• Title/Summary/Keyword: Visual Distraction

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Management of anxiety using eye movement desensitization and reprocessing therapy in children undergoing extraction: a randomized controlled pilot study

  • Namita Kalra;Apoorva Rathore;Rishi Tyagi;Amit Khatri;Deepak Khandelwal;Padma Yangdol
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.6
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    • pp.347-355
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    • 2023
  • Background: Eye movement desensitization and reprocessing (EMDR) therapy has been reported to be very efficacious for treating post-traumatic stress disorder (PTSD) and other anxiety-related conditions. However, a review of the literature reveals the sparse use of this therapy in the field of pediatric dentistry. This study aimed to evaluate anxiety trends in pediatric dental patients during local anesthesia and extraction with and without EMDR therapy. Methods: Children in the age range of 8-12 years who required dental extractions were assigned randomly into two groups: an EMDR group (group 1) and a routine behavior management therapy group (group 2; receiving more traditional interventions such as tender love and care behavioral modeling, and distraction). Anxiety scores were recorded at four levels using the visual facial anxiety scale (VFAS) preoperatively, after therapy, after the administration of local anesthesia (LA), and after extraction. Results: Reduced anxiety was observed after the delivery of EMDR therapy, after LA administration, and post-extraction in the EMDR group compared to pre-operative anxiety scores of anxiety (P < 0.001; unpaired Student's t and Mann-Whitney U tests). In the control group, mild reductions in anxiety after routine behavior management therapy were observed, accompanied by spikes in anxiety levels after LA and extractions. Conclusion: EMDR therapy was found to be valuable for reducing anxiety among pediatric dental patients during tooth extraction procedures.

Vehicle HUD's cognitive emotional evaluation - Focused on color visibility of driving information (차량용 HUD의 인지적 감성 평가 -주행정보의 색채 시인성을 중심으로-)

  • Choi, Won-Jung;Lee, Won-Jung;Lee, Seol-Hee;Park, YungKyung
    • Science of Emotion and Sensibility
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    • v.16 no.2
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    • pp.195-206
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    • 2013
  • The main causes of traffic accidents while driving a car is of the driver's visual distraction. In this study, the color sensitivity of the information projected on the windshield were evaluated for HUD (Head Up Display) system which helps the driver's eyes on the road while driving. The driving Information were projected $9^{\circ}$ downward from front sight $0^{\circ}$ under lab's fluorescent lights, LED floorlights and the TV had having 25 [lux] illumination when driving at night environment and 100,000 [lux] of daylight environment. Munsell color hue of the basic five colors (R, Y, G, B, P) and the color of traffic lights YR, W were the color of the seven characters, each character were outlined by White, Gray except for W. Total of 19 experimental stimuli was shown in the environment of day and night driving for asking visibility information of color, fatigue, preferences, and evaluate the degree of interference. The results came out that the bright Y and G color is visibility significantly for daylight. Second, with the outline of the text, the color of the outline works as a background for luminance contrast effects and affects visibility. Third, without the outline, the glass in front of the vehicle acts as the background and the luminance contrast of characters achieve greater brightness and visibility. The luminance contrast between the stimuli and background should be considered for increasing color visibility for driving information which is an important factor for HUD commercialization.

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Effect of Motor Cues and Secondary Task Complexity on Driving Performance and Task Switching While Driving (운전 중 IVIS 조작 상황에서 Motor Cue와 과제의 난이도가 과제 전환과 운전 주행에 미치는 영향)

  • Ryoo, Eunhyun;Han, Kwanghee
    • Science of Emotion and Sensibility
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    • v.21 no.2
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    • pp.29-42
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    • 2018
  • As information technology is more actively incorporated into automobiles, the role of IVIS (In-Vehicle Infotainment System) is becoming increasingly important for providing convenience and entertainment for drivers. However, using the infotainment systems while driving requires task switching and attending to two visual resources simultaneously. We simulated a setting where participants have to drive while interacting with the infotainment system and examined how task difficulty and motor cues impact driver task-switching and driving performance, specifically whether the effects of motor cues differ depending on task difficulty. For the infotainment display, we used two types of number array depending on the congruency between the digit repetition and the chunking unit, while task difficulty was manipulated by the size of the touch-keys. Participants were instructed to dial two numbers on the screen while we recorded the dialing time, lateral position, inter-key press intervals, and steering wheel control. We found that dialing time and lateral position were affected by task difficulty, while the type of number array had no effect. However, the inter-key press intervals between chunked numbers and steering wheel movement both increased when participants had to use an incongruent number array, which indicates that, if number digits are repeated, chunking is ignored by the drivers. Our findings indicate that, in a dual-task condition, motor cues offset the effect of chunking and can effectively signal the timing for task switching.

Analysis of Automotive HMI Characteristics through On-road Driving Research (실차 주행 연구를 통한 차량별 HMI 특성 분석)

  • Oh, Kwangmyung
    • Journal of the HCI Society of Korea
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    • v.14 no.2
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    • pp.49-60
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    • 2019
  • With the appearance of self-driving cars and electric cars, the automobile industry is rapidly changing. In the midst of these changes, HMI studies are becoming more important as to how the driver obtains safety and convenience with controlling the vehicle. This study sought to understand how automobile manufacturers understand the driving situation, and how they define and limit driver interaction. For this, prior studies about HMI were reviewed and 15 participants performed an on-road study to drive vehicles from five manufacturers with using their interfaces. The results of the study confirmed that buttons and switches that are easily controlled by the user while driving were different from manufacturer to manufacturer. And there are some buttons that are more intensively controlled and others that are difficult to control while driving. It was able to derive 'selection and concentration' from Audi's vehicle, 'optimization of the driving ' from BMW's, 'simple and minimize' from Benz's vehicle, 'remove the manual distraction' from the vehicle of Lexus, and 'visual stability' from KIA's vehicle as the distinctive keywords for the HMI. This shows that each manufacturer has a different definition and interpretation of the driver's driving control area. This study has a distinct value in that it has identified the characteristics of vehicle-specific HMI in actual driving conditions, which is not apparent in appearance. It is expected that this research approach can be useful to see differences in interaction through actual driving despite changes in driving environment such as vehicle platooning and self-driving technology.

