• Title/Summary/Keyword: 어지럼

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Development of an IoT-Based Dizziness Detection System for VR Applications (VR 애플리케이션을 위한 사물인터넷 기반 어지럼증 검출 시스템 개발)

  • Ko, Euni;Kim, Youngcheon;Park, Hyelee;Jung, Wonseok;Seo, Jeongwook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2019.05a
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    • pp.423-425
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    • 2019
  • Users may experience a sub-type of motion sickness, called cybersickness, when interacting with virtual reality (VR) applications in the state of wearing head mounted display (HMD) devices. Although the root cause of cybersickness is still unclear, it is believed to result from a sensory mismatch between visual and vestibular systems. However, there is a lack of studies developing data collection and analysis systems to measure cybersickness. In this paper, therefore, a system is designed that collects electroencephalography (EEG) and physiological data from a user wearing a VR HMD device through an internet of things (IoT) platform and decides whether a user experiences a symptom of cybersickness, namely dizziness, or not by using a decision threshold. Experimental results showed that the proposed system achieved about 92% accuracy of a dizziness detection when considering 14 participants.

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A Case of Patient with Brady-arrhythmia Complaining Dizziness Treated with complex Korean Medicine treatments (어지럼증을 호소하는 서맥성 부정맥 환자의 한의복합치료 1례)

  • So-Min, Jung;Seong-Wook, Lee;Won-Jung, Ha;Ki-Ho, Cho;Sang-Kwan, Moon;Woo-Sang, Jung;Seungwon, Kwon;Han-Gyul, Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.23 no.1
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    • pp.41-54
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    • 2022
  • Brady-arrhythmia is defined as an arrhythmia in which the heart rate slows to less than 60 beats per minute. Brady-arrhythmia reduces cardiac output and causes changes in blood flow. As a result, dizziness occurs because not only ischemia occurs in the central nervous system, but also blood flow in major organs decreases. The insertion of an artificial pacemaker is known as almost the only treatment alternative for patients with brady-arrhythmia with symptoms. This study reports a case of 85 year old male diagnosed with brady-arrhythmia complaining presyncope type of dizziness. The patient underwent complex Korean medicine treatments by herbal medicine, acupuncture and moxibustion. The daily average value of pulse rate, K-DHI score, NRS score and the patient's subjective expression of symptoms were used as evaluation tools. This study suggested a significant improvement in symptoms through complex Korean medicine treatments without the use of anti-arrhythmic drugs or insertion of an artificial pacemaker in the patient with brady-arrhythmia complaining dizziness.

A Case Report of Dizziness Diagnosed Dam Hun Treated with Korean Medicine in a Patient Hospitalized at a Korean Medicine Hospital (한방병원에 입원한 담훈으로 변증한 어지럼 환자에 대한 한방 치료 1례)

  • Sang-yoon Kim;Yen-min Wang;Gil-geun Baek;Sang-hun Yun;Yu-jin Lee;Hyung-chul Lee;Man-ho Kang;Sung-hwan Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.911-919
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    • 2023
  • Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment on dizziness diagnosed as Dam Hun. Methods: The patient received herbal medicine treatment of Banhabakchulchunma-tang and acupuncture from May 18, 2023 to June 3, 2023. To evaluate the treatment, we used the Korean Version of the Dizziness Handicap Inventory (K-DHI) to measure dizziness. The degree of dizziness, headache, and dyspepsia was also evaluated using the Visual Analogue Scale (VAS). Results: The patient's VAS scores improved after treatment. The change in the K-DHI scores showed that the patient's dizziness symptoms were relieved. Conclusions: The results of this study suggest that Korean medicine therapies may be effective for treating dizziness.

