• Title/Summary/Keyword: Respiratory Strength

검색결과 93건 처리시간 0.025초

한국 COPD 환자의 비만도와 근감소증 분석 (Analysis of Obesity and Sarcopenia among COPD Patients in Korea)

  • 제갈윤석
    • 한국응용과학기술학회지
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    • 제37권3호
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    • pp.604-612
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    • 2020
  • The purpose of this study is to analyze the level of obesity and sarcopenia among chronic obstructive pulmonary disease(COPD) patients in Korea. The current study recruited 75 patients with COPD who visited the department of respiratory medicine at J University Hospital in J-do. Height, body weight, waist circumference, and hip circumference were measured, and body composition, muscle strength, and flexibility were assessed. The levels of obesity were classified with body mass index(BMI), waist-hip circumference ratio(WHR) and percent body fat, and sarcopenia was classified with the value of skeletal muscle mass and muscle strength by Asian Working Group for Sarcopenia. In results, it was found that the level of obesity was very high as 43% by BMI, 88% by WHR, and 64% by percent body fat. The lower level of muscle strength was 15.50% in males and 23.50% in females. The lower level of muscle mass was 24.10% in males and .00% in females. Males who had one sarcopenia factors were 22.40%, and females were 23.50%, respectively. Males with sarcopenia were 6.90%, and females were .00%. In conclusion, regular resistance exercise is essential not only for the development of motor skills, but also for the normalization of skeletal muscle function and prevention of muscle dystrophy among COPD patients.

슬관절 자극이 횡격신경 및 흡식중추신경에 미치는 영향 (Effect of Knee Joint Stimulation on the Activity of Phrenic Nerve and Inspiratory Nuron in the Cat)

  • 조동일;한희철;남숙현
    • Tuberculosis and Respiratory Diseases
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    • 제40권6호
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    • pp.683-693
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    • 1993
  • 연구배경 : 생체의 운동은 움직임 자체를 수행하기 위한 근육, 관절 및 이를 관장하는 신경계와 운동중 적절한 산소를 공급하기 위한 심혈관계 및 호흡계의 조절이 동반되는 매우 복잡한 기전에 의하여 유지되고 있다. 이들의 상호관련성을 밝히기 위하여 많은 연구들이 진행중이나 특히 관절과 호흡중추의 연계성에 대하여는 아직도 연구가 미진한 편이다. 이에 본 연구는 관절의 정상적인 움직임이 호흡계에 어떠한 영향을 미치는지를 규명하고자 $\alpha$-chloralose로 마취한 고양이의 분당 호흡수, 횡격신경과 흡식신경섬유의 변화를 관찰하였다. 방법 : 26마리의 성숙한 숫고양이에서 슬관절 자극중 횡격신경 및 흡식중추신경의 활동성을 기록하기 위하여 쌍극백금전극과 탄소섬유전극을 이용하여 세포외에서 기록하였다. 슬관절을 자극하기 위하여 슬관절의 굴곡-신전운동, 슬관절 동맥을 통한 화학적인 자극 및 슬관절 신경의 전기적인 자극법 등을 사용하였다. 결과 : 슬관절의 정상 운동각도내에서 120 Hz.의 빠른 운동을 1분간 시킨 경우에는 분당호흡수와 분당호흡신경활동이 유의하게 증가하였으며 3분간 운동을 시킨 경우에는 호흡수, 일회호흡신경활동 및 분당호흡신경활동이 모두 유의하게 증가하였다. 그러나 60Hz.의 운동에 대하여는 전체적인 호흡활동에 뚜렸한 변화가 없었다. 과격한 운동중에 형성되는 젖산의 혈중농도와 같은 농도의 젖산을 슬관절내에 주입한 결과 주입후 30초 동안에 호흡수 이외의 일회호흡신경활동과 분당 호흡신경 활동이 유의한 증가를 보였다. 또한 potassium chloride에 대하여는 젖산의 경우와 유사한 반응을 보였으나 반응기간이 짧았다. 구심성 신경중 I, II군만을 선택적으로 흥분시킬 수 있는 강도인 1V로 슬관적 신경을 자극한 경우 자극기간에 한하여 호흡수를 제외한 일회호흡신경활동 및 분당호흡신경활동이 유의한 증가를 보였다. 또한 구심성 신경을 모두 흥분시키는 강도인 20V 자극에 대하여는 호흡계의 전체적인 항진효과가 있었으며 1V 자극에 비하여 매우 큰 반응을 나타내었다. 흡식중추의 신경세포에서 기록한 결과 횡격신경에서 나타난 반응과 유사한 결과를 얻었다. 결론 : 슬관절 구심성 신경중 제 I, II 군 신경의 흥분에 의하여 호흡중추는 직접적으로 활성화될 수 있으며 이러한 효과는 운동중의 슬관절로부터 중추로 유입되는 정보의 양에 비례하여 증가하는 것으로 생각된다. 따라서 이러한 사실은 슬관절의 정상적인 움직임에 의해서도 생체의 호흡기능이 항진될 수 있다는 것을 시사하고 있다.

