• Sleep Medicine and Psychophysiology
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• v.15 no.1
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• pp.33-38
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• 2008

Introduction: It has been proposed that narcolepsy and REM sleep behavior disorder (RBD) have overlapped symptom profile and pathophysiology. This study was aimed at measuring and comparing changes in EEG frequency band of REM sleep in narcolepsy and RBD, applying EEG spectral analysis method. Methods: Nine patients diagnosed as narcolepsy and the same number of RBD patients were studied. Spectral analysis of the REM sleep EEG was performed in each patient on 9 epochs selected evenly from the first, second, and third REM periods. Then, we compared frequency band percentages of REM sleep EEG in narcolepsy and RBD. Results: Narcolepsy patients had significantly higher delta frequency ratio than RBD ones (p=0.00). In alpha and beta2 frequency bands, RBD patients showed higher percentage than narcolepsy ones. Slow wave sleep was more prevalent in narcolepsy patients. But, no difference of REM sleep percentage was found between the two groups (p=0.93). Conclusion: Higher delta frequency ratio in REM sleep of narcolepsy patients than RBD ones reflects that sleep-promoting mechanism is more dominant in narcolepsy than in RBD.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• v.61 no.12
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• pp.663-668
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• 2018

Background and Objectives The main objectives of this study were to determine the clinical usefulness of the program-assisted and real ear measurement (REM)-assisted fitting of hearing aids. Subjects and Method Fifteen participants with moderate to moderately severe hearing loss were enrolled in this study. Objective and subjective fitting results were assessed to compare the benefits between the program-assisted fitting (using a software fitting program) and the REM-assisted fitting. Real ear insertion gain (REIG), sound-field audiometry using warble tone, and Korean Hearing in Noise Test (K-HINT) were performed as objective tests. Sound quality rating was performed as a subjective test. Results In the program fitting, 48.89% of fitting points failed to come within ${\pm}10dB$ of the REIG target. In the REM fitting, however, the percentage of failure significantly decreased to 23.33% (p=0.013). In K-HINT test, the reception threshold for speech in quiet situation significantly decreased from 50.1 dB HL with the program fitting to 44.7 dB HL after the REM fitting (p<0.001). In front noise condition, signal-to-noise ratio improved from 4.53 dB to 3.50 dB with the REM fitting without statistical significance (p=0.099). In the sound quality rating, the REM fitting ($4.27{\pm}0.56$) showed a significantly better sound quality ratings than the program fitting ($3.69{\pm}0.74$) (p=0.017). Conclusion The REM fitting showed better results in both subjective and objective measurements than the program fitting.

• Journal of Oral Medicine and Pain
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• v.42 no.1
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• pp.1-7
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• 2017

Purpose: The aims of this study were to evaluate the clinical characteristics and polysomnographic results of patients visited the Seoul National University Dental Hospital (SNUDH) and to suggest guidelines for the management of sleep disordered-breathing patients in a dental clinic. Methods: Five hundred sixty-two patients who visited the Snoring and Sleep Apnea Clinic of SNUDH were evaluated for clinical characteristics including associated comorbidities, age, gender, body mass index (BMI), neck circumference, and daytime sleepiness and among them 217 patients were performed nocturnal polysomnography for evaluating respiratory disturbance index, apnea-hypopnea index (AHI), oxygen saturation levels, and sleep stages. The associations among clinical characteristics, sleep parameters, and positional and rapid eye movement (REM) dependencies of the patients were analyzed. Results: The most common co-morbidities of the patients were cardiovascular (30.2%), endocrine (10.8%), and respiratory diseases (7.9%). Age (${\beta}=0.394$), total AHI (${\beta}=0.223$), and lowest $O_2$ saturation levels (${\beta}=0.205$) were significantly associated with the number of co-morbidities in patients with obstructive sleep apnea (OSA). Mean $O_2$ saturation was not significantly associated with number of co-morbidities. Non-positional OSA patients had higher BMI, longer neck circumferences, more severe AHI values, and lower mean and lowest $O_2$ saturation levels compared to positional OSA patients. Not-REM-related patients were older and had more severe AHI values compared to REM-related patients. Not-REM-related patients have longer duration of stage I sleep and shorter stage II, III, and REM sleep than REM-related patients. There were no significant differences in each sleep stage between positional and non-positional patients. Neck circumference, positional dependency, REM dependency, and percentage of supine position were significantly associated with severity of OSA. Conclusions: Age, total AHI, and lowest $O_2$ saturation level were significantly associated with the number of co-morbidities in patients with OSA. Neck circumference, positional dependency, REM dependency, and percentage of supine position were significantly associated with severity of OSA.

• Proceedings of the KOSOMBE Conference
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• v.1998 no.11
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• pp.201-202
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• 1998

In this paper we suggested an automated method for detecting and counting rapid eye movement(REM) using EOG during sleep. This method is formulated by two step fuzzy logic. At first step, the velocity and the distance of single channel eye movement are used for the fuzzy input to get the possibility of being REM at each EOG. At second step, the two possibility values of both EOG from the first step and the correlation coefficient of both eye movements are used for the fuzzy logic input, and the output is the final possibility of being Rapid Eye Movement. We applied this algorithm to the normal and narcoleptic sleep data and compared the difference. We found the possibility that the count of REM can be a parameter that has significant physiological meanings.

