• 제목/요약/키워드: breath-by-breath

검색결과 486건 처리시간 0.032초

스트레스 관리 시 호흡치료의 이론적 근거와 기법 적용 (Theoretical Bases and Technical Application of Breathing Therapy in Stress Management)

  • 이평숙
    • 대한간호학회지
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    • 제29권6호
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    • pp.1304-1313
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    • 1999
  • Breathing is essential for life and at the same time takes a role as a antidote for stress. In the Orient, it was recognized early that respiration, mind, and body have a relation that is inseparable and therefore proper breathing is so important. However, since the mechanism of therapeutic effect by breathing have not been verified, the treatment has been continued till recent years. From that which originated in the Orient, several techniques in the west have been developed to regulate breathing, and have been applying to the clinical situation and to studies, however scientific studies are still lacking. Recently, relaxed breathing has been used as an efficient strategy for breathing therapy as it has an effect on reducing physiological tension and arousal, and, therefore can be used as a basic technique to control or manage stress. In this study, in order to provide basic information and guidelines for clinical application, which will aid in the application of the theoretical basics of breathing therapy and its technique, a review of the literative was conducted. The findings are as follows: 1. Since proper breathing not only has, physically, the important function in supplying oxygen to the body but also gives a good emotional, or pleasant state of mind, it is the first step in controlling physical and mental health. 2. The basic types of breathing can be classified into two types; ‘diaphragmatic breathing(relaxed breathing)’ and ‘chest breathing(stress breathing)’. In yoga type breathing, there are four kinds of breathing, ‘upper breathing’, ‘mid breathing’, ‘down breathing’, and ‘complete breathing’. 3. The theoretical explanation of the positive thera peutic effect of breathing therapy techniques exemplifies good brain function, sufficient air flow through the nasal passages, diaphragmatic movement, light vagal stimulation, CO2 changes and cognitive diversion but in most studies, the hypothesis of CO2 is supported. 4. The technique of breathing is designated with many names according to the muscles and techniques used for breathing, and for control of stress, diaphragmatic breathing(relaxed breathing) is explained as a basic technique best used to manage of stress. 5. The relaxed-breathing includes slow diaphragmatic breathing, breath meditation, nasal breathing, yogic abdominal breathing, Benson's relaxed response, and quiet response.

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기능성 소화불량증 환자에 대한 한약복합제의 치료 효과: 무작위배정 표준치료제 위약 대조군 연구 (Effect of Herb Medicine Treatment for Functional Dyspepsia: A Randomized Placebo-Controlled and Compared Standard Treatment Trial)

  • 김연미;박양춘;조정효;강위창;손미원;홍권의
    • 대한한의학회지
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    • 제31권1호
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    • pp.1-13
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    • 2010
  • Objective: Functional dyspepsia is a prevalent disease. It impedes subjective quality of life. The purpose of this study was to examine the equivalent effect of herb medicine treatment (DA-9701) for functional dyspepsia. Methods: In this randomized, single-blinded, placebo-controlled study, we compared a herb medicine (DA-9701) with standard treatment (mosapride) and placebo for the treatment of functional dyspepsia. 42 volunteers who satisfied the requirements were enrolled in study. Severity of dyspepsia was measured by Nepean Dyspepsia Index (NDI) and Functional Dyspepsia Quality of Life (FD-QOL) before and after treatments. Results: 1. In the DA-9701 group, total key symptoms score was significantly lower and improve rate of key symptoms was higher than in the mosapride and placebo groups, but there were no statistically significant differences between three groups. 2. In the DA-9701 and mosapride groups, "nausea" and "bad breath" were significantly lower compared with the placebo group. 3. In the DA-9701 group, NDI Quality of Life scores were significantly higher, but there were no [other] statistically significant differences between the three groups. 4. In the DA-9701 and mosapride groups, FD-QOL scores were higher compared with the placebo group, but there were no statistically significant differences between the three groups. Conclusion: Herb medicine treatment (DA-9701) is effective to improve the symptoms and quality of life in patients with functional dyspepsia.

