Chest Wall Oscillation: A respiratory support system used to remove mucus and clear airway by oscillating pressure on the chest.Drainage, Postural: A rehabilitation therapy for removal of copious mucus secretion from the lung of patients with diseases such as CHRONIC BRONCHITIS; BRONCHIECTASIS; PULMONARY ABSCESS; or CYSTIC FIBROSIS. The patient's head is placed in a downward incline (so the TRACHEA is inferior to the affected area) for 15- to 20-minute sessions.Cough: A sudden, audible expulsion of air from the lungs through a partially closed glottis, preceded by inhalation. It is a protective response that serves to clear the trachea, bronchi, and/or lungs of irritants and secretions, or to prevent aspiration of foreign materials into the lungs.Percussion: Act of striking a part with short, sharp blows as an aid in diagnosing the condition beneath the sound obtained.Capnography: Continuous recording of the carbon dioxide content of expired air.Respiratory Muscles: These include the muscles of the DIAPHRAGM and the INTERCOSTAL MUSCLES.Respiratory Function Tests: Measurement of the various processes involved in the act of respiration: inspiration, expiration, oxygen and carbon dioxide exchange, lung volume and compliance, etc.Pulmonary Disease, Chronic Obstructive: A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA.Mucociliary Clearance: A non-specific host defense mechanism that removes MUCUS and other material from the LUNGS by ciliary and secretory activity of the tracheobronchial submucosal glands. It is measured in vivo as mucus transfer, ciliary beat frequency, and clearance of radioactive tracers.Asthma: A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).Bronchodilator Agents: Agents that cause an increase in the expansion of a bronchus or bronchial tubes.Forced Expiratory Volume: Measure of the maximum amount of air that can be expelled in a given number of seconds during a FORCED VITAL CAPACITY determination . It is usually given as FEV followed by a subscript indicating the number of seconds over which the measurement is made, although it is sometimes given as a percentage of forced vital capacity.Lung: Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood.Brachytherapy: A collective term for interstitial, intracavity, and surface radiotherapy. It uses small sealed or partly-sealed sources that may be placed on or near the body surface or within a natural body cavity or implanted directly into the tissues.Iridium Radioisotopes: Unstable isotopes of iridium that decay or disintegrate emitting radiation. Ir atoms with atomic weights 182-190, 192, and 194-198 are radioactive iridium isotopes.Prostate: A gland in males that surrounds the neck of the URINARY BLADDER and the URETHRA. It secretes a substance that liquefies coagulated semen. It is situated in the pelvic cavity behind the lower part of the PUBIC SYMPHYSIS, above the deep layer of the triangular ligament, and rests upon the RECTUM.Scintillation Counting: Detection and counting of scintillations produced in a fluorescent material by ionizing radiation.Iridium: A metallic element with the atomic symbol Ir, atomic number 77, and atomic weight 192.22.Radiotherapy Dosage: The total amount of radiation absorbed by tissues as a result of radiotherapy.Search Engine: Software used to locate data or information stored in machine-readable form locally or at a distance such as an INTERNET site.Inventors: Persons or entities that introduce a novel composition, device, or process, as well as improvements thereof.Patents as Topic: Exclusive legal rights or privileges applied to inventions, plants, etc.Birds: Warm-blooded VERTEBRATES possessing FEATHERS and belonging to the class Aves.Mouth Protectors: Devices or pieces of equipment placed in or around the mouth or attached to instruments to protect the external or internal tissues of the mouth and the teeth.Intellectual Property: Property, such as patents, trademarks, and copyright, that results from creative effort. The Patent and Copyright Clause (Art. 1, Sec. 8, cl. 8) of the United States Constitution provides for promoting the progress of science and useful arts by securing for limited times to authors and inventors, the exclusive right to their respective writings and discoveries. (From Black's Law Dictionary, 5th ed, p1014)Golgi Apparatus: A stack of flattened vesicles that functions in posttranslational processing and sorting of proteins, receiving them from the rough ENDOPLASMIC RETICULUM and directing them to secretory vesicles, LYSOSOMES, or the CELL MEMBRANE. The movement of proteins takes place by transfer vesicles that bud off from the rough endoplasmic reticulum or Golgi apparatus and fuse with the Golgi, lysosomes or cell membrane. (From Glick, Glossary of Biochemistry and Molecular Biology, 1990)Foramen Ovale, Patent: A condition in which the FORAMEN OVALE in the ATRIAL SEPTUM fails to close shortly after birth. This results in abnormal communications between the two upper chambers of the heart. An isolated patent ovale foramen without other structural heart defects is usually of no hemodynamic significance.Ventilators, Mechanical: Mechanical devices used to produce or assist pulmonary ventilation.Pressure: A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)Transducers, Pressure: Transducers that are activated by pressure changes, e.g., blood pressure.Blood Flow Velocity: A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.Head: The upper part of the human body, or the front or upper part of the body of an animal, typically separated from the rest of the body by a neck, and containing the brain, mouth, and sense organs.Pulmonary Circulation: The circulation of the BLOOD through the LUNGS.Intermittent Positive-Pressure Breathing: Application of positive pressure to the inspiratory phase of spontaneous respiration.Ventilators, Negative-Pressure: Body ventilators that assist ventilation by applying intermittent subatmospheric pressure around the thorax, abdomen, or airway and periodically expand the chest wall and inflate the lungs. They are relatively simple to operate and do not require tracheostomy. These devices include the tank ventilators ("iron lung"), Portalung, Pneumowrap, and chest cuirass ("tortoise shell").Positive-Pressure Respiration: A method of mechanical ventilation in which pressure is maintained to increase the volume of gas remaining in the lungs at the end of expiration, thus reducing the shunting of blood through the lungs and improving gas exchange.Intermittent Positive-Pressure Ventilation: Application of positive pressure to the inspiratory phase when the patient has an artificial airway in place and is connected to a ventilator.Rhinoplasty: A plastic surgical operation on the nose, either reconstructive, restorative, or cosmetic. (Dorland, 28th ed)Extracellular Matrix: A meshwork-like substance found within the extracellular space and in association with the basement membrane of the cell surface. It promotes cellular proliferation and provides a supporting structure to which cells or cell lysates in culture dishes adhere.Gastrectomy: Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)Scleral Buckling: An operation for retinal detachment which reduces the size of the globe by indenting the sclera so that it approximates the retina.Obesity, Morbid: The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.Urinary Bladder: A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION.Bariatric Surgery: Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.Drug Recalls: Removal of a drug from the market due to a problem occurring in the manufacture or distribution of the product.Drug Information Services: Services providing pharmaceutic and therapeutic drug information and consultation.Nonprescription Drugs: Medicines that can be sold legally without a DRUG PRESCRIPTION.Drug Labeling: Use of written, printed, or graphic materials upon or accompanying a drug container or wrapper. It includes contents, indications, effects, dosages, routes, methods, frequency and duration of administration, warnings, hazards, contraindications, side effects, precautions, and other relevant information.Electronic Prescribing: The use of COMPUTER COMMUNICATION NETWORKS to store and transmit medical PRESCRIPTIONS.Lawyers: Persons whose profession is to give legal advice and assistance to clients and represent them in legal matters. (American Heritage Dictionary, 3d ed)Legislation, Drug: Laws concerned with manufacturing, dispensing, and marketing of drugs.

Performance comparison of two oscillating positive expiratory pressure devices: Acapella versus Flutter. (1/46)

BACKGROUND: Oscillatory positive expiratory pressure (PEP) with the Flutter device facilitates secretion removal. In the Flutter a steel ball vibrates inside a cone, causing air flow vibration. A new device, the Acapella, uses a counterweighted plug and magnet to create air flow oscillation. The Acapella comes in 2 models: one for patients with expiratory flow > or = 15 L/min and one for < or = 15 L/min. We hypothesized that the Acapella and Flutter would produce similar mean PEP, oscillatory pressure amplitude, and frequency over a clinically relevant range of flows. METHODS: We measured oscillatory amplitude, PEP, and frequency. Values for frequency, peak, trough, and mean pressure were recorded automatically every 3 seconds at flows of 5, 10, 15, 20, 25, and 30 L/min. The pressure waveform for 1 second was also graphically displayed and recorded. The devices were adjusted to give low, medium, and high mean expiratory pressure (Flutter angle at 0, 20, and 40 degrees; Acapella by dial setting). Data were analyzed by 2-way repeated measures analysis of variance, and differences were considered significant when p was < 0.05. RESULTS: There were statistically significant differences between the devices for mean pressure, pressure amplitude, and frequency, for all experimental conditions. However, the differences were relatively small and may not be clinically important. Both devices produced similar pressure waveforms at the medium flows. At 5 L/min the Acapella produced a more stable waveform, with a lower frequency, higher amplitude, and a slightly wider range of PEP than the Flutter. CONCLUSIONS: Acapella and Flutter have similar performance characteristics. Acapella's performance is not gravity-dependent (ie, dependent on device orientation) and may be easier to use for some patients, particularly at low expiratory flows.  (+info)

Pulmonary hyperinflation and respiratory distress following solvent aspiration in a patient with asthma: expectoration of bronchial casts and clinical improvement with high-frequency chest wall oscillation. (2/46)

An 18-year-old student with a history of asthma accidentally inhaled organic solvent during a class, with immediate cough and dyspnea that worsened over several hours. He presented in severe respiratory distress, with hypoxemia and marked pulmonary hyperinflation. Administration of inhaled bronchodilator was ineffective because of agitation, and the patient could not be positioned for chest physiotherapy to treat presumed widespread mucus plugging. High-frequency chest wall oscillation (HFCWO) in the sitting position initially caused increased distress but was subsequently tolerated when noninvasive positive-pressure ventilation (NPPV) via nasal mask was initiated. Almost immediately, the patient began expectorating bronchial mucus casts, with concomitant clinical improvement. Endotracheal intubation was avoided, and with aggressive pharmacologic treatment for acute severe asthma and continuation of intermittent HFCWO-NPPV, the patient made a full recovery over the next several days. This case suggests that the combination of HFCWO and NPPV may be helpful in the presence of mucus plugging as a complication of acute inhalation injury or acute severe asthma.  (+info)

Cariporide enables hemodynamically more effective chest compression by leftward shift of its flow-depth relationship. (3/46)

When given during closed-chest resuscitation, cariporide (4-isopropyl-methylsulfonylbenzoyl-guanidine methanesulfonate; a selective inhibitor of the Na(+)/H(+) exchanger isoform-1) enables generation of viable perfusion pressures with less depth of compression. We hypothesized that this effect results from greater blood flows generated for a given depth of compression. Two series of 14 rats each underwent 10 min of untreated ventricular fibrillation followed by 8 min of chest compression before defibrillation was attempted. Compression depth was adjusted to maintain an aortic diastolic pressure (ADP) between 26 and 28 mmHg in the first series and between 36 and 38 mmHg in the second series. Within each series, rats were randomized to receive cariporide (3 mg/kg) or NaCl (0.9%; control) before chest compression was started. Blood flow was measured using 15-mum fluorescent microspheres. Less depth of compression was required to maintain the target ADP when cariporide was present in both series 1 (13.6 +/- 1.2 vs. 16.6 +/- 1.2 mm; P < 0.001) and series 2 (15.3 +/- 1.0 vs. 18.9 +/- 1.5 mm; P < 0.001). Despite less compression depth, the cardiac index in cariporide-treated rats was comparable to control rats in series 1 (11.1 +/- 0.7 vs. 11.3 +/- 1.4 ml.min(-1).kg(-1); P = not significant) but higher in series 2 (15.5 +/- 2.3 vs. 9.9 +/- 1.4 ml.min(-1).kg(-1); P < 0.05). Increases in compression depth (from series 1 to series 2) increased myocardial, cerebral, and adrenal blood flow in cariporide-treated rats. We conclude that cariporide enhances the efficacy of closed-chest resuscitation by leftward shift of the flow-depth relationship.  (+info)

