• 제목/요약/키워드: 수면효율

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Clinical Characteristic and Respiratory Disturbance Index as Correlates of Sleep Architecture in Obstructive Sleep Apnea Syndromes Diagnosed with Polysomnography (수면다원기록법으로 확진된 폐쇄성 수면무호흡증 환자의 임상특성, 그리고 호흡장애지수와 수면 구조간의 상관관계)

  • Kim, Seog-Joo;Park, Doo-Heum;Kim, Yong-Sik;Woo, Jong-Inn;Ha, Kyoo-Seob;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.8 no.2
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    • pp.113-120
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    • 2001
  • Objectives: Obstructive sleep apnea syndrome is common and may produce various symptoms and serious complications. A substantial number of research articles on obstructive sleep apnea syndrome have been published in Korea. However, we found such limitations as lack of sufficient sample size and lack of polysomnography-proven cases. Therefore, we aimed at studying clinical features and sleep structure in a sufficient number of Korean patients with obstructive sleep apnea syndrome diagnostically confirmed with polysomnography. Methods: We studied 801 subjects referred to the Division of Sleep Studies, Seoul National University Hospital, who were diagnosed as having obstructive sleep apnea syndrome with polysomnography. Subjects were excluded if they had central sleep apnea syndrome, periodic limb movement disorder, narcolepsy or REM sleep behavior disorder. Foreign patients were also excluded. First of all, we studied the clinical features of the subjects. Secondly, we compared sleep-related parameters of the study subjects with those of age/sex-matched normal values. Thirdly, correlations of respiratory disturbance index (RDI) with each of the sleep-related parameters were calculated. Results: Among the 801 subjects, 668 were male subjects (83.4%) and 133 female subjects (16.4%). Their mean age was 46.6 years (${\pm}13.5$). The mean body mass index (BMI) was 25.8 (${\pm}3.8$) and subjects with BMI was over 28.0 accounted for 22.8% of the total. Fifty subjects (6.2%) were found to take benzodiazepines. Mean RDI and mean nocturnal oxygen saturation of all subjects was 31.2 (${\pm}24.4$) and 94.5% (${\pm}3.6$), respectively. In comparison with normal values, the subjects showed longer sleep latency, lower sleep efficiency, decreased total slow wave sleep % (TSWS %), and decreased total REM sleep % (TREM %)(p<0.01 in all). RDI had a negative correlation with each TSWS % and TREM % (p<0.01, p<0.01). However, RDI did not have significant correlation with either sleep latency or sleep efficiency. Conclusion: In this study, 6.2% of patients diagnosed as having obstructive sleep apnea syndrome were found to take benzodiazepines, although they are generally considered to be of litte benefit or even dangerous because of the respiratory suppressing effect. The proportion of obese subjects was only 22.8% and Korean patients with obstructive sleep apnea syndrome seem to be less obese than those described in foreign journals. This study also suggests that the severity of obstructive sleep apnea syndrome may have a more significant effect on sleep architecture defined as TSWS % and TREM % than on sleep efficiency.

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Wearable device를 이용한 선원의 수면 시간과 효율성에 관한 기초연구

  • Kim, Byeong-Jo;Lee, Jeong-Hun;Lee, Su-Gyeong;Gwon, Hae-Yeon
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2018.11a
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    • pp.16-18
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    • 2018
  • 선원은 충분한 수면으로 신체적 정신적 피로를 완전히 회복하지 못한 수면부족 상태에서 재승선하여 장기간 항해와 흔들리는 선박 위에서 반복적인 작업 활동을 수행하므로 누적 피로도와 스트레스가 증가하는 악순환을 초래하며 이로 인한 해양 인적사고가 발생할 수 있다. 따라서 사람의 주관적인 판단에 의한 자기평가방법으로 기입하는 설문지 분석이 아닌 선박에 승선하는 동안에 Wearable device를 착용한 상태에서 과학적이고 객관적인 선원의 수면 시간과 효율성을 분석하였다.

