• 제목/요약/키워드: sleep problem

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소아 폐쇄성수면무호흡증후군 (Pediatric Obstructive Sleep Apnea Syndrome)

  • 이승훈;최지호
    • 수면정신생리
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    • 제12권2호
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    • pp.98-104
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    • 2005
  • Approximately 1% to 3% of all children have obstructive sleep apnea syndrome (OSAS). OSAS in children can lead to a variety of symptoms and sequalae; impairment of development and quality of life, behavioral and personality disturbance, learning problem, cor pulmonale and hypertension. Diagnosis and treatment of OASA for children are different from those for adults in many respects. Adenotonsillar hypertrophy is major cause of childhood OSAS. Overnight polysomnography in a sleep laboratory is the gold standard for diagnosing childhood OSAS. However, because full polysomnography in children may be difficult to obtain, expensive, and inconvenient, other methods to diagnose OSAS have been investigated. Adenotonsillectomy is the most common surgical treatment of childhood OSAS. But if residual symptoms remained after adenotonsillectomy, it should be considered to additional treatment such as weight control, sleep positional change, and continuous positive airway pressure (CPAP).

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병원의 교대근무에 따른 수면과 사회생활 평가 : 대전, 충남지역을 대상으로 (An Evaluation of Shift-workers' Sleep and Social Life for the Hospital Workers)

  • 이상설;강창렬;김대호
    • 산업경영시스템학회지
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    • 제30권2호
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    • pp.58-66
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    • 2007
  • This study is evaluation of shift-workers' sleep and social life related to hospital workers' performance and health. We researched shiftworkers' sleep, sleeping quality and social relations using a questionnaire method to shiftworkplace scattered Daejeon and Chungnam province. The results of shiftworkers' sleep are differ from habitual sleep. Social participations of shiftworkerse are interfered partially because of shiftwork. In preference, shiftworker preferred health to others because of physical load of shiftworks. Through result of this study about sleep and social life style, we hope to derive reduction methods of shift work fatigue and education for improvement of employers, for example an physiological and psychological accordance method, an health problem solving method and an social accordance method, etc.

확률적 보상과 유효성을 갖는 Sleeping Bandits의 다수의 전략을 융합하는 기법 (Combining Multiple Strategies for Sleeping Bandits with Stochastic Rewards and Availability)

  • 최상희;장형수
    • 정보과학회 논문지
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    • 제44권1호
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    • pp.63-70
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    • 2017
  • 본 논문에서는 확률적 보상과 유효성을 갖고, 매 시간 유효한 arm들의 집합이 변하는 sleeping bandit 문제를 해결하는 다수의 전략들의 집합 ${\Phi}$가 주어졌을 때, 이들을 융합하는 문제를 고려하고, 이 문제를 해결하기 위한 융합 알고리즘 sleepComb(${\Phi}$)를 제안한다. 제안된 알고리즘인 sleepComb(${\Phi}$)는 확률적(stochastic) multi-armed bandit 문제를 해결하는 매개변수 기반 휴리스틱으로 잘 알려진 ${\epsilon}_t$-greedy의 확률적 스위칭 기법을 바탕으로 매 시간 적절한 전략을 선택하는 알고리즘이다. 시퀀스 {${\epsilon}_t$}와 전략들에 대한 적절한 조건이 주어졌을 때, 알고리즘 sleepComb(${\Phi}$)는 sleeping bandit 문제에 대해 적절히 정의된 "best" 전략으로 수렴한다. 실험을 통해 이 알고리즘이 "best" 전략으로 수렴한다는 사실을 확인하고, 기존의 다른 융합 알고리즘보다 "best" 전략으로 더 빠르게 수렴함과 "best" 전략을 선택하는 비율이 더 높음을 보인다.

