• Clinical and Experimental Pediatrics
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• v.49 no.4
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• pp.375-380
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• 2006

Purpose : This study investigated how gross motor and fine motor development are influenced by sleep position. Methods : From December, 2003 to September, 2005, for a year and 9 months, 800 children aged from 3 months to 16 months, who visited the Presbyterian Medical Center, Chonju, Korea were surveyed for motor development scale, sleep position and body weight. Results : The sleep position came in order : 79.3 percent of supine position, 10.0 percent prone position and 10.7 percent side position. Gross motor scale and fine motor scale were not connected with sex. The prone position indicated remarkable increase on gross motor scale from 5-6 months, but stayed the same after 7 months. Fine motor scale was not related to age and sleep position. Gross motor scale and fine motor scale were higher on group weighing more than under average weight group. Conclusion : This study showed that prone position did not influence gross motor scale after 7 months, affecting children of 5-6 months only. Hence, It is not recommended to use the prone position for a baby's fast gross motor development.

• Journal of the KSME
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• v.32 no.9
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• pp.777-787
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• 1992

21세기를 향한 여객선의 추세는 초고속화, 대형화(국제화), 성에너지화, 우수한 내항성능, 저진동 및 저소음 등을 갖춘 선박을 요구하고 있다. 이런 관점에서 초고속선으로 속력에 한계가 있는 단동선 (monohull), 쌍동배수량형(catamaran), 최소수면 쌍동선(SWATH)의 선형과 대형화가 곤란한 수중익선 (hydrofoil)보다는 속력면에서 유리하고 대형화가 가능한 표면 효과선 또는 앞 에서 언급한 고속 선형의 장점을 복합시킨 각종 복합선형이 개발되리라고 생각한다. 그러나 복 합선형이 실용화되기까지는 경제적인 건조비, 운항자세 제어 시스템, 신소재를 이용한 경구조화, 진동과 소음, 추진 시스템 등에 대한 요소 기술의 개발이 선행되어야 한다. 끝으로 선박의 속력이 50노트가 넘는 초고속선을 설계, 제작, 운항을 하는데 있어 그 개념이 조선공학에서 다루어지는 통상 선박기술의 연장이라고 그 영역을 정리하는 경향이 있다. 이 글을 정리하면서 느낀 것이 지만 해상교통 수단의 초고속화가 이루어질수록 그 지지기술 및 자세제어기술 등에 있어서는 항공기 기술에 가까워짐을 알게 되었다. 그러한 뜻에서 초고속선 개발에는 항공기 기술에서 얻 어진 노하우를 잘 활용하는 일도 중요하리라 생각된다.

• Journal of Yeungnam Medical Science
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• v.11 no.1
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• pp.16-29
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• 1994

1. 현재 보편적으로 참고가 되는 간질 환자의 운전 면허 허용의 기준과 관련 법규등을 요약하면 표-5와 같다. 2. 아직 어떤 국가에서는 간질환자의 차량운전을 무경련 기간에 상관없이 금하고 있으나, 대다수의 국가에서는 일정한 기간의 무경련의 존재가 면허 허용의 중요한 기준으로 삼고 있으며, 대략 1년간의 기간을 요구하고 있다. 그러나 간질은 그 특징상 1년 혹은 2년의 무경련후에도 경련이 발생될 수 있어 1년간의 무경련으로 면허 발급을 허가는 제도는 더 연구하여 보완할 필요가 있다. 3. 수면시 간질, 전구증상이 있는 복합 부분 간질, 단순 운동성 간질, 특수한 여건이나 자극에서 생기는 경련환자에게 선택적으로 운전면허 허용은 장시간 운전, 고속 운전, 심리적 육체적 과로상태에서 운전을 하는 경우 기존 경련을 심하게 유발하거나, 평소와 다른 상황에서 경련이 생길 수 있어 이런 환자들에게 일괄적으로 면허를 허용하기 보다는 세밀하게 분석하여 개인별로 판별하여야 하는 것이 바람직하다. 4. 환자의 능동적이고 성실한 경련보고와 아울러 경련발생 가능성이 높아 의사의 운전중단 처방을 수용하고 따르는 협조적인 환자의 자세가 매우 중요한데, 현재까지 환자의 성실한 경련보고와 의사의 조치에 대한 환자의 적극적인 수용자세가 해결되지 않고 있다.

