• Title/Summary/Keyword: breath-by-breath

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Utility Estimation of the Application of Auditory-Visual-Tactile Sense Feedback in Respiratory Gated Radiation Therapy (호흡동조방사선치료 시 Real Time Monitor와 Ventilator의 유용성 평가)

  • Jo, Jung Hun;Kim, Byeong Jin;Roh, Shi Won;Lee, Hyeon Chan;Jang, Hyeong Jun;Kim, Hoi Nam;Song, Jae Hun;Kim, Young Jae
    • The Journal of Korean Society for Radiation Therapy
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    • v.25 no.1
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    • pp.33-40
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    • 2013
  • Purpose: The purpose of this study was to evaluate the possibility to optimize the gated treatment delivery time and maintenance of stable respiratory by the introduction of breath with the assistance of auditory-visual-tactile sense. Materials and Methods: The experimenter's respiration were measured by ANZAI 4D system. We obtained natural breathing signal, monitor-induced breathing signal, monitor & ventilator-induced breathing signal, and breath-hold signal using real time monitor during 10 minutes beam-on-time. In order to check the stability of respiratory signals distributed in each group were compared with means, standard deviation, variation value, beam_time of the respiratory signal. Results: The stability of each respiratory was measured in consideration of deviation change studied in each respiratory time lapse. As a result of an analysis of respiratory signal, all experimenters has showed that breathing signal used both Real time monitor and Ventilator was the most stable and shortest time. Conclusion: In this study, it was evaluated that respiratory gated radiation therapy with auditory-visual-tactual sense and without auditory-visual-tactual sense feedback. The study showed that respiratory gated radiation therapy delivery time could significantly be improved by the application of video feedback when this is combined with audio-tactual sense assistance. This delivery technique did prove its feasibility to limit the tumor motion during treatment delivery for all patients to a defined value while maintaining the accuracy and proved the applicability of the technique in a conventional clinical schedule.

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Evaluation of Dose Reduction of Cardiac Exposure Using Deep-inspiration Breath Hold Technique in Left-sided Breast Radiotherapy (좌측 유방암 방사선 치료에서 깊은 들숨 호흡법을 이용한 심장 선량 감소 평가)

  • Jung, Joo-Young;Kim, Min-Joo;Jung, Jae-Hong;Lee, Seu-Ran;Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.24 no.4
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    • pp.278-283
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    • 2013
  • Breast cancer is the leading cause of cancer death in women worldwide and the number of women breast cancer patient was increased continuously. Most of breast cancer patient has suffered from unnecessary radiation exposure to heart, lung. Low radiation dose to the heart could lead to the worsening of preexisting cardiovascular lesions caused by radiation induced pneumonitis. Also, several statistical reports demonstrated that left-sided breast cancer patient showed higher mortality than right-sided breast cancer patient because of heart disease. In radiation therapy, Deep Inspiration Breath Hold (DIBH) technique which the patient takes a deep inspiration and holds during treatment and could move the heart away from the chest wall and lung, has showed to lead to reduction in cardiac volume and to minimize the unnecessary radiation exposure to heart during treatment. In this study, we investigated the displacement of heart using DIBH CT data compared to free-breathing (FB) CT data and radiation exposure to heart. Treatment planning was performed on the computed tomography (CT) datasets of 10 patients who had received lumpectomy treatments. Heart, lung and both breasts were outlined. The prescribed dose was 50 Gy divided into 28 fractions. The dose distributions in all the plans were required to fulfill the International Commission on Radiation Units and Measurement specifications that include 100% coverage of the CTV with ${\geq}95%$ of the prescribed dose and that the volume inside the CTV receiving >107% of the prescribed dose should be minimized. Scar boost irradiation was not performed in this study. Displacement of heart was measured by calculating the distance between center of heart and left breast. For the evaluation of radiation dose to heart, minimum, maximum and mean dose to heart were calculated. The present study demonstrates that cardiac dose during left-sided breast radiotherapy can be reduced by applying DIBH breathing control technique.