'로봇배우'의 등장이 연극의 특성에 미치는 영향 (The Influence of the Appearance of 'Robot Actor' on the Features of the Theater)

  • 박연주;오세곤
    • 한국콘텐츠학회논문지
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    • 제19권11호
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    • pp.507-515
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    • 2019
  • 인공지능 시대에 탄생한 '로봇배우'가 연극의 특성(종합성, 현장성, 이중성, 계획성)에 미치는 긍정적인 영향은 '로봇'기술자들과의 협업이 이뤄지므로 종합성이 확대되며, 인공지능에 의한 반응이 가능하므로 매 공연에 다른 현장성이 유지되고, '로봇배우'가 '로봇'의 역할을 맡는 '로봇' 소재 작품에서는 한층 강화된 일루전 제공이 가능하다. 하지만 연출자의 독단으로 종합성이 축소되고, '인간배우'가 흘리는 땀이나 숨결까지 '로봇배우'가 해낼 수는 없기에 현장성의 질이 다르며, '로봇배우'에 대한 관객의 입장에서나 '로봇배우' 자체의 입장에서나 이중성은 불완전할 수밖에 없다. 또한 계획성의 범위 내에서 이뤄지는 즉흥이 돌발적 반응으로 전개될 위험성이 크고 그로 인해 '인간배우'의 연기가 제한되는 한계에 봉착할 수 있다. 이와 같은 연구 결과를 토대로 '철학''과학' '예술'이 나란히 인공지능의 발전을 예측하여, 앞으로 나아가야 할 예술·연극의 방향과 정체성을 재정립하는 연구가 필요한 것으로 사료된다.

정상자세와 머리전방자세 사이의 강제폐활량과 최대 수의적 환기량 비교 (Comparison of Forced Vital Capacity and Maximal Voluntary Ventilation Between Normal and Forward Head Posture)

  • 한진태;고민지;김영주
    • 대한물리의학회지
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    • 제10권1호
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    • pp.83-89
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    • 2015
  • PURPOSE: The purpose of this study was to investigate the vital capacity and maximal voluntary ventilationin subjects with forward head posture (FHP). METHODS: Twenty-eight subjects participated in this study (normal 14, FHP 14) and were resident in B city. The mean age, height and weight of subjects was 22.80yrs, 169.36cm and 62.79kg. Subjects were asked to breath maximally for FVC and repeatedly for MVV during 12 seconds. The variables of data were collected as follows: Forced Vital Capacity(FVC), Forced Expiratory Volume in One Second($FEV_1$), $FEV_1$/FVC, Maximal Voluntary Ventilation(MVV). Each trial was performed by 3 times and we used the means to analyze the data. The mann-whitney U test and independent t-test were used to compare the vital capacity between normal and FHP subjects. All statistical analyses were performed using SPSS 21.0 for window versionand p-values less than 0.05 were used to identify significant differences. RESULTS: The FVC, $FEV_1$, $FEV_1$/FVC and MVV of FHP subjects were decreased more than that of normal subjects and the difference was statistically significant between two groups. CONCLUSION: The vital capacity of subjects with FHP was generally lower than normal subjects. This study shows that the vital capacityof subjectswith FHP could be decreased due to the bad neck posture that weakens the respiratory accessory muscles of neck.

뉴캣슬병 $B_1$ 생독백신의 효능비교 (Comparison of Efficacy of Newcastle Disease Virus $B_1$ Vaccine by Different Administration Method in Commerical Layer Chickens)

  • 정만호;강춘원;노용기;박진열
    • 한국동물위생학회지
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    • 제13권1호
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    • pp.96-102
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    • 1990
  • The immune responses of commercial layer chickens against Newcastle disease(ND) were compared among different administration methods and times of vaccination during 4 weeks of age. A total of 372 day-old chickens were divided into 4 groups of 93 birds each. Each of 3 groups was received a commercially available B$_1$live vaccine via drinking water, eye instillation or spray method at one, 14 and 28 days of age. One group was used as an unvaccinated control. At two and 4 weeks after each time of vaccination, 15 birds from each group were collected randomly out and challenged with virulent ND virus at the dose of $10^5E1D_{50}$ per bird. Ten to 15 birds from each group were bled at two weeks intervals from day old to 8 weeks of age for hemagglutination inhibition antibody titer, The protection rate was generally low regardless of the times of vaccination although two or more times vaccination gave higher protection than once vaccination. The low protection was considered due to low titer of the vaccine used since the vaccine titer was less than $10^{3.5}EID_{50}$ per bird. Spray method gave better protection compared to eye instillation or drinking water method which resulted in lowest response. Majority of birds showed clinical signs of ND between 3 and 6 days after challenge. Death occured one or two days after onset of symptoms. Major clinical signs observed were depression(94%), anorexia(84%), diarrhoea(29%), difficult breath(15%) and torticollis(10%). Hemorrhagic lesions on post mortem were seen in duodenum(51%), trachea(35%), illeum(13%), ceacal tonsil(11%), proventriculus(10%) and some other odrgans.

