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

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Effects of Nutrition Counseling on Quality of Diet, Iron Status and Hematic Parameters in College Women Who Have Self-Recognized Anemic Symptoms (빈혈 자각증상이 있는 여대생에서 영양상담이 식사의 질, 철분 영양상태 및 혈액학적 지표에 미치는 영향)

  • Jeong, Sook-Hyun;Park, Jin-Hee;Lee, Hye-Ok;Cho, Ryo-Won
    • Korean Journal of Community Nutrition
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    • v.12 no.1
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    • pp.68-79
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    • 2007
  • Iron deficiency is the most common nutritional problem that affects people of all ages in both industrialized and developing countries. Especially, college women are the target population for dietary iron deficiency. Recent study showed that the nutritional status of college women was poor because of insufficient food consumption and repeatabled weight reduction. The purpose of this study was to investigate the effects of nutrition counseling on the diet quality, nutritional status of iron and hematic parameters in college women who have self-recognized anemic symptoms. Anthropometric and dietary assessments as well as blood analysis, were carried out before and after the 8 weeks of nutrition counseling. During the experimental period, the 31 subjects were given nutrition education by a clinical dietitian. Nutrition counseling consisted of pathology of anemia, nutrition information for iron deficient anemia, diet information of balanced meals and menu choices for eating out. As a result, the frequencies of consumption of legumen and vegetables significantly increased after nutrition counseling(p<0.05). Daily intakes of protein, especially animal protein, vitamin E, niacin, heme iron, and zinc significantly increased(p<0.05). After nutrition counseling, some self-reported clinical symptoms such as 'dizziness', 'fatigue', 'short of breath', 'headache', 'sleeplessness', and 'beating heart' were significantly improved. Serum levels of transferrin(p<0.01) and total iron binding capacity levels(p<0.05) significantly increased. It could be concluded that the 8 weeks of nutrition counseling might be effective on quality of diet as well as iron status and it might also improve the some hematic parameters in college women who have self-recognized anemic symptoms.

Characteristics of conductive rubber belt on the abdomen to monitor respiration (호흡 감지를 위한 복부 부착형 전도성 고무소자의 계측특성)

  • Kim, Kyung-Ah;Kim, Sung-Sik;Cho, Dong-Wook;Lee, Seung-Jik;Lee, Tae-Soo;Cha, Eun-Jong
    • Journal of Sensor Science and Technology
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    • v.16 no.1
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    • pp.24-32
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    • 2007
  • Conductive rubber material was molded in a belt shape to measure respiration. Its resistivity was approximately $0.03{\;}{\Omega}m$ and the resistance-displacement relationship showed a negative exponent. The temperature coefficient was approximately $0.006{\;}k{\Omega}/^{\circ}C$ negligible when practically applied on the abdomen. The conductive rubber belt was applied on a normal male's abdomen with the dimensional change measured during resting breathing. The abdominal signal was differentiated ($F_{m}$) and compared with the accurate standard air flow rate signal ($F_{s}$) obtained by pneumotachometry. $F_{m}$ and $F_{s}$ differed in waveform, but the start and end timings of each breaths were clearly synchronized, demonstrating that the respiratory frequency could be accurately estimated before further processing of $F_{m}$. $F_{m}-F_{s}$ loop showed a nonlinear hysteresis within each breath period, thus 6 piecewise linear approximation was performed, leading to a mean relative error of 14 %. This error level was relatively large for clinical application, though customized calibration seemed feasible for monitoring general variation of ventilation. The present technique would be of convenient and practical application as a new wearable respiratory transducer.

