• Title/Summary/Keyword: 야간수면시간

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Diagnosis of Obstructive Sleep Apnea Syndrome Using Overnight Oximetry Measurement (혈중산소포화도검사를 이용한 폐쇄성 수면무호흡증의 흡증의 진단)

  • Youn, Tak;Park, Doo-Heum;Choi, Kwang-Ho;Kim, Yong-Sik;Woo, Jong-Inn;Kwon, Jun-Soo;Ha, Kyoo-Seob;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.34-40
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    • 2002
  • Objectives: The gold standard for diagnosing obstructive sleep apnea syndrome (OSAS) is nocturnal polysomnography (NPSG). This is rather expensive and somewhat inconvenient, however, and consequently simpler and cheaper alternatives to NPSG have been proposed. Oximetry is appealing because of its widespread availability and ease of application. In this study, we have evaluated whether oximetry alone can be used to diagnose or screen OSAS. The diagnostic performance of an analysis algorithm using arterial oxygen saturation ($SaO_2$) base on 'dip index', mean of $SaO_2$, and CT90 (the percentage of time spent at $SaO_2$<90%) was compared with that of NPSG. Methods: Fifty-six patients referred for NPSG to the Division of Sleep Studies at Seoul National University Hospital, were randomly selected. For each patient, NPSG with oximetry was carried out. We obtained three variables from the oximetry data such as the dip index most linearly correlated with respiratory disturbance index (RDI) from NPSG, mean $SaO_2$, and CT90 with diagnosis from NPSG. In each case, sensitivity, specificity and positive and negative predictive values of oximetry data were calculated. Results: Thirty-nine patients out of fifty-six patients were diagnosed as OSAS with NPSG. Mean RDI was 17.5, mean $SaO_2$ was 94.9%, and mean CT90 was 5.1%. The dip index [4%-4sec] was most linearly correlated with RDI (r=0.861). With dip index [4%-4sec]${\geq}2$ as diagnostic criteria, we obtained sensitivity of 0.95, specificity of 0.71, positive predictive value of 0.88, and negative predictive value of 0.86. Using mean $SaO_2{\leq}97%$, we obtained sensitivity of 0.95, specificity of 0.41, positive predictive value of 0.79, and negative predictive value of 0.78. Using $CT90{\geq}5%$, we obtained sensitivity of 0.28, specificity of 1.00, positive predictive value of 1.00, and negative predictive value of 0.38. Conclusions: The dip index [4%-4sec] and mean $SaO_2{\leq}97%$ obtained from nocturnal oximetry data are helpful in diagnosis of OSAS. CT90${\leq}$5% can be also used in excluding OSAS.

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Decreased Attention in Narcolepsy Patients is not Related with Excessive Daytime Sleepiness (기면병 환자의 주의집중 저하와 주간졸음증 간의 상관관계 부재)

  • Kim, Seog-Ju;Lyoo, In-Kyoon;Lee, Yu-Jin;Lee, Ju-Young;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.12 no.2
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    • pp.122-132
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    • 2005
  • Objectives: The objective of this study is to assess cognitive functions and their relationship with sleep symptoms in young narcoleptic patients. Methods: Eighteen young narcolepsy patients and 18 normal controls (age: 17-35 years old) were recruited. All narcolepsy patients had HLA $DQB_1$ *0602 allele and cataplexy. Several important areas of cognition were assessed by a battery of neuropsychological tests consisting of 13 tests: executive functions (e.g. cognitive set shifting, inhibition, and selective attention) through Wisconsin card sorting test, Trail Making A/B, Stroop test, Ruff test, Digit Symbol, Controlled Oral Word Association and Boston Naming Test; alertness and sustained attention through paced auditory serial addition test; verbal/nonverbal short-term memory and working memory through Digit Span and Spatial Span; visuospatial memory through Rey-Osterrieth complex figure test; verbal learning and memory through California verbal learning test; and fine motor activity through grooved pegboard test. Sleep symptoms in narcolepsy patients were assessed with Epworth sleepiness scale, Ullanlinna narcolepsy scale, multiple sleep latency test, and nocturnal polysomnography. Relationship between cognitive functions and sleep symptoms in narcolepsy patients was also explored. Results: Compared with normal controls, narcolepsy patients showed poor performance in paced auditory serial addition (2.0 s and 2.4 s), digit symbol tests, and spatial span (forward)(t=3.86, p<0.01; t=-2.47, p=0.02; t=-3.95, p<0.01; t=-2.22, p=0.03, respectively). There were no significant between-group differences in other neuropsychological tests. In addition, results of neuropsychological test in narcolepsy patients were not correlated with Epworth sleepiness scale score, Ullanlinna narcolepsy scale score and sleep variables in multiple sleep latency test or nocturnal polysomnography. Conclusion: The current findings suggest that young narcolepsy patients have impaired attention. In addition, impairment of attention in narcolepsy might not be solely due to sleep symptoms such as excessive daytime sleepiness.

