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Cyclic Alternating Pattern : Implications for Insomnia (불면증에서 순환교대파형의 의미)

  • Cyn, Jae-Gong
    • Sleep Medicine and Psychophysiology
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    • v.17 no.2
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    • pp.75-84
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    • 2010
  • The cyclic alternating pattern (CAP) is a periodic EEG activity in NREM sleep, characterized by sequences of transient electrocortical events that are distinct from background EEG activities. A CAP cycle consists of two periodic EEG features, phase A and subsequent phase B whose durations are 2-60 s. At least two consecutive CAP cycles are required to define a CAP sequence. The CAP phase A is a phasic EEG event, such as delta bursts, vertex sharp transients, K-complex sequences, polyphasic bursts, K-alpha, intermittent alpha, and arousals. Phase B is repetitive periods of background EEG activity. The absence of CAP more than 60 seconds or an isolated phase A is classified as non-CAP. Phase A activities can be classified into three subtypes (A1, A2, and A3), based on the amounts of high-voltage slow waves (EEG synchrony) and low-amplitude fast rhythms (EEG desynchrony). CAP rate, the percentage of CAP durations in NREM sleep is considered to be a physiologic marker of the NREM sleep instability. In insomnia, the frequent discrepancy between self-reports and polysomnographic findings could be attributed to subtle abnormalities in the sleep tracing, which are overlooked by the conventional scoring methods. The conventional scoring scheme has superiority in analysis of macrostructure of sleep but shows limited power in finding arousals and transient EEG events that are major component of microstructure of sleep. But, it has recently been found that a significant correlation exists between CAP rate and the subjective estimates of the sleep quality in insomniacs and sleep-improving treatments often reduce the amount of CAP. Thus, the extension of conventional sleep measures with the new CAP variables, which appear to be the more sensitive to sleep disturbance, may improve our knowledge on the diagnosis and management of insomnia.

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Prevalence and Associated Factors of Excessive Daytime Sleepiness in Adults (성인에서의 주간 수면과다증의 유병률 및 관련 요인)

  • Shin Kyung-Rim;Yi Hye-Ryeon;Kim Jin-Young;Shin Chol
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.829-836
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    • 2006
  • Purpose: The purpose of the present study was to identify prevalence of excessive daytime sleepiness(EDS) and its associations with sleep habits, sleep problems, depression, subjective health status and obesity in community dwelling adults. Method: Data was collected from adults aged 20-59 years by random sampling. Subjects completed a questionnaire which was composed of the Epworth Sleepiness Scale, Center for Epidemiologic Studies Depression Scale, and questions that included items about sleep habits, sleep problems, subjective health status and sociodemographic characteristics. Height and weight were measured for calculation of body mass index. The statistical analyses was based on 3,302 adults (51.5% males and 48.5% females). Descriptive statistics, univariate logistic regression and multiple logistic regression were used. Result: The prevalence of EDS was 17.1% Multiple logistic regression showed that the associated factors of EDS were depression, obesity, dissatisfaction with sleep time, irregular sleep, and habitual snoring. Depression was the most significant associated factor(adjusted odds ratio for severe depression=2.27, 95% Confidence Interval=1.73-2.96). Conclusion: EDS is a common symptom in adults. Our finding suggested that persons with a complaint of EDS should be completely assessed for depression and obesity as well as sleep problems.

TASL: A Traffic-Adapted Sleep/Listening MAC Protocol for Wireless Sensor Network

  • Yang, Yuan;Zhen, Fu;Lee, Tae-Seok;Park, Myong-Soon
    • Journal of Information Processing Systems
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    • v.2 no.1
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    • pp.39-43
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    • 2006
  • In this paper, we proposed TASL-MAC, a medium-access control (MAC) protocol for wireless sensor networks. In wireless sensor networks, sensor nodes are usually deployed in a special environment, are assigned with long-term work, and are supported by a limited battery. As such, reducing the energy consumption becomes the primary concern with regard to wireless sensor networks. At the same time, reducing the latency in multi-hop data transmission is also very important. In the existing research, sensor nodes are expected to be switched to the sleep mode in order to reduce energy consumption. However, the existing proposals tended to assign the sensors with a fixed Sleep/Listening schedule, which causes unnecessary idle listening problems and conspicuous transmission latency due to the diversity of the traffic-load in the network. TASL-MAC is designed to dynamically adjust the duty listening time based on traffic load. This protocol enables the node with a proper data transfer rate to satisfy the application's requirements. Meanwhile, it can lead to much greater power efficiency by prolonging the nodes' sleeping time when the traffic. We evaluate our implementation of TASL-MAC in NS-2. The evaluation result indicates that our proposal could explicitly reduce packet delivery latency, and that it could also significantly prolong the lifetime of the entire network when traffic is low.

