• Title/Summary/Keyword: Head-up tilt

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A Study on the Characteristics of Heart Rate Variabilities In Nornal Subjects and Hemiplegic patients (정상인과 편마비 환자의 심박변동신호의 특성에 관한 연구)

  • Jeong, Kee-Sam;Shin, Kun-Soo;Lee, Jeong-Whan;Ahn, Juhn;Chon, Joong-Son;Kim, Jun-Soo;Lee, Myoung-Ho
    • Journal of Biomedical Engineering Research
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    • v.18 no.3
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    • pp.285-290
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    • 1997
  • In this paper, the power spectral analysis and the fractal analysis of heart rate variability(HRV) were performed to evaluate the effects of brain lesion on cardiovascular system and autonomic function for 24 normal subjects and 22 hemiplegic patients. The ECG and respiration signals were recorded at tilt angles of $0^{\circ}$ and $70^{\circ}$ for 5 and 6 minutes successively under the condition of frequency controlled respiration (0.25Hz). For normal subjects, HR, LF component, HF component and fractral dimension of HRV were distinctly changed after orthostatic stress, whereas, for hemiplegic patients, those were little changed. Complexity and variability of heart rate of patients were smaller than those of normal subjects. Sympathetic tone of patients was higher than that in normal subjects. All of these results support that autonomic disorder and cardiovascular disturbance accompanied by brain lesion could be assessed by the power spectral analysis and fractal analysis of HRV.

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Posture Change Affects Indices of Pupil Size - Korean Males in Their Twenties

  • Lee, Jeung-Chan;Kim, Ji-Eun;Park, Kyung-Mo
    • Journal of Biomedical Engineering Research
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    • v.28 no.1
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    • pp.1-7
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    • 2007
  • To determine the effect of posture change on autonomic activity and to investigate valid parameters to reflex the autonomic activity from time-series pupil size data, a posture-related experiment was performed with 15 subjects, which involved measuring their electrocardiograms and pupil sizes. The experimental procedure consisted of three-sequence postures-supine, sitting and upright-for 5 minutes each, with rest sessions between postures. The subjects were notified of the entire experimental procedure. The parameters of the subjects' heart rate variability showed significant differences between the postures (heart rate: 63-70-80 beat, normalized low frequency power: 28-50-75, normalized high frequency power: 72-49-25 and ratio: 0.5-1.2-4.4 in supine-sitting-upright position respectively) as did the parameters of their mean pupil sizes (41300-53900-53700 pixels respectively) and the major frequencies (the third trend: 0.23-0.2-0.18 Hz respectively) of their pupil size variability according to changes in their autonomic activities induced by posture change. The experiment thus proved that posture change affects autonomic activity and that such activity can be estimated by the parameters of pupil size as similar as heart rate variability.

The effects of body posture by using Baby Carrier in different ways (아기띠 착용 방법이 신체정렬에 미치는 영향)

  • Kim, Kyoung;Yun, Ki Hyun
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.193-200
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    • 2013
  • PURPOSE: The purpose of this study was to find out variations in body posture by using the baby carrier at the front side and back side. METHODS: Thirty two healthy and young female who will bring up infants and had no musculoskeletal disorders of neck, lumbar and low limb were recruited for this study. They were each marked about ears of tragus, cervical 7th, acromion anterior end, anterior superior iliac spine, posterior superior iliac spine, greater trochanter and lateral malleolus as landmarks to measure variations of body posture when they carry infants at the front side and back side. Landmarks were regarded as the creteria in order to measure NeckFlexion angle(NF), Foreward shoulder angle(FSA), Pelvic tilt(PT), Sway angle(SA), Head displacement(HD) and Scapular displacement(SD). Variations in body posture were measured from the neutral position to the front and back side by using Image J. RESULTS: There were significance level (p<.05) in NF, PT, SA, HD and SD except for FSA in two different side. CONCLUSION: The results of this study indicate that each of the using ways of baby carrier for baby care was influenced postural responses of young women. therefore, it could be considered to apply to women who have abnormal body posture in order to minimize musculoskeletal disorders.

Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release : Report of 31 Cases

  • Lee, Gun Sang;Lee, Myung Ki;Kim, Woo Jae;Kim, Ho Sang;Kim, Jeong Ho;Kim, Yun-Suk
    • Journal of Korean Neurosurgical Society
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    • v.60 no.1
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    • pp.82-88
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    • 2017
  • Objective : We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. Methods : Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12-30). The mean age at time of surgery was 30.3 years (range, 20-54). Patients were evaluated with a modified Lee's scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. Results : The modified Lee's scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was $15.4^{\circ}$ (range, 5.4-29.0), which was reduced to a mean of CMA of $6.3^{\circ}$ (range, 0-25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. Conclusion : Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.