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The Clinical Study On 1 Case for Nonodotogenic Toothache Whose Is Improved by Using Craniosacral Therapy and Acupuncturing Suboccipital Muscle (두개천골요법 및 후두하근 자침으로 호전된 비치성 치통의 치험 1례)

  • An, Soon-Sun;Jang, Hyo-Kil;Heo, Dong-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.41-48
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    • 2010
  • Objectives: Patients with nonodotogenic toothache are increasing in numbers. However, there is no reliable treatment guide in both conventional & complementary medicine. Also, there are not much clinical case of patients with nonodotogenic toothache in oriental medical field. We investigated effect of using craniosacral therapy and acupuncturing suboocitptal muscle on patient with nonodotogenic toothache. Methods: 72-year old female patient with nonodotogenic toothache was treated with using craniosacral therapy and acupuncturing suboocciptal muscle. Results: We had a satisfactory result with using craniosacral therapy and acupuncturing suboocitptal muscle. The patient's VAS grade improved to 1(Rt.), 5(Lt.). Conclusions: We reach a conclusion using craniosacral therapy and acupuncturing suboocitptal muscle improve patient with nonodotogenic toothache. And more study about this disease is needed.

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The Influence of Evaporation from a Stream on Fog Events in the Middle Nakdong River (낙동강 중류에서 하천 증발이 안개에 미치는 영향)

  • Park, Jun Sang;Kim, Kyu Rang;Kang, Misun;Kim, Baek-Jo
    • Journal of the Korean earth science society
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    • v.38 no.6
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    • pp.395-404
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    • 2017
  • In this study, we classified observed fog events in the Middle Nakdong River near Gumi and analyzed the meteorological characteristics before and after the fog formation. The observation was performed from 2013 to 2015 using visibility meter. A total of 74 fog events were observed and most of them were classified as steam fog. The duration of observed steam fogs was longer than that of typical inland fogs because the nocturnal evaporation from the water surface was enhanced by the topographical characteristics. In order to analyze the effect of evaporation from the stream on the fog duration, the evaporation was estimated using the Penman-Monteith and the Bulk aerodynamic methods. The estimated evaporation by the Bulk method was similar to the actual evaporation from the water surface. Therefore, the Bulk method is suitable for estimating the evaporation from water surface. The evaporation amount, estimated by using the Bulk method was higher on fog days than non-fog days at 06 LST and 07 LST. The added evaporation of fog days released latent heat to the atmosphere and provided energy to maintain the turbulence in the fog. This phenomenon was confirmed by the increase of wind speed, temperature and turbulent kinetic energy within the fog.

Effects of the ROM Dance on Cognitive Function, Behavioral and Psychological Symptoms of Dementia(BPSD) in Using Wheelchair Senior in Nursing Home (요양원에서 휠체어를 이용하고 있는 노인에게 ROM Dance가 인지기능과 신경정신행동에 미치는 효과)

  • Song, Byung-Nam
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.37-47
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    • 2012
  • Objective : The purpose of this study was to identify Effects of the ROM dance on cognitive function, neuropsychiatric in using wheelchair senior in nursing home. Methods : The subjects of the experimental group were 15 seniors using wheelchair who attended an ROM dance program in a nursing home. It was carried out for 18 weeks from Mar. 2010. to August. 2010. The evaluation tools used for the presented study were the Mini-Mental Status Exam-Korean(MMSE-K) and Neuropsychiatric Inventory-Questionaire (NPI-Q). Results : In the terms of cognitive function there was no significant defference between the mean pre/post test. but the factor(orientation of time) of MMSE-K and the factors 2 (sleep/nighttime behavios, apathy/indefference) of NPI-Q was significant improvement. Conclusion : In this study, the ROM dance program was effective in improving cognitive function and neuropsychiatric in seniors using wheelchair. also ROM dance program was decreasing and regression delay effect in cognitive and neuropsychiatric.

