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Статті в журналах з теми "Compressing the rib cage"

Автор: Grafiati

Опубліковано: 3 червня 2025

Оновлено: 31 липня 2025

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1

Maryam, Yaghoubi Shahram Baraz* Mohammad Adineh Mohammad Hossain Haghighi zadeh. "THE EFFECT OF EXPIRATORY MANUAL RIB CAGE COMPRESSION BEFORE SUCTIONING ON BLOOD OXYGEN SATURATION IN PATIENTS." Indo American Journal of Pharmaceutical Sciences 04, no. 11 (2017): 4023–26. https://doi.org/10.5281/zenodo.1045212.

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Introduction: One of the most common ways put into practice to the clearance of the airway of patients who are under mechanical ventilation is applying suctioning into trachea. Some physiotherapeutic procedures including rib cage compression parallel to exhale and prior to suctioning can facilitate the egression of discharges. The present study aimed to determine the effect of rib cage compression during the exhale before suctioning on O2 saturation changes in patients receiving mechanical ventilation. Methodology: The research is a clinical trial study. The sample involved 55 patients who rec

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2

Nishida, Norihiro, Junji Ohgi, Fei Jiang, et al. "Finite Element Method Analysis of Compression Fractures on Whole-Spine Models Including the Rib Cage." Computational and Mathematical Methods in Medicine 2019 (May 5, 2019): 1–10. http://dx.doi.org/10.1155/2019/8348631.

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Spinal compression fractures commonly occur at the thoracolumbar junction. We have previously constructed a 3-dimensional whole-spine model from medical images by using the finite element method (FEM) and then used this model to develop a compression fracture model. However, these models lacked the rib cage. No previous study has used whole-spine models including the rib cage constructed from medical images to analyze compression fractures. Therefore, in this study, we added the rib cage to whole-spine models. We constructed the models, including a normal spine model without the rib cage, a wh

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3

Jeon, Jong Hyeok, Jae Ho Sul, Dae Hwan Ko, Myoung Jae Seo, Sung Min Kim, and Hong Seok Lim. "Finite Element Analysis of a Rib Cage Model: Influence of Four Variables on Fatigue Life during Simulated Manual CPR." Bioengineering 11, no. 5 (2024): 491. http://dx.doi.org/10.3390/bioengineering11050491.

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Cardiopulmonary resuscitation (CPR) is a life-saving technique used in emergencies when the heart stops beating, typically involving chest compressions and ventilation. Current adult CPR guidelines do not differentiate based on age beyond infancy and childhood. This oversight increases the risk of fatigue fractures in the elderly due to decreased bone density and changes in thoracic structure. Therefore, this study aimed to investigate the correlation and impact of factors influencing rib fatigue fractures for safer out-of-hospital manual cardiopulmonary resuscitation (OHMCPR) application. Usi

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4

Lin, Liying, Shaowei Jia, Hufei Yang, et al. "Influence of Rib Cage on Static Characteristics of Scoliotic Spine." Applied Bionics and Biomechanics 2020 (October 19, 2020): 1–11. http://dx.doi.org/10.1155/2020/8858686.

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Background. Scoliosis is a three-dimensional (3D) deformity of the spine, which affects the patient’s appearance and may lead to abnormal heart and lung function. The rib cage is a structure composed of ribs, sternum, and costal cartilage, which plays a vital role in stabilising the thoracolumbar spine. This study investigates the influence of the rib cage on the static characteristics of the scoliotic spine. Methods. Two types of 3D finite element (FE) models with or without rib cage (from T1 to S) were established and analysed based on computed tomography (CT) images, to determine the effect

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5

Ntoumenopoulos, George. "Manual Rib Cage Compressions and Mucus Flow." Critical Care Medicine 41, no. 7 (2013): e134-e135. http://dx.doi.org/10.1097/ccm.0b013e31828a28ea.

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6

Cavallo, Stephen A., and R. J. Baken. "Prephonatory Laryngeal and Chest Wall Dynamics." Journal of Speech, Language, and Hearing Research 28, no. 1 (1985): 79–87. http://dx.doi.org/10.1044/jshr.2801.79.

