• Tuberculosis and Respiratory Diseases
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• v.44 no.2
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• pp.329-337
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• 1997

Background : Since endotracheal tube is the most important factor involved in the imposed work of breathing during mechanical ventilation, extubation of endotracheal tube is supposed to reduce respiratory work of patient. However, some patients show labored breathing after extubation despite acceptable blood gases. We investigated the changes of work of breathing before and after extubation and the factors involved in the change of WOB after extubation. Methods : The subjects were 34 patients(M : F = 20 : 14, mean age = $61{\pm}17yre$) who recovered from respiratory failure after ventilatory support and were considered to be ready for extubation. The patients with clinical or radiologic evidences of upper airway obstruction before endotracheal intubation for mechanical ventilation were excluded. Vital sign, physical examination, chest X-ray, work of breathing and other respiratory mechanic indices were measured prior to, immediately, 6, 24 and 48 hours after extubation serially. Definition of weaning failure after extubation was resumption of ventilatory support or reintubation of endotracheal tube within 48 hour after extubation because of respiratory failure. The patients were classified into group 1(decreased work of breathing), group 2(unchanged work of breathing) and group 3(increased work of breathing) depending on the statistical difference in the change of work of breathing before and after extubation. Results : Work of breathing decreased in 33%(11/34, group 1), unchanged in 41%(14/34, group 2) and increased in 26%(9/34, group 3) of patients after extubation compared with before extubation. Weaning failure occurred 9%(1/11) of group, 1, 28.6%(4/14) of group 2 and 44%(4/9) of group 3 after extubation(p = 0.07). The change of work of breathing after extubation was positively correlated with change of mean airway resistance(mRaw). (r = 0.794, p > 0.01). In three cases of group 3 whose respiratory indices could be measured until 48 hr after extubation, the change in work of breathing paralleled with the sequential change of mRaw. The work of breathing was peaked at 6 hr after extubation, which showed a tendency to decrease thereafter. Conclusions : Reversible increase of work of breathing after extubation may occur in the patients who underwent extubation, and the increase in mRaw could be responsible for the increase in work of breathing. In addition, the risk of weaning failure after extubation may increase in the patients who have increased WOB immediately after extubation.

• Journal of Korean Academy of Nursing
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• v.48 no.3
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• pp.279-288
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• 2018

Purpose: The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery. Methods: The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experimental group and the control group. The experimental group completed a daily breathing exercise regimen using panflutes for 30minutes after meals, whereas the control group was provided standard preoperative education, including breathing exercises using incentive spirometers. After the exercise regimen, breathing exercise compliance, pulmonary infections, and life satisfaction were measured in both groups, and the data were analyzed using the SPSS/WIN program. Results: The compliance rate of breathing exercises was significantly higher in the experimental group. The experimental group presented no pulmonary infections in the later period, whereas the control group presented higher pulmonary infection rates in the same period. In addition, the life satisfaction score in the experimental group significantly increased. Conclusion: The breathing exercise program using panflutes for elderly patients undergoing spinal surgery enhanced their breathing exercise compliance and their daily life satisfaction in addition to reducing their pulmonary infection rates.

• Safety and Health at Work
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• v.9 no.4
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• pp.468-472
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• 2018

Background: Firefighters are required to use self-contained breathing apparatus (SCBA), which impairs ventilatory mechanics. We hypothesized that firefighters have elevated arterial $CO_2$ when using SCBA. Methods: Firefighters and controls performed a maximal exercise test on a cycle ergometer and two graded exercise tests (GXTs) at 25%, 50%, and 70% of their maximal aerobic power, once with a SCBA facemask and once with protective clothing and full SCBA. Results: Respiratory rate increased more in controls than firefighters. Heart rate increased as a function of oxygen consumption ($V_{O_2}$) more in controls than firefighters. End-tidal $CO_2$ ($ETCO_2$) during the GXTs was not affected by work rate in either group for either condition but was higher in firefighters at all work rates in both GXTs. SCBA increased $ETCO_2$ in controls but not firefighters. Conclusions: The present study showed that when compared to controls, firefighters' hypoventilate during a maximal test and GXT. The hypoventilation resulted in increased $ETCO_2$, and presumably increased arterial $CO_2$, during exertion. It is proposed that firefighters have altered $CO_2$ sensitivity due to voluntary hypoventilation during training and work. Confirmation of low $CO_2$ sensitivity and the consequence of this on performance and long-term health remain to be determined.

