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소아 폐쇄성 수면무호흡증후군 1례 (A Case of Childhood Obstructive Sleep Apnea Syndrome)

  • 신홍범;이유진;정도언
    • 수면정신생리
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    • 제11권2호
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    • pp.106-109
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    • 2004
  • 소아의 폐쇄성 수면 무호흡증은 흔히 편도 아데노이드 비대증으로 인해 발생하는 것으로 알려져 있으나 비만, 두개 악안면 기형 등 다양한 원인에 의해서도 발생할 수 있다. 소아의 폐쇄성 수면 무호흡증은 야뇨증, 사건 수면, 행동 장애 등과 같은 다양한 합병증을 동반할 수 있다. 그 원인이 편도 아데노이드 비대증이면 수술적인 제거를 통해 증상 호전을 기대할 수 있으나 비만 등 다른 원인에 의한 것이라면 지속성 상기도양압술과 체중 감량 및 생활습관 변화를 통한 치료가 필요하다. 저자들은 편도 아데노이드 절제술 시행 후에도 심한 폐쇄성 수면 무호흡증이 지속되고 다양한 합병증이 나타난 환아에서 상기도양압술로 무호흡 관련 증상 및 동반된 합병증의 호전을 보인 1례를 경험하였기에 보고한다.

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하지불안증후군 환자의 휴식.활동 리듬, 수면 양상 및 삶의 질에 대한 연구 (Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome)

  • 이은주
    • 대한간호학회지
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    • 제39권3호
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    • pp.422-432
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    • 2009
  • Purpose: In this study rest-activity rhythm, sleep pattern and quality of life of patients with restless legs syndrome were compared with those of a normal group. Methods: The participants in this study were 36 patients with restless legs syndrome diagnosed by a neurologist and 36 participants in the normal group. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for the study. Chi-square test, Lamda test, t-test and Kendall's correlation with SPSS 12.0 program were used to analyze the data. Results: Patients with restless legs syndrome had a higher rest-activity rhythm curve of Least 5 hr's activity(L5) and Most 10 hr's activity(M10) than those of normal group and sleep problems included decreased sleep efficiency and increased sleep latency, wake time and number of awakenings. The scores for the subscales of quality of life in patients with restless legs syndrome were lower than the normal group for general health, physical functioning, role limitations due to emotional problems, role limitation due to physical problems, social functioning, bodily pain, vitality and mental health. Conclusion: The results suggest that further studies are needed to identify rest-activity rhythm according to symptom severity and to develop nursing interventions which consider rest-activity rhythm.

컬러히스토그램의 장면 전환 검출을 이용한 수면의 질 향상 (Enhancement of Sleep Quality Using Scene Change Detection of Color Histogram)

  • 신성윤;신광성;이현창;이양원
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2011년도 제44차 하계학술발표논문집 19권2호
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    • pp.49-50
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    • 2011
  • In this paper we collect data concerning sleep environments in a bedroom and analyze the relationship between the collected condition data and sleep. In addition, this paper detects scene changes from the subjects in a sleeping state and presents the physical conditions, reactions during sleep, and physical sensations and stimuli. To detect scene changes in image sequences, we used color histogram for the difference between the preceding frame and the current frame. In addition, to extract the tossing and turning for different situations, the subjects were instructed to enter the level of fatigue, the level of drinking, and the level of stomach emptiness.

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Associations between Sleep and Work-Related Cognitive and Emotional Functioning in Police Employees

  • Sorengaard, Torhild Anita;Olsen, Alexander;Langvik, Eva;Saksvik-Lehouillier, Ingvild
    • Safety and Health at Work
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    • 제12권3호
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    • pp.359-364
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    • 2021
  • Aim: We aimed to examine the cross-sectional and longitudinal associations between sleep and work-related impaired cognitive and emotional functioning in police employees. Methods: This study included 410 participants (52% men) employed in a police district in Norway at baseline, of which 50% also participated in the study at 6 months later follow-up. The questionnaires included items measuring work schedule, sleep length, insomnia, as well as impaired cognitive and emotional functioning at work. Results: The results showed that insomnia was related to impaired work-related emotional functioning measured at baseline, and to impaired cognitive functioning measured at both baseline and follow-up. Sleep length and rotating shift work were not associated with future decline in cognitive or emotional functioning. Conclusion: Our study indicates that the relationship between insomnia and emotional functioning at work may be transient, whereas insomnia can be related to both immediate and future impaired cognitive functioning. Replication of the findings in larger samples is advised. The findings call for an emphasis on the prevention and treatment of sleep problems among police employees as a mean of maintaining and improving cognitive and emotional functioning at work, and thereby reducing the risk for impaired performance and negative health and safety outcomes.