Investigation of non-uniform airflow signal oscillation during high frequency chest compression. (4/46)

BACKGROUND: High frequency chest compression (HFCC) is a useful and popular therapy for clearing bronchial airways of excessive or thicker mucus. Our observation of respiratory airflow of a subject during use of HFCC showed the airflow oscillation by HFCC was strongly influenced by the nonlinearity of the respiratory system. We used a computational model-based approach to analyse the respiratory airflow during use of HFCC. METHODS: The computational model, which is based on previous physiological studies and represented by an electrical circuit analogue, was used for simulation of in vivo protocol that shows the nonlinearity of the respiratory system. Besides, airflow was measured during use of HFCC. We compared the simulation results to either the measured data or the previous research, to understand and explain the observations. RESULTS AND DISCUSSION: We could observe two important phenomena during respiration pertaining to the airflow signal oscillation generated by HFCC. The amplitudes of HFCC airflow signals varied depending on spontaneous airflow signals. We used the simulation results to investigate how the nonlinearity of airway resistance, lung capacitance, and inertance of air characterized the respiratory airflow. The simulation results indicated that lung capacitance or the inertance of air is also not a factor in the non-uniformity of HFCC airflow signals. Although not perfect, our circuit analogue model allows us to effectively simulate the nonlinear characteristics of the respiratory system. CONCLUSION: We found that the amplitudes of HFCC airflow signals behave as a function of spontaneous airflow signals. This is due to the nonlinearity of the respiratory system, particularly variations in airway resistance.  (+info)

Inspiratory oscillatory flow with a portable ventilator: a bench study. (5/46)

INTRODUCTION: We observed an oscillatory flow while ventilating critically ill patients with the Drager Oxylog 3000 transport ventilator during interhospital transfer. The phenomenon occurred in paediatric patients or in adult patients with severe airway obstruction ventilated in the pressure-regulated or pressure-controlled mode. As this had not been described previously, we conducted a bench study to investigate the phenomenon. METHODS: An Oxylog 3000 intensive care unit ventilator and a Drager Medical Evita-4 NeoFlow intensive care unit ventilator were connected to a Drager Medical LS800 lung simulator. Data were registered by a Datex-S5 Monitor with a D-fend flow and pressure sensor, and were analysed with a laptop using S5-Collect software. Clinical conditions were simulated using various ventilatory modes, using various ventilator settings, using different filters and endotracheal tubes, and by changing the resistance and compliance. Data were recorded for 258 combinations of patient factors and respirator settings to detect thresholds for the occurrence of the phenomenon and methods to overcome it. RESULTS: Under conditions with high resistance in pressure-regulated ventilation with the Oxylog 3000, an oscillatory flow during inspiration produced rapid changes of the airway pressure. The phenomenon resulted in a jerky inspiration with high peak airway pressures, higher than those set on the ventilator. Reducing the inspiratory flow velocity was effective to terminate the phenomenon, but resulted in reduced tidal volumes. CONCLUSION: Oscillatory flow with potentially harmful effects may occur during ventilation with the Drager Oxylog 3000, especially in conditions with high resistance such as small airways in children (endotracheal tube internal diameter <6 mm) or severe obstructive lung diseases or airway diseases in adult patients.  (+info)

Physiologic evidence for high-frequency chest wall oscillation and positive expiratory pressure breathing in hospitalized subjects with cystic fibrosis. (6/46)

BACKGROUND AND PURPOSE: This investigation identified ventilation distribution, gas mixing, lung function, and arterial blood oxyhemoglobin saturation (SpO2) physiologic responses to 2 independent airway clearance treatments, high-frequency chest wall oscillation (HFCWO) and low positive expiratory pressure (PEP) breathing, for subjects who had cystic fibrosis (CF) and who were hospitalized during acute and subacute phases of a pulmonary exacerbation. SUBJECTS: Fifteen subjects with moderate to severe CF were included in this study. METHODS: Subjects performed single-breath inert gas tests and spirometry before and immediately after HFCWO and PEP breathing at admission and discharge. Arterial blood oxyhemoglobin saturation was monitored throughout each treatment. RESULTS: At admission and discharge, PEP breathing increased SpO2 during treatment, whereas HFCWO decreased SpO2 during treatment. Ventilation distribution, gas mixing, and lung function improved after HFCWO or PEP breathing. DISCUSSION AND CONCLUSION: High-frequency chest wall oscillation and PEP breathing are similarly efficacious in improving ventilation distribution, gas mixing, and pulmonary function in hospitalized people with CF. Because SpO2 decreases during HFCWO, people who have moderate to severe CF and who use HFCWO should have SpO2 monitored during an acute exacerbation.  (+info)

Physiological effects of vibration in subjects with cystic fibrosis. (7/46)

The physiological mechanisms by which vibration and other physiotherapy interventions may clear secretions in subjects with cystic fibrosis are unknown. The main aim of this study was to compare the expiratory flow rates and frequencies of airflow oscillation of vibration to those of Acapella(R), Flutter(R), positive expiratory pressure and percussion. Respiratory flow rates were measured during interventions, the order of which was randomised. The oscillation of the airflow of the interventions was determined by frequency spectral analysis. In 18 young adult subjects with cystic fibrosis, the mean peak expiratory flow rate of vibration was greater than Flutter(R), percussion, Acapella(R) and positive expiratory pressure. The mean+/-sd of the oscillation of the airflow of vibration (8.4+/-0.4 Hz) was lower than Acapella(R) (13.5+/-1.7 Hz) and Flutter(R) (11.3+/-1.5 Hz) but similar to percussion (7.3+/-0.3 Hz). Theoretically, the higher peak expiratory flow rate of vibration compared to the other physiotherapy interventions may promote secretion clearance. In addition, the frequency of oscillation of vibration was within the range demonstrated to increase mucus transport. This study has provided some evidence for the physiological rationale for the use of vibration to aid secretion clearance.  (+info)

Immediate changes in blood-gas tensions during chest physiotherapy with positive expiratory pressure and oscillating positive expiratory pressure in patients with cystic fibrosis. (8/46)

OBJECTIVE: To assess and compare immediate effects of chest physiotherapy with positive expiratory pressure (PEP) versus oscillating PEP on transcutaneously measured blood-gas tensions in patients with cystic fibrosis. METHODS: Fifteen patients (mean age 12.5 y, range 6.9-21.5 y) participated. The treatments were randomized and performed on 2 separate occasions, 8 weeks apart. Spirometry was conducted before and after each treatment. We transcutaneously measured oxygen tension (P(tO2). RESULTS: There were no changes in spirometry values. During PEP, different trends in blood-gas tension were seen, and there were no consistent changes. During oscillating PEP, P(tO2) increased and P(tCO2) decreased. During oscillating PEP, P(tCO2) was lower and the intra-individual change in P(tCO2) was more pronounced than during PEP. The results obtained immediately after oscillating PEP showed a higher P(tO2) and a lower P(tCO2) than with PEP. CONCLUSION: PEP and oscillating PEP can both cause transitory effects on blood gases in patients with cystic fibrosis. However, oscillating PEP alters blood-gas tensions more than does PEP, and hyperventilation during oscillating PEP may reduce treatment time.  (+info)

*Airway clearance technique

Some of these methods include: percussion, positive airway pressure, high-frequency chest wall oscillation devices, and chest ...

*Plastic bronchitis

High-frequency chest wall oscillation can also be used to vibrate the chest wall at a high frequency to try to loosen and thin ... expectoration of bronchial casts and clinical improvement with high-frequency chest wall oscillation". Respir Care. 49: 1335-8 ... "Peripheral mucociliary clearance with high-frequency chest wall compression". J Appl Physiol. 58: 1157-63. PMID 3988672. Koga, ... Simple chest roentenograms may reveal collapse due to airway obstruction. The contralateral lung may be hyperinflated. Casts ...

*Warren Warwick

Warren J. Warwick was an American pediatrician, notable for co-inventing a chest wall oscillation device called the Vest Airway ...

*Chest wall oscillation

... is when devices are used for clearing excess mucus from lung airways (bronchi and bronchioles). It is ... It is the original High Frequency Chest Wall Oscillation Device by Advanced Respiratory, Inc (ARI), formerly American ... It uses a compressor to inflate and deflate the vest rhythmically at timed intervals and thus imposes high frequency chest wall ... These oscillations thin thixotropic airway mucus, facilitating its removal by coughing. Delivery of air to the vest can be ...

*Respiratory inductance plethysmography

Konno and Mead extensively evaluated a two-degrees-of-freedom model of chest wall motion, whereby ventilation could be derived ... area of the rib cage and abdomen increases altering the self-inductance of the coils and the frequency of their oscillation, ... is a method of evaluating pulmonary ventilation by measuring the movement of the chest and abdominal wall. Accurate measurement ... According to a paper by Konno and Mead "the chest can be looked upon as a system of two compartments with only one degree of ...

*Mechanical ventilation

Then, the airway pressure drops to zero, and the elastic recoil of the chest wall and lungs push the tidal volume - the breath- ... In recent years this device has re-surfaced as a modern polycarbonate shell with multiple seals and a high-pressure oscillation ... Chest. American College of Chest Physicians. 99 (3): 630-6. doi:10.1378/chest.99.3.630. Retrieved 11 October 2016. Gilgoff, ... The cuirass is a shell-like unit, creating negative pressure only to the chest using a combination of a fitting shell and a ...

*Tuned mass damper

One Wall Centre in Vancouver - employs tuned liquid column dampers, a unique form of tuned mass damper at the time of their ... Statue of Unity in Gujarat, India - a 400-ton tuned mass damper located at the chest level of Sardar Patel statue. World Trade ... "Ares I Thrust Oscillation meetings conclude with encouraging data, changes". NASASpaceFlight.com. 2008-12-09. Retrieved 2010-02 ... Seismic activity can cause excessive oscillations of the building which may lead to structural failure. To enhance the ...

*Kawasaki disease

Narrowing of the coronary artery, which occurs as a result of the healing process of the vessel wall, often leads to ... The main symptoms were shock, unrest, vomiting, and abdominal pain; chest pain was most common in older children. Most of these ... tropospheric winds has been shown to be modulated at seasonal and interannual timescales by the El Niño-Southern Oscillation ... Aneurysms are classified into small (internal diameter of vessel wall 8 mm). Saccular and fusiform aneurysms usually develop ...

*Powered exoskeleton

Ghent University exoskeleton: "WALL-X". In 2013 this was the first exoskeleton that allowed to reduce metabolic cost below the ... An underdamped servo typically exhibits oscillations like this.) A single-speed assist mechanism which is slowed down to ... 1.5-ton powered exoskeleton capable of housing a pilot in its chest area. The exoskeleton scales up the pilot's movement and ... prevent oscillation is then restrictive on the agility of the wearer. Sudden unexpected movements such as tripping or being ...

*Glossary of underwater diving terminology

... wall diving Diving along the face of a near vertical cliff wall, particularly if the bottom is below the range of the diver's ... NSS National Speleological Society nystagmus An oscillation of the eyes alternating a slow eye movement in one direction, and a ... adjustable buoyancy life jacket A combination of buoyancy compensator and inflatable life jacket worn on the chest and round ... penetration line percolation Cave diving: Bubbles making their way to the walls and the ceiling of the cave and dislodging silt ...

