• The Journal of Korean Physical Therapy
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• v.25 no.2
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• pp.71-75
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• 2013

Purpose: Although use of a tilt table is recommended in clinical practice, there are no published guidelines regarding pressure and inclination for tilt table use. The aim of the current study was to assess the changes of pressure on sacrum and buttock according to different inclination of the tilt table in healthy subjects. Methods: Thirty two healthy subjects participated in this study. Subjects were positioned supine on the tilt table and safety straps were secured across the chest, pelvic, and knee with sufficient tension to prevent the subjects from falling. Pressure and peak pressure of sacrum and buttock were measured using pressure mapping system with the tilt table standing at $0^{\circ}$, $15^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $75^{\circ}$, and $85^{\circ}$ inclination. Results: A significant decrease in the pressure of sacrum and buttock was achieved by increasing tilt table inclination (p<0.05): $0^{\circ}{\sim}15^{\circ}$ (8.16%), $15^{\circ}{\sim}30^{\circ}$ (8.02%), $30^{\circ}{\sim}45^{\circ}$ (11.61%), $45^{\circ}{\sim}60^{\circ}$ (16.18%), $60^{\circ}{\sim}75^{\circ}$ (16%), and $75^{\circ}{\sim}85^{\circ}$ (11.48%). A significant decrease in the peak pressure was achieved by increasing tilt table inclination (p<0.05): $30^{\circ}{\sim}45^{\circ}$ (9.91%), $45^{\circ}{\sim}60^{\circ}$ (19.24%), $60^{\circ}{\sim}75^{\circ}$ (19.93%), and $75^{\circ}{\sim}85^{\circ}$ (11.48%). No significant peak pressure change was observed in $0^{\circ}{\sim}15^{\circ}$, $15^{\circ}{\sim}30^{\circ}$ tilt table inclination (p>0.05). Conclusion: The results of this study showed that the pressure of sacrum and buttock were decreased according to increasing tilt table inclination in healthy subjects. Guidelines are needed in order to optimize patient safety and overall outcome for tilt table standing.

• Journal of the Korean Society of Physical Medicine
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• v.9 no.1
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• pp.63-68
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• 2014

PURPOSE: The purpose of this study was to examine the position changes with tilt table on autonomic nervous system using heart rate variability analysis. METHODS: Fourty healthy adult males volunteered in this study. The low frequency, high frequency and low frequency/high frequency ratio and mean heart rate, standard deviation of all normal R-R intervals, root mean square of successive differences, heart rate variability index were measured at the tilt table angle of $0^{\circ}$, $45^{\circ}$ and $90^{\circ}$ with pulsoximeter. Data were analyzed one-way ANOVA and LSD post hoc test. RESULTS: The mean heart rate, low frequency and low frequency/high frequency ratio increased significantly at higher angle of tilt table(p<.05). The root mean square of successive differences, heart rate variability index decreased significantly at lower angle of tilt table(p<.05). The standard deviation of all normal R-R intervals, high frequency decreased at higher angle of tilt table did not show significant difference. CONCLUSION: The symphathetic activity increased significantly at higher angle of tilt table. The parasymphathetic activity decreased at higher angle of tilt table, but the difference were not significant. The autonomic adaptation, balance and heart rate variability decreased significantly at higher angle of tilt table. Based on these results, in the treatment of patients with a change in posture precedence should be carefully treated. Further studies are necessary to determine the most safety and effective methods.

• Earthquakes and Structures
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• v.17 no.6
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• pp.635-647
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• 2019

Tests and theoretical studies for seismic responses of a transmission tower-line system under coupled horizontal and tilt (CHT) ground motion were conducted. The method of obtaining the tilt component from seismic motion was based on comparisons from the Fourier spectrum of uncorrected seismic waves. The collected data were then applied in testing and theoretical analysis. Taking an actual transmission tower-line system as the prototype, shaking table tests of the scale model of a single transmission tower and towers-line systems under horizontal, tilt, and CHT ground motions were carried out. Dynamic equations under CHT ground motion were also derived. The additional P-∆ effect caused by tilt motion was considered as an equivalent horizontal lateral force, and it was added into the equations as the excitation. Test results were compared with the theoretical analysis and indicated some useful conclusions. First, the shaking table test results are consistent with the theoretical analysis from improved dynamic equations and proved its correctness. Second, the tilt component of ground motion has great influence on the seismic response of the transmission tower-line system, and the additional P-∆effect caused by the foundation tilt, not only increases the seismic response of the transmission tower-line system, but also leads to a remarkable asymmetric displacement effect. Third, for the tower-line system, transmission lines under ground motion weaken the horizontal displacement and acceleration responses of transmission towers. This weakening effect of transmission lines to the main structure, however, will be decreased with consideration of tilt component.

