Characteristics of spontaneous nystagmus and its correlation to video head impulse test findings in vestibular neuritis

ObjectiveTo explore the direction and SPV (slow phase velocity) of the components of spontaneous nystagmus (SN) in patients with vestibular neuritis (VN) and the correlation between SN components and affected semicircular canals (SCCs). Additionally, we aimed to elucidate the role of directional features of peripheral SN in diagnosing acute vestibular syndrome.Materials and methodsA retrospective analysis was conducted on 38 patients diagnosed with VN in our hospital between 2022 and 2023. The direction and SPV of SN components recorded with three-dimensional videonystagmography (3D-VNG) and the video head impulse test (vHIT) gain of each SCC were analyzed as observational indicators. We examined the correlation between superior and inferior vestibular nerve damage and the direction and SPV of SN components, and vHIT gain values in VN patients.ResultsThe median illness duration of between symptom onset and moment of testing was 6 days among the 38 VN patients (17 right VN and 21 left VN). In total, 31 patients had superior vestibular neuritis (SVN), and 7 had total vestibular neuritis (TVN). Among the 38 VN patients, all had horizontal component with an SPV of (7.66 ± 5.37) °/s, 25 (65.8%) had vertical upward component with a SPV of (2.64 ± 1.63) °/s, and 26 (68.4%) had torsional component with a SPV of (4.40 ± 3.12) °/s. The vHIT results in the 38 VN patients showed that the angular vestibulo-ocular reflex (aVOR) gain of the anterior (A), lateral (L), and posterior (P) SCCs on the ipsilesional side were 0.60 ± 0.23, 0.44 ± 0.15 and 0.89 ± 0.19, respectively, while the gains on the opposite side were 0.95 ± 0.14, 0.91 ± 0.08, and 0.96 ± 0.11, respectively. There was a statistically significant difference in the aVOR gain between the A-, L-SCC on the ipsilesional side and the other SCCs (p < 0.001). The aVOR gains of A-, L-, and P-SCC on the ipsilesional sides in 31 SVN patients were 0.62 ± 0.24, 0.45 ± 0.16, and 0.96 ± 0.10, while the aVOR gains on the opposite side were 0.96 ± 0.13, 0.91 ± 0.06, and 0.98 ± 0.11, respectively. There was a statistically significant difference in the aVOR gain between the A-, L-SCC on the ipsilesional side and the other SCCs (p < 0.001). In 7 TVN patients, the aVOR gains of A-, L-, and P-SCC on the ipsilesional side were 0.50 ± 0.14, 0.38 ± 0.06, and 0.53 ± 0.07, while the aVOR gains on the opposite side were 0.93 ± 0.17, 0.90 ± 0.16, and 0.89 ± 0.09, respectively. There was a statistically significant difference in the aVOR gain between the A-, L-, and P-SCC on the ipsilesional side and the other SCCs (p < 0.001). The aVOR gain asymmetry of L-SCCs in 38 VN was 36.3%. The aVOR gain asymmetry between bilateral A-SCCs and bilateral P-SCCs for VN patients with and without a vertical upward component was 12.8% and 8.3%, which was statistically significant (p < 0.05). For VN patients with and without a torsional component, the aVOR gain asymmetry of bilateral vertical SCCs was 17.0% and 6.6%, which was statistically significant (p < 0.01). Further analysis revealed a significant positive correlation between the aVOR gain asymmetry of L-SCCs and the SPV of the horizontal component of SN in all VN patients (r = 0.484, p < 0.01), as well as between the asymmetry of bilateral vertical SCCs and the SPV of torsional component in 26 VN patients (r = 0.445, p < 0.05). However, there was no significant correlation between the aVOR gains asymmetry of bilateral A-SCCs and P-SCCs and the SPV of the vertical component in 25 VN patients.ConclusionThere is a correlation between the three-dimensional direction and SPV characteristics of SN and the aVOR gain of vHIT in VN patients. These direction characteristics can help assess different SCCs impairments in patients with unilateral vestibular diseases

