Displaying publications 21 - 40 of 263 in total

Abstract:
Sort:
  1. Shamsul, B.S., Zakirah, M.
    MyJurnal
    The main objective of this study is to determine the association between respirable hexavalent chromium compounds with urinary β2-microglobulin levels among welders in an automotive components manufacturing plant. 49 welders and 39 workers involved in stamping process were selected as the exposed and the comparative group. β2-microglobulin is a protein renal tubular dysfunction marker that can indicate renal dysfunction caused by heavy metal. Air samples of worker’s breathing zone were collected using personal air sampling pump and filter papers. Filter papers were then diluted and analysed with Atomic Absorption Spectrophotometry (AAS). Workers’ urine samples were collected at the end of 8-hour work shift and analysed with β2-microglobulin ELISA Kit (IBL-Hamburg) and a microtiter reader. Meanwhile, creatinine levels were analysed with creatinine test strips and Reflotron®. A mean concentration of respirable hexavalent chromium compounds in air for the exposed group was 0.135 ± 0.043μg/m3 while for the non-exposed group was 0.124 ± 0.029μg/m3. The mean level of urinary β2-microglobulin per creatinine for the exposed group was 84.996 ± 39.246μg/g while that of the comparative group was 61.365 ± 21.609μg/g. The concentrations of respirable hexavalent chromium compounds were higher in the exposed group compared to the comparative group (Z=-2.444, p=0.015). β2-microglobulin level was also higher in the exposed group compared to the non-exposed group (t=3.821, p=
    Matched MeSH terms: Respiration; Cell Respiration
  2. Nor Mohd Razif Noraini, Leman, A.M., Ahmad Sayuti Zainal Abidin
    MyJurnal
    A preliminary study has been conducted in a new constructed 8 stories building (2 level of Hostels facility, 3 level of Training Room, 2 Level of Offices and 1 level of Exhibition Halls and Rooms) in Bandar Baru Bangi, Selangor. The Hostels facility is a floor tile and furnished with build in locker and use split air conditioning system while the Training Room and Exhibition Rooms used floor tile. The Offices and Exhibition Hall are carpeted furnished. All these spaces were using centralized air conditioning systems. A pre-commissioning assessment on 5 chemical parameters of indoor air pollutants such Total Volatile Organic Compounds (TVOC), Formaldehyde, Respirable Particulates (PM!
    Matched MeSH terms: Respiration; Cell Respiration
  3. Abdullah S, Abd Hamid FF, Ismail M, Ahmed AN, Wan Mansor WN
    Data Brief, 2019 Aug;25:103969.
    PMID: 31198825 DOI: 10.1016/j.dib.2019.103969
    The aim of the measurement of this data is to evaluate the Indoor Air Quality (IAQ) in terms of chemical and physical parameters. Data were collected at three different kindergartens having different surrounding activities (industrial, institutional, residential area). The chemical parameters measured were respirable suspended particulates of PM10, PM2.5, PM1, carbon monoxide and carbon dioxide, and the concentrations are within the acceptable limit. Physical parameters of wind speed are within the standard, while temperature and relative humidity exceeded the acceptable limit. A strong correlation was found between the chemical IAQ parameters with thermal comfort parameters (temperature and relative humidity). The concentration of IAQ pollutants is higher in order of residential > institutional > industrial.
    Matched MeSH terms: Respiration; Cell Respiration
  4. Leung CHC, Lee A, Arabi YM, Phua J, Divatia JV, Koh Y, et al.
    Ann Am Thorac Soc, 2021 08;18(8):1352-1359.
    PMID: 33284738 DOI: 10.1513/AnnalsATS.202008-968OC
    Rationale: There are limited data on mechanical discontinuation practices in Asia. Objectives: To document self-reported mechanical discontinuation practices and determine whether there is clinical equipoise regarding protocolized weaning among Asian Intensive Care specialists. Methods: A survey using a validated questionnaire, distributed using a snowball method to Asian Intensive Care specialists. Results: Of the 2,967 invited specialists from 20 territories, 2,074 (69.9%) took part. The majority of respondents (60.5%) were from China. Of the respondents, 42% worked in intensive care units (ICUs) where respiratory therapists were present; 78.9% used a spontaneous breathing trial as the initial weaning step; 44.3% frequently/always used pressure support (PS) alone, 53.4% intermittent spontaneous breathing trials with PS in between, and 19.8% synchronized intermittent mandatory ventilation with PS as a weaning mode. Of the respondents, 56.3% routinely stopped feeds before extubation, 71.5% generally followed a sedation protocol or guideline, and 61.8% worked in an ICU with a weaning protocol. Of these, 78.2% frequently always followed the protocol. A multivariate analysis involving a modified Poisson regression analysis showed that working in an ICU with a weaning protocol and frequently/always following it was positively associated with an upper-middle-income territory, a university-affiliated hospital, or in an ICU that employed respiratory therapists; and negatively with a low-income or lower-middle-income territory or a public hospital. There was no significant association with "in-house" intensivist at night, multidisciplinary ICU, closed ICU, or nurse-patient ratio. There was heterogeneity in agreement/disagreement with the statement, "evidence clearly supports protocolized weaning over nonprotocolized weaning." Conclusions: A substantial minority of Asian Intensive Care specialists do not wean patients in accordance with the best available evidence or current guidelines. There is clinical equipoise regarding the benefit of protocolized weaning.
    Matched MeSH terms: Respiration, Artificial*
  5. Chiew YS, Tan CP, Chase JG, Chiew YW, Desaive T, Ralib AM, et al.
    Comput Methods Programs Biomed, 2018 Apr;157:217-224.
    PMID: 29477430 DOI: 10.1016/j.cmpb.2018.02.007
    BACKGROUND AND OBJECTIVE: Respiratory mechanics estimation can be used to guide mechanical ventilation (MV) but is severely compromised when asynchronous breathing occurs. In addition, asynchrony during MV is often not monitored and little is known about the impact or magnitude of asynchronous breathing towards recovery. Thus, it is important to monitor and quantify asynchronous breathing over every breath in an automated fashion, enabling the ability to overcome the limitations of model-based respiratory mechanics estimation during asynchronous breathing ventilation.

