• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 2001.11a
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• pp.81-86
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• 2001

산업의 발전과 함께 소비3자의 욕구는 제품의 질적, 감성적 향상을 요구하고 있으며, 또한 최근 각종 공학의 눈부신 발전에 힘입어서 자동차의 성능, 안락성 등이 크게 향상되면서 운전자의 운전 중 피로감 제거에 관심이 높아지고 있다. 본 연구는 주관적인 피로감 평가 방식 중 졸림감(KSS), 피로감 용어 및 신체 불편도를 이용하여 평가를 수행하였다. 졸림감 및 피로감 용어는 차종 및 자세에 따라 약간의 차이가 있었지만, 대체적으로 시간이 지남에 따라 불편함의 정도가 심해졌다. 신체 불편도에 대한 평가결과 엉덩이, 요추, 어때, 좌우 발목 부위가 불편한 것으로 나타났다. 이러한 결과들은 차종별 또는 운전자세에 따라 통계적으로 유의한 차이를 보이기도 했다. 이러한 연구 결과를 통해서 동환경 시스템의 기초 데이터를 확보할 뿐만 아니라, 자동차를 설계하는데 있어, 보다 안락하고 편안한 운전환경을 만들 수 있는 기초자료로써 활용이 가능할 것이다.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2002.05a
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• pp.785-791
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• 2002

본 연구에서는 자동차의 안락성에 큰 영향을 미치는 운전자세와 운전에 따른 피로도를 평가하는 방법에 대해 다루고자 한다. 이러한 피로도를 평가하기 위해서 EMG, ECG와 같은 생리신호를 이용한 정량적인 평가방법과 졸림감 주관적 피로도 등과 같은 정성적인 평가방법을 동시에 수행하였다. 본 실험은 실제 차량에서 동일탄 구간을(호남고속도로 대전-정읍)을 왕복 주행하면서 수행되었으며, 실험에 참여한 인원은 콩 6명이었다. 실험 결과 운전시간이 증가함에 따라 근육의 피로가 증가하는 것을 볼 수 있었으며, 동시에 졸림감 또한 증가하였다. 운전 자세에 따른 피로도의 평가 결과 졸림감이 중요한 요인으로 나났는데, 이는 안락한 운전자세 뿐만 아니라 안전한 운전을 위해서도 아주 중요한 요인이라 생각된다. 본 연구는 실제 차량을 통탄 피로도의 편가를 하는데 있어서 피로를 평가하는 방법에 대탄 가이드로써 그 역할이 중분하리라 생각이 되며. 무엇보다도 실제 차량에서 실험한 결과 샘플수가적기 때문에 객관적인 결과라고 말하기엔 어렵겠지만, 운전 자세에 따라서 유의한 자이를 보였다.

• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 2002.05a
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• pp.139-143
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• 2002

운전자가 고속도로와 시내도로에서 3시간 동안 주행했을 때 주관적인 운전 피로감 및 졸림감, 신체적인 불편도를 주관적 평가지를 이용하여 측정하였다. 실험결과 운전 피로감은 모든 주행조건에서 운전시간이 경과됨에 따라 유의하게 증가하였고 졸림감은 고속도로 주행시 운전시간에 따라 유의하게 증가하였으며 시내 주행에서 고속도로 주행보다 더 많은 신체부위에서 불편도가 높았다. 따라서 운전 피로는 운전시간에 따라 증가하고 고속도로에서는 졸음, 시내주행에서는 신체적인 불편으로 인한 피로가 증가함을 알 수 있었다.

