• 한국산업보건학회지
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• 제32권4호
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• pp.435-448
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• 2022

Objectives: As the time spent wearing masks has increased with spread of COVID-19, various research related to masks have been reported. However, there are still few experiments on the physiological response of the body to wearing industrial dust masks in South Korea. Considering the actual working hours at the work site, it is necessary to investigate the comfort of industrial dust masks. Therefore, this study aims to confirm the change in subjective discomfort level according to the wearing time for industrial dust masks in South Korea that have been certified for safety by KCS. Methods: This study evaluated subjective discomfort level over four hours. The experimental conditions were five types: not worn (control group), special grade, first grade, second grade (with valve), and second grade (without valve). The subjective discomfort levels were classified for breathing, warmth (body and face) and wetness (body and face). Subjects recorded their discomfort level on a checklist every one hour. Results: In special grade and second grade (without valve), the discomfort level in terms of breathing, warmth (face), and wetness (face) was significantly higher than that of the control group. However, the effects of all kinds of industrial dust masks on the discomfort level in the body were low. Conclusions: Since this study was conducted on subjects working in an office with a comfortable working environment, it is difficult to apply it to workers at actual industrial sites. However, it is considered meaningful as the first clinical study to evaluate the subjective level of discomfort over a long time for domestic industrial dust masks that have been certified for safety by KCS.

• Tuberculosis and Respiratory Diseases
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• 제45권2호
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• pp.380-387
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• 1998

연구배경: 압력보조환기법은 기계호흡으로부터 이탈시 최근에 많이 이용되는 인공환기법으로 적절한 압력보조 수준이 이탈 과정에 중요하며 특히 최소압력보조 (minimal pressure support) 수준에서 환자의 환기 상태가 적절하면 치료자는 인공 호흡기로 부터 여탈 및 기관내 관을 발관할 수 있다. 그러나 부적절한 최소압력 보조 수준의 적용은 환기 이탈 기간의 장기화나 이탈 실패를 초래할 수 있다. 본 연구는 이탈기 환자들이 최소압력보조 치의 범위를 알아보고 또한 최대 흡기유량과 총환기계 저항의 곱으로 구한 최소압력보조치의 계산값과 환자의 기관내 관 끝에서 실측한 값 사이의 차이를 비교함으로써 유도식으로 계산된 최소압력 보조 값의 임상적 유용성을 예측하고자 하였다. 방 법: 기저 질환이 호전되어 기계호흡으로부터 이탈이 가능한 환자 16명을 대상으로 폐 감시기 (CP-100 pulmonary monitor, Bicore, USA)를 이용하여 부가된 호흡일을 구한 후 최소압력보조의 수준을 직접 측정하였고, 이들 중 9예에서는 또한 유도식 (peak inspiratory flow rate$\times$total ventilatory system resistance=minimal pressure support)을 이용하여 최소합력보조의 수준을 구하였다. 결 과: 대상환자 16명중 14명에서 측정한 최소압력보조의 실측치는 4~12.5 cm$H_2O$로써 환자에 따라 차이가 심하였다. 대상 환자 중 2명에서 각각 15, 21 cm$H_2O$로써 높게 측정되었으나 기관내 관을 발관 후 내강이 기도 분비물로 심한 폐쇄가 발견되었다. 실측치를 측정한 16명중 9명에서 유도식을 이용하여 최소압력 보조의 계산치를 구하였으며 실측치와 계산치의 비는 평균 0.81로 실측치 보다 높게 나타나는 경향을 보였으나 실측치와 계산치의 상관 계수는 0.88(p=0.002)로 통계학적으로 유의한 상관관계를 보였다. 결 론: 압력보조환기법에 의한 이탈 시도시 최소압력보조 수준의 결정은 유도식을 이용하여 계산된 값을 적용하는 것이 치료자가 임의적으로 일정한 값을 적용하는 것보다 더 나을 것으로 사료된다.

