• Sleep Medicine and Psychophysiology
• /
• v.12 no.1
• /
• pp.58-63
• /
• 2005

Objectives: REM sleep behavior disorder (RBD), characterized by excessive motor activity during REM sleep, is associated with loss of muscle atonia. In recent years, it has been reported that RBD has high co-morbidity with CNS disorders (especially, Parkinson's disease, dementia, multiple system atrophy, etc.). We aimed to assess differences in clinical and polysomnographic findings among RBD patients, depending on the presence or absence of central nervous system (CNS) disorders. Methods: The medical records and polysomnographic data of 81 patients who had been diagnosed as having RBD were reviewed. The patients were classified into two groups: associated RBD (aRBD, i.e., with a clinical history and/or brain MRI evidence of CNS disorder) and idiopathic RBD (iRBD, i.e., without a clinical history and/or brain MRI evidence of CNS disorder) groups. Twenty-one patients (25.9%) belonged to the aRBD group and 60 patients (74.1%) belonged to the iRBD group. The clinical characteristics and polysomnographic findings of the two groups were compared. Results: Periodic limb movement disorder (PLMD), i.e., PLMI (periodic limb movement index)>5, was observed more frequently in the aRBD group than in the iRBD group (p<0.001, Fisher's exact test). Also, obstructive sleep apnea syndrome (OSAS), i.e., RDI (respiratory disturbance index)>5, was found more frequently in the aRBD group (p=0.0042, Fisher's exact test). The percentages for slow wave sleep and sleep efficiency were significantly lower in the aRBD group than in the iRBD group. Conclusion: We found that 1 out of 4 RBD patients had associated CNS disorders, warranting more careful neurological evaluation and follow-up in this category of RBD. In this category of RBD patients, we also found more frequent PLMD and OSAS. These patients were also found to have lower slow wave sleep and sleep efficiency. In summary, RBD patients with associated CNS disorders suffer from more disturbed sleep than those without them.

• The Korean Journal of Emergency Medical Services
• /
• v.22 no.3
• /
• pp.149-162
• /
• 2018

Purpose: The purpose of the study was to investigate the differences in quality of sleep, job stress, fatigue, job satisfaction, and posttraumatic stress disorder (PTSD) according to the type of work in fire-fighting officers. Methods: This study used an online questionnaire. The participants were 322 fire-fighting officers. The data were collected from May 2 to 20, 2018. Data were analyzed using SPSS 22.0. Results: According to the work styles of fire fighting officers, job stress, job satisfaction, and PTSD showed significant differences. However, There were no differences in sleep quality and fatigue. There were significant differences in job stress, job satisfaction, and PTSD in those in roles of fire suppression and rescue emergency medical technicians and this result suggests a way to improve the quality of sleep, job stress, job satisfaction and fatigue for fire-fighting officers who suffer from PTSD. Conclusion: Based on the results of this study, mental health of fire-fighting officers will be improved through basic data for psychotherapy which can overcome the quality of sleep, job stress, fatigue, job satisfaction and PTSD according to the work style of fire-fighting officers.