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Study on the improvement of precision and application of STIV using deep learning (딥러닝을 통한 STIV(영상유속계)의 정밀도 및 적용성 향상에 관한 연구)

  • Jeong, Jae Hoon;Kim, Yeon Joong;Hasegawa, Makoto;Yoon, Joug Sung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.78-78
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    • 2021
  • 영상유속분석법은 비접촉식으로 유속을 측정하는 방법으로 특히 홍수시 하천의 표면유속을 안전하게 계측할 수 있어서 경제적이고 안전한 하천유속 측정 방법 중 하나이다. STIV는 영상의 휘도 정보를 시간 방향으로 나열하여 작성된 STI(Space-Time Image)에 나타나는 패턴의 기울기를 이용하여 유속을 산정하는 방법이다. 특히 STIV(Space-Time Image Velocimetry)는 기존 입자군의 상호상관법에 기초한 입자영상유속계와 달리 표식자의 유무와 상관없이 유속을 측정할 수 있어 적용성과 안정성이 확보된다. 하지만 영상의 상태가 불량한 경우 정확한 유속 측정이 난해하며 야간에는 별도의 조명 추가 및 태풍과 같은 악기상에서는 빗방울이 카메라에 맺히거나 수면의 진동, 구조물의 진동에 의한 영상의 상태가 불량하게 되어 측정 정도가 떨어진다. 이처럼 영상을 이용한 유속 계측에 있어 다양한 연구 및 기술개발이 요구되는 시점이다. 따라서 본 연구에서는 영상을 이용한 정확한 유속측정을 위해 STIV와 인공지능을 융합하여 정확한 유속 평가를 목적으로 한다. 우선 기존 STI에 의한 기울기 추정방법을 확장하여 딥러닝(CNN)에 의한 기울기 추정방법을 도입하였다. CNN은 일반적으로 이미지의 특성을 추출하는데 유용한 방법으로서 STI의 2차원 Fourier변환 이미지를 사용하여 패턴의 기울기를 감지하도록 학습하였고 적용 결과 기울기에 대한 인식율은 매우 양호하였으며 이를 이용한 실제 관측 영상에 적용한 결과 유속에 대한 정밀도도 매우 양호하게 나타났다. 또한 딥러닝을 적용한 STIV는 노이즈(진동, 화면 불량 등)가 있는 영상에서도 안정적으로 유속을 산정할 수 있으며 전파유속계를 이용한 실제 하천의 표면유속 관측치와 비교 검토 결과 매우 양호하게 유속을 평가하고 있는 것으로 나타났다.

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The Role of Jungrangchun for a Wintering Waterbirds in Hangang (한강에서 월동하는 수금류의 서식지로서 중랑천의 중요성)

  • Kim, Mi-Ran;Lee, Yun-Kyung;Ahn, Ji-Young;Kim, In-Hong;Yoo, Jeong-Chil
    • The Korean Journal of Ecology
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    • v.28 no.1
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    • pp.45-53
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    • 2005
  • Urban stream is an important place supporting urban ecosystem. This study was carried out to clarify the role of Jungrangchun for wintering waterbirds in Seoul. We monitored the fluctuation of waterbirds population using our census data (1997/98 winter) and pervious census data (the Ministry of Environment and National Institute of Environmental Research $1999{\sim}2004$). Wintering behaviours of common teals (Anas crecca) were also observed to understand the habitat use of waterbirds in this area. As a result of this, Jungrangchun was an important place to support $3,004\sim8,237$ wintering birds, mainly dabbling ducks and diving ducks. The population of diving ducks showed high annual fluctuation whilst the population of dabbling ducks regularly used this area every year The maximum number of waterbirds foraged and rested in late January and late February. In daily use, the number of waterbirds increased on afternoon and rapidly increased after sunset. It is assumed that waterbirds used this area not only as a nocturnal feeding site but also daytime feeding site. Thus, this result suggest that Jungrangchun is important for not only the daily use but also the nocturnal use of wintering waterbirds. The number of diving ducks was increased with low temperature and high wind speed. Therefore, this area was also a shelter of diving ducks on chilly and windy day.

