• 제목/요약/키워드: work of breathing

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기계 호흡 치료후 기관내관 제거 전후 호흡 일(Work of Breathing)의 비교 (The Comparison of Work of Breathing Between Before Extubation and After Extubation of Endotracheal Tube)

  • 정복현;고윤석;임채만;최강현;이상도;김우성;김동순;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제44권2호
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    • pp.329-337
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    • 1997
  • 연구배경 : 기관내관의 삽관은 상기도 저항을 증가시켜 환자의 호흡 일을 증가시키는 것으로 알려져 있다. 그러나 기계 호흡으로부터 이탈 시 기관내관을 제거한 후에 오히려 호흡곤란이 증가하여 호흡 부전이 발생하기도 하므로 기관내관의 제거 후 호흡 일의 변화를 알아보고 이러한 호흡 일의 변화와 관련된 호흡역학적 지표들과의 상관 관계를 조사하고자 하였다. 방 법 : 기계 호흡 치료 후 기저 질환이 호전되어 호흡 부전으로부터 회복된 34명의 환자를 대상으로 기관내관 제거 직전, 제거 직후 및 48시간 까지 호흡 일과 호흡 역학적 지표들을 추적 관찰 하였다. 결 과 : 기관내관 제거 직전에 비해 직후 호흡 일이 감소한 환자는 33%(11/34), 변화 없는 환자는 41%(14/34), 증가한 환자는 26%(9/34)였다. 기관내관 제거 후 48시간 이내 기계 호흡의 보조나 다시 기관내관의 삽관을 받은 이탈 실패 환자는 3군(호흡 일이 증가된 군)에서는 44.4%(4.9), 2군(변화 없는 군)에서는 28.6%(4/14), 1군(감소된 군)에서는 9%(1/11)에서 발생하였다. 기관내관 제거 후 호흡 일의 변화는 주로 평균 기도 저항의 변화와 정 상관 관계를 보였다. 기관내관 제거 후 호흡 일이 증가한 환자군 중에서 48시간까지 호흡일이 측정된 3명의 환자에서 호흡 일과 평균 기도저항은 6시간까지 일률적으로 증가하였으며 24시간 후에는 감소되는 경향을 보였다. 결 론 : 기계 호흡 치료를 받은 환자들에서 기관내관 제거 직후 가역적인 호흡 일의 증가가 나타날 수 있으며 이는 주로 평균 기도 저항의 증가에 기인하는 것으로 사료되었다.

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척추수술을 받는 노인에게 시행한 수술 전 팬플룻 호흡운동 훈련의 효과 (Effect of Breathing Exercise Using Panflutes on the Postoperative Compliance, Pulmonary Infections and Life Satisfaction in Elderly Patients Undergoing Spinal Surgery)

  • 조현미;신현숙
    • 대한간호학회지
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    • 제48권3호
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    • pp.279-288
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery. Methods: The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experimental group and the control group. The experimental group completed a daily breathing exercise regimen using panflutes for 30minutes after meals, whereas the control group was provided standard preoperative education, including breathing exercises using incentive spirometers. After the exercise regimen, breathing exercise compliance, pulmonary infections, and life satisfaction were measured in both groups, and the data were analyzed using the SPSS/WIN program. Results: The compliance rate of breathing exercises was significantly higher in the experimental group. The experimental group presented no pulmonary infections in the later period, whereas the control group presented higher pulmonary infection rates in the same period. In addition, the life satisfaction score in the experimental group significantly increased. Conclusion: The breathing exercise program using panflutes for elderly patients undergoing spinal surgery enhanced their breathing exercise compliance and their daily life satisfaction in addition to reducing their pulmonary infection rates.

Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters

  • Hostler, David;Pendergast, David R.
    • Safety and Health at Work
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    • 제9권4호
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    • pp.468-472
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    • 2018
  • Background: Firefighters are required to use self-contained breathing apparatus (SCBA), which impairs ventilatory mechanics. We hypothesized that firefighters have elevated arterial $CO_2$ when using SCBA. Methods: Firefighters and controls performed a maximal exercise test on a cycle ergometer and two graded exercise tests (GXTs) at 25%, 50%, and 70% of their maximal aerobic power, once with a SCBA facemask and once with protective clothing and full SCBA. Results: Respiratory rate increased more in controls than firefighters. Heart rate increased as a function of oxygen consumption ($V_{O_2}$) more in controls than firefighters. End-tidal $CO_2$ ($ETCO_2$) during the GXTs was not affected by work rate in either group for either condition but was higher in firefighters at all work rates in both GXTs. SCBA increased $ETCO_2$ in controls but not firefighters. Conclusions: The present study showed that when compared to controls, firefighters' hypoventilate during a maximal test and GXT. The hypoventilation resulted in increased $ETCO_2$, and presumably increased arterial $CO_2$, during exertion. It is proposed that firefighters have altered $CO_2$ sensitivity due to voluntary hypoventilation during training and work. Confirmation of low $CO_2$ sensitivity and the consequence of this on performance and long-term health remain to be determined.

