• 상하수도학회지
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• 제22권5호
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• pp.497-503
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• 2008

The Oxic-Settling-Anaerobic(OSA) process is a modified activated sludge processes for sludge reduction. It is evaluated that the sludge production in OSA process can decrease to 88% because of biomass decay and kinetic parameter($Y_H$ 0.237mgVSS/mgCOD, $b_H$ $0.195d^{-1}$) in anaerobic reactor, when compared with CAS process. However, it has problems caused by sludge reduction such as increase of nutrient loading. In case that the anoxic condition through the introduction of the intermittent aeration for the enhancement of nitrogen removal ability build up and enough rbCOD is suppled, maximum 88% of nitrogen is removed in the OSA process. If the OSA process optimizing the intermittent aeration cycle is applied to the separate sewage system with high rbCOD fraction, it can be converted to advanced process in terms of the sludge reduction and nitrogen removal, simultaneously.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2010년도 추계학술대회
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• pp.141-144
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• 2010

OSA(Opportunistic Spectrum Access)는 주파수의 효율적인 사용을 위해 1차 사용자가 주파수 대역을 사용하지 않을 때, 2차 사용자가 사용할 수 있도록 하는 인지 무선 기술이다. 본 논문에서는 2차 사용자가 주파수를 이용하기 위한 두 가지 OSA 방식을 제안한다. 또한 1차 사용자와 2차 사용자의 성능에 관한 수학적 분석과 시뮬레이션을 통해 다양한 환경에서 시스템 파라미터가 OSA 방식에 끼치는 영향을 분석하여 제안한 OSA 방식을 비교한다.

• 대한치과의사협회지
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• 제53권4호
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• pp.238-248
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• 2015

Sleep related breathing disorders(SRBDs) are a group of diseases accompanied by difficulties in respiration and ventilation during sleep. Central sleep apnea, obstructive sleep apnea(OSA), sleep-related hypoventilation, and hypoxemia disorder are included in this disease entity. OSA is known to be the most common SRBDs and studies show its significant correlation with general health problems including hypertension, arrhythmia, diabetes, and metabolic syndrome. The diagnostic process of OSA is composed of physical examinations of the head and neck area and also the oral cavity. Radiologic studies including cephalography, CT, MRI, and fluoroscopy assist in identifying the site of obstruction. However, polysomnography(PSG) is still considered the gold standard for the diagnosis of OSA since it offers both qualitative and quantitative recording of the events during a whole night's sleep. The dentist who is trained in sleep medicine can easily identify patients with the risk of OSA starting from simple questions and screening questionnaires. Diagnosis is the first step to treatment and considering the high rate of under-diagnosis for OSA the dentist may play a substantial role in the diagnosis and treatment of OSA which will eventually lead to the well-being of the patient as a whole person. So the objective of this article is to assist dental professionals in gaining knowledge and insight of the diagnostic measures for OSA including PSG.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권5호
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• pp.259-266
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• 2022

The relationship between obstructive sleep apnea (OSA) and diverse types of pain conditions have been proposed. However, no consensus on the relationship between OSA and painful temporomandibular disorders (TMDs) has been established. Therefore, this systematic review has been conducted to review the existing literatures and provide comprehensive synthesis of such literatures about OSA and painful TMDs using the evidence-based methodology. A literature search was conducted using two electronic databases, Scopus, and PubMed. Risk of bias was assessed using the risk-of-bias assessment tool for non-randomized study version 2.0. A total of 158 articles were screened from the initial search and eventually, 5 articles were included in this systematic review. One study adopted both the longitudinal prospective cohort and case-control designs and other 4 articles adopted the cross-sectional design. Two studies employed polysomnography (PSG) for the diagnosis of OSA and mentioned the results from the PSG. All cross-sectional studies demonstrated higher OSA prevalence among patients with TMD, and one cohort study suggested OSA as a risk factor for TMD. OSA appears to have potential influences on the development of TMD; however, the role of TMD in the development of OSA remains to be unknown owing to the lack of high-quality evidences.

