• Title/Summary/Keyword: Visual Disturbance

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A Surgical Case of Lymphocytic Hypophysitis with Progressive Visual Worsening

  • Shin, Hee-Sup;Park, Bong-Jin;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.42 no.3
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    • pp.216-219
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    • 2007
  • Lymphocytic hypophysitis is a clinically rare disease, and it has been known to be an autoimmune disease which mainly affects pregnant women at the end of gestation or right after delivery. The authors experienced a case of lymphocytic hypophysitis in a 29-year-old pregnant woman with rapid progressing visual disturbance. Sella MRI showed a mass-like lesion of hypophysis and hypertrophy of pituitary stalk with evidences of hypopituitarism. Cesarean section was done and then TSA was performed. The pathologic diagnosis was lymphocytic hypophysitis. After TSA, visual acuity was improved and visual field defect was recovered. She was given thyroid hormone replacement therapy because of transient partial hypopituitarism for 6 months after surgery. One must consider the probability of lymphocytic hypophysitis, if there are alteration of visual acuity and visual field defect which aggravate rapidly during pregnancy due to mass effect, decreased serum hormonal levels shown in hypopituitarism and sella MRI findings of hypertrophy of pituitary stalk and enlargement of pituitary gland.

A study of Implementing An Embedded System for Conversion from Text to Speech (문서-음성 변환 임베디드 시스템 구축에 관한 연구)

  • Lee, Hyun-Chang;Seo, Jeong-Man
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.3
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    • pp.77-83
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    • 2008
  • According to the development and expansion of software and hardware about recent information technologies(IT), disabled persons in using IT seem to feel more information gap. Devices for IT are important tools for users including disabled persons to communicate with each other and get information. Although the Korea faces ageing society rapidly, products for disabled persons are seldom shown in time for use. As getting older especially, one of the body function disorders is visual disturbance. There are tools, braille lettering, for disabled persons with visual disturbance to communicate or get information from book. Compared to general books, however, braille lettering book is lack of including all of information of our society. Therefore, in this paper, we implement and show an embedded system for disabled person with visual disturbance to get information by scanning text, extγacting characters and converting the text to speech automatically.

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Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula (상안정맥 확장 및 시력 저하를 보인 중심정맥협착: 해면경막 동정맥루로 오인된 증례 보고)

  • Young Hun Jeon;Kyung Sik Yi;Chi Hoon Choi;Yook Kim;Yeong Tae Park
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1619-1627
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    • 2021
  • Central venous stenosis is a relatively common complication in hemodialysis patients; however, jugular venous reflux (JVR) and increased intracranial pressure are rare, and associated progressive visual disturbance was reported in only a few cases. Here, we report a case of JVR with visual disturbance and increased intracranial pressure. Notably, the MRI was accompanied by a dilatation of the superior ophthalmic vein, which was mistaken for a cavernous sinus dural arteriovenous fistula (CSdAVF). The patient had JVR on time-of-flight MR angiography (TOF-MRA) and severe stenosis of the left brachiocephalic vein on conventional angiography. After balloon angioplasty for central venous stenosis, he was discharged after improvement of his visual disturbance. Although JVR due to central venous stenosis and CSdAVF might show similar symptoms, treatment plans are different. Therefore, it is important to distinguish radiologically based on a thorough review of MRI and TOF-MRA and confirm the central venous stenosis on cerebral angiography for the accurate diagnosis.

Effects of Aromatherapy Hand Massage on Anxiety, Depression, Sleep Disturbance and Fatigue of the Institutionalized Elderly (시설노인의 불안, 우울, 수면장애 및 피로에 대한 향요법 손마사지의 적용 효과)

  • Lee, Sun-Young
    • Journal of Korean Biological Nursing Science
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    • v.13 no.1
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    • pp.29-36
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    • 2011
  • Purpose: This study was develop an aromatherapy hand massage program and to evaluate the effects of aromatherapy on anxiety, depression, sleep disturbance and fatigue of the institutionalized elderly. Methods: The reserach design was a non-equivalent control group quasi-experimental study. The 42 subjects were divided into 2 groups. Aromatherapy hand massage was administrated to experimental group (N=20), and no treatment was administrated to the control group (N=22). Data was analyzed using the $x^2$-test, paried t-test, unparied t-test in the SPSS/Win 12.0 program package. Results: Experimental group showed significant differences in anxiety (p<.05), depression (p<.001 ), sleep disturbance (p<.05), fatigue (p<.05), with relation to the control group. Conclusion: The results showed that aromatherapy hand massage program was effective on anxiety, depression, sleep disturbance and fatigue of the institutionalized elderly. Thus this reserch suggests that this aromatherapy hand massage could be recommened as nursing intervention for quality of life of the institutionalized elderly.