• Sleep Medicine and Psychophysiology
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• v.19 no.2
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• pp.89-96
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• 2012

Objectives: Individuals differ in their biological rhythms. This study investigated the association between the morningness-eveningness and sleep patterns, daytime sleepiness and fatigue in Korean male adolescents. Methods: Participants were 501 eleventh grade male students ($16.9{\pm}0.2$ years of age) in one male high school in Seoul. Each student completed the Korean translation of composite scale (KtCS), Epworth sleepiness scale (ESS), Fatigue Severity Scale (FSS) and a questionnaire about their sleep schedule. Results: The evening group had shorter weekday sleep time than the intermediate (p<0.001) or morning group (p=0.029). The evening group had more daytime napping (16.8%, p<0.001), high rate of caffeine use (58.8%, p<0.001) and snoring (18.5%, p=0.037). The evening group showed more daytime sleepiness (8.7, SD=3.2, p<0.001) and severe fatigue (4.4, SD=1.2, p<0.001) than the intermediate or morning group. Conclusion: Adolescents with eveningness have higher problems in weekday sleep, daytime sleepiness and fatigue. An intervention program for sleep problem in these adolescents should be considered.

• Science of Emotion and Sensibility
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• v.5 no.1
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• pp.71-78
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• 2002

Driving involves a series of complicated precesses requiring various human capacities, such as perception, will decision, and athletic functions. Consequently, it induces a high degree of continuous concentration of mind and tension from external stimulation, bringing fatigue to the driver, and driver fatigue is counted as one of the major causes of traffic accidents. Nevertheless, because of the complicated urban lives, traffic congestion, job characteristics, and so on, the drivers have to spend a longer time inside a vehicle, and the fatigue and stress thereof is almost unavoidable. We haute, therefore, turned our attention to the reduction in the fatigue during driving by supplying oxygen, and investigated in this research the drivers subjective fatigue evaluations and reaction time when oxygen is supplied in different rates. As a result, we have found that the subjective fatigue feeling is highest at low-rate O/Sub 2/ supply (18%), and fatigue feeling was comparatively reduced at high-rate O/Sub 2/ (30%). The sleepiness also showed the tendency to be reduced at high-rate O/Sub 2/ supply in the case of driving for 1 hour or more. The time for reaction to braking after the sign for urgent stop is given tends to show more substantial reduction at high-rate O/Sub 2/ supply than at low-rate O/Sub 2/ supply after 2 hours driving. It can, therefore, be deduced from the aforesaid results that the subjective responses and behavioral reactions tend to show reduced fatigue at the condition of high-rate O/Sub 2/ supply. Hence, it was suggested that drivers felt subjective fatigue while driving at low-rate O/Sub 2/ and the subjective fatigue and reaction time were reduced at high-rate O/Sub 2/. These findings suggest that the oxygen supply will reduce driver fatigue.

• 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.

• Sleep Medicine and Psychophysiology
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• v.24 no.2
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• pp.118-123
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• 2017

Central sleep apnea (CSA) is a highly prevalent comorbidity in patients with heart failure and may present in 25 to 40 percent of heart failure patients. Continuous positive airway pressure (CPAP) is the primary therapeutic option and effective in treatment of obstructive sleep apnea (OSA). In heart failure patients with CSA, several trials of CPAP showed a number of positive effects in heart failure treatment. A 58-year-old male visited the hospital because of dyspnea and he was diagnosed as heart failure with ischemic heart disease. He underwent coronary angiography and received percutaneous coronary intervention due to stenosis at the middle of left anterior descending coronary artery. However, dyspnea was not completely improved after treatment with percutaneous coronary intervention. The patient also experienced snoring and sleep apnea which worsened with symptom of dyspnea in the recent year. We suspected CSA and the patient underwent polysomnography to confirm whether sleep apnea was present. During the polysomnography, CSA with Cheyne-Stokes respiration (CSR) was observed and apnea-hypopnea index was 45.9/hr. The patient was treated with CPAP. After CPAP treatment, hypoxemia and CSA were resolved and dyspnea was improved with reducing NYHA class. We report a case successfully treated with clinical improvement by presuming CSA in a patient with heart failure.