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The timing of prephonatory movements of the larynx, rib cage, and abdomen was examined in order to gain insight into the contribution of the vocal folds to the posturing of the chest wall. A simple stimulus-response paradigm was used in eliciting brief utterances—/α/ and /hα/—from six adult males. Chest wall movements were observed using mercury strain gages while simultaneous electroglottographic and airflow records provided information about vocal fold behavior. Independence of prephonatory laryngeal and chest wall behavior was demonstrated. Laryngeal adjustment preceded the start of vocal f

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7

Moore, Christopher A., Tammy J. Caulfield, and Jordan R. Green. "Relative Kinematics of the Rib Cage and Abdomen During Speech and Nonspeech Behaviors of 15-Month-Old Children." Journal of Speech, Language, and Hearing Research 44, no. 1 (2001): 80–94. http://dx.doi.org/10.1044/1092-4388(2001/008).

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Speech motor control emerges in the neurophysiologic context of widely distributed, powerful coordinative mechanisms, including those mediating respiratory function. It is unknown, however, whether developing children are able to exploit the capabilities of neural circuits controlling homeostasis for the production of speech and voice. Speech and rest breathing were investigated in eleven 15-month-old children using inductance plethysmography (Respitrace). Rib cage and abdominal kinematics were studied using a time-varying correlational index of thoracoabdominal coupling (i.e., reflecting the

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8

Kohan, Mahmoud, and Nahid Mohammad-Taheri. "Expiratory rib cage compression, endotracheal suctioning, and vital signs." Iranian Journal of Nursing and Midwifery Research 21, no. 3 (2016): 343. http://dx.doi.org/10.4103/1735-9066.180383.

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9

Hershenson, M. B., Y. Kikuchi, and S. H. Loring. "Relative strengths of the chest wall muscles." Journal of Applied Physiology 65, no. 2 (1988): 852–62. http://dx.doi.org/10.1152/jappl.1988.65.2.852.

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We hypothesized that during maximal respiratory efforts involving the simultaneous activation of two or more chest wall muscles (or muscle groups), differences in muscle strength require that the activity of the stronger muscle be submaximal to prevent changes in thoracoabdominal configuration. Furthermore we predicted that maximal respiratory pressures are limited by the strength of the weaker muscle involved. To test these hypotheses, we measured the pleural pressure, abdominal pressure (Pab), and transdiaphragmatic pressure (Pdi) generated during maximal inspiratory, open-glottis and closed

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10

Urmey, W., S. Loring, J. Mead, et al. "Upper and lower rib cage deformation during breathing in quadriplegics." Journal of Applied Physiology 60, no. 2 (1986): 618–22. http://dx.doi.org/10.1152/jappl.1986.60.2.618.

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In quadriplegia, the anteroposterior diameter of the rib cage (RC) decreases during inspiration. Our aim was to characterize this paradoxical motion further and to determine to what extent it was due to a diminished inspiratory effect of the diaphragm on the RC because of abdominal muscle paralysis. In six quadriplegics, upper and lower RC (URC, LRC) displacements were studied in various postures with and without extrinsic abdominal support. LRC was in its relaxed configuration at all lung volumes studied in three subjects before and four subjects during abdominal compression. URC distorted mo

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11

Barone, Constance M., Sidney Eisig, David F. Jimenez, Ravelo V. Argamaso, and Robert J. Shprintzen. "Achondroplasia: Pre- and Postsurgical Considerations for Midface Advancement." Cleft Palate-Craniofacial Journal 31, no. 1 (1994): 74–77. http://dx.doi.org/10.1597/1545-1569_1994_031_0074_apapcf_2.3.co_2.

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Achondroplasia, the most common type of dwarfism, Involves several physical characteristics that can cause pre- and intraoperative respiratory problems. The characteristics Include rib-cage deformities, midface hypoplasia, choanal stenosis, muscular hypotonia, foramen magnum compression, and cervical abnormalities. Specific pre- and postoperative strategies for dealing with achondroplastic dwarfs are discussed.

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12

Cappello, Matteo, and André De Troyer. "On the respiratory function of the ribs." Journal of Applied Physiology 92, no. 4 (2002): 1642–46. http://dx.doi.org/10.1152/japplphysiol.01053.2001.

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To assess the respiratory function of the ribs, we measured the changes in airway opening pressure (Pao) induced by stimulation of the parasternal and external intercostal muscles in anesthetized dogs, first before and then after the bony ribs were removed from both sides of the chest. Stimulating either set of muscles with the rib cage intact elicited a fall in Pao in all animals. After removal of the ribs, however, the fall in Pao produced by the parasternal intercostals was reduced by 60% and the fall produced by the external intercostals was eliminated. The normal outward curvature of the

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13

Van der Touw, Thomas, Yugan Mudaliar, and Vineet Nayyar. "Cardiorespiratory effects of manually compressing the rib cage during tidal expiration in mechanically ventilated patients recovering from acute severe asthma." Critical Care Medicine 26, no. 8 (1998): 1361–67. http://dx.doi.org/10.1097/00003246-199808000-00021.