• Tuberculosis and Respiratory Diseases
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• 제46권6호
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• pp.803-810
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• 1999

연구배경 : 호흡부전 환자에서 인공호흡은 조직의 산소화를 유지하고 환자의 호흡일을 경감시키기 위해 적용하며, 환자의 호흡일은 환자의 환기요구량과 인공호흡기의 정해진 양식에 따라 달라질 수 있다. 감속형유량의 압력-조절환기(PCV)는 일정형유량의 용적-조절환기(VCV)에 비해 호흡주기의 초기에 높은 유량의 가스를 환자에게 주입하여 환자의 호흡주기에 잘 적용하므로 두 보조환기양식에 환자의 호흡일이 차이가 있을 것으로 추측할 수 있다. 이에 연구자들은 두 가지의 보조환기양식에서 환자의 호흡일(WOBp)의 차이를 알아보기 위해 다음과 같은 연구를 시행하였다. 방 법 : 호흡부전으로 인공호흡기를 유지하고 있는 10명의 환자(평균연령 $61.7{\pm}7.5$세, 남 : 여=8 : 2)를 대상으로 하였다. 환자에게 먼저 일정형유량의 VCV를 고 일회호흡량($V_{T,\;HIGH}$)(10-12 ml/kg) 또는 저 일회호흡량 ($V_{T,\;LOW}$)(6-8 ml/kg)으로 적용하고 다음에 동일한 일회호흡량($V_T$)이 유지되는 각각의 압력 정도로 PCV를 적용하였으며 인공호흡기의 다른 설정은 일정하게 유지하였다. WOBp는 인공호흡기의 양식을 변화시키고 약 15분 후 환자가 안정된 상태가 되면 인공호흡기 양식을 바꾸기전 1분간 측정하여 그 값의 평균을 구하였다. WOBp 외에 $V_T$, 분당환기량($V_E$), 분당호흡수, 최고기도압(Ppeak), 최고흡기유속(PIFR), pressure-time product(PTP) 등을 측정하여 비교하였다. 결 과 : $V_T$, $V_E$, 분당호흡수는 각각의 $V_T$에 따라 PCV와 VCV 사이에 유의한 차이가 없었으며, Ppeak는 $V_{T,\;HIGH}$에서 VCV에 비해 PCV에서 유의하게 낮았다(p<0.05). PIFR은 각각의 $V_T$에서 VCV에 비해 PCV기에서 유의하게 높았다(p<0.05). $V_{T,\;LOW}$에서 WOBp는 VCV, PCV에서 각각 $1.06{\pm}0.39\;J/min$, $0.80{\pm}0.37\;J/min$이었고, PTP는 각각 $256.4{\pm}107.5\;cmH_2O.S$, $164.5{\pm}74.4\;cmH_2O.S$으로 VCV에 비해 PCV에서 의미있게 낮았다(p<0.05). $V_{T,\;HIGH}$에서 WOBp는 VCV, PCV 에서 각각 $0.40{\pm}0.14\;J/min$, $0.33{\pm}0.14\;J/min$이었고, PTP는 각각 $83.4{\pm}35.1\;cmH_2O.S$, $65.7{\pm}26.3\;cmH_2O.S$으로 VCV에 비해 PCV에서 의미있게 낮았다(p<0.05). 결 론 : 본 연구에서는 보조환기 양식으로서 PCV는 일정형유량의 VCV에 비해 WOBp을 감소시킬 수 있었으나, 환자에 따라 차이가 있어 향후 WOBp를 최적화할 수 있는 방법들에 대한 연구가 더 필요하리라 생각된다.