• Journal of Sensor Science and Technology
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• v.14 no.6
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• pp.415-422
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• 2005

Using stretch sensors, a stuttering treatment training device that improve the abnormal breathing of stutterer was designed and developed. To improve stutterer's inadequate breathing method that is one of principal reason of stammering, the device estimates breathing method by checking the changes of the stretch sensor's resistances those are put on the chest and abdomen of user. And a vocal exercise program that carry out exercises only when the user maintains the abdominal breathing was designed. Using a PIC16C711 device that includes an A/D convertor, a main controller was designed and the vocal exercises software was developed using Director and C program with graphic user interface for user convenience. The controller sends the resistance data of sensors to PC through the serial port and the software verifies the breathing method. And the device was designed that the RTS (request to send) pin of serial port in PC is used as a power source so that it can work without any battery or other power source. Three stutterers have carried out the clinical experiments using the implemented device for two months and the results showed it was excellent to alleviate the stuttering.

• Journal of Korean Society for Quality Management
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• v.46 no.2
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• pp.301-310
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• 2018

Purpose: The purpose of this study is to investigate the effect of work intensity on fit factor and affective quality of the dustproof Background: Among the victims who suffer pneumoconiosis due to the inhalation of toxic substances or the lack of oxygen during the work, the proportion of the victims is larger than the other causes. Wearing a respirator may prevent pneumoconiosis, but it can be hazardous to workers because of the leakage through filters, cartridges, exhaust valves, broken parts, and face-to-face contact. Despite leakage through the contact area between the mask and the face has various causes such as the wearer's activity, sweat accumulation, facial shape, etc., There is a lack of relevant research and regulation compared to developed countries that have already institutionalized the law 30 years ago and give the right to sell through a test Method: The work intensity was adjusted by walking or running at 6km/h and 11km/h on the treadmill, and tasks were defined with reference to the test procedure and the exercise sequence applied in the face leakage test of the dustproof mask. And fit factor was measured objectively using 'Respirator Fit Tester 8038' which measures fit factor calculated by dividing the number of dust present outside the mask by inside the mask. In addition, affective quality was classified by the ease of use, ease of breathing, and ease of wearing, and was measured using the 5-point likert scale questionnaire. Results: There was a significant difference in fit factor, ease of breathing, and wearing convenience according to work intensity and no significant difference in ease of use(${\alpha}=0.01$). And when the work intensity was high, fit factor, ease of breathing, and wearing convenience were all lower than when the work intensity was low. Conclusion: In Korea, it is necessary to consider consideration of the work intensity when testing the leakage rate of the face part for safety certification of the respiratory protective equipment, When developing a mask, it should be possible to maintain high adhesion even under intense, active situation and high temperature conditions by selecting materials, improving the wearing style, and expanding the adjustable range.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.12 no.1
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• pp.63-79
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• 2008

Background: The consequences of disordered breathing patterns are not only distressing to the patient but also expensive to our health care systems if they are not diagnosed and treated. So we performed this study to investigate clinical significants trough gigong, yoga and hyperventilation in oriental medicine and westen medicine Method: Voluntary control of respiration is one of the main methods of physical and mental training such as meditation, qigong meditation or Yoga. So, this study focuses on breathing in qigong and yoga. This study appreciates a role that a control of respiration has in physical, mental aspects and searches side-effects in qigong and yoga Conclusions: A control of respiration has a function that manages Jung(精), Qi(氣), Shin(神) in Oriental Medicine. It manages Autonomic Nerve system, Endocrine system and induces natural awareness. So Briging the body and mind work through a control of breathing. Breathing pattern disorder has Damum and Qiher pattern in Oriental Medicine pattern. This disease pattern concearnes ATP metabolism. Qiher is concearned with a mitochondria disorder and Damum is concearned with a products of lactate. we guess that Lactate analysis may be utilized as a diagonostic criteria of Breathing pattern disorder. After this, It needs a study that Lactate analysis is concearned with Breathing pattern disorder as Damum pattern. Result: A control of respiration is related not only breathing but also spiritual and physical state. Joo-hwa-ip-ma as Breathing pattern disorder is smiliar to hyperventilation. HVS is patternated Damum and Qi-Weakness pattern in oriental medicine. Lactate is an important complement that diagonates HVS and will be concearned with Damum.