• Sleep Medicine and Psychophysiology
• /
• v.15 no.1
• /
• pp.25-32
• /
• 2008

Objectives: A few studies have compared REM sleep-dependent obstructive sleep apnea syndrome (REM-OSA) with sleep stage non-dependent apnea syndrome (SND-OSA). Despite that REM-OSA might be more common in women than men, no studies have examined the probable characteristics of women patients with obstructive sleep apnea syndrome (OSAS). This study aimed at finding out the characteristics of REM-OSA in women by comparing it with SND-OSA. Methods: Fifty-three subjects diagnosed as OSAS (AHI>5 ; AHI : apnea-hypopnea index) with nocturnal polysomnography at the Center for Sleep and Chronobiology of the Seoul National University Hospital between October 2004 and February 2006 were studied. Of them, 44 subjects with OSAS severity of mild (52 and AHI-NR<15 (AHI-R : AHI during REM sleep, AHI-NR : AHI during non-REM sleep). We compared REM-OSA group with SND-OSA as well as the criteria-determined REM-OSA cases with the visually-determined ones. Results: Among 44 subjects, 28 persons (63.6%) turned out to have REM-OSA by our criteria and 24 persons (54.5%) by visual determination. Statistically significant differences (p<0.05) were found between REM-OSA and SND-OSA groups in AHI, hypopnea index, total sleep time, total wake time, sleep efficiency index, percents of stage 1, 2 and REM sleep, and REM latency. Percent of stage REM sleep (%REM) turned out to have influence on AHI ratio (AHI-R/AHI-NR) (B=0.537, p=0.002). REM-OSA was likely to be diagnosed in milder severity of OSAS (${\chi}^2=13.117$, p<0.001) and those with higher %REM (${\chi}^2=11.325$, p=0.001). There was no significant difference between the criteria-determined and the visually-determined cases of REM-OSA. Conclusion: We suggest that REM-OSA and SND-OSA patients be differentiated in terms of pathophysiology and treatment strategies. Visual determination of REM-OSA might be useful as the screening procedure of REM-OSA. Further studies on women with OSAS and REM-OSA need to be done.

• Sleep Medicine and Psychophysiology
• /
• v.15 no.2
• /
• pp.77-81
• /
• 2008

Introduction: REM sleep which shows characteristic muscle atonia and increased resistance of upper respiratory track is known to be vulnerable to sleep apnea. Previous studies reported that REM sleep-dependent (or related) obstructive sleep apnea syndrome (REM-dependent OSA) could be one of sleep disordered breathing. The present study aimed to investigate clinical findings and polysomnographic variables of REM-dependent OSA. Methods: Fifty-six patients diagnosed with mild to moderate obstructive sleep apnea by overnight polysomnography (5$53.7{\pm}16.7$ years, 42 males). REM-dependent OSA was defined as AHI-REM/AHI-NREM ratio>2. We compared clinical and polysomnographic findings between REM-dependent OSA and No REM-dependent OSA patients. Results: Among 56 patients, 37.5% (n=21, average age of $52.3{\pm}19.7$ years, 14 males) met the REM-dependent OSA criteria. There were no significant differences in age, sex and body mass index between two groups. After controlling for age, sex, body mass index and periodic leg movements index, REM-dependent OSA patients showed significantly lower AHI, lower number of oxygen desaturation events and higher stage 2 sleep proportion compared to No REM-dependent OSA patients (p=0.010, p=0.006, p=0.031, respectively). After controlling for age, sex, body mass index and periodic legs movements index, AHI-REM was positively correlated with the number of oxygen desaturation events in REM-dependent OSA group (p=0.002). Conclusion: Current results suggested that 37.5% of patients with mild to moderate severity of obstructive sleep apnea could be classified into REM-dependent OSA. REM-dependent OSA was more common in mild severity of OSA, equally prevalent in both sexes and accompanied with sleep architecture changes, i.e. increased proportion of stage 2. In addition, apneic events during REM sleep in REM-dependent OSA were related to oxygen desaturation.

• Sleep Medicine and Psychophysiology
• /
• v.19 no.1
• /
• pp.22-26
• /
• 2012

Objectives: The percentage of positional sleep apnea in obstructive sleep apnea (OSA) varies in different reports from 9% to 60%. If there is a positional dependency in patients with OSA, positional therapy alone could be successful in treating about 50% of all OSA cases. The aim of this report is to compare anthropomorphic and polysomnographic data between the positional sleep apnea group and non-positional sleep apnea group with OSA whose conditions were diagnosed in our sleep clinic. Methods: This is a retrospective study of anthropomorphic and polysomnographic data of patients with OSA who was performed a nocturnal polysomnography. Positional sleep apnea was defined as having a supine apnea-hypopnea index (AHI) of twice or more compared to the AHI in the non-supine position. The patients were divided in the positional sleep apnea group and the non-positional sleep apnea group. Results: In 101 patients with OSA, 81 were male, and the mean age was $49.2{\pm}11.9$ years. Seventy-six (75.2%) were diagnosed as the positional sleep apnea. Waist to hip ratio and body mass index (BMI) were significantly higher in non-positional sleep apnea group. The frequency of severe OSA was significantly higher in this group. In the positional sleep apnea group, nocturnal sleep quality was better preserved, and consequently these patients were less sleepy during daytime. AHI was significantly lower and minimal arterial oxygen saturation during sleep was significantly higher in this group. Conclusion: The percentage of positional sleep apnea in OSA was 75.2%. AHI, BMI, and waist to hip ratio were lower in the positional sleep apnea group. These patients have less severe breathing abnormalities than the non-positional sleep apnea group in polysomnography.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2021.06a
• /
• pp.54-54
• /
• 2021