• Korean Journal of Psychosomatic Medicine
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• v.11 no.2
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• pp.196-204
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• 2003

Objectives: It is known that sedative hypnotics would make cross tolerance with alcohol and deteriorate quality of sleep in alcoholics. Light therapy is effective non-pharmacological intervention for sleep disturbance in circadian phase disorders, jet-lag, shift-work and age-related sleep disorders. Authors would investigate the effects of morning light therapy on sleep of patients with alcohol dependence during recovery state without withdrawal symptoms. Methods: 13 patients with alcohol dependence who have not any alcohol withdrawal symptom were recruited. Light therapy during 1 hour in the morning had been administered by 2500 Lux light box through serial 3 days. Sleep state of subjects were assessed by sleep log and the subjective satisfaction at sleep was by 100 mm visual analogue scale. Sleepiness, depressive mood, anxiety were evaluated by 100mm visual analogue scale at 8 AM, 2 PM and 8 PM. For assessment of performance ability that would be associated with sleepiness and vigilance, trail making test A, B and digit symbol substitution test were performed by two times on base line and 4th day. Univariate repeated-measures ANOVAs were performed for each measures except performance tests which were analysed by paired t-test. Results: Sleep latency and sleep efficiency were significantly improved with light therapy and satisfaction at sleep was. There was no significant difference in sleepiness at 2 PM with light therapy but sleepiness at 8 AM significantly decreased and at 8 PM increased. The time to complete Trail making test and digit symbol substitution test were significantly shortened at 4th day compared with baseline. Fatigue at 8 AM were not significantly changed with light therapy but at 2 PM and 8 PM significantly decreased. Depressive mood and anxiety were not significantly changed with light therapy. Conclusion: Although this study had some limitations, it showed that light therapy would be effective modality on sleep disturbance of patients with alcohol dependence who have recovered from alcohol withdrawal symptoms. It is proposed that short term light therapy could be used clinically for alcoholics with insomnia. In the future, long term controlled studies using more objective tools for sleep are required to further investigate the effect of light therapy in alcoholics.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.3
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• pp.1042-1053
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• 2012

The purpose of this study was to identify the effects of Neurofeedback(NF), Cranio-Sacral Therapy(CST) and Combine Therapy(CT) in middle aged women through their experiences after participating these therapies. The participants were 53 middle aged women who lived in S city, 17 in the NF group, 17 in the CST and 19 in the CT, for 10 weeks from October to December, 2007. The NF group had 30 sessions, the CST group had 10 sessions and the CT group had 30 sessions of NF training after 10 sessions of CST. The data was collected from daily chart by self reporting their experiences during sessions. Collected data was analyzed by content analysis. From raw data, 37 items of NF, 91 items of CST and 110 items of CT were extracted in the content analysis. Similar items were gathered to 22 attributes of NF, 63 of CST and 68 of CT. These attributes were categorized into 9 higher attributes. The dominant attributes of NF were doziness during the training, mental comfort, lightening of physical and mental condition. Mental and physical comfort, improvement of sleep, healthy condition, crying were the dominant of CST. Also mental and physical comfort, lightening of physical condition, improvement of sleep, tear were the dominant of CT. According to the results of this study NF, CST and CT were very effective on physical and psychological relaxation. Therefore it is recommended that these NF, CST and CT be used as a complementary and alternative medicine(CAM) in middle aged women.

• The Korean Journal of Pain
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• v.6 no.2
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• pp.213-219
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• 1993

The use of buprenorphine by epidural route in the prevention of postoperative pain has been controversial. High lipid solubility of buprenorphine caused the same parenteral/epidural analgesic dose ratio, and the analgesic effect of epidural buprenorphine possibly due to systemic absorption, which revealed no advantages of epidural administration against parenteral injection. On the contrary, epidural buprenorphine had longer duration of action and fewer side effects than parenteral buprenorphine, which advocated the epidural use of buprenorphine. We studied the efficacy of epidural buprenorphine by comparing epidural buprenorphine with epidural morphine in terms of latency and the duration of analgesic action, and the incidence of side effects. 0.15mg and 0.3mg of epidural buprenorphine had shorter latency than 2mg of morphine. 0.3 mg of buprenorphine had longer duration of action than 4 mg of morphine. The incidence of nausea and vomiting were slightely higher in buprenorphine group than in morphine group. Voiding difficulty and pruritus were little in buprenorphine group, while the incidence of somnolence was markedly higher in buprenorphine group. Form our results we conclude that epidural buprenorphine may be useful in the treatment of postoperative pain, and but recognize both advantages and disadvantages as compared epidural morphine.