*Singing

A sunken chest position will limit the capacity of the lungs, and a tense abdominal wall will inhibit the downward travel of ... Lucero, Jorge C. (1996). "Chest‐ and falsetto‐like oscillations in a two‐mass model of the vocal folds". The Journal of the ... However, the use of overly strong chest voice in the higher registers in an attempt to hit higher notes in the chest can lead ... Within other forms of singing, chest voice is often applied throughout the modal register. Chest timbre can add a wonderful ...

*Vocal resonation

The chest is not an effective resonator. Although strong vibratory sensations may be experienced in the upper chest, and ... Three factors relating to the walls of a resonator will affect how it functions: the material it is made of, the thickness of ... the resonator to replicate its oscillations. Both types of resonance are at work in the human voice during speaking and singing ... The chest is mostly connected to the upstream structures of the airways, such as the lungs and trachea, i.e., under the vocal ...

*Management of Parkinson's disease

... deep diaphragmatic breathing exercises are beneficial for improving chest wall mobility and vital capacity. Exercise may ... may be helpful in controlling oscillations in some patients. Dietary protein restriction and the use of selegiline ...

*Prehistory of Transylvania

They had wattle walls pasted with clay mixed with straw. The roof was double sloping, and the floor was made of trodden clay. ... where the dead were laid on their backs hands across their chests or abdomens or along their bodies; the bodies were oriented ... The populations evolving at the onset of the Bölling oscillation (approximately 12,000 BP) and which have continued to the end ... The walls were decorated with plaster work with geometrical motifs (spirals, continuing spirals) randomly painted in white. ...

*Steam engine

The valve chest for each of the cylinders is to the left of the corresponding cylinder. Land-based steam engines could exhaust ... Also, there was a tendency for oscillation whenever there was a speed change. As a consequence, engines equipped only with this ... However, the thermal expansion gradient uniflow engines produce along the cylinder wall gives practical difficulties.[citation ... These events are controlled by valves often working inside a steam chest adjacent to the cylinder; the valves distribute the ...

*Phonation

The oscillation of the vocal folds serves to modulate the pressure and flow of the air through the larynx, and this modulated ... which may be bounded by vocal breaks A particular phonation A resonance area such as chest voice or head voice A certain vocal ... potentially closing onto the pharyngeal wall) raising or lowering of the entire larynx narrowing of the pharynx Until the ... The motion of the vocal folds during oscillation is mostly lateral, though there is also some superior component as well. ...

*Steam engine

These events are controlled by valves often working inside a steam chest adjacent to the cylinder; the valves distribute the ... The complete expansion of the steam now occurs across multiple cylinders and as less cylinder wall is exposed, per unit volume ... Also, there was a tendency for oscillation whenever there was a speed change. As a consequence, engines equipped only with this ... The valve chest for each of the cylinders is to the left of the corresponding cylinder. ...

*Swimming stroke

Turtle float: The knees are raised to the chest and encircled by the arms. Jellyfish float: Holding the ankles with the hands. ... a push off from a wall, or to rest between strokes. Sepia bone: Sepia bone could be effective as drifting technique, in ... hence all swimming techniques exert vertical oscillation with upward propelling. Flicker kick, as vibration of both, hands and ... with arm pressed firmly against the victim's chest. The other hand is placed on the back of the victim's head with the arm down ...

*Heart sounds

S3 is thought to be caused by the oscillation of blood back and forth between the walls of the ventricles initiated by blood ... The aortic area, pulmonic area, tricuspid area and mitral area are areas on the surface of the chest where the heart is ... "ta-lub-dub" or "a-stiff-wall" It is a sign of a pathologic state, usually a failing or hypertrophic left ventricle, as in ...

*Discovery and development of tubulin inhibitors

The Wall and Wani Contribution to Cancer Chemotherapy†". Journal of Natural Products. 67 (2): 232-44. doi:10.1021/np030420c. ... chest tightness, back pain, dyspnea, drug fever, or chills musculoskeletal effects - arthralgia and/or myalgia severe weakness ... called the kinetochore and undergoes several growing and shortening periods in tuning with the back and forth oscillations of ... in 1967 by Monroe Wall and Mansukh Wani but, its tubulin inhibition activity was not known until 1979. Yews trees are poor ...

*2011 Missouri River Flood

The wells pump water collecting around the airport over the levee wall back into the Missouri River. On June 29, Nebraska ... However some people (particularly employees at the Mike Durfee State Prison) used motor boats, kayaks, chest waders and a ... Wang, Shih-Yu (2014). "The Pacific quasi-decadal oscillation (QDO): An important precursor toward anticipating major flood ... Tracy, Ryan (June 8, 2011). "Nebraska Nuclear Plant Lost Cooling System After Fire". Wall Street Journal. Omaha, Nebraska. ...

*Ventricular fibrillation

These are depolarising oscillations in the membrane voltage induced by preceding action potentials. These can occur before or ... and ST elevation in the chest leads V1-V3, with an underlying propensity to sudden cardiac death. The relevance of this is that ... the ventricles become dilated with blood as the rapid quivering movement of their walls is insufficient to expel their contents ... last of its vital energy is dissipated in the violent and the prolonged turmoil of fruitless activity in the ventricular walls ...

*Bradshaw rock paintings

... it has been suggested that feather quills may have been used as a technique to apply the paint to the rock walls; an imprint of ... the Kimberley region settled into a tropical monsoon climate until a major El Niño-Southern Oscillation event in the mid ... Walsh says that the smaller breasts identified by Michaelson are probably chest-band decorations. Aerial fire-bombing and back ...

*Marine life

Sponges are similar to other animals in that they are multicellular, heterotrophic, lack cell walls and produce sperm cells. ... Shifts in the oceanic temperature distribution can cause significant weather shifts, such as the El Niño-Southern Oscillation. ... They have air sacs under their skin in their face and chest which act like bubble-wrap, cushioning the impact with the water. ... Animals are multicellular eukaryotes, and are distinguished from plants, algae, and fungi by lacking cell walls. Marine ...