Related factors of preventive behavior experiences toward dental caries and periodontal disease in Korean adolescents (한국 청소년의 치아우식증과 치주질환에 대한 예방행위 경험 관련요인)

  • Park, Sin Young;Han, Yeo Jung;Ryu, So Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.417-426
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    • 2016
  • Objectives: The objective of the study was to investigate the related factors of preventive behavior experience toward dental caries and periodontal disease in Korean adolescents. Methods: The study subjects were 72,060 adolescents in 800 schools who completed 2014 Korean Youth Risk Behavior Web-based survey. Dependent variables included general characteristics of the subjects, oral health behavior, and oral disease experience. The experience rate of sealant and scaling showed the prevention behavior of dental caries and periodontal disease. Data were analyzed by IBM SPSS statistics 20.0. Results: The experience rate of sealant accounted for 26.9%. The experience of sealant was related with gender, school, maternal education level, economic status, vigorous physical activity, smoking, usual stress, fruit consumption, milk consumption, soda consumption, snack consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. The experience rate of scaling was 22.6%. The experience of scaling was related with gender, school, city division, learning achievement, maternal education level, economic status, residential type, vigorous physical activity, usual stress, fruit consumption, milk consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. Conclusions: To expand preventive oral health behavior in the adolescents, it is necessary to support the systematic policy making and monetary establishment in the future.

Superior Vena Caval Syndrome -Report of A Case- (특발성 종격동섬유화에 의한 상공정맥증후군일예)

  • 박강식
    • Journal of Chest Surgery
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    • v.12 no.2
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    • pp.140-144
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    • 1979
  • This is a report of a case of superior vena caval syndrome due to idiopathic mediastinal fibrosis, which was surgically treated. The patient was 35-year-old Korean male who progressively complained shortness of breath about for 40 days prior to operation. Phlebogram of SVC showed indentation of SVC at the site of cavoatrial junction. The operation was performed under impression of bronchogenic cancer of right hilum. After thoracotomy, it was found a irregular mass in the mediastinum at the level of cavoatrial junction, which was developed to surrounding with SVC, pericardium, trachea and bronchus and they fixed together to immobile. Bypass graft between SVC and right atrial appendage was performed using a pericardial roll tube This is a report of a case of superior vena caval syndrome due to idiopathic mediastinal fibrosis, which was surgically treated. The patient was 35-year-old Korean male who progressively complained shortness of breath about for 40 days prior to operation. Phlebogram of SVC showed indentation of SVC at the site of cavoatrial junction. The operation was performed under impression of bronchogenic cancer of right hilum. After thoracotomy, it was found a irregular mass in the mediastinum at the level of cavoatrial junction, which was developed to surrounding with SVC, pericardium, trachea and bronchus and they fixed together to immobile. Bypass graft between SVC and right atrial appendage was performed using a pericardial roll tube [$1.3{\times}5$ cm]. After that SVC was decompressed very well. SVC pressure was markedly reduced from 32 cm $H_2O$ in preoperative to 21 cm $H_2O$in postoperative. Mediastinal fibrosis was confirmed by histopathological examination postoperatively. The postoperative course was uneventful.

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A Study on the Respiratory System Health Condition of Dental Laboratory Technicians in Jullabuk-do (전라북도 치과기공사들의 호흡기계 건강에 관한 조사연구 (1993년도와 2001년도 비교연구))

  • Choi, Un-Jea;Shin, Moo-Hak;Lee, In-Kyu;Chung, Hee-Sun
    • Journal of Technologic Dentistry
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    • v.24 no.1
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    • pp.19-31
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    • 2002
  • The purpose of this study was to examine the respiratory system health condition of dental technicians and to be of use for more successful health management and health promotion for them. The subjects in this study were 155 dental technicians who were working in North Jeolla province. Out of them, 70 dental mechanics were investigated in 1993, and 85 were surveyed in 2001. And the reports of the two groups on respiratory distress, including cough, sputum, phlegm, the notable sound of breathing, nasal discharge, coryza, shortness of breath and gasping, were compared. The findings of this study were as below: 1. The cough report rate was 24.3% in 1993 and 16.5% in 2001. There appeared approximately 7.8% decrease between the two years. The most powerful variables included working hours and age. 2. The complaint rate of sputum and phlegm was 47.1% in 1993 and 43.5% in 2001. The rate of 2001 reduced by 3.6%. Whether or not they smoked was identified as the most influential variable. 3. The report rate of shortness of breath and gasping was 7.4% in 1993 and 12.9% in 2001, and this rate showed about 1.5% increase in the latter year. The biggest variables were working hours and career. 4. The complaint rate of nasal discharge and coryza was 41.4% in 1993 and 44.7% in 2001, which showed about 3.3% increase. The largest variables were smoking and career. 5. The report rate of the notable sound of breathing and breathing in light little gasps was 12.0% in 1993 and 17.6% in 2001. There was approximately 5.6% increase, and the most powerful variables were working hours and career.