Effects of Cervical Exercise with Sling Program on Sleep Disturbance and Headache, Neck Disfunction in Torture of Survivor : Single Case Study (슬링을 이용한 경부관절 운동이 고문생존자의 수면장애, 두통, 경부 기능장애에 미치는 영향 : 단일사례연구)

  • Yu, Seonghun
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.1
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    • pp.11-18
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    • 2017
  • Purpose : The purpose of this case study was to clinical effects of cervical exercise with sling program using on torture of survivor with sleep disturbance and Headache, neck disfunction. Methods : This study selects 1 subjects for 55 years old who were diagnosed with torture of survivor with sleep disturbance and headache. The Design is ABA of single-subject study design. Baseline(A) and TypeII Baseline(A : 6weeks) phases were received with musculoskeletal disease of prevention education, Intervention(B : 6weeks) phase provided with 65 minute exercise with sling program using in a session twice a week. In order to analyze the measure results of PSQI-K(korean version of the pittsburgh sleep quality index), VAS(visual analog scale), NDI(neck disability index), FABQ(fear-avoidance beliefs questionnaire) in torture of survivor during baseline, intervention and typeII baseline phase. Result : A significant differences in PSQI-K during baseline, intervention, typeII baseline. A significant differences in VAS during baseline, intervention, typeII baseline. A significant differences in NDI during baseline, intervention, typeII baseline. A significant differences in FABQ during baseline, intervention, typeII baseline. Conclusion : In conclusion, The intervention method to applied cervical exercise with sling program on torture of survivor effectively improve on sleep disturbance and neck function, headache.

Robot Manipulator Visual Servoing via Kalman Filter- Optimized Extreme Learning Machine and Fuzzy Logic

  • Zhou, Zhiyu;Hu, Yanjun;Ji, Jiangfei;Wang, Yaming;Zhu, Zefei;Yang, Donghe;Chen, Ji
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.8
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    • pp.2529-2551
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    • 2022
  • Visual servoing (VS) based on the Kalman filter (KF) algorithm, as in the case of KF-based image-based visual servoing (IBVS) systems, suffers from three problems in uncalibrated environments: the perturbation noises of the robot system, error of noise statistics, and slow convergence. To solve these three problems, we use an IBVS based on KF, African vultures optimization algorithm enhanced extreme learning machine (AVOA-ELM), and fuzzy logic (FL) in this paper. Firstly, KF online estimation of the Jacobian matrix. We propose an AVOA-ELM error compensation model to compensate for the sub-optimal estimation of the KF to solve the problems of disturbance noises and noise statistics error. Next, an FL controller is designed for gain adaptation. This approach addresses the problem of the slow convergence of the IBVS system with the KF. Then, we propose a visual servoing scheme combining FL and KF-AVOA-ELM (FL-KF-AVOA-ELM). Finally, we verify the algorithm on the 6-DOF robotic manipulator PUMA 560. Compared with the existing methods, our algorithm can solve the three problems mentioned above without camera parameters, robot kinematics model, and target depth information. We also compared the proposed method with other KF-based IBVS methods under different disturbance noise environments. And the proposed method achieves the best results under the three evaluation metrics.

A Clinical Study about Psychogenic Gait Disturbance of the Patient Who Operated THRA(Total Hip Replacement Arthroplasty) after Falling on her Buttocks (인공 고관절 전치환술 환자의 낙상 이후 발생된 심인성 보행불리 1례)

  • Bae, Hyo-Sang;Cho, Sung-Kyoo
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.2
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    • pp.115-120
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    • 2005
  • l. Objectives To analyse gait disturbance of patient who was operated Total Hip Replacement Arthroplasty(THRA). 'This study is reported to emphasize on psychological stability and balance of vital dynamics. 2. Methods This patient was treated by the remedy of Soyangin, who was diagnosed as Soyangin. We used visual analogue scale(V AS) for the assessment of Rt. femoral pain. 3. Results The patients operated THRA are needed not only rehabilitation of gait, but also psychological stability and balance of vital dynamics. 4. Conclusions We suggest that patients operated THRA are needed not only rehabilitation of gait, but also psychological stability and balance of vital dynamics.