*Spider

In this species the male will penetrate its pedipalps through the female's body wall and inject his sperm directly into her ... enabling oscillations to catch insects in slow horizontal flight. However, there is no single explanation for the common use of ... the symptoms of which include chest pain, asthma and coughing. Possible medical uses for spider venoms are being investigated, ... using the shadow cast by the walls of the cup. However, in spiders these eyes are capable of forming images. The other pairs, ...
Our study showed that using HFCWO for only 3 months produced a significant improvement in the feeling of breathlessness and increased cough at night. The increase in nocturnal cough may be an indication that HFCWO was effective for increasing secretion mobilization. Although there were no significant changes between the groups with respect to objective pulmonary function measures, peak expiratory flow increased in HFCWO users, whereas it decreased in nonusers (p = 0.179). The directional trend may be noteworthy.. The relentlessly progressive decline in respiratory muscle strength, as measured by FVC, oxygen saturation, and capnography continued despite treatment with HFCWO. However, we learned from this exploratory study which patients might benefit most from HFCWO use. First, our entry criteria were broad, allowing entry of patients with the most minimal symptoms of pulmonary dysfunction. These patients may have diluted therapeutic efficacy in our analysis of all participants. When only ...
Asthma and Chronic Obstructive Pulmonary Disease (COPD) are common chronic pulmonary disorders with periodic exacerbations characterized by increased airway obstruction, mucous hypersecretion, and respiratory symptoms such as dyspnea, cough, and wheeze. Despite major advances in the treatment of these disorders, severe asthma and COPD exacerbations are common and each result in about 500,000 hospitalizations per year in the United States. Moreover, re-exacerbations are common in this population, occurring in about 25% within 1 month and 50% within 12 months of hospital discharge. Inhaled medications, which rely on deposition into distal airspaces to suppress airway inflammation and promote bronchodilation, are used for both the treatment and prevention of asthma and COPD exacerbations. However, excessive mucous production and impaired airway mucociliary clearance lead to airway plugging, reducing the deposition of and response to inhaled medications. These considerations highlight the need for ...
RespIn 11 Bronchial Airway Clearance System is a Focused Pulse High Frequency Chest Wall Oscillation (HFCWO) device that maximizes the use of modern technologies and materials to produce a more comfortable, flexible and effective therapy delivery system.
RespIn 11 Bronchial Airway Clearance System is a Focused Pulse High Frequency Chest Wall Oscillation (HFCWO) device that maximizes the use of modern technologies and materials to produce a more comfortable, flexible and effective therapy delivery system.
Investigation of non-uniform airflow signal oscillation during high frequency chest compression. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
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A historically controlled pilot study was conducted in pediatric patients 18 months to 18 years of age hospitalized with a diagnosis of asthma or reactive airway disease and admitted to the pediatric intensive care unit. Upon receiving informed consent, patients were treated with HFCWO therapy via the VEST. The primary endpoint was time to readiness for discharge, lack of need for continued supportive care (e.g., intravenous fluid or oxygen), and bronchodilator treatments spaced at least four hours apart ...
The D R Burton Family of OPEP therapy devices Includes the iPEP®, the only volumetric-based OPEP therapy -. D R Burton Healthcare Products LLC, makers of respiratory products and other medical devices, introduces oscillating positive expiratory pressure (OPEP) products at the American Association of Respiratory Care Congress (AARC) in San Antonio, TX on October 15-18, 2016 in booths 101 and 103. D R Burton is the first company to bring innovative, new technology to OPEP therapy in recent years. "The iPEP system represents a breakthrough in airway secretion clearance therapy by providing patented volumetric-based OPEP therapy. Treating atelectatsis starts with lung volume. The iPEP takes the mystery out of OPEP therapy by providing patients and healthcare providers with important and immediate feedback in real time that measures the patients inspiratory capacity during therapy," according to Dennis Cook, BSRT, RRT, CEO of D R Burton.. There is a need to prevent pneumonia in high risk patients, ...
In a respiratory apparatus for treatment of sleep apnea and other disorders associated with an obstruction of a patients airway and which uses an airflow signal, an obstruction index is generated which detects the flattening of the inspiratory portion of the airflow. The obstruction index is used to differentiate normal and obstructed breathing. The obstruction index is based upon different weighting factors applied to sections of the airflow signal thereby improving sensitivity to various types of respiration obstructions.
Recognition of respiratory compromise on the basis of both severity and risk is a critical step in the development of preventive strategies and surveillance systems to identify respiratory compromise changes early and thus help to prevent respiratory failure and death. Increased attention, observation, and therapeutics substantially improve the probability of survival in deteriorating patients28; delay of such interventions for patients developing acute respiratory failure increases the chances of death.29 On the other hand, most interventions (eg, aggressive respiratory secretion clearance30) require additional resources that are not feasible to provide to the majority of in-patients. It may not be straightforward to determine which patients are in sufficient jeopardy to warrant resource-intensive interventions.. There are examples of clinically validated data to help recognize respiratory compromise on the basis of the severity of the underlying conditions and the risk of deterioration. ...
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A breathing device that uses gaming techniques to help patients with cystic fibrosis complete positive expiratory pressure (PEP) therapy and lets parents and cl
As I was walking this morning and communing with God a dream I had eight years ago came to mind. A dream I had a couple of months after my younger sister Linda had gone home to be with our Heavenly Father. Let me back up just a little. Linda had been ill for several years with Pulmonary Fibrosis, Auto Immune Liver Disease and Lupus. The week prior to her going home my baby sister Nellie was spending some time with Linda. Nellie told me about some things Linda had said and done. One of the things that really sticks in my mind was when Linda was moving her arms in a motion that looked a lot like she was trying to fly. When Linda was asked what she was doing she stated "I dont want to loose my place in line." This was one of the last statements Linda made before her journey home which brings me to my dream ...
AirPhysio is an Oscillating Positive Expiratory Pressure (OPEP) device which is used for mucus clearance and lung expansion to help in the treatment of respiratory conditions like Asthma, Bronchiectasis, Chronic and Acute Bronchitis, Chronic Obstructive Pulmonary Disease (COPD), Cystic Fibrosis, Emphysema, Chest colds and flus. The use of AirPhysio device helps to facilitate secretion mobilization, prevents atelectasis and maximize lung volume for cleaner healthier lungs. ...
The differentiation of obstructive and central respiratory events is a major challenge in the diagnosis of sleep disordered breathing. Esophageal pressure (Pes) measurement is the gold-standard method to identify these events but its invasiveness deters its usage in clinical routine. Flattening patterns appear in the airflow signal during episodes of inspiratory flow limitation (IFL) and have been shown with invasive techniques to be useful to differentiate between central and obstructive hypopneas. In this study we present a new method for the automatic non-invasive differentiation of obstructive and central hypopneas solely with nasal airflow. An overall of 36 patients underwent full night polysomnography with systematic Pes recording and a total of 1069 hypopneas were manually scored by human experts to create a goldstandard annotation set. Features were automatically extracted from the nasal airflow signal to train and test our automatic classifier (Discriminant Analysis). Flattening ...
Acapella Device: Find the most comprehensive real-world treatment information on Acapella Device at PatientsLikeMe. 5 patients with fibromyalgia, multiple sclerosis, major depressive disorder, generalized anxiety disorder, diabetes type 2, post-traumatic stress disorder, systemic lupus erythematosus, bipolar disorder, Parkinsons disease, panic disorder, rheumatoid arthritis, high blood pressure (hypertension), myalgic encephalomyelitis/chronic fatigue syndrome, persistent depressive disorder (dysthymia), amyotrophic lateral sclerosis, epilepsy, migraine, hypothyroidism, osteoarthritis, traumatic brain injury, bipolar II disorder, attention deficit/hyperactivity disorder, asthma, social anxiety disorder, high cholesterol (hypercholesterolemia), irritable bowel syndrome, idiopathic pulmonary fibrosis, gastroesophageal reflux disease, bipolar I disorder or psoriasis currently use Acapella Device.
This popular series of novels by Beverly Lewis wraps up the engaging story of Nellie Mae Fisher, a young Amish woman who has broken up with her beau, Caleb Yoder. Now her hearts greatest longing is for more knowledge of the Lord. Meanwhile, Caleb yearns for freedom. His plans to leave Honeybrook have been thwarted, and he must stay on as caretaker for his father, who was crippled in a wintertime accident. He also longs for Nellie Mae, still hoping that she will return to the Old Order and to him. Longing, The - eBook The Courtship of Nellie Fisher Series #3 (9781441202307) by Beverly Lewis
2. j. LRS Disorders: Infectious assess regular swallowing and ability to protect the upper airway discuss chances of mechanical ventilation or nutritional support: does client wish it? assist with coughing and secretion clearance as indicated prevent infection assess for with appropriate referrals for depression that is often associated with these diseases administer medications specific to the disease condition assist/provide occupational or/and physical rehibilitation as indicated maintain adequate nutrition with terminal disorders, provide for referrals for family 1. Pneumonia (illustration ) 3. Definition/etiology a. acute infection of lung parenchyma b. cause: bacterium, virus, protozoan, mycobacterium, mycoplasma, or rickettsia c. pneumonia is the leading cause of death from infectious causes d. may affect only a region of lung: lobar pneumonia, bronchopneumonia e. may be the result of: i. primary infection ii. secondary to other lung damage iii. aspiration 4. Risk factors for pneumonia a. ...
0045] As shown in FIG. 3, prior to using the OPEP device 100, the oscillation member 122 is biased to an engaged position, where the deformable restrictor member 120 is in contact with the oscillation member 122. In the engaged position, the exhalation flow path 148 is substantially restricted by the deformable restrictor member 120 and the oscillation member 122. As a user exhales into the OPEP device 100, an initial exhalation pressure at the chamber inlet 114 begins to increase, as only a fraction of the exhaled air is permitted to flow along the exhalation flow path 148 through the at least one channel 142 on the oscillation member 122. As the exhalation pressure increases at the chamber inlet 114 to an intermediate pressure, the deformable restrictor member 120 begins to expand under the force of the increased pressure. As the deformable restrictor member 120 expands, the lower portion 136 moves in an outward direction, toward the oscillation member 122. In the engaged position, however, ...
The invention provides exemplary methods and valves used to alter a persons breathing. In one method, an exit valve is interfaced with a persons airway. The exit valve is configured such that respiratory gases are prevented from exiting the persons lungs when the exit valve is closed and are permitted to exit the persons lungs when the exit valve is opened. The exit valve is configured to open when a valve actuating pressure is met or exceeded. In a further step, the valve actuating pressure is varied over time.
Hello everyone, hope you had a nice holiday. I have the Acapella vibration device ( green one). It is the only one I have tried but am curious if …
Smith Medicals drug-free acapella® choice vibratory PEP therapy system reduces hospital length of stay by 1 1/2 days for patients with acute exacerba
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Its been 3 months since our last check in with the clinic. Weve been tracking our data for the past 6 months and are interested to hear what, if any, trends they are seeing. Last week we got a summary of our data to review before our visit that helps us to identify any ongoing concerns that Ive had since we were last seen. Our doctor has already reviewed this and is recommending that we meet with our RT to discuss alternative airway clearance techniques because she has seen that we have been checking that out on our message boards. Since she brought that up, I do agree that it could be useful to hear about some of our other options even though I havent really thought about much about it since our last clinic visit. I also notice that Drews interest in eating has declined considerably over the past 2 weeks. I let them know that Id like to talk with the dietician to figure out whats going on. Drews vitals (PFTs, O2, heart rate, blood pressure, etc), that we record with apps recommended by ...
How it is," for someone with cystic fibrosis, is that each breath is a small triumph. The genetic conditio churns out gluey mucus that will clog and inexorably shut down the lungs if not jarred loose and hocked up at least twice a day. That entails half-hour sessions of gentle thumps (parents of CFbabies call them "pitty pats") at more than a dozen prescribed locations on the back and chest, or wearing a vibrating vest powered by an air hose, or using a handheld "positive expiratory pressure" device. The sessions are punctuated with vigorous "huff coughs" to expel the sticky stuff. CF children learn the technique as toddlers.. Theres more. The mucus blocks the ducts in the pancreas that release vital digestive enzymes generated by the organ. To prevent malnutrition, downing handfuls of enzyme capsules is mandatory before eating so much as a cracker or drinking a glass of milk. Many children still cant absorb the amount of nutrients they need, and must have a high-calorie supplement dripped ...
How it is," for someone with cystic fibrosis, is that each breath is a small triumph. The genetic conditio churns out gluey mucus that will clog and inexorably shut down the lungs if not jarred loose and hocked up at least twice a day. That entails half-hour sessions of gentle thumps (parents of CFbabies call them "pitty pats") at more than a dozen prescribed locations on the back and chest, or wearing a vibrating vest powered by an air hose, or using a handheld "positive expiratory pressure" device. The sessions are punctuated with vigorous "huff coughs" to expel the sticky stuff. CF children learn the technique as toddlers.. Theres more. The mucus blocks the ducts in the pancreas that release vital digestive enzymes generated by the organ. To prevent malnutrition, downing handfuls of enzyme capsules is mandatory before eating so much as a cracker or drinking a glass of milk. Many children still cant absorb the amount of nutrients they need, and must have a high-calorie supplement dripped ...
Pdf Rtf Epub Mobi Azw3 - Ita] Diari di guerra - Prima Guerra Mondiale Edith Wharton & Nellie Bly Da fronti opposti Diari di guerra 1914-1915 Autore: Edith Wharton & Nellie Bly Titolo: Da fronti opposti Diari di guerra 1914-1915 Lingua: Italiano Traduzione di Luisa Cetti Genere: Diario di guerra Edizione: Viella 2010Dimensione del file: 6, 37 MB Formato del file: Pdf Rtf Epub Mobi Azw3 ***Edith Wharton e Nellie Bly: due donne che hanno fatto della scrittura la loro professione hanno... ...
However, Nellie Kroes analysis fails to take an essentiel step: it remains entirely within an economicist approach. The public is present only as consumers, who are assumed to use file sharing only because legal offers, constrained by laws and regulations, would not evolve with enough flexibility. Sharing would be only a market failure and not a fundamental dimension of culture. The distribution of works to other individuals, sharing them without aim of profit, this wonderful capability with which digital technology endows us would just be an anomaly and not the core cultural promise of the digital age. Without taking the essential step of recognizing the right to non-market sharing, many of the measures proposed by Nellie Kroes (lowering the VAT on digital cultural products to align it with physical products) or many of her visions (lets do our own European Netflix, iTunes or centralized hosting services) would deliver exactly the contrary of what she tells us is her aim. Instead of a ...
I have convinced Mr Nellie to poach eggs (hes ace at this, and mums giving me eggs born within the previous 24 hrs so v.fresh), and I will cook the toast and even butter it. I will also bake some friands (probably raspberry as I have 3 punnets ordered from Hill St Store which will need to be used somewhere). I have 2kg box of cherries ordered from Hill St too, so the obligatory bowl of cherries will sit as the table centrepiece. Mr Nellie, the aspiring barista, will man the KitchenAid coffee machine: (note to self: must get some fresh beans - Jasper free trade - from Hill St on Sun). And some fresh juice ...
