• Title/Summary/Keyword: 다원성

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Relationship between Depressive Symptoms and Sleep Parameters in Patients with Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡증 환자의 우울증상 정도에 따른 수면 양상)

  • Won, Chang-Yeon;Lee, Seung-Hee;So, Min-Ah;Lee, Jin-Sung;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.14 no.2
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    • pp.92-98
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    • 2007
  • Objectives: Obstructive sleep apnea syndrome (OSAS) is the most common form of sleep-disordered breathing and often presents with comorbid depressive symptoms. In this study, we evaluated the relationship between depressive symptoms and sleep parameters as measured by nocturnal polysomnography (NPSG) and simultaneous wrist actigraphy. Methods: Two hundred sixty-four subjects with clinically suspected cases of OSAS underwent one-night polysomnography, while simultaneously wearing a wrist actigraphy device. They also completed two questionnaires;the Epworth Sleepiness Scale-Korean version (ESS-K) and the Beck Depression Inventory (BDI). Of the cases studied, 105 subjects were proven by NSPG to have OSAS without other sleep disorders. NPSG and wrist actigraphy data from the subjects were analyzed. Pearson correlation and paired t-test were used in order to evaluate the relationship between depressive symptoms and sleep-parameters. Results: Mean age of the subjects was $46.1{\pm}13.1$ years. Means of the ESS-K score and BDI scores were $10.9{\pm}4.7$ and $12.8{\pm}8.1$, respectively. NPSG sleep parameters significantly differed from those of wrist actigraphy. There was no correlation found between subjects' respiratory disturbance index (RDI) and BDI scores. When directly comparing sleep parameters between subjects who were more depressed versus subjects who were less depressed, both total sleep time and sleep efficiency were decreased in the more depressed. A correlation between RDI and ESS-K scores was also found in the more depressed group. Conclusions: Although our findings suggest that there is no relationship between RDI and depressive symptoms, there are other significant differences in the sleep parameters between subjects who are more depressed versus those without depression. We recommend that patients with depression should also be evaluated for clinical symptoms of OSAS.

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Morningness-Eveningness Affects the Depressive Mood and Day Time Sleepiness of Obstructive Sleep Apnea Syndrome Patient (폐쇄성 수면무호흡증 환자에서 일주기 리듬 특성에 따른 주간 졸음과 우울감의 차이)

  • Kim, Seong Ho;Joo, Eun-Jeong;Lee, Kyu Young;Koo, Young Jin;Kim, Eui-Joong
    • Sleep Medicine and Psychophysiology
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    • v.19 no.2
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    • pp.77-83
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    • 2012
  • Objectives: Recent studies have reported a correlation between obstructive sleep apnea syndrome (OSA) and depression. In attempt to verify the suggestion that eveningness is related to depression, we examined the effect of morningness-eveningness on their depressive mood in patinets with OSA. Methods: The examination was based on the medical records and polysomnography reports of 211 OSA patients. Information was gathered from the patients who filled out the H$\ddot{o}$rne and Ostberg questionnaire (HOQ), profile of mood states-Korean version (K-POMS), and Epworth sleepiness scale (ESS). We compared mean values of K-POMS total, subscales of K-POMS, ESS, and OSA severity variables among the 3 morningness-eveningness groups (morningness, eveningness, and neither groups). Partial correlation analysis was performed between variables and ANCOVA was performed among the 3 groups after adjustment with age and weight. Results: There were significant negative correlations between HOQ and the followings : K-POMS total, POMS-T (tension-anxiety), POMS-D (depression-dejection), POMS-A (anger-hostility), POMS-F (fatigue-inertia), POMS-C (confusion-bewilderment), spontaneous arousal index, average O2 saturation. There were significant positive correlations between HOQ and the followings : POMS-V (vigor-activity), apnea-hypopnea index, respiratory arousal index, snore time. There were significant negative correlations between POMS-D and the followings : HOQ, POMS-V, stage 1 sleep (%), AHI, TAI (total arousal index), oxygen desaturation index, respiratory arousal index, neck circumference, average O2 desaturation, snore time (%). There were significant positive correlations between POMS-D and K-POMS total, POMS-T, POMS-A, POMS-F, POMS-C, sleep latency, stage 2 sleep (%), heart rate, spontaneous arousal index. There were significant differences in K-POMS total, POMS-T, POMS-D, POMS-F, POMS-C, spontaneous arousal index among the three HOQ groups in ANCOVA. Conclusion: The depressive correlates of OSA patients might be affected, not by excessive daytime sleepiness or OSA severity indexes, but by eveningness circadian characteristics. It would be important to take into account the morningness-eveningness tendency when we manage the depressive mood of OSA patients.

