• Title/Summary/Keyword: 수면시

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Characteristics of Sleep Pattern among Korean College Students (한국 대학생의 수면 양상 특징)

  • Kim, Seog-Ju;Lyoo, In-Kyoon;Won, Chang-Yeon;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.13 no.1
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    • pp.15-21
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    • 2006
  • Introduction: The objective of the present study was to investigate bedtime, rise time and time-in-bed of Korean college students, separately on weekday and on weekend and to compare them. In addition, this study also aimed to evaluate the influence of gender, age and grade on the above sleep parmeters in Korean college students. Methods: Information regarding bedtime and rise time, separately on weekday and on weekend, of Korean college students were obtained by self-administered questionnaire. Questionnaires of 1,825 students (1,416 females and 409 males, age 18-30;mean age $21.1{\pm}2.2$) were used for statistical analyses. Results: Korean college students retired to bed 50 minutes later (00:49 on weekday;01:40 on weekend;t=39.67, p<0.001), rose 1 hour 58 minutes later (07:52 on weekday;09:50 on weekend;t=39.46, p<0.001), and slept 1 hour 8 minutes longer (t=13.33, p<0.001) on weekend. Compared to male students, female students had earlier rise time (t=8.96, p<0.01;t=3.89, p<0.01) and earlier bedtime both on weekday and weekend (t=7.10, p<0.01;t=6.04, p<0.01), and shorter time-in-bed on weekday (t=1.99, p<0.01). In addition, rise time delay and time-in-bed increase on weekend were more prominent in female students than in male students (t=3.41, p<0.01; t=3.68, p<0.01). Grade was correlated with bedtime and rise time on weekday (${\beta}=0.1022$, p<0.01;${\beta}=0.1009$, p<0.01), bedtime and time-in-bed on weekend (${\beta}=0.1096$, p<0.01;${\beta}=-0.0990$, p<0.01), and differences between week-day and weekend of the rise time and the time-in-bed (${\beta}=-0.0906$, p<0.01;${\beta}=-0.1115$, p=0.02). Conclusions: In this study, Korean college students had earlier bedtime/rise time and shorter time-in-bed on weekday than on weekend. These findings suggest that weekday sleep-wake schedule of Korean college students may be advanced relative to their biological sleep-wake cycle and that this discrepancy may be associated with weekday sleep deprivation. In addition, differences of sleep patterns between weekday and weekend were more prominent in female students and students with lower grade. Therefore, discrepancy between weekday sleep-wake schedule and biological sleep-wake cycle, as well as weekday sleep deprivation, might be more serious in female or lower-grade students.

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Supplemental Value of the Wrist-Worn Actigraphy in Diagnosing the Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡증 진단에서 손목부착형 활동기록기의 보조적 진단가치)

  • Im, Mee-Hyang;Shin, Hong-Beom;Lee, Yu-Jin;Lee, Seung-Hi;Won, Chang-Yeon;Lee, Myung-Hee;Lee, Soo-Young;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.32-38
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    • 2005
  • Objectives: Obstructive sleep apnea syndrome (OSAS) has drawn increasing attention as medical community has become to be aware of its co-morbidities and complications, especially cardiovascular complications and excessive daytime sleepiness with accident proneness. As of now, polysomnography is the standard tool to diagnose sleep apnea and estimate the treatment validity. However, its being rather expensive and inconvenient, alternate diagnostic tools have been proposed including wrist actigraphy. So far, actigraphies have been adopted usefully to field-survey sleep apnea prevalence. In this study, we attempted in a sleep laboratory setting to assess the supplemental value of actigraphy in diagnosing OSAS. Methods: This study was done at the Division of Sleep Studies, the Seoul National University Hospital. Thirty-seven clinically suspected cases of OSAS underwent the one-night polysomnography, simultaneously wearing an actigraphy on non-dominant wrist. We analyzed the data of 27 polysomnographically-proven OSAS patients (male:female 20: 7;age $47.6{\pm}12.9$ years old;age range 23 to 72 years) with no other sleep disorders. We calculated RDI (respiratory disturbance index) from the polysomnography data and FI (fragmentation index) from the actigraphy data. Pearson correlation was calculated in order to compare FI with RDI and to evaluate the supplemental diagnostic value of the actigraphy. Results: Mean total sleep time on polysomnography was $401.4{\pm}57.8\;min$ (range of 274.0 to 514.1 min). Mean RDI was $21.7{\pm}20.4/hour$. Mean FI was $21.9{\pm}13.0/hour$. RDI and FI showed significant correlation (r=0.55, p<0.01). Conclusions: Wrist actigraphy in OSAS patients generates a comparable outcome to polysomnography, in measuring the nocturnal sleep fragmentation. The actigraphy could be used supplementally in inpatients, outpatients, and field survey subjects, if polysomnography is unavailable or impossible. In follow-ups related with nasal CPAP (continuous positive airway pressure), upper airway surgery, and oral appliance in OSAS patients, the actigraphy might play a more dominant role in the future.

