• Title/Summary/Keyword: 수면효율

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Polysomnographic Characteristics and Prescription Status of Restless Legs Syndrome Patients in Naturalistic Setting (임상현장에서 하지불안증후군 환자의 수면다원검사결과의 특징과 약물처방현황)

  • Kang, Seung-Gul;Nam, Ji-Hye;Kim, Hana;Shin, Hong Beom
    • Sleep Medicine and Psychophysiology
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    • v.20 no.1
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    • pp.35-40
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    • 2013
  • Objectives: The aim of this study is to evaluate the polysomnographic characteristics and prescription status of restless legs syndrome (RLS) patients in naturalistic setting. Methods: We reviewed medical record of the patients over 18 years olds who (i) satisfied the clinical RLS diagnostic criteria and (ii) had the polysomnography and got treatment related thereto. As a baseline, we evaluated the four diagnostic criteria of the International Restless Legs Syndrome Study Group (IRLSSG) and the International Restless Legs Scale (IRLS) of the subjects. Then the polysomnography and the suggested immobilization test (SIT) were conducted and, after one month of pharmacotherapy using dopamine agonist, the IRLS was evaluated again. Results: A total of 211 subjects participated in this analysis and 94 (44.5%) of them were male and the other 117 (55.5%) were female and the average age of the 211 subjects was $46.9{\pm}14.2$. Out of such 211 subjects, 136 subjects (64.5%) also had the obstructive sleep apnea (OSA), and 53 subjects (25.1%) also had the periodic limb movement disorder (PLMD). 185 subjects (87.7%) out of the 211 subjects had some other sleep disorders except RLS. The results of the polysomnography were as follows : 78.0% of sleep efficiency, 86.8 min of wake after sleep onset, and 3.4% of N3. More specifically, 12.4/h of the average apnea hypopnea index, 14.8/h of the periodic limb movement during sleep (PLMS), 41.2/h of the periodic limb movement during wake during SIT and 21.6/h of total arousal index during sleep. Out of the total subjects, 149 (70.6%) of them took the ropinirole and 47 (22.3%) of them took the pramipexole, and the average dosage of ropinirole was 0.9mg(dosage range 0.125-5 mg) while the average dosage of pramipexole was 0.5 mg (dosage range 0.125-4 mg). The dosage of the ropinirole showed a significant positive correlation with the age (r=0.25, p=0.002) and also with the IRLS (r=0.23, p=0.038). The IRLS at the baseline was 24.9 while the same was decreased down to 13.4 after one month. Conclusions: Analyzing the result of this study, a majority of clinical RLS subjects demonstrated comorbidity with some other sleep disorder such as the OSA or PLMD. 25.1% of the subjects showed a PLMD, which was less than in previous researches and the average PLMS was not very high as 14.8/h. The dosage of dopamine agonist taken was often a bit more than the amount recommended in Korea. A prospective research using a large scale controlled subjects will be necessary with respect to this topic.

Correlational Analysis of Supine Position Time and Sleep-related Variables in Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡 증후군에서 앙와위 자세시간과 수면관련변인 간 상관관계 분석)

  • Kim, Si Young;Park, Doo-Heum;Yu, Jaehak;Ryu, Seung-Ho;Ha, Ji-Hyeon
    • Sleep Medicine and Psychophysiology
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    • v.24 no.1
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    • pp.32-37
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    • 2017
  • Objectives: A supine sleep position increases sleep apneas compared to non-supine positions in obstructive sleep apnea syndrome (OSAS). However, supine position time (SPT) is not highly associated with apnea-hypopnea index (AHI) in OSAS. We evaluated the correlation among sleep-related variables and SPT in OSAS. Methods: A total of 365 men with OSAS were enrolled in this study. We analyzed how SPT was correlated with demographic data, sleep structure-related variables, OSAS-related variables and heart rate variability (HRV). Multiple linear regression analysis was conducted to investigate the factors that affected SPT. Results: SPT had the most significant correlation with total sleep time (TST ; r = 0.443, p < 0.001), followed by sleep efficiency (SE ; r = 0.300, p < 0.001). Snoring time (r = 0.238, p < 0.001), time at < 90% SpO2 (r = 0.188, p < 0.001), apnea-hypopnea index (AHI ; r = 0.180, p = 0.001) and oxygen desaturation index (ODI ; r = 0.149, p = 0.004) were significantly correlated with SPT. Multiple regression analysis revealed that TST (t = 7.781, p < 0.001), snoring time (t = 3.794, p < 0.001), AHI (t = 3.768, p < 0.001) and NN50 count (t = 1.993, p = 0.047) were associated with SPT. Conclusion: SPT was more highly associated with sleep structure-related parameters than OSAS-related variables. SPT was correlated with TST, SE, AHI, snoring time and NN50 count. This suggests that SPT is likely to be determined by sleep structure, HRV and the severity of OSAS.