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14

Mase, Kyoushi, Kenta Yamamoto, Sigefumi Murakami, et al. "Changes in ventilation mechanics during expiratory rib cage compression in healthy males." Journal of Physical Therapy Science 30, no. 6 (2018): 820–24. http://dx.doi.org/10.1589/jpts.30.820.

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15

Guimaraes, F. S., A. J. Lopes, S. S. Constantino, J. C. Lima, P. Canuto, and S. L. S. de Menezes. "Expiratory Rib Cage Compression in Mechanically Ventilated Subjects: A Randomized Crossover Trial." Respiratory Care 59, no. 5 (2013): 678–85. http://dx.doi.org/10.4187/respcare.02587.

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16

Dakic, Zoran, Marko Kantar, Bojan Bjelosevic, Branko Strbac, Miroslav Stranatic, and Radomir Jerkic. "Rib fragment compressing aorta in patient with chest and spinal injuries." Trauma Surgery & Acute Care Open 8, no. 1 (2023): e001261. http://dx.doi.org/10.1136/tsaco-2023-001261.

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17

Ford, G. T., D. A. Grant, K. S. Rideout, J. S. Davison, and W. A. Whitelaw. "Inhibition of breathing associated with gallbladder stimulation in dogs." Journal of Applied Physiology 65, no. 1 (1988): 72–79. http://dx.doi.org/10.1152/jappl.1988.65.1.72.

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The effect of mechanical stimulation of the gallbladder on breathing was studied in anesthetized spontaneously breathing dogs. Measurements of tidal volume, breathing frequency, rib cage and abdominal diameter, transdiaphragmatic pressure, and electrical activity of the diaphragm were made while traction or compression was applied to the gallbladder for periods of 30 s. Both forms of mechanical stimulation produced similar changes, including large decreases in tidal volume, respiratory rate, electrical activity of the diaphragm, and transdiaphragmatic pressure swings. Inspiratory rib cage expa

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18

DiMarco, A. F., J. R. Romaniuk, and G. S. Supinski. "Parasternal and external intercostal responses to various respiratory maneuvers." Journal of Applied Physiology 73, no. 3 (1992): 979–86. http://dx.doi.org/10.1152/jappl.1992.73.3.979.

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Recent studies suggest that the external intercostal (EI) muscles of the upper rib cage, like the parasternals (PA), play an important ventilatory role, even during eupneic breathing. The purpose of the present study was to further assess the ventilatory role of the EI muscles by determining their response to various static and dynamic respiratory maneuvers and comparing them with the better-studied PA muscles. Applied interventions included 1) passive inflation and deflation, 2) abdominal compression, 3) progressive hypercapnia, and 4) response to bilateral cervical phrenicotomy. Studies were

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19

Ouchi, Akira, Hideaki Sakuramoto, Takeshi Unoki, et al. "Effects of Manual Rib Cage Compressions on Mucus Clearance in Mechanically Ventilated Pigs." Respiratory Care 65, no. 8 (2020): 1135–40. http://dx.doi.org/10.4187/respcare.07249.

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20

Chun, Dong-il, Jae-ho Cho, In Ho Choi, et al. "Osteochondroma of ventral scapula associated with chest pain due to rib cage compression." Medicine 97, no. 17 (2018): e0510. http://dx.doi.org/10.1097/md.0000000000010510.

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21

Cheng, Gao, Yong Jian Liu, and Lei Jiang. "Research on Concrete-Filled Rectangular Steel Tube Stiffeners and Axial Compression Bearing Capacity." Advanced Materials Research 1065-1069 (December 2014): 1092–96. http://dx.doi.org/10.4028/www.scientific.net/amr.1065-1069.1092.