    METHODS: An iterative airway pressure reconstruction (IPR) method is used to reconstruct asynchronous airway pressure waveforms to better match passive breathing airway waveforms using a single compartment model. The reconstructed pressure enables estimation of respiratory mechanics of airway pressure waveform essentially free from asynchrony. Reconstruction enables real-time breath-to-breath monitoring and quantification of the magnitude of the asynchrony (MAsyn).

    RESULTS AND DISCUSSION: Over 100,000 breathing cycles from MV patients with known asynchronous breathing were analyzed. The IPR was able to reconstruct different types of asynchronous breathing. The resulting respiratory mechanics estimated using pressure reconstruction were more consistent with smaller interquartile range (IQR) compared to respiratory mechanics estimated using asynchronous pressure. Comparing reconstructed pressure with asynchronous pressure waveforms quantifies the magnitude of asynchronous breathing, which has a median value MAsyn for the entire dataset of 3.8%.

    CONCLUSION: The iterative pressure reconstruction method is capable of identifying asynchronous breaths and improving respiratory mechanics estimation consistency compared to conventional model-based methods. It provides an opportunity to automate real-time quantification of asynchronous breathing frequency and magnitude that was previously limited to invasively method only.

    Matched MeSH terms: Respiration, Artificial*
  6. Rahimi S, Abdi A, Salari N, Shohaimi S, Naghibeiranvand M
    BMC Cardiovasc Disord, 2023 May 25;23(1):276.
    PMID: 37231337 DOI: 10.1186/s12872-023-03315-7
    BACKGROUND: One of the main therapy for coronary artery disease is surgery. Prolonged mechanical ventilation in patients with cardiac surgery is associated with high mortality. This study aimed to determine the factors related to long-term mechanical ventilation (LTMV) in patients undergoing cardiovascular surgery.