The Effects of a Brief Intervention for Insomnia on Community Dwelling Older Adults (지역 사회 노인을 대상으로 한 불면증 단기 치료 프로그램의 효과)

  • Oh, Eui Sun;Park, Kyung Mee;An, Suk Kyoon;Namkoong, Kee;Shim, Da-hye;Lee, Eun
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.74-81
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    • 2018
  • Objectives: Insomnia is one of the major concerns in the elderly population. Cognitive behavioral treatment for insomnia is the first line treatment option, but there are some limitations including time and cost burdens and the requirement for sufficient cognitive resources to obtain a proper treatment effect. The Brief intervention for insomnia (BII) is a treatment that focuses on behavioral aspects of insomnia in primary care practices. The purpose of this study was to evaluate the effects of BII in community-dwelling older adults. Methods: A total of 47 older adults with insomnia were enrolled from community centers between May 2016 and January 2018. They participated in the BII program for three weeks. We gathered sleep-related participant information with using the Pittsburgh sleep quality index (PSQI), the Sleep hygiene index, and a sleep diary. Clinical efficacy was evaluated by comparing total sleep time (TST), sleep latency (SL), waking after sleep onset (WASO), and sleep efficiency (SE) before and after the treatment. Results: There was significant improvement in sleep-related features after BII. Global score and sleep quality from the PSQI, freshness, and WASO from the sleep diary showed statistically significant improvement. Conclusion: We found BII showed positive clinical efficacy in community dwelling older adults, especially from the perspective of subjective sleep quality and WASO. This finding implies that BII can be effectively applied for the managment of elderly insomnia patients in a community setting.

Urban Stormwater Runoff Treatment by the RFS (RFS를 이용한 도시유출수처리)

  • Lee, Jun-Ho;Bang, Ki-Woong
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.1
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    • pp.159-167
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    • 2000
  • In recent years, combined and separated sewer overflows (CSOs, SSOs) have been recognized as a significant pollution problem. To solve this problem a series of experiments were performed in a small scale Rapid Floc Settler (RFS) device to determine its ability in removing micro particles and dissolved materials from polluted waters. The RFS device is a compact physico-chemical wasterwater treatment system. Polyacrylamide (PAM) is used as a coagulant for treating stormwater in the RFS. The results of Jar test showed that PAM could be an excellent coagulant as compared with aluminum sulfate. and ferric chloride. In several experimental conditions, the influence of different variation parameters was tested to measure the efficiency of the RFS. Tests have been carried out with typical CSOs concentrations (50~1.000mg SS/L). The treatment efficiency with regard to SS and COD, which can be obtained at an overflow rate of $130m^3/m^2/day$, are 90% and 80%, respectively. Comparing other sedimentation technologies with RFS, the overflows rate of RFS is ten times faster. The distribution of particle size and number were analyzed. The RFS is suitable for the treatment of CSOs and also the removal of settleable and dissolved materials in urban stormwater runoff.

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Application of Free Water Surface Constructed Wetland for NPS Control in Livestock Watershed Area (축산단지 비점오염물질 저감을 위한 자유수면형 인공습지 적용)

  • Lee, Jeong-Yong;Kang, Chang-Guk;Lee, So-Young;Kim, Lee-Hyung
    • Journal of Wetlands Research
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    • v.13 no.3
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    • pp.481-488
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    • 2011
  • Various development activities have lead to the destruction of the ecosystem such as natural wetlands. In order to protect these natural wetlands, the Ministry of Environment (MOE) in Korea enacted the Wetland Conservation Act in 1999 and designated protected areas for wetland conservation. The MOE adapted the use of Best Management Practices (BMP) such as retention ponds and constructed wetlands to treat the polluted water before entering the water system. One of these projects was a free-water surface flow (FWS) constructed wetland built as a secondary treatment unit for piggery wastewater effluent coming from a livestock wastewater treatment facility. Water quality monitoring for the constructed wetland was conducted during rainfall events. The results showed that the average removal efficiencies of TSS, BOD, TN, TP were 86, 60, 45, 70%, respectively. It was observed that the removal efficiency of particulate matter and phosphorus was high compared to nitrogen. Therefore, a longer hydraulic retention time was needed in order to improve the treatment efficiency of nitrogen. The results of this study can contribute to the wetland design, operation and maintenance of constructed wetlands.