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Concrete-filled rectangular steel tube four sides restraint effect on the core concrete was weaker than the corner, which made the effect not significant. The paper studied a new kind of stiffening rib –PBL stiffener to strengthen restraint effect of concrete-filled rectangular steel tube , and evaluated its advantages compared with other stiffening ribs. 9 PBL stiffened concrete-filled rectangular steel tube columns under axial compressive load were tested. It also collected the test with other stiffened rids, such as straight ribs, binding bars, knee brace, steel reinforcement cage, steel ba

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22

Skatrud, J. B., and J. A. Dempsey. "Airway resistance and respiratory muscle function in snorers during NREM sleep." Journal of Applied Physiology 59, no. 2 (1985): 328–35. http://dx.doi.org/10.1152/jappl.1985.59.2.328.

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The effect of non-rapid-eye-movement (NREM) sleep on total pulmonary resistance (RL) and respiratory muscle function was determined in four snorers and four nonsnorers. RL at peak flow increased progressively from wakefulness through the stages of NREM sleep in all snorers (3.7 +/- 0.4 vs. 13.0 +/- 4.0 cmH2O X 0.1(-1) X s) and nonsnorers (4.8 +/- 0.4 vs. 7.5 +/- 1.1 cmH2O X 1(-1) X s). Snorers developed inspiratory flow limitation and progressive increase in RL within a breath. The increased RL placed an increased resistive load on the inspiratory muscles, increasing the pressure-time product

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23

Das, Shristi, Gitanjali Sikka, and Prashant Kumar. "Effect of expiratory ribcage compression technique and respiratory neurofacilitatory techniques on lung function in mechanically ventilated patients: a review of literature." International Journal of Research in Medical Sciences 12, no. 12 (2024): 4813–19. https://doi.org/10.18203/2320-6012.ijrms20243747.

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Respiratory conditions pose significant challenges in critical care settings, particularly in managing patients who require mechanical ventilation in the intensive care unit (ICU). While mechanical ventilation is crucial for saving lives, it can also lead to complications such as impaired lung function and secretion retention. To address these issues, various physiotherapy techniques have been employed to enhance respiratory function and promote mucus clearance. These include manual techniques like expiratory rib cage compression (ERCC) and respiratory neuro-facilitative methods such as interc

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24

Zaldivar, Joan Kristi Decena, Eduardo Bautista, and Jesyl Obtinario Gagto. "Chest wall and nasal chondromesenchymal hamartoma in a toddler: treated during a global pandemic." BMJ Case Reports 16, no. 10 (2023): e252019. http://dx.doi.org/10.1136/bcr-2022-252019.

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We report an extremely rare case of a synchronous left chest wall and left maxillary sinus chondromesenchymal hamartoma in a toddler female. Although the lesions appeared malignant on imaging, they were benign by biopsy. The enlarging left anterior chest wall mass was surgically resected to prevent cardiovascular compression. The significant chest wall defect was reconstructed using the bird-cage technique with overlying pectoralis major muscle flap and native skin. The lesions at the left posterior rib and left maxillary sinus were closely observed. This case is the first reported synchronous

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25

Martí, Joan Daniel, Gianluigi Li Bassi, Montserrat Rigol, et al. "Effects of Manual Rib Cage Compressions on Expiratory Flow and Mucus Clearance During Mechanical Ventilation*." Critical Care Medicine 41, no. 3 (2013): 850–56. http://dx.doi.org/10.1097/ccm.0b013e3182711b52.

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26

Dellacà, Raffaele L., Lauren D. Black, Haytham Atileh, Antonio Pedotti, and Kenneth R. Lutchen. "Effects of posture and bronchoconstriction on low-frequency input and transfer impedances in humans." Journal of Applied Physiology 97, no. 1 (2004): 109–18. http://dx.doi.org/10.1152/japplphysiol.00721.2003.

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We simultaneously evaluated the mechanical response of the total respiratory system, lung, and chest wall to changes in posture and to bronchoconstriction. We synthesized the optimal ventilation waveform (OVW) approach, which simultaneously provides ventilation and multifrequency forcing, with optoelectronic plethysmography (OEP) to measure chest wall flow globally and locally. We applied an OVW containing six frequencies from 0.156 to 4.6 Hz to the mouth of six healthy men in the seated and supine positions, before and after methacholine challenge. We measured mouth, esophageal, and transpulm

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27

Mahmoud Elshenawy, Aya Mohamed, Eman Arafa Hassan, Bassem Nashaat Beshay, and Azza Hamdi Elsoussi. "Effect of Manual Hyperinflation with Rib Cage Compression on the Ventilation Outcomes of Mechanically Ventilated Patients." Alexandria Scientific Nursing Journal 27, no. 2 (2025): 1–16. https://doi.org/10.21608/asalexu.2025.429788.