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조류의 Methylglyoxal과 인 Stress 연구 (Study of Methylglyoxal and Phosphorus Stress on Algae)

  • 이기태
    • Environmental Analysis Health and Toxicology
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    • 제13권3_4호
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    • pp.133-142
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    • 1998
  • Effects of phosphorous (P) and methylglyoxal (MG) on the cell number, dry weight, chlorophyll content, photosynthetic and respiratory rate, phosphate uptake and protein content of green algae (Scenedesrnus obliquus) were studied. The algal cell number from the medium treated with 0.5-1.0 mM of MG at 1/2 P or 1/4 P concentration was significantly lower than those of algae treated :with full strength of phosphrous in medium. The inhibitory effect of MG on algal cell division was enhenced at low concentration of phosphorous in medium. At the beginning of logrithmic phase of algal growth, the mean dry weight of algae from the medium without MG-treatment in 1/2 P media was significantly higher than that of algae treated with MG. After logrithmic phase of growth cycle, the mean dry weight of algae from the medium with 1.0 mM of MG-treatment in 1/4 P media was significantly lower than that of algae treated with or without MG. At logrithmic phase of algal growth, there were significant differences in the chlorophyll content among all groups of tested algae with various concentrations of P and MG. At 15 days after inoculation, the mean chlorophyll content per algal cell from the media without MG-treatment in 1/2P was significantly higher than that of other cells from MG-treated media. The adverse effect of MG at concentration of 0.5-1.0mM in 1/2 and 1/4 P media on photosynthetic rate was observed. The mean photosynthetic rate of algal cell without P and MG treatment at 15 days after inoculation was significantly higher than that of MGtreated algae. After logarithmic phase, the algal cell treated with 0.5mM of MG with full strength of phosphorous showed significantly high respiratory rate than that of other cell groups. There were significant differences in mean phosphate uptake rate among all groups of Scenedesmus obliquus at logarithmic phase. At 12 days after inoculation, phosphate uptake rate per each algal cell from the basic media without MG and P treatment was rapidly reduced which shows early introduction to stationary phase.

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A shell layer entrapping aerobic ammonia-oxidizing bacteria for autotrophic single-stage nitrogen removal

  • Bae, Hyokwan;Choi, Minkyu
    • Environmental Engineering Research
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    • 제24권3호
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    • pp.376-381
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    • 2019
  • In this study, a poly(vinyl) alcohol/sodium alginate (PVA/SA) mixture was used to fabricate core-shell structured gel beads for autotrophic single-stage nitrogen removal (ASNR) using aerobic and anaerobic ammonia-oxidizing bacteria (AAOB and AnAOB, respectively). For stable ASNR process, the mechanical strength and oxygen penetration depth of the shell layer entrapping the AAOB are critical properties. The shell layer was constructed by an interfacial gelling reaction yielding thickness in the range of 2.01-3.63 mm, and a high PVA concentration of 12.5% resulted in the best mechanical strength of the shell layer. It was found that oxygen penetrated the shell layer at different depths depending on the PVA concentration, oxygen concentration in the bulk phase, and free ammonia concentration. The oxygen penetration depth was around $1,000{\mu}m$ when 8.0 mg/L dissolved oxygen was supplied from the bulk phase. This study reveals that the shell layer effectively protects the AnAOB from oxygen inhibition under the aerobic conditions because of the respiratory activity of the AAOB.

