An Improved Device for Posterior Rhinomanometry to Measure Nasal Resistance

2005 ◽  
Vol 127 (6) ◽  
pp. 994-997 ◽  
Author(s):  
Joseph Tiran ◽  
Nir Ben-Oved ◽  
Elan Elvaiah ◽  
Youval Slovik ◽  
Alberto Leiberman ◽  
...  

Rhinomanometry is a method for measuring nasal resistance for the purpose of providing an objective evaluation of nasal patency. Posterior rhinomanometry is accomplished without the use of a mask, thus allowing the patient to breathe naturally. Here, we report on the improvements we have made to the existing posterior rhinomanometry system. In this system, nasal air flow is measured indirectly by measuring the pressure differential across a small mesh window in the body plethysmograph. We have calibrated this measurement and developed software that automatically provides the correct values for all airflow rates. Also, we have developed software that automatically corrects for the phase shift caused by the plethysmograph structure. These refinements should provide more accurate values for nasal resistance.

2020 ◽  
Vol 45 (1) ◽  
pp. 15-30
Author(s):  
Yasuhiro Shimotsuura ◽  
Hiroyuki Maezawa ◽  
Yoshiaki Omura

As Bi-Digital O-Ring Test (originated and founded by Prof. Y. Omura in New York, 1997-2020; follow as BDORT)is a diagnosis method that is carried out on the basic theory of the physiological phenomenon called the decline of muscular power of fingers, the examiner, and patients (or mediator) are demanded to do BDORT by constant regular power. Namely BDORT is a diagnosis method that estimates the relative muscular decline of the patients, so there is such a view that the results of BDORT are reflected by consciousness of the examiner. The authors used the ORT tester by using air system to avoid the influence of electromagnetic wave and evaluated the decline of the muscle strength and open degree of the O-ring shaped by the patients. Patients of the Shimotsuura Clinic are subjected and checked by direct BDORT method. When the patients shapes the O-Ring, staff members stimulated the parts of the body by plastic stick and push foot switch. Decline of the muscle strength & open degree was evaluated. When the open degree was more than 20%, stimulated points were evaluated as abnormal. Opposite side arm of the O-Ring shaped arm was checked as control. The results of the direct BDORT method between ORT evaluation apparatus and the patient was consistent with the results of the indirect method of BDORT method between the doctor and the assistant. Even where the patients complain of ill, the muscle strength was declined and opened the O-Ring by using ORT evaluation apparatus. Especially in the parts of the strong response of Integrin α5β1 checked by the doctor, the muscle strength decreased and the open degree was much higher than other parts of the body. Patients could experience of BDORT by numeral objective evaluation of the decline of the muscle strength by using ORT evaluation apparatus.


Author(s):  
Vaibhav K. Arghode ◽  
Pramod Kumar ◽  
Yogendra Joshi ◽  
Thomas S. Weiss ◽  
Gary Meyer

Effective air flow distribution through perforated tiles is required to efficiently cool servers in a raised floor data center. We present detailed computational fluid dynamics (CFD) modeling of air flow through a perforated tile and its entrance to the adjacent server rack. The realistic geometrical details of the perforated tile, as well as of the rack are included in the model. Generally models for air flow through perforated tiles specify a step pressure loss across the tile surface, or porous jump model based on the tile porosity. An improvement to this includes a momentum source specification above the tile to simulate the acceleration of the air flow through the pores, or body force model. In both of these models geometrical details of tile such as pore locations and shapes are not included. More details increase the grid size as well as the computational time. However, the grid refinement can be controlled to achieve balance between the accuracy and computational time. We compared the results from CFD using geometrical resolution with the porous jump and body force model solution as well as with the measured flow field using Particle Image Velocimetry (PIV) experiments. We observe that including tile geometrical details gives better results as compared to elimination of tile geometrical details and specifying physical models across and above the tile surface. A modification to the body force model is also suggested and improved results were achieved.