스트레치 센서를 이용한 말더듬 치료 훈련기의 개발 (Development of stuttering treatment practice device using stretch sensors)

  • 송병섭;이근민
    • 센서학회지
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    • 제14권6호
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    • pp.415-422
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    • 2005
  • Using stretch sensors, a stuttering treatment training device that improve the abnormal breathing of stutterer was designed and developed. To improve stutterer's inadequate breathing method that is one of principal reason of stammering, the device estimates breathing method by checking the changes of the stretch sensor's resistances those are put on the chest and abdomen of user. And a vocal exercise program that carry out exercises only when the user maintains the abdominal breathing was designed. Using a PIC16C711 device that includes an A/D convertor, a main controller was designed and the vocal exercises software was developed using Director and C program with graphic user interface for user convenience. The controller sends the resistance data of sensors to PC through the serial port and the software verifies the breathing method. And the device was designed that the RTS (request to send) pin of serial port in PC is used as a power source so that it can work without any battery or other power source. Three stutterers have carried out the clinical experiments using the implemented device for two months and the results showed it was excellent to alleviate the stuttering.

작업 강도가 방진 마스크의 밀착도와 감성품질에 미치는 영향 (Effect of Work Intensity on Fit Factor and Affecive Quality of Dustproof Mask)

  • 이진실;조선희;윤정민;김민선;박재규;최재호
    • 품질경영학회지
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    • 제46권2호
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    • pp.301-310
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    • 2018
  • Purpose: The purpose of this study is to investigate the effect of work intensity on fit factor and affective quality of the dustproof Background: Among the victims who suffer pneumoconiosis due to the inhalation of toxic substances or the lack of oxygen during the work, the proportion of the victims is larger than the other causes. Wearing a respirator may prevent pneumoconiosis, but it can be hazardous to workers because of the leakage through filters, cartridges, exhaust valves, broken parts, and face-to-face contact. Despite leakage through the contact area between the mask and the face has various causes such as the wearer's activity, sweat accumulation, facial shape, etc., There is a lack of relevant research and regulation compared to developed countries that have already institutionalized the law 30 years ago and give the right to sell through a test Method: The work intensity was adjusted by walking or running at 6km/h and 11km/h on the treadmill, and tasks were defined with reference to the test procedure and the exercise sequence applied in the face leakage test of the dustproof mask. And fit factor was measured objectively using 'Respirator Fit Tester 8038' which measures fit factor calculated by dividing the number of dust present outside the mask by inside the mask. In addition, affective quality was classified by the ease of use, ease of breathing, and ease of wearing, and was measured using the 5-point likert scale questionnaire. Results: There was a significant difference in fit factor, ease of breathing, and wearing convenience according to work intensity and no significant difference in ease of use(${\alpha}=0.01$). And when the work intensity was high, fit factor, ease of breathing, and wearing convenience were all lower than when the work intensity was low. Conclusion: In Korea, it is necessary to consider consideration of the work intensity when testing the leakage rate of the face part for safety certification of the respiratory protective equipment, When developing a mask, it should be possible to maintain high adhesion even under intense, active situation and high temperature conditions by selecting materials, improving the wearing style, and expanding the adjustable range.

조식(調息)의 동서의학적(東西醫學的) 임상(臨床) 의의(意義) (Clinical Significant of Breathing in the oriental, western Medicine)

  • 박진성;박영재;박영배;허영
    • 대한한의진단학회지
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    • 제12권1호
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    • pp.63-79
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    • 2008
  • Background: The consequences of disordered breathing patterns are not only distressing to the patient but also expensive to our health care systems if they are not diagnosed and treated. So we performed this study to investigate clinical significants trough gigong, yoga and hyperventilation in oriental medicine and westen medicine Method: Voluntary control of respiration is one of the main methods of physical and mental training such as meditation, qigong meditation or Yoga. So, this study focuses on breathing in qigong and yoga. This study appreciates a role that a control of respiration has in physical, mental aspects and searches side-effects in qigong and yoga Conclusions: A control of respiration has a function that manages Jung(精), Qi(氣), Shin(神) in Oriental Medicine. It manages Autonomic Nerve system, Endocrine system and induces natural awareness. So Briging the body and mind work through a control of breathing. Breathing pattern disorder has Damum and Qiher pattern in Oriental Medicine pattern. This disease pattern concearnes ATP metabolism. Qiher is concearned with a mitochondria disorder and Damum is concearned with a products of lactate. we guess that Lactate analysis may be utilized as a diagonostic criteria of Breathing pattern disorder. After this, It needs a study that Lactate analysis is concearned with Breathing pattern disorder as Damum pattern. Result: A control of respiration is related not only breathing but also spiritual and physical state. Joo-hwa-ip-ma as Breathing pattern disorder is smiliar to hyperventilation. HVS is patternated Damum and Qi-Weakness pattern in oriental medicine. Lactate is an important complement that diagonates HVS and will be concearned with Damum.