The Frequency and Length Dependence of the Target Strength of the Largehead Hairtail (Trichiurus lepturus) in Korean Waters

  • HwangBo, Young;Lee, Dae-Jae;Lee, Yoo-Won;Lee, Kyoung-Hoon
    • Fisheries and Aquatic Sciences
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    • v.12 no.2
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    • pp.152-161
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    • 2009
  • The largehead hairtail (Trichiurus lepturus) is one of the most common fisheries stocks in the East China Sea and the Yellow Sea. The species is caught using a variety of fishing tools, such as a stow net or a long line, as well as jigging and trawling. Scientific investigations have been conducted throughout the world to enable evidence-based estimations for the management and protection of the main fisheries biomass. For example, inshore and offshore hydro acoustic surveys are performed annually using bottom- and mid-water trawls around the Korean Peninsula. However, to date, no acoustic survey has been conducted to estimate fish size distribution, which is necessary to construct a data bank of target strength (TS) relative to fish species, length (L), and frequency. This study describes the frequency and length dependence of TS among fishes in Korean waters for the purpose of constructing such a TS data bank. TS measurements of the largehead hairtail were carried out in a water tank (L 5 m$\times$width 6 m$\times$ height 5 m) at frequencies of 50, 75, 120, and 200 kHz, using a tethering method. The average TS patterns were measured as a function of tilt angle, ranging from $-45^{\circ}$ (head down) to $+45^{\circ}$ (head up) every $0.2^{\circ}$. The length conversion constant ($b_{20}$) was estimated under the assumption that TS is proportional to the square of the length. In addition, in situ TS measurements on live largehead hairtails were performed using a split beam echo sounder.

Trochlear Nerve Palsy Caused by Quadrigeminal Cistern Lipoma (사구수조지방종에 의한 도르래신경마비 1예)

  • Choi, Nam Hyeon;Kim, Won Jae;Kim, Myung-Mi
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1087-1090
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    • 2018
  • Purpose: To report a case of trochlear nerve palsy caused by quadrigeminal cistern lipoma located in the dorsal midbrain. Case summary: A 65-year-old male visited our clinic for intermittent vertical diplopia over 2-year period. Symptoms of diplopia had worsened over the past two weeks. He had no previous medical history except having had diabetes for 1 month. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Pupillary examination was not remarkable. Extraocular examination showed 4 prism diopters (PD) left hypertropia at distant gaze and 4 PD exotropia at near gaze, with adduction elevation of the left eye. The Bielschowsky head tilt test revealed 6 PD left hypertropia on the left gaze and orthotropia on the right tilt. Fundus examination showed excyclotorsion of the right eye and incyclotorsion of the left eye. Brain magnetic resonance imaging revealed quadrigeminal cistern lipoma. Prism glasses were prescribed to alleviate diplopia, and we followed up the lesions without further treatment. Conclusions: Trochlear nerve palsy can be caused by quadrigeminal cistern lipoma; however, it is uncommon for this condition to be caused by a compressive lesion. Prompt neuroimaging can be helpful to rule out the causes of this condition in patients with atypical symptoms.

P wave dispersion on 12-lead electrocardiography in adolescents with neurocardiogenic syncope

  • Lee, Dong-Hyuk;Lee, Kyung-Min;Yoon, Jung-Min;Lim, Jae-Woo;Kho, Kyung-Ok;Kil, Hong-Ryang;Cheon, Eun-Jung
    • Clinical and Experimental Pediatrics
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    • v.59 no.11
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    • pp.451-455
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    • 2016
  • Purpose: Neurocardiogenic syncope (NCS) is the most frequent cause of fainting during adolescence. Inappropriate cardiovascular autonomic control may be responsible for this clinical event. The head-up tilt test has been considered a diagnostic standard, but it is cumbersome and has a high false-positive rate. We performed a study to evaluate whether P-wave dispersion (PWD) could be a useful electrocardiographic parameter of cardiac autonomic dysfunction in children with NCS. Methods: Fifty-four patients with NCS (28 boys and 26 girls; mean age, $12.3{\pm}1.4$ years) and 55 age- and sex-matched healthy controls were enrolled. PWD was obtained as the difference between maximum and minimum durations of the P wave on standard 12-lead electrocardiography in all patients and controls Results: The value of PWD was significantly higher in the syncope group than in the control group ($69.7{\pm}19.6$ msec vs. $45.5{\pm}17.1$ msec, respectively; P<0.001). The minimum duration of P wave was shorter in the syncope group than in the control group ($43.8{\pm}16.8$ msec vs. $53.5{\pm}10.7$ msec, respectively; P<0.001). Left atrial volume was not different between the groups on transthoracic echocardiography. Conclusion: PWD on echocardiography could be used as a clinical parameter in patients with NCS.