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28

Gupta, Namit, Gaurav Kumar Gupta, Mukesh Jain, et al. "Unraveling the Mystery of Persistent Positional Borborygmi." ACG Case Reports Journal 12, no. 6 (2025): e01727. https://doi.org/10.14309/crj.0000000000001727.

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ABSTRACT We present a case report of young thin-built woman with persistent positional abnormal abdominal sounds audible only while sitting or standing and relieved in supine position. Sounds become more prominent on heavy meals and deep inhalation and improved with breath-holding or self-applying local pressure. Routine investigations, including esophagogastroduodenoscopy, colonoscopy, and contrast-enhance computed tomography of whole abdomen, all were normal. Interestingly, a barium study in standing position revealed an hourglass-shaped stomach, but while in lying down position showed norma

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29

Yadav, Kapil, Mustafa khan, Hitesh Chawla, Ammu M G, Arun Yadav, and Renu Yadav. "DEATH BY SEAT BELT COMPRESSION : A CASE REPORT." Journal of Forensic Medicine and Toxicology 41, no. 1 (2024): 122–25. http://dx.doi.org/10.48165/jfmt.2024.41.1.24.

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Background: With the advent of car seat belts, there has been a significant decrease in the number of deaths due to car accidents. However, two unique patterns of injuries, the ‘seat belt sign’ and ‘seat belt syndrome’ have emerged. Fractures of the sternum, rib cage, clavicles, and injuries to abdominal organs are potential injuries that may occur. Case: We are presenting the case of a 25-year-old male who was a restrained rear-seat passenger in a car versus truck collision, brought for a medical-legal autopsy. The physical examination showed a diagonal contusion across the chest and a horizo

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30

Mannen, Erin, Elizabeth A. Friis, Hadley L. Sis, Benjamin M. Wong, Eileen Cadel, and Dennis Anderson. "Human Cadaveric Thoracic Spine Range-of-Motion with a Compressive Follower Load Increases with Rib Cage Removal." Spine Journal 16, no. 10 (2016): S256—S257. http://dx.doi.org/10.1016/j.spinee.2016.07.339.

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31

Boyle, David M., Devon L. Albert, Warren N. Hardy, and Andrew R. Kemper. "Evaluating the Responses of the THOR and Hybrid III Small Female ATDs during Frontal Sled Tests." SAE International Journal of Transportation Safety 12, no. 3 (2024): 325–53. https://doi.org/10.4271/09-12-03-0013.

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<div>There is evidence to suggest that males and females respond differently in motor vehicle collisions, making it important to study how both sexes respond to vehicle safety systems. The THOR 5th-percentile female (THOR-05F) anthropomorphic test device (ATD) was developed to represent a small female occupant better than the Hybrid III 5<sup>th</sup>-percentile female (HIII-05F) ATD. However, there are few studies in which they have been directly compared. Therefore, the objective of this study was to compare the responses of the two ATDs in matched frontal sled tests simula

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32

Marti, J. D., G. L. Bassi, T. Comaru, and A. Torres. "Expiratory Rib Cage Compressions to Improve Secretion Clearance During Mechanical Ventilation: Not Only a Matter of Squeezing the Chest." Respiratory Care 59, no. 8 (2014): e119-e120. http://dx.doi.org/10.4187/respcare.03109.

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33

Morino, Akira, Masahiro Shida, Masashi Tanaka, et al. "Comparison of changes in tidal volume associated with expiratory rib cage compression and expiratory abdominal compression in patients on prolonged mechanical ventilation." Journal of Physical Therapy Science 27, no. 7 (2015): 2253–56. http://dx.doi.org/10.1589/jpts.27.2253.

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34

Guimaraes, F. S., S. L. Silveira de Menezes, and A. J. Lopes. "Expiratory Rib Cage Compressions to Improve Secretion Clearance During Mechanical Ventilation: Not Only a Matter of Squeezing the Chest--Reply." Respiratory Care 59, no. 8 (2014): e121-e121. http://dx.doi.org/10.4187/respcare.03522.

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35

Shimada, Yoichi, Yuji Kasukawa, Naohisa Miyakoshi, Michio Hongo, Shigeru Ando, and Eiji Itoi. "Spondylolisthesis of the thoracic spine." Journal of Neurosurgery: Spine 4, no. 5 (2006): 415–18. http://dx.doi.org/10.3171/spi.2006.4.5.415.