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Subchronic Inhalation Toxicity of Trichloroacetonitrile on the Sprague Dawley Rats

  • Han, Jeong-Hee;Chung, Yong-Hyun;Lim, Cheol-Hong
    • Toxicological Research
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    • 제31권2호
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    • pp.203-211
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    • 2015
  • Trichloroacetonitrile is used as an intermediate in insecticides, pesticides, and dyes. In Korea alone, over 10 tons are used annually. Its oral and dermal toxicity is classified as category 3 according to the globally harmonized system of classification and labelling of chemicals, and it is designated a toxic substance by the Ministry of Environment in Korea. There are no available inhalation toxicity data on trichloroacetonitrile. Thus, the present study performed inhalation tests to provide data for hazard and risk assessments. Sprague-Dawley rats were exposed to trichloroacetonitrile at concentrations of 4, 16, or 64 ppm for 6 hour per day 5 days per week for 13 weeks in a repeated study. As a result, salivation, shortness of breath, and wheezing were observed, and their body weights decreased significantly (p < 0.05) in the 16 and 64 ppm groups. All the rats in 64 ppm group were dead or moribund within 4 weeks of the exposure. Some significant changes were observed in blood hematology and serum biochemistry (e.g., prothrombin time, ratio of albumin and globulin, blood urea nitrogen, and triglycerides), but the values were within normal physiological ranges. The major target organs of trichloroacetonitrile were the nasal cavity, trachea, and lungs. The rats exposed to 16 ppm showed moderate histopathological changes in the transitional epithelium and olfactory epithelium of the nasal cavity. Nasal-associated lymphoid tissue (NALT) and respiratory epithelium were also changed. Respiratory lesions were common in the dead rats that had been exposed to the 64 ppm concentration. The dead animals also showed loss of cilia in the trachea, pneumonitis in the lung, and epithelial hyperplasia in the bronchi and bronchioles. In conclusion, the no-observed-adverse-effect level (NOAEL) was estimated to be 4 ppm. The main target organs of trichloroacetonitrile were the nasal cavity, trachea, and lungs.

선천성 Bochdalek hernia4례 보고 (Congenital Bochdalek hernia: report of 4 cases)

  • 진재권;박주철;유세영
    • Journal of Chest Surgery
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    • 제15권4호
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    • pp.432-439
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    • 1982
  • Congenital posterolateral diaphragmatic hernia [Bochdalek hernia] is the result of a congenital diaphragmatic defect in the posterior costal part of the diaphragm in the region of the tenth and eleventh ribs. There is usually free communication between the thoracic and abdominal cavities. The defect is most commonly found on the left [90%], but may occurs on the right, where the liver often prevents detection. The male to female ratio is 2:1. Owing to the negative intrathoracic pressure, herniation of abdominal contents through the defects occurs, with resultant collapse of the lung. Shifting of mediastinum to the opposite side and compression of the opposite lung occurs. Most often these hernias are manifestated by acute respiratory distress in the newborn. A second, but less well recognized, group of patient with Bochdalek hernia survive beyond the neonatal period, usually present at a later time with "failure of thrive, intermittent vomiting, or progressive respiratory difficulty. " The diagnosis can often be made on clinical ground from the presence of respiratory distress, absence of breath sounds on the chest presence of bowel sounds over the chest . Roentgenogram of the chest confirm the diagnosis. Obstruction and strangulation have been reported but are rare. Treatment consists of early reliable identification of these congenital diaphragmatic hernia with high risk and surgical repairment. and postoperative pharmacological management with extracorporeal membranous oxygenation [=ECMO] support in the period of intensive care. On the surgical approach, for defects on left side, an abdominal incision is preferred, because of the high incidence of malrotation and obstructing duodenal bands. In the neonate, the operative mortality may be appreciable, but, later repair almost always is successful. During the period from 1972 to 1982, 4 cases of congenital Bochdalek hernia were experienced at the Kyung-Hee University Hospital.

