• Title/Summary/Keyword: nocturnal

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야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 발달학적 및 임상적 특성을 중심으로 (DEVELOPMENTAL AND CLINICAL CHARACTERISTICS IN CHILDREN WITH NOCTURNAL ENURESIS : RESULTS OF A MULTICENTER STUDY)

  • 조수철;신민섭;황준원;한상원;박관현;이상돈;김경도;김건석;서홍진;이유식;정재용;김영균;김재원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권1호
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    • pp.32-39
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    • 2006
  • 목 적 : 국내의 야뇨증 아동들을 대상으로 발달학적 및 임상적 특성에 대하여 알아보고자 하였다. 방 법 : 318명의 야뇨증 아동의 부모가 임신 및 출산력, 소아 청소년의 발달력 및 의료과거력에 대한 반구조화된 설문지와 아동청소년 행동평가척도(Korean Child Behavior Checklist : 이하 K-CBCL)를 작성하였다. 93명의 정상아동이 대조군으로 선정되었다. 결 과 : 임신 및 출산력을 비롯한 발달력 상 야뇨증 환아들이 정상 아동에 비해 낮소변과 밤소변을 가린 평균월령이 유의하게 늦은 것으로 평가되었다. 환아군에서 야뇨증의 가족력이 있는 경우는 49.2%로 대조군(5.9%)에 비해 높은 것으로 나타났다. 주간에 유뇨 증상이 있는 경우는 환아군에서 41.3%로 대조군(7.5%)에 비해 유의하게 높았다. 수면과 관련된 변인에 있어서도 야뇨증 아동들이 정상 아동에 비해 수면 문제가 더 많은 것으로 평가되었다. 본 연구에서는 야뇨증 아동들의 42.6%가 병원에서 약물 치료를 받은 경험이 있는 것으로 나타났고 67.7%에서는 한방 약물 치료를 경험했다는 결과가 나왔다. 반면 경보기를 사용한 행동치료의 경험은 0.4%로 지극히 낮은 것으로 나타났다. 결 론 : 본 연구에서는 야뇨증 환아들에서 유전적 소인이 높고 발달 지연의 가능성이 있다는 결과가 나왔으며, 이는 신경발달학적 장해로서의 야뇨증을 지지하는 소견으로 볼 수 있겠다. 국내의 치료자들은 경보기를 이용한 행동치료보다는 약물치료를 선호하는 것으로 나타났다.

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경북지역에서 관측된 야간 대기경계층의 특성 (Characteristics of Nocturnal Boundary Layer Observed in Kyungpook Province)

  • 권병혁
    • 한국환경과학회지
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    • 제10권5호
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    • pp.329-336
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    • 2001
  • Characgcteristics of nocturnal boundary layer(NBL) were analyzed by the upper-air observations data using with the airsonde and pilot balloons from 1994 to 1999 in Kyungpook province. The automate weather boundary layer can become stably stratified when the surface is cooler than the air. Stable nocturnal boundary layer height were estimated from the top of surface stable layer where the vertical gradient of temperature and mixing ratio tend to zero or negative. The depth of the stable nocturnal boundary layer depended largely on the thermal effect rather than the wind effect at nighttime. The NBL was more developed on the land than on the coastal region. The stability index (bulk Richardson number) showed that the NBL was stable when the wind was weak and the vertical gradient of the temperature was strong. The heat budget in the NBL was studied by considering the effect of the radiative and the cooled by both the longwave radiative flux and the divergence of the heat flux, while NBL under the cloudy sky the longwave radiative flux played a role of the warming. It was noted that the heat was not conserved in both cases. To complete the heat budget in the NBL the warming/cooling by advection and subsidence must be considered.

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야간발작성근육긴장이상 1예: 전두엽간질 및 사건수면척도, 수면다원검사, 발작기 및 발작간기 감산 SPECT 소견 (A Case of Nocturnal Paroxysmal Dystonia: Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale, Polysomnography and Subtraction of Ictal-interictal SPECT Coregistered with MRI (SISCOM) Findings)

  • 김우준;오연상;윤보라;김영인;이광수;김중석
    • Annals of Clinical Neurophysiology
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    • 제10권1호
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    • pp.52-57
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    • 2008
  • Even though the origin and nature of nocturnal paroxysmal dystonia (NPD) remains unclear, it has been considered as a manifestation of the nocturnal frontal lobe epilepsy. We report a 17-year-old man with abnormal stereotyped movement during sleep. Video-EEG monitoring, ictal SPECT and night polysomnography did not show any evidence of epilepsy. However, the partial response to large dose of carbamazepine and the scoring according to the frontal lobe epilepsy and parasomnias (FLEP) scale suggest his events could be classified as epilepsy. Therefore we think the FLEP scale might be a useful tool for differential diagnosis in a patient presenting NPD.

