• Title/Summary/Keyword: Respiration Guiding

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Development and usability evaluation of portable respiration training device which is applied to personal respiration cycle (개인고유의 호흡주기를 적용한 휴대형 호흡 연습장치 개발 및 유용성 평가)

  • Park, Mun-kyu;Lee, Dong-han;Cho, Yu-ra;Hwang, Seon-bung;Park, Seung-woo;Lee, Dong-hoon
    • 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.

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Comparison between audio-only and audiovisual biofeedback for regulating patients' respiration during four-dimensional radiotherapy

  • Yu, Jesang;Choi, Ji Hoon;Ma, Sun Young;Jeung, Tae Sig;Lim, Sangwook
    • Radiation Oncology Journal
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    • v.33 no.3
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    • pp.250-255
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    • 2015
  • Purpose: To compare audio-only biofeedback to conventional audiovisual biofeedback for regulating patients' respiration during four-dimensional radiotherapy, limiting damage to healthy surrounding tissues caused by organ movement. Materials and Methods: Six healthy volunteers were assisted by audiovisual or audio-only biofeedback systems to regulate their respirations. Volunteers breathed through a mask developed for this study by following computer-generated guiding curves displayed on a screen, combined with instructional sounds. They then performed breathing following instructional sounds only. The guiding signals and the volunteers' respiratory signals were logged at 20 samples per second. Results: The standard deviations between the guiding and respiratory curves for the audiovisual and audio-only biofeedback systems were 21.55% and 23.19%, respectively; the average correlation coefficients were 0.9778 and 0.9756, respectively. The regularities between audiovisual and audio-only biofeedback for six volunteers' respirations were same statistically from the paired t-test. Conclusion: The difference between the audiovisual and audio-only biofeedback methods was not significant. Audio-only biofeedback has many advantages, as patients do not require a mask and can quickly adapt to this method in the clinic.

An Image-Guided Robotic Surgery System for Spinal Fusion

  • Chung Goo Bong;Kim Sungmin;Lee Soo Gang;Yi Byung-Ju;Kim Wheekuk;Oh Se Min;Kim Young Soo;So Byung Rok;Park Jong Il;Oh Seong Hoon
    • International Journal of Control, Automation, and Systems
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    • v.4 no.1
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    • pp.30-41
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    • 2006
  • The goal of this work is to develop and test a robot-assisted surgery system for spinal fusion. The system is composed of a robot, a surgical planning system, and a navigation system. It plays the role of assisting surgeons for inserting a pedicle screw in the spinal fusion procedure. Compared to conventional methods for spinal fusion, the proposed surgical procedure ensures minimum invasion and better accuracy by using robot and image information. The robot plays the role of positioning and guiding needles, drills, and other surgical instruments or conducts automatic boring and screwing. Pre-operative CT images intra-operative fluoroscopic images are integrated to provide the surgeon with information for surgical planning. Some experiments employing the developed robotic surgery system are conducted. The experimental results confirm that the system is not only able to guide the surgical tools by accurately pointing and orienting the specified location, but also successfully compensate the movement of the patient due to respiration.

Impacts of Mt. Bongeui on Atmospheric Purification in Chuncheon

  • Piao, Zhi Hui;Jo, Hyun-Kil
    • Journal of Forest and Environmental Science
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    • v.34 no.2
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    • pp.165-168
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    • 2018
  • Mt. Bongeui is a neighborhood park of 66.4 ha as a major natural landscape resource located in the center of Chuncheon City. This study quantified the reduction of carbon, $SO_2$, $NO_2$, $O_3$, and $PM_{2.5}$, and the production of $O_2$ to explore the role for Mt. Bongeui to contribute to annual atmospheric purification. The main forest types and age classes of the study site included age-class III broadleaved forest at 35.8%, age-class VI coniferous forest at 17.2%, and age-class IV broadleaved forest at 15.7%. The annual atmospheric purification effect per unit area was as follows: 7.6 t carbon/ha/yr, 16.6 kg $SO_2/ha/yr$, 40.4 kg $NO_2/ha/yr$, 41.5 kg $O_3/ha/yr$, 53.7 kg $PM_{2.5}/ha/yr$, and 20.2 t $O_2/ha/yr$. The economic value of these effects was equivalent to about 12.9 million KRW/ha/yr. The study site annually offset carbon emissions of about 300 citizens, $SO_2$ emissions of 220 citizens, and $NO_2$ emissions of 92 citizens in Chuncheon. It also played an important role in annually producing 1.5% of the amount of $O_2$ necessary for the respiration of Chuncheon's total population. This study pioneers in comprehensively quantifying the atmospheric purification effect and could be useful in guiding the planning and management to improve the effect.

Development of An Image-Guided Robotic Surgery System for Spinal Fusion (영상 지원 척추 융합 수술 로봇 시스템의 개발)

  • Chung Goo-Bong;Lee Soo-Gang;Kim Sung-Min;Oh Se-Min;Yi Byung-Ju;Kim Young-Soo;Park Jong-Il;Oh Seong-Hoon;Kim Whee-Kuk
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.10a
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    • pp.144-148
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    • 2005
  • The goal of this work is to develop and test a robot-assisted surgery system for spinal fusion. The system is composed of a robot, a surgical planning system, and a navigation system. It plays the role of assisting surgeons for inserting a pedicle screw in the spinal fusion procedure. Compared to conventional methods fer spinal fusion, the proposed surgical procedure ensures minimum invasion and better accuracy by using robot and image information. The robot plays the role of positioning and guiding needles, drills, and other surgical instruments or conducts automatic boring and screwing. Pre-operative CT images and intra-operative fluoroscopic images are integrated to provide the surgeon with information for surgical planning. Several experiments employing the developed robotic surgery system are conducted. The experimental results confirmed that the system is not only able to guide the surgical tools by accurately pointing and orienting the specified location, but also successfully compensate the movement of the patient due to his/her respiration.

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Development and Evaluation of the Utility of a Respiratory Monitoring and Visual Feedback System for Radiotherapy Using Machine Vision Technology

  • Kim, Chul Hang;Choi, Hoon Sik;Kang, Ki Mun;Jeong, Bae Kwon;Jeong, Hojin;Ha, In Bong;Song, Jin Ho
    • Journal of Radiation Protection and Research
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    • v.47 no.1
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    • pp.8-15
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    • 2022
  • Background: We developed a machine vision technology program that tracks patients' real-time breathing and automatically analyzes their breathing patterns. Materials and Methods: To evaluate its potential for clinical application, the image tracking performance and accuracy of the program were analyzed using a respiratory motion phantom. Changes in the stability and regularity of breathing were observed in healthy adult volunteers according to whether the breathing pattern mirrored the breathing guidance. Results and Discussion: Displacement within a few millimeters was observed in real-time with a clear resolution, and the image tracking ability was excellent. This result was consistent even in the sections where breathing patterns changed rapidly. In addition, the respiratory gating method that reflected the individual breathing patterns improved breathing stability and regularity in all volunteers. Conclusion: The findings of this study suggest that this technology can be used to set the appropriate window and the range of internal target volume by reflecting the patient's breathing pattern during radiotherapy planning. However, further studies in clinical populations are required to validate this technology.

Parishioner's role Expectations of Parish Nursing (한국 교인들의 목회간호 역할기대)

  • Kim, Chung-Nam;Kwon, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.231-244
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    • 2000
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

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