A Non-invasive Real-time Respiratory Organ Motion Tracking System for Image Guided Radio-Therapy (IGRT를 위한 비침습적인 호흡에 의한 장기 움직임 실시간 추적시스템)

  • Kim, Yoon-Jong;Yoon, Uei-Joong
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.676-683
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    • 2007
  • A non-invasive respiratory gated radiotherapy system like those based on external anatomic motion gives better comfortableness to patients than invasive system on treatment. However, higher correlation between the external and internal anatomic motion is required to increase the effectiveness of non-invasive respiratory gated radiotherapy. Both of invasive and non-invasive methods need to track the internal anatomy with the higher precision and rapid response. Especially, the non-invasive method has more difficulty to track the target position successively because of using only image processing. So we developed the system to track the motion for a non-invasive respiratory gated system to accurately find the dynamic position of internal structures such as the diaphragm and tumor. The respiratory organ motion tracking apparatus consists of an image capture board, a fluoroscopy system and a processing computer. After the image board grabs the motion of internal anatomy through the fluoroscopy system, the computer acquires the organ motion tracking data by image processing without any additional physical markers. The patients breathe freely without any forced breath control and coaching, when this experiment was performed. The developed pattern-recognition software could extract the target motion signal in real-time from the acquired fluoroscopic images. The range of mean deviations between the real and acquired target positions was measured for some sample structures in an anatomical model phantom. The mean and max deviation between the real and acquired positions were less than 1mm and 2mm respectively with the standardized movement using a moving stage and an anatomical model phantom. Under the real human body, the mean and maximum distance of the peak to trough was measured 23.5mm and 55.1mm respectively for 13 patients' diaphragm motion. The acquired respiration profile showed that human expiration period was longer than the inspiration period. The above results could be applied to respiratory-gated radiotherapy.

A Study on the Model of Internet Public Library in Korea (IPL-Korea) (인터넷 공공도서관 구축 모형 연구)

  • 고영만;오삼균
    • Journal of the Korean Society for information Management
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    • v.16 no.4
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    • pp.109-123
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    • 1999
  • We are faced with a paradox in the age of information as finding quality information on the Internet becomes a more challenging task because of information overload. This paper describes the prototype for “IPL-Korea” (Internet Public Library in Korea) project which is an attempt to provide the public with quality information in the form of a metadata system. The system involves cataloging of resources, i.e. websites, that are filtered by library and information science majors as well as information professionals. The user focus of this system is on children, youth, women, and seniors; various classification schemes and resource descriptions relevant for each user group are incorporated into the system to allow efficient browsing of the resources. A thesaurus for “IPL-Korea”, which is based on the ERIC thesaurus, is being constructed for easy manipulation of the breath of searching. The “IPL-Korea” metadata system employs the entity-relationship model in the design of its conceptual schema. Metadata is being stored in the Oracle database system and Web interfaces to this database are provided through ASP, ColdFusion, and JAVA technology.

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Analysis of the Characteristics and the Nursing Interventions for Children in Regional Emergency Departments -Using the Nursing Intervention Classification- (지역 응급의료기관의 아동 간호중재 분석 -4차 개정 Nursing Intervention Classification을 적용하여-)

  • Kim, Young-Hae;Lee, Nae-Young;Ha, Jae-Hyun
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.277-286
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    • 2010
  • Purpose: The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). Methods: A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). Results: Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hours in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. Conclusion: These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable.

A Study on the Analysis of $CO_2$ Concentration Variation According to the Indoor Space Condition Changes (다양한 실내 환경에서의 $CO_2$ 농도 변화 분석 연구)

  • Ahn, Gwang-Hoon;Kwon, Jong-Won;Kim, Gyu-Sik;Kim, Hie-Sik
    • Proceedings of the IEEK Conference
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    • 2009.05a
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    • pp.347-349
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    • 2009
  • Air quality of indoor space environment is affected by various pollutants like as particles and chemical stuffs. The indoor air pollution affects directly the human respiration organs to cause consequently unpleasant mental status. The $CO_2$ concentration level is one of the harmful components of air pollutants. Major factor to increase the $CO_2$ concentration level is the people's breath amount in indoor. The car exhaust gas diffused from the around road also has strong affect on $CO_2$ concentration. There are some other reasons to affect the $CO_2$ concentration change, such as, real-time change of the population movement, closeness to the indoor air flow inlet window and changes in road car traffic amount. A remote monitoring system to measure environmental indoor air pollution concerning on the $CO_2$ concentration was studied and installed realized set-up model. Zigbee network configuration was applied for this system and the $CO_2$ concentration data were collected through USN network. A software program was developed to assure systematic analysis and to display real-time data on web pages. For the experimental test various condition was set up, like as, window opening, stopping air condition operation and adjusting fan heater work, etc. The analysis result showed the relation of various environmental conditions to $CO_2$ concentration changes. The causes to increase $CO_2$ concentration were experimentally defined as windows closing, the stopping air condition system, fan heater operation. To keep the $CO_2$ concentration under the legally required ppm level in public access indoor space, the developed remote measurement system will be usefully applied.

