• Title/Summary/Keyword: Sleep Efficiency

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A Comparative Study on the Quality of Sleep, Tongue Diagnosis, and Oral Microbiome in Accordance to the Korean Medicine Pattern Differentiation of Insomnia (불면 변증에 따른 수면의 질, 설진, 구강 미생물 차이에 대한 비교 연구)

  • Shim, Hyeyoon;Kwon, Ojin;Kim, Min-Jee;Song, Eun-Ji;Moon, Sun-Young;Nam, Young-Do;Nam, Dong-Hyun;Lee, Jun-Hwan;Koo, Byung Soo;Kim, Hojun
    • Journal of Korean Medicine for Obesity Research
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    • v.20 no.1
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    • pp.40-51
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    • 2020
  • Objectives: We aimed to compare the quality of sleep, tongue diagnosis, oral microbiology differences in insomnia of Liver qi stagnation (LQS) and Non-Liver qi stagnation (NLQS). Methods: 56 patients were classified as LQS or NLSQ type insomnia through the insomnia differentiation questionnaire. The depression scores between the groups were compared through beck depression inventory (BDI), and the sleep quality was compared through Pittsburgh sleep quality index (PSQI) and Insomnia Severity Index (ISI). We analyzed the sleep efficiency, total sleep time, total awake frequency, total and average awake time through actigraph. For the tongue diagnosis, the distribution of tongue coating in six areas were measured through Winkel tongue coating index (WTCI). Linear discriminant analysis was performed to observe the differences in composition of microbial strains between the groups. Results: The scores of BDI, ISI and PSQI were significantly higher in LQS group. The total sleep time in LQS group was significantly less than that of NLQS group. Among the areas of tongue, according to the WTCI, the amount of tongue coating in zones A and C was significantly small. In oral microbial analysis, there was no significant difference between the groups at the phylum level. At the genus level, Prevotella, Veillonella, and Streptococcus were predominant in LQS group, whereas Prevotella, Neisseria, and Streptococcus in NLQS group. Conclusions: It was meaningful that insomnia was more likely in LQS group than in NLQS group, and the composition of oral microorganisms was significantly different, which could lead to the diseases caused by stress.

Cognitive Behavioral Therapy for Primary Insomnia: A Meta-analysis (만성 일차성 불면증 환자에게 적용한 인지행동중재의 효과: 메타분석)

  • Kim, Ji-Hyun;Oh, Pok-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.407-421
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    • 2016
  • This paper reports a meta-analysis of sixteen studies that evaluated the efficacy of cognitive behavioral therapy (CBT) for persistent primary insomnia. PubMed, Cochrane Library, EMBASE, CINAHL and several Korean databases were searched between January 2015 and June 2015. The main search strategy involved the terms that indicate CBT-I (Cognitive Behavioral Therapy-Insomnia) and presence of insomnia. Methodological quality was assessed using Cochrane's Risk of Bias. Data were analyzed by the RevMan 5.3 program of Cochrane Library. Sixteen clinical trials met the inclusion criteria, resulting in a total of 1503 participants. Stimulus control, sleep restriction, sleep hygiene education, and cognitive restructuring were the main treatment components. CBT-I was conducted for a mean of 5.4 weeks, 5.5 sessions, and an average of 90 minutes per session. The effects of CBT-i on total sleep time (d=-0.31), sleep onset latency (d=-0.29), awakening time after sleep onset (d=-0.55), sleep efficiency (d=-0.70), insomnia severity (d=-0.77) and sleep belief (d=-0.64) were significant. Overall, we found a range from small to moderate effect size. CBT-I also was effective for anxiety (d=-0.30) and depression (d=-0.35). The findings demonstrate that CBT-I interventions will lead to the improvement of both sleep quality and quantity in patients with insomnia.

Power-Efficient Rate Allocation of Wireless Access Networks with Sleep-Operation Management for Multihoming Services

  • Lee, Joohyung;Yun, Seonghwa;Oh, Hyeontaek;Newaz, S.H. Shah;Choi, Seong Gon;Choi, Jun Kyun
    • Journal of Communications and Networks
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    • v.18 no.4
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    • pp.619-628
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    • 2016
  • This paper describes a theoretical framework for rate allocation to maximize the power efficiency of overall heterogeneous wireless networks whose users are assumed to have multihoming capabilities. Therefore, the paper first presents a power consumption model considering the circuit power and radio transmission power of each wireless network. Using this model, two novel power efficient rate allocation schemes (PERAS) for multihoming services are proposed. In this paper, the convex optimization problem for maximizing the power efficiency over wireless networks is formulated and solved while guaranteeing the required quality of service (QoS). Here, both constant bit rate and variable bit rate services are considered. Furthermore, we extend our theoretical framework by considering the sleep-operation management of wireless networks. The performance results obtained from numerical analysis reveal that the two proposed schemes offer superior performance over the existing rate allocation schemes for multihoming services and guarantee the required QoS.