수면장애 연구와 실무를 위한 한국어 자가보고 수면 측정도구 (Korean Versions of Self-reported Sleep Questionnaires for Research and Practice on Sleep Disturbance)

  • 최희정;김성재;김범종;김인자
    • 재활간호학회지
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    • 제15권1호
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    • pp.1-10
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    • 2012
  • Purpose: To identify Korean versions of self-reported sleep questionnaires for cross-cultural research and practice on sleep disturbance, we searched self-reported sleep questionnaires which have been developed to measure general sleep patterns. They should be qualitative, easy to take permission, do not obligate to pay, do not need any skill or professional help for scoring and have been reported high reliability and validity. Methods: General Sleep Disturbance Scale (GSDS), Leeds Sleep Evaluation Questionnaire (LSEQ), and Pittsburgh Sleep Quality Index (PSQI) were identified based on all criteria. Korean version of GSDS, LSEQ, and PSQI were developed according to the methods combined the guidelines for the process of cross-cultural adaptation of self-reported measures with decentering method. Results: Three Korean versions of self-reported sleep questionnaires were suitable for epidemiological study. They are not full length and easy to read. It requires less than 10 minutes for each subject to complete as well as for researchers to score. Conclusion: Psychometric analysis study is necessary to evaluate the reliability and validity of those Korean versions of self-reported sleep questionnaires.

대학생의 모바일 인터넷 중독 정도에 따른 수면의 질, 불안 및 대인관계 간의 관련성 (The Relations among Mobile internet addiction, Sleep quality, Anxiety and Interpersonal relationship for University students)

  • 서영숙;정추영
    • 한국임상보건과학회지
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    • 제5권4호
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    • pp.1026-1031
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    • 2017
  • Purpose. This study was to investigate the relationships among mobile internet addiction, sleep quality, anxiety, and interpersonal relationship in university students. Method. A descriptive study design was used. Between 10 and 31 March 2016, 213 subjects completed a questionnaire consisting of questions on mobile internet addiction, anxiety, sleep quality, and interpersonal relationship. The data were analyzed using descriptive statistics, One way-ANOVA, and Pearson's correlation coefficient SPSS/WIN 21.0 programs. Results. Among mobile internet addiction there were significant differences between gender (t=3.40, p<.001), grade (F= 2.31, p<.001), majority field (F=5.34, p=.005), and take exercise (t=3.50, p<.001). This study has shown that mobile internet addiction were associated with sleep quality (r=-.40, p<.001) and anxiety (r=.14, p=.037). In addition, a correlation has been found significant between anxiety, and sleep quality (r=.48, p<.001), and sleep quality has associated with interpersonal relationship (r=-.46, p<.001). Conclusion. In this study, we revealed the observed a meaningful significant correlation between mobile internet addiction, sleep quality and anxiety. Therefore, it is important to emphasize control of mobile internet addiction for university students. The results of this study can be used as a basis on which to develop a mobile internet addiction intervention program.

Effects of Total Sleep Deprivation on the First Positive Lyapunov Exponent of the Waking EEG

  • Kim, Dai-Jin;Jeong, Jae-Seung;Chae, Jeong-Ho;Kim, Soo-Yong;Go, Hyo-Jin;Paik, In-Ho
    • 감성과학
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    • 제1권1호
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    • pp.69-78
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    • 1998
  • Sleep deprivation may affect the brain functions such as cognition and consequently, dynamics of the BEG. We examined the effects of sleep deprivation on chaoticity of the EEG. Five volunteers were sleep-deprived over a period of 24 hours They were checked by EEG during two days. thc first day of baseline period and the second day of total sleep deprivation period. EEGs were recorded from 16 channels for nonlinear analysis. We employed a method of minimum embedding dimension to calculate the first positive Lyapunov exponent. Fer limited noisy data, this algorithm was strikingly faster and more accurate than previous ones. Our results show that the sleep deprived volunteers had lower values of the first positive Lyapunov exponent at ten channels (Fp1, F4. F8. T4, T5. C3, C4. P3. P4. O1) compared with the values of baseline periods. These results suggested that sleep deprivation leads to decrease of chaotic activity in brain and impairment of the information processing in the brain. We suggested that nonlinear analysis of the EEG before and after sleep deprivation may offer fruitful perspectives for understanding the role if sleep and the effects of sleep deprivation on the brain function.

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주간 운동량이 수면구조와 수면 중 Growth Hormone, Testosterone, Cortisol, $\beta$-endorphin의 분비에 미치는 영향 (The Effect of Daytime Exercise Load on Sleep Structure and the Secretion of Growth Hormone, Testosterone, Cortisol, $\beta$-endorphin during Sleep)