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✓ The thoracic spine is stabilized in the anteroposterior direction by the rib cage and the facet joints. Spondylolisthesis of the thoracic spine is less common than that of the lumbar spine. The authors describe a rare case of thoracic spondylolisthesis in which the patient suffered back pain and myelopathy. The patient was a 44-year-old woman. Plain radiography revealed Grade I T11–12 spondylolisthesis. The pedicle–facet joint angle at T-11 was 118°, greater than that of T-10 or T-12. Postmyelography computerized tomography scanning revealed posterior compression of the dural sac as well as

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36

Miyakoshi, Naohisa, Yoichi Shimada, Kyoji Okada, Michio Hongo, Yuji Kasukawa, and Eiji Itoi. "Ligamentum flavum hematoma in the rigid thoracic spinal segments." Journal of Neurosurgery: Spine 2, no. 4 (2005): 495–97. http://dx.doi.org/10.3171/spi.2005.2.4.0495.

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✓ Ligamentum flavum hematoma, a rare cause of spinal nerve root and canal compression, typically occurs in the mobile lumbar spine segments. A thoracic ligamentum flavum hematoma is extremely rare—only one such case of a thoracolumbar (T11–12) lesion has been reported. The thoracolumbar region with its floating ribs, however, is structurally and biomechanically similar to the lumbar spine and its mobility is greater than the higher thoracic levels. To the best of their knowledge, the authors report the first case of a ligamentum flavum hematoma in the region of the rigid thoracic spinal segmen

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37

Estenne, M., and M. Gorini. "Action of the diaphragm during cough in tetraplegic subjects." Journal of Applied Physiology 72, no. 3 (1992): 1074–80. http://dx.doi.org/10.1152/jappl.1992.72.3.1074.

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Subjects with traumatic tetraplegia use the pectoralis major to compress the upper rib cage and increase intrathoracic pressure during cough. It is not known, however, whether they also contact the diaphragm during the expiratory phase of cough, as normal subjects do. We have investigated the action of the diaphragm during single voluntary coughing efforts in subjects with complete transection of the lower cervical (n = 5) or midthoracic (n = 2) cord. All subjects showed at least one peak of transdiaphragmatic pressure during the expiratory phase of the effort, and simultaneous bursts of elect

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38

Hillman, D. R., J. Markos, and K. E. Finucane. "Effect of abdominal compression on maximum transdiaphragmatic pressure." Journal of Applied Physiology 68, no. 6 (1990): 2296–304. http://dx.doi.org/10.1152/jappl.1990.68.6.2296.

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Transdiaphragmatic pressure (Pdi) is lower during maximum inspiratory effort with the diaphragm alone than when maximum inspiratory and expulsive efforts are combined. The increase in Pdi with expulsive effort has been attributed to increased neural activation of the diaphragm. Alternatively, the increase could be due to stretching of the contracted diaphragm. If this were so, Pdi measured during a combined maximum effort would overestimate the capacity of the diaphragm to generate inspiratory force. This study determined the likely contribution of stretching of the contracted diaphragm to est

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39

Bar-Kochba, Eyal, Alexander S. Iwaskiw, Jenna M. Dunn, Kyle A. Ott, Timothy P. Harrigan, and Constantine K. Demetropoulos. "The dynamic response of human lungs due to underwater shock wave exposure." PLOS ONE 19, no. 5 (2024): e0303325. http://dx.doi.org/10.1371/journal.pone.0303325.

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Since the 19th century, underwater explosions have posed a significant threat to service members. While there have been attempts to establish injury criteria for the most vulnerable organs, namely the lungs, existing criteria are highly variable due to insufficient human data and the corresponding inability to understand the underlying injury mechanisms. This study presents an experimental characterization of isolated human lung dynamics during simulated exposure to underwater shock waves. We found that the large acoustic impedance at the surface of the lung severely attenuated transmission of

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40

Choi, Ji Young, Ja Un Moon, Da Hye Yoon, Jisook Yim, Myungshin Kim, and Min Ho Jung. "18p Deletion Syndrome Originating from Rare Unbalanced Whole-Arm Translocation between Chromosomes 13 and 18: A Case Report and Literature Review." Children 9, no. 7 (2022): 987. http://dx.doi.org/10.3390/children9070987.

