• The Korean Journal of Physiology and Pharmacology
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• 제14권5호
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• pp.291-297
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• 2010

The sleep homeostatic response significantly affects the state of anesthesia. In addition, sleep recovery may occur during anesthesia, either via a natural sleep-like process to occur or via a direct restorative effect. Little is known about the effects of isoflurane anesthesia on sleep homeostasis. We investigated whether 1) isoflurane anesthesia could provide a sleep-like process, and 2) the depth of anesthesia could differently affect the post-anesthesia sleep response. Nine rats were treated for 2 hours with $ad$ $libitum$ sleep (Control), sleep deprivation (SD), and isoflurane anesthesia with delta-wave- predominant state (ISO-1) or burst suppression pattern-predominant state (ISO-2) with at least a 1-week interval. Electroencephalogram and electromyogram were recorded and sleep-wake architecture was evaluated for 4 hours after each treatment. In the post-treatment period, the duration of transition to slow-wave-sleep decreased but slow wave sleep (SWS) increased in the SD group, but no sleep stages were significantly changed in ISO-1 and ISO-2 groups compared to Control. Different levels of anesthesia did not significantly affect the post-anesthesia sleep responses, but the deep level of anesthesia significantly delayed the latency to sleep compared to Control. The present results indicate that a natural sleep-like process likely occurs during isoflurane anesthesia and that the post-anesthesia sleep response occurs irrespective to the level of anesthesia.

• 수면정신생리
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• 제19권2호
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• pp.63-67
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• 2012

The reciprocal interaction between sleep and pain has been reported by numerous studies. Patients with acute or chronic pain often complain of difficulty falling asleep, frequent awakenings, shorter sleep duration, unrefreshing sleep, and poor sleep quality in general. According to the majority of the experimental human studies, sleep deprivation may produce hyperalgesic changes. The selective disruption of slow wave sleep has shown this effect more consistently, while results after selective REM sleep deprivation remain unclear. Patients with chronic pain have a marked alteration of sleep structure and continuity, such as frequent sleep-stage shifts, increased nocturnal awakenings, decreased slow wave sleep (SWS), decreased rapid eye movement (REM) sleep, and alpha-delta sleep. Many analgesic medications can alter sleep architecture in a manner similar to the effects of acute and chronic pain, suppressing SWS and REM sleep.

• 대한의용생체공학회:의공학회지
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• 제35권6호
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• pp.211-218
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• 2014

The objective of this research is to develop an automatic algorithm based on electrocardiogram (ECG) to estimate slow-wave sleep (SWS). An algorithm is based on 7 indices extracted from heart rate on ECG which simultaneously recorded with standard full night polysomnography from 31 subjects. Those 7 indices were then applied to independent component analysis to extract a feature that discriminates SWS and other sleep stages. Overall Cohen's kappa, accuracy, sensitivity and specificity of the algorithm to detect 30s epochs of SWS were 0.52, 0.87, 0.70 and 0.90, respectively. The automatic SWS detection algorithm could be useful combining with existing REM and wake estimation technique on unattended home-based sleep monitoring.

• 수면정신생리
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• 제2권1호
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• pp.13-22
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• 1995

To provide the physician with adequate information to diagnose and treat sleepwalking and sleep terrors, the author reviewed clinical features, epidemiology, causative and precipitating factors, polysomnography, diagnosis, differential diagnosis, and treatment for these disorders. Sleepwalking and sleep terrors have been defined as disorders of arousal that occur early in the night and have their onset during stage 3 or 4 sleep. In both disorders, patients are difficult to arouse, and complete amnesia or minimal recall of the episode is frequent. Genetic, developmental, and psychological factors have been identified as causes of both sleepwalking and sleep terrors. Sleepwalking and sleep terrors typically begin in childhood or early adolescence and are usually outgrown by the end of adolescence. When sleepwalking or sleep terrors have a post-pubertal onset or continue to adulthood, psychopathology is a more significant causative factors. The behavior that occur from deep slow-wave sleep can be painful or dangerous to the individual and/or disturbing to those close to that individual. The assessment of patients suspected of having these conditions requires a thorough medical and sleep history. The most important consideration in managing patients with sleepwalking or sleep terrors episodes is protection from injury.

• 한국의류산업학회지
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• 제5권1호
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• pp.77-81
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• 2003

The purpose of this study was to investigate the effect of multi-functional fabric on EEG and growth hormone (GH) during sleep and quality of sleep with the 9 young female athletes. The subjects participated in separated experimental procedure; sleeping in multi-functional fabric wear (experimental group) and cotton wear (control group) for 450min. During the night (22:00-05:30), we recorded the changes of nocturnal polysomnographic sleep recording and GH were measured every 60min. The results show that there are significant differences in percentage of stage 1, 2 and slow wave sleep (SWS) between two groups(S1, p<.05; S2, SWS, p<.01). The SWS percentage of experimental group is 1.89 times higher than control group. The changes of GH secretion varied depending on two experimental procedures. The peak of GH secretion in experimental group is more than controls by 2.4time (p<.001). The quality of sleep in experimetal group is significantly higher than control (p<.01). These results suggest muti-functional fabric wear is effective in inducing the deep sleep and increasing GH and quality of sleep.