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An Efficient Method for Crown-Shaped Water Animation Using Geometric Mesh (기하적 메쉬를 이용한 왕관형 수면 애니메이션을 구현하기 위한 효율적 방법)

  • Lee, Kyung-Hoon;Park, Jinho
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.13-21
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    • 2014
  • The paper provides an efficient method for generating water crown animation. Compared to general liquid simulation, water crown animation requires tremendous computational loads. Tackling the problem, we propose a novel geometry based approach with procedural texture. Unreal engine is utilized to construct material and handle the geometric mesh combined with water texture. The experimental results demonstrate our method achieves effective performance for realistic water crown animation.

Sleep Efficiency Measurement Algorithm Using an IR-UWB Radar Sensor (IR-UWB 레이더 센서 기반 수면 효율 측정 알고리즘)

  • Choi, Jeong Woo;Lee, Yu Na;Cho, Seok Hyun;Lim, Young-Hyo;Cho, Sung Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.42 no.1
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    • pp.214-217
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    • 2017
  • In this paper, we propose a sleep efficiency measurement algorithm based on IR-UWB radar sensor in distance. Among the vital signs which can be measured by the IR-UWB radar sensor such as breathing rate, heartbeat rate, and movement, we analyzed correlation between the movement and the sleep efficiency, and based on the result, we propose a sleep efficiency measurement algorithm. In order to verify the performance of the proposed algorithm, we applied the algorithm to three polysomnography patients in hospitals and obtained the performance of an average absolute error within 3.9%.

Role of Actigraphy in the Estimation of Sleep Quality in Obstructive Sleep Apnea Syndrome (폐쇄성 수면 무호흡증의 수면의 질 평가와 액티그라프의 역할)

  • Lee, Seung-Hee;Lee, Jin-Sung;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.14 no.2
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    • pp.86-91
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    • 2007
  • Background: Actigraphy is a reliable and valid method for assessing sleep in normal, healthy populations, but it may be less reliable and valid for detecting disturbed sleep in patients. In this study, we attempted to assess the utility of actigraphy in the estimation of sleep quality in patients with obstructive sleep apnea syndrome (OSAS), a major sleep disorder. Method: We analyzed the data of patients who underwent polysomnography (PSG) and actigraphy simultaneously for one night at the Center for Sleep and Chronobiology, Seoul National University Hospital from November 2004 to March 2006. Eighty-nine subjects with OSAS alone and 21 subjects with OSAS and periodic limb movement disorder (PLMD) were included for final data analyses between groups. Polysomnographic and actigraphic data were also compared. Results: In subjects with mild OSAS (RDI<15), modretae ($15{\leq}RDI$<30), and OSAS with PLMD, PSG and actigraphy did not show significant difference in total sleep time and sleep efficiency. However in severe ($30{\leq}RDI$) OSAS subjects, PSG and actigraphy showed significant difference in total sleep time and sleep efficiency. In all patients, no correlations were found between sleep parameters from PSG and from those using actigraphy. Conclusions: We suggest that in severe OSAS patients, PSG is the diagnostic tool. In mild and moderate cases, actigraphy might be used as a screening tool.

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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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Effects of exercise on sleep EEG following caffeine administration (카페인 투여 후 운동이 수면에 미치는 효과)