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Unrecorded Phytophthora Diseases of Flowering Plants Caused by Phytophthora nicotianae in Korea (Phytophthora nicotianae에 의한 국내 미기록 화훼류 역병)

  • 지형진;김완규;김재영;임성언
    • Korean Journal Plant Pathology
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    • v.14 no.5
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    • pp.452-457
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    • 1998
  • Thirty-eight isolates of Phytophthora sp. caused rots on roots and basal stems were collected from five flowering plants from 1992 to 1997 at eight cultivation areas in Korea. All the isolates were identified as P. nicotianae based on following characteristics. The fungus produced markedly papillate, not caducous and ovoid to spherical sporangia, abundant chlamydospores, and small oospores with amphigynous antheridia only when paired with either A1 or A2 mating type. All isolates grew well at 35$^{\circ}C$ and showed distinct arachnoid colony patterns on CMA and PDA. Sizes of sporangia and chlamydospores of five representative isolates from each plant averaged 43-52$\times$30-38 ${\mu}{\textrm}{m}$ and 28 ~34 ${\mu}{\textrm}{m}$. Mating type of the isolates was either A1 or A2, and oogonia and oospores were measured as 28~31 ${\mu}{\textrm}{m}$ and 21~25 ${\mu}{\textrm}{m}$. PCR-RFLP analysis of rDNA of the five isolates resulted that restriction band patterns of the small subunit and ITS regions were identical to a perilla isolate of P. nicotianae, but distinct from P. cactorum and P. capsici. Cross inoculation tests showed that the five isolates had pathogenicity to lily, christmas cactus, anthurium, baby's breath and carnation with different degrees. However, each isolate showed stronger pathogenicity to its corresponding original host than others. Among five lily cultivars Georgia and Quririna were more susceptible than Napoli and others. This is first report of Phytophthora root and stem rot of lily, Christmas cactus, anthurium, baby's breath and monochoria in Korea.

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Characteristics of Speech Breathing in de novo Idiopathic Parkinson's Disease during Passage Reading Tasks (De novo 특발성 파킨슨병 환자의 문단 읽기 과제에서의 호흡 특성)

  • Kim, Byung-Me;Sohn, Young-Ho;Baek, Seung-Jae;Lee, Phil-Hyu;Nam, Chung-Mo;Lee, Ji-Eun;Choi, Yae-Lin
    • Phonetics and Speech Sciences
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    • v.3 no.1
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    • pp.103-110
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    • 2011
  • Idiopathic Parkinson's Disease patients' speech is hypokinetic dysarthria and their speech is possibly the consequence of impaired respiratory support. The purpose of this study was focused on the respiratory characteristics of speech breathing in de novo IPD who were not given prior vocal or anti-Parkinson treatment. A total of 40 subjects participated in the study: 20 de novo IPD patients between the ages of 50 and 80, and 20 normal subjects with similar age, height, and weight matches. Forced Expiratory Vital Capacity (FVC), Forced Expiratory Volume in 1 sec (FEV1) and $FEV_1$ as a percentage of FVC (FEV1/FVC) was measured with a PC-based spirometer (Cosmed). In addition, Maximum Phonation Time (MPT), Mean Airflow Rate (MFR), Subglottal Pressure (Psub) and the number of syllables produced per breath were measured with a Phonatory Aerodynamic System (Kay PENTAX). All subjects were asked to read a standardized Korean paragraph and the following measurements were obtained from the task. Results indicated no statistically significant differences in respiratory function (FEV1/FVC%) and aerodynamic function between the two groups, but the number of syllables per breath was significantly lower in the IPD patient group than in the normal group and it could be predicted by FVC and MFR. Therefore, the study shows that the MFR from the lungs during speech in de novo IPD patients is used inefficiently.