A Evaluation Method for the Effectiveness of Anti-snore Pillow (코골이 방지 베개의 효율성 검증을 위한 방법)

  • Jee, Duk-Keun;Wei, Ran;Im, Jae-Joong;Kim, Hee-Sun;Kim, Hyun-Jeong
    • Science of Emotion and Sensibility
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    • v.14 no.4
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    • pp.545-554
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    • 2011
  • In this study, the parameters of Polysomnography (PSG) test, such as total sleep time, snoring time, had been analyzed to evaluate the effectiveness of a developed anti-snore pillow. The developed anti-snore pillow is made up of two polyvinylidene fluoride (PVDF) vibration sensors, pumps, valves, and air bladders. The two PVDF sensors inside the pillow can acquire the sound signals and the algorithm was perfectly designed to extract snoring by removing unwanted noise accurately and automatically. Once the pillow recognizes snore, a pump inside the hardware activates, and a bladder under the neck area inside the pillow will be inflated. The PSG test was used and two volunteers were participated for the study. The parameters of the PSG results were analyzed to evaluate the effectiveness of the anti-snore pillow. The total sleep time of each volunteer was similar on each phase of test, but the snoring time and the longest snoring episode were significantly decreased with the use of anti-snore pillow. The overall results showed excellent possibilities for reducing snoring for the person who snores during sleep by using the anti-snore pillow. The effectiveness of the anti-snore pillow can be evaluated by the PSG test. Moreover, the relationship between each parameter of PSG test and the quality of sleep will be used for further researches.

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Case of Treatment Using Adaptive Servo-Ventilation in a Patient with Central Sleep Apnea after a Lateral Medullary Infarction (외측 연수 경색에 의해 발생한 중추성 수면 무호흡 환자의 자동-적응형 양압기를 사용하여 치료한 경험)

  • Kim, Dae Jin;Cho, Jae Wook;Kim, Hyun Woo;Choi, Jeong Su;Mun, Sue Jean
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.3
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    • pp.278-283
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    • 2020
  • Central sleep apnea (CSA) is characterized by respiratory failure of at least 10 seconds without any effort of the chest and abdomen in the absence of upper airway resistance during sleep. In this case, the patient experiences respiratory failure that does not meet the CSA diagnostic criteria and CSA symptoms. Magnetic resonance imaging diffusion-weighted imaging (MRI DWI) scans revealed a lateral medullary infarction. Continuous positive airway pressure (CPAP) was applied as a primary treatment for CSA and respiratory failure. During the titration of CPAP, the apnea-hypopnea index (AHI) and arousal index (AI) were worse than the results before its use (AHI: 42.5/hr→82.8/hr, AI: 21.7/hr→40.8h). As a result, adaptive servo-ventilation (ASV) was chosen as the secondary treatment. Compared to the night-polysomnography results before the ASV treatment, the AHI improved (42.5/hr→8.6/hr). Therefore, ASV is a potential treatment for CSA and respiratory failure in these patients.

A study on the Expressive Trends of Materials according to the Paradigmatic Variation (패러다임 변화에 의한 재료의 표현경향에 관한 연구)

  • 김은주;류호창
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2003.05a
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    • pp.196-199
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    • 2003
  • In a modern society, as the architectural materials have become main subject of the interior design expression, their influence on architecture is becoming substantial. There are multiple ways of using architectural materials. The aesthetic value is greatly enhanced by the fact that the architectural materials can be used to create unrestricted and new expression. The modern time is uncertain and rapidly changing. In this era of chaos and diversity, the materialism is being superseded by idealism. Speedy exchange of information among the countries with development of new technology and materials increases the possibility of new expressions. Each new material that adds new value influences on the other art as well as the architecture. These characteristics of new expressions could be viewed as having close relationship with current idealism. Therefore, the study on the expressive trend of architectural materials will provide better understanding and translation on expression of interior design. At this point, this study has a purpose in not only understanding architectural materials but also researching for the characteristics of expression on interior design with consideration of paradigmatic variation in modern times.

