• Sleep Medicine and Psychophysiology
• /
• v.11 no.2
• /
• pp.106-109
• /
• 2004

Adenotonsillar hypertrophy is the leading cause of childhood obstructive sleep apnea. Obstructive sleep apnea syndrome in childhood, however, can occur from various causes such as obesity or craniofacial abnormalities. Childhood obstructive sleep apnea syndrome can be accompanied by enuresis, parasomnias and behavior problems. For patients with the symptoms of snoring and apnea, obstructive sleep apnea should be suspected and diagnosed properly. In addition, the evaluation of complications and proper treatment are indispensable. When the cause of childhood obstructive sleep apnea is adenotonsillar hypertrophy, symptoms can be improved by surgical methods. If the cause is other than adenotonsillar hypertrophy, such as obesity, it should be treated with other therapeutic modalities, like nasal continuous positive airway pressure (nCPAP), weight reduction and modification of life style. This paper reports a case of nCPAP used to manage severe sleep apnea when it was not resolved after adenoidectomy and tonsillectomy. Differential diagnosis of narcolepsy in a case with excessive daytime sleepiness and reflections on accompanying enuresis and parasomnia were also described.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.22 no.4
• /
• pp.918-929
• /
• 2008

This study investigated the effects of inverted position on EEG and heart rate variability before and after Bang song gong. BSG is a training method using in qi-gong and meditation to give a convergence of consciousness on body segments in order and take a silent speech of 'song'. The subjects were the 14 university students(n=7 per group) who had not experienced any medical problem and had not practiced BSG. They took a practice of the two way of BSG training program for 30 minutes every other day for two weeks. During practicing BSG, A group took sitting position and lean sitting position by turns, B group took inverted and lean sitting position in the same way. Statistical analysis conducted by two-way ANOVA($2groups^{\ast}2periods$) with p<0.05 for average difference of EEG and HR according to position change in each group before and after BSG. In A group, EEG and HR were changeless irrespective of the change of position and BSG. On the other hand, in B group, significant changes were observed in EEG(p<0.05). ${\alpha}$ wave of inverted position were on the increase, ${\beta}$ and ${\delta}$ wave of inverted position showed smaller power after two weeks training. In the variation of HR, there were smaller variation according to the position change after BSG compared to before BSG(p<0.05). The results suggested that an inverted position may make the depth of meditation deeper, and is likely to be effective for decreasing tension of brain and the sleepiness during qi-gong training. In addition to, an inverted position seemed to promote control of blood pressure of brain. So the application of an inverted position to 'BSG' will be very helpful to achieve deeper relaxation and to obtain the desired effect from qi-gong training.

• Korean Journal of Cognitive Science
• /
• v.18 no.1
• /
• pp.57-68
• /
• 2007

This study explores children's categories of emotion understanding from facial expressions onto two dimensional structure of emotion. Children of 89 from 3 to 5 years old were required to those facial expressions related the fourteen emotion terms. Facial expressions applied for experiment are used the photographs rated the degree of expression in each of the two dimensions (pleasure-displeasure dimension and arousal-sleep dimension) on a nine-point scale from 54 university students. The experimental results showed that children indicated the greater stability in arousal dimension than stability in pleasure-displeasure dimension. Emotions about sadness, sleepiness, anger and surprise onto two dimensions was understand very well, but emotions about fear, boredom were showed instability in pleasure-displeasure dimension. Specifically, 3 years old children indicated highly the perception in a degree of arousal-sleep than perception of pleasure-displeasure.

• Journal of environmental and Sanitary engineering
• /
• v.22 no.2
• /
• pp.1-8
• /
• 2007

This research is based on self-filling survey which 656 dental hygienists who work in, seoul, the metropolitan area, jeon-buk area participated on July 2006 through August 2006. This survey was analyzed the relationship between the subjective symptoms(6 types) and outdoor air quality($O_3,\;NO_2,\;CO,\;SO_2,\;PM_{10}$) As follows analyzed results. The health condition of dental hygienists were "Feel Good" more than 50% in last month. The experience the symptoms level is higher then non-experience level in "Dry eye, itch, smarting", "Headaches", "Fatigue and sleepiness", "Red eye", "Hypersensitivity", "Dorsalgia, omarthralgia, cervicodynia". We anticipated that the more experience the subjective symptom the more likely it is that outdoor air quality will be high rate level. But we could not find the uniformity in metropolitan-area and seoul-area. In the case of jeonbuk area, the group's pollution density levels which experienced the subjective symptom were appeared high rate than inexperienced group except $SO_2$. It probably comes from sensibility for an air pollution in this area. Dental hygienists who work in jeonbuk area have an unusual sensibility for an air pollution because outdoor air quality of jeonbuk area was rule good rather than others area. especially $SO_2$ was revealed out even though low rate level in inexperienced group it is that the number of cars in jeonbuk area is increasing rapidly.