광촉매 TiO2 루타일 타입 치환율에 따른 미세먼지 흡착형 경화체의 강도 특성 (Strength Properties of Fine Dust Adsorption Matrix using Photocatalyst TiO2 Rutile Replacement Ratio)

  • 경인수;이원규;이상수
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2019년도 추계 학술논문 발표대회
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    • pp.174-175
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    • 2019
  • Recently, due to air pollution caused by fine dust, it is considered as a social problem. Increasing fine dust has intensified air pollution, causing many diseases and damages. This year, Seoul, South Korea, reached a severe level of fine dust pollution worldwide. The Ministry of Environment has strengthened the environmental standard for fine dust (PM2.5) from $50{\mu}g/m^3$ to $35{\mu}g/m^3$ since March 2018. When fine dust enters the human body, it causes bronchial or skin elongation such as respiratory allergies, irritable pneumonia, asthma and atopy. In this study, $TiO_2$ rutile with photocatalytic activity was used, and materials prepared by rutile sulfuric acid method were used. The photocatalytic activity rate is 95% or more and the density is $4.1g/cm^3$. The matrix was based on cement, and the substitution rate of $TiO_2$ was 0, 5, 10, 15, 20 (%). The test item is flexural strength and compressive strength.

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Effects of partial sleep deprivation after prolonged exercise on metabolic responses and exercise performance on the following day

  • Mamiya, Aoi;Morii, Ikuhiro;Goto, Kazushige
    • 운동영양학회지
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    • 제25권1호
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    • pp.1-6
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    • 2021
  • [Purpose] We determined the effect of partial sleep deprivation (PSD) after an exercise session on exercise performance on the following morning. [Methods] Eleven male athletes performed either a normal sleep trial (CON) or a PSD trial. On the first day (day 1), all subjects performed an exercise session consisting of 90 min of running (at 75% ${\dot{V}}O_{2max}$) followed by 100 drop jumps. Maximal strength (MVC) was evaluated before and after exercise. In the CON trial, the sleep duration was 23:00-7:00, while in the PSD trial, the sleep duration was shortened to 40% of the regular sleep duration. On the following morning (day 2), MVC, the metabolic responses during 20 min of running (at 75% ${\dot{V}}O_{2max}$), and time to exhaustion (TTE) at 85% ${\dot{V}}O_{2max}$ were evaluated. [Results] On day 2, neither the MVC nor ${\dot{V}}O_2$ during 20 min of running differed significantly between the two trials. However, the respiratory exchange ratio was significantly lower in the PSD trial than in the CON trial (p = 0.01). Moreover, the TTE was significantly shorter in the PSD trial than in the CON trial (p = 0.01). [Conclusion] A single night of PSD after an exercise session significantly decreased endurance performance without significantly changing muscle strength or cardiopulmonary response.

패혈증과 패혈쇼크의 치료 지침 (Treatment Guidelines of Sepsis and Septic Shock)

  • 이흥범;문희
    • Tuberculosis and Respiratory Diseases
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    • 제67권6호
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    • pp.491-498
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    • 2009
  • Severe sepsis and septic shock are major healthcare problems with high mortality, ranging from 20% to 60%, affecting millions of individuals around the world each year. The speed and appropriateness of therapy administered in the initial hours after severe sepsis develops have an important impact on the outcome. In 2004, an international guideline that the bedside clinician could use to improve the outcomes in severe cases of sepsis and septic shock was published. Several landmark studies recently demonstrated that therapeutic strategies may reduce mortality substantially. The "Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock: 2008", using a new evidence-based methodology system for assessing the quality of evidence and the strength of the recommendations, was updated. The revised version is based on an updated search into 2007. Evidenced-based recommendations regarding the acute management of sepsis and septic shock are the first step toward improving the outcomes of critically ill patients. We review the treatment guidelines of sepsis and septic shock.