하향류식 슬러지층 여과(SBF)를 이용한 하수고도처리기술

  • ㈜엘지건설, ㈜에스비에프
    • Environmental engineer
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    • v.21 s.210
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    • pp.68-71
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    • 2004
  • [ $\circ$ ] 본 기술은 기존의 A2O공법과 Sludge Blanket Filtration(SBF)을 단위공법으로 조합한 공정으로서 각 생물반응조의 미생물 농도를 6,000mg/ 이상의 고농도로 운전하여 생물학적 유기물,질소 및 인 제거효율을 극대화하고자 하는 기술 $\circ$ 또한 활성슬러지 반응조로부터 유입된 슬러지를 SBF에서 미세기포를 이용하여 부상시킴으로써 수면에 농축 슬러지층을 형성시키고 이 부

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Evaluation of Thermal Comfort during Sleeping in Summer - Part III : About Indoor Air Temperatures Rise - (여름철 수면시 온열쾌적감 평가 - 제3보 : 실내온도 상승에 관하여 -)

  • Kim Dong-Gyu;Kum Jong-Soo;Kim Se-Hwan
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.18 no.7
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    • pp.535-540
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    • 2006
  • This study was performed In evaluate sleep efficiencies and conditions for comfortable sleep based on the analysis of Physiological signals under variations in thermal conditions. Five female subjects who have similar life cycle and sleep patterns were participated for the sleep experiment. It was checked whether they had a good sleep before the night of experiment. EEGs were obtained from C3-A2 and C4-A1 electrode sites and EOGs were acquired from LOC (left outer canthus) and ROC (right outer canthus) for REM sleep detection. Sleep stages were classified, then TST (total sleep time), SWS (slow wave sleep) latency and SWS/TST were calculated for the evaluation of sleep efficiencies on thermal conditions. TST was defined as an amount of time from sleep stage 1 to wakeup. SWS latency was from light off time to sleep stage 3 and percentage of SWS over TST was calculated for the evaluation of sleep quality and comfort sleep under thermal conditions. As result, the condition which raise a room temperature provided comfortable sleep.

Power Saving Mechanism for Advanced Mobile Station in IEEE 802.16m (IEEE 802.16m에서 이동 단말의 전력 절감 방안)

  • Choi, Jung-Yul
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.12A
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    • pp.959-965
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    • 2011
  • As the usage of mobile stations increases thanks to various services, power saving mechanisms of mobile station operated by battery power have been gained much attention. This paper presents a power saving mechanism(PSM) of IEEE 802.16m, called Mobile WiMAX, for 4G mobile technology. This paper first presents different points of the PSM of IEEE 802.16m from IEEE 802.16e, which is a basis of IEEE 802.16m. This paper proposes a dynamic sleep cycle adjustment algorithm for improving the performance of IEEE 802.16m PSM by considering the arrival pattern of incoming packets from base station. Performance of the algorithm is analyzed in terms of energy consumption as well as waiting time of packets.

Evaluation of the applicability of a buoyancy-modified turbulence model for free surface flow analysis based on the VOF method (VOF 기반 자유수면 흐름 해석을 위한 부력 수정 난류 모형의 적용성 평가)

  • Lee, Du Hana
    • Journal of Korea Water Resources Association
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    • v.57 no.8
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    • pp.493-507
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    • 2024
  • RANS-based CFD analysis is widely applied in various engineering fields, including practical hydraulic engineering, due to its high computational efficiency. However, problems of non-physical behavior in the analysis of two phase flow, such as free surfaces, have long been raised. The two-equation turbulence models used in general RANS-based analysis were developed for single phase flow and simulate unrealistically high turbulence energy at the interface where there are abrupt changes in fluid density. To solve this issue, one of the methods recently developed is the buoyancy-modified turbulence model, which has been partially validated in coastal engineering, but has not been applied to open channel flows. In this study, the applicability of the buoyancy-modified turbulence model is evaluated using the VOF method in the open-source program OpenFoam. The results of the uniform flow showed that both the buoyancy-modified k-𝜖 model and the buoyancy-modified k-ω SST model effectively simulated the reduction of turbulence energy near the free surface. Specifically, the buoyancy-modified k-ω SST model accurately simulated the vertical velocity distribution. Additionally, the model is applied to dam-break flows to examine cases with significant surface variation and cavity formation. The simulation results show that the buoyancy-modified turbulence models produce varying results depending on the VOF method and shows non-physical behavior different from experimental results. While the buoyancy-modified turbulence model is applicable in cases with stable surface shapes, it still has limitations in general application when there are rapid changes in the free surface. It is concluded that appropriate adjustments to the turbulence model are necessary for flows with rapid surface changes or cavity formation.

Restoration of Water Cycle by a Rainwater Management System Applied to Low Impact Development (LID) (저영향개발 (LID)을 적용한 빗물 관리 시스템에 의한 물 순환 복원)

  • Lee, Dong Chan
    • Ecology and Resilient Infrastructure
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    • v.3 no.2
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    • pp.130-133
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    • 2016
  • The increase in impervious surfaces due to urban development has caused a groundwater drawdown through the reduction of underground infiltration, flood disaster due to increased rainfall runoff and environmental pollution in higher pollutant concentrations of first flush rainwater. As an alternative to these problems, the needs of low impact development (LID) techniques is increasing in urban areas. In this study, the restoration efficiency of water cycle was assessed at a residential site development applied with the LID rainwater management system. The results of monitoring the water cycling showed that the efficiency of water cycle of LID rainwater management system was improved 41% more than that of conventional methods.