• Korean Journal of Cognitive Science
• /
• v.21 no.1
• /
• pp.127-143
• /
• 2010

This study explores children's sex differences of emotion discrimination from facial expressions based on two dimensional model of emotion. The study group consisted of 92 children, of 40, 52, and 64 months of age, and the rate of male and female children was male children (50%) and female children (50%). Children of 92 were required to choose facial expressions related the twelve emotion terms. Facial expressions applied for experiment are used the photographs rated the degree of expression in each of the two dimensions (pleasure-displeasure dimension and arousal-sleep dimension) on a nine-point scale from 54 university students. The experimental findings appeared that the sex differences were distinctly the arousal-sleep dimension than the pleasure-displeasure dimension. In the arousal-sleep dimensionoussleepness, anger, comfort, and loneliness' emotions showed large sex differences over 1 value. Especially, while male children showed high arousal more than female children in the emotions like 'sleepiness, anger and loneliness', female children showed high arousal more than male children in 'comfort' emotion.

• Journal of Oral Medicine and Pain
• /
• v.22 no.2
• /
• pp.383-394
• /
• 1997

The purpose of this study was to examine the anatomic changes in the upper airway with a dental orthosis. the effectiveness and side effects of orthosis in the treatment of snoring and obstructive sleep apnea. To meet this puppose a dental orthosis, designed to increase the size of the upper airway by advancing the mandible, was used in 42 patients (30 M, 12 F), aged 29 - 69 years, to treat snoring and varying decrees of obstructive sleep apnea. Cephalometric study of anatomic featured was made with and without a dental orthosis, and the evaluation of the effectiveness and side effects of orthosis was done by questionnaires. The obtained results were as follows : 1. All subjects were habitual snorers and 32 patients comp1ained the loudness of snoring as severe as be heard outside of the patient's room. 2. According to the degree of respiratory distirbance index(RDI) and aprea index(Al) from the polysomnograph in 34 patient, mild obstructive sleep apnea patients were 5, moderate 6 and severe 16. 3. Various anatomic changes in the upper airway with denta1 orthosis were as follows : (1) More superioly positioned hyoid bone ( p<0.001) (2) Enlarged oropharyngeal (superior p<0.01, middle p<0.01. inferior p<0.01) and hypopharyngeal (P<0.05) airway space. 4. According to the results of the changes of clinical syptoms after the usage of the dental orthosis acquired from questionnaires, there was significant improvement in the frequently, the loudness and the severity of snoring, cessation of breathing and awakening from the difficulty of breathing during sleep. 5. The effectiveness and side effects of dental orthosis by questionnaires were as follows ; (1) Dental orthosis satisfied almost all the patients (68±20%). (2) Snoring was improved in all the patients (73±19%). (3) Obstructive sleep aphea was improved in all the patients (61 ± 37%) (4) Sleepiness in the daytime was significantly improved (61 ±37%). (5) The sleep quality was significantly improved (61±37%). (6) The discomfort of the dental orthosis was minor (33±18%) and no serious complications were observed. 6. The dental orthosis is an effective treatment for the symptom of snoring, and it can also effectively treat varying degrees of obstructive sleep apnea.

• Journal of Oral Medicine and Pain
• /
• v.41 no.4
• /
• pp.180-187
• /
• 2016

Purpose: The aims of this study were to evaluate the differences of clinical and polysomnographic features between rapid eye movement (REM)-related obstructive sleep apnea (OSA) and not-REM-related OSA, and to suggest the pathogenesis according to the REM dependency of OSA. Methods: One hundred ninety consecutive patients diagnosed with OSA were evaluated clinical features and performed full night polysomnography. The patients were divided into REM-related (REM apnea-hypopnea index [AHI] at least two times higher than their non-REM AHI) and not-REM-related (a REM AHI less than two times higher than their non-REM AHI) OSA groups and evaluated the differences in age, body mass index (BMI), neck circumference, Ep-worth Sleepiness Scale score, and parameters of polysomnography. Results: REM-related patients were younger and showed higher sleep efficacy, low percentage of light sleep stage (stage 1 sleep), and low rate of positional OSA. Age was significantly associated with REM dependency of OSA and REM AHI were significant correlated with BMI, neck circumference, percentage of sleep in supine position, and percentage time of snoring. Conclusions: Our results showed that REM-related OSA patients showed less severe polysomnographic parameters than not-REM-related patients. However, significant risk factors were differed depending on the REM dependency and OSA severity, and the clinical features correlated with REM AHI and non-REM AHI were also showed differently. We suggest that the occurrence of OSA according to the REM dependency can be based on different mechanisms.