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Compact near-eye display for firefighter's self-contained breathing apparatus

  • Ungyeon Yang
    • ETRI Journal
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    • 제45권6호
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    • pp.1046-1055
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    • 2023
  • We introduce a display for virtual-reality (VR) fire training. Firefighters prefer to wear and operate a real breathing apparatus while experiencing full visual immersion in a VR fire space. Thus, we used a thin head-mounted display (HMD) with a light field and folded optical system, aiming to both minimize the volume for integration in front of the face into a breathing apparatus and maintain adequate visibility, including a wide viewing angle and resolution similar to that of commercial displays. We developed the optical system testing modules and prototypes of the integrated breathing apparatus. Through iterative testing, the thickness of the output optical module in front of the eyes was reduced from 50 mm to 60 mm to less than 20 mm while maintaining a viewing angle of 103°. In addition, the resolution and image quality degradation of the light field in the display was mitigated. Hence, we obtained a display with a structure consistent with the needs of firefighters in the field. In future work, we will conduct user evaluation regarding fire scene reproducibility by combining immersive VR fire training and real firefighting equipment.

Managing Employee Work Stress using Health Psychology

  • DO, Hee-Jung
    • 동아시아경상학회지
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    • 제9권4호
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    • pp.81-92
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    • 2021
  • Purpose - Work stress environment is expanding alongside the speed of worldwide change and psychological well-being concerns are coming about because pressure over-burden can bring about lost workdays, lower representative usefulness, and high occupation turnover rates. For this reason, this study investigates to provide how practitioners can manage employee work stress using health psychology based on prior studies. Research design, Data, and methodology - Qualitative textual research involves collecting and analyzing various non-numeric data to establish different concepts or opinions in prior literature. That means that the present researcher carried out qualitative research in multiple ways, investigating many kinds of previous textual data, such as prior published peer-reviewed resources and case studies analysis. Result - The results revealed that directed symbolism has been displayed to improve prosperity and tranquility among employees with an assortment of persistent infections. Like diaphragmatic breathing, reflection practices consolidate zeroing in on a particular article or sensation (like breathing) while at the same time separating from other distracters and controlling inward encounters (for example, feelings, musings) through non-critical acknowledgment. Conclusion - This research proposes that intellectual rebuilding or figuring out how to perceive maladaptive musings and change them to reflect more versatile; judicious idea examples can fundamentally further develop temperament, diminish pressure, and reduction negative feelings for employees.

The Effects of Breathing Exercise on Respiratory Synergist Muscle Activity and SpO2 in Patients with Chronic Obstructive Pulmonary Disease

  • Jeong, Dae-Keun
    • The Journal of Korean Physical Therapy
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    • 제27권4호
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    • pp.234-239
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    • 2015
  • Purpose: This study is not a fragmentary study on characteristics of respiratory synergist when breathing, however it was intended to determine the effect of currently available respiratory exercise and to provide basic clinical information through investigation of oxygen demand and respiratory synergist that mobilizes for respiration during application of respiratory exercise. Methods: Experimental group I was selected from second grade of severity classification of GOLD, which has the highest percentage among patients with COPD, and experimental group II was selected from third grade of severity classification as a clinical sampling. After respiration pursing up lips and diaphragm respiration exercise were mediated together for six weeks, activity of respiratory muscles and oxygen saturation were measured and analyzed. Results: In comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in sternocleidomastoid muscle and scalene muscle showed a meaningful decrease in experimental group I. And, in comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in rectus abdominis muscle showed a meaningful increase in experimental group II. In comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in sternocleidomastoid muscle, scalene muscle, and rectus abdominis muscle showed a meaningful difference between experimental groups. Conclusion: Respiratory synergists work mainly as agonist of chest and upper limbs. Therefore it is very important to lower mobilization of respiratory synergist when breathing. It is considered that a multilateral approach and continued clinical research for improvement of respiratory function for patients with COPD will be needed in the future.

제트 환기 시스템 도입에 의한 플랜트 기자재 용접장의 환경 개선 효과 분석 (Environmental Improvement in a Welding Factory by the Jet Ventilation System)

  • 임정호;이태구;문승재;이재헌
    • 플랜트 저널
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    • 제4권2호
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    • pp.66-72
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    • 2008
  • In this inquiry, I would suggest jet ventilation system for effective elimination of welding flaw at machinery material welding shop on plant and evaluate the airstream on inner space and property of welding flaw's density through the examination. We can know outer atmosphere inflows at the speed of about 0.05m/s from western entrance in case of stopping the jet ventilation system, but airstream is accumulated on entire space. At height of worker's breathing surface(Ground Level = 1.5 m, below of GL) and welding work center, density of welding flaw on upper part(GL = 12m) is appeared 4 times higher than outer atmosphere at surplus range besides nearby of western entrance. At operation of jet ventilation system, since the smooth air current transfer at inner space and exhaust effect the wind speed is maintained at 0.932 m/s at the point of height of worker's breathing surface on inner space and it's concluded about the working conditions have been better than before operation of jet ventilation system because of that results show that inner space density of welding flaw at height of worker's breathing surface is 40.5%, and in the work shop, it is 20.3% at upper part.

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