    METHODS: The present study was a descriptive-analytical study in which the records of 1361 patients who underwent cardiovascular surgery and were on a mechanical ventilator during 2019-2020 at the Imam Ali Heart Center in Kermanshah city were examined. The data collection tool was a three-part researcher-made questionnaire including demographic characteristics, health records, and clinical variables. Data analysis was done using descriptive and inferential statistical tests and SPSS Version 25 software.

    RESULTS: In this study, of the 1361 patients, 953 (70%) were male. The results indicated that 78.6% of patients had short-term mechanical ventilation, and 21.4% had long-term mechanical ventilation. There was a statistically significant relationship between the history of smoking, drug use, and baking bread with the type of mechanical ventilation (P 

    Matched MeSH terms: Respiration, Artificial/adverse effects
  7. Ee R, Ambrose M, Lazenby J, Williams P, Chan KG, Roddam L
    Genome Announc, 2015;3(1).
    PMID: 25657265 DOI: 10.1128/genomeA.01389-14
    Pandoraea is an emerging respiratory pathogen capable of causing chronic lung infections in people with cystic fibrosis (CF), but the clinical significance of this infection is ambiguous. We have sequenced and annotated the genomes of two multidrug-resistant Pandoraea pnomenusa isolates recovered 11 months apart from the same CF patient.
    Matched MeSH terms: Respiration Disorders
  8. Asha'ari ZA, Abdullah F, Yusof S, Yusof RA
    Clin Otolaryngol, 2015 Feb;40(1):52-6.
    PMID: 25311812 DOI: 10.1111/coa.12328
    Matched MeSH terms: Respiration Disorders/diagnosis*; Respiration Disorders/etiology*; Respiration Disorders/surgery
  9. Haghani A, Mehrbod P, Safi N, Aminuddin NA, Bahadoran A, Omar AR, et al.
    J Ethnopharmacol, 2016 Jun 5;185:327-40.
    PMID: 26976767 DOI: 10.1016/j.jep.2016.03.020
    For centuries, Edible Bird Nest (EBN) has been used in treatment of variety of respiratory diseases such as flu and cough as a Chinese natural medicine.
    Matched MeSH terms: Respiration Disorders
  10. Soo CI, Chan Y, Loh EC, Pang YK
    ERJ Open Res, 2020 Jul;6(3).
    PMID: 33015149 DOI: 10.1183/23120541.00399-2020
    Telehealth appears useful to fill in the void for home-ventilated patients to maintain the much-needed connectivity with their healthcare team during the #COVID19 pandemic https://bit.ly/3ftvjxW.
    Matched MeSH terms: Respiration, Artificial
  11. Faisal M, Harun H, Hassan TM, Ban AY, Chotirmall SH, Abdul Rahaman JA
    BMC Pulm Med, 2016;16(1):53.
    PMID: 27080697 DOI: 10.1186/s12890-016-0209-1
    Tracheobronchial stenosis is a known complication of endobronchial tuberculosis. Despite antituberculous and steroid therapy, the development of bronchial stenosis is usually irreversible and requires airway patency to be restored by either bronchoscopic or surgical interventions. We report the use of balloon dilatation and topical mitomycin-C to successful restore airway patency.
    Matched MeSH terms: Respiration Disorders
  12. Riutta T, Kho LK, Teh YA, Ewers R, Majalap N, Malhi Y
    Glob Chang Biol, 2021 May;27(10):2225-2240.
    PMID: 33462919 DOI: 10.1111/gcb.15522