MAC Protocol for Single-Hop Underwater Sensor Network (싱글 홉 수중 센서 네트워크를 위한 매체접속제어 프로토콜 설계)

  • Baek, Seung-Kwon;Cho, Ho-Shin;Jang, Youn-Seon
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.6
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    • pp.499-505
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    • 2009
  • Main design issues for MAC (Medium Access Control) protocol in underwater sensor networks are long propagation delay caused by the low speed of sound, difficult synchronization, and energy-limited node's life. We aimed to mitigate the problems of strict synchronization and channel inefficiency of TDMA and also the throughput degradation induced by unavoidable collisions in contention based MAC protocols. This proposed protocol improved not only the energy efficiency by adopting a sleep-mode, but also the throughput by reducing collisions and increasing channel efficiency.

Open Clinical Trial of Morning Light Therapy in Sleep Disturbance of Alcohol Dependent Patients (알코올의존 환자에서의 수면장애에 대한 아침 광치료의 임상시도)

  • Ko, Young-Hoon;Joe, Sook-Haeng;Jeon, Seung-Kyu;Kim, Byoung-Kyu;Kwon, Sung-Min
    • 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.

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A Study of Variable Wakeup Period for Duty Cycled MAC protocol in WSN (Duty Cycle 기반의 WSN MAC을 위한 트래픽 환경에 따른 가변 Wakeup Period 기법 제안)

  • Lee, Jae-Ho;Eom, Doo-Seop
    • Journal of the Institute of Electronics and Information Engineers
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    • v.49 no.12
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    • pp.45-55
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    • 2012
  • The energy efficiency is extremely significant in Wireless Sensor Networks (WSN) which deliver the data sensed in the sensor field, using wireless communications. Under the characteristics of WSN, many MAC protocols employ the Duty Cycle mechanism which continuously operates Wakeup and Sleep periods, for the energy efficiency. However, constant Wakeup period in general Duty Cycle incurs the limited performance of the energy efficiency and the receiving ratio. For addressing this, we design and propose a new scheme called Variable Wakeup Period, considering local traffic conditions. Our scheme enhances receiving ratio by increasing Wakeup period under the high traffic condition, and makes high energy efficiency by decreasing Wakeup period under the otherwise condition. In addition, we evaluate the performance of our scheme by performing the simulation, which experiments the previous synchronous and asynchronous MAC protocols, and which also experiments the same protocols with the proposed scheme, for comparative evaluations.

A Study of Upper Airway Resistance Syndrome : Clinical and Polysomnographic Characteristics (상기도저항 증후군에 대한 연구 : 임상 및 수면다원검사 특징)

  • Yang, Chang-Kook;Clerk, Alex
    • Sleep Medicine and Psychophysiology
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    • v.3 no.2
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    • pp.32-42
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    • 1996
  • Objectives : Upper airway resistance syndrome(UARS) is a sleep-related breathing disorder characterized by abnormal negative intrathoracic pressure during sleep. Abnormally increased negative intrathoracic pressure results in microarousal and sleep fragmentation which underlay UARS-associated complaints of daytime fatigue and sleepiness. Although daytime dysfunction in patients with UARS is comparable to that of sleep apnea syndrome, UARS has been relatively unnoticed in clinical setting. That is why UARS is apt to be excluded in diagnosing of sleep-related breathing disorders since its respiratory disturbance index and arterial oxygen saturation are within normal limits. The current study presents a summary of clinical and polysomnographic characteristics found in patients with UARS. The present study aims (1) to explore characteristics of patients diagnosed with UARS, (2) to characterize the polysomnographic findings of UARS patients, and (3) to enhance the understanding of UARS through those clinical and laboratory characteristics. Methods : This was a retrospective study of 20 UARS patients (male 15, female 5) and 30 obstructive sleep apnea (OSA) patients (male 21, female 9) at the Stanford Sleep Disorders Clinic. We diagnosed patients as having UARS when they met critenia, RDI < 5 characteristic findings of an elevated esophageal pressure($<-10\;cmH_2O$), frequent arousals secondary to an elevated esophageal pressure, and symptoms of daytime fatigue and sleepiness. We used polysomnographic value, which is standardized by Williams et al(1974), as normal control. Statiotical test were done with student t-tests. Results : (1) Mean age of UARS was $41.0\;{\pm}\;14.8$ years and OSA was $50.9\;{\pm}\;12.0$ years. UARS subject was significantly younger than OSA subject (p<0.05). (2) The total score of Epworth Sleepiness Scale (ESS) was UARS $9.7\;{\pm}\;6.3$ and OSAS $11.2\;{\pm}\;6.3$. There was no significant difference between two groups. (3) The mean body mass index was UARS $28.1\;{\pm}\;5.7\;kg/m^2$ and OSAS $32.9\;{\pm}\;7.0\;kg/m^2$. UARS had significantly lower meen body man index than OSAS subjects (p<0.05). (4) The polysomnographic parameters of UARS were not significantly different from those of OSA except RDI(p<0.001), $SaO_2$ (p<0.001) and slow wave sleep latency (p<0.05). (5) Compared with normal control, Total sleep time in UARS subjects was significantly shorter (p<0.001), sleep efficiency index was significantly lower (p<0.001), total awakening percentage was significantly higher (p<0.001), and sleep stage 1 (p<0.001) were significantly higher. (6) OSA patients showed poor sleep quality and distinct abnormal sleep architectures compared with normal control. Conclusions : Conclusions from the above results are as follows : (1) UARS patients were younger and had lower body mass index when umpared with OSA patients. (2) The quality of sleep and sleep architectures of the UARS and OSA patients are significantly different from those of normal control. (3) ESS scores and awakening frequencies of UARS are similar with those of OSA, suggesting that daytime dysfunction of UARS patients may be comparable to those of OSA patients. (4) The RDI and the $SaO_2$ which are important indicators in diagnosing sleep-related breathing disorders, of UARS subjects are close to normal value. (5) According to the the above results, we unclude that despite the absence of $SaO_2$ drops and the absence of an elevated number of apnea and hypopnea, subjects developed clinical complaints which were associated with laborious breathing, elevated Pes nadir, and frequently snoring. (6) Accordingly, we suggest including LIARS in the differential diagnosis list when sleep related breathing disorder is suspected clinically and overnight polysomnographic findings except snoring and frequent microarousal are within normal limits.