• Clinical and Experimental Pediatrics
• /
• v.53 no.10
• /
• pp.863-871
• /
• 2010

The prevalence of pediatric obstructive sleep apnea syndrome (OSAS) is approximately 3% in children. Adenotonsillar hypertrophy is the most common cause of OSAS in children, and obesity, hypotonic neuromuscular diseases, and craniofacial anomalies are other major risk factors. Snoring is the most common presenting complaint in children with OSAS, but the clinical presentation varies according to age. Agitated sleep with frequent postural changes, excessive sweating, or abnormal sleep positions such as hyperextension of neck or abnormal prone position may suggest a sleep-disordered breathing. Night terror, sleepwalking, and enuresis are frequently associated, during slow-wave sleep, with sleep-disordered breathing. Excessive daytime sleepiness becomes apparent in older children, whereas hyperactivity or inattention is usually predominant in younger children. Morning headache and poor appetite may also be present. As the cortical arousal threshold is higher in children, arousals are not easily developed and their sleep architectures are usually more conserved than those of adults. Untreated OSAS in children may result in various problems such as cognitive deficits, attention deficit/hyperactivity disorder, poor academic achievement, and emotional instability. Mild pulmonary hypertension is not uncommon. Rarely, cardiovascular complications such as cor pulmonale, heart failure, and systemic hypertension may develop in untreated cases. Failure to thrive and delayed development are serious problems in younger children with OSAS. Diagnosis of pediatric OSAS should be based on snoring, relevant history of sleep disruption, findings of any narrow or collapsible portions of upper airway, and confirmed by polysomnography. Early diagnosis of pediatric OSAS is critical to prevent complications with appropriate interventions.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.19 no.3
• /
• pp.156-161
• /
• 2008

Objectives: The purpose of this study was to investigate the prevalence of sleep problems in Korean elementary school children and the differences in sleep problems elated to their school grade and gender. Methods : One public elementary school in Dae-gu, Korea as randomly selected. And, parents who agreed to participate this study were asked to complete a modified version of Tucson Children's Assessment of Sleep Apnea screening questionnaire (TuCASA). Results: The most common sleep problem was 'falling asleep in vehicle (44.2%)' and the prevalence rate of this problem differed by school grade. The prevalence rate of falling asleep while watching TV before 8 P.M. (8.0%), daytime fatigue (21.9%) and nocturnal enuresis during the past 6 months (5.3%) were significantly differed by school grade. The prevalence rate of falling asleep while doing home work, falling sleep during a lesson, snoring and bruxism were 12.6%, 1.0%, 26.7% and 13.2% respectively. Although these rates did not show any differences between grades, snoring as more in boys and daytime fatigue was more in girls. Conclusion: This study demonstrates that many elementary school children may have various sleep problems. Lower grade elementary schoolers had sleep problems which related to euro-developmental factors, whereas higher grade elementary schoolers had sleep problems related to sleep deprivation and stress. Finally, more female schooler showed signs of fatigue or sleepiness than male schoolers.

• The Transactions of The Korean Institute of Electrical Engineers
• /
• v.61 no.6
• /
• pp.891-898
• /
• 2012

The study for the passenger's comfortableness of vehicles and the arousal of car drivers has been done widely. On the other hand, there are few studies for the locomotive engineers. Human error means that the mistakes made by human, recently it receives attention in the field of safety engineering and human engineering. Comparing the operating condition of train with car, because of the simplification of the visual stimulus, the arousal level on the train goes down easily. The arousal level down makes judgement down, the accident risk from human error is getting bigger. In this study, we measured bio-signals(ECG, EDA, PPG, respiration and EEG) from 6 locomotive engineers to evaluate their arousal state while they operated the train. Also we recorded the 3 axes acceleration signal showing the vibration state of train. Also, the existence of tunnels were simultaneously measured. At the station section where the train speed goes down, the size of vector's sum decreases because of reduced vibration. Beta component in EEG tends to increase at the entering point of each station and tunnel. It is due to the arousal reaction and tension growth. The mean SCR(skin conductance response) was more increased in neutral section. As the button control movement (body movement) increases in the neutral section, it is appeared that SCR increase. RR interval tends to gradually increase during train operation for 1 hour 40 minutes. However, It tends to sharply decrease at the stop station because strong concentration needed to stop train on the exact point. The engineer's arousal reaction can be checked through analysing the bio-signal change during train operation. Therefore, if this analysing result is adopted to the sleepiness prevention caution system, it will be useful for the safety train operation.