rainfall intensity changed. This was because the flow rate was significantly dependent on the rainfall's intensity. The appropriate sites for installing an automatic measurement system were found to be a site before entering the urban region, a site after passing through the urban region, and the end of a river where the effects of nonpoint pollutant sources can be well-decided. The analysis also showed that the monitoring time should be longer for the rainfall events of a higher rainfall class and for the sites closer to the river end. This is because the rainfall runoff has a longer effect on the river. However, the effect of nonpoint pollutant sources was not significantly different between the upstream and the downstream in the cases of rainfall events over 100 mm.

• Wind and Structures
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• v.32 no.3
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• pp.227-238
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• 2021

This study analyzed the pressure patterns and local pressure of tall buildings with corner modifications (recessed and chamfered corner) using wind tunnel tests and proper orthogonal decomposition (POD). POD can distinguish pressure patterns by POD mode and more dominant pressure patterns can be found according to the order of POD modes. Results show that both recessed and chamfered corners effectively reduced wind-induced responses. Additionally, unique effects were observed depending on the ratio of corner modification. Tall building models with recessed corners showed fluctuations in the approaching wind flow in the first POD mode and vortex shedding effects in the second POD mode. With large corner modification, energy distribution became small in the first POD mode, which shows that the effect of the first POD mode reduced. Among building models with chamfered corners, vortex shedding effects appeared in the first POD mode, except for the model with the highest ratio of corner modifications. The POD confirmed that both recessed and chamfered corners play a role in reducing vortex shedding effects, and the normalized power spectral density peak value of modes showing vortex shedding was smaller than that of the building model with a square section. Vortex shedding effects were observed on the front corner surfaces resulting from corner modification, as with the side surface. For buildings with recessed corners, the local pressure on corner surfaces was larger than that of side surfaces. Moreover, the average wind pressure was effectively reduced to 88.42% and 92.40% in RE1 on the windward surface and CH1 on the side surface, respectively.

• Journal of the Korean Society of Physical Medicine
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• v.17 no.1
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• pp.75-83
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• 2022

PURPOSE: This study was conducted to investigate the effect of the resistance respiratory muscle exercise with transcutaneous electrical nerve stimulation (TENS) on the respiratory muscle tone and pulmonary function of stroke patients. METHODS: Twenty stroke patients were divided into the TENS group (n = 7), placebo TENS group (n = 7), and control group (n = 6), and each intervention was performed on the three groups 5 times a week for 4 weeks. The assessment was carried out by measuring changes in the muscle tone of the latissimus dorsi and abdominal external obliques, and pulmonary function. RESULTS: In this study, the TENS group and the placebo TENS group had significant increases in the paretic side latissimus dorsi muscle tone, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and peak expiratory flow (PEF). There was no significant difference in changes in respiratory muscle tone between the three groups. The pulmonary function was significantly different between the three groups, and it was observed from the results of the post-hoc test that FVC showed a significant increase in the TENS group and the placebo TENS group compared to the control group. CONCLUSION: Through this study, it was found that the respiratory muscle resistance exercise was more effective as a method to increase respiratory muscle tone and pulmonary function in stroke patients than combined transcutaneous electrical nerve stimulation.

• Tuberculosis and Respiratory Diseases
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• v.85 no.2
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• pp.175-184
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• 2022

Background: Post-tuberculosis (TB) sequelae is a commonly encountered clinical entity, especially in high TB burden countries. This may represent chronic anatomic sequelae of previously treated TB, with frequent symptomatic presentation. This pilot study was aimed to investigate the pulmonary functions and systemic inflammatory markers in patients with post-TB sequelae (PTBS) and to compare them with post-TB without sequelae (PTBWS) participants and healthy controls. Methods: A total of 30 participants were enrolled, PTBS (n=10), PTBWS (n=10), and healthy controls (n=10). Pulmonary function tests included spirometry and measurement of airway impedance by impulse oscillometry. Serum levels of matrix metalloproteinase (MMP)-1, transforming growth factor-β, and interferon-γ were estimated. Results: Slow vital capacity (SVC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁), FEV₁/FVC, and peak expiratory flow were significantly lower in PTBS as compared to controls. SVC and FEV₁ were significantly less in PTBS as compared to PTBWS. Total airway impedance (Z₅), total airway resistance (R₅), central airway resistance (R₂₀), area of reactance (Ax), and resonant frequency (Fres) were significantly higher and respiratory reactance at 5 and 20 Hz (X₅, X₂₀) were significantly lower in PTBS as compared to PTBWS. Spirometry parameters correlated with impulse oscillometry parameters in PTBS. Serum MMP-1 level was significantly higher in PTBS as compared to other groups. Conclusion: Significant pulmonary function impairment was observed in PTBS, and raised serum MMP-1 levels compared with PTBWS and healthy controls. Follow-up pulmonary function testing is recommended after treatment of TB for early diagnosis and treatment of PTBS.