• Radiation Oncology Journal
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• v.26 no.3
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• pp.181-188
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• 2008

Purpose: In order to enhance the efficiency of respiratory gated 4-dimensional radiation therapy for more regular and stable respiratory period and amplitude, a respiration training system was designed, and its efficacy was evaluated. Materials and Methods: The experiment was designed to measure the difference in respiration regularity following the use of a training system. A total of 11 subjects (9 volunteers and 2 patients) were included in the experiments. Three different breathing signals, including free breathing (free-breathing), guided breathing that followed training software (guided-breathing), and free breathing after the guided-breathing (post guided-breathing), were consecutively recorded in each subject. The peak-to-peak (PTP) period of the breathing signal, standard deviation (SD), peak-amplitude and its SD, area of the one cycle of the breathing wave form, and its root mean square (RMS) were measured and computed. Results: The temporal regularity was significantly improved in guided-breathing since the SD of breathing period reduced (free-breathing 0.568 vs guided-breathing 0.344, p=0.0013). The SD of the breathing period representing the post guided-breathing was also reduced, but the difference was not statistically significant (free-breathing 0.568 vs. guided-breathing 0.512, p=ns). Also the SD of measured amplitude was reduced in guided-breathing (free-breathing 1.317 vs. guided-breathing 1.068, p=0.187), although not significant. This indicated that the tidal volume for each breath was kept more even in guided-breathing compared to free-breathing. There was no change in breathing pattern between free-breathing and guided-breathing. The average area of breathing wave form and its RMS in postguided-breathing, however, was reduced by 7% and 5.9%, respectively. Conclusion: The guided-breathing was more stable and regular than the other forms of breathing data. Therefore, the developed respiratory training system was effective in improving the temporal regularity and maintaining a more even tidal volume.

• Progress in Medical Physics
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• v.23 no.1
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• pp.1-7
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• 2012

The purpose of this study was to develop the respiratory training system using individual characteristic guiding waveform to reduce the impact of respiratory motion that causes artifact in radiotherapy. In order to evaluate the improvement of respiratory regularity, 5 volunteers were included and their respiratory signals were acquired using the in-house developed belt-type sensor. Respiratory training system needs 10 free breathing cycles of each volunteer to make individual characteristic guiding waveform based on Fourier series and it guides patient's next breathing. For each volunteer, free breathing and guided breathing which uses individual characteristic guiding waveform were performed to acquire the respiratory cycles for 3 min. The root mean square error (RMSE) was computed to analyze improvement of respiratory regularity in period and displacement. It was found that respiratory regularity was improved by using respiratory training system. RMSE of guided breathing decreased up to 40% in displacement and 76% in period compared with free breathing. In conclusion, since the guiding waveform was easy to follow for the volunteers, the respiratory regularity was significantly improved by using in-house developed respiratory training system. So it would be helpful to improve accuracy and efficiency during 4D-RT, 4D-CT.

• Proceedings of the KSLP Conference
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• 2003.11a
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• pp.201-204
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• 2003

호흡은 우리가 일상 생활에서 발화나 발성을 하는데 있어서 크기와 높낮이를 조절하는 중요한 역할을 하며 그 중에서 복식 호흡이 가장 이상적인 호흡이라 할 수 있겠다. 우리 인간이 처음 태어날 때는 복식 호흡을 가지고 태어난다. 예를 들면 갓난아이가 울 때 보면 배가 많이 움직이는 것을 볼 수 있으며 긴 시간을 울어도 울음의 소리의 변화가 거의 없다. 허나 성인이 갓난아이처럼 긴 시간을 운다면 울음소리의 변화가 온다. 이것은 우리 인간이 성장하면서 복식 호흡의 사용이 점차 줄고 흉식 호흡의 사용이 보편화되는데 그 이유는 우리 인간의 일상생활에서 복식 호흡이 크게 필요치 않기 때문이기도 하며 특히 여성의 경우는 대부분이 흉식 호흡을 사용하는데 갓난아이일 경우 남아나 여아가 복식 호흡을 사용하나 여아의 경우 성장하면서 즉 여아에서 여성으로 신체적 변화(첫 배란)가 시작되면서 호흡사용의 변화가 있지 않나 생각된다. 여성으로의 신체적 변화는 임신을 할 경우 자궁에서 태아의 성장에 자극을 피하기 위하여 흉식 호흡을 사용하며 성악도인 경우 여성이 남성보다 복식 호흡의 습득에 어려움이 있다 대부분의 여성 성악가의 경우 복식 호흡과 흉식 호흡의 중간을 사용한다. (중략)