• Proceedings of the IEEK Conference
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• 1998.06a
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• pp.561-564
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• 1998

This paper evaluated autonomic nervous system function in 23 patients with syncope and a positive tilt test result, 21 with a negative test result, and 19 healthy controls. Indexes of heart rate variability were measured during supine resting, immediately afte rtilt-up, standing rsting, immediately before syncope and immediately after tiltdown. There were no significant differences among the groups in any of the indexes of heart rate varability over the 24-hour holter recordings. In patients with a positive tilt result, tilting gaused a decrease in low-frequency (LF) immediately before syncope and incsrease in high-frequency (HF) bands immediately before. In patients with a negative tilt result, tilting caused a decrease in low-frequency (LF) immediately before syncope and decrease in high-frequency (HF) bands immediately before, different from positive tilt results. Our findings showed that patients with vasovagal syncope have no chronic differences from normal subjects in autonomic nervous system activity, but that these patients respond differently to the orthostatic stimulus.

• Proceedings of the Korean Geotechical Society Conference
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• 2009.03a
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• pp.813-818
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• 2009

Shear properties of plastic bottle film/plastic bottle film and plastic bottle film/granitic soil which were evaluated from static friction tests. The monotonic shear experiments were performed by using an tilt table apparatus and large direct shear device. The test results showed that the friction angle of each interface and the interface depended on the amount of normal stress, the type of the interface used. Therefore, the testing method should be determined carefully by considering the type of loads and normal stress expected in the field with using the materials installed in the site.

• Tunnel and Underground Space
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• v.16 no.1 s.60
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• pp.58-72
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• 2006

In recent years, not only the occurrences but the magnitude of earthquakes in Korea are on an increasing trend and other sources of dynamic events including large-scale construction, operation of hi띤-speed railway and explosives blasting have been increasing. Besides, the probability of exposure fir rock joints to free faces gets higher as the scale of rock mass structures becomes larger. For that reason, the frictional behavior of rock joints under dynamic conditions needs to be investigated. In this study, a shaking table test system was set up and a series of dynamic test was carried out to examine the dynamic frictional behavior of rock joints. In addition, a computer program was developed, which calculated the acceleration and deformation of the sliding block theoretically based on Newmark sliding block procedure. The static friction angle was back-calculated by measuring yield acceleration at the onset of slide. The dynamic friction angle was estimated by closely approximating the experimental results to the program-simulated responses. As a result of dynamic testing, the static friction angle at the onset of slide as well as the dynamic friction angle during sliding were estimated to be significantly lower than tilt angle. The difference between the tilt angle and the static friction angle was $4.5\~8.2^{\circ}$ and the difference between the tilt angle and the dynamic friction angle was $2.0\~7.5^{\circ}$. The decreasing trend was influenced by the magnitude of the base acceleration and inclination angle. A DEM program was used to simulate the shaking table test and the result well simulated the experimental behavior. Friction angles obtained by shaking table test were significantly lower than basic friction angle by direct shear test.

• Journal of the Korean neurological association
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• v.36 no.4
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• pp.302-309
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• 2018

Background: Although orthostatic hypotension (OH) and cognitive impairment (CI) are common non- motor symptoms of Parkinson's disease (PD), the relationship between OH and CI remains to be clarified. This study was aimed to investigate the relationship between OH and CI in PD. Methods: We recruited 192 patients who were diagnosed as PD based on the UK Brain Bank diagnostic criteria. The Hoehn & Yahr stages were ranged I to III and patients underwent extensive clinical evaluation, including brain magnetic resonance imaging (MRI) for cerebral white matter hyperintensity (WMH), tilt table test, the Korean version of Montreal Cognitive Assessments and the Korean version of Mini-Mental Status Examination in one month from the first clinic visit. The participants were divided into two groups according to the presence of OH (OH+ vs. OH-) and cognitive function (cognitive normal, CN vs. CI), respectively. Results: Significant relationship between OH and cognitive function (p=0.04) was found in our patients. The patients with OH+ had higher risk of CI by 2.6 times than that of OH- patients. Maximum heart rate change during tilt table test was correlated with cognitive function and white matter changes, whereas blood pressure change during tilt table test showed no correlation with those parameters. Conclusions: There was significant relationship between OH and CI in PD. Therefore, PD patients with either symptom may need periodic evaluation and proper management for OH and cognitive functions.