Multicenter clinical study of childhood periodic syndromes that are common precursors to migraine using new criteria of the International Classification of Headache Disorders (ICHD-II) (편두통의 전 단계인 소아기주기성증후군의 다기관 임상 연구: 국제두통질환분류 제2판 제1차 수정판 적용)

  • Park, Jae Yong;Nam, Sang-Ook;Eun, So-Hee;You, Su Jeong;Kang, Hoon-Chul;Eun, Baik-Lin;Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.52 no.5
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    • pp.557-566
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    • 2009
  • Purpose : To evaluate the clinical features and characteristics of childhood periodic syndromes (CPS) in Korea using the new criteria of the International Classification of Headache Disorders (ICHD)-II. Methods : The study was conducted at pediatric neurology clinics of five urban tertiary-care medical centers in Korea from January 2006 to December 2007. Patients (44 consecutive children and adolescents) were divided into three groups (cyclic vomiting syndrome [CVS], abdominal migraine [AM], and benign paroxysmal vertigo of childhood [BPVC]) by recurrent paroxysmal episodes of vomiting, abdominal pain, dizziness, and/or vertigo using the ICHD-II criteria and their characteristics were compared. Results : Totally, 16 boys (36.4%) and 28 girls (63.6%) were examined (aged 4-18 yr), with 20 CVS (45.5%), 8 AM (18.2%), and 16 BPVC (36.4%) patients. The mean age at symptom onset was $6.3{\pm}3.6$ yr, $8.5{\pm}2.7$ yr, and $8.5{\pm}2.9$ yr in the CVS, AM, and BPVC groups, respectively, showing that symptoms appeared earliest in the CVS group. The mean age at diagnosis was $8.0{\pm}3.4$ yr, $10.5{\pm}2.6$ yr, and $10.1{\pm}3.2$ yr the CVS, AM, and BPVC groups, respectively. Of the 44 patients, 17 (38.6%) had a history of recurrent headaches and 11 (25.0%) showed typical symptoms of migraine headache, with 5 CVS (25.0%), 2 AM (25.0%), and 4 BPVC (25.0%) patients. Family history of migraine was found in 9 patients (20.4%): 4 in the CVS group (20.0%), 2 in the AM group (25.0%), and 3 in the BPVC group (18.8%). Conclusion : The significant time lag between the age at symptom onset and final diagnosis possibly indicates poor knowledge of CPS among pediatric practitioners, especially in Korea. A high index of suspicion may be the first step toward caring for these patients. Furthermore, a population-based longitudinal study is necessary to determine the incidence and natural course of these syndromes.

Analysis of causal factors and physical reactions according to visually induced motion sickness (시각적으로 유발되는 어지럼증(VIMS)에 따른 신체적 반응 및 유발 요인 분석)

  • Lee, Chae-Won;Choi, Min-Kook;Kim, Kyu-Sung;Lee, Sang-Chul
    • Journal of the HCI Society of Korea
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    • v.9 no.1
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    • pp.11-21
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    • 2014
  • We present an experimental framework to analyze the physical reactions and causal factors of Visually Induced Motion Sickness (VIMS) using electroencephalography (EEG) signals and vital signs. We studied eleven subjects who are voluntarily participated in the experiments and conducted online and offline surveys. In order to simulate videos including global motions that could cause the motion sickness, we extracted global motions by optical flow estimation method from hand-held captured video recordings containing intense motions. Then, we applied the extracted global motions to our test videos with action movies and texts. Each genre of video includes three levels of different motions depending on its intensity. EEG signal and vital sign that were measured by a portable electrocorticography device and an electronic monometer in real time while the subjects watch the videos including ones with the extracted motions. We perform an analysis of the EEG signals using Distance Map(DM) calculated by correlation among each channel of brain signal. Analysis using the vital signs and the survey results is also performed to obtain relationship between the VIMS and causal factors. As a result, we clustered subjects into three groups based on the analysis of the physical reaction using the DM and the correlation between vital sign and survey results, which shows high relationships between the VIMS and the intensity of motions.