    Soil respiration is the largest carbon efflux from the terrestrial ecosystem to the atmosphere, and selective logging influences soil respiration via changes in abiotic (temperature, moisture) and biotic (biomass, productivity, quantity and quality of necromass inputs) drivers. Logged forests are a predominant feature of the tropical forest landscape, their area exceeding that of intact forest. We quantified both total and component (root, mycorrhiza, litter, and soil organic matter, SOM) soil respiration in logged (n = 5) and old-growth (n = 6) forest plots in Malaysian Borneo, a region which is a global hotspot for emission from forest degradation. We constructed a detailed below-ground carbon budget including organic carbon inputs into the system via litterfall and root turnover. Total soil respiration was significantly higher in logged forests than in old-growth forests (14.3 ± 0.23 and 12.7 ± 0.60 Mg C ha-1  year-1 , respectively, p = 0.037). This was mainly due to the higher SOM respiration in logged forests (55 ± 3.1% of the total respiration in logged forests vs. 50 ± 3.0% in old-growth forests). In old-growth forests, annual SOM respiration was equal to the organic carbon inputs into the soil (difference between SOM respiration and inputs 0.18 Mg C ha-1  year-1 , with 90% confidence intervals of -0.41 and 0.74 Mg C ha-1  year-1 ), indicating that the system is in equilibrium, while in logged forests SOM respiration exceeded the inputs by 4.2 Mg C ha-1  year-1 (90% CI of 3.6 and 4.9 Mg C ha-1  year-1 ), indicating that the soil is losing carbon. These results contribute towards understanding the impact of logging on below-ground carbon dynamics, which is one of the key uncertainties in estimating emissions from forest degradation. This study demonstrates how significant perturbation of the below-ground carbon balance, and consequent net soil carbon emissions, can persist for decades after a logging event in tropical forests.
    Matched MeSH terms: Respiration
  13. Alhady SMA, Bowler DP, Reid HA, Scott LT
    Br Med J, 1960;1:540-545.
    Tetanus may be mild, moderate, severe, or inevitably fatal. Our clinical experience suggests it may be classified as severe (or, maybe, inevitably fatal) when a tetanic spasm stops respiration. Ten patients with severe tetanus were treated by the total paralysis regime (T.P.R.), consisting of tracheostomy, curarization, and intermittent positiveor positive/negative-pressure respiration. Two of the patients were saved by T.P.R. and therefore only limited effectiveness can be claimed for the regime. In inevitably fatal cases survival can be prolonged by T.P.R. so that further effects of tetanus toxin emerge. Of these, the most important appears to be direct damage to the myocardium.
    Matched MeSH terms: Respiration
  14. Wong JW, Chiew YS, Desaive T, Chase JG
    Biomed Eng Online, 2022 Feb 09;21(1):11.
    PMID: 35139858 DOI: 10.1186/s12938-022-00983-y
    BACKGROUND: Surges of COVID-19 infections have led to insufficient supply of mechanical ventilators (MV), resulting in rationing of MV care. In-parallel, co-mechanical ventilation (Co-MV) of multiple patients is a potential solution. However, due to lack of testing, there is currently no means to match ventilation requirements or patients, with no guidelines to date. In this research, we have developed a model-based method for patient matching for pressure control mode MV.