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Clinical Case Report on the Gait disturbance Patient with Osteoporosis and Lower Limb Fracture Surgery Treated by Chuna Therapy (골다공증을 동반한 하지부골절 수술 후 보행불리 환자 재활에 단순추나요법을 적용한 치험 1례)

  • Lee, Yun-Jin;Park, Na-Ri;Yang, Doo-Hwa;Ahn, Hee-Duk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.77-88
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    • 2019
  • Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

Clinical Studies on 5 Cases of Multiple Sclerosis by Acupuncture Therapies (다발성 경화증 환자 5례에 대한 임상보고)

  • Kang, Kye-sung;Kwon, Ki-rok
    • Journal of Acupuncture Research
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    • v.20 no.1
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    • pp.209-217
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    • 2003
  • Background : Multiple Sclerosis is characterized by chronic inflammation, demyelinization and neurogliosis(plaque) in optic nerve, brain and spinal cord, which is recurrent visual disturbance, sensory disturbance, motor disturbance and sphincter disturbance, etc. Objective : This study was performed to evaluate the treatment of acupuncture therapy including Herbal Acupuncture and Bee venom Herbal Acupuncture in Multiple Sclerosis. Methods : We treated 5 cases of Multiple Sclerosis patients with mainly Bee venom Herbal Acupuncture therapy, and herbal Acupuncture, sa-am acupuncture form 18th september, 2001 to december, 2002. Results : 1 Of 5 cases who were treated with above, 3 patients were mildly reduced symptoms and 2 patients were no changes. 2. There are two patients who were definitely appeared the recurrent symptoms on treatment period, but decreased the remission period than before. 3. It has not shown noticeable recurrent symptoms of 3 patients. Conclusions : Bee Venom Herbal Acupuncture therapy and other acupuncture therapies were effective in reducing the recurrent symptoms and remission perod, but it was not evaluated the chief complaints on 5 cases of Multiple Sclerosis. We think that it need the further study and clinical trial for Multiple Sclerosis and other neurological diseases.

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Risk factor for pituitary dysfunction in children and adolescents with Rathke's cleft cysts

  • Lim, Han-Hyuk;Yang, Sei-Won
    • Clinical and Experimental Pediatrics
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    • v.53 no.7
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    • pp.759-765
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    • 2010
  • Purpose: This study evaluated the clinical manifestations of and risk factors for pituitary insufficiency in children and adolescents with Rathke's cleft cysts. Methods: Forty-four patients with Rathke's cleft cysts younger than 19 years who visited Seoul National University Children's Hospital between January 1995 and September 2009 were enrolled. Rathke's cleft cysts were confirmed histologically through an operation in 15 patients and by brain magnetic resonance imaging (MRI) in 29 patients. The clinical, hormonal, and imaging features were reviewed retrospectively. Results: The clinical presentation of symptomatic patients was as follows: headache (65%), endocrinopathy (61%), and visual disturbance (19%). Endocrinopathy included central precocious puberty (18%), diabetes insipidus (14%), general weakness (11%), and decreased growth velocity (7%). After surgery, hyperprolactinemia resolved in all patients, but growth hormone insufficiency, hypothyroidism, and diabetes insipidus did not improve. Pituitary insufficiency except gonadotropin abnormality correlated significantly with severe headache, visual disturbance, general weakness, and cystic size. Suprasellar extension of cysts and high signals in the T2-weighted image on brain MRI were related to hypothyroidism, hypocortisolism, and diabetes insipidus. Multivariable linear regression analysis showed that only general weakness was a risk factor for pituitary insufficiency ($R^2$=0.549). Conclusion: General weakness is a risk factor for pituitary insufficiency in patients with Rathke's cleft cysts. When a patient with a Rathke's cleft cyst complains of general weakness, the clinician should evaluate pituitary function and consider surgical treatment.