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The Effect of Denture Care Skills Education Program on Denture Self-care, Denture Satisfaction and Oral Health-related Quality of Life (OHIP-14) among the Elderly (의치관리 실습프로그램이 노인의 의치자가관리, 만족도 및 구강건강관련 삶의 질에 미치는 효과)

  • Jang, In Sun;Park, Seungmi
    • Journal of Korean Biological Nursing Science
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    • v.18 no.4
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    • pp.239-246
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    • 2016
  • Purpose: The purpose of this study was to investigate the effect of denture care skills education program on denture self-care, denture satisfaction and subjective oral status among the elderly. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Total 61 elderly who visited a seniors center, Seoul, Korea, participated in this study. Participants were 31 elderly for the experimental group and 30 elderly for the control group. The experimental group received a lesson in denture care skills education program which was developed by the researchers. Using a structural questionnaire, the elderly's perception about denture self-care, denture satisfaction and subjective oral status were measured before and after the intervention. Descriptive statistics, independent t-test, chi-square test, and ANCOVA test were performed using SPSS WIN 21.0. Results: The experimental group showed significantly higher scores in denture satisfaction(p<.001), QOL of oral health(<.001), concern for oral health(p=.005), subjective oral health status(p<.001), bad breath(p=.010), oral dryness(p<.001) and number of denture clearing(p<.001). Conclusion: The results suggest that the denture care skills education program for elderly at a senior center was effective. Further work is required to develop more effective denture care skills education programs and an oral health promotion program to improve the health status of the elderly.

Compare the Effects of Inspiratory and Expiratory Muscle Strengthening Training of Normal Adult Respiratory Function (정상 성인 호흡기능에 대한 들숨 근 강화훈련과 날숨 근 강화 훈련의 효과 비교)

  • Lee, Yeonseop;Oh, Minyeong;Park, Juyeon;Lee, Daehui;Lee, Yejin;Jeong, Dahye;Hong, Jiyeon;Hong, Hayeon;Kim, Hyeonsu
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.1
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    • pp.41-47
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    • 2016
  • Purpose : The purpose of this study was to examine the Compare the effects of inspiratory muscle strengthening training and expiratory muscle strengthening training of normal adult respiratory function. Method : In this study, we want to compare the effect of inspiratory muscle strengthening training(n=8) and expiratory muscle strengthening training(n=8) to target the normal adult 16 people. expiratory muscle strengthening training, was 25 minutes of training on the basis of the breathing image program that has been pre-recorded. inspiratory muscle strengthening training, use the power-breathe plus on the measured resistance value, was carried out for 25 minutes. Using the spirometer in order to examine the ability to breathe, FVC, FEV1, FEV1 / FVC, MVV was measured. Result : The results showd that in the breath muscle strengthening training FVC, FEV1, MVV increased statistically significantly. The inspiration muscle strength training FVC, FEV1, MVV was a statistically significant increase, FEV1/FVC decreased. There was no statistically significant difference between. Conclusion : In conclusion, both methods give the result of increasing the effective respiratory function. Inspiratory muscle strengthening training, the function of the lung is very limited to be used when and by us effectively and expiratory muscle strengthening training to increase the capacity of the lung is an effective way that will increase the volume.

