• Title/Summary/Keyword: Respiratory training

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Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students (시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발을 위한 요구도 조사)

  • Yoo, So-Young;Kim, Sung-Hee;Lee, Ja-Hyung
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.170-176
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    • 2012
  • Purpose: The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students. Methods: Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing. Results: Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students. Conclusion: A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.

Structural Factors of the Middle East Respiratory Syndrome Coronavirus Outbreak as a Public Health Crisis in Korea and Future Response Strategies

  • Kim, Dong-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.6
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    • pp.265-270
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    • 2015
  • The recent Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak has originated from a failure in the national quarantine system in the Republic of Korea as most basic role of protecting the safety and lives of its citizens. Furthermore, a number of the Korean healthcare system's weaknesses seem to have been completely exposed. The MERS-CoV outbreak can be considered a typical public health crisis in that the public was not only greatly terrorized by the actual fear of the disease, but also experienced a great impact to their daily lives, all in a short period of time. Preparedness for and an appropriate response to a public health crisis require comprehensive systematic public healthcare measures to address risks comprehensively with an all-hazards approach. Consequently, discussion regarding establishment of post-MERS-CoV improvement measures must focus on the total reform of the national quarantine system and strengthening of the public health infrastructure. In addition, the Korea Centers for Disease Control and Prevention must implement specific strategies of action including taking on the role of "control tower" in a public health emergency, training of Field Epidemic Intelligence Service officers, establishment of collaborative governance between central and local governments for infection prevention and control, strengthening the roles and capabilities of community-based public hospitals, and development of nationwide crisis communication methods.

Breathing Information Extraction Algorithm from PPG Signal for the Development of Respiratory Biofeedback App (호흡-바이오피드백 앱 개발을 위한 PPG기반의 호흡 추정 알고리즘)

  • Choi, Byunghun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.67 no.6
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    • pp.794-798
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    • 2018
  • There is a growing need for a care system that can continuously monitor, manage and effectively relieve stress for modern people. In recent years, mobile healthcare devices capable of measuring heart rate have become popular, and many stress monitoring techniques using heart rate variability analysis have been actively proposed and commercialized. In addition, respiratory biofeedback methods are used to provide stress relieving services in environments using mobile healthcare devices. In this case, breathing information should be measured well to assess whether the user is doing well in biofeedback training. In this study, we extracted the heart beat interval signal from the PPG and used the oscillator based notch filter based on the IIR band pass filter to track the strongest frequency in the heart beat interval signal. The respiration signal was then estimated by filtering the heart beat interval signal with this frequency as the center frequency. Experimental results showed that the number of breathing could be measured accurately when the subject was guided to take a deep breath. Also, in the timeing measurement of inspiration and expiration, a time delay of about 1 second occurred. It is expected that this will provide a respiratory biofeedback service that can assess whether or not breathing exercise are performed well.

Effects on the Respiratory Function, Lower Extremity Muscle Activity and Balance for the Wellness of Stroke Patients - Focused on Whole Body Vibration Exercise Combined with Breathing Exercise - (뇌졸중 환자의 웰니스를 위한 호흡기능, 하지근활성도 및 균형에 미치는 효과 - 호흡운동을 결합한 전신진동운동을 중심으로 -)

  • Kang, Jeong-Il;Yang, Sang-Hoon;Jeong, Dae-Keun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.397-405
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    • 2020
  • The purpose of study was to compare respiratory function and quadriceps muscle activity in stroke patients by applying inspiratory muscle training combined with whole body vibration. In addition, the purpose of study is to present an exercise method for improving the respiratory function of stroke patients and the function of the lower limb muscles of stroke patients. Totally, 21 patients with Stroke patients were randomly assigned to two groups through clinical sampling. 11 patients who applied whole body vibration combined with respiratory exercise were randomly assigned to Experiment Group I, and 10 patients who applied placebo exercise combined with breathing exercise were randomly assigned to Experiment Group II. And for 5 weeks, 4 days/week, 1 time/day, 4 sets/1 time intervention program was implemented. Before intervention, the respiratory function was measured with a maximum inspiratory pressure meter, the lower extremity muscle activity was measured using the surface EMG, and the balance ability was measured using a bug balance test. And after 5 weeks, the post-test was re-measured and analyzed in the same way as the pre-test. In the comparison of changes within the group of experimental group I, there were significant differences in the activity and balance of the respiratory muscle strength, the biceps femoris, and the anterior tibialis muscle (p<.05). In the comparison of the changes in the experimental group I, there was a significant difference in respiratory strength and balance (p<.05). In the comparison of changes between groups, there was a significant difference in the activity of the biceps femoris and anterior tibialis (p<.01). In the future, research on protocols for respiratory exercise and whole body vibration to improve neuromuscular function is considered to be necessary.