• Clinical and Experimental Pediatrics
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• v.56 no.1
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• pp.32-36
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• 2013

Purpose: Chronic day-to-day symptoms of orthostatic intolerance are the most notable features of postural orthostatic tachycardia syndrome (POTS). However, we have encountered patients with such symptoms and excessive tachycardia but with no symptoms during the tilt-table test (TTT). We aimed to investigate whether POTS patients with chronic orthostatic intolerance always present orthostatic symptoms during the TTT and analyze the factors underlying symptom manifestation during this test. Methods: We retrospectively examined patients who presented with POTS at the Gyeongsang National University Hospital between 2008 and 2011. Diagnosis of POTS was based on chronic day-to-day orthostatic intolerance symptoms as well as excessive tachycardia during the TTT. The patients were divided two groups depending on the presentation of orthostatic symptoms during the TTT. Clinical data and the results of the TTT were compared between these groups. Results: In 22 patients, 7 patients (31.8%) did not present orthostatic symptoms during the test. Diastolic blood pressure (BP) was significantly lower in the symptom-positive group. The head-up tilt resulted in a significant increase in diastolic BP in the symptom-negative group (P=0.04), while systolic BP had a tendency to decrease in the symptom-positive group (P=0.06). Conclusion: Significant patients with POTS did not present orthostatic symptoms during the TTT despite having chronic daily symptoms. This finding may be important for establishing definitive diagnostic criteria for pediatric POTS. Development of symptoms during TTT might be related to low diastolic BP and abnormal compensatory responses to orthostasis.

• Tunnel and Underground Space
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• v.16 no.2 s.61
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• pp.166-178
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• 2006

Recently, the frequency of occurring dynamic events such as earthquakes, explosives blasting and other types of vibration has been increasing. Besides, the chances of exposure for rock discontinuities to free faces get higher as the scale of rock mass structures become larger. For that reason, the frictional behavior of rock joints under dynamic conditions needs to be investigated. In this study, artificially fractured rock joint specimens were prepared in order to examine the dynamic frictional behavior of rough rock joint. Roughness of each specimen was characterized by measuring surface topography using a laser profilometer and a series of shaking table tests was carried out. For mated joints, the static friction angle back-calculated ken the yield acceleration was $2.7^{\circ}$ lower than the tilt angle on average. The averaged dynamic friction angle for unmated joints was $1.8^{\circ}$ lower than the tilt angle. Displacement patterns of sliding block were classified into 4 types and proved to be related to the first order asperity of rock joint. The tilt angle and the static friction angle for mated joints seem to be correlated to micro average inclination angle which represents the second order asperity. The tilt angle and the dynamic friction angle for unmated Joints, however, have no correlation with roughness parameters. Friction angles obtained by shaking table test were lower than those by direct shear test.

• Journal of the Korean Society for Precision Engineering
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• v.27 no.11
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• pp.98-105
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• 2010

In this paper, double ball-bar is used to estimate the geometric errors of a rotary table, which includes one-axial motion, two-radial motions and two-tilt motions, except the angular positioning error. To simplify the measurement procedures, three measurement steps have been designed and developed. At each measurement step, one end of the double ball-bar is fixed at the nose of spindle and the other end is located on the rotary table. And specific circular test path is planned to keep the distance between two balls as constant at ideal case. The relationship including the geometric errors of a rotary table and the measured distance between two balls which is distorted by the geometric errors is defined by using ball-bar equation. Each geometric error is modeled as $4^{th}$ order polynomial considering $C^1$-continuity. Finally the coefficients of polynomial are calculated by least-square method. Simulation is done to check the validation of the suggested method considering set-up errors and measurement noise. Suggested method is applied to estimate geometric errors of a rotary table of a 5-axis machine tool.