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18p deletion (18p-) syndrome is a rare chromosome abnormality that has a wide range of phenotypes, with short stature, intellectual disability, and facial dysmorphism being the main clinical features. Here, we report the first case in Korea of a 16-year-old male adolescent with 18p- syndrome resulting from de novo unbalanced whole-arm translocation between chromosomes 13 and 18 (45, XY, der(13;18)(q10:q10)). Three rare clinical findings were discovered that had not been reported in the previous literature; morbid obesity without other hormonal disturbances, rib cage deformity leading to the di

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41

Thielen, Mark, Rohan Joshi, Frank Delbressine, Sidarto Bambang Oetomo, and Loe Feijs. "An innovative design for cardiopulmonary resuscitation manikins based on a human-like thorax and embedded flow sensors." Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 231, no. 3 (2017): 243–49. http://dx.doi.org/10.1177/0954411917691555.

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Cardiopulmonary resuscitation manikins are used for training personnel in performing cardiopulmonary resuscitation. State-of-the-art cardiopulmonary resuscitation manikins are still anatomically and physiologically low-fidelity designs. The aim of this research was to design a manikin that offers high anatomical and physiological fidelity and has a cardiac and respiratory system along with integrated flow sensors to monitor cardiac output and air displacement in response to cardiopulmonary resuscitation. This manikin was designed in accordance with anatomical dimensions using a polyoxymethylen

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42

Talib, Hanadi Saad Bin, Afnan Abdaljabbar Almurashi, and Khames T. Alzahrani. "Cardiopulmonary Resuscitation CPR Quality Outcome of Patients with Cardiac Arrest by Using Robotics/ Artificial Intelligence in Hospitals." International Journal of Innovative Research in Medical Science 8, no. 09 (2022): 440–44. http://dx.doi.org/10.23958/ijirms/vol07-i09/1502.

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Background: The life-saving procedure is required rapid and effective methods to keep patients survive. Some literature reviews demonstrate those robotic medical systems like the applications as chest compression manipulators, which applied to enhance the quality during cardiopulmonary resuscitation in hospitals and because the number of studies that talked about the importance of using robotics was few This paper will be discussed Using of robotics and artificial intelligence (AI) during cardiopulmonary resuscitation in hospitals focusing on the level of efficiency of the outcome based on sys

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43

Walawege, Dushan D. "Invention of Device for Measuring Cardiac Compression Rates and the Depth for the Cardio-Pulmonary Resuscitation Manikin." Engineer: Journal of the Institution of Engineers, Sri Lanka 56, no. 4 (2023): 81–89. http://dx.doi.org/10.4038/engineer.v56i4.7623.

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Manikins that simulate cardiopulmonary resuscitation (CPR) are used to teach personnel how to execute it. Modern cardiac resuscitation manikins are still low-fidelity designs in terms of anatomy and physiology. Designing a manikin with a cardiac and respiratory system, as well as integrated flow sensors to track cardiac output and air displacement in response to cardiopulmonary resuscitation, was the main goal of this research. A polyoxy-methylene rib cage joined to a vertebral column from an anatomical female model was used to create this manikin in line with anatomical proportions. The respi

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44

Loring, Stephen H., Negin Behazin, Aileen Novero, et al. "Respiratory mechanical effects of surgical pneumoperitoneum in humans." Journal of Applied Physiology 117, no. 9 (2014): 1074–79. http://dx.doi.org/10.1152/japplphysiol.00552.2014.

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Pneumoperitoneum for laparoscopic surgery is known to stiffen the chest wall and respiratory system, but its effects on resting pleural pressure in humans are unknown. We hypothesized that pneumoperitoneum would raise abdominal pressure, push the diaphragm into the thorax, raise pleural pressure, and squeeze the lung, which would become stiffer at low volumes as in severe obesity. Nineteen predominantly obese laparoscopic patients without pulmonary disease were studied supine (level), under neuromuscular blockade, before and after insufflation of CO2 to a gas pressure of 20 cmH2O. Esophageal p

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45

Ahmadian, Amir, and Juan S. Uribe. "Mini-open lateral retro-pleural thoracic corpectomy for osteomyelitis." Neurosurgical Focus 35, v2supplement (2013): Video17. http://dx.doi.org/10.3171/2013.v2.focus13221.