Official Post from Tangle the Sir Vine: Another day, another release. This one, nobody asked for but me, and its a nice, slow, sensual song to listen to. I tried to emulate as much of it as I could in my acapella style, and its come out satisfyingly enough, all things considered. I hope you enjoy this as much as I did making it.
A brief introduction to radiographs and chest CT scans for the diagnosis of cystic lung diseases.&nbsp; Lymphangioleiomyomatosis (LAM) is the focus &ndash; including diagnosis of the disease and its complications.&nbsp; Other cystic lung diseases such as Langerhans Histiocytosis, Birt-Hogg-Dube and Lymphocytic Interstitial Pneumonia (LIP) will also be mentioned.
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PEP works by creating a positive pressure to splint open and stabilize airways, preventing bronchial collapse. So when a treatment is given in conjunction with a nebulizer, it may result in better distribution of the medicine while enhancing secretion clearance ...
Airway clearance techniques (ACTs): One of the key treatments for CF is daily airway clearance technique treatments. There are several techniques, such as "percussion and postular draining" in which a caretaker cups their hand and claps it against the childs chest to loosen and expel mucus. Different ACTs are more effective for different people-no one technique is necessarily better than another, but anything is better than nothing. It is important to find one that works for you and do it daily. ...
Bulletin Board: A Post From the Community | FOR IMMEDIATE RELEASE Contact: Roy Vombrack (847.695.3710) E-mail: [email protected] Website: www.jcbigband.com YouTube: www.youtube.com/jcbigbandchicago Facebook: www.facebook.com/jcbigband The Jazz Consortium Big Band 1101 Country Club Rd. Elgin, IL 60123 Photo attached: The Jazz Consortium Big Band plays for the holidays. (Photo: Alan Frohlichstein) TWO BIG BANDS AND HOLIDAY FAVES DEC. 10 AT DURTY NELLIE'S Jazzed-up holiday favorites and a guest performance by the Elk Grove High School Jazz Ensemble will be the special features at the Jazz Consortium Big Band's performance Sun. Dec. 10 at Durty Nellie's Pub, 180 N. Smith St., Palatine. Directed by Ron ...
Pathology Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of pathology.
Physiotherapy for airway clearance in paediatrics.: The basic therapeutic principles in paediatric chest physiotherapy (CPT) are identical to those applied in a
On February 11, 1907, housemaid Nellie Walsh, a 28-year-old Irish immigrant, was brought to National Emergency Hospital in Chicago in grave condition from complications of a criminal abortion. A curettage was performed to try to save her life, but her condition continued to deteriorate. The next day, February 12, the doctor told Nellie that there was nothing more that could be done for her, and that she was dying. Head nurse Cora Bachino asked Nellie if shed like a priest to administer last rites. Nellie answered yes, and a priest was brought to her. After last rites, Nellie made her dying declaration, naming Dr. Adolph Buettner as her abortionist. Less than an hour later, she died ...
Books by Nellie B. Eales, The littoral fauna of Great Britain, The littoral fauna of the British Isles, Cheese mites, Practical histology and embryology, Aplysia, A systematic and anatomical account of the Opisthobranchia
Badlan, K. (2000) Health beliefs and coping strategies: Do they influence levels of compliance with chest physiotherapy in adults with cystic fibrosis? In: Faculty of Health and Social Care Regional Research Seminar, University of the West of England, Bristol, UK, July, 2000. Available from: http://eprints.uwe.ac.uk/4013 Full text not available from this repository ...
Chest physiotherapy can help improve breathing by removing mucus from the respiratory passages. Learn more and see if its right for you.
The treatments outlined in Chest Physiotherapy are designed to increase lung function by promoting lung expansion, clearing the airways of secretions, and stren
It is prescribed for the treating multiple diseases like pharyngitis, pneumonia, tonsillitis, and strep throat. Maybe as far as prescribed drugs goes this can be feasible since the P. If you dont, the infection will not entirely disappear even though youre feeling much better. In Positive Expiratory Pressure (PEP) Therapy, the sufferer wears a mask that is attached to some resistor set. It shouldnt be taken with those that have organ transplants zithromax get overseas fedex delivery and those sensitive to a particular shell fish (not every) and certain mushrooms (its not all) will have a problem ...
Pericardial effusion estimation is usually done cualitatively. Measurements of systolic and diastolic dimensions from parasternal in M-mode is important, in order to allow follow-up controls. Hemodynamic severity can be assessed through evidence of atrial or ventricular wall compression, interventricular septum displacement during inspiration and inferior vena cava plethora with blunted respiratory response ...
Airway clearance" as far as I understand it means loosening up the gunk in ones lungs and aggressively coughing it up to get rid of it. Will doesnt like adding daily airway clearance to his routine. It takes time -- about 90 minutes or so each day -- and it makes his chest hurt. Mostly, though, I think the hard part is that it was one of the CF related obligations he had hoped to leave behind forever after transplant. But he does do it, most days, because it makes him feel better and hopefully will make hospitalizations and use of IV antibiotics less frequent. Will recently started using nebulized hyper tonic saline (a 3% solution) to help with airway clearance and it does seem to help him. It seems like inhaling the saline mist makes the gunk in his lungs more susceptible to moving around and being coughed up ...
History 34 years old male with fever, cough, and painful left knee since returning from a Thailand visit 2 weeks before presentation. He complaints about night sweats and weight loss of 5 kg. Findings Conventional chest X-ray shows enlargement of left pulmonary hilum compatible with adenopathy (A). In the thoracic CT scan in soft tissue…
The Ochsner Pediatric Radiology program provides patients with the following services: Conventional chest and skeletal radiography Gastrointestinal
This post is part two of the Nellie Bly story. If you missed part one you can catch up and read it here.. At age 25, Bly was still working at New York World and looking for her next big adventure. Inspired by the Jules Verne novel, Around the World in 80 Days, Bly decided she would try to best the fictional hero, Phileas Fogg, and beat his time. She offered the idea to her editor and a year later, on November 14, 1889, she boarded the Augusta Victoria steamer and started her 24,899 mile journey with nothing but the dress she was wearing, a small duffel of toiletries, and a bag of money worn around her neck.. In order to increase publicity of their own periodical, Cosmopolitan, sent their own reporter, Elizabeth Bisland, around the world in the opposite direction with the goal of not only beating Fogg but Bly as well. To keep interest in the story alive, New York World held the "Nellie Bly Guessing Match;" participants would estimate Blys arrival to the second for a chance to win a trip to ...
Mos Manning (79) spellbinders (29) KennyK (22) Nellie snellie (19) Herrekort (18) Uten stempelmotiv (16) Jul (15) Wee stamps (14) Joy Crafts (13) Saturated Canary (13) Marianne design (12) Memory box (9) TeddyBo (9) baby (9) Tim Holtz (8) Crafts and me (7) Bryllup (6) Konfirmasjon jente (5) Make it crafty (5) Tiddly Inks (5) barnekort (5) dåp (5) Just Inklined (4) Photo image (4) The digital shack (4) Bretteteknikker (3) Kort og Godt (3) Sugar Nellie (3) Whimsy stamps (3) Box and baskets (2) Konfirmajon gutt (2) La-La-Land (2) Tekst som hovedmotiv (2) The Paper Shelter (2) Tickled Pink Stamps (2) Tutorial (2) Viva Decor (2) Whiff of joy (2) A day for for daisies (1) Cuddly Buddy (1) Embossing (1) Flaskeskjuler (1) LO (1) Magnolia (1) Pink Gem Design (1) Posekort (1) Stensiler (1) invitasjon (1) kalender (1) ...
Mos Manning (79) spellbinders (29) KennyK (22) Nellie snellie (19) Herrekort (18) Uten stempelmotiv (16) Jul (15) Wee stamps (14) Joy Crafts (13) Saturated Canary (13) Marianne design (12) Memory box (9) TeddyBo (9) baby (9) Tim Holtz (8) Crafts and me (7) Bryllup (6) Konfirmasjon jente (5) Make it crafty (5) Tiddly Inks (5) barnekort (5) dåp (5) Just Inklined (4) Photo image (4) The digital shack (4) Bretteteknikker (3) Kort og Godt (3) Sugar Nellie (3) Whimsy stamps (3) Box and baskets (2) Konfirmajon gutt (2) La-La-Land (2) Tekst som hovedmotiv (2) The Paper Shelter (2) Tickled Pink Stamps (2) Tutorial (2) Viva Decor (2) Whiff of joy (2) A day for for daisies (1) Cuddly Buddy (1) Embossing (1) Flaskeskjuler (1) LO (1) Magnolia (1) Pink Gem Design (1) Posekort (1) Stensiler (1) invitasjon (1) kalender (1) ...
Search millions of objects in the collections including photographs, artworks, artifacts, scientific specimens, manuscripts, sound records, and transcripts. These represent Art, Design, History, Culture, Science and Technology.
The box is decorated with a base layer of green indian handmade paper. All patterned papers & die cuts are by Fancy Pants. Flowers are by Prima Marketing, featuring dew drop centres. The ribbons are all off cuts of recycled ribbon, the pink organza ribbon is from a set of PJs from Primark lol ...
The quilt block was designed and executed by Dr. Nellie Patson, a member of the Moscow Branch AAUW. Dr Patson is a Home Economist with a special interest in embroideries instilled in her by her mother. In addition to her skill in needlework, Dr ...
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The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. Databases including MEDLINE, EMBASE, Web of Science and the ClinicalTrials.gov registry were systematically searched. Further references were gathered from cross-references from articles by handsearch. The inclusion criteria for this review must be human prospective controlled studies of adult CA. Random effects models were used to assess the risk ratios and 95 % confidence intervals for return of spontaneous circulation (ROSC), survival to admission and discharge, and neurological function. Twelve trials (9 out-of-hospital and 3 in-hospital studies), involving 11,162 participants, were included in the review. The results of this meta-analysis indicated no differences were found in Cerebral Performance Category (CPC) scores, ...
The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. Databases including MEDLINE, EMBASE, Web of Science and the ClinicalTrials.gov registry were systematically searched. Further references were gathered from cross-references from articles by handsearch. The inclusion criteria for this review must be human prospective controlled studies of adult CA. Random effects models were used to assess the risk ratios and 95 % confidence intervals for return of spontaneous circulation (ROSC), survival to admission and discharge, and neurological function. Twelve trials (9 out-of-hospital and 3 in-hospital studies), involving 11,162 participants, were included in the review. The results of this meta-analysis indicated no differences were found in Cerebral Performance Category (CPC) scores, survival to
Airway clearance is impaired in intubated patients due to decreased mucociliary activity and inability to cough effectively. Mucociliary activity is impaired due to the presence of the artificial airway, airway trauma due to suctioning, inadequate humidification, high Fio2, drugs (eg, narcotics), and underlying pulmonary disease. Cough effectiveness is impaired due to the presence of the artificial airway and depressed neurologic status. Methods commonly used to improve secretion clearance in intubated patients include suctioning, postural drainage therapy with or without percussion and/or vibration, positioning, and bronchoscopy. ...
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In patients with cervical spine injuries, respiratory function requires careful attention. Voluntary respiratory control is usually possible with lesions below C4 level although paralysis of the abdominal musculature results in a decreased ability to cough and to clear secretions, which may later lead to respiratory insufficiency. Therefore, injuries above C5 usually necessitate long term mechanical ventilation. Even though weaning criteria are not definitive for the quadriplegic patient, M-mode ultrasonography of the diaphragm may be useful in identifying patients at high risk of difficulty weaning. Diaphragmatic dysfunction (vertical excursion < 10 mm or paradoxical movements) results in frequent early and delayed weaning failures. We present our clinical experience with successful weaning by using M-mode ultrasonography and a cough-assist device for secretion clearance after extubation in a quadriplegic patient undergoing C2-4 spine laminoplasty. ...
(2010) Pryor et al. Journal of Cystic Fibrosis. Background: Evidence indicates that there are no statistically significant differences in effectiveness among the airway clearance techniques (ACTs) of active cycle of breathing, autogenic drainage, positive expiratory pressure (PEP) or oscillating ...
Read about a study suggesting that treatment with hypertonic saline before airway clearance is no more effective than during airway clearance.
Ok so a lot of people have been asking what the PEP mask is so I thought I would tell you a lil about it... The Positive Expiratory Pressure (PEP) mask is another alternative to airway clearance, and I love it!! I was first introduced to it in the early 90s but then I think the flutter came out then the vest so the PEP mask kind of was forgotten about cause we had moved on to bigger and better, right? Well in March of 08 when I was in the joint the RTs tried to get me to do the mask instead of my usual "Somer Genics" (which is active cycle and autogenic drainage mixed, I may have to post on that later) But I thought t was ridiculous that they would want to re invent an old version of airway clearance. So I continued that stay with CPT, Somer Genics and Thera PEP when I was being discharged my PFTs were a 36 not where I wanted them, again shooting for a 42. So the RT came in and asked if I wanted to take a PEP mask home, well I really want to blow a 42 so I finally succomb to the 90s version ...
Dramatic improvement within two months. The owner stated "Nellie is not young and is not doing agility any more, but shes a very tough dog. Shes still very active and tries to climb trees when shes excited. We rarely see her lame in the front. Shes still getting chiropractic and massage, and VIVR8 is an important part of her therapy.". ...
Book now at Nellie Cashmans Monday Club Cafe at The Westin Kierland Resort & Spa in Scottsdale, explore menu, see photos and read 296 reviews: Terrific food. A touch noisy but not unexpected
Alleviating impairment, functional limitation, or disabilities by designing, implementing, or modifying therapeutic interventions which may include any of the following: Therapeutic exercise; functional training in home, community, or work integration or reintegration related to physical movement and mobility; therapeutic massage; mobilization or manual therapy; recommendation, application, and fabrication of assistive, adaptive, protective, and supportive devices and equipment; airway clearance techniques; integumentary protection techniques; nonsurgical debridement and wound care; physical agents or modalities; mechanical and electrotherapeutic modalities; and patient-related instruction; but which does not include the making of a medical diagnosis ...
Vega Generic Viagra. 31. Barodontalgia, including most commonly due to overgrowth of predominantly anaerobic organisms , which replace the conventional chest x-ray as a pathogenic mechanism in 59 children older than 4 months has been described in this situation.
Kate has had a productive cough and runny nose for the last 2 weeks. I have put my hand on her forehead countless times and checked her temperature a bit too much as well. I cant help it. I dont know if it is because we are going out of town but I have a sinking feeling in my stomach and I am worried. Just before I went to New Hampshire and Kate was sick, I had a similar feeling in my gut that made me think I shouldnt go. I went anyway and we ended up at Dartmouth for 5 days and later a life flight back home. So...is this feeling a legitimate warning or is it because I am nervous to travel with her for fear that shell worsen and that well be stuck in another hospital in the middle of nowhere? Yeah, I dont know either ...
provider. If you have questions about this material, or need medical advice about your own health or situation, please contact your physician.. The views expressed in the comments belong specifically to the individual who made that comment. We accept no liability for the comments that are not of our owns and always advise users to exercise caution.. Intellectual contents of the texts I personally write in my blog may be freely reproduced for the purposes of private research and study or for not-for-profit educational purposes and may be included in other blogs or journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising and there is no suggestion that I endorse or support the particular use which is made of my texts. Materials here enclosed other than my texts are submitted to their own authors copyright. Indeed, in addition to my own texts, this Blog contains other copyrighted material the use of which has not always been ...
Our mobile veterinarian dedicated to end of life care for your pet, including euthanasia and veterinary hospice in Columbus and surrounding areas.
... mainly involves chest physiotherapy, to keep the patients chest devoid of secretion as much as possible, to keep the patients lungs aerated as much as possible, to prevent collapse of lungs.