  • 윤진환;이희혁
    • Journal of Life Science
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    • v.12 no.4
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    • pp.375-382
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    • 2002
  • The purpose of this experiment was to examine influence of acute exercise on nocturnal sleep which had been disrupted by caffeine(400mg$\times$3) thought the daytime. Six healthy young males aged 21.0$\times$0.2 yr with a history of low caffeine use. Subjects completed three conditions in a within-subject. At three conditions Sleep EEG were investigated: (1) nocturnal following quiet rest, (2) nocturnal sleep following the consumption of 1200mg of caffeine (3) nocturnal sleep following cycling at 60 min of 60% V $O_{2peak}$ with 1200mg of caffeine consumption. Sleep data were calculated for REM sleep, REM latency, sleep onset latency, sleep efficiency, sleep stages, SWS. Those data were analyzed using repeated-measures ANOVA of change scores. A main effect to, drug(caffeine) indicated that caffeine elicited sleep disturbance that is, TST and sleep onset latency increase and sleep efficiency and stage 4 decrease. The effects of exercise on sleep following caffeine intake generally improve sleep that is, stage 2, 3 and SWS increase and sleep onset latency decrease. A condition effect for sleep indicated sleep improvement after exercise Therefore The data supported a restorative theory of slow-wave sleep and suggest that acute exercise may be useful in promoting sleep and reducing sleep disturbance elevated by a high dose of caffeine.

Automation Survey Device of Water Surface Evaporation in The Yongdam Dam Experimental Basin (용담댐시험유역에서의 수면증발량 자동관측)

  • Lee, Hyun Seok;Kim, Yong Kuk;Cho, Hyoung Jin;Chae, Won Ki
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.541-541
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    • 2015
  • 댐 물수지 분석에 있어 매우 중요한 요소는 강수량, 유입 방류량, 토양수분량, 증발산량 등이 있다. 현재 육지에서의 증발산량은 대부분 에디공분산시스템에 의해 관측되고 있으며, 많은 전문가들이 양질의 자료를 산출하고 있다. 하지만 수면에서의 증발량관측은 아직 부족한 상황이다. 우리나라는 기후특성상 여름철에 강우가 집중됨에 따라 효율적인 댐 관리가 매우 중요하다. 댐관리의 주요 인자인 수면증발량은 현재 용담댐에서만 이루어지고 있다. 용담댐의 수면증발량 관측은 2013년부터 수행되고 있고, 수면위에 플랫폼을 설치하고 팬 내부에 수심이 1 m인 대형증발팬을 고정하는 방식을 취하고 있으며, 관측된 수위자료는 호내 수온을 고려하여 수면증발량으로 환산된다. 관측항목으로는 팬 내 외부 및 저수지 표층 수온, 팬 내부 정밀 수위뿐만 아니라 다양한 기상요소들이 있다. 2013년에 생산한 수면증발량은 풍향풍속, 수온, 상대습도, 복사량, 강수량 자료를 통해 정확도를 검증하였으며, Penman(1984)공식을 활용하여 실측 수면증발량과 추정 수면증발량을 비교 분석하였다. 본 연구는 용담호에서 자동 관측되고 있는 수위변동 자료를 활용해 수면에서의 증발량을 분석하였다. 2014년 3월부터 2015년 2월까지의 자료를 활용하였으며, 관측기간 중 최대 일증발량은 9.7 mm/day, 월 최대 일평균증발량은 3.5 mm/month(10월)로 나타났다. 수면에서 가장 많은 증발량이 나타난 시기는 10월 (증발량 : 107.6 mm, 강수량 : 122.9 mm)로 강수량의 약 88 %가 증발되었음을 알 수 있었다. 그 다음으로는 9월과 5월 순이었다. 증발량이 가장 많다고 예상되었던 7월과 8월의 경우는 각각 18일과 21일간 강수가 발생하였으므로 대기 중의 높은 습도로 인해 증발량이 크지 않았다. 결론적으로 수면에서의 증발량이 기상환경에 의존하고 있다는 사실은 명백하다. 그러므로 효율적인 수자원관리를 위해서는 다양한 지점에서의 수면증발 관측 및 기상요소와의 상관 성분석이 시급하다고 판단된다.