Dynamically Alternating Power Saving Scheme for IEEE 802.16e Mobile Broadband Wireless Access Systems

  • Chang, Jau-Yang;Lin, Yu-Chen
    • Journal of Communications and Networks
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    • v.14 no.2
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    • pp.179-187
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    • 2012
  • Power saving is one of the most important features that extends the lifetime of portable devices in mobile wireless networks. The IEEE 802.16e mobile broadband wireless access system adopts a power saving mechanism with a binary truncated exponent algorithm for determining sleep intervals. When using this standard power saving scheme, there is often a delay before data packets are received at the mobile subscriber station (MSS). In order to extend the lifetime of a MSS, the battery energy must be used efficiently. This paper presents a dynamically alternating sleep interval scheduling algorithm as a solution to deal with the power consumption problem. We take into account different traffic classes and schedule a proper sequence of power saving classes. The window size of the sleep interval is calculated dynamically according to the packet arrival rate. We make a tradeoff between the power consumption and packet delay. The method achieves the goal of efficiently reducing the listening window size, which leads to increased power saving. The performance of our proposed scheme is compared to that of the standard power saving scheme. Simulation results demonstrate the superior performance of our power saving scheme and its ability to strike the appropriate performance balance between power saving and packet delay for a MSS in an IEEE 802.16e mobile broadband wireless access system.

Real-time Detection of Deep Sleep using Electrodermal Activity (피부전기활동을 이용한 실시간 깊은 수면 검출 알고리즘의 개발)

  • Jung, Da Woon;Choi, Sang Ho;Joo, Kwang Min;Lee, Yu Jin;Jeong, Do-Un;Park, Kwang Suk
    • Journal of Biomedical Engineering Research
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    • v.36 no.5
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    • pp.204-210
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    • 2015
  • Although many studies have analyzed the relationship between electrodermal activity (EDA) and sleep stages, a practical method for detecting sleep stage using EDA has not been suggested. The aim of this study was to develop an algorithm for real-time automatic detection of deep sleep using the EDA signal. Simultaneously with overnight polysomnography (PSG), continuous measurement of skin conductance on the fingers was performed for ten subjects. The morphometric characteristics in the fluctuations of EDA signal were employed to establish the quantitative criteria for determining deep sleep. The 30-sec epoch-by-epoch comparison between the deep sleep detected by our method and that reported from PSG exhibited an average sensitivity of 74.6%, an average specificity of 98.0%, and an average accuracy of 96.1%. This study may address the growing need for a reliable and simple measure for identifying sleep stage without a PSG.

Quinpirole Increases Melatonin-Augmented Pentobarbital Sleep via Cortical ERK, p38 MAPK, and PKC in Mice

  • Hong, Sa-Ik;Kwon, Seung-Hwan;Hwang, Ji-Young;Ma, Shi-Xun;Seo, Jee-Yeon;Ko, Yong-Hyun;Kim, Hyoung-Chun;Lee, Seok-Yong;Jang, Choon-Gon
    • Biomolecules & Therapeutics
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    • v.24 no.2
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    • pp.115-122
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    • 2016
  • Sleep, which is an essential part of human life, is modulated by neurotransmitter systems, including gamma-aminobutyric acid (GABA) and dopamine signaling. However, the mechanisms that initiate and maintain sleep remain obscure. In this study, we investigated the relationship between melatonin (MT) and dopamine D2-like receptor signaling in pentobarbital-induced sleep and the intracellular mechanisms of sleep maintenance in the cerebral cortex. In mice, pentobarbital-induced sleep was augmented by intraperitoneal administration of 30 mg/kg MT. To investigate the relationship between MT and D2-like receptors, we administered quinpirole, a D2-like receptor agonist, to MT- and pentobarbital-treated mice. Quinpirole (1 mg/kg, i.p.) increased the duration of MT-augmented sleep in mice. In addition, locomotor activity analysis showed that neither MT nor quinpirole produced sedative effects when administered alone. In order to understand the mechanisms underlying quinpirole-augmented sleep, we measured protein levels of mitogen-activated protein kinases (MAPKs) and cortical protein kinases related to MT signaling. Treatment with quinpirole or MT activated extracellular-signal-regulated kinase 1 and 2 (ERK1/2), p38 MAPK, and protein kinase C (PKC) in the cerebral cortex, while protein kinase A (PKA) activation was not altered significantly. Taken together, our results show that quinpirole increases the duration of MT-augmented sleep through ERK1/2, p38 MAPK, and PKC signaling. These findings suggest that modulation of D2-like receptors might enhance the effect of MT on sleep.