Literature (Appendix E): The literature was searched since the publication of EPR-3 (2007). Two studies were identified. The studies are reported individually because the comparisons and outcomes differ for each study. Christensen, Norregaard, Jensen, & Dahl 1993) compared β2-agonists and PEP with functional residual capacity (FRC) and airway resistance (RAW). Frischknecht-Christensen, Norregaard, & Dahl (1991) used the same comparison but measured peak expiratory flow (PEF) and forced expired volume (FEV). Neither study showed improvement in the measured outcomes using PEP therapy. Clinical experience at Childrens Mercy has shown the usefulness of PEP therapy in children with asthma. Texas Childrens Hospital and Denver Childrens Hospital were contacted regarding the use of PEP therapy in hospitalized children with asthma. Texas Childrens does not use PEP routinely and Denver Childrens uses EzPAP, not PEP, due to the lack of evidence. Forest plot ...
Clinical Question: Which method of resuscitation optimizes outcomes of out-of-hospital cardiac arrest: manual chest compression or the use of an automated chest compression device?. Setting: Population-based. Study Design: Randomized controlled trial (nonblinded). Allocation: Unconcealed. Synopsis: The investigators randomized (allocation not concealed) 1,071 eligible adults 18 years or older, with out-of-hospital cardiac arrest presumed to be of cardiac origin, to cardiopulmonary resuscitation (CPR) via standard manual chest compression or the use of an automated load-distributing band (LDB) chest compression device. Study outcomes included survival with spontaneous circulation at four hours, survival to hospital discharge, and neurologic function at discharge.. Individuals assessing outcomes were not blinded to treatment group survival, but the major outcome of interest (i.e., mortality) is not subject to interpretation. Follow-up occurred for all eligible patients until hospital discharge. ...
Case Reports in Pediatrics is a peer-reviewed, Open Access journal that publishes case reports related to pediatric subspecialities, such as adolescent medicine, cardiology, critical care, dentistry, developmental and behavioral medicine, endocrinology, gastroenterology, genetics, haematology and oncology, neo- and perinatology, nephrology, neurology, psychology, pulmonology, rheumatology, and surgery.
This study evaluates the onset and offset of neural inspiratory time estimated from surface diaphragm electromyographic (EMGdi) recordings. EMGdi and airflow signals were recorded in ten healthy subjects according to two respiratory protocols based on respiratory rate (RR) increments, from 15 to 40 breaths per minute (bpm), and fractional inspiratory time (Ti/Ttot) decrements, from 0.54 to 0.18. The analysis of diaphragm electromyographic (EMGdi) signal amplitude is an alternative approach for the quantification of neural respiratory drive (NRD). The EMGdi amplitude was estimated using the fixed sample entropy computed over a 250 ms moving window of the EMGdi signal (EMGdifse). The neural onset was detected through a dynamic threshold over the EMGdifse using the kernel density estimation method, while neural offset was detected by finding when the EMGdifse had decreased to 70 % of the peak value reached during inspiration. The Bland-Altman analysis between airflow and neural onsets showed a ...
This study evaluates the onset and offset of neural inspiratory time estimated from surface diaphragm electromyographic (EMGdi) recordings. EMGdi and airflow signals were recorded in ten healthy subjects according to two respiratory protocols based on respiratory rate (RR) increments, from 15 to 40 breaths per minute (bpm), and fractional inspiratory time (Ti/Ttot) decrements, from 0.54 to 0.18. The analysis of diaphragm electromyographic (EMGdi) signal amplitude is an alternative approach for the quantification of neural respiratory drive (NRD). The EMGdi amplitude was estimated using the fixed sample entropy computed over a 250 ms moving window of the EMGdi signal (EMGdifse). The neural onset was detected through a dynamic threshold over the EMGdifse using the kernel density estimation method, while neural offset was detected by finding when the EMGdifse had decreased to 70 % of the peak value reached during inspiration. The Bland-Altman analysis between airflow and neural onsets showed a ...
Regular airway clearance therapy is frequently recognized as an effective component in the standard respiratory care regimen for spinal cord injuries. For more information about the inCourage® System, please call us at 1-800-793-1261.
AB - In the present work, a workflow on the development of a continuous protein crystallisation is introduced, with lysozyme as a model protein, from micro L screening experiments, to small scale batch crystallisation experiments in a shaking crystallisation platform, and to batch and continuous crystallisation experiments in an oscillatory flow platform. The lysozyme crystallisation investigated were for a concentration range from 30 to 100 mg/mL, shaking conditions from 100 to 200 rpm in the batch shaking crystallisation platform, and oscillatory conditions with amplitude (x) from 5 to 30 mm and frequency (f) from 0.1 to 1.0 Hz in the batch oscillatory flow crystallisation platform. We propose the use of the Reynolds number (Re) for scaling up of the process from the shaking batch to the continuous oscillatory flow platform. Additionally, it is shown that the nucleation rate increased with increase in concentration of initial lysozyme solution, or increase in shear rate, inducing smaller size ...
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The study was designed to show a better 4-hour survival in the group treated with mechanical chest compressions, and this was not achieved, said lead investigator Sten Rubertsson, MD, PhD.
Purpose of review In light of emerging data from clinical trials, the place of high-frequency oscillatory ventilation (HFOV) in the management of acute ...
I have the green one and it is adjustable. I only use it when I have mucus which is only a problem when I am sick. both of my parents have COPD and although my mother is every bit as sick if not sicker than my Dad she rarely has mucus. He is practically strangling in it. They both chain smoke and have for 70 years. My mucus issues mostly cleared up after I quit smoking. I love my Acapella, I can really tell its working when I need it. Not sure what a flutter valve is? ...
was a group that emerged out of the High School experiences of a group of friends and relations in Totnes, a little town in South Devon, England. Influenced by listening to an eclectic mix of early Frank Zappa, Captain Beefheart, The Beatles, Ethiopian Polyphonic chants, The Doors, Stravinsky and Edgar Varese, among other things, we moved to London in 1979 a year after reaching the final of the National Melody Maker Rock/Folk Contest - an event at which the judges included Bob Geldof, Justin Hayward [of the Moody Blues] and Ray Coleman [editor of Melody Maker]. Needless to say Furious Pig didnt win with their stirring renditions of Im Going Round the Bend and the jarring In Order of Height but Bob Geldof said wed Gotta Lotta Bottle[Nerve] playing what we played. Squatting in houses around North London we developed a form of intense acapella vocal chanting, highly orchestrated with choreographed passages. It became a cult sensation on the London and N.European club scene. We toured on ...
35395, Childrens Songbook, God Is Watching Over All, 229. Words: Nellie Poorman. Music: Franz Schubert, 1791-1828. From THE WORLD OF MUSIC series, lyrics © 1936 by Silver, Burdett & Ginn Inc. Used by permission. Arr © 1989 LDS. MAKING COPIES OF THIS MATERIAL IS PROHIBITED.. Moses 1:35, 37. Luke 12:6-7 ...
Template:Adoption CA State Genealogical AllianceSeveral helpful guides to California place names have been published. Two of the most useful are: Gudde, Erwin Gustav. California Place Names. Berkeley, California: University of California Press, 1969. (FHL book 979.4 E2ge.) Sanchez, Nellie Van de Grift. Spanish and Indian Place Names of California. San Francisco, California: A.M. Robertson, 1930. (Family History Library film 1320727 item 2.) ...
Background: Positive expiratory pressure (PEP) and continuous positive airway pressure (CPAP) are two forms of resistance breathing used in spontaneously breathing patients. With a threshold resistor or a flow resistor, both PEP and CPAP provide a positive (elevated) pressure level during the expiratory phase. With PEP, inspiratory pressure is negative, i.e. lower than ambient air pressure, as during a normal inspiration, but with CPAP, the inspiratory pressure is positive, i.e. higher than ambient air pressure.. Methods: This thesis is based on four separate studies in which four different breathing devices, a PEP-bottle (threshold resistor device), a PEP-mask (flow resistor device), a threshold resistor CPAP and a flow resistor device were investigated. Paper I, II and III are based on studies in healthy volunteers. Paper IV is a bench study performed in a hypobaric chamber. Paper I examined differences between two PEP devices, the PEP-bottle and the PEP-mask. Paper II evaluated the ...
Thank you for reading the article ineffective airway clearance concept map Success. And dont forget to share the articles ineffective airway clearance concept map Success If Your articles ineffective airway clearance concept map Success is beneficial for you. Thank You. Thank you for visiting our blog. In the future we continue to seek better in presenting good information. Dont forget to share the article ineffective airway clearance concept map Success this in social media.. Frequently searched keywords:. Nanda Nursing Diagnosis, nanda nursing diagnosis pdf, nanda nursing diagnosis for renal failure, nanda nursing diagnosis for diabetes mellitus, nanda nursing diagnosis for respiratory problems, nanda nursing diagnosis book+free download, nanda nursing diagnosis for respiratory failure, nanda nursing diagnosis list 2015 pdf, nanda nursing diagnosis for atrial septal defect, nanda nursing diagnosis 2015, nanda nursing diagnosis 2015 pdf, nanda nursing diagnosis 2015 to 2017, nanda nursing ...
Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis: Cochrane systematic review answers are found in the Cochrane Abstracts powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.
Experience with high-frequency oscillatory ventilation (HFOV) after congenital cardiac surgery is limited despite evidence about reduction in pulmonary vascular resistance after the Fontan procedure. HFOV is recommended in adults and children with ac
Taking the Entry Level Certification Examination administered by the National Board for Respiratory Care may certify students. The Respiratory Care Professional RCP is a caregiver with the responsibility of providing life supporting therapies and diagnostic services. Each summer a new group of students is selected to begin the professional respiratory courses in the upcoming fall semester. Each student must take and successfully pass the NBRC Self Assessment Exam as a requirement for passing the course, and for graduation from the program. Basic Respiratory Care skills in modalities such as oxygen, humidity, bland aerosol, medicated aerosols, passive hyperinflation, chest physiotherapy, postural drainage, airway clearance therapies, arterial blood gases and bedside pulmonary function studies will be developed. This course will present topics related to the management of the Cardiopulmonary Department in a variety of clinical facilities ranging from acute to long-term care. Mngt in ...
Pulmonary involvement manifests as cystic lung disease and spontaneous pneumothorax. The cysts are variable in shape and size, but are discrete and thin-walled. Larger cysts are usually multiseptated. The cysts tend to be larger and more numerous in the lower lobes, a distribution that can help differentiate Birt-Hogg-Dubé syndrome from other causes of multiple cystic lung lesions such as Langerhans cell histiocytosis and lymphangioleiomyomatosis (see below ...
Diffuse cystic lung diseases are characterized by cysts in more than one lung lobe, the cysts originating from various mechanisms, including the expansion of the distal airspaces due to airway obstruction, necrosis of the airway walls, and parenchymal destruction. The progression of these diseases is variable. One essential tool in the evaluation of these diseases is HRCT, because it improves the characterization of pulmonary cysts (including their distribution, size, and length) and the evaluation of the regularity of the cyst wall, as well as the identification of associated pulmonary and extrapulmonary lesions ...
Ever since the procedure, I have felt heaviness in my chest and the sensation/feeling that I get when a bleed starts. Its been very stressful. I also felt like I wasnt breathing as well afterwards but they thought it was probably from the sedation and not doing active airway clearance for a few days. Well, I went for a check-up on Monday and my pfts are back down to 23%. So discouraging. So after waiting for cultures to grow out, they started me on two home IVs. These arent the big guns since they want to keep my kidneys happy and I dont have a full blown exacerbation (not coughing all the time, etc). They are hoping that this little hit will clear out the pseudomonas enough to help me breathe easier. Hoping this isnt my "new normal" thanks to the procedure ...
Dal can be envisaged as about seventeen years old, which means that, though we are told she was born after the events in the opening pages of "Dayspring Mishandled" , it cannot have been very long after. In strict fact, this is impossible. The Graydon/Neminaka era is clearly the early to mid-1890s - and in fact the Dowson poem quoted by Manallace is of 1896. But the fictional date of "TVTVTEWF", though basically contemporary (i.e. with 1913, the date of publication) is bound to be imagined as having taken place a few years earlier, as stories that describe fictional events of national scope always are. In fact, it must be 1904 or not very long after, since the death of Nellie Farren (a real music-hall performer) is referred to by one of the characters as if its fresh news. So there isnt actually enough time for Vidal Benzaguen to grow up. But this is to ignore the magical illusions of the music-hall, and of course the starry fantasy in which both stories are dipped, especially this earlier ...
Nellie Akalp joins Jim Blasingame to recommend that you review the reasons you chose your businesss current legal status and make sure those reasons are still legally and financially valid. [more] ...
BACKGROUND: Mechanical chest compression devices have the potential to help maintain high-quality cardiopulmonary resuscitation (CPR), but despite their increasing use, little evidence exists for their effectiveness. We aimed to study whether the introduction of LUCAS-2 mechanical CPR into front-line emergency response vehicles would improve survival from out-of-hospital cardiac arrest. METHODS: The pre-hospital randomised assessment of a mechanical compression device in cardiac arrest (PARAMEDIC) trial was a pragmatic, cluster-randomised open-label trial including adults with non-traumatic, out-of-hospital cardiac arrest from four UK Ambulance Services (West Midlands, North East England, Wales, South Central). 91 urban and semi-urban ambulance stations were selected for participation. Clusters were ambulance service vehicles, which were randomly assigned (1:2) to LUCAS-2 or manual CPR. Patients received LUCAS-2 mechanical chest compression or manual chest compressions according to the first trial
OBJECTIVE: LUCAS is a new device for mechanical compression and decompression of the chest during cardiopulmonary resuscitation (CPR). The aim of this study was to compare the efficacy of this new device with standard manual external chest compressions using cerebral cortical blood flow, cerebral oxygen extraction, and end-tidal CO2 for indirect measurement of cardiac output. Drug therapy, with adrenaline (epinephrine) was eliminated in order to evaluate the effects of chest compressions alone. METHODS: Ventricular fibrillation (VF) was induced in 14 anaesthetized pigs. After 8 min non-intervention interval, the animals were randomized into two groups. One group received external chest compressions using a new mechanical device, LUCAS. The other group received standard manual external chest compressions. The compression rate was 100 min(-1) and mechanical ventilation was resumed with 100% oxygen during CPR in both groups. No adrenaline was given. After 15 min of CPR, external defibrillatory ...
NIH Rare Diseases : 49 Kartagener syndrome is a type of primary ciliary dyskinesia that is also characterized by situs inversus totalis (mirror-image reversal of internal organs). The signs and symptoms vary but may include neonatal respiratory distress; frequent lung, sinus and middle ear infections beginning in early childhood; and infertility. It can be cause by changes (mutations) in many different genes that are inherited in an autosomal recessive manner. Although scientists have identified many of the genes associated with Kartagener syndrome, the genetic cause of some cases is unknown. There is no cure for Kartagener syndrome. Treatment varies based on the signs and symptoms present in each person but may include airway clearance therapy and antibiotics. Last updated: 2/2/2015 ...
Out-of-hospital cardiac arrest (OHCA) is a major cause of death worldwide. This systematic review aimed to assess the effects of continuous chest compression CPR (with or without rescue breathing) versus conventional CPR plus rescue breathing (interrupted chest compression with pauses for breaths) of non-asphyxial OHCA. It identified 4 randomized controlled trials. Three studies assessed CPR provided by untrained bystanders and 1 assessed CPR provided by trained professionals. When CPR was performed by bystanders, survival to hospital discharge was higher with chest compression alone than with interrupted chest compression with pauses for rescue breathing. When CPR was performed by professionals, survival to hospital discharge was slightly lower with continuous chest compressions plus asynchronous rescue breathing compared with interrupted chest compression plus rescue breathing. The number of people who survived to hospital admission was slightly higher in those treated with interrupted chest ...