A Review of Studies on Chuna Manual Therapy for Low Back Pain through Korean Database Search (국내 데이터베이스 검색을 통한 요통의 추나의학적 치료에 대한 연구동향 분석)

  • Yim, Min-Young;Park, Han-Byeol;Kim, Jae-Soo;Lee, Hyun-Jong;Lim, Sung-Chul;Lee, Yun-Kyu
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.55-67
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    • 2021
  • Objectives This review aimed to investigate studies of Chuna manual therapy (CMT) for low back pain and the evidence of their effects in order to suggest a better research method in the future. Methods We investigated studies on CMT for low back pain by searching Korean web databases from 2020 to 2021. As a result, 72 research papers were analyzed according to their published year, the titles of journals, the types of studies, the techniques of Chuna, and the instruments used for assessment. Results The results were as follows: 1. There were three papers published initially in 2000. this number showed a steady increase, and a total of 72 papers were published that year. 2. Studies on CMT were mainly published in the Journal of Korea Chuna Manual Medicine for Spine and Nerves. 3. When categorized according to the methods of studies, a simple case report was used more often than the sum of randomized controlled trials (RCTs) and non-RCTs. 4. The most frequently adopted technique of Chuna in the examined studies was the COX flexion and distraction technique. 5. The Visual Analog Scale and Oswestry Disability Index were used as primary means of assessment. Conclusions Based on the analysis, it was observed that this review provided limited evidence of CMT use in patients with LBP. Therefore, further investigation using well-designed RCTs is required to obtain higher evidence.

The Physiological Responses and Behavior Characteristics of Sensory Stimulation of ADHD Children: A Systematic Review (ADHD아동의 감각자극에 대한 생리학적 반응 특성과 행동학적 특성: 체계적 고찰)

  • Lee, Na-Hael;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.2
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    • pp.51-60
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    • 2011
  • Objective : The characteristics of physiological responses of ADHD children to sensory stimulation were examined by types of sensory stimulation, measurement tools, and responses. In addition the behavioral characteristics were examined by analyzing items of common problems according to the measuring tool, frequency, and measurement tools. Methods : A systematic review methods were used. Papers published in the Journal between January, 1990 and December 31, 2011 were searched through Riss4U, MEDLINE /PubMed, CINAH. The main terms searched were "ADHD, Children, Sensory processing, Sensory integration, SP, SSP, SOR, TIE, CSP, SEP, EDR", and 15 papers were analyzed. Results : 1. The number of studies on physiological responses of children with ADHD to sensory stimulation was five (33.33 percent), the number of studies on behavioral responses was ten(66.67%), and the number of studies combined the two kinds of study was two (13.33%), where a total of 15 (100%) papers were analyzed. 2. In five studies on the physiological response, there were three studies using tactile and proprioceptive stimulations and two studies using olfactory, auditory, visual, tactile, and vestibular sensories. 3. In ten studies on the behavioral responses, there were five studies using SP, three studies using SSP, two studies using SOR, one study using TIE, and one study using CSP. Conclusion : In the characteristics of physiological responses of children with ADHD children to sensory stimulation, there was in the action potential of the cells in hand region of the primary sensorimotor cortex neurons. It was analyzed that there was an initial state and it appeared show a obvious and fast habituation in the later state; the time of recovery seemed to have many non-specific responses. In the characteristics of behavioral responses, there were inattention / distraction, vestibular processing, sensory processing related to endurance / tone, modulation of sensory input affecting emotional responses, low energy/weak.

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Operative Treatment for Degenerative Arthritis of Elbow - Arthroscopic surgery with traction in Lateral position - (주관절의 퇴행성 관절염에 대한 수술적 치료 - 측와위에서 견인을 이용한 관절경 수술 -)

  • Byun, Jae-Yong;Kim, Bo-Hyun;Whang, Chan-Ha;Kang, Shin-Taek;Kim, Jung-Man;Kim, Hyoung-Jun;Lee, Dong-Yeob
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.178-183
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    • 2006
  • Purpose: We reported the results and efficiency of arthroscopic treatment in a state of the lateral traction about the degenerative arthris of elbow Materials and Methods: Twenty one elbows with the degenerative arthritis who were followed up for at 12 months were enrolled in this study. Male were 15 cases, female were 6 cases, the mean age was 47 years and right dominant hand was 14 cases. In all cases, during arthroscopic treatment under the traction of 10 pounds, we had done synovectomy, excision of loose body and anteroposterior spur. After operation, immobilization was done in the full extension state, and then continuous passive motion (CPM) was started two day Results: The average preoperative ROM of the elbow joint was $30{\sim}l15$ degree and the average postoperative ROM of the elbow joint was $5{\sim}130$ degree. The increasement of ROM was totally 41 degree in extension 25 degree and flexion 16 degree. The decrement of VAS in pain was from 7.5 into 2.3 and the increasement of the satisfactory function was from 1.8 into 9.0. Complication was in two cases. One was paresthesia of ulnar nerve, but resolved. The other was bullae formation around the elbow joint, but cured. Conclusion: Regarding degenerative arthritis of elbow, arthroscopic treatment showed excellent result in recovery of range of motion and relief of pain. We could obtain good visual field with distraction in lateral position.

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