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
    • Science of Emotion and Sensibility
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    • v.1 no.1
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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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The relation of fatigue, stress with quality of sleep among nursing students (간호대학생들의 피로, 스트레스와 수면의 질 관계)

  • Chung, Eunja;Lee, Yumi
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.311-316
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    • 2020
  • The purpose of this study is to compare fatigue, stress and quality of sleep between good sleep quality and poor sleep quality. Fatigue, stress and quality of sleep were assessed using three questionnaires; fatigue severity scale(FSS), Perceived stress scale(PSS), and Pittsburgh sleep quality index(PSQL). As a result of the study, the higher stress(22.2 vs. 19.0, p=.000) and poorer quality of sleep(11.2 vs. 5.7, p=.000) were observed between good sleep quality and poor sleep quality groups. Our finding show that time of going to bed and stress level influenced quality of sleep.

Relationship Between Sleep Duration and Suicidal Ideation Among Farmers: Safety for Agricultural Injuries of Farmers Cohort Study of Jeju, Korea

  • Oh, Jung-Hwan;Yoo, Jeong Rae;Ko, Seo Young;Kang, Jeong Ho;Lee, Sung Kgun;Jeong, Wooseong;Seong, Gil Myeong;Lee, Hyun Jung;Song, Sung Wook
    • Safety and Health at Work
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    • v.12 no.1
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    • pp.102-107
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    • 2021
  • Background: This study was conducted to identify the association between sleep duration and suicidal ideation among farmers in Korea. Methods: We used Safety for Agricultural Injuries of Farmers cohort data collected from September 2015 to June 2018, which was an agricultural survey on the health and behaviors of adult farmers in Jeju island, Korea. Results: A total of 964 participants were included in the analysis, and 3.7% of them were identified with having suicidal ideation. The frequencies of average daily sleep duration of <6 h (short sleep), 6-8 h (normal sleep), and >8 h (long sleep) were 24.4%, 70%, and 5.6%, respectively. Multivariate analyses revealed that short sleep duration was significantly associated with suicidal ideation compared with normal sleep duration (odds ratio = 2.49, 95% confidence interval = 1.07-5.77). Conclusion: Our findings suggest that short sleep duration in farmers result in higher suicidal ideation. Because individuals who have suicidal ideation often commit suicide, careful monitoring is required to prevent suicide in farmers with short sleep duration.

The Design of a Ultra-Low Power RF Wakeup Sensor for Wireless Sensor Networks

  • Lee, Sang Hoon;Bae, Yong Soo;Choi, Lynn
    • Journal of Communications and Networks
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    • v.18 no.2
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    • pp.201-209
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    • 2016
  • In wireless sensor networks (WSNs) duty cycling has been an imperative choice to reduce idle listening but it introduces sleep delay. Thus, the conventional WSN medium access control protocols are bound by the energy-latency tradeoff. To break through the tradeoff, we propose a radio wave sensor called radio frequency (RF) wakeup sensor that is dedicated to sense the presence of a RF signal. The distinctive feature of our design is that the RF wakeup sensor can provide the same sensitivity but with two orders of magnitude less energy than the underlying RF module. With RF wakeup sensor a sensor node no longer requires duty cycling. Instead, it can maintain a sleep state until its RF wakeup sensor detects a communication signal. According to our analysis, the response time of the RF wakeup sensor is much shorter than the minimum transmission time of a typical communication module. Therefore, we apply duty cycling to the RF wakeup sensor to further reduce the energy consumption without performance degradation. We evaluate the circuital characteristics of our RF wakeup sensor design by using Advanced Design System 2009 simulator. The results show that RF wakeup sensor allows a sensor node to completely turn off their communication module by performing the around-the-clock carrier sensing while it consumes only 0.07% energy of an idle communication module.