최근 홍수파 또는 댐 및 보 등의 하천 구조물과, 본류와 지류의 합류로 인해 발생하는 배수영향 등으로 하천에 고리형 수위-유량관계의 이력현상이 발생하여, 수위-유량관계식으 신뢰도가 저하된다고 판단하여, 대하천 본류와 합류부 인근 지류에 초음파기반유속계(ADCP)의 측정결과를 지표로 활용하는 자동유량관측소가 현재 58개소가 구축되어 운용되고 있다. 그러나, 4대강 사업으로 다기능보의 설치 등으로 인해 하천의 수리학적 특성이 변동되었고, 지류에서 주로 운용하는 수위-유량관계 기반 유량관측소에 수문사상으로 인해 발생한 홍수파 또는 배수영향으로 인한 하천에 수위-유량관계의 이력현상이 발생할 경우, 지류 수위관측소를 자동유량관측소로 대체할 필요성이 제기되고 있다. 기존의 자동유량관측소의 경우 홍수량이 기준이하로 발생할 경우 수위-유량 관계식으로 대체하는 경우도 있지만, 적용기준이 명확하지 않다. 또한, 하천의 수위-유량관계의 이력현상이 발생했을 경우 수위-수면경사의 이력현상도 같이 발생하게 된다. 수면경사의 경우 기존 수위관측소로부터 수위 측정결과로부터 산정할 수 있기에, 수면경사로부터 하천의 이력현상 현저성을 산정할 경우 자동유량 장치를 활용하지 않고 이력현상 현저성 진단을 할 수있다. 따라서, 본 연구에서는 신규 자동유량장치 설치, 기존 수위관측소의 자동유량관측소대체, 자동유량관측소에서 수위-유량관계의 활용 기준 마련 등을 명확하게 판단하기 위해 상류에 위치한 수위관측소의 수위 측정으로부터 하천의 수면경사를 산정하고 수면경사를 활용하여 수위-유량관계 이력현상의 패턴을 분석하여 현저성을 진단하는 기법을 개발하고자 한다. 이를 위해, 다기능보 설치 및 지류-본류로 인한 지류하천의 배수영향과 홍수파에 의해 발생한 수위-유량관계의 이력현상를 다양한 수문사상에 대하여 분석 하였다. 분석방법으로는 대상유역으로 수위-유량관계의 이력현상이 발생하는 영산강유역에 위치한 남평교, 나주대교 두 지점을 선정하고 자동유량관측소 상류에 위치한 기존 수위관측소의 수위 측정값으로부터 하천의 수면경사를 산정하고 수위-유량관계와 수위-수면경사관계의 패턴을 분석하고, 수위-수면경사의 이력현상으로 부터 수위-유량관계 이력현상의 현저성을 진단하였다. 분석결과 각 수문사상마다 수위-유량관계의 최대이력범위와, 수위-수면경사의 최대이력범위를 각각 무차원화시켜 관계그래프를 산정하였다. 남평교의 경우 수위-유량관계의 이력현상이 현저히 나타남에도 불구하고 수위-수면경사의 이력범위는 거의 없었다. 나주대교의 경우 수위-유량관계와, 수위-수면경사관계 각각의 이력범위가 현저히 나타나 관계를 분석하기 용이하였다. 또한, 나주대교관측소지점의 분석을 통하여 수위-수면경사 이력범위의 유의 수준을 두어 일정 이력범위(20%)가 발생한 경우, 수위-유량관계의 이력현상이 현저함을 알 수 있었다. 이러한 결과를 바탕으로 20%이상의 이력범위를 수위-수면경사의 이력범위로부터 수위-유량관계의 현저성을 판단하는 기준으로 제안하였다.