  • 김진항;홍승봉;이지영;조근종
    • 수면정신생리
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    • 제6권2호
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    • pp.116-125
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    • 1999
  • Objectives: The purpose of this study is to investigate the effect of exercise load on sleep structure and stress hormone secretion during sleep. Methods: Five male physical education students were included in this study after giving their written, informed consents in the Research Institute for Sports Science at the University of Hanyang. All subjects have performed for at least 3 years in a regular aerobic exercises such as football, basketball, and running. The subjects were divided into three groups ; NOE(non-exercise), MDE(middle duration exercise), LDE(long duration excercise). MDE group maintained a total of 120 min exercise, and LDE group maintained a total of 300 min exercise by football, basketball or badminton. All subjects were acclimatized to the experimental sleep condition by spending one night under expermental conditions, including the placement of an intravenous catheter. During the subsequent night(24:00-08:00), somnopolygraphic sleep recordings were obtained, and blood for measuring growth hormone, cortisol, testosterone, and $\beta$-endorphin was collected every 120 min throughout the night. Blood samples were obtained from prominent forearm veins of subjects. Then, the samples were immediately placed in ice and centrifuged within 10 min at 3000 rpm at $4^{\circ}C$. Statistical analyses were performed using the SPSS/$PC^+$. Data were analyzed by one-way ANOVA with repeated measures. Results: No significant differences among groups were observed in sleep latency, total sleep time, stage 2 sleep, and slow wave sleep. However, daytime exercise produced significant changes in stage 1 sleep, REM sleep, stage 2 sleep latency, REM sleep latency and sleep efficiency. Stage 1 sleep, stage 2 sleep latency, and REM sleep latency significantly increased in LDE compared to those of NOE and MDE groups. But the amount of REM sleep significantly decreased in LDE. Sleep efficiency of MDE was higher than those of NOE and LDE. The blood concentrations of growth hormone, testosterone, and cortisol during night sleep were significantly lower in LDE than in NOE. $\beta$-endorphin concentrations in blood during night sleep were not different among groups. Conclusion: The daytime exercise load was significantly related to sleep structure and stress hormone secretion during night sleep. Long duration exercise showed a harmful effect on sleep structure and hormone secretion. However, middle duration exercise had a beneficial effect on sleep structure and hormone secretion during sleep.

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고등학생의 수면 부족, 비만, 스크린 타임 사이의 관련성 연구 (Relationships between Short Sleep, Obesity, and Screen Time in High School Students)

  • 하영미;박현주
    • Journal of Korean Biological Nursing Science
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    • 제16권2호
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    • pp.80-89
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    • 2014
  • Purpose: The purpose of this study was to investigate relationships between short sleep, obesity, and screen time. Methods: Data were obtained from a survey using a sample of 1,166 academic, and 597 vocational high school students. A structured questionnaire was used to assess demographics, hours spent in sleep, TV viewing, internet usage, and game playing. Obesity was determined using the body mass index. Descriptive statistics, Cochran Mantel Haenszel Chi-square test, and multiple logistic regression with dummy variables were performed. Results: Short sleep (<8 hours/day) was significantly related to obesity, not in academic school students, but in vocational school students. Academic high school students who had enough sleep (${\geq}8$ hours/day), had more time spent on TV viewing, internet usage, and game playing. Similar results were found in vocational high school students except for internet use. Interestingly, students with better school performance spent significantly less time in TV viewing, internet usage, and game playing, and therefore had a lower risk of obesity in academic school students. Conclusion: There is a significant relationship between short sleep and obesity that was found only in vocational high school students. The relationship between short sleep and screen time was not significant in Korean high school students.

경부 및 체간 상부 근막이완기법 적용이 만성 경부통 환자의 통증, 불면증 및 수면에 미치는 영향 (Effects of Application of Myofascial Release of Neck and Upper Trunk on the Pain, Insomnia and Sleep Disturbances in Patients with Chronic Neck Pain)

  • 배경;박세진;천승철
    • 대한통합의학회지
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    • 제9권2호
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    • pp.43-52
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    • 2021
  • Purpose : Chronic neck pain negatively impacts the quality of life and causes various problems in daily life due to pain, insomnia, and sleep disturbances in patients with this condition. Therapeutic interventions to solve these problems in rehabilitation and physical therapy are being introduced; however, the evidence of the efficacy of myofascial release (MFR) is still insufficient. This study aimed to investigate the effects of applying MFR on pain, insomnia, and sleep disturbances in patients with chronic neck pain. Methods : Ten patients with chronic neck pain were randomly selected and grouped into the experimental group (n1 = 10) and control group (n2 = 10) by cross-over design. Pain was measured before and after MFR intervention. Moreover, insomnia was measured only after MFR intervention. Polysomnography was performed after MFR intervention. Wilcoxon signed rank test and Mann-Whitney U test were used for the visual analog scale (VAS). Independent sample t-test was separately performed to measure insomnia and sleep. Results : After MFR intervention, the VAS score of the experimental group (p = 0.005) significantly decreased than that of the control group (p = 0.002). The insomnia score of the experimental group significantly decreased than that of the control group (p = 0.001). The total sleep time (p = 0.001), sleep efficiency (p = 0.001), and sleep latency (p = 0.001) of the experimental group significantly increased than those of the control group in the polysomnographic measurement. Conclusion : The application of MFR of the neck and upper trunk may have a positive effect on pain, insomnia, and sleep disturbances in patients with chronic neck pain. It was also suggested that an objective and quantitative polysomnography can be used more often in the field of rehabilitation and physical therapy.