• Journal of Oral Medicine and Pain
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• 제41권4호
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• pp.180-187
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• 2016

Purpose: The aims of this study were to evaluate the differences of clinical and polysomnographic features between rapid eye movement (REM)-related obstructive sleep apnea (OSA) and not-REM-related OSA, and to suggest the pathogenesis according to the REM dependency of OSA. Methods: One hundred ninety consecutive patients diagnosed with OSA were evaluated clinical features and performed full night polysomnography. The patients were divided into REM-related (REM apnea-hypopnea index [AHI] at least two times higher than their non-REM AHI) and not-REM-related (a REM AHI less than two times higher than their non-REM AHI) OSA groups and evaluated the differences in age, body mass index (BMI), neck circumference, Ep-worth Sleepiness Scale score, and parameters of polysomnography. Results: REM-related patients were younger and showed higher sleep efficacy, low percentage of light sleep stage (stage 1 sleep), and low rate of positional OSA. Age was significantly associated with REM dependency of OSA and REM AHI were significant correlated with BMI, neck circumference, percentage of sleep in supine position, and percentage time of snoring. Conclusions: Our results showed that REM-related OSA patients showed less severe polysomnographic parameters than not-REM-related patients. However, significant risk factors were differed depending on the REM dependency and OSA severity, and the clinical features correlated with REM AHI and non-REM AHI were also showed differently. We suggest that the occurrence of OSA according to the REM dependency can be based on different mechanisms.

• Journal of Oral Medicine and Pain
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• 제41권1호
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• pp.7-15
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• 2016

Purpose: Mandibular advancement device (MAD) is widely recognized as an important treatment option for obstructive sleep apnea (OSA) and is readily accepted than any other treatment options owing to its simplicity and ambulatory nature. At this time, there are a multitude of MAD designs and their efficacies may be influenced by adjustment and retention mechanism. The MAD with the anterior connector (anteriorly adjustable mandibular advancement device, AAMAD) was newly developed in the Department of Oral Medicine, Dankook University Dental Hospital (Cheonan, Korea) and was prescribed for the OSA patients including snoring patients. Thus, this study was aimed to objectively investigate the effectiveness of the AAMAD on the OSA patients using the self-applied portable device (ApneaLink), and evaluate the treatment outcomes among patients with various severity of OSA level. Methods: Results of the treatment of fourteen patients (13 male, 1 female) with the AAMAD were retrospectively analyzed. Each patient underwent home sleep test before treatment and were divided into two groups, i.e., those with mild (apnea-hypopnea index [AHI] ${\geq}5$ and <15) to moderate OSA (AHI ${\geq}15$ and <30) and severe OSA (AHI ${\geq}30$). After treatment, home sleep test was conducted again and treatment outcomes were compared between mild to moderate and severe OSA patients. Results: Of all patients, 78.6% showed more than 50% AHI reduction. We found a significant reduction (85.3%) of AHI in the severe OSA patients. Patients with mild to moderate OSA showed the reduced AHI (56.1%). Conclusions: We concluded that AAMAD is an effective oral appliance for the majority of OSA patients.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.27.1-27.5
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• 2017

The prevalence of obstructive sleep apnea (OSA) is estimated to be 1-5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatment of OSA is associated with decrease in insulin resistance, cardiovascular disease, psychosocial problems, and mortality. Surgical treatment of OSA has evolved in the era of neuromodulation with the advent of hypoglossal nerve stimulation (HGNS). We share this review of HGNS with our maxillofacial surgical colleagues to expand the scope of surgical care for OSA.