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Performance evaluation of sleep stage classifier for the sleep-inducing portable neurofeedback system (포터블 수면유도 뉴로피드백 시스템 구현을 위한 수면뇌파 상태 분류기 성능 평가)

  • Lee, Taek
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.83-90
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    • 2018
  • Recently, many people have suffered from insomnia, labor loss, cognitive decline, and mental illness. The solution to this problem is almost entirely cognitive therapy or medication, but it is not recommended in the long term due to side effects and dependency problems. Therefore, in this paper, we propose a neuro feedback system based on portable EEG that helps induce sleeping. We design and evaluate the EEG classifier, which is the most important function to implement the system, and propose an optimized classifier modeling method for various factors that can affect performance. When using the proposed classifier, we could distinguish 97.9% of awakening and sleep phase in portable EEG.

Relationship between Sleep Disturbances and Cognitive Impairments in Older Adults with Depression (노인성 우울증 환자에서 수면 장애와 인지기능 저하의 관련성)

  • Lee, Hyuk Joo;Lee, Jung Suk;Kim, Tae;Yoon, In-Young
    • Sleep Medicine and Psychophysiology
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    • v.21 no.1
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    • pp.5-13
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    • 2014
  • Objectives: Depression, sleep complaints and cognitive impairments are commonly observed in the elderly. Elderly subjects with depressive symptoms have been found to show both poor cognitive performances and sleep disturbances. However, the relationship between sleep complaints and cognitive dysfunction in elderly depression is not clear. The aim of this study is to identify the association between sleep disturbances and cognitive decline in late-life depression. Methods: A total of 282 elderly people who underwent nocturnal polysomnography in a sleep laboratory were enrolled in the study. The Korean version of the Neuropsychological Assessment Battery developed by the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-K) was applied to evaluate cognitive function. Depressive symptoms were assessed with the geriatric depression scale (GDS) and subjective sleep quality was measured using the Pittsburg sleep quality index (PSQI). Results: The control group ($GDS{\leq}9$) when compared with mild ($10{\leq}GDS{\leq}16$) and severe ($17{\leq}GDS$) depression groups, had significantly different scores in the Trail making test part B (TMT-B), Benton visual retention test part A (BVRT-A), and Stroop color and word test (SCWT)(all tests p<0.05). The PSQI score, REM sleep duration, apnea-hypopnea index and oxygen desaturation index were significantly different across the three groups (all indices, p<0.05). A stepwise multiple regression model showed that educational level, age and GDS score were predictive for both TMT-B time (adjusted $R^2$=35.6%, p<0.001) and BVRT-A score (adjusted $R^2$=28.3%, p<0.001). SCWT score was predicted by educational level, age, apnea-hypopnea index (AHI) and GDS score (adjusted $R^2$=20.6%, p<0.001). Poor sleep quality and sleep structure alterations observed in depression did not have any significant effects on cognitive deterioration. Conclusion: Older adults with depressive symptoms showed mild sleep alterations and poor cognitive performances. However, we found no association between sleep disturbances (except sleep apnea) and cognitive difficulties in elderly subjects with depressive symptoms. It is possible that the impact of sleep disruptions on cognitive abilities was hindered by the confounding effect of age, education and depressive symptoms.

Study on the Characteristics of Upstream Flow by Downstream Weir with Gates Operation (하류 보 운영에 따른 상류 흐름 특성 변화 연구)

  • Park, Jun Su;Seol, Myung Su;Lee, Chung Dae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.272-272
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    • 2019
  • 보는 수로나 하천의 수위를 조절하고 취수 등의 편의를 제공하기 위해 건설되는 하천 구조물이다. 일반적인 보(고정보)는 상시 담수 되어 농업용수, 생활용수, 공업용수 등의 취수원으로 활용되지만, 최근에 설치되는 보(가동보)들은 수문을 설치하여 필요에 따라 수위를 조절할 수 있게 되어 있다. 이와 같은 보의 운영은 보 상류의 유속, 수심, 흐름 특성, 하천 형상 등의 변화를 발생시킨다. 이에 따라 보 상류에 위치한 수위관측소의 수리학적 영향에 대하여 검토할 필요가 있다. 본 연구에서는 광주천 유역에 위치한 광주광역시(유촌교)관측소를 대상으로 하류 900m에 위치한 가동보 수문 운영 조건에 따른 보 상류부의 수위, 유속, 수심, 흐름 특성을 조사하고 가동보의 수문 개방과 폐쇄에 따른 영향을 분석하였다. 가동보는 상시 폐쇄되어 있으며, 강우 발생 시에만 일정 수위 이상에서 자동으로 개방되는 형태로 운영되고 있다. 본 연구에서는 총 30회의 수위관측 및 유량측정을 하였다. 가동보 운영에 따른 수위, 유속, 흐름 특성 변화와 유량 자료를 확보하기 위해 광주시청 및 광주환경공단의 협조 요청을 통해 광주광역시(유촌교)관측소를 기준으로 상류 약 50m와 하류 약 420m에 측정 위치를 선정하여 동시 유량측정을 하였다. 또한 가동보 운영에 따른 수면경사의 정도를 파악하기 위해 광주광역시(유촌교)관측소를 기준으로 상류 약 50m, 10m, 5m, 하류 약 420m, 500m, 900m에 각각 수위표를 설치하여 총 6회 수면경사를 계측하였다. 그 결과 광주광역시(유촌교)관측소에서는 보 수문 운영에 따라 수리학적 영향을 받는 것으로 분석되었고 이를 이용하여 흐름 특성 변화를 반영한 수위-유량관계곡선식을 개발하였다.