• 한국산업보건학회지
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• 제20권4호
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• pp.225-235
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• 2010

This study was aimed to assess the status of working environment, health care management status and cause of exposure in manufactories using dimethylformamide (DMF). For the purpose, airborne concentration of DMF in the workplaces and N-methylformamide (NMF) in worker's urine were measured with job type and process. In addition, management of local exhaust ventilation system (LEV) and personal protective equipment (PPE) was evaluated at 35 work places (107 workers) located in Busan and Gimhae area. Mean DMF concentrations in work places by job type and process were of high level measured in printing and record media reproduction (5.23 ppm) and flaking process (2.48 ppm). Workers in adhesive job were measured a large amount of urine NMF (21.59 mg/${\ell}$). 98.1% of DMF handling workers were provided respirators, but 67.3% of those workers used them. The main reasons for not using respirators were inconvenience and difficulty of breathing. Airborne concentrations of DMF were higher in the workplaces in which LEVs were working abnormally, but there was not statistically significant. In addition, the urine NMF levels were correlated with management of LEV within the workers who did not use the respirators (p<0.048). These results implied that LEV should be installed and maintained properly to protect the workers from the exposure to DMF. Management of PPE should be also necessary to protect the workers from chemical hazards.

• International Journal of Advanced Culture Technology
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• 제5권3호
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• pp.24-34
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• 2017

Nail art is a kind of nail painting or decoration that adds to the beauty. Throughout making nail art, the worker was on a dusty operation with the smoothing of chemicals and nails. People working at nail shops not only use a variety of chemicals, but also experience a lot of fine powder during the process of nail trimmings. While drying the chemical adhesive, the workers often complain of eye, nose and throat discomfort. In addition, the acrylic brush is characterized by a lot of smell when washed with washing solution. Also nail art workers directly influence the worker's breathing through the work done by placing the guest's hands in a work space called a nail table. Chemical ingredients used in nail art procedures include acetone, ethyl acetic acid, toluene, butyl acetic acid, glue, and top coating of nail varnishes. Prolonged inhalation of these substances may cause dizziness, vomiting, as well as impaired respiratory system. The purpose of this study is to investigate the respiratory symptoms of nail shop workers who are likely to be affected by work in nail shop and to find out which factors have the greatest influence if they have respiratory symptoms. Therefore this study is to provide basic data on the health management system of people engaged in nail shop and to develop health education program. For this study, the data collection was collected on July 7, 2017 for the nail shop workers attending the nail art trend seminar held in Gwangju, in Korea. The data were all 236. However, except for the poor data, 208 data were used for the final analysis. The questionnaire consisted of 30 in general questions, questions about self-efficacy in 24 questions. elf-efficacy measuring tool developed by A.Y, Kim, I. Y, Park(2001). The self-efficacy questionnaire consists of 24 items and is self-reported 7-point Likert scale. The reliability of this tool was cronbach alpha = .934.The collected data were analyzed using spss 18.0. Information of Research participant performed frequency analysis. To examine the effects of personal characteristics on self-efficacy, $X^2$ analysis was conducted. And also $X^2$ analysis was conducted to analyze the coughing symptom appearance according to individual and environmental factors. A hierarchical regression analysis was used to determine which of the personal and environmental factors influenced cough symptoms.

• 혜화의학회지
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• 제12권1호
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• pp.103-121
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• 2003

Human being can't live without nature, then the changes of nature affect human body. It means that human body has corresponding changes to the KI(vital energy) of nature. There is a stream of changes in human body which circulate mysteriously and punctually by the laws of nature. If this stream of changes fits into human's life style, it would be most effective. It has a certain mode continuously. So if a person has a habit fitting into it, he will get the healthiest body. Then the researcher tries to explain the changes in human body by the time, mainly focused on within 24 hours. it is showing not only the oriental view, but also the western's. The researcher can find the coincidence as followings. At In-Si(3-5 am), the body function and the body temperature get to the bottom, therefore it's good for him to wake up and to run the vital energy. At Sa-Si(9-11 am), the patience on pain anxiety and the psychic concentration get to the top, he'd better start the work. At O-Si(11am-1pm), the heart energy has a vital move, then the blood concentration of Hb(hemoglobin) gets to the top. At Mi-Si(1-3 pm), the muscle strength, the squeeze, and the breathing rate increase. The reflex nerve sensitivity gets to the top. Creativity, observation, and working efficiency go high, so it's time to work hard. At Hae-Si(9pm-1am), the body function falls, sleeping is needed. At Chuck-Si(1-3 am), the cell spontaneity gets to the top, immune lymphocyte moves actively, and the blood concentration of growth hormone gets to the top. These are liver's work. In west, there has been active studies on how to reduce the side effect by using a person's bio-rhythm based on the 'time treatment', and how to reorganize the bio-rhythm by using the machine and the age resistance based on the 'bio-watch'. Though the 'time treatment' means something, the artificial resistance on bio-rhythm seems to give bad effects to human body. If a person lives by regimen of oriental medicine, he will maintain the healthiest body. Regimen is that human body follows the laws of nature, and moves its mysterious, Punctual and periodical changes.