2016 ◽  
Vol 54 (2) ◽  
pp. 164-169
Author(s):  
Francesca Occasi ◽  
Marzia Duse ◽  
Tommaso Vittori ◽  
Anna Rugiano ◽  
Giancarlo Tancredi ◽  
...  

Background: No consensus has ever been reached about the correlation between nasal resistance and the subjective sensation of nasal patency. The aim of the present study was to better de ne whether primary school and secondary school aged children correctly estimate their nasal obstruction. Materials and methods: Two hundred eighty four children (168 males and 116 female) aged between 6 and 14 years (9.5+2.9 years) affected by Pediatric Allergic Rhinitis underwent Rhinomanometry and they were considered as correctly estimating their nasal obstruction when the grade of nasal patency corresponded to the severity of the NOSE score, overestimating when the grade of nasal patency was <1 when compared to the severity of the score, underestimating when the grade of nasal patency was >1 when compared to the severity of the score. Results: Correlation between NOSE score and nasal patency was statistically significant (r -0.74; p<0.001). Children between 6 and 9 years of age underestimate (43.7%) and children >12 overestimate (34.7%) their symptoms more frequently than children among other age ranges (p<0.001). Conclusion: Although NOSE score approximately allow to quantify nasal obstruction, in children, especially between 6 and 9 years of age, an objective measurement of nasal patency should be performed to better define the therapeutic approach.


2002 ◽  
Vol 16 (4) ◽  
pp. 209-213 ◽  
Author(s):  
Martin Jurlina ◽  
Ranko Mladina ◽  
Krsto Dawidowsky ◽  
Davor Ivanković ◽  
Zeljko Bumber ◽  
...  

Nasal symptoms often are inconsistent with rhinoscopic findings. However, the proper diagnosis and treatment of nasal pathology requires an objective evaluation of the narrow segments of the anterior part of the nasal cavities (minimal cross-sectional area [MCSA]). The problem is that the value of MCSA is not a unique parameter for the entire population, but rather it is a distinctive value for particular subject (or smaller groups of subjects). Consequently, there is a need for MCSA values to be standardized in a simple way that facilitates the comparison of results and the selection of our treatment regimens. We examined a group of 157 healthy subjects with normal nasal function. A statistically significant correlation was found between the body surface area and MCSA at the level of the nasal isthmus and the head of the inferior turbinate. The age of subjects was not found a statistically significant predictor for the value of MCSA. The results show that the expected value of MCSA can be calculated for every subject based on anthropometric data of height and weight.


1993 ◽  
Vol 181 (1) ◽  
pp. 81-94 ◽  
Author(s):  
M. S. Hedrick ◽  
D. R. Jones

The mechanisms and physiological control of air-breathing were investigated in an extant halecomorph fish, the bowfin (Amia calva). Air flow during aerial ventilation was recorded by pneumotachography in undisturbed Amia calva at 20–24°C while aquatic and aerial gas concentrations were independently varied. Separation of aquatic and aerial gases was used in an attempt to determine whether Amia calva monitor and respond to changes in the external medium per se or to changes in dissolved gases within the body. Air flow measurements revealed two different types of ventilatory patterns: type I air-breaths were characterized by exhalation followed by inhalation; type II air-breaths, which have not been described previously in Amia calva, consisted of single inhalations with no expiratory phase. Expired volume (Vexp) for type I breaths ranged from 11.6+/−1.1 to 26.7+/− 2.9 ml kg-1 (95 % confidence interval; N=6) under normoxic conditions and was unaffected by changes in aquatic or aerial gases. Gas bladder volume (VB), determined in vitro, was 80 ml kg-1; the percentage of gas exchanged for type I breaths ranged from 14 to 33 % of VB in normoxia. Fish exposed to aquatic and aerial normoxia (PO2=19-21 kPa), or aerial hypercapnia (PCO2=4.9 kPa) in normoxic water, used both breath types with equal frequency. Aquatic or aerial hypoxia (PO2=6-7 kPa) significantly increased air-breathing frequency in four of eight fish and the ventilatory pattern changed to predominantly type I air-breaths (75–92 % of total breaths). When fish were exposed to 100 % O2 in the aerial phase while aquatic normoxia or hypoxia was maintained, air-breathing frequency either increased or did not change. Compared with normoxic controls, however, type II breaths were used almost exclusively (more than 98 % of total breaths). Type I breaths appear to be under feedback control from O2-sensitive chemoreceptors since they were stimulated by aquatic or aerial hypoxia and were nearly abolished by aerial hyperoxia. These results also indicate that Amia calva respond to changes in intravascular PO2; however, externally facing chemoreceptors that stimulate air-breathing in aquatic hypoxia cannot be discounted. Type II air- breaths, which occurred in aerial hyperoxia, despite aquatic hypoxia, appear to be stimulated by reductions of VB, suggesting that type II breaths are controlled by volume-sensitive gas bladder stretch receptors. Type II breaths are likely to have a buoyancy-regulating function.