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The Convergence Relationship between Health Behavior and Oral Symptoms in Adolescents (청소년의 건강행태와 구강 증상과의 융합적 관련성)

  • Kang, Hyun-Joo
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.83-90
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    • 2020
  • The purpose of this study was to provide data on the development of educational programs to maintain oral health in adolescence by identifying the relevance of health behavior and symptom to adolescents. The subjects of this study were 27,919 high school students' using the 15th (2019) Youth Health Behavior Online Survey. The logistic regression analysis was used to identify the factors influencing oral symptoms. The results showed that the recognition of gingiva pain was significantly lower in the subjects with male sex, lower education level, higher income level, and higher subjective perception of oral health. Higher the stress, higher the pain recognition, revealing a statistical significance. The awareness on bad breath-related symptoms was significantly higher in the adolescents with male sex, higher degree of stress, and lower frequency of daily toothbrushing. The lower awareness on halitosis was associated with higher income and higher subjective perception of oral health, showing a statistical significance. This study found that the health behavior of adolescents had an effect on their oral symptoms and the finding is expected to help develop programs for preventing those oral symptoms.

Relationship between periodontal diseases and quality of life (치주질환자의 구강보건특성과 삶의 질의 관계)

  • Lee, Ji-Young;Kim, Gey-Pyo;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.835-843
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    • 2013
  • Objectives : The purpose of this study was to evaluate the chewing ability, oral-health related quality of life and factors in periodontal disease patients. Methods : Subjects were 111 patients having peridontal disease in 10 dental clinics in Busan and Gyeongsangnamdo. Questionnaire survey was carried out from July to August 2010. Questionnaire consisted of demographic characteristics, oral health factors, chewing ability and quality of life. Data were analyzed by descriptive analysis, t-test, ANOVA, correlation analysis, and multiple regression analysis using SAS(Ver 9.2) set at p<0.05. Results : Chewing ability was $44.85{\pm}8.8$, and their quality of life was $41.7{\pm}8.8$. Low level of quality of life was closely related to those factors as education, missing of more than 5 posterior teeth, certain subjective periodontal symptoms including swollen gums, sore gums, drifting gums, bad breath and toothache. The effective factors to the quality of life was chewing ability, bad breath and toothache. Conclusions : Chewing ability and quality of life were closely related each other. To enhance the quality of life, chewing ability should be improved. Proper treatment and effective method of management should also be properly considered to prevent the subjective periodontal symptoms and to minimize tooth loss.

The relationship between subjective body shape perception, health factors, and oral health factors among Korean adolescents - based on the 2015 Korea Youth Risk Behavior Web-Based Survey - (한국 청소년의 주관적인 체형 인식과 건강요인 및 구강건강요인과의 관련성 - 2015년 청소년건강행태온라인조사를 바탕으로 -)

  • Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.827-840
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    • 2017
  • Objectives: The purpose of this study was to investigate the relationship between demographic characteristics, health factors, oral health factors and subjective body shape perception of adolescents in order to provide basic data for adolescents health management. Methods: This study was analyzed using Korea Youth Risk Behavior Web-Based Survey in 2015, where 68,043 adolescents in total participated. Data were analyzed by SPSS Ver. 21.0. Multiple regression analysis was used to analyze the relationships among health factors and oral health factors related to subjective body shape perception. Results: The analysis of the factors influencing the body shape perception of male adolescents showed that they tend to be low in school performance, low in family economic level, and high school students. The worse they perceive their subjective health to be, the more they feel stress, and the less frequently they brush their teeth per day. They had bad breath. The analysis of the factors influencing the body shape perception of female adolescents showed that they tend to be low in school performance, low in family economic level, and high school students. The worse they feel their subjective health is, the more they feel unhappy, and stressful, and the less frequently they brush their teeth per day. They feel pain during chewing, and have bad breath. Conclusions: In conclusion, it is necessary to consider educational intervention in adolescent life that will make them have proper perception of their body shape for proper health management of it. To make the intervention effective, we need to consider various factors such as health factors and oral health factors.