Modulation of the Cytochrome c Oxidase Activity by ATP: Implications for Mitochondrial Respiratory Control

  • Park, Nan-Hyang;Chun, Sun-Bum;Han, Tae-Young;Han, Sang-Hwa
    • BMB Reports
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    • 제29권4호
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    • pp.300-307
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    • 1996
  • ATP and ADP are potential regulators of mitochondtial respiration and at physiological concentrations they affect the rate of electron transfer between cytochrome c and cytochrome c oxidase. The electron transfer, however, depends on the electrostatic interaction between the two proteins. In order to exclude any nonspecific ionic effects by these polyvalent nucleotides, we used 2'-O-(2,4,6)trinitro(TNP)-derivatives of ATP and ADP which have three orders of magnitude higher affinity for cytochrome c oxidase. A simple titration of the fluorescence intensity of TNP by cytochrome c oxidase showed a binding stoichiometry of 2:1 cytochrome c:cytochrome c oxidase. Higher ionic strength was required for TNP-ATP than for TNP-ADP to be dissociated from cytochrome c oxidase, indicating that the negative charges on the phosphate group are at least partially responsible for the binding. In both spectrophotometric and polarographic assays, addition of ATP (and ADP to a less extent) showed an enhanced cytochrome c oxidase activity. Both electron paramagnetic resonance and fluorescence spectra indicate that there is no Significant change in the cytochrome c-cytochrome c oxidase interaction. Instead, reduction levels of the cytochromes at steadystate suggest that the increased activity of nucleotide-bound cytochrome c oxidase is due to faster electron transfer from cytochrome ${\alpha}$ to cytochrome ${\alpha}_3$, which is known to be the fate limiting step in the oxygen reduction by cytochrome c oxidase.

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Cardiopulmonary Resuscitation: New Concept

  • Lee, Kwang-Ha
    • Tuberculosis and Respiratory Diseases
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    • 제72권5호
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    • pp.401-408
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    • 2012
  • Cardiopulmonary resuscitation (CPR) is a series of life-saving actions that improve the chances of survival, following cardiac arrest. Successful resuscitation, following cardiac arrest, requires an integrated set of coordinated actions represented by the links in the Chain of Survival. The links include the following: immediate recognition of cardiac arrest and activation of the emergency response system, early CPR with an emphasis on chest compressions, rapid defibrillation, effective advanced life support, and integrated post-cardiac arrest care. The newest development in the CPR guideline is a change in the basic life support sequence of steps from "A-B-C" (Airway, Breathing, Chest compressions) to "C-A-B" (Chest compressions, Airway, Breathing) for adults. Also, "Hands-Only (compression only) CPR" is emphasized for the untrained lay rescuer. On the basis of the strength of the available evidence, there was unanimous support for continuous emphasis on high-quality CPR with compressions of adequate rate and depth, which allows for complete chest recoil, minimizing interruptions in chest compressions and avoiding excessive ventilation. High-quality CPR is the cornerstone of a system of care that can optimize outcomes beyond return of spontaneous circulation (ROSC). There is an increased emphasis on physiologic monitoring to optimize CPR quality, and to detect ROSC. A comprehensive, structured, integrated, multidisciplinary system of care should be implemented in a consistent manner for the treatment of post-cardiac arrest care patients. The return to a prior quality and functional state of health is the ultimate goal of a resuscitation system of care.

Effects of Five-month Training of Playing Harmonica on Pulmonary Function in Patients With Neuromuscular Disease: A Pilot Study

  • Kim, Bit-na-rae;Cynn, Heon-seock
    • 한국전문물리치료학회지
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    • 제25권3호
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    • pp.60-67
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    • 2018
  • Background: Progressive muscle weakness is aggravated not only in the skeletal muscles but also in the respiratory muscles in many patients with neuromuscular diseases (NMD). Inspiratory muscle training (IMT) has been reported as therapy for pulmonary rehabilitation to improve respiratory strength, endurance, exercise capacity, and quality of life, and to reduce dyspnea. Objects: The purpose of this study was to determine the effect of playing harmonica for 5 months on pulmonary function by assessing the force vital capacity (FVC), peak cough flow (PCF), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and maximal voluntary ventilation (MVV) in patients with NMD. Methods: Six subjects with NMD participated in this study. The subjects played harmonica once a week for 2 hours at a harmonica academy and twice a week for 1 hour at home. Thus, training was performed thrice a week for 23 weeks. The examiner assessed pulmonary function by measuring FVC in the sitting and supine positions and PCF, MIP, MEP, and MVV in the sitting position at the beginning of training and once a month for 5 months. Results: Both sitting and supine FVC significantly increased after playing harmonica (p=.042), as did MIP (p=.043) and MEP (p=.042). Conclusion: Playing harmonica can be used as an effective method to improve pulmonary function in patients with NMD.