PEDIATRICS ◽  
1961 ◽  
Vol 27 (4) ◽  
pp. 645-647
Author(s):  
Richard J. Golinko ◽  
Abraham M. Rudolph

PULMONARY function studies in small infants have been limited in the past by failure to develop practical methods for collecting expired gas samples. Adaption of a respiratory valve suitable for use in small subjects with small tidal volumes has been difficult and has led to the use of techniques with the body plethysmograph, contour face mask and large head chamber. The body plethysmograph offers only indirect data and requires considerable prepration before each study. In addition, it has the disadvantage that once the infant is placed in the plethysmograph chamber further manipulations of the infant are not possible. Systems using the contour face mask on head chamber involve a large dead space which may be quite significant when one considers the small volumes dealt with. In order to overcome the problem of large dead space, Cayler et al., similar to others, circulated air across the face of the contour mask. However, because of the dilution effect, differences in the composition of the inspired and expired gases were very small and therefore the chance for error in the calculations was increased. Berglund and Karlberg, and Geubelle et al., while studying functional residual capacity in infants, found that practically all quiet, healthy newborn infants breathe through the nose and can also tolerate the insertion of small tubes in their nostrils for varying periods. On the basis of these observations, a respiratory valve has been designed for insertion directly into the nostrils, permitting collection of total expired air. The valve, especially adapted for use in small infants, offers minimal resistance to respiration and has a dead space of 0.8 ml.


Author(s):  
Sofia Abreu ◽  
Lui´s Silva ◽  
Senhorinha F. C. F. Teixeira ◽  
Henedina Antunes ◽  
Helena Marques ◽  
...  

The aim of the present study was to evaluate the performance of Ventilan® coupled to the Volumatic® spacer. An experimental study was conducted using the four stage Multistage Liquid Impinger (MSLI). This enabled the observation that half of the pharmacological dose is retained within the body of the spacer. Therefore, the air flow inside the spacer was studied, along the respiratory cycle, using Fluent™. Several recirculation regions were observed inside the spacer that may influence the aerosol flow and also the deposition of the drug.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Abbo van Neer ◽  
Stephanie Gross ◽  
Tina Kesselring ◽  
Miguel L. Grilo ◽  
Eva Ludes-Wehrmeister ◽  
...  

Abstract As a follow-up on the data presented for seals, we herein report and discuss outcomes resulting from a retrospective evaluation of harbour porpoise stranding and necropsy data from Schleswig–Holstein, Germany (n = 4463) to enable an objective evaluation of potential ecological effects of grey seal predation on porpoises. Results are compared to a recent case of definite grey seal predation as well as to reports from other countries. Porpoise carcasses potentially subject to grey seal predation show severe lacerations, with large parts of skin and underlying tissue being detached from the body. Loss of blubber tissue is common. Based on the occurrence frequencies of encountered lesions, a list of parameters as well as a complementary decision tree are suggested to be used for future assessments. The results shown add to an increasingly standardised assessment protocol of suspected grey seal predation cases making respective results comparable between different areas and countries. The usage of a standardised protocol may increase the awareness of grey seal predation and the reporting of such cases. By this, differences in the predation and feeding patterns as well as the potential ecological relevance of this behaviour may be elucidated.


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