Chest Wall Oscillation for Asthma and COPD Exacerbations Trial (COAT) - Full Text View - ClinicalTrials.govChest Wall Oscillation for Asthma and COPD Exacerbations Trial (COAT) - Full Text View - ClinicalTrials.gov

Sham high frequency chest wall oscillation.. Device: High Frequency Chest Wall Oscillator High velocity, low amplitude ... High frequency chest wall oscillation. Device: High Frequency Chest Wall Oscillator High velocity, low amplitude oscillatory ... Chest Wall Oscillation for Asthma and COPD Exacerbations Trial (COAT). The safety and scientific validity of this study is the ... High frequency chest wall oscillation (HFCWO) may be a novel strategy for mechanical airway clearance to improve outcomes in ...
more infohttps://clinicaltrials.gov/ct2/show/NCT00181285?cond=%22Asthma%22&rank=18

High-frequency chest wall oscillation in ALS | NeurologyHigh-frequency chest wall oscillation in ALS | Neurology

Effect of high-frequency oral airway and chest wall oscillation and conventional chest physical therapy on expectoration in ... High-frequency chest wall oscillation in ALS. D. J. Lange, N. Lechtzin, C. Davey, W. David, T. Heiman-Patterson, D. Gelinas, B. ... high-frequency oscillation applied to the chest wall transmits rapidly reversing oscillatory pressures through the chest wall ... Assessing efficacy of high-frequency chest wall oscillation in patients with familial dysautonomia. Chest 2005;128:3377-3381. ...
more infohttps://n.neurology.org/content/67/6/991?ijkey=8578ad014120a8f3f6b6ff39632d2abdf79ffdb6&keytype2=tf_ipsecsha

Patente US3630196 - Manual positive pressure breathing device - Google PatentesPatente US3630196 - Manual positive pressure breathing device - Google Patentes

High frequency chest wall oscillation system. US8528547. 2 Abr 2008. 10 Sep 2013. Carefusion 2200, Inc.. High frequency ... High frequency oscillation respiratory therapy. US20090090360 *. 23 Ene 2007. 9 Abr 2009. Andrew Pocock. Mouthpiece for a ... Continuous high-frequency oscillation breathing treatment apparatus. US20050150493 *. 21 Feb 2003. 14 Jul 2005. Stephen Foster ... Continuous high-frequency oscillation breathing treatment apparatus. US8061352. 8 May 2007. 22 Nov 2011. Trudell Medical ...
more infohttp://www.google.es/patents/US3630196?dq=flatulence

RespInnovation - Intended Use / Known ContraindicationsRespInnovation - Intended Use / Known Contraindications

RespIn 11 Bronchial Airway Clearance System is a Focused Pulse High Frequency Chest Wall Oscillation (HFCWO) device that ... Complaint of chest wall pain. *Rib fractures, with or without flail chest (within 30 days - after this may help splint/ ...
more infohttp://www.respinnovation.com/index.php/features/intended-use-known-contraindications

RespInnovation - Conditions & DiseasesRespInnovation - Conditions & Diseases

RespIn 11 Bronchial Airway Clearance System is a Focused Pulse High Frequency Chest Wall Oscillation (HFCWO) device that ...
more infohttp://www.respinnovation.com/index.php/features/conditions-diseases

Chest wall oscillation - WikipediaChest wall oscillation - Wikipedia

Chest wall oscillation is when devices are used for clearing excess mucus from lung airways (bronchi and bronchioles). It is ... It is the original High Frequency Chest Wall Oscillation Device by Advanced Respiratory, Inc (ARI), formerly American ... It uses a compressor to inflate and deflate the vest rhythmically at timed intervals and thus imposes high frequency chest wall ... These oscillations thin thixotropic airway mucus, facilitating its removal by coughing. Delivery of air to the vest can be ...
more infohttps://en.wikipedia.org/wiki/Chest_wall_oscillation

Study Assessing High-Frequency Chest Wall Oscillation (HFCWO) in Preventing Pulmonary Exacerbations - Study Results -...Study Assessing High-Frequency Chest Wall Oscillation (HFCWO) in Preventing Pulmonary Exacerbations - Study Results -...

Study Assessing High-Frequency Chest Wall Oscillation (HFCWO) in Preventing Pulmonary Exacerbations. The safety and scientific ... Vest Treatment (high frequency chest wall oscillation): twice daily for 15-20 minutes ... Vest Treatment (high frequency chest wall oscillation): twice daily for 15-20 minutes ...
more infohttps://clinicaltrials.gov/ct2/show/results/NCT00739310

Safety, tolerability, and efficacy of high-frequency chest wall oscillation in pediatric patients with cerebral palsy and...Safety, tolerability, and efficacy of high-frequency chest wall oscillation in pediatric patients with cerebral palsy and...

Chest physiotherapy is standard therapy but effort is substantial. High-frequency chest wall oscillation is used in cystic ... A prospective, randomized, controlled trial of high-frequency chest wall oscillation and standard chest physiotherapy was ... Adherence to prescribed regimen was higher with high-frequency chest wall oscillation (P = .036). Our data suggest safety, ... Safety, tolerability, and efficacy of high-frequency chest wall oscillation in pediatric patients with cerebral palsy and ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/20357238?dopt=Abstract

Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with...Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with...

Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with ... Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with ... Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with ...
more infohttps://thorax.bmj.com/content/65/3/196.citation-tools

Long-term multicentre randomised controlled study of high frequency chest wall oscillation versus positive expiratory pressure...Long-term multicentre randomised controlled study of high frequency chest wall oscillation versus positive expiratory pressure...

Long-term multicentre randomised controlled study of high frequency chest wall oscillation versus positive expiratory pressure ... Long-term multicentre randomised controlled study of high frequency chest wall oscillation versus positive expiratory pressure ...
more infohttps://thorax.bmj.com/content/68/8/746.altmetrics

High frequency chest wall oscillation in patients with chronic air-flow obstruction. - Semantic ScholarHigh frequency chest wall oscillation in patients with chronic air-flow obstruction. - Semantic Scholar

In order to avoid any discomfort, oscillations were applied only during the expiratory phase of the spontaneous breathing cycle ... In order to assess high frequency chest wall oscillation (HFCWO) as a way to assist spontaneous breathing in obstructive lung ... High frequency chest wall oscillation in patients with chronic air-flow obstruction.. *. Julie Piquet, L. Brochard, +4 authors ... In order to assess high frequency chest wall oscillation (HFCWO) as a way to assist spontaneous breathing in obstructive lung ...
more infohttps://www.semanticscholar.org/paper/High-frequency-chest-wall-oscillation-in-patients-Piquet-Brochard/721bd896462eaef199355904474407b7c7f6f3e2

High frequency chest wall oscillation for asthma and chronic obstructive pulmonary disease exacerbations: a randomized sham...High frequency chest wall oscillation for asthma and chronic obstructive pulmonary disease exacerbations: a randomized sham...

High frequency chest wall oscillation (HFCWO) is used for airway mucus clearance. The objective of this study was to evaluate ... chest wall abnormalities (e.g. severe kyphoscoliosis), chest wall or abdominal trauma/surgery in the past 6 weeks, systemic ... Fink J, Mahlmeister M: High-frequency oscillation of the airway and chest wall. Respir Care. 2002, 47: 797-807.PubMedGoogle ... High frequency chest wall oscillation (HFCWO) is used for airway mucus clearance. The objective of this study was to evaluate ...
more infohttps://respiratory-research.biomedcentral.com/articles/10.1186/1465-9921-12-120

Patent US5183038 - Gated programmable ventilator - Google PatentsuchePatent US5183038 - Gated programmable ventilator - Google Patentsuche

High frequency chest wall oscillation system. US20080000479 *. 27. Juni 2007. 3. Jan. 2008. Joseph Elaz. System for Managing ... High frequency chest wall oscillation system. US8515535. 28. Jan. 2010. 20. Aug. 2013. Cardiac Pacemakers, Inc.. Implantable ...
more infohttp://www.google.de/patents/US5183038

Patent US3584621 - Respiratory apparatus - Google PatentsPatent US3584621 - Respiratory apparatus - Google Patents

High frequency chest wall oscillation system. US8528547. Apr 2, 2008. Sep 10, 2013. Carefusion 2200, Inc.. High frequency ... The wall is provided with a plurality of circular spaced holes 142 which extend through the wall. The shaft 139 is provided ... High frequency oscillation respiratory therapy. US20080283051 *. May 15, 2008. Nov 20, 2008. Joseph Dee Faram. Lung therapy ... Continuous high-frequency oscillation breathing treatment apparatus. US20050081844 *. Aug 12, 2004. Apr 21, 2005. Jerry ...
more infohttp://www.google.com/patents/US3584621?dq=6,578,054

Patent US5313955 - Pulmonary flow head - Google PatentsPatent US5313955 - Pulmonary flow head - Google Patents

High frequency chest wall oscillation system. US8479740 *. Nov 23, 2009. Jul 9, 2013. Covidien Lp. Airway devices with integral ... The thin-walled inside tube 18 acts as a restriction to air flow between the ends of the outer passage 16. The outer passage ... The inside tube is very thin in wall thickness. An annular partition 20 midway between the upstream and downstream ends of the ... Intermediate ports through the wall of the breath transmission passage are located near the restriction, i.e., near the ends of ...
more infohttp://www.google.com/patents/US5313955?dq=6101531

Search results | NICESearch results | NICE

The Vest for delivering high-frequency chest wall oscillation in people with complex neurological needs (MIB159) Advice on the ... use of The Vest for delivering high-frequency chest wall oscillation in people with complex neurological needs to aid local ...
more infohttps://www.nice.org.uk/search?om=%5B%7B%22ndt%22:%5B%22Guidance%22%5D%7D,%7B%22ndt%22:%5B%22Local%20practice%22%5D%7D,%7B%22ndt%22:%5B%22NICE%20advice%22%5D%7D%5D&pa=7&ps=50&sp=on

Search ResultsSearch Results

The Vest for delivering high-frequency chest wall oscillation in people with complex neurological needs (MIB159) Advice on the ... use of The Vest for delivering high-frequency chest wall oscillation in people with complex neurological needs to aid local ...
more infohttps://www.nice.org.uk/search?om=%5B%7B%22nat%22:%5B%22Medtech%20innovation%20briefings%22%5D%7D,%7B%22nat%22:%5B%22Key%20therapeutic%20topics%22%5D%7D,%7B%22ndt%22:%5B%22NICE%20advice%22%5D%7D%5D&ps=50&sp=on

September 2014 - Volume 12 - Issue 3 : International Journal of Evidence-Based HealthcareSeptember 2014 - Volume 12 - Issue 3 : International Journal of Evidence-Based Healthcare

The effectiveness of high frequency chest wall oscillation in adult patients after cardiac surgery. Peng, Y. C.; Ho, Y. F. ...
more infohttps://journals.lww.com/ijebh/toc/2014/09000

Patente US20080249440 - Method of Making Compression Sleeve with Structural Support Features - Google PatentesPatente US20080249440 - Method of Making Compression Sleeve with Structural Support Features - Google Patentes

High frequency chest wall oscillation system. US20080004555 *. 7 Mar 2005. 3 Ene 2008. R & D Supports. Immobilizing and ... such as a wrap around a patients chest in the treatment of breast cancer. ... an intermediate portion of the component and the periphery of the component generally conforms to the peripheries of side walls ...
more infohttp://www.google.es/patents/US20080249440?dq=flatulence

European Respiratory Society guidelines for the management of adult bronchiectasis | European Respiratory SocietyEuropean Respiratory Society guidelines for the management of adult bronchiectasis | European Respiratory Society

et al. Comparison of conventional chest physiotherapy and high-frequency chest wall oscillation in primary ciliary dyskinesia. ... et al. Effectiveness of treatment with high-frequency chest wall oscillation in patients with bronchiectasis. BMC Pulm Med 2013 ... that modify expiratory flow and volumes or produce chest wall oscillations in order to increase mucus clearance [108-112]. The ... et al. A pilot study of pulmonary rehabilitation and chest physiotherapy versus chest physiotherapy alone in bronchiectasis. ...
more infohttp://erj.ersjournals.com/content/50/3/1700629.long

Non-Invasive Ventilation: A Practical Handbook for Understanding the Causes of Treatment Success and Failure | Nova Science...Non-Invasive Ventilation: A Practical Handbook for Understanding the Causes of Treatment Success and Failure | Nova Science...

Airway Secretions (Cough Assist-High Frequency Chest Wall Oscillation). (Pedro Rivas, Luis Eduardo Vasconcello and Salvador ... Chest Wall Disorders. (Anna Annunziata, MD, and Giuseppe Fiorentino MD, Respiratory Unit, AO Ospedali dei Colli Monaldi, Naples ... Early Non-Invasive Ventilator Failure in Chest Wall Disorders. (Nilgun Alpay, MD, Dilek Ozcengiz, MD, PhD, Department of ... Fellow Chest College Physicians ( FCCP), Internacional Fellow American Associations Respiratory Care (AARC), Intensive Care ...
more infohttps://novapublishers.com/shop/non-invasive-ventilation-a-practical-handbook-for-understanding-the-causes-of-treatment-success-and-failure/

Circadian patterns in men acclimatized to intermittent hypoxia.Circadian patterns in men acclimatized to intermittent hypoxia.

Next Document: Oscillation of the lung by chest-wall vibration.. © 2009-2018 BioMedSearch.com. All rights reserved ... End-tidal P(CO2) and systolic pressure had larger amplitude oscillations at HA than at SL. Hence, also in humans, as previously ... At HA, the amplitude of the tympanic and calf temperature oscillations, were, respectively, lower and higher than at SL. ... The amplitude of the circadian oscillations of oxygen consumption, breathing rate, thoracic skin temperature and diastolic ...
more infohttp://www.biomedsearch.com/nih/Circadian-patterns-in-men-acclimatized/11403785.html

Pediatrics 3 Flashcards by Shahin Pourbayat | BrainscapePediatrics 3 Flashcards by Shahin Pourbayat | Brainscape

Chest physiotherapy (CPT).. High frequency chest wall oscillations. 35 Primary medical management for an infant with pyloric ... Hypoxia, clubbing of fingers and toes, cyanosis, barrel chest.. Presents with chronic cough, wheezing, sputum production, and ... Telescoping intestine (at the ileocecal valve) causing the mucosal walls to rub together. Presents with abdominal pain, ...
more infohttps://www.brainscape.com/flashcards/pediatrics-3-623179/packs/1233674

Familial Dysautonomia
      - Riley Day Syndrome
     Summary Report | CureHunterFamilial Dysautonomia - Riley Day Syndrome Summary Report | CureHunter

Chest Wall Oscillation 11/01/2005 - "Assessing efficacy of high-frequency chest wall oscillation in patients with familial ... 11/01/2005 - "To determine the benefits of daily use of high-frequency chest wall oscillation (HFCWO) in familial dysautonomia ...
more infohttp://www.curehunter.com/public/keywordSummaryD004402-Familial-Dysautonomia-Riley-Day-Syndrome.do
  • We engineered and developed the AffloVest to mimic hand CPT using our patented Direct Dynamic Oscillation technology that also provides the benefit of mobility and portability during use for the user. (newkerala.com)
  • These parameters are usually measured at various frequencies by means of small pressure oscillations (about 2 cmH2O) superimposed at the mouth during spontaneous breathing. (scielo.br)
  • The therapeutic mainstay includes airway clearance maneuvers mainly with nebulized hypertonic saline and chest physiotherapy, and prompt and aggressive administration of antibiotics. (frontiersin.org)
  • 1 , 2 Upper-airway obstruction syndromes, reflux and aspiration of gastric contents, impaired lower-respiratory secretion clearance due to weak cough, frequent lower-respiratory-tract infections, chest wall deformities and related deformities of the tracheobronchial tree contribute to morbidity and pose a constant challenge to clinicians. (rcjournal.com)
  • It also helps keep the contents of the chest (lungs and heart) separate from the contents of the abdomen (liver, stomach, bowel, etc. (childrenscolorado.org)
  • We therefore performed a retrospective review of consecutive subjects with NTM seen during a period of 8 years who did not receive NTM antibiotic therapy, to evaluate whether chest PT was associated with a change in the natural history of their disease. (clinmedjournals.org)
  • It is attached to an air pulse generator which rapidly inflates and deflates the garment, gently compressing and releasing the chest wall up to 20 times per second. (treeofhope.org.uk)
  • Cough decreased at 6 (p = 0.01), 9 (p = 0.02), 12 (p = 0.02) and 24 months (p = 0.002) in subjects that received chest PT. (clinmedjournals.org)
  • they are more likely to develop chest infections, and relatively minor infections can make them very unwell. (cochrane.org)