• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제60권3호
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• pp.107-111
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• 2017

Background and Objectives The bedside head impulse test (bHIT) in bare eyes often overlooks possible vestibular losses by missing the corrective saccade. This is why it is necessary to compare bHIT against video head impulse test (vHIT), which is more accurate in identifying vestibular losses than the bedside test. Subjects and Method A total of 51 vHIT positive ears underwent the study, and out of those, 47 were diagnosed with dizziness. bHIT and vHIT were performed for patients, and the occurrence rate of overt saccade (OS) was calculated. Results Among the 51 vHIT positive ears, 33 (64.7%) were bHIT positive ears and 18 ears (35.3%) were bHIT negative. Patterns of positive vHIT were classified as A: no corrective saccade, B: covert saccade (CS) only, C: OS only, and D: CS with OS (CS+OS), which were 45 out of 51 ears (88%). The occurrence rate of OS was higher in the bHIT positive group than in the bHIT negative group (p=0.05), and higher in the CS negative group (CS-) than in the CS positive group (CS+) (p<0.001). Conclusion Possible causes of false negative results of bHIT are seen as following: the absence of corrective (covert and overt) saccade, the occurrence of CS only, and missing the OS during the bHIT (probably due to low occurrence rate of OS). The occurrence of CS should be considered as an important factor in false negative bHIT when lowering the occurrence rate of OS.

• 대한청각학회지
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• 제25권1호
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• pp.36-42
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• 2021

Background and Objectives: Globally, the human immunodeficiency virus (HIV) is responsible for one of the most serious pandemics to date. The vulnerability of the vestibular system in individuals with HIV has been confirmed, and central vestibular impairments have been frequently reported. However, there are disagreements on the impact of HIV on peripheral vestibular function. Thus, the current study aimed to determine the prevalence of peripheral vestibular impairment, specifically related to the semi-circular canals (SCCs), in HIV-positive individuals receiving antiretroviral (ARV) treatment. Subjects and Methods: A total of 92 adults between the ages of 18 and 50 years (divided into two groups) participated in the study. The first group comprised HIV-positive individuals receiving ARV treatment (n₁=60), and the second group comprised HIV-negative participants (n₂=32). The video head impulse test was used to conduct the head impulse paradigm (HIMP). Results: Bilateral normal HIMP results were obtained in 95% of the HIV-positive participants and all HIV-negative participants. The gain of the left posterior SCCs was significantly lower in the HIV-positive group, while the gains of all other canals between the two groups were comparable. Conclusions: The prevalence of peripheral vestibular impairment in the HIV-positive group was not significantly different from that of the HIV-negative group. The reduced prevalence in the current study may be attributed to participant characteristics, the test battery employed, and the central compensation of the vestibular dysfunctions at the later stages of infection.

• Journal of Audiology & Otology
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• 제25권1호
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• pp.36-42
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• 2021

Background and Objectives: Globally, the human immunodeficiency virus (HIV) is responsible for one of the most serious pandemics to date. The vulnerability of the vestibular system in individuals with HIV has been confirmed, and central vestibular impairments have been frequently reported. However, there are disagreements on the impact of HIV on peripheral vestibular function. Thus, the current study aimed to determine the prevalence of peripheral vestibular impairment, specifically related to the semi-circular canals (SCCs), in HIV-positive individuals receiving antiretroviral (ARV) treatment. Subjects and Methods: A total of 92 adults between the ages of 18 and 50 years (divided into two groups) participated in the study. The first group comprised HIV-positive individuals receiving ARV treatment (n₁=60), and the second group comprised HIV-negative participants (n₂=32). The video head impulse test was used to conduct the head impulse paradigm (HIMP). Results: Bilateral normal HIMP results were obtained in 95% of the HIV-positive participants and all HIV-negative participants. The gain of the left posterior SCCs was significantly lower in the HIV-positive group, while the gains of all other canals between the two groups were comparable. Conclusions: The prevalence of peripheral vestibular impairment in the HIV-positive group was not significantly different from that of the HIV-negative group. The reduced prevalence in the current study may be attributed to participant characteristics, the test battery employed, and the central compensation of the vestibular dysfunctions at the later stages of infection.

• Annals of Clinical Neurophysiology
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• 제21권2호
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• pp.94-97
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• 2019

The patients with myotonic dystrophy (MD) show ocular motor abnormalities including strabismus, vergence deficits, and inaccurate or slow saccades. Two theories have been proposed to explain the oculomotor deficits in MD. The central theory attributes the defects of eye movements of MD to the involvement of the central nervous system while the muscular theory attributes to dystrophic changes of the extraocular muscles. A 58-year-old woman with MD showed selective slowing of horizontal saccades and reduced peak velocities for both horizontal canals in head impulse tests, while smooth-pursuit eye movements and vertical head impulse responses were normal. This case suggests that the extraocular muscles-as a final common pathway of the voluntary saccade and reflexive vestibular eye movements-may better explain the defective rapid eye movements observed in MD.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2007년도 춘계학술대회A
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• pp.1590-1594
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• 2007

This paper describes a case study on dynamic characteristics analysis of a 5-axis multi-tasking machine tool of ram-head typed. Natural frequency and corresponding vibration modes of the machine tool structure were obtained by using both FEM modal analysis and an experimental modal test(impulse hammer test). Both the theoretical and experiment analysis results showed good agreement with each other. Finally, some discussion and review, from the view point of resonance vibration and/or mode coupled chatter, were made based on the analysis results.

• The Journal of Korean Physical Therapy
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• 제24권2호
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• pp.163-169
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• 2012

Purpose: The present study was designed to investigate the effect of trunk control training on the labile surface on relative impulse and balance in stroke patients. Methods: A total of 21 participants were assigned to an experimental group (n=11) or a control group (n=10). In addition to conventional therapy, the experimental group received trunk control training on the swiss ball; 20 minutes, 4 times a week, for 8 weeks. Balance ability was evaluated by FRT (functional reaching test) and TUG (time up and go). In addition relative impulse in 6 areas of the foot (hallux, 1st metatarsal head, 2~3 metatasal head, 4~5 metatasal head, mid foot and heel) were measured using the F-scan system to evaluate locomotion ability during gait. Results: Significant differences in the relative impulse were observed in the areas of the 2~3 metatasal head during gait after exercise in both the control group and experimental group (p<0.05). Also, a significant increase was seen in the hallux after exercise in the experimental group (p<0.05), but no such significant increase was seen in the control group (p>0.05). Significant differences were observed in FRT and TUG in the experimental group but no such significant increase was observed in the control group (p>0.05). Conclusion: These results suggest that trunk control training on labile surface improves the balance in stroke patients and has a positive effect on locomotion ability.

• Annals of Clinical Neurophysiology
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• 제24권2호
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• pp.84-89
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• 2022

Vestibular dysfunction has rarely been reported in MELAS syndrome. A 40-year-old male with long-term diabetes and hearing loss experienced a stroke-like episode with hemisensory disturbance and lactic acidosis. Brain MRI showed temporo-parieto-occipital cortical lesions, and a final diagnosis was made of MELAS syndrome with the mitochondrial 3243A>G mutation. Neuro-otologic evaluations revealed anterior-canal-sparing bilateral impairments of the vestibulo-ocular reflex in the video head impulse test and no caloric paresis. This unique pattern of vestibular dysfunction may aid in diagnosing MELAS syndrome.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2021년도 춘계학술발표대회
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• pp.273-276
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• 2021

최근의 기계 학습 (딥러닝)은 기존의 전통적인 통계 분석 방법들에 비해 효율성과 정확도가 높은 장점이 있지만, 처리과정이 블랙박스와 같아 결과 값의 중요한 원인 또는 근거 요인을 찾기 어렵다는 단점을 가지고 있다. 이를 해결하기 위한 최근의 XAI (eXplainable AI) 연구를 기반으로 하여, 본 논문에서는 의료기관에서 전정기관의 이상을 판별하기 위해 수작업으로 이루어지고 있는 HIT (head impulse test) 테스트 결과를 자동화하고, 설득력 있는 신뢰도 검정을 위해, XAI 기반 DoWhy 프레임 워크를 사용하였다. 전정기관 이상으로 의심되는 환자의 동공 움직임을 optical flow 로 추적하고, 정상인과의 Wasserstein metric 의 DoWhy 검증을 통해 전정기관 이상 여부의 신뢰도 구간을 검정한다.

• 한국소음진동공학회논문집
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• 제18권4호
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• pp.448-457
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• 2008

A principal components analysis (PCA) of the median-plane head-related impulse responses (HRIRs) in the CIPIC HRTF database reveals that the individual HRIRs in the median plane can be adequately reconstructed by a linear combination of 12 orthonormal basis functions. These basis functions can be used to model arbitrary median-plane HRIRs, which are not included in the process to obtain the basis functions. Memory size can be reduced up to 5-fold depending on the number of HRIRs to be modeled. To clarify whether these basis functions can be used to model other set of arbitrary median plane HRIRs, a numerical error analysis for modeling and a series of subjective listening tests were carried out using the measured and modeled HRIRs. The results showed that the set of individual HRIRs in the median plane, which were measured in our lab using different measurement conditions, techniques, and source positions, can be modeled with reasonable accuracy. All subjects, involved in the subjective listening test, reported not only the accurate vertical perception but also the front-back discrimination with the modeled HRIRs based on 12 basis functions.

• 한국공작기계학회논문집
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• 제18권2호
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• pp.162-169
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• 2009

This paper describes a study on dynamic characteristics analysis and dynamic compliance evaluation of a 5-axis multi-tasking machine tool of ram-head type. Structural dynamics analysis and evaluation are necessary to machine tool design and development to secure good machine tool performance against tough and harsh machining conditions. In this study, natural frequencies and corresponding vibration modes of the machine tool structure were analyzed by using both F.E.M. modal analysis and impulse hammer test. Furthermore, dynamic compliance of the machine tool was analyzed by using F.E.M. and also measured by using a hydraulic exciter test. Both the theoretical analysis and experimental test results showed good agreement with each other.