A Sensor for Characterisation of Liquid Materials with High Permittivity and High Dielectric Loss

This paper reports on a sensor based on multi-element complementary split-ring resonator for the measurement of liquid materials. The resonator consists of three split rings for improved measurement sensitivity. A hole is fabricated at the centre of the rings to accommodate a hollow glass tube, through which the liquid sample can be injected. Electromagnetic simulations demonstrate that both the resonant frequency and quality factor of the sensor vary considerably with the dielectric constant and loss tangent of the liquid sample. The volume ratio between the liquid sample and glass tube is 0.36, yielding great sensitivity in the measured results for high loss liquids. Compared to the design based on rectangular split rings, the proposed ring structure offers 37% larger frequency shifts and 9.1% greater resonant dips. The relationship between dielectric constant, loss tangent, measured quality factor and resonant frequency is derived. Experimental verification is conducted using ethanol solution with different concentrations. The measurement accuracy is calculated to be within 2.8%, and this validates the proposed approach.</jats:p

A Sensor for Characterisation of Liquid Materials with High Permittivity and High Dielectric Loss

This paper reports on a sensor based on multi-element complementary split-ring resonator for the measurement of liquid materials. The resonator consists of three split rings for improved measurement sensitivity. A hole is fabricated at the centre of the rings to accommodate a hollow glass tube, through which the liquid sample can be injected. Electromagnetic simulations demonstrate that both the resonant frequency and quality factor of the sensor vary considerably with the dielectric constant and loss tangent of the liquid sample. The volume ratio between the liquid sample and glass tube is 0.36, yielding great sensitivity in the measured results for high loss liquids. Compared to the design based on rectangular split rings, the proposed ring structure offers 37% larger frequency shifts and 9.1% greater resonant dips. The relationship between dielectric constant, loss tangent, measured quality factor and resonant frequency is derived. Experimental verification is conducted using ethanol solution with different concentrations. The measurement accuracy is calculated to be within 2.8%, and this validates the proposed approach

A Performance Test and Internal Flow Field Simulation of a Vortex Pump

Vortex pumps have good non-clogging performance and are widely used in the fluid transportation of food, sewage treatment, and mineral and coal slurry transportation. In order to design and manufacture a vortex pump with good performance and establish a method of optimum design, we must master the internal flow rules of the pump. Based on the self-design vortex pump (32WB8-12) experiment, the discharge-pump head (qv-H), discharge-pump shaft power (qv-P), discharge-pump efficiency (qv-η), and discharge-critical net positive suction head (qv-NPSHc) curves are obtained, and the qv-NPSHc curve shows an opposite tendency compared with the centrifugal pump. With the mathematical model selected with respect to the optimal condition, the three-dimensional internal flow within the vortex pump has been numerically simulated by a renormalization group k-ε (RNG k-ε) turbulence model. The static pressure (ps) and velocity distribution of the impeller and the middle section of the volute at 0°, 90°, 180°, and 270° are obtained, and the performance curves have been fitted using a CFX-calculated energy parameter. It was illustrated that the velocity field is relatively disordered and the flow in the impeller region is of a forced vortex character. The flow in the volute is similar to that of the combined vortex with backflow, which is a non-axisymmetric unsteady flow with quite high turbulence intensity. These factors are the main reasons for the relatively low efficiency of the vortex pump. The measurement of flow field in volute with a five-hole probe was conducted, and it is demonstrated that the numerical results are in good agreement with the flow field measurement data. An upward pressure gradient forms in the portal area of the impeller, and it is confirmed that the lowest pressure point is located in the upper position of the impeller hub. It is revealed that for the vortex pump to have advanced suction and anti-cavitation performance, the lowest pressure in the pump should be −4 × 104 Pa and it should be located at the center of the vortex chamber cavity