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Sensitiv ImagoTM 측정에 의한 야뇨증 환아의 검사 결과 보고 (The Measurement Results of Nocturnal Enuresis in Children Using Sensitiv ImagoTM)

  • 최원석;김덕곤;이진용
    • 대한한방소아과학회지
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    • 제28권4호
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    • pp.125-137
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    • 2014
  • Objectives The purpose of this study is to report the nocturnal enuresis in children using Sensitiv $Imago^{TM}$. Methods Twenty nocturnal enuresis children were tested using Sensitiv $Imago^{TM}$. Results 10 cases showed the lowest score at filter $#5^*$ and 7 cases showed the lowest score at filter $6^*$ in {Express Monitoring} of {Review of System Disorders of Homeostasis}. Conclusions Further study with more samples is necessary to establish the accuracy of Sensitiv $Imago^{TM}$.

수면의 공황증 (Sleep and Panic)

  • 김영철
    • 수면정신생리
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    • 제4권1호
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    • pp.49-56
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    • 1997
  • Nocturnal panic involves sudden awakening from sleep in a state of panic characterized by various somatic sensation of sympathetic arousal and intense fear. Many(18-71%) of the spontaneous panic attacks tend to occur from a sleeping state unrelated to the situational and cognitive context. Nocturnal panickers experienced daytime panics and general somatic sensation more frequently than other panickers. Despite frequent distressing symptoms, these patients tend to exhibit little social or occupational impairment and minimal agoraphobia and have a high lifetime incidence of major depression and a good response to tricyclic antidepressants. Sleep panic attacks arise from non-REM sleep, late stage 2 or early stage 3. The pathophysiology and the similarity of nocturnal panic to sleep apnea, dream-induced anxiety attacks, night terrors, sleep paralysis, and temporal lobe epilepsy are discussed.

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야뇨증의 진단과 치료에 대한 최신지견 (Diagnosis and treatment of nocturnal enuresis in children)

  • 홍창희;백민기;이성호;이정원;배기수
    • Clinical and Experimental Pediatrics
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    • 제51권11호
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    • pp.1140-1146
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    • 2008
  • Nocturnal enuresis is a heterogeneous disorder with various underlying pathophysiological mechanisms and causes a mismatch between the nocturnal bladder capacity and the amount of urine produced during sleep at night. It is associated with a simultaneous failure of conscious arousal in response to the sensation of bladder fullness. Generally, a complete history and physical examination, with a specific focus on the genitourinary, gastrointestinal, and neurologic systems, is sufficient to evaluate a patient with enuresis. The therapeutic focus is directed toward a differential approach based on the underlying mechanism and toward combination therapies such as alarm devices and desmopressin as well as anticholinergic agents and desmopressin. Children with increased nocturnal urine production usually have a good response to desmopressin therapy. Patients with a small bladder generally show a poor response to desmopressin treatment, but they would benefit more from combination therapy with enuretic alarm, urotherapy, and antimuscarinic agents in addition to desmopressin. Different types of bladder dysfunction, which result in a small nocturnal bladder capacity, probably contribute significantly to the pathogenesis of nocturnal enuresis, particularly in those with treatment failure and refractory symptoms. Because different clinical subgroups may show different responses to treatment, it is necessary to distinguish these subgroups before a decision on the specific treatment protocol can be made.

플라톤의 <법률> 편에 있어서 '야간회의' ('Nocturnal Council' in Plato's Laws)