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Ground Penetrating Radar Profiling of an Unconfined Aquifer for Estimating the Groundwater Surface (지하투과레이다를 이용한 비피압대수층의 지하수면 추정)

  • Park, Inchan;Kim, Jitae;Cho, Woncheol
    • Proceedings of the Korea Water Resources Association Conference
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    • 2004.05b
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    • pp.1173-1177
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    • 2004
  • 현재 다양한 분야에서 널리 사용되고 있는 지하투과레이더(Ground Penetrating Radar, GPR)를 이용하여 지하수면 및 함수량을 추정하였다. 비피압대수층 내에서의 얕은 포화대(saturated zone) 깊이을 산정하는 연구(livari and Doolittle, 1994, van Overmeeren, 1994)와 포화대 상부 습윤대(wetting fronts)의 거동를 조사한 연구(Vellidis et al, 1990) 등에 활용된 바 있는 GPR 기숙을 바탕으로 비피압대수층의 통기대와 포화대 내의 함수량 및 지하수면 추정을 위한 기초 실험을 수행하였다. 지하수면 및 함수량의 현장 적용성을 검증하기 위해서는 시간과 경제적인 면에서 비효율적인 점을 고려하여 사질토로 구성된 실험용 토조를 제작하여 건조시 획득된 GPR 자료, 지하수면의 변화에 따른 GPR 이미지를 비교하여 그 적용성을 검토하고 시${\cdot}$공간적 지하수면의 정확한 추정을 위해서 삼차원으로 비교${\cdot}$검토할 수 있도록 하였으며, GPR 자료의 정확성을 검증하기 위해서 토조 하부에 액주계(piezometer)를 설치하였다. 본 연구에서 적용된 GPR 실험은 획득된 이미지의 해석에 다소 어려움이 있지만 토양을 교란시키지 않고 비교적 간편하게 함수랑 및 지하수면의 위치를 파악하는데 매우 효과적이며, 추가적으로 GPR을 이용한 다양한 실험이 수행된다면 GPR 기술은 향후 기존 방법에서 쉽게 판단하기 어려운 시${\cdot}$공간적인 함수량 및 지하수의 분포 특성을 효율적으로 파악하는데 매우 큰 도움을 줄 수 있을 것이다.

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A Clinical and Polysomnographic Study of Parkinson's Disease Patients with Sleep Benefit (수면이득이 있는 파킨슨병 환자의 임상특징 및 수면다원검사에 대한 연구)

  • Chun, Dong-Yeol;Yang, Chang-Kook;Kim, Jae-Woo;Yoo, Seung-Yoon;Hahn, Hong-Moo
    • Sleep Medicine and Psychophysiology
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    • v.7 no.2
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    • pp.102-108
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    • 2000
  • Objectives: Parkinson's disease (PD) patients may experience fluent mobility upon awakening from a night's sleep, which is called sleep benefit (SB). Although SB is a phenomenon closely associated with sleep, sleep features of PD are not well characterized. The objectives of this study were, first, to investigate if there are any clinical characteristic features between patients with SB and without SB (NSB), and second, to examine if SB patients are associated with any specific sleep variables compared with NSB patients. Methods: Thirty-three PD patients (14 men and 19 women) participated in this study. All subjects were interviewed to examine whether or not they had SB and overnight polysomnography was performed at the sleep center. Various clinical variables were collected through medical record review. Results: The 331 PD patients were divided into 16 SB group (48.5%) and 17 NSB group (51.5%). SB patients were younger (p<0.02), had higher sleep efficiency (p<0.05), and showed shortened sleep latency (p<0.02) as compared with NSB patients. However, no difference was found between SB and NSB with respect to gender, duration or stage of PD, antiparkinsonian medications prescribed, and predominant motor symptoms. SB did not clearly relate to a specific sleep stage and other sleep variables except sleep efficiency and sleep latency. Although primary snoring was more prevalent in SB patients (p<0.05), other sleep disorders were seen with equal frequency in SB and NSB groups. Conclusion: Our results suggest that good sleep efficiency, shortened sleep latency, and age may have an effect on morning motor function (i.e., SB) in Parkinson's disease.

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