Subjective Visuoperception to Vertical Yoked Prisms (수직동향프리즘의 자각적 시감각에 관한 연구)

  • Kim, Jae-Do;Kim, Dae-Hyun;Lee, Ik-Han;Kim, Bong-Whan;Kim, Young-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.95-99
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    • 2008
  • Purpose: Even refractive error is perfectly corrected by glasses power, the glasses wearer can feel imbalance and uncomfortable by prism effects. The purpose of this study was to investigate subjective imbalance to vertical yoked prism in visually normal subjects. Methods: Visually normal 37 subjects (aged 20 to 31 y) were fully corrected by soft contact lens and worn vertical yoked prism, base up and base down 1, 2, 4, 6, 8 prism diopter(pd) at random order. A rating scale questionnaire was administered to assess quantitatively subjective imbalance to the yoked prism. The near phoria tests were done using Howell-Kim phoria card at 40 cm distance. Results: For the subjective response of imbalance, base up yoked prism was higher than base down yoked prism (t-test: t=4.67, p=0.00) in over 2 prism diopters. The frequency of subjects who feel imbalance by base up vertical yoked prism is higher for near esophoric group than for exophoric group. Conclusions: To reduce subjective imbalance caused by glasses such as dizzy, it needs to make the minimum prism effect, and base down yoked prism is more effective than base up yoked prism in prism effects.

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Gastric Adenocarcinoma in Patient with Pernicious Anemia: A Case Report (악성 빈혈환자에서 발병한 위암 1예 보고)

  • Kim, Byung-Soo;Kim, Jong-Won;Lee, In-Kyu;Kim, Dong-Chul;Kim, Woo Ho;Lee, Hyuk-Joon;Yang, Han-Kwang
    • Journal of Gastric Cancer
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    • v.7 no.1
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    • pp.38-41
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    • 2007
  • Increased risk of gastric cancer has been reported in patients with chronic atrophic gastritis that develops in conjunction with pernicious anemia. We report here a case of a gastric adenocarcinoma associated with pernicious anemia. A 40-year-old female patient had been diagnosed with anemia 6 years earlier at a local hospital. One month ago, she visited our hospital for aggravated dizziness and newly developed epigastric soreness. Her blood hemoglobin level was 4.2 g/dl, and a gastroscopic work-up for anemia discovered a 2.5-cm-sized, slightly elevated mucosal lesion at the anterior wall of the high body in the stomach. The biopsy of this lesion revealed a moderately-differentiated adenocarcinoma. She underwent a total gastrectomy with a Roux en Y esophagojejunostomy with D2 lymph node dissection. The final stage of the gastric carcinoma was identified as T1N0M0. Based on this experience, we recommend that a follow-up gastroscopy be performed in patients with pernicious anemia with atrophic gastritis because of the increased risk of gastric cancer in patients with pernicious anemia.

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Effects of Respiratory Rehabilitation Training Using a Harmonica for Patients With Spinal Cord Injuries (하모니카를 활용한 호흡재활 훈련이 척수손상환자의 호흡기능에 미치는 영향)

  • Kim, Hyuk Gun;Kim, Min Seo;Lim, Han Mil;Joeng, So;Shin, Uk Ju
    • Journal of Music and Human Behavior
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    • v.15 no.2
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    • pp.23-39
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    • 2018
  • The purpose of this research was to investigate the effects of respiratory rehabilitation using a wind instrument for patients suffering from spinal cord injuries. From January 15, 2018 to April 15, 2018, we conducted ten 1-hour sessions of a harmonica program with eight patients with spinal cord injuries with average age of 37 years who could not perform abdominal breathing by themselves. We measured and compared patients' breathing capacity before and after the 10 sessions. Designed particularly for patients with spinal cord injuries resulting in a limited range of neck movement, the study used a 10-hole diatonic harmonica whose length was relatively short. For those patients who had difficulty using their hands, a harmonica holder was provided. Participants were trained to play simple tunes. They were guided to use abdominal breathing to make sounds, with emphasis on those parts requiring long and strong breathing. The results showed that for all eight patients both their breathing volume and their inspiratory volume increased following participation in the harmonica program. Also, the program had psychological benefits (e.g., more life satisfaction and less sadness) and additional physical benefits (e.g., less dizziness due to low blood pressure and better phlegm spitting). This study offers a unique way to help patients with spinal cord injuries to improve their breathing capacity, which may also be associated with a greater quality of life.