• Tuberculosis and Respiratory Diseases
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• 제44권3호
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• pp.574-582
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• 1997

연구배경 : 정상인에서는 운동부하시 증가되는 환기량의 요구를 초기에는 상시호흡량의 증가로 후기에는 호흡수의 증가로 충족시키며, 호흡수 증가에 따라 유발되는 호흡주기의 감소를 보상하기 위해 흡기책임비율이 50% 이상까지 증가하는 것으로 알려져 있다. 반면 만성기도폐쇄 환자에서는 환기능력의 감소와 생리적 사강 호흡의 증가로 인해 최대운동부하시 얕고 빠른 호흡양상을 보인다고 알려져 있지만 책임비율의 변화에 대해서는 연구가 많지 않고 이와 기도폐쇄정도와의 관련성에 대해서는 보고가 없는 실정이다. 방 법 : 12명의 만성기도폐쇄 환자와 10명의 정상인을 대조로 점진적 최대운동부하검사를 실시하였다. 결과 분석은 안정시에서 최대운동부하시점까지의 시간을 100%로 하여 rest, 20%, 40%, 60%, 80%, max 등% control duration으로 분획한 후 각 시점에서 1분 환기량, 상시호흡량, 호흡수, 생리적 사강비율, 흡기책임비율 등의 지표를 양군 간에 비교하였다. 결 과 : 1분환기량과 상시호흡량의 안정시에서 최대운동시까지의 변화는 양군 간에 유의한 차이가 관찰되었으나 호흡수는 유의한 차이를 나타내지 않았다. 생리적사강 비율은 정상대조군에 비해 만성기도폐쇄군에서 그 감소가 유의하게 낮았다. 흡기책임비율은 정상대조군에서 $38.4{\pm}3.0%$에서 $48.6{\pm}4.5%$로 증가한 반면 만성기도폐쇄군에서는 $40.5{\pm}2.2%$에서 $42.6{\pm}3.5%$로 별 변화가 없어 양군간에 유의한 변화의 차이가 있음을 확인할 수 있었고 이러한 흡기책임비율의 변화는 기도폐쇄정도 (FEV1%)와 유의한 상관관계가 있음을 확인할 수 있었다. (r=0.8151, p<0.05). 결 론 : 이상의 결과에서 만성기도폐쇄 환자는 최대운동부하시 정상에서 관찰되는 흡기책임비율의 증가가 발생하지 않으며 이는 기도폐쇄의 정도와 유의한 상관성을 갖고 있음을 확인할 수 있었다.

