• Annals of Clinical Neurophysiology
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• 제12권1호
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• pp.21-26
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• 2010

Background: Although quantitative sensory test (QST) is being used with increasing frequency for measuring sensory thresholds in clinical practice and epidemiologic studies, there has been no age-matched normative data in Korean adults. The objective of this study is to evaluate the value of QST in diabetic polyneuropathy with normal range in Korean adults. Methods: The Computer Aided Sensory Examination IV 4,2 (WR Medical Electronics Co., Stillwater, Minnesota, U.S.A.), with 4,2,1 stepping algorithm was used to determine vibration and cold perception threshold in 70 normal controls and 19 patients with diabetic polyneuropathy aged from 21 to 79 years. The data were used to define age-matched upper and lower normal limits and normal range of side to side difference. We also evaluated the duration of diabetes, serum HbA1C level, and findings of nerve conduction study (NCS) and QST in patients with diabetic polyneuropathy. Results: In normal adults, sensory thresholds slightly increased with age, and a slight side-to-side difference was observed. The diagnostic sensitivity of QST was not higher than NCS in patients with diabetic polyneuropathy (36.8% vs. 42.1%, p=0.716), especially among elderly patients. Conclusions: QST might be used as a complementary test for NCS in the diagnosis of diabetic polyneuropathy. Although the QST is a simple method for the evaluation of peripheral nerve function, there are some limitations. Most of all, because the QST measuring is dependent on the subjective response of patients, the degree of concentration and cooperation of the patients can significantly affect the result. And thus, attention should be paid during the interpretation of QST results in patients with peripheral neuropathy.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2005년도 ICCAS
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• pp.145-150
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• 2005

This paper presents an Electrotactile Display System (ETCS). One of the most important human sensory systems for human computer interaction is the sense of touch, which can be displayed to human through tactile output devices. To realize the sense of touch, electrotactile display produces controlled, localized touch sensation on the skin by passing small electric current. In electrotactile stimulation, the mechanoreceptors in the skin may be stimulated individually in order to display the sense of vibration, touch, itch, tingle, pressure etc. on the finger, palm, arm or any suitable location of the body by using appropriate electrodes and waveforms. We developed an ETCS and investigated effectiveness of the proposed system in terms of the perception of roughness of a surface by stimulating the palmar side of hand with different waveforms and the perception of direction and location information through forearm. Positive and negative pulse trains were tested with different current intensities and electrode switching times on the forearm or finger of the user with an electrode-embedded armband in order to investigate how subjects recognize displayed patterns and directions of stimulation.

• 음성과학
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• 제5권1호
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• pp.167-179
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• 1999

The hearing mechanism is a complicated system. Sound is generated by a source that sends out air pressure or power. The pressure or power makes the sound waves. These waves reach the eardrum, or tympanic membrane, which vibrates at a rate and magnitude proportional to the nature of the sound waves. The tympanic membrane transforms this vibration into the mechanical energy in the middle ear, which in turn converts it to the hydraulic energy in the fluid of the inner ear. The hydraulic energy stimulates the sensory cells of the inner ear which send neuroelectrical impulses to the central auditory nervous system. The passive perception of auditory information starts just here. The listener gives attention to the speech sound, differentiates the sound from background noise, and integrates his experience with similar sounds. The listener then puts all of these aspects of audition into the context of the moment to identify the nature of sound. This has a major role in human communication. This paper provides an overview of the nature and characteristics of sound, the structure and function of the auditory system, and the way in which sound is processed by the auditory system.

• Archives of Plastic Surgery
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• 제48권2호
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• pp.224-230
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• 2021

Background Little is known about the sensate recovery of skin grafts over free non-neurotized muscle flaps. The aim of this study was to evaluate the sensitivity of free gracilis muscle flaps and meshed skin grafts without nerve coaptation. Methods Thirteen consecutive patients with a median age of 55 years (range, 21-70 years) who underwent lower extremity reconstruction between September 2014 and October 2016 were included. Complications, flap contour, skin perception, and sensate recovery were assessed. Results All flaps survived completely. In one patient, wound dehiscence and infection occurred 1 month after surgery. After a median follow-up of 14 months (range, 10-51 months), a satisfactory contour and skin perception were achieved. The Semmes-Weinstein (SW) monofilament test (154.8±22 g) and static two-point discrimination (2-PD) (12.6±0.7 mm) showed intermediate recovery compared to the surrounding site (41% and 76%, respectively). There was an intermediate correlation between flap size and sensate recovery (2-PD: r=0.27, P=0.36; SW test: r=0.45, P=0.12). Vibration sensation recovered to 60%, whereas thermal sensation remained poor (19% at 5℃ and 25% at 25℃). Conclusions Finer sensation could be partially restored. However, thermal sensation remained poor.