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Performance Evaluation of Energy Saving in Core Router and Edge Router Architectures with LPI for Green OBS Networks (Green OBS 망에서 LPI를 이용하는 코어 및 에지 라우터 구조의 에너지 절감 성능 분석)

  • Yang, Won-Hyuk;Jeong, Jin-Hyo;Kim, Young-Chon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37 no.2B
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    • pp.130-137
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    • 2012
  • In this paper, we propose core and edge router architectures with LPI(Low Power Idle) for reducing energy consumption in OBS networks. The proposed core router architecture is comprised of a BCP switch, a burst switch, line cards and sleep/wake controller for LPI. When the offered load of network is low, sleep/wake controller can change the state of the core router line card from active to sleep state for saving the energy after receiving network control packet. The edge router consists of a switch for access line card, a SCU and OBS edge router line cards. The LPI function in edge router line card is performed through network level control by network control packet, individually. Additionally, PHY/transceiver modules can transition active state to sleep state when burst assemble engine generates new bursts. To evaluate the energy saving performance of proposed architecture with LPI, the power consumption of each router is analyzed by using data sheet of commercial router and optical device. And, simulation is also performed in terms of sleep time of PHY/Transceiver through OPNET.

Spectral Analysis on the Noise of Automobile Ball Bearing Plant

  • Jeong, Dong-Gyu;Ko, Duck-Young;Kim, Young-Se
    • Proceedings of the IEEK Conference
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    • 2002.07a
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    • pp.474-477
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    • 2002
  • Hearing loss caused by exposure to industrial machine noise results in devastating disability that is mostly preventable. And recent researches indicate that the noise may also induce hypertension and cardiovascular disease. In addition the sleep polygraph provides many indicators of sleep disturbance by the noise. In this paper we make an analysis on ball bearing machine noise, a kind of the industrial noise. The analysis of Its power spectrum is based on FFT(Fast Fourier Transform). And then the spectral results of the noise are compared with that of the spectrum for an auditory signal. The signal is measured from the pronunciation of two Koreans. Finally we suggest the most important stratagem to prevent the noise for worker's health and efficiency.

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A Dynamic Zigbee Protocol for Reducing Power Consumption

  • Kwon, Do-Keun;Chung, Ki Hyun;Choi, Kyunghee
    • Journal of Information Processing Systems
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    • v.9 no.1
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    • pp.41-52
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    • 2013
  • One of the obstacles preventing the Zigbee protocol from being widely used is the excessive power consumption of Zigbee devices in low bandwidth and low power requirement applications. This paper proposes a protocol that resolves the power efficiency problem. The proposed protocol reduces the power consumption of Zigbee devices in beacon-enabled networks without increasing the time taken by Zigbee peripherals to communicate with their coordinator. The proposed protocol utilizes a beacon control mechanism called a "sleep pattern," which is updated based on the previous event statistics. It determines exactly when Zigbee peripherals wake up or sleep. A simulation of the proposed protocol using realistic parameters and an experiment using commercial products yielded similar results, demonstrating that the protocol may be a solution to reduce the power consumption of Zigbee devices.