종합병원의 경피적 관상동맥조영술 후 환자의 수면의 질과 수면방해요인 (Sleep Quality and Factors affecting Sleep Disturbance among Percutaneous Coronary Angiography Patients in a General Hospital)

  • 신선자;박경연
    • 동서간호학연구지
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    • 제21권1호
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    • pp.69-77
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    • 2015
  • Purpose: The purpose of this study was to investigate the variance of sleep quality and factors affecting sleep disturbance among patients with percutaneous coronary angiography in a general hospital. Methods: The subjects of this study was comprised of 101 patients with percutaneous coronary angiography in a general hospital located in B city. Data were collected by a structured questionnaire from November to December 2013. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The levels of the participants' sleep quality and sleep disturbance were 4.35 and 5.91 in order of each out of the total score, 10. There was no significant difference in the quality of sleep between intensive care unit and internal medicine unit. Factors influencing sleep quality were 'uncomfortable bed, gown and pillow'(${\beta}=-.279$, p=.003), 'living alone'(${\beta}=-.273$, p=.003), and 'toilet problem' (${\beta}=-.222$, p=.016), which explained 21.5% of the variance (F=10.03, p<.001). Conclusion: The results of this study will provide a basis for improving the sleep quality of patients with percutaneous coronary angiography.

간호대학 학생의 수면의 질과 스트레스의 상관관계 (The Relationship between Sleep Quality and Stress among Nursing Students in Korea)

  • 강유진;오석희;홍혜정
    • Journal of Korean Biological Nursing Science
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    • 제20권1호
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    • pp.30-37
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    • 2018
  • Purpose: The purpose of this study was to examine the relationship between sleep quality and stress among nursing students. Methods: A cross-sectional study was conducted with 94 nursing students from a University in Seoul. Participants completed questionnaires and the data were analyzed using t-test, ANOVA, and Pearson correlation coefficients. Results: The mean score of sleep quality was $6.93{\pm}2.66$ among nursing students and 81.9% had a sleep problem. The mean score of stress was $18.61{\pm}4.84$. Sleep quality was significantly different by clinical practice days per week, subjective physical health status, and subjective mental health status. Stress levels were significantly different by subjective physical health status, subjective mental health status, social relationship satisfaction, and satisfaction levels of nursing major and university. A significant relationship between sleep quality and stress (r= .45, p< .001) was found, meaning that a lower quality of sleep was significantly correlated with higher stress level. Conclusion: The results indicated that most nursing students had sleep problems and stress. Therefore, interventions are needed to be developed to lower the level of stress and increase the quality of sleep among nursing students.

우울증 환자에서 외상 사건 경험과 주관적 수면 문제의 특성 (Subjective Sleep Problems of Depressed Patients with Different Types of Life-Time Traumatic Stress Events: An Explorative Study)

  • 김민섭;허휴정;채정호
    • 대한불안의학회지
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    • 제12권1호
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    • pp.21-27
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    • 2016
  • Objective : The aim of this study was to investigate the relationship between subjective sleep problems and various types of traumatic events of patients with depressive disorder. Methods : A total of 411 patients diagnosed with depressive disorders were recruited in this study. The participants filled out Life Time Events Checklist (LEC), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI). We used the independent t-test and analysis of covariance to compare each component of PSQI between depressive patients with and without traumatic experiences. Results : The groups of patients who experienced a serious accident at work, home or during recreational activity, sexual assault, other unwanted or uncomfortable sexual experience, life-threatening illness or injury, and sudden, unexpected death of a near and dear one showed lower scores in a few components of PSQI. Sleep disturbance was a common problem in all five groups. Lower subjective sleep quality and longer sleep latency was observed in three groups. There were no differences in the other components of PSQI among groups. Conclusion : This study showed that various types of traumatic events may have different effects on subjective sleep quality as a consequence of the traumatic event which they had experienced.

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자각몽의 수면의학적 이해와 응용 (Understanding and Application of Lucid Dreams in Sleep Medicine)

  • 신재공
    • 수면정신생리
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    • 제26권2호
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    • pp.75-85
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    • 2019
  • A lucid dream is defined as a dream during which a dreamer is aware that she/he is dreaming. The existence of lucid dream has long been known in the literature, but it hasn't been long before it has received attention in sleep medicine. Although many studies have been conducted since validation of the lucid dream in polysomnography by Steven LaBerge in the 1980s, the neuroscience of lucid dreams is still not fully understood. Here the neuroscientific literature on lucid dreaming, including electroencephalographic, neuroimaging, pharmacological and brain stimulation studies, are reviewed. Also this review gives an overview on how lucid dreams are used in clinical and nonclinical areas, ranging from nightmare therapy to research on consciousness and creative problem solving.