Pumpless extracorporeal interventional lung assist for bronchiolitis obliterans after allogenic peripheral blood stem cell transplantation for acute lymphocytic leukemia

  • Park, Yeon-Hee;Chung, Chae-Uk;Choi, Jae-Woo;Jung, Sang-Ok;Jung, Sung-Soo;Lee, Jeong-Eun;Kim, Ju-Ock;Moon, Jae-Young
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.98-101
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    • 2015
  • Bronchiolitis obliterans (BO), which is associated with graft-versus-host disease after allogenic hematopoietic stem cell transplantation, is a major obstacle to survival after bone marrow transplantation due to its gradual progress, eventually leading to respiratory failure. Pumpless extracorporeal interventional lung assist (iLA) is effective in treatment of reversible hypercapnic respiratory failure. In this paper, we present a 23-year-old female patient who underwent allogeneic peripheral blood stem cell transplantation (PBSCT) for acute lymphocytic leukemia. After 6 months, she complained of shortness of breath and was diagnosed with BO. Five months later, she developed an upper respiratory tract infection that worsened her BO and caused life-threatening hypercapnia. Since mechanical ventilation failed to eliminate $CO_2$ effectively, iLA was applied as rescue therapy. Her hypercapnia and respiratory acidosis showed significant improvement within a few hours, and she was successfully weaned off iLA after 12 days. This is the first case report of iLA application for temporarily aggravated hypercapnia of PBSCT-associated BO followed by successful weaning. This rescue therapy should be considered in ventilator-refractory reversible hypercapnia in BO patients.

High Efficacy of Levofloxacin-Dexlansoprazole-Based Quadruple Therapy as a First Line Treatment for Helicobacter pylori Eradication in Thailand

  • Prapitpaiboon, Hatainuch;Mahachai, Varocha;Vilaichone, Ratha-Korn
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.10
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    • pp.4353-4356
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    • 2015
  • Background: Levofloxacin is an effective medication for second line Helicobacter pylori (H. pylori) eradication. However, limited studies have approved its use as an effective antibiotic in first line therapy. Dexlansoprazole is a new PPI and lacks of evidence in support of a role in H. pylori eradication. This study was designed to evaluate efficacy of levofloxacin-dexlansoprazole-based quadruple therapy for H. pylori eradication in Thailand. Materials and Methods: This prospective randomized control study was performed during June 2014 to December 2014. H. pylori infected gastritis patients were randomized to receive 7- or 14-day levofloxacin-dexlansoprazole based on quadruple therapy (levofloxacin 500 mg OD, dexlansoprazole 60 mg bid, clarithromycin MR 1000 mg OD, bismuth subsalicylate 1048 mg bid). CYP2C19 genotyping and antibiotic susceptibility tests were conducted for all patients. A 13C urea breath test was performed to confirm H. pylori eradication at least 4 weeks after treatment. Results: A total of 100 patients were enrolled, comprising 44 males and 56 females (mean age of 52.6 years). Eradication rate by PP analysis was 85.7% (42/49) with the 7-day regimen and 98% (48/49) with the 14-day regimen (85.7% vs 98%; p-value=0.059). ITT analysis was 84% and 96% with 7- and 14-day regimens, respectively (84% vs 96%; p-value=0.092). Antibiotic susceptibility testing demonstrated 35.1% resistance to metronidazole, 18.3% to clarithromycin, and 13.5% to levofloxacin. CYP2C19 genotyping revealed 54.1% RM, 34.7% IM and 11.2% PM. The 14-day regimen provided 100% eradication in patients with clarithromycin or dual clarithromycin and metronidazole H. pylori resistant strains. Moreover, the eradication rate was 96.6% in patients with CYP2C19 genotype RM. Conclusions: The 14-day levofloxacin-dexlansoprazole based quadruple therapy provides high H. pylori eradication regardless of CYP2C19 genotype, clarithromycin or dual clarithromycin and metronidazole resistant strains. This regimen could be use as an alternative first line therapy for H. pylori eradication in Thailand.