The utility of ambulatory blood pressure monitoring in obese children (소아 비만아에서 ambulatory blood pressure monitoring의 유용성)

  • Kim, Myung Jin;Song, Jin Young
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.604-609
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    • 2008
  • Purpose : Obesity in children and adolescence is highly correlated with adult obesity, which can provoke hypertension. Therefore, it is important to evaluate the blood pressure of obese children regularly. In this study, the results of ambulatory blood pressure monitoring (ABPM) in obese children and adolescents were evaluated. Methods : ABPM was conducted for selected patients who visited Handong University Sunlin Hospital from Feb. 1, 2006 to Dec. 1, 2007. The patients were classified into 3 groups: group 1 was normal, group 2 had normal casual blood pressure and a body mass index over the 95th percentile, and group 3 had high casual blood pressure over 120/80 mm Hg and a body mass index over the 95th percentile. Systolic and diastolic 24-hour blood pressure was measured, including both day and night. Results : There were 49 patients in the study. The results showed a significant difference for average systolic blood pressure between the three groups ($105.1{\pm}4.7$, $111.0{\pm}7.1$, $117.8{\pm}6.6mmHg$, P<0.001), but for average diastolic blood pressure only between groups 1 and 3 ($69.1{\pm}5.3$, $77.9{\pm}6.3mmHg$, P=0.001). In the daytime, only groups 1 and 3 showed a statistically significant difference for systolic and diastolic blood pressure. During the night the systolic pressure of group 3 was significantly higher than the other groups, but the diastolic pressure of group 3 was only higher than that group 1. No statistical difference was found in night dips among the groups. Conclusion : Ambulatory blood pressure monitoring in children and adolescents showed statistically higher blood pressure in obese patients with high casual blood pressure.

Dietary Behavior and Food Frequency of Females in Their Twenties Working Shifts at Coffee Shops in Seoul (서울지역 20대 커피전문점 교대근무 여성의 식행동 및 식품섭취빈도 비교)

  • Kim, Soo-Jin;Lee, Seung-Lim;Om, Ae-Son
    • Culinary science and hospitality research
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    • v.19 no.1
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    • pp.215-229
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    • 2013
  • This study compared and examined the dietary behavior and food frequency of 100 female workers in their 20s who work night and day shifts at take-out coffee shops and 100 female office workers. The results of the study can be summarized as the following. The experimental group showed lower rates of income, tenure of office, sleeping hours, and frequency of exercise(p<0.001), and higher rates of gastric and intestinal illnesses, weight fluctuates, and smoking(p<0.001) than the control group. More than 83% of the experimental group(p<0.001) answered that they eat alone(p<0.001). The experimental group showed lower rates of regularity of meal and balanced diet(p<0.001), and higher rates of overeating(p<0.01), skipping breakfast and eating late-at-night(p<0.001) than the control group. The experimental group consumed less frequently rice, meat, fish, egg, bean, kimchi, vegetables and fruit(p<0.001), and more frequently noodles, bread, cereal, seaweed, milk, coffee and alcohol(p<0.001) than the control group.

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The Effect of Oxygen Therapy on VPB in Patients with Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환 환자에서 심실 조기수축에 대한 산소치료의 효과)

  • Shin, Kyu-Suck;Ko, Jeong-Seok;Kim, Seo-Jong;So, Kun-Ho;Jin, Gyo-Hyun;Lee, Keun;Lee, Gwi-Lae;Roh, Yong-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.1
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    • pp.42-49
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    • 1999
  • Background: In patients with chronic obstructive pulmonary disease(COPD). it is well known that hypoxemia increases the frequency of VPB, which is associated with the poor prognosis such as sudden death. The aim of this study is to evaluate the effect of short and long-term low flow oxygen therapy on the development of VPBs in patients with COPD by correcting the hypoxemia. Method: In 19 patients with COPD, oxygen saturation and VPB's were monitored by pulse oxymeter and 24-hour Holter EKG, with room air and oxygen saturation and VPB's were monitored on the 1st and on the 8th day during oxygen therapy with nasal prong (2L/min). Results : The arterial oxygen saturation was significantly higher on the 1st day of oxygen therapy compared with breathing room air, and was also higher on the 8th day of oxygen therapy than on the 1st day. We found that there was significant correlation between the lowest value of the arterial oxygen saturation and the mean value of the arterial oxygen saturation. The number of VPB's per hour was significantly lower on the 1st day of oxygen therapy compared with breathing room air, and also lower on the 8th day of oxygen therapy than on the 1st day. Our results showed positive correlation between the decrease in the frequency of VPB's and the increase in the lowest arterial oxygen saturation, even though correlation was not significant(p=0.056). Conclusion: With oxygen therapy, the arterial oxygen saturation was increased and the number of VPB's was decreased. Long-term oxygen therapy more than 7days, would be helpful to decrease the number of VPB' s in patients with COPD.

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