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Thoracic vertebral body corpectomy with associated deformity and neural element compression can be challenging. Multiple approaches have been proposed including trans-pedicular, costotransversectomy and trans-thoracic. Approach related pitfalls, nuances, morbidity and complication profile differ with each technique. A mini-open retro-pleural approach provides great access to bony pathology and neural elements without the need to violate the thoracic cavity or chest-tube placement postoperatively. Here we present a 56-year-old male with progressive back pain and suspected osteomyelitis/discitis

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46

Kelly, S. M., A. P. Brancatisano, and L. A. Engel. "Effect of cardiogenic gas mixing on arterial O2 and CO2 tensions during breath holding." Journal of Applied Physiology 62, no. 4 (1987): 1453–59. http://dx.doi.org/10.1152/jappl.1987.62.4.1453.

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To examine the effect of cardiogenic gas mixing on gas exchange we measured arterial tension of O2 (PaO2) and arterial tension of CO2 (PaCO2) during 3- to 5-min breath holds (BH) before and after infusing 50 ml of saline into the pericardial space (PCF) of seven anesthetized, paralyzed, mechanically ventilated dogs. During BH the ventilator was disconnected and a bias flow of 50% O2 at 4–5 l/min was delivered through the side ports of a small catheter whose tip was positioned 1 cm cephalad of the carina. Paired runs, alternately with and without PCF, were performed in triplicate in each dog. I

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47

McCool, F. D., S. H. Loring, and J. Mead. "Rib cage distortion during voluntary and involuntary breathing acts." Journal of Applied Physiology 58, no. 5 (1985): 1703–12. http://dx.doi.org/10.1152/jappl.1985.58.5.1703.

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We examined chest wall and rib cage configuration in seven normal subjects during a variety of breathing maneuvers. Magnetometers were used to measure lower rib cage anteroposterior, lower rib cage transverse, upper rib cage anteroposterior, and abdomen anteroposterior diameters. Changes of these diameters were recorded during voluntary maneuvers, rebreathing, reading, and “natural” breathing. Relative motion of the rib cage and abdomen was displayed with the rib cage represented by the product of its lower anteroposterior and transverse diameters. During spontaneous breathing the rib cage and

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48

Jiang, T. X., M. Demedts, and M. Decramer. "Mechanical coupling of upper and lower canine rib cages and its functional significance." Journal of Applied Physiology 64, no. 2 (1988): 620–26. http://dx.doi.org/10.1152/jappl.1988.64.2.620.

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We studied rib cage distortability and reexamined the mechanical action of the diaphragm and the rib cage muscles in six supine anesthetized dogs by measuring changes in upper rib cage cross-sectional area (Aurc) and changes in lower rib cage cross-sectional area (Alrc) and the respective pressures acting on them. During quiet breathing in the intact animal the rib cage behaved as a unit (Aurc: 14.6 +/- 7.9 vs. Alrc: 15.1 +/- 9.6%), whereas considerable distortions of the rib cage occurred during breathing after bilateral phrenicotomy (Aurc: 21.0 +/- 5.1 vs. Alrc: 7.0 +/- 4.8%). These distorti

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49

Ward, M. E., J. W. Ward, and P. T. Macklem. "Analysis of human chest wall motion using a two-compartment rib cage model." Journal of Applied Physiology 72, no. 4 (1992): 1338–47. http://dx.doi.org/10.1152/jappl.1992.72.4.1338.

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We present a model of chest wall mechanics that extends the model described previously by Macklem et al. (J. Appl. Physiol. 55: 547–557, 1983) and incorporates a two-compartment rib cage. We divide the rib cage into that apposed to the lung (RCpul) and that apposed to the diaphragm (RCab). We apply this model to determine rib cage distortability, the mechanical coupling between RCpul and RCab, the contribution of the rib cage muscles to the pressure change during spontaneous inspiration (Prcm), and the insertional component of transdiaphragmatic pressure in humans. We define distortability as

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50

Cappello, Matteo, and André De Troyer. "Role of rib cage elastance in the coupling between the abdominal muscles and the lung." Journal of Applied Physiology 97, no. 1 (2004): 85–90. http://dx.doi.org/10.1152/japplphysiol.00032.2004.

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Анотація:

The abdominal muscles expand the rib cage when they contract alone. This expansion opposes the deflation of the lung and may be viewed as pressure dissipation. The hypothesis was raised, therefore, that alterations in rib cage elastance should affect the lung deflating action of these muscles. To test this hypothesis and evaluate the quantitative importance of this effect, we measured the changes in airway opening pressure (Pao), abdominal pressure (Pab), and rib cage transverse diameter during isolated stimulation of the transversus abdominis muscle in anesthetized dogs, first with the rib ca

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