Rasch Analysis of the Clinimetric Properties of the Korean Dizziness Handicap Inventory in Patients with Parkinson Disease (파킨슨병 환자에서 한국어판 Dizziness Handicap Inventory의 라쉬 분석에 의한 임상측정 특성 평가)

  • Lee, Da-Young;Yang, Hui-Jun;Yang, Dong-Seok;Choi, Jin-Hyuk;Park, Byoung-Soo;Park, Ji-Yun
    • Research in Vestibular Science
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    • v.17 no.4
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    • pp.152-159
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    • 2018
  • Objectives: The Korean Dizziness Handicap Inventory (KDHI), which includes 25 patient-reported items, has been used to assess self-reported dizziness in Korean patients with Parkinson disease (PD). Nevertheless, few studies have examined the KDHI based on item-response theory within this population. The aim of our study was to address the feasibility and clinimetric properties of the KDHI instrument using polytomous Rasch measurement analysis. Methods: The unidimensionality, scale targeting, separation reliability, item difficulty (severity), and response category utility of the KDHI were statistically assessed based on the Andrich rating scale model. The utilities of the orderedresponse categories of the 3-point Likert scale were analyzed with reference to the probability curves of the response categories. The separation reliability of the KDHI was assessed based on person separation reliability (PSR), which is used to measure the capacity to discriminate among groups of patients with different levels of balance deficits. Results: Principal component analyses of residuals revealed that the KDHI had unidimensionality. The KHDI had satisfactory PSR and there were no disordered thresholds in the 3-point rating scale. However, the KDHI showed several issues for inappropriate scale targeting and misfit items (items 1 and 2) for Rasch model. Conclusions: The KDHI provide unidimensional measures of imbalance symptoms in patients with PD with adequate separation reliability. There was no statistical evidence of disorder in polytomous rating scales. The Rasch analysis results suggest that the KDHI is a reliable scale for measuring the imbalance symptoms in PD patients, and identified parts for possible amendments in order to further improve the linear metric scale.

A Study on Supporting Design Decision Making in Office Building Remodeling Projects by Introducing Mixed Reality (혼합현실 도입 오피스 건물 리모델링 프로젝트 설계 의사결정 지원)

  • Han, Mooyeul;Baek, Kwanyup;Lee, Kyung-Tae;Ko, Seonju;Kim, Ju-Hyung
    • Korean Journal of Construction Engineering and Management
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    • v.22 no.1
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    • pp.3-12
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    • 2021
  • In the remodeling projects, clients without architectural expertise have limitations in presenting requirements accurately. In some cases, designers and contractors may not recognize their demands exactly, and deliver final products that are different from the clients' intentions. 3D modeling visualizing final products in previous has been regarded as a solution to enhance understanding and communication. However, this approach has the limitation that the final results are presented as a virtual outputs. In the remodeling project, an alternative, mixed-reality, is likely to reinforce the reality as it enables to present remain structure and the parts to be built together. This paper examines the mixed reality as a solution to support decision making of clients and practitioners in remodeling projects. The examinations is conducted in high-rise office remodeling projects by means of action-research. Clients and practitioners, overview product models presented in the format of 2D drawings, BIM and mixed reality asked to evaluate the effectiveness of each methods in 12 standards. The results have shown that mixed reality has improved the sense of reality, making it easier to predict results, but recognizing patterns is difficult in some areas such as the floor, and it caused dizziness.