• Sleep Medicine and Psychophysiology
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• v.24 no.2
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• pp.106-117
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• 2017

Objectives: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that is characterized by repetitive collapse or partial collapse of the upper airway during sleep in spite of ongoing effort to breathe. It is believed that OSA is usually worsened in REM sleep, because muscle tone is suppressed during REM sleep. However, many cases showed a higher apnea-hypopnea index (AHI) during NREM sleep than during REM sleep. We aimed here to determine the characteristics of REM sleep-dependent OSA (REM-OSA) and NREM sleep-dependent OSA (NREM-OSA). Methods: Five hundred sixty polysomnographically confirmed adult OSA subjects were studied retrospectively. All patients were classified into 3 groups based on the ratio between REM-AHI and NREM-AHI. REM-OSA was defined as REM-AHI/NREM-AHI > 2, NREM-OSA as NREM-AHI/REM-AHI > 2, and the rest as sleep stage-independent OSA (IND-OSA). In addition to polysomnography, questionnaires related to subjective sleep quality, daytime sleepiness, and emotion were completed. Chi-square test, ANOVA, and ANCOVA were performed. Results: There was no age difference among subgroups. The REM-OSA group was comprised of large proportions of mild OSA and female OSA patients. These patients experienced poor sleep and more negative emotions than other two groups. The AHI and oxygen desaturation index (ODI) were lowest in REM-OSA. Sleep efficiency and N3 percentage of REM-OSA were higher than in NREM-OSA. The percentage of patients who slept in a supine position was higher in REM-OSA than other subgroups. IND-OSA showed higher BMI and larger neck circumference and abdominal circumference than REM-OSA. The patients with IND-OSA experienced more sleepiness than the other groups. AHI and ODI were highest in IND-OSA. NREM-OSA presented the shortest total sleep time and the lowest sleep efficiency. NREM-OSA showed shorter sleep latency and REM latency and higher percentage of N1 than those of REM-OSA and the highest proportion of those who slept in a lateral position than other subgroups. NREM-OSA revealed the highest composite score on the Horne and ${\ddot{O}}stberg$ questionnaire. With increased AHI severity, the numbers of apnea and hypopnea events during REM sleep decreased, and the numbers of apnea and hypopnea events during NREM sleep increased. The results of ANCOVA after controlling age, sex, BMI, NC, AC, and AHI showed the lowest sleep efficiency, the highest AHI in the supine position, and the highest percentage of waking after sleep onset in NREM-OSA. Conclusion: REM-OSA was associated with the mild form of OSA, female sex, and negative emotions. IND-OSA was associated with the severe form of OSA. NREM-OSA was most closely related to position and showed the lowest sleep efficiency. Sleep stage-dependent characteristics could provide better understanding of OSA.

• Proceedings of the Korea Electromagnetic Engineering Society Conference
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• 2002.11a
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• pp.315-318
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• 2002

본 논문은 도플러 레이다의 원리를 이용하여 인체 호흡수 측정기술에 관하여 기술하였다. 주파수 1.59㎓ 대역의 전자파를 이용한 인체 호흡수 측정의 역사적 배경과 함께 자세한 측정원리 및 방법을 제시하였다. 인체의 흉곽 운동에 의해 반사된 신호의 도플러 주파수 차이만큼의 변이량을 오실로스코프 상에서 단위시간 당 호흡수를 나타내었다. 헤테로다인 방식의 시스템으로 측정하였으며, 폴디드 슬롯 안테나를 자체 제작하여 사용하였다. 이와 같은 인체 호흡수 측정기는 생명체 탐지 장치나 수면 무호흡증 측정기로 사용될 수 있으며 동작 감지 레벨을 높이면 그 적용 범위는 더욱더 늘어날 것으로 예상된다.

• The Optical Journal
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• v.11 no.6 s.64
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• pp.10-15
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• 1999

정부가 광주 지역에 광산업을 육성하겠다는 방침을 밝힘에 따라 작년 말부터 진행돼오던 ‘광산업 육성 및 집적화계획’이 수면 위로 떠올랐다. 광주광역시는 첨단과학산업단지 내에 광산업 집적화단지를 조성해서 저가로 임대해 주고, 제품 개발, 평가, 생산을 지원하는 시스템을 갖출 예정이다. 지금까지 진행돼 온 과정과 중점 내용, 관계자 인터뷰를 통해서 자세한 내용을 소개한다.