• ETRI Journal
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• v.45 no.6
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• pp.1046-1055
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• 2023

We introduce a display for virtual-reality (VR) fire training. Firefighters prefer to wear and operate a real breathing apparatus while experiencing full visual immersion in a VR fire space. Thus, we used a thin head-mounted display (HMD) with a light field and folded optical system, aiming to both minimize the volume for integration in front of the face into a breathing apparatus and maintain adequate visibility, including a wide viewing angle and resolution similar to that of commercial displays. We developed the optical system testing modules and prototypes of the integrated breathing apparatus. Through iterative testing, the thickness of the output optical module in front of the eyes was reduced from 50 mm to 60 mm to less than 20 mm while maintaining a viewing angle of 103°. In addition, the resolution and image quality degradation of the light field in the display was mitigated. Hence, we obtained a display with a structure consistent with the needs of firefighters in the field. In future work, we will conduct user evaluation regarding fire scene reproducibility by combining immersive VR fire training and real firefighting equipment.

• Herbal Formula Science
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• v.32 no.3
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• pp.311-324
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• 2024

Objectives : Human body keeps balance through the interaction of various organs, especially the lungs and kidneys are closely connected in maintaining health and preventing disease. This study explores how the lungs and kidneys interact in terms of breathing and fluid balance and aims to find common ground between Eastern and Western medical practices. Methods : Similar explanations related to the interaction between the lungs and kidneys in the physiology and pathology of Traditional Korean Medicine(TKM) and biomedicine were compared. Results : In breathing, the lungs and kidneys work together by adjusting abdominal pressure with the diaphragm and maintaining acid-base balance, and hormones and enzymes secreted from the kidneys significantly affect lung function. This process corresponds to the concept of TKM that the kidneys control the reception of qi (腎主納氣). For fluid balance, the lungs help manage fluid levels through evaporation and sweating, interacting with the kidneys via the Renin-Angiotensin System (RAS), ACE, ACE2 enzymes, and antidiuretic hormone (ADH). This is similar to the theory in TKM that the lungs regulate human fluid (肺主通調水道). Conclusions : This research shows that by looking at the same physiological and pathological processes from different angles, we can reduce misunderstandings between Eastern and Western medicine. It helps improve the understanding of TKM's theories and supports building a unified framework for both medical traditions. Future work should focus on developing compatible theoretical systems across these fields.

• East Asian Journal of Business Economics (EAJBE)
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• v.9 no.4
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• pp.81-92
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• 2021

Purpose - Work stress environment is expanding alongside the speed of worldwide change and psychological well-being concerns are coming about because pressure over-burden can bring about lost workdays, lower representative usefulness, and high occupation turnover rates. For this reason, this study investigates to provide how practitioners can manage employee work stress using health psychology based on prior studies. Research design, Data, and methodology - Qualitative textual research involves collecting and analyzing various non-numeric data to establish different concepts or opinions in prior literature. That means that the present researcher carried out qualitative research in multiple ways, investigating many kinds of previous textual data, such as prior published peer-reviewed resources and case studies analysis. Result - The results revealed that directed symbolism has been displayed to improve prosperity and tranquility among employees with an assortment of persistent infections. Like diaphragmatic breathing, reflection practices consolidate zeroing in on a particular article or sensation (like breathing) while at the same time separating from other distracters and controlling inward encounters (for example, feelings, musings) through non-critical acknowledgment. Conclusion - This research proposes that intellectual rebuilding or figuring out how to perceive maladaptive musings and change them to reflect more versatile; judicious idea examples can fundamentally further develop temperament, diminish pressure, and reduction negative feelings for employees.

• The Journal of Korean Physical Therapy
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• v.27 no.4
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• pp.234-239
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• 2015

Purpose: This study is not a fragmentary study on characteristics of respiratory synergist when breathing, however it was intended to determine the effect of currently available respiratory exercise and to provide basic clinical information through investigation of oxygen demand and respiratory synergist that mobilizes for respiration during application of respiratory exercise. Methods: Experimental group I was selected from second grade of severity classification of GOLD, which has the highest percentage among patients with COPD, and experimental group II was selected from third grade of severity classification as a clinical sampling. After respiration pursing up lips and diaphragm respiration exercise were mediated together for six weeks, activity of respiratory muscles and oxygen saturation were measured and analyzed. Results: In comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in sternocleidomastoid muscle and scalene muscle showed a meaningful decrease in experimental group I. And, in comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in rectus abdominis muscle showed a meaningful increase in experimental group II. In comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in sternocleidomastoid muscle, scalene muscle, and rectus abdominis muscle showed a meaningful difference between experimental groups. Conclusion: Respiratory synergists work mainly as agonist of chest and upper limbs. Therefore it is very important to lower mobilization of respiratory synergist when breathing. It is considered that a multilateral approach and continued clinical research for improvement of respiratory function for patients with COPD will be needed in the future.