Respiratory signal analysis of liver cancer patients with respiratory-gated radiation therapy (간암 호흡동조 방사선치료 환자의 호흡신호분석)

  • Kang, dong im;Jung, sang hoon;Kim, chul jong;Park, hee chul;Choi, byung ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.1
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    • pp.23-30
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    • 2015
  • Purpose : External markers respiratory movement measuring device (RPM; Real-time Position Management, Varian Medical System, USA) Liver Cancer Radiation Therapy Respiratory gated with respiratory signal with irradiation time and the actual research by analyzing the respiratory phase with the breathing motion measurement device respiratory tuning evaluate the accuracy of radiation therapy Materials and Methods : May-September 2014 Novalis Tx. (Varian Medical System, USA) and liver cancer radiotherapy using respiratory gated RPM (Duty Cycle 20%, Gating window 40% ~ 60%) of 16 patients who underwent total when recording the analyzed respiratory movement. After the breathing motion of the external markers recorded on the RPM was reconstructed by breathing through the acts phase analysis, for Beam-on Time and Duty Cycle recorded by using the reconstructed phase breathing breathing with RPM gated the prediction accuracy of the radiation treatment analysis and analyzed the correlation between prediction accuracy and Duty Cycle in accordance with the reproducibility of the respiratory movement. Results : Treatment of 16 patients with respiratory cycle during the actual treatment plan was analyzed with an average difference -0.03 seconds (range -0.50 seconds to 0.09 seconds) could not be confirmed statistically significant difference between the two breathing (p = 0.472). The average respiratory period when treatment is 4.02 sec (${\pm}0.71sec$), the average value of the respiratory cycle of the treatment was characterized by a standard deviation 7.43% (range 2.57 to 19.20%). Duty Cycle is that the actual average 16.05% (range 13.78 to 17.41%), average 56.05 got through the acts of the show and then analyzed% (range 39.23 to 75.10%) is planned in respiratory research phase (40% to 60%) in was confirmed. The investigation on the correlation between the ratio Duty Cycle and planned respiratory phase and the standard deviation of the respiratory cycle was analyzed in each -0.156 (p = 0.282) and -0.385 (p = 0.070). Conclusion : This study is to analyze the acts after the breathing motion of the external markers recorded during the actual treatment was confirmed in a reproducible ratios of actual treatment of breathing motion during treatment, and Duty Cycle, planned respiratory gated window. Minimizing an error of the treatment plan using 4DCT and enhance the respiratory training and respiratory signal monitoring for effective treatment it is determined to be necessary.

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The Case Study of Startle and Surprise Emergency Flight Training for Introduction of Non-Technical Flight Training to Commercial Airline Pilots in Korea (국내 민간항공사 조종사들의 비기술적 훈련 도입을 위한 사례연구: Startle 및 Surprise 비상상황 훈련 사례를 중심으로)

  • Hwang, Jae-Kab;Yoon, Han-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.473-482
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    • 2021
  • The introduction of automated flight systems has greatly improved aviation safety, but aircraft pilots continue to face new challenges. The pilot's stress from an aeronautical perspective can be distinguished by the 'Startle and Surprise' responses. 'Startle' is a short, strong physiological response to sudden or threatening stimuli such as unexpected gunfire. 'Surprise' is a cognitive-emotional response to an event that goes beyond one's expectations. In Martin et al.'s (2012) Startle Effect Experiment, the pilot identified physiological responses in the 'Startle' state, including delayed response and increased heart rate. In the Rahim (2020) Startle/Surprise experiment, the pilot's breathing rate and pulse rate did not change due to pre-planned emergency training. On the other hand, it was confirmed that the pilot's respiratory and heart rate were greatly increased due to the complicated aircraft and unplanned emergencies. Based on the results of these experiments, domestic pilots need to be trained to handle non-technical and various unexpected emergencies that could arise in an aircraft, rather than be just put through courses for enhancing technical capabilities or simple repetitive training as required by aviation law.

Anal breathing training and oriental medical study of the anal breathing (항문호흡 수련 및 항문호흡의 한의학적 고찰)

  • Song, Jeong-min;Kang, Han-joo;Kim, Jeong-hwan
    • Journal of Korean Medical Ki-Gong Academy
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    • v.11 no.1
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    • pp.262-283
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    • 2009
  • 1. Anus is one of the nine holes, a soul store and on the lungs and the lungs, so the soulgate is said to meet. In addition, weight 450g, length 14.31inch, horizontal, and the 2.74inch, hit the road, the lungs and the reaction of the colon was found to represent the five viscera were dirty. 2. Spirit directly to the anus of the five viscera and the traffic outside and pass the information where I can get, and a close relation to the breathing, and each groups' je-hang-suk-sin-gong, je-hang-gong, anal breathing, jwa-sik training, jung-gi-dan-beop, martial arts method, Kegel exercises, breathing training, such as the anus is the name. 3.Anal way of breathing while breathing naturally slow down when you inhale air, tighten the anus and rectum to release when you breathe out, give way (or vice versa), the number of 5-20, he'll make you build up gradually. 4.Associated with respiratory training in Oriental medicine perspective, it is a Mac gi-gyeong eight vessel. In addition, out of gi-gyeong eight vessel in breathing training and more closely related to the Conception Vessel, Governor Vessel. 5.Governor Vessel, Conception Vessel and connect the energy up, down, left and right to communicate is the so-ju-cheon. To complete the Governor Vessel instantly without the energy leak from the Mir-yeo(尾閭) to reach the anus should be breathing. 6.Start the Conception Vessel Through fare Vessel hoeǔm, hoeǔm important acupuncture point can be activated by itself does not have the muscle to the hoeǔm around the anus energy and blood breathing helps circulation.