• 한국응용과학기술학회지
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• 제36권1호
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• pp.174-188
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• 2019

본 연구는 OSA 전분을 열처리 한 후, 이를 이용하여 제조한 OSA 전분 에멀션의 이화학적 특성 및 계면 흡착 구조 등을 조사하였다. 에멀션 중 지방구의 크기는 OSA 전분 농도의 증가와 더불어 지속적으로 감소하여 0.2 wt% 농도에서 최소값($0.31{\pm}0.01{\mu}m$)을 나타내었고, 그 이상의 농도에서는 변화가 없었다. 에멀션의 크리밍 안정도는 OSA 전분 농도가 높을수록 증가하였으며, 0.75 wt% 이상의 첨가 농도에서 크리밍 발생에 대하여 매우 안정하였다. 에멀션 중 OSA 전분의 계면 흡착량은 0.2 wt% 첨가 농도 이상에서 농도의 증가와 더불어 증가하였으며(0.2 wt% : $1.03mg/m^2$ ${\rightarrow}$ 1.25 wt% : $5.08mg/m^2$), 이는 계면에서 OSA 전분이 다층 구조를 이루는 것에 기인된 것으로 추정하였다. OSA 전분 에멀션의 pH를 조절하였을 때 산성 지역에서 지방구의 응집에 의해 크기가 증가하였으며, 이는 상대적으로 낮은 제타 전위에 기인된 것으로 사료되었다. 터비스캔에 의한 분산 안정도 또한 pH에 영향을 받아 산성 지역에서 낮았으며, pH 7 이상에서는 높은 분산 안정도 특성을 보였다. 공초점현미경을 이용하여 열처리된 OSA 전분이 흡착된 지방구 표면을 관찰한 결과, OSA 전분은 입자 형태가 아닌 두꺼운 계면막을 형성하는 것으로 나타났다. 따라서 에멀션 형성 전에 OSA 전분을 열처리할 경우, 전분의 호화과정에서 용출된 아밀로오스와 아밀로펙틴이 지방구 표면에 막의 형태로 흡착되므로, OSA 전분 에멀션에 있어서 중요한 유화 안정화 기작은 '입체장애 안정화(steric stabilization)'인 것으로 사료되었다.

• 한국치위생학회지
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• 제22권4호
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• pp.249-257
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• 2022

Objectives: This study aimed to investigate the effect of the oral health status on risk factors for obstructive sleep apnea (OSA) using data from the 2019 National Health and Nutrition Examination Survey. Methods: Of a total of 2,422 persons, 1,295 and 1,127 were categorized into the control group (CG) and OSA risk group (OSARG), respectively. The effect of the oral health status on OSA risk factors was presented in Model 1 by performing a complex sample linear regression analysis. Results: Our findings showed that OSA risk factors decreased by 0.075 points when there were no speaking problems with demographic characteristics adjusted. In addition, when systemic diseases were adjusted for, OSA risk factors decreased to 0.074 points (p<0.05). Conclusions: Therefore, in order to reduce oral problems that affect OSA risk factors, dentists and dental hygienists should seek accurate recognition of OSA and effective oral care methods.

• 공업화학
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• 제23권1호
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• pp.112-118
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• 2012

본 연구에서는 합성한 DE7-OSA82-AO와 DEP52-OSA82-AOQ82 양쪽성 계면활성제에 대하여 계면활성제의 기본적인 물성(임계 마이셀 농도, 표면장력, 계면장력, 접촉각, 점도, 계면활성제 시스템의 상거동 등)을 측정하였다. 또한 계면활성제 수용액에 대한 제타전위 측정과 QCM 실험을 통하여 양쪽성 계면활성제가 양이온 계면활성제에서 음이온 혹은 비이온 계면활성제로 작용이 전환되는 등전점을 결정하였다. 제타전위 측정과 QCM 실험을 통하여 결정한 DE7-OSA82-AO 계면활성제의 등전점은 각각 7.2와 7.4이며, DEP52-OSA82-AOQ82 계면활성제의 등전점은 각각 10.4와 11.0으로서 제타전위 측정과 QCM 측정 결과가 거의 일치하였다. 표면 마찰 시험기를 사용하여 DE7-OSA82-AO 계면활성제로 세정한 섬유의 평균 마찰계수 값을 측정한 결과, 계면활성제 수용액의 pH가 산성 조건 혹은 중성 조건에서 섬유 유연 효과가 크며, DEP52-OSA82-AOQ82 계면활성제의 유연력은 등전점보다 낮은 pH 11 이하의 조건에서 우수함을 확인하였다.