• Sleep Medicine and Psychophysiology
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• v.18 no.1
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• pp.40-44
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• 2011

Narcolepsy is a sleep disorder, which is characterized by excessive daytime sleepiness (EDS) that is typically associated with cataplexy, sleep fragmentation and other REM sleep-related phenomenon such as sleep paralysis and hypnagogic hallucination. Narcoleptic symptoms can be developed from various medical or neurological disorders. A 17-year-old male patient admitted for the evaluation of EDS which started three-month ago. He slept more than 18 hours a day with cataplexy and hypnagogic hallucination. He was obese with body mass index (BMI) of 30.4 kg/$m^2$. After admission he was newly diagnosed to the thyrotoxicosis. T3 391.2 ng/dL (60-181), free T4 4.38 ng/dL (0.89-1.76), TSH <0.01 ${\mu}IU$/mL (0.35-5.5) were measured. His pulse rate ranged 70-90 beats per minute and blood pressure ranged 150/100-120/70 mmHg. Polysomnography revealed many fragmentations in sleep with many positional changes (81 times/h). Sleep onset latency was 33.5 min, sleep efficiency was 47.9%, and REM latency from sleep onset was delayed to 153.6 min. REM sleep percent was increased to 27.1%. Periodic limb movement index was 13.4/h. In the multiple sleep latency test (MSLT), average sleep latency was 0.4 min and there were noted 3 SOREMPs (Sleep Onset REM sleep period) on 5 trials. We couldn't discriminate the obvious sleep-wake pattern in the actigraph and his HLA DQB1 $^*0602$ type was negative. His thyroid function improved following treatment with methimazole and propranolol. Vital sign maintained within normal range. Cataplexy was controlled with venlafaxine 75 mg. Subjective night sleep continuity and PLMS were improved with clonazepam 0.5 mg, but the EDS were partially improved with modafinil 200-400 mg. Thyrotoxicosis might give confounding role when we were evaluating the EDS, though sleep fragmentation was one of the major symptoms of narcolepsy, but enormous amount of it made us think of the influence of thyroid hormone. The loss of sleep-wake cycle, limited improvement of EDS to the stimulant treatmen, and the cataplexy not supported by HLA DQB1 $^*0602$ should be answered further. We still should rule out idiopathic hypersomnia and measuring CSF hypocretin level would be helpful.

• Journal of Oral Medicine and Pain
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• v.32 no.3
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• pp.283-292
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• 2007

In several treatment modalities for snoring and obstructive sleep apnea (OSA), oral appliances mainly including mandibular advancement appliance (MAA) and tongue retaining device (TRD) are recognized as a non-invasive, reversible alternative with favorable results. Tongue bulb is a major component of TRD which prevents the tongue from approaching the posterior wall of the pharynx and can be combined with MAA. Determination of tongue bulb size for the patient is important for therapeutic effect, but frequently needs time-consuming work. For effective fabrication and standardization of tongue bulbs, this study aimed to categorize tongue bulb size for healthy young men and to examine its relation with maximum retention force and with physical parameters including tongue-related variables. 36 non-snoring, asymptomatic young men with normal occlusion were voluntarily participated in this study (mean age: $24.47{\pm}2.58$ years). Experimental procedures consisted of prefabrication of tongue bulb set (20 types with a width of 27-36mm and thickness of 8 and 10 mm), determination of tongue bulb size and the maximum retention force for each subject, and measurement of physical parameters including body mass index (BMI), neck circumference and width, thickness and length of tongue. This study showed that there was significant difference of retention force among the bulb size-related groups both in upright and supine position (p<0.05) and that retention force increased with bulb size. Correlation of tongue bulb size with physical parameters was not clearly verified and there was no significant difference in retention force between upright and supine positions. Based on our results, it can be suggested that retention force relates with tongue bulb size, ultimately with tongue volume. A further study needs to be performed in the patients with snoring and OSA.

• The Journal of the Convergence on Culture Technology
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• v.4 no.1
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• pp.331-335
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• 2018

A pillow was fabricated through CAE(Computer Aided Engineering) and 3D printing, which can adjust automatically the height of the pillow when lying sideways and backwards according to the sleeping posture. The target height difference of the pillow was about 1.0 cm ~ 1.5 cm when the head weight difference was about 1.2 kg. Instead of using a complex mechanical device, it was based on an arch structure made of TPU. From the simulation, the optimum model was designed through series combination and the results were compared with the experimental ones. The final product had a height difference of about 2 cm according to the lying posture.

• The korean journal of orthodontics
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• v.27 no.6 s.65
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• pp.865-870
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• 1997

The submental region in patients with Obstructive Sleep Apnea (OSA) is Perceived to be larger than normal. Therefore, neck thickness has become a variable routinely measured during clinical screening of OSA subjects. In general, OSA Patients are believed to have a large tongue and a narrow airway. To test if OSA patients have a larger face and tongue than non-apneics, eighty pairs of upright and supine cephalograms were obtained from four groups of subjects subclassified in accordance with severity. The sum of distances between pairs of landmarks was calculated for each subjects and employed as a pure size variable for the face and tongue. Only tongue size becomes larger in accordance with apnea severity in both body positions (P<.01). Tongue size reflects apnea severity, yet it Provides only a small fraction of the explanation with regard to apnea severity. We conclude that size may be one factor of many which are significantly related to OSA severity.