    METHODS: The model-based method uses a single-compartment lung model (SCM) to simulate the resultant tidal volume of patient pairs at a set ventilation setting. If both patients meet specified safe ventilation criteria under similar ventilation settings, the actual mechanical ventilator settings for Co-MV are determined via simulation using a double-compartment lung model (DCM). This method allows clinicians to analyse Co-MV in silico, before clinical implementation.

    RESULTS: The proposed method demonstrates successful patient matching and MV setting in a model-based simulation as well as good discrimination to avoid mismatched patient pairs. The pairing process is based on model-based, patient-specific respiratory mechanics identified from measured data to provide useful information for guiding care. Specifically, the matching is performed via estimation of MV delivered tidal volume (mL/kg) based on patient-specific respiratory mechanics. This information can provide insights for the clinicians to evaluate the subsequent effects of Co-MV. In addition, it was also found that Co-MV patients with highly restrictive respiratory mechanics and obese patients must be performed with extra care.

    CONCLUSION: This approach allows clinicians to analyse patient matching in a virtual environment without patient risk. The approach is tested in simulation, but the results justify the necessary clinical validation in human trials.

    Matched MeSH terms: Respiration, Artificial
  15. Tung YZ, Tan SB
    BMJ Support Palliat Care, 2023 Jun;13(2):241-242.
    PMID: 32581002 DOI: 10.1136/bmjspcare-2020-002373
    We present a case of a 64-year-old woman with stage 1 breast cancer. She underwent a modified radical mastectomy, followed by chemotherapy. She reported physical and psychosocial suffering due to her disease and treatment. Four weekly sessions of guided 30-min mindful breathing were delivered by the palliative care team to ease her suffering. The patient reported feelings of calmness, peace and relaxation after each session, with decrease in suffering, negative emotions and physical discomfort. This is the first report on the use of guided 30-min mindful breathing in palliating suffering of a patient with cancer.
    Matched MeSH terms: Respiration
  16. Takaki S, Kadiman SB, Tahir SS, Ariff MH, Kurahashi K, Goto T
    J Cardiothorac Vasc Anesth, 2015 Feb;29(1):64-8.
    PMID: 25620140 DOI: 10.1053/j.jvca.2014.06.022
    The aim of this study was to determine the best predictors of successful extubation after cardiac surgery, by modifying the rapid shallow breathing index (RSBI) based on patients' anthropometric parameters.
    Matched MeSH terms: Respiration*; Respiration, Artificial/adverse effects; Respiration, Artificial/methods*
  17. Major VJ, Chiew YS, Shaw GM, Chase JG
    Biomed Eng Online, 2018 Nov 12;17(1):169.
    PMID: 30419903 DOI: 10.1186/s12938-018-0599-9
    BACKGROUND: Mechanical ventilation is an essential therapy to support critically ill respiratory failure patients. Current standards of care consist of generalised approaches, such as the use of positive end expiratory pressure to inspired oxygen fraction (PEEP-FiO2) tables, which fail to account for the inter- and intra-patient variability between and within patients. The benefits of higher or lower tidal volume, PEEP, and other settings are highly debated and no consensus has been reached. Moreover, clinicians implicitly account for patient-specific factors such as disease condition and progression as they manually titrate ventilator settings. Hence, care is highly variable and potentially often non-optimal. These conditions create a situation that could benefit greatly from an engineered approach. The overall goal is a review of ventilation that is accessible to both clinicians and engineers, to bridge the divide between the two fields and enable collaboration to improve patient care and outcomes. This review does not take the form of a typical systematic review. Instead, it defines the standard terminology and introduces key clinical and biomedical measurements before introducing the key clinical studies and their influence in clinical practice which in turn flows into the needs and requirements around how biomedical engineering research can play a role in improving care. Given the significant clinical research to date and its impact on this complex area of care, this review thus provides a tutorial introduction around the review of the state of the art relevant to a biomedical engineering perspective.

    DISCUSSION: This review presents the significant clinical aspects and variables of ventilation management, the potential risks associated with suboptimal ventilation management, and a review of the major recent attempts to improve ventilation in the context of these variables. The unique aspect of this review is a focus on these key elements relevant to engineering new approaches. In particular, the need for ventilation strategies which consider, and directly account for, the significant differences in patient condition, disease etiology, and progression within patients is demonstrated with the subsequent requirement for optimal ventilation strategies to titrate for patient- and time-specific conditions.

    CONCLUSION: Engineered, protective lung strategies that can directly account for and manage inter- and intra-patient variability thus offer great potential to improve both individual care, as well as cohort clinical outcomes.

    Matched MeSH terms: Positive-Pressure Respiration/instrumentation*; Positive-Pressure Respiration/methods; Respiration, Artificial/instrumentation*; Respiration, Artificial/methods
  18. Ho JJ, Henderson-Smart DJ, Davis PG
    PMID: 12076463
    The application of a continuous distending pressure (CDP) has been shown to have some benefits in the treatment of pre-term infants with respiratory distress syndrome (RDS). CDP has the potential to reduce lung damage, particularly if applied early before atelectasis has occurred. Early application of CDP may better conserve an infant's own surfactant stores and consequently be more effective than CDP applied later in the course of RDS.
    Matched MeSH terms: Positive-Pressure Respiration/methods*
Filters
Contact Us

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links