• Computational Structural Engineering
• /
• v.32 no.3
• /
• pp.9-15
• /
• 2019

• Korean Journal of Environmental Biology
• /
• v.22 no.2
• /
• pp.279-286
• /
• 2004

This study observed the temperature and humidity within the green zone to understand the effect that land coverage and the structure of forests have on the relief of micro-climate control. Based on this set of data, this study interpreted, through the regression analysis, the relevance of land coverage of the green zone with temperature and distribution of humidity, as well as the amount of green with the relief of microclimate control. The results of the study demonstrated that high temperature regions were formed in barren areas, and low temperature regions in forests or near the water. In particular, low temperature was found in areas covered with tall and small trees, the water surrounded by forests and areas enclosing small rivers. Furthermore, mechanisms causing low temperature were, among others, the ratio of land coverage (forest, grassland, water). In fact, the temperature reduction effect varied in accordance with the types and ratios of the land coverage. Humidity also showed a close correlation with the distribution of temperature high temperature areas had low humidity and low temperature areas had high humidity. Such a phenomenon.

• Journal of the Korean Society for Aeronautical & Space Sciences
• /
• v.35 no.12
• /
• pp.1082-1088
• /
• 2007

Demand for high speed sea transportation modes has been increased dramatically last few decades. The WIG(Wing-in-ground effect) is considered as next generation maritime transportation system. In the structural design of high speed marine vessels, an estimation of water impact loads is essential. The dynamic structural responses of the WIG excited by the water impact loads may bring an important contribution to their damage process. The work presented in this paper is focused on the numerical simulation of the water impact on the WIG craft when it lands. It is aimed to study the structural responses of the WIG craft subjected to the water impact loads. The Arbitrary Lagrangian-Eulerian (ALE) finite element method is used to simulate the water impact of the WIG craft during a landing phase. A full 3D shell element is used to model the WIG craft in carbon composites, and a developed FE model is used to investigate the effect of the water impact loads on the structural responses of the WIG craft. In the analysis, two different landing scenarios are considered and their effects on the structural responses are investigated.

• Sleep Medicine and Psychophysiology
• /
• v.21 no.1
• /
• pp.5-13
• /
• 2014

Objectives: Depression, sleep complaints and cognitive impairments are commonly observed in the elderly. Elderly subjects with depressive symptoms have been found to show both poor cognitive performances and sleep disturbances. However, the relationship between sleep complaints and cognitive dysfunction in elderly depression is not clear. The aim of this study is to identify the association between sleep disturbances and cognitive decline in late-life depression. Methods: A total of 282 elderly people who underwent nocturnal polysomnography in a sleep laboratory were enrolled in the study. The Korean version of the Neuropsychological Assessment Battery developed by the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-K) was applied to evaluate cognitive function. Depressive symptoms were assessed with the geriatric depression scale (GDS) and subjective sleep quality was measured using the Pittsburg sleep quality index (PSQI). Results: The control group ($GDS{\leq}9$) when compared with mild ($10{\leq}GDS{\leq}16$) and severe ($17{\leq}GDS$) depression groups, had significantly different scores in the Trail making test part B (TMT-B), Benton visual retention test part A (BVRT-A), and Stroop color and word test (SCWT)(all tests p<0.05). The PSQI score, REM sleep duration, apnea-hypopnea index and oxygen desaturation index were significantly different across the three groups (all indices, p<0.05). A stepwise multiple regression model showed that educational level, age and GDS score were predictive for both TMT-B time (adjusted $R^2$=35.6%, p<0.001) and BVRT-A score (adjusted $R^2$=28.3%, p<0.001). SCWT score was predicted by educational level, age, apnea-hypopnea index (AHI) and GDS score (adjusted $R^2$=20.6%, p<0.001). Poor sleep quality and sleep structure alterations observed in depression did not have any significant effects on cognitive deterioration. Conclusion: Older adults with depressive symptoms showed mild sleep alterations and poor cognitive performances. However, we found no association between sleep disturbances (except sleep apnea) and cognitive difficulties in elderly subjects with depressive symptoms. It is possible that the impact of sleep disruptions on cognitive abilities was hindered by the confounding effect of age, education and depressive symptoms.