• Transactions of Materials Processing
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• v.8 no.3
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• pp.309-309
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• 1999

Effects of rare earth metals addition and aging treatment on corrosion resistance and mechanical properties of super duplex stainless steels were investigated using optical/SEM/TEM metallographic examination, an X-ray diffraction test, a potentiodynamic anodic polarization test and a tensile test. The performance of the experimental alloy with 0.32% REM addition was compared with commercial super duplex stainless steel such as SAF 2507 when they were exposed to solution annealing heat treatment and aging treatment. The corrosion resistance in CF environments and mechanical properties of the experimental alloy were found superior to those of the commercial duplex stainless steel. The REM with larger atomic radii than those of Cr, Mo and W may fill vacancies inside the matrix and around the grain boundaries, retarding formation of harmful intermetallic σ and χ phases. In addition, fine REM oxides/oxy-sulfides (1-3㎛) seemed to enhance the retardation effects. With REM additions, strength and ductility increased due to the phase and grain refinement caused by fine REM oxides and oxy-sulfides.

• Transactions of Materials Processing
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• v.8 no.3
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• pp.301-301
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• 1999

Austenitic stainless steels such as AISI 316L have been used in equipment in which fluid flows at high speeds which can induce cavitation erosion on metallic surfaces due to the collapse of cavities, where the collapse is caused by the sudden change of local pressure within the liquid. Usually AISI 316L is susceptible to cavitation erosion. This research focuses on developing a better material to replace the AISI 316L used in equipment with high speed fluid flow, such as impellers. The effects of Rare Earth Metal (REM) additions on the cavitation erosion-corrosion resistance of duplex stainless steels were studied using metallographic examination, the potentiodynamic anodic polarization test, the tensile test, the X-ray diffraction test and the ultrasonic cavitation erosion test. The experimental alloys were found to have superior mechanical properties due to interstitial solid solution strengthening, by adding high nitrogen (0,4%), as well as by the refinement of phases and grains induced by fine REM oxides and oxy-sulfides. Corrosion resistance decreases in a gentle gradient as the REM content increases. However, REM containing alloys show superior corrosion resistance compared with that of other commercial alloys (SAF 2507, AISI 316L). Owing to their excellent mechanical properties and corrosion resistance, the alloys containing REM have high cavitation erosion-corrosion resistance.

• Korean Institute of Interior Design Journal
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• v.18 no.3
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• pp.47-56
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• 2009

This research aims to analyze the characteristics of the architectural space of Rem Koolhaas based on the spatial discourse of Gilles Deleuze, a philosopher of post-structuralism which comprehends pluralism accepting even contingency and uncertainty beyond deterministic attitudes of structuralism that has led the western discourses since the 19th century. First of all, this research will reflect on Deleuze's spatial concept through literatures and extract the characteristics related to architectural spaces. Then, on the basis of these characteristics, it will analyze the characteristics which were applied to the interior space of the recent architectural works of Rem Koolhaas to find out how Deleuze's spatial dicourse was embodied. Among Deleuze's speculations, the characteristics which falls under the spatial discourse were classified into three categories; degree between the striated space and the smooth one, the space of events and singularity, and the space of the multiple sense. These analysis words are used to look into the correlations among the specific practicing methods embodied in the architecture of Kookhaas. In conclusion, in the architectural space of Rem Koolhaas, it was found that the characteristics of Gilles Deleuze's spatial discourse of post-structuralism were embodied by the methods such as (1) Space of continuous transition, (2) Space of the $multiplicit{\acute{e}}$ accepting contingent events, (3) Space of the multiple sense, and (4) Space of movement.

• Sleep Medicine and Psychophysiology
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• v.8 no.2
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• pp.83-89
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• 2001

In all ages and countries, dreaming has always been a topic that has interested people. Throughout history, theories about dreaming have been heavily dependent on concurrent theories in related domains. Many researchers have claimed that dreaming occurs during REM and NREM sleep and have rejected the strict association between REM sleep mechanisms and dreams. Although dreams may occur in both REM and NREM periods, they are likely to be produced by different mechanisms during REM and NREM sleep. All physicians managing dreaming-related problems in clinical practice need to understand the multidimensional aspects of dreaming. Therefore, I have reviewed the literature on mechanisms generating and the meaning of dreaming in the neurobiological and psychophysiological perspectives.

• Proceedings of the ESK Conference
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• 1992.10a
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• pp.96-103
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• 1992

To get a comfortable sleep, the most improtant thing is how well we do thermorgulate during the rest in bed before sleeping as well as during sleep. In other works, the ambient temperature of the sleeping room is very improtant in the organization of human sleep. In recent years, the effect of ambient temperature on human sleep has been increasingly stueided. These studies were primarily concerned with the relation between thermorgulatory processes and sleep, and more precisely with the findings that various thermoregulatory processes are inactivated or severly curtailed during REM sleep in a number of animals, also that panting and shivering in heat and cold, respectively, cease during REM sleep in cats. Haskel et al. noted that although REM sleep latency was increased at thigh and low temperature. REM sleep was depressed to a greater extent by lower than by higher temperatures whereas the reverse was obseved for SWS. It has also been found that a load omposed upon thermoregulatory mechanisms should markedly affect sleep processes, and that conversely, sleep in conditions of thermic stress should interfere with adequate thermorgulatory reactions. Sleep in an animala under thermic stress is, on the whole, both shorter and less deep than under normal thermic conditions.

• Journal of the Korean Crystal Growth and Crystal Technology
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• v.3 no.2
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• pp.131-139
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• 1993

Transmission electron microscopy( lEM) technique which is useful for investigating the crystalline structure and defects, and reflection electron microscopy( REM) of which technique has very high sensitivity of detecting the defects on the crystal surfaces were applied to study the behaviour of dislocations and twins in or on the $a- AI_20_3$ single crystals.