A Study of Simple Sleep Apnea Predictive Device Using SpO2 and Acceleration Sensor

  • Woo, Seong-In;Lee, Merry;Yeom, Hojun
    • International Journal of Internet, Broadcasting and Communication
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    • 제11권4호
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    • pp.71-75
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    • 2019
  • Sleep apnea is a disease that causes various complications, and the polysomnography is expensive and difficult to measure. The purpose of this study is to develop an unrestricted wearable monitoring system so that patients can be examined in a familiar environment. We used a method to detect sleep apnea events and to determine sleep satisfaction by non-constrained method using SpO2 measurement sensor and 3-axis acceleration sensor. Heart rate and SpO2 were measured at the finger using max30100. After acquiring the SpO2 data of the user in real time, the apnea measurement algorithm was used to transmit the number of apnea events of the user to the mobile phone using Bluetooth (HC-06) on the wrist. Using the three-axis acceleration sensor (mpu6050) attached to the upper body, the number of times of tossing and turning during sleep was measured. Based on this data, this algorithm evaluates the patient's tossing and turning during sleep and transmits the data to the mobile phone via Bluetooth. The power source used 9 volts battery to operate Arduino UNO and sensors for portability and stability, and the data received from each sensor can be used to check the various degree between sleep apnea and sleep tossing and turning on the mobile phone. Through thisstudy, we have developed a wearable sleep apnea measurement system that can be easily used at home for the problem of low sleep efficiency of sleep apnea patients.

User Association and Base Station Sleep Management in Dense Heterogeneous Cellular Networks

  • Su, Gongchao;Chen, Bin;Lin, Xiaohui;Wang, Hui;Li, Lemin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제11권4호
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    • pp.2058-2074
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    • 2017
  • Dense Heterogeneous Cellular Networks(HCNs) offer a promising approach to meet the target of 1000x increase in aggregate data rates in 5G wireless communication systems. However how to best utilize the available radio resources at densely deployed small cells remains an open problem as those small cells are typically unplanned. In this paper we focus on balancing loads across macro cells and small cells by offloading users to small cells, as well as dynamically switching off underutilized small cells. We propose a joint user association and base station(BS) sleep mangement(UA-BSM) scheme that proactively offloads users to a fraction of the densely deployed small cells. We propose a heuristic algorithm that iteratively solves the user association problem and puts BSs with low loads into sleep. An interference relation matrix(IRM) is constructed to help us identify the candidate BSs that can be put into sleep. User associations are then aggregated to selected small cells that remain active. Simulation results show that our proposed approach achieves load balancing across macro and small cells and reduces the number of active BSs. Numerical results show user signal to interference ratio(SINR) can be improved by small cell sleep control.

능동형 RFID 시스템에서 태그의 Overhearing을 제거하기 위한 에너지 절약 프로토콜 (An Energy Saving Protocol to Eliminate Overhearing Problem in Active RFID System)

  • 이채석;김동현;김종덕
    • 한국통신학회논문지
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    • 제38C권1호
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    • pp.1-11
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    • 2013
  • 자체 배터리를 기반으로 동작하는 능동형 RFID(Radio Frequency IDentification)시스템에서 태그의 에너지 절약은 매우 중요하다. 표준 프로토콜은 태그의 에너지를 절약하기 위해 태그의 Sleep모드를 이용하여 에너지를 절약한다. Sleep모드로 동작중인 태그들은 리더로부터 특수한 신호를 수신하면 깨어나게 되며, Sleep명령어를 수신하기 전까지 지속적으로 Rx모드를 유지하여 에너지를 낭비한다. Overhearing은 태그를 목적지로 하지 않은 프레임을 수신하여 불필요한 에너지를 소모하는 상태를 말한다. 우리의 분석에 따르면 Overhearing으로 인하여 태그가 소모하는 에너지는 필수적으로 소모하는 에너지보다 수십 배나 많이 발생했다. 우리는 이 문제를 제거하기 위해 효과적인 통신 구간을 미리 태그에게 알려주는 RANO(Reservation Aloha for No Overhearing) 프로토콜을 제안한다. 우리는 실제 구현을 통해, 태그의 수, 데이터의 크기를 바꿈으로써 제안된 프로토콜의 성능을 평가하였다. 실험 결과, 제안한 프로토콜이 표준 프로토콜보다 에너지를 약 22배 절약하였다.