• 혜화의학회지
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• 제22권2호
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• pp.47-56
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• 2014

Objectives : The purpose of this study is to raise the proper recognition of Qigong and expand the area of Medical Qigong in the korean Medicine by investigating and analyzing the current state of Javaldonggong training which has a high medical value but there has not been little research on. Method : The survey of this study was conducted by doing a search on the internet - Naver(www.naver.com) and Daum(www.daum.net), Nate(www.nate.com), trying question-and-answer on the websites and over the phone, visiting the organizations and reading their publications. Results : None of the teachers of these selected organizations are doctors. One thing all these organizations have in common is that they are, ultimately, aiming to gain the individual enlightenment and to contribute to public welfare although the terms they use are different. As for training contents, most of these organizations use breathing, meditation, gymnastics, circuit training in addition to Javaldonggong training and they work on Javaldonggong training programs to prevent problems that Qigong training can result in. 7 organizations have published the books of the theories, which are based on their own Javaldonggong training experience. Conclusions : Applying Javaldonggong training to the therapy for the diseases is the role of a doctor of Korean medicine. A further study of and a great interest in Javaldonggong training are required for Korean medical doctors to gain a firm foothold in using it as the medical Qigong therapy.

• Clinical and Experimental Pediatrics
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• 제61권3호
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• pp.78-83
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• 2018

Purpose: Frequent desaturation due to immature incoordination of suck-swallow-breathing in preterm infants can influence multiple organs such as the heart, lungs, and brain, which can then affect growth and development. Most notably in preterm infants, feeding desaturation may even affect pulmonary function during gavage feeding. Because respiratory muscle activities may reflect the work required during respiration, we evaluated the differences in these activities between full-term and preterm infants with feeding desaturation, and investigated the correlations with clinical variables. Methods: Nineteen preterm infants with feeding desaturation (group 1) and 19 age-matched full-term infants (group 2) were evaluated. Oromotor function was evaluated using video recording. The root-mean-square (RMS) envelope of the electromyography signal was calculated to quantify the activities of muscles involved in respiration. The differences in RMS between both groups and the correlation with clinical variables including gestational age (GA), birth weight (BW), and Apgar scores (AS) at 1 and 5 minutes after birth were evaluated. Results: The RMS values of the diaphragm (RMS-D) and rectus abdominis (RMS-R) were significantly greater in group 1 compared to group 2, and the 1- and 5-min AS were significantly lower in group 1 compared to group 2. RMS-D and RMS-R were inversely correlated with GA, BW, 1- and 5-min AS in all infants. Conclusion: This study showed that respiratory muscle activities were augmented during feeding in preterm infants compared to full-term infants. Additionally, respiratory muscle activities were inversely correlated with all clinical variables.

• Journal of Veterinary Science
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• 제21권2호
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• pp.27.1-27.10
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• 2020

The efficacies of a supraglottic airway device (SGAD) and an endotracheal tube (ETT) in cats under general anesthesia with volume-controlled ventilation (VCV) were compared. Thirty healthy cats were randomly allocated for airway control using either an SGAD or an ETT. Five tidal volumes (6, 8, 10, 12, and 14 mL/kg) were randomly tested, and respiratory rates were adjusted to achieve a minute ventilation of 100 mL/kg/min. The dose of propofol necessary to insert the SGAD or ETT, the static respiratory pressure, leakage during VCV, and end tidal CO₂ (ETCO₂) were recorded. Dosages of propofol and static respiratory measurements for the SGAD and ETT groups were compared using a t-test. The distribution of leakages and hypercapnia (ETCO₂ > 45 mmHg) were compared using Fisher's exact test. A significance level of p < 0.05 was established. No significant difference in dose of propofol was observed between the SGAD and ETT groups (7.1 ± 1.0, 7.3 ± 1.7 mg/kg; p = 0.55). Static resistance pressure of the SGAD (22.0 ± 8.1 cmH₂O/L/sec) was significantly lower than that of the ETT (36.6 ± 12.9 cmH₂O/L/sec; p < 0.01). Of the 75 trials, leakage was more frequent when using an SGAD (8 events) than when using an ETT (1 event; p = 0.03). Hypercapnia occurred more frequently with SGAD (18 events) than with ETT (3 events; p < 0.01). Although intubation with an ETT is the gold standard in small animal anesthesia, the use of an SGAD can reduce airway resistance and the work of breathing. Nonetheless, SGAD had more dead space and the tidal volume for VCV needs adjustment.