• 대한의용생체공학회:의공학회지
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• 제39권1호
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• pp.55-61
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• 2018

The purpose of this study was to investigate the effect of a pillow simulated with cranial sacral therapy (CST) on sleep induction using electroencephalography (EEG). This study included 12 voluntary participants divided into experimental group (CST group) and control group (Non-CST group) to observe EEG changes. The position of the electrode for EEG measurement consists of 8 channels electrodes (Fp1, Fp2, F3, F4, T3, T4, P3 and P4). In this study, we measured the fall asleep time, change of brain activity and sleep wave ratio using EEG wave (${\delta}$, ${\theta}$, ${\alpha}$, ${\beta}$ and ${\gamma}$). As a result, the mean fall asleep time of the experimental group was shorter than that of the control group significantly (p < 0.001). Also in comparison with the control group, both the delta (d) and theta (q) wave corresponding to the slow waves showed a larger increase and the alpha (a) wave showed a larger decrease significantly. The slow waves of experimental group showed a higher rate of significant increase than the control group (p < 0.001). Therefore this study showed that pillow based on CST had an effective in improving sleep induction and quality.

• 한국의류산업학회지
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• 제8권6호
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• pp.713-720
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• 2006

Heat conductivity, height, size, elasticity of pillow, stability of shape, hygroscopicity, ventilation, temperature and easy movability, and so on, are considered to be some of major conditions that affect the comfortable sleep. Considering those factors together, the thermal properties, height, shape and feeling of touch, etc, of pillow must be taken into account. Though studies have been conducted to figure out the physical properties of mattress or pillows from the perspective of factors related to the environment of sleep, they are not enough to be used as an index to evaluate the qualitative aspect of sleep. This study tries to consider the effect of pillow filling materials on the comfortable sleep, for which EEG, ECG, EOG, EMG, RT, etc, are to be measured in an attempt to provide the basic data required in proposing the condition that may lead to a sound and comfortable sleep. Three types of pillows that are sold in the market were used for this research in order to evaluate the quality of sleep depending on the filling materials of pillow. All data were statistically processed and the following conclusions were drawn. It was found that the pillow with feathers provided the best comfort as the pillow A turned out to have the shortest sleeping latency(SL) from the perspective of comfort. The pillow B which used the polyethylene is deemed to be suitable for fatigue relieving purpose as it turned out to have the highest slow wave sleep(SWS), but no statistically significant difference was validated. Moreover, the pillow C which used the natural wool was found to have the narrowest contacting area of the pillow and head and provide a great warm heat comfort that may led to a sound sleep because the temperature below the pillow took the longest time to rise.

• 수면정신생리
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• 제18권2호
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• pp.67-71
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• 2011

Schizophrenia is a chronic, currently incurable, and devastating syndrome. Although sleep disturbances are not primary symptoms of schizophrenia, they are important aspects of schizophrenia. Difficulties initiating or maintaining sleep are frequently encountered in patients with schizophrenia. Many schizophrenics report low subjective sleep quality. Measured by polysomnography, increased sleep latency as well as reduced total sleep time, sleep efficiency, slow wave sleep, and rapid eye movement sleep latency (REM latency), are found in most patients with schizophrenia and appear to be an important aspect of the pathophysiology of this disorder. Some literatures suggest that worsening sleep quality precedes schizophrenic exacerbations. Co-morbid sleep disorders such as obstructive sleep apnea (OSA) and restless legs syndrome (RLS), and sleep-disrupting behaviors associated with schizophrenia may lead to sleep disturbances. Clinicians should screen the patient with sleep complaints for primary sleep disorders like OSA and RLS, and carefully evaluate sleep hygiene behaviors of all patients with schizophrenia who complain of sleep disturbances.

• 수면정신생리
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• 제7권2호
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• pp.79-83
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• 2000

Sleep disturbances are frequently associated with neurological disorders. Sleep disorders interfere with rehabilitation of patients with neurological disorders such as stroke and may increase the severity of their symptoms and recurrence rate of stroke. The treatment of sleep apnea syndrome is particularly important in managing patients with cerebral infarction of whom 50-80% have moderate to severe sleep apnea. Sleep apnea produces not only poor quality sleep but also excessive daytime sleepiness, fatigue and lack of energy. Sleep problems frequently found in patients with dementia are sleep-wake cycle abnormality, fragmentation of sleep, nocturnal insomnia, decreased slow wave sleep and REM sleep, and sleep disordered breathing. The management of sleep disturbances is very important for controlling symptoms such as nocturnal wandering and sundowning syndrome in patients with dementia. Parkinson's disease and epilepsy are other neurological disorders that may have sleep disturbances.

• 수면정신생리
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• 제12권2호
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• pp.87-92
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• 2005

Cytokines are the main regulatory molecules of not only immune system but also sleep system. Research on the role of cytokines on sleep has greatly been expanding since the first report of sleep-promoting effects of interleukin-1, the first cytokine molecule. Interleukin-1 and tumor necrosis factor are most widely studied among various cytokines. Studies over about twenty years demonstrate that most cytokines promote sleep but several cytokines inhibit sleep. Slow wave sleep is the main part that cytokines have effects on. Besides normal sleep physiology, cytokines have more major roles on pathophysiology of various sleep disorders. Obstructive sleep apnea is the representative sleep disorder that shows how deeply cytokines are involved in their pathophysiologic mechanisms of sleep disorders. Though there are many controversial issues on this topic, more mysterious part of normal sleep physiology and sleep disorders will be revealed in near future through thorough studies on sleep and cytokine.