• Proceedings of the Korean Society of Medical Physics Conference
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• 2005.04a
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• pp.16-21
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• 2005

방사선치료를 하는데 호흡을 다루는 문제는 매우 중요하다. 호흡으로 인한 인체의 움직임은 종양, 정상조직의 위치 등을 변화시킴으로써 표적체적 설정을 다루는 ICRU definition에 영향을 미칠 뿐만 아니라 일반적인 방사선치료의 단계별 과정에 큰 영향을 끼친다. 본 연제에서는 방사선치료의 과정 중 호흡을 고려한 영상획득, 방사선치료계획, 정도보증 등 주로 의학 물리적 관점에서 세부적으로 다루어야 할 문제들은 논외로 하고, 환자의 호흡을 모니터하고 다루어 호흡에 따른 맞춤치료를 하는 방법들을 개관해 보고자 한다. 또한, 호흡을 다루는 각각의 방법에 따른 임상적 고려사항들에 대해서도 언급하고자 한다. 각각의 기관에서 호흡을 고려한 고정밀 방사선치료를 시행하는데 있어 적절한 전략 및 프로토콜을 세우고, 이를 환자를 대상으로 정확하게 수행하기 위해서는 호흡이 방사선치료 전반에 미치는 영향을 각각의 단계별로 정확하게 이해하는 것이 선행되어야 할 것이다.

• The Journal of Korean Society for Radiation Therapy
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• v.24 no.2
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• pp.167-174
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• 2012

Purpose: The respiration is one of the most important factors in respiratory gating radiation therapy (RGRT). We have developed an unique respiratory guidance system using an audio-visual system in order to support and stabilize individual patient's respiration and evaluated the usefulness of this system. Materials and Methods: Seven patients received the RGRT at our clinic from June 2011 to April 2012. After breathing exercise with the audio-visual system, we measured their spontaneous respiration and their respiration with the audio-visual system respectively. With the measured data, we yielded standard deviations by the superficial contents of respiratory cycles and functions, and analyzed them to examine changes in their breathing before and after the therapy. Results: The PTP (peak to peak) of the standard deviations of the free breathing, the audio guidance system, and the respiratory guidance system were 0.343, 0.148, and 0.078 respectively. The respiratory cycles were 0.645, 0.345, and 0.171 respectively and the superficial contents of the respiratory functions were 2.591, 1.008, and 0.877 respectively. The average values of the differences in the standard deviations among the whole patients at the CT room and therapy room were 0.425 for the PTP, 1.566 for the respiratory cycles, and 3.671 for the respiratory superficial contents. As for the standard deviations before and after the application of the PTP respiratory guidance system, that of the PTP was 0.265, that of the respiratory cycles was 0.474, and that of the respiratory superficial contents. The results of t-test of the values before and after free breathing and the audio-visual guidance system showed that the P-value of the PTP was 0.035, that of the cycles 0.009, and that of the respiratory superficial contents 0.010. Conclusion: The respiratory control could be one of the most important factors in the RGRT which determines the success or failure of a treatment. We were able to get more stable breathing with the audio-visual respiratory guidance system than free breathing or breathing with auditory guidance alone. In particular, the above system was excellent at the reproduction of respiratory cycles in care units. Such a system enables to reduce time due to unstable breathing and to perform more precise and detailed treatment.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2014.05a
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• pp.833-835
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• 2014

On this study, we have developed respiratory training system to improve stability of respiration, one of the most important factors of Respiratory Gated Radiation Therapy, RGRT. Respiratory training system that we developed was applied to personal respiratory cycle so that it could provide comfortable respiratory triggering to patients. To give sufficient time for practice, we used modular portable device to practice easily and to be undetered by time and place. We have intended to improve efficiency and accuracy by providing it to patients. We are now planning to conduct experiment of 10 peoples to find out stability, degree of durability betterment and regularity of respiration when patients are using respiratory training system. There are three kinds of breathing style. First is free breathing that Individual patients can breathe freely. Second is guide breathing that patients apply to personal respiration cycle through the guiding sight and hearing program. Third is prediction breathing that patients breathe after respiratory training without guiding sight and hearing program. By using these 3 data of respiration method, we have evaluated usability of respiratory training system by quantitatively analyzing respiration period, amplitude and area's variation.