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Sleep and Suicidal Risk Factors in Korean High School Students (고등학생 청소년들의 수면과 자살위험요인)

  • Jeong, Ja-Hyun;Jang, Yong-E;Lee, Hae-Woo;Shim, Hyun-Bo;Choi, Jin-Sook
    • Sleep Medicine and Psychophysiology
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    • v.20 no.1
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    • pp.22-30
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    • 2013
  • Objectives: Sleep problems has been consistently reported as a suicidal risk factor in adults and, recently, also in adolescents. In this study, dividing study subjects by the previous suicidal behaviors (suicidal vs non-suicidal), we compared the group differences of suicidal risk factors, and examined the possibility of sleep as a suicidal risk factor. Methods: Study subjects were 561 (271 boys and 290 girls) from a community sample of high school students. Suicidal Risk Behavior Checklist, Center for Epidemiological Study-Depression (CES-D), Symptom Checklist-90-Revision (SCL-90-R) Anxiety and Aggression subscale, Pittsburg Sleep Quality Index (PSQI) were done. Results: Forty six students (8.1%) reported previous actual self-harm behavior as a suicidal attempt, 181 students (32.4%) reported having suicidal thought only. Three hundred thirty four students (59.5%) reported no previous suicidal behavior (thought and attempt, both). Suicidal behavior group showed higher score on risk behaviors such as school violence, substance use and internet addiction. CES-D, SCL-90-R, PSQI showed significant group difference. Logistic regression analysis showed suicidal risk were significantly associated with depression, stress in suicidal risk factors and sleep latency, daytime dysfunction in PSQI. Analysis of variance (ANOVA) shows the most prolonged sleep latency and increased index of all PSQI components except sleep efficiency in suicidal attempt group. Conclusions: Sleep Problems had a strong association with the suicidal risk behavior in adolescents. Sleep problems, especially, prolonged sleep latency, daytime dysfunction might be important markers for suicidal behavior. Screening for sleep problems in adolescents are encouraged for the parents, school teachers, and related medical physicians.

Gender-wise analysis of the cephalometric factors affecting obstructive sleep apnea (성별에 따른 폐쇄성 수면무호흡 환자의 측모 두부방사선계측학적 관련요인)

  • Hwang, Sang-Hee
    • The korean journal of orthodontics
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    • v.41 no.3
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    • pp.164-173
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    • 2011
  • Objective: The purpose of this study was to perform gender-wise analysis of the related cephalometric factors affecting Korean patients with obstructive sleep apnea (OSA). Methods: We examined 118 adults who had visited the Sleep Disorder Clinic Center in Keimyung university, Daegu, Korea, and evaluated them by using poly-somnography (PSG) and lateral cephalograms. The patients were divided into 4 groups (male simple snorers, male OSA patients, female simple snorers, and female OSA patients) according to AHI (apnea-hypopnea index) and sex. Results: The position of the hyoid bone in the female OSA group was inferior to that in the female simple snorer group. Multiple regression analysis showed that tongue length and soft palate width were significant determinants for the severity of AHI in male OSA patients. However, inferior position of the hyoid was a significant determinant only in women. Conclusions: From a cephalometric point of view, OSA in male and female adult patients may be characterized by different pathogeneses. In particular, in female OSA patients, they might be managed by individualized treatments such as hormone replacement therapy in addition to conventional treatment.

Effect of Physical Properties of Polymer Solution on the Thickness of Ultrathin Membrane Prepared by Water Casting Method (고분자용액의 물성이 수면전개 박막의 두께에 미치는 영향)

  • Nam, Suk-Tae;Han, Myeong-Jin;Choi, Ho-Sang;Park, Young Tae
    • Applied Chemistry for Engineering
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    • v.9 no.2
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    • pp.200-206
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    • 1998
  • The effect of surface tension and viscosity of polymer solution on the thickness of water casting membranes was studied. Spreading of polymer solutions on water surface was governed by the surface tension and viscosity of the polymer solution. The thickness of water casting membrane was affected by these two factors. The properties, mentioned above, were proportional to the polymer concentration. The order of magnitude in surface tension was PVC>PS>CA and that of viscosity was CA>PS>PVC. The difference of surface tension between water and polymer solution acts as driving force for spreading of polymer solution, but the viscosity as resistance. The thickness of polymeric membrane prepared by water casting was PS>CA>PVC. The order of membrane thickness was not as same as that of surface tension. This phenomena were due to the viscosity which acts as more effective spreading resistance than the surface tension.

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