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데이터 마이닝 기법을 이용한 치주건강 관련요인 분석연구 (Analysis of periodontal health related factors by using data mining method)

  • 박희정;이준협;김태일
    • 한국학교ㆍ지역보건교육학회지
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    • 제14권3호
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    • pp.15-26
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    • 2013
  • Objectives: The purpose of this study was to evaluate self-reported symptoms of periodontal diseases. We performed a comprehensive analysis of periodontal health related factors. Methods: 581 volunteers representing a broad range of age from 20 to 65 were recruited from Seoul and Gyeonggi provinces. They participated in a self-administered survey of which the results were analyzed through the decision tree analysis using the data mining program. Results: 67% of the participants reported 'bad breath,' whereas 13.9% of participants reported 'toothache'. The decision analysis revealed that age was the most determining factor of adult periodontal health. Participants in 20s with a profound understanding of their periodontal health status exhibited a low vulnerability to periodontal diseases, whereas those lacking the awareness were more susceptible to the diseases. However, other participants in 30s and older showed a higher vulnerability to periodontal illness than those in 20s, whether or not they had suffered from chronic diseases. Conclusions: In order to effectively prevent periodontal diseases, an age-appropriate clinical approach will be necessary. For the younger age group it will be crucial to enhance the self-awareness of their current oral health status. On the other hand, those in 30s and older will need to pay a close attention to the prevention of chronic periodontal disease.

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일부지역 대학생들의 이성교제 여부가 구강건강행태에 미치는 영향 (A Study on the Impact of Relationship on the Oral Health Behaviors among University Students)

  • 하정은;김수빈;김수진;서은지;이지영;정여진;김민지
    • 대한통합의학회지
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    • 제5권3호
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    • pp.83-90
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    • 2017
  • Purpose : The purpose of this study was to investigate whether or not the effects of the relationship among college students on the oral health were affected by the increased interest in the appearance. Methods : After explanation of this study, we conducted the questionnaire to those who accepted questionnaire from April 26 to May 28, 2017. In order to collect the data, Naver-form (mobile) questionnaire was distributed to the research subjects and the collected data. The analysis technique used the frequency and percentage to examine the general characteristics of the subjects and the status of the relationship. Chi-square test was used to examine the number of toothbrushes, toothbrushing time, oral health concern, regular oral examination and scaling, use of oral care products, smoking status, and bad breath. Result : Among the total of 190 research subjects, 79 (41.6 %) were male and 111 (58.4 %) were female. The presence of brushing just before going out and carrying a toothbrush were more frequent for those subjects who are in relationship (p<.001). The subjects who considered oral hygiene to be important were higher in those who were in relationship (p<.001). Conclusion : Some oral health care behaviors such as toothbrushing just before going out or carrying a toothbrush were well formed, and oral hygiene was important in those who were in relationship.

Complications associated with intravenous midazolam and fentanyl sedation in patients undergoing minor oral surgery

  • Saiso, Krittika;Adnonla, Pornnarin;Munsil, Jitpisut;Apipan, Benjamas;Rummasak, Duangdee;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권3호
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    • pp.199-204
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    • 2017
  • Background: Anxiety control remains an important concern in dental practice. We evaluated the incidence, nature, and sequelae of complications during and after minor oral surgeries performed under intravenous midazolam and fentanyl sedation using the titration technique. Method: The medical records of patients who had undergone minor oral surgeries under moderate intravenous midazolam and fentanyl sedation at our institution between January 1, 2015 and December 31, 2015 were retrospectively evaluated. Age, sex, body mass index, medical history, American Society of Anesthesiologists (ASA) classification, indications for sedation, amount of sedative used, surgical duration, and recovery time were evaluated for all patients. Results: In total, 107 patients aged 9-84 years were included. ASA class I and class II were observed for 56.1% and 43.9% patients, respectively. Complications associated with sedation occurred in 11 (10.2%) patients. There were no serious adverse events. Oxygen saturation reached 95% during the procedure in six patients; this was successfully managed by stimulating the patients to take a deep breath. Two patients exhibited deep sedation and one exhibited paradoxical excitement. After the procedure, one patient experienced nausea without vomiting and one exhibited a prolonged recovery time. The surgical procedures were completed in all patients. Obesity was found to be significantly associated with sedation-related complications. Conclusion: Our results suggest that complications associated with intravenous midazolam and fentanyl sedation using the titration technique for minor oral surgeries are mostly minor and can be successfully managed with no prolonged sequelae.