• Journal of the Korea Society of Computer and Information
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• v.29 no.3
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• pp.165-171
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• 2024

This study aims to investigate the appropriate volume of artificial ventilation and success rate when Basic - emergency medical Technician administer bag valve mask(BVM) artificial ventilation to patients experiencing respiratory failure or respiratory arrest using a respiratory rate measurement device. The research was conducted from December 11th to 12th, 2023, targeting 20 Basic - emergency medical Technicians enrolled at D University. Ten participants were selected for the experimental group, receiving BVM ventilation training with the use of a respiratory rate measurement device, while the other ten were assigned to the control group, receiving BVM ventilation training without the use of a respiratory rate measurement device. The experiment involved providing artificial ventilation for 2 minutes. The results of the study indicated that the control group did not provide accurate tidal volume (p=.025). The experimental group demonstrated a higher success rate of ventilation over the 2-minute period, while the control group showed a significant difference (p=.001). Subjective perception of tidal volume and objectively measured tidal volume also exhibited a significant difference in the control group (p=.010). Therefore, training with a respiratory rate measurement device can align the subjective perception of tidal volume with objective measurements, increase the success rate of ventilation, and potentially contribute to improving survival rates in patients experiencing respiratory failure or respiratory arrest during cardiopulmonary resuscitation.

• Proceedings of the KAIS Fall Conference
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• 2009.05a
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• pp.204-207
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• 2009

일반적으로 가창을 위한 호흡법으로는 두 가지를 들 수 있다. 가슴의 횡격막 부분을 사용하는 복식호흡법과 배꼽 밑 부분의 아랫배를 활용한 단전호흡법으로 나눌 수 있다. 일반적으로 윗배를 사용하는 복식 호흡법의 경우 주로 성악 발성에서 사용 하였으며, 아랫배를 활용한 단전호흡법의 경우 창이나 판소리 등의 국악 창법에 많이 사용되었다. 상대적으로 역사가 짧은 대중음악의 경우는 특정한 호흡법이 없고 누구에게 배웠느냐에 따라 호흡하는 방법이 결정되었다. 그러나 매스미디어가 발전함에 따라 대중음악 분야도 발전하게 되었고, 대중가요 가수들을 위한 독창적인 호흡법도 절실히 필요하게 되었다. 따라서 본 연구에서는 가창력을 증진 시킬 수 있는 효과적인 호흡법을 제시해 보고자 한다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.5
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• pp.296-302
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• 2021

This paper proposes an approach to the classification of respiratory states of humans based on visual information. An ultra-wide-band radar sensor acquired respiration signals, and the respiratory states were classified based on two-dimensional (2D) images instead of one-dimensional (1D) vectors. The 1D vector-based classification of respiratory states has limitations in cases of various types of normal respiration. The deep neural network model was employed for the classification, and the model learned the 2D images of respiration signals. Conventional classification methods use the value of the quantified respiration values or a variation of them based on regression or deep learning techniques. This paper used 2D images of the respiration signals, and the accuracy of the classification showed a 10% improvement compared to the method based on a 1D vector representation of the respiration signals. In the classification experiment, the respiration states were categorized into three classes, normal-1, normal-2, and abnormal respiration.

• Sleep Medicine and Psychophysiology
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• v.20 no.1
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• pp.31-34
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• 2013

Objectives: The aim of this study was to evaluate the differences in patients with positional dependent sleep apnea according to their non-supine apnea-hypopnea index (AHI, ${\geq}5$ vs. <5). Methods: 92 patients with positional sleep apnea were evaluated. The patients were divided into two groups : group I was non-supine AHI having ${\geq}5$ ; group II was non-supine AHI having less than 5. Statistical analysis was performed to find the difference between two groups. Results: In 92 patients, the number of group I patients was 11 (12%) and the number of group II patients was 81 (88%). In the severe AHI group, percentage of group I was dominated (70%) and showing a significant difference compared with the mild and moderate AHI groups (p<.05). In the severe body mass index (BMI) group, percentage of group I was dominated (54.5%) and showing a significant difference compared with of the mild and moderate BMI groups (p<.05). The percentage of group I was significantly higher than group II (p<.05) in the AHI, supine AHI, non-supine AHI and snore time. Conclusions: In patients with positional sleep apnea, severe OSA and high BMI are more common in patients with non-supine AHI${\geq}5$ than non-supine AHI<5.