  • 김윤동
    • 철학연구
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    • 제131권
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    • pp.33-48
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    • 2014
  • 플라톤의 최후의 저작인 <법률>편은 '야간회의'를 설립하는 것으로 종결된다. 그는 이 회의체가 '나라의 닻'이고, 나라를 이 '신성한 회의체'에 맡겨야 한다고 언급하지만, 단편적인 설명과 표현의 애매성으로 말미암아 연구가들의 상반된 해석을 낳게 한다. 상당수의 학자들에 의하면, 야간 회의와 <법률>의 다른 법적 기구들과의 상호연관성과, 입법 권한의 여부가 불명확하다는 것이다. 따라서 이들은 '야간회의'의 필요성과 중요성을 약화시키는 방향으로 나아간다. 말하자면 차선의 국가를 그려내는 <법률>에서 철학의 요소가 결여되어있기 때문에, 플라톤이 나중에 이의 보완을 위해서 첨가한 장치일 뿐이라는 해석이다. 이에 반해 다른 한 편에서는 '야간회의'야말로 플라톤 정치철학의 정점이며 완성이라는 견해를 내놓는다. 회의체의 구성원들에게 철학적 인식을 강조한 것은 플라톤이 <법률>에서도 결코 이데아를 포기하지 않았다는 증거라는 것이다. 이런 측면에서 <국가>의 '철인왕'과 <법률>의 '야간회의' 사이에 연속성을 발견하게 된다. 그렇다면 전자는 <국가>에서 <법률>에 이르는 플라톤의 정치사상이 연속성을 결여하고 있다는 입장이고, 후자는 연속성을 인정하는 편에 서 있음을 알 수 있다. 결국 인치(人治)가 아니라 법치(法治)를 내세우는 <법률>에서 '야간회의'의 애매한 위상이 논란의 여지를 남길 수밖에 없다.

야뇨(夜尿)의 침구(鍼灸) 치료(治療) 연구(硏究) - 최근 중의 잡지를 증심으로 - (Acupuncture for childhood nocturnal enuresis in Traditional Chinese Medical Journals)

  • 장규태;김장현;오주영
    • 대한한방소아과학회지
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    • 제19권1호
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    • pp.83-102
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    • 2005
  • Objectives : This study aimed to investigate acupuncture trend of childhood nocturnal enuresis in current Traditional Chinese Medical Journals. Methods : During the period from January 2000 to August 2004, we searched all Traditional Chinese Medical Journals in oriental medical library in dongguk university. We selected 28 literatures on acupuncture treatment for nocturnal enuresis in children Results : 28 studies are included and classified by diagnosis criteria and outcome criteria. And reclassified into two large groups, case report and comparison study. Totally 2324 cases, complete cures are 1701, significant improvements 2239, complete cure rate 73.2%, total improvement rate 97.3% 33 acupuncture points are used and main meridians are bladder, conception vessel and governor vessel. Conclusion : There remains a debate about diagnosis and outcome criteria. But Acupuncture is very effective and safe in the treatment of enuretic children.

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도시화에 따른 건조환경이 하절기 광주시 외부공간의 열환경에 미치는 영향에 대한 연구 (The Impacts of Built Environmental Features on the Land Surface Temperatures for the Heat Wave Seasons in Gwangju, South Korea)

  • 홍성운;양동우;오병철
    • 한국태양에너지학회 논문집
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    • 제39권6호
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    • pp.67-82
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    • 2019
  • This study aims to examine the impacts of built environmental features on the nocturnal and diurnal temperatures during the heat wave season in Gwangju, Korea. Built environmental measures are summarized at micro-scale level, such as 50 meters and 100 meters from temperature monitoring spots. Regressing the built environment on nocturnal and diurnal temperatures, we estimate how the artificial constructs contribute to temperature either day and night times. We found that impervious surface ratio is positively and negatively associated with nocturnal and diurnal temperatures, respectively. Buildings and structures tend to construct high thermal mass and absorb heat during day time and emit it for the night time. This property contributes to the nocturnal temperature model. On the other hand, urban areas with more vertical structure tend to block sun radiation more than rural, and it is more likely to find the negative relationship between impervious surface ratio and the diurnal temperatures.

야수(夜嗽)의 문헌적(文獻的) 고찰 (An Literature Study on Nocturnal cough)

  • 손지우;이정욱;이병순;노운섭;이병주;김동민;김영두;신조영;이시형
    • 대한한의정보학회지
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    • 제13권1호
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    • pp.47-54
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    • 2007
  • Cough is not only serves to maintain normal function of respiratory tract, but also many diseases may lead to this symptom. In Korean medicine, Zhudanxi(朱丹溪), was the first to classify cough according to the different stages of time. In this research, I investigated the stage of Nocturnal Cough(夜嗽) through 26 oriental medical books. As a result, deficiency of Yin(陰虛) was the most common causes of Nocturnal Cough and indigestion(食積) is the next. Liuweidihuang-tang(六味地黃湯) prescribed as the treatment for Yin Xu(陰虛) and Xeibaisan-jiawei(瀉白散加味) prescribed as the treatment for indigestion(食積).

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