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A Study on Collage as a Means of Generating Creativity in Fashion Design (패션디자인 발상을 위한 꼴라쥬 활용 연구)

  • 이민선
    • The Research Journal of the Costume Culture
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    • v.11 no.5
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    • pp.683-696
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    • 2003
  • In the post-modern society, creativity is redefined as a capability which collects a wide range of information and recombines them in diverse manners. With a such trend, the characteristics of collage - a method of making a creative image by combining pieces which have no relevance - is becoming prevalent in the post-modern culture. The purpose of this research is to develop a model which generates ideas in fashion design by use of collage techniques. With regard to research methodology, a literature survey was undertaken to find out and understand characteristics of collage. Analytic and positive studies were also done on the styles of fashion design of the 2003 SS collections to which collage techniques applied. In order to generate ideas in fashion design, the following mechanism using collage techniques can be used. Above all, pluralism is realized by collecting incoherent elements. Secondly, deconstruction is made by changing scales and configuration. Lastly, relativity is attained by using parts of ready-made goods and respecting their independency.

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Comparison of 3-Level Interleaved Bi-directional Buck-Boost Converters for High Voltage High Power Applications (고전압 대전력 응용을 위한 3레벨 인터리브드 양방향 벅-부스트 컨버터의 비교)

  • Sung, Min-Jae;Moon, Dong-Ok
    • Proceedings of the KIPE Conference
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    • 2020.08a
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    • pp.263-264
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    • 2020
  • 고전압 응용에서 효율을 높이기 위해서는 소프트 스위칭 또는 스위칭 손실이 작은 소자를 사용해야 한다. 스위치는 일반적으로 전압이 높아 질수록 특성이 안 좋아 지는 경향이 있어서, 3레벨 형태로 스위치의 전압 정격을 낮추면 특성이 좋은 스위치를 사용 할 수 있다. 대용량 응용으로 확장 시, 모듈화 및 인터리빙 기법은 전류 정격을 낮춰 시스템의 경제성 및 유지 보수성이 증가하는 장점이 있다. 본 논문에서는 3레벨 인터리브드 양방향 벅-부스트 컨버터의 구조 분석을 통해 고전압, 대용량 응용에 적합한 최적 구조를 제안한다.

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농업보조금 논란과 한국의 농정 방향

  • Yang, Seung-Yong
    • Life and Agrochemicals
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    • s.246
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    • pp.20-23
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    • 2009
  • 지금 한국 농업이 당면한 가장 힘든 장애물은 농업에 대한 올바른 이해와 인식의 부재다. 농업정책과 농업보조는 선심성의 시혜가 아니다. 농업이 생산하는 다원적 기능에 대한 정당한 보상이며, 경제적 불안정과 사회적 갈등에 대한 안전망을 제공하는 국가존립의 기반이다. 그런 인식하에서 접근되어야 한다.

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Investigation of 'First-Night Effect' in Normal Young Adult Male Subjects on Polysomnography (젊은 정상인 남자에서 수면다원기록상의 '첫날밤 효과' 분석)

  • Kim, Eui-Joong;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.5 no.1
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    • pp.111-117
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    • 1998
  • Objectives : 'First-night effect' has been a well-known concept since 1960's. It is important because it is one of the major factors to be considered in assessing the reliability of polysomnographic data. However, 'reverse first-night effect' has also been described, resulting in the inconsistency of conceptualization. We attempted to investigate on the first-night effect in adults by having each of them take two nights of polysomnography in a controlled environment. Young healthy adult volunteers were chosen as subjects in order to rule out age- or health-related confounders. Methods : Polysomnography was performed on eight male medical students (mean $age=23.5\;{\pm}\;0.9$) for two nights with Grass model 78 polysomnograph. We scored manually under the standard protocol each epoch of the sleep records. Sleep variables were obtained and compared between the two nights. Results : Sleep period time(SPT) and total sleep time(TST) of the third fraction of night were significantly longer on the first night than on the second night (p<0.05). However, other sleep variables such as percentage of each sleep stage, sleep latency, REM sleep latency, number of waking, and sleep efficiency were not different between the two nights. Conclusion : We could not confirm the existence of first-night effect in this study. In healthy young male adults, it may not happen at all or may happen to a very negligible degree. Young healthy adults may have more adaptability to a new sleep environment. Also, the provision of a reasonably comfortable sleep environment could have helped them with abolition of first-night effect.

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