Assessment of Village Health Worker Training Program in Tuguegarao, Philippine

  • Kim, Jung-Min;Koh, Kwang-Wook;Oak, Chul-Ho;Jung, Woo-Hyuk;Kim, Sung-Hyun;Park, Dae-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.6
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    • pp.377-385
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    • 2009
  • Objectives : This study was performed to evaluate the effectiveness of 'village health worker training program' which aimed to build community participatory health promotion capacity of community leaders in villages of low developed country and to develop methods for further development of the program. Methods : The intervention group were 134 community leaders from 25 barangays (village). Control group were 149 form 4 barangays. Intervention group participated 3-day training program. Questionnaire was developed based on 'Health Promotion Capacity Checklist' which assessed capacity in 4 feathers; 'knowledge', 'skill', 'commitment', and 'resource'. Each feather was assessed in 4 point rating scale. Capacity scores between intervention group and control group were examined to identify changes between the pre- and post-intervention periods. A qualitative evaluation of the program was conducted to assess the appropriateness of the program. The program was conducted in Tuguegarao city, Philippine in January, 2009. Results : The result showed significant increases in the total health promotion capacity and each feather of health promotion capacities between pre and post assessment of intervention group. But there was no significant change in that of control group. Participants marked high level of satisfaction for preparedness, selection of main subjects and education method. Qualitative evaluation revealed that training program facilitated community participatory health promotion capacity of participants. Conclusions : This study suggested that the Village health worker training program is effective for building health promotion capacity of community leaders and it can be a main method for helping low developed countries with further development.

Effects of a First-aid Skills Training for Elementary Students - Focus on Management of Foreign Body Airway Obstruction - (일부 초등학교 학생들의 응급처치 교육효과 -기도 폐쇄 시 응급처치 교육을 중심으로-)

  • Kim, You-Sun;Kim, Hyeon-Suk;Kim, Yun-Shin
    • Journal of the Korean Society of School Health
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    • v.24 no.1
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    • pp.50-60
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    • 2011
  • Purpose: This paper compares practical first aid training and theoretical first aid training in elementary schools. Methods: Research subjects were randomly selected and sorted into experimental and control groups. The former is one class (28 students) of the fifth grade students, and the latter is another class (30 students). In order to verify the effect of first aid training, we conducted theoretical as well as practical first-aid instruction about foreign body airway obstruction to the experimental group, but conducted only theoretical instruction with the control group. Data were analyzed by the ${\chi}^2$-test and t-test, one-way using the SPSS / win 12.0 program. The results were as follows (p=.05). Results: The first hypothesis was that the knowledge of an experimental group would be better than that of a control group. The analysis showed a significant difference (p=.000) between the two groups, supporting this hypothesis. The second hypothesis was that the experimental group would be more accurate than the control group. There was no because of (p=.000) between the two groups on this measure. The third hypothesis, that the two groups would vary over time on the measure of accuracy, was supported by the following observations: the experimental results were accumulated before, two days after and two weeks after the training (experimental group, p=.000, and control group, p=.000). This supports the third hypothesis that the technical performance accuracy levels of complete respiratory obstruction first aid vary over time. Conclusion: First aid training has to include practical education as well as theoretical education in the future, as part of a school's health education for elementary students. Health education classrooms should be prepared to teach first-aid theory and be supplied with equipment for practical exercises. Schools, communities, and private organizations need to carry out the practical education component periodically.

A Study of Stress-Control by Qigong Program (기공프로그램이 스트레스완화에 미치는 영향)

  • Shin, Yong-Cheol
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.133-139
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    • 2007
  • In the study of Stress-Control by Qigong Program, the results were as follows : In modern society, many stress factors affect the human organism, altering and chipping away at our nervous, endocrine, locomotor, reproductive, digestive, respiratory, circulatory and immune systems. The beneficial effects of Qigong can help us to restore our equilibrium and enhance our quality of life. This study was performed to investigate the effect of Qigong on stress and psychological symptoms. Twenty-two subjects were trained Qigong Program a week for 8 weeks. The stress index of subjects and psychosomatic symptoms was compared before and after Qigong Program and was significantly decreased after Qigong training. It means that the stress index and psychosomatic symptoms were improved by Qigong training.

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