Effect of fludrocortisone in cervical spinal cord injury patients with orthostatic hypotension - randomized controlled trial (경수부 척수손상 환자의 기립성 저혈압에서 플루드로코티손의 효과 - 무작위 대조군 연구)

  • Lee, Do-Hee;Joo, Min-Cheol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.108-115
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    • 2021
  • The purpose of this study was to investigate the therapeutic effect of fludrocortisone in patients suffering from cervical spinal cord injury (SCI) with orthostatic hypotension (OH). Twenty-six patients with cervical SCI diagnosed with OH through a head-up tilt test were randomly assigned, and they were given either conservative treatment or additional fludrocortisone treatment. Fludrocortisone was administered for 2 weeks, increasing from 0.1 mg to 0.2 mg week . Blood pressure (BP), heart rate (HR), and blood parameters were measured at the beginning and after 2 weeks. After 2 weeks of treatment, there was a significant increase in the baseline BP of the treatment groups (p<.05). When analyzing the drop ratio, there was a tendency for a lower orthostatic BP drop in the treatment groups. Mild adverse events were reported in 7.69% of the treatment groups. Fludrocortisone exhibited therapeutic effects such as preventing cardiovascular complications and continuing rehabilitation through increased baseline BP and reduced OH, and can therefore be considered as a treatment option for OH in patients with SCI.

External Auditory Canal Atresia with Otitis Media in a Dog

  • Kim, Ah Reum;Han, Changhee;Hwang, Gunha;Kim, Rakhoon;Go, Woohyun;Lee, Ji Yeong;Lee, Jongbong;An, Soyon;Hwang, Tae Sung;Lee, Dongbin;Lee, Jae-Hoon;Lee, Hee Chun
    • Journal of Veterinary Clinics
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    • v.38 no.3
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    • pp.159-162
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    • 2021
  • A 5-year-old, intact male, poodle dog with right external auditory canal obstruction and subaural mass was presented. Physical examination revealed that right external auditory canal opening was absent and right head tilt was identified. Aspiration in right subaural mass revealed a small amount of dark brown exudate. Streptococcus canis and Staphylococcus spp. were identified on the microbial culture. Radiography of the skull was revealed absence of air-filled ear canal at the right external ear canal (EEC) level. Computed tomography (CT) revealed well capsulated, hypoattenuated mass in the right EEC region. On the contrast enhanced CT images, rim enhancement around the mass and ear canal obstruction were identified. Fluid attenuated material filled with right bulla. Mild thickening of the right tympanic bulla wall with mild lytic lesion of the ventral wall were found. Based on the images findings, the case was tentatively diagnosed as right external auditory canal atresia with otitis media. Total ear canal ablation and lateral bulla osteotomy was performed. The entire ear canal was removed, numerous hair in the canal and the thickening wall were founded. Right ear canal was sent for histopathological evaluation and found to otitis externa. The patient was followed up for two weeks and there were no complications. This report described the CT diagnosis of right EEC atresia with otitis media rarely reported in small breed dogs.

Target Strength of Schlegel′s Black Rockfish (Sebastes schlegeli)and Red Seabream (Pagrus major) (조피볼락과 참돔의 표적 강도에 관한 연구)

  • 손창환;황두진
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.38 no.2
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    • pp.119-128
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    • 2002
  • This study investigates dorsal aspect target strength with fish size, tilt angle and frequency characteristics for the schlegel's black rockfish(Sebastes achlegeli) and the red seabream (Pagrus major). This study was carried out on free swimming fish in a cage in order to obtain acoustic data of the biomass estimation using the scientific echo sounder. The results obtained from this study are summarized as follows; 1 The coefficients of the schlegel's black rockfish and the red seabream using maximum TS with fish length were expressed -63.7dB and -62.6dB at a frequency of 38kHz, -64.4dB and -65.4dB at 120kHz, and -62.4dB and -65.0dB at 200kHz, respectively. 2. The coefficients of the schlegel\`s black rockfish and the red seabream using averaged TS with fish length were expressed -68.4dB and -67.9dB at a frequency of 38kHz, -73.4dB and -72.7dB at 120kHz, and -70.BdE and -73.4dB at 2001Hs, respectively. 3. The coefficients of the schlegel's black rockfish and the red seabream using maximum TS with body weight were expressed -52.0dB and -50.9dB at a frequency of 38kHz, -52.7dB and -53.7dB at 120kHz, and -50.7dB and -53.3dB at 200kHz, respectively. 4. The coefficients of the schlegel's black rockfish and the red seabream using averaged TS with body weight were expressed -56.7dB and -56.2dB at a frequency of 38kHz, -61.7dB and -61.0dB at 120kHz, and -59.ldE and -61.6dB at 200kHz, respectively. 5. Varying the tiIt angle of the two red seabream from -26$^{\circ}$to +25$^{\circ}$, the variation width of target strength expressed smaller at a frequency of 